Archive for April, 2009

The First two Anxiety and Panic Attack Treatments

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Anxiety and Panic Attack Treatments

Anxiety & Panic attacks are treatable. There are four main treatment options. Any one of these or a combination may be used. Everyone is different, so find what works best for you:

 Cognitive Behavioral Therapy

 Psychotherapy

 Medications

 Self Help

In this post I will be discussing the Cognitive Behavioral Therapy and Psychotherapy. In the next post I will discuss Medications and Self Help.

Cognitive Behavioral Therapy

Cognitive behavioral therapy is often viewed as the most effective form of treatment for Anxiety or Panic attacks. Cognitive behavioral therapy is a form of psychotherapy that emphasizes the importance of how we feel and what we do. For example, if you had a Anxiety or Panic attack while at work, what is the worst thing that could really happen? While you might have to leave work, you are not likely to have a heart attack or faint. Once you learn and know that nothing really bad is going to happen to you, the experience of anxiety or panic becomes less terrifying.

Psychotherapy

Psychotherapy is an incredible process where psychological problems are treated through communication and relationship factors between you and your therapist. But, it is much more than talking out your problems. It is based on therapeutic principles, structure and technique. The relationship between your therapist and you is different than any other relationship. You can be totally honest and know that this information will not be told to anyone else. Your therapist is not judging you, he or she is only there to help. This is important to remember so that you can get to the root of your problem without worrying about offending or hurting someone else’s feelings.

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What Exactly is an Anxiety or Panic Attack???


Click Here for Help!!! An Anxiety Attack is a sudden feeling of intense panic or fear that comes on for no apparent reason. It will then possibly trigger severe physical reactions such as follows:

 Shortness of Breath
 Dizziness
 Rapid heart rate
 Sweating
 Trembling
 Hyperventilation
 Faintness
 Tightness in your throat
 Trouble Swallowing
 A sense or fear of impending death

An Anxiety Attack is often one of the scariest feelings that you can have. We never know when they will occur. They can happen at any time, any place and for any reason. Anxiety or Panic Attacks will usually have you thinking that you are losing control, having a heart attack, or maybe even dying. When sufferers are asked “What exactly does a panic attack feel like?” The best way that they have been able to describe it is this:

You are driving down the road in your car and somebody pulls out in front of you. You
swerve and narrowly miss them avoiding an accident.

NOW…after all this has happened, what do you feel? Adrenaline, heart pounding in
your ears, shortness of breath, ANXIETY & PANIC. These feelings are what a person having an anxiety or Panic Attack feels like, but, instead of the brief few seconds you feel it, these feelings will go on anywhere from a few minutes to sometimes hours for a person having a severe Anxiety or Panic attack.
Although panic attacks can significantly affect your quality of life, there are treatment
options available. Each person is unique and will need to figure out what course of
treatment is best for them.

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How to Survive With Anxiety and Panic Disorder


