Panic attacks can be very frightening and exausting. The effects vary from person to person, but
common elements are shortness of breath, dizziness, increased heart rate, blurred vision,
tightness in the chest and tight painful muscles. Some people think they are going to faint. Others
think that they are having a heart attack. Some people even believe that they are going to die.
In fact (unless the individual has a blood phobia) fainting or collapsing during the panic attack is
extremely likely. What is happening is that a slight, sound or smell has reminded the person of a
previous traumatic event, and this trigger has been misinterpreted by the brain, setting up the
person for a fight or flight reaction. As a result more oxygen is pumped to the muscles
to
prepare the person for action, leaving less going to the brain and so causing light-headedness and
sometimes prompting to instinctively gasp for breath. Looked at in this way, the central feature of
panic attacks can be seen as hyperventilation or "over-breathing".
Individuals who suffer from panic attacks can become extremely hypervigilant, scanning their
surroundings in search of possible threats to their well-being.
How to overcome Panic Attacks is is understanding what is and what is not happening. Panic
fuels more panic, and if a person is convinced that somthing catastrophic is happening to them a
vicous cycle is set up.
Instead it is helpful to remind oneself that:-
"This is just a panic attack, it cannot actually harm me"
and to practice controlling it.
The best strategy for controlling panic involves the "3S's"
Breathe Slowly
Breathe Smoothly
Breathe Shallowly
This may take practice, as you need to establish what is the most comfortable rate of breathing
for you, but as your breathing becomes more regular and controlled the panic will gradually
subside. when you are feeling calmer and the panic has subsided, continue with what you were
previously doing. Congradulate yourself, you have taken control of the panic!
Another useful strategy is to keep a weekly diary of panic attacks, and score the severity of each
one on a scale of 1-10. You may be suprised to find that some are much less severe that others.
A helpful next goal, rather then seeking
to avoid the occurrence of panic attacks, is to aim to reduce the severity of each attack by
controlling your breathing. as you achieve this the fear associated with the panic attacks will
lesson, and as a result they will become less frequent.
Running away from the place or situation that has triggered the panic is an unhelpful coping
strategy, although it produces a sence of relief at the time. In the longer term escaping or fleeing
from a situation sets up an unhelpful avoidence pattern, avoidance being another symptom of
PTSD. A more helpful strategy is to cognitively challenge the reason for the panic, which is
difficult for a person to do on there own, but can be accomplished very successfully with the help
of a Cognitive Behavioural Therapist.
When you are overcomming panic it helps to re-establish your normal daily activities so as to
allow less time for brooding and anticipation. In the middle of an attack it is easy to forget how to
cope. Try writing your strategies on a card which you can carry with you. Practice them when
you are feeling safe.
Remember..you CAN control panic..panic need not control you!
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