235/365 Hair pulling stress
Creative Commons License photo credit: stuartpilbrow

  1. Accept the fact that there are some things in your life that you are not happy with: your job, your relationship, your body. There is always a root to your anxiety and panic. You may panic in a certain situation, which probably has no relation to the real issue. Are you really afraid or terrified of a mall, or being inside of a car?
  2. Try to start overcoming your fears, and to let go of your “safety behaviours”. This is very important, as it allows you to retrain your mind into letting you again believe that there isn’t a danger in going to the mall, or driving a car. You have told your mind that these things are putting your body in danger, and your body is reacting to the threat. But really, there is not a threat at the time, your mind is tricking your body. If, for instance, there was a real threat then your body would respond as necessary. This is what our bodies are designed to do.
  3. Become familiar with, and comfortable going through your bodily sensations again. When we suffer from panic attacks, our bodies almost forget to recognize the symptoms as being normal. Our minds think we are in danger, therefore triggering more symptons and, well, you can see the vicious cycle. Once you familiarize yourself with these sensations, you can re-train your mind to know that this is your body’s way of reacting, you are not in danger, and there is no need to get scared or panic.
  4. Practice going over your bodily sensations at home or wherever you feel comfortable. Gradually you’ll be able to go for longer periods of time. Once you know the sensation, and that your body can handle quite a bit of it, you can tell yourself that this is a normal reaction for your body and nothing is going to happen to you.
  5. Move onto another sensation, like depersonalization. [WARNING: Do not try this if you have,or think you may have, dissociative disorder or PTSD. Incest and child sexual abuse survivors are particularly vulnerable to dissociation.] This can be very frightening for someone who doesn’t know the meaning. This occurs when you feel that your mind is not in the moment, but your body is. It can be very scary, but in fact, it is another normal bodily function. When we are in situations we are used to and don’t need to give much attention to, we tend to drift. For example, if you take the same route to work everyday, and one day get to work and think, “Wow, I don’t even remember going through the last set of lights!.” This is depersonalization. We don’t get anxious in those scenarios, but when it happens during a panic attack, it can bring the anxiety to a higher level. For this, try standing in front of the mirror, staring at yourself, not saying a word. After awhile, you are going to start feeling as if your mind and body are in different places. Keep trying this. Go for longer and longer periods until you are comfortable with the sensation.
  6. Teach your mind that it is normal for your heart rate to increase/decrease throughout the day. Sometimes during an attack, your heart may start racing and this might lead you to believe that you’re having a heart attack. The mind often then tricks the body to react even more, therefore starting the cycle of an attack. You can time yourself again, starting with 10 seconds of hyperventilating: breathing heavily in and out. Once you are comfortable with this, try going to 15 sec., etc. You will be surprised at how much heavy breathing your body can handle. It doesn’t have a problem adjusting at the gym when you are working out, why can’t it fluctuate any other time throughout the day? It can and will with no adverse affects.
  7. Try a mind skill called scripting. This is not a physical sensation but a mental exercise. Take your fear(s) and write each one out, being very detailed and specific. Write every aspect of the fear, and don’t stop even at the point when you think you are done. Make sure that you write out the final consequence. Then take this story of yours and read it over and over and OVER again. It may be scary and difficult to do in the beginning but, eventually, you will see how silly it sounds. And it will become clear that it is truly “just a story”. Over time you will find yourself desensitized to it and not have to get scared over your thoughts again, for they really are “just thoughts”.
  8. Avoid taking alcohol as a way to relax. Alcohol is easy to consume and easy to get and can cause problems since it is a depressant and dependence can occur.

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How to calm yourself during a Panic or Anxiety Attack


  1. One of the most effective methods used is deep breathing. The following exercise will physically, and mentally calm you.
  2. Start out by breathing through your nose for a slow 3 count
  3. Than hold your breath for a slow 3 count
  4. And than exhale for a slow 3 count. You can do this as long as you want. It really helps.
  5. The next thing you can do is something called stop and replace. The purpose of this is to stop the anxious thought and replace it with a more calming thought.
    • EX: I am anxious about going in front of the class to present my project. (so i keep thinking about it and it just makes me more anxious)
  6. STOP!! that thought and replace it with a thought such as thinking of something exciting you are going to do this weekend like go on a family trip, and just really lose yourself in the thought and take your mind away from the current anxious thought.
  7. As a panic attack often fuels itself by unintentionally focusing on the cause of panic, it can help to divert your attention by focusing on something else, such as doing mental puzzles: word games, numerical problems or noting the features of different objects within sight. Try counting backwards from 100 by 3′s, or saying the alphabet backwards, etc. It’s even better if you can fully avoid focusing, do not focus on not focusing. (practicing meditation helps learning how to do this).
  8. If possible have someone you know/trust talk to you and comfort you. Ask him/her to massage your palm while talking to you.
  9. Tense the various muscles in your body for a few seconds and then release, allowing yourself to relax.
  10. If you are able to stand, get up and walk around slowly, while “slowly” deep breathing (change of focus).

Shared Items – April 14, 2009


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What Causes Anxiety Attacks


Conflict and Fear
Creative Commons License photo credit: SmilingStrong

We are not sure what causes anxiety attacks, even the experts aren’t sure. However, we do have a natural response when we are stressed or in danger and the body reacts with a variety of symptoms. Your heart speeds up, you start breathing faster and all of a sudden you have a huge burst of energy. We call this our “fight or flight” response. This helps us either cope with or run away from danger.  When we have these responses, but we are not in danger, an anxiety or panic attack occurs.

These attacks can also be caused by other things, such as:

  • A family history of anxiety attacks or panic attacks  
  • An imbalance of chemicals in the brain.
  • Hyperthyroidism or overactive thyroid
  • heart or breathing problems
  • depression
  • mood disorder
  • abusing alchohol
  • use of nicotene
  • use of too much caffeine
  • medications used to treat asthma or heart problems
  • illegal drug usage such as cocaine or marijuana 
  • Enduring lots and lots of stress for long periods of time

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