Panic and Anxiety Control Program

Symptoms of panic and anxiety can be confused with life threatening physical disorders! Please consult your physician to determine the source of your symptoms.

Behavioral techniques for controlling panic and anxiety. Help get back in control of your life.
This is an update of specific things you can do to control the symptoms of panic and anxiety attacks. These devastating occurrences can negatively affect your day to day quality of life. But this is not news for anyone suffering from this terrible disorder. Millions of people live in fear of these “attacks.” Major transitions, trauma, and stress can lead to feelings of little or no control over one’s life! This can affect people in major ways.

A scary symptom which can develop is called Panic (or Panic Attack.”) A panic episode can come on suddenly or can awaken you from your sleep with a nasty feeling of apprehension. Some people believe that they are having a heart attack because often there is chest pain, a shortness of breath, neck or arm pain, major stomach upset, an adrenaline rush, lightheadedness, dizziness, and other unpleasant feelings of fear and apprehension. These feelings can be triggered by specific events such as: driving (getting stuck in traffic), shopping, waiting in lines at stores, banks, post offices, etc, feeling trapped in church/movies/classes, traveling distances from home (especially flying, etc.), making a presentation in front of a group of people (drawing attention toward yourself), doing new or unfamiliar activities, meeting new people, basically, doing anything new or seemingly stressful where you may fear “LOSING CONTROL.” Loss of control is the main feature that makes this so frightening for the people who suffer from panic and anxiety. We may not know a panic sufferer by looking at him or her because they can maintain such good control that unless we were to look very carefully we might not notice the nervousness below the surface.

Heart problems, chest pain, and respiratory difficulties (hyperventilation and dizziness are common symptoms of panic/anxiety attacks) should be carefully examined by your physician! If no heart related problem exists, but you are still in great fear of these occurrences of panic then the following behavioral program, with practice, will greatly aid you in preventing or at least minimizing the episodes of panic. Also, remember that exciting/positive actions or events can raise your heart rate. This excitement is not bad or life threatening, but you fear of the physical symptoms of excitement can really hamper your enjoyment of life!

The keys to controlling panic and anxiety are:

• Breathe slowly/diaphragmatically
• Remain in the present… in your body, in a positive way
• Positive self-talk… not negative ruminations
• Avoid caffeine and stimulants
• Regular aerobic exercise
• Regular deep relaxation with Biofeedback Temperature monitoring
• Use relaxation tapes/CD’s regularly!
• Learn to warm your hands and feet
• Get support in confronting and then desensitizing yourself to fears/phobias
• Taper your anti-anxiety medication after you have mastered the relaxation-biofeedback

1. Learn to breathe diaphragmatically
Place a hand over your upper abdomen
Push it OUT as you inhale
Let in move IN as you exhale
Let your chest, shoulder, neck, and back relax as you breathe.
Only on a very deep breath should these parts move in the breath.
This may be the most important Panic Control Technique you can learn!

2. Use any of the Stress Management Audio’s, especially, #205 Stress Management for Controlling Panic and Anxiety, 1-3 times per day for 8-12 weeks. Check the “Products” page at the Stress Education Center’s website.
After achieving a level of controlled deep relaxation, repeat suggestions of “control,” especially control of slow, regular breathing and slow regular heart rate. Suggestions of “letting go” to help achieve hand and foot warming, along with any visualizations that can encourage this increase of peripheral blood flow, would be very useful, as well.

Try to find: StressDots or some sort of temperature training biofeedback device on your hands to learn how to warm your hands with relaxation. When you can consistently get above 90 degrees Fahrenheit (93-95 degrees is ideal) then you can begin to master warming your feet to 90 degrees.
When you can “let go” by relaxing and warming your hands and feet, you will be able to control if not prevent your panic episodes. Then you must develop the confidence in your control so the fear of panic will not control your life.

3. Regular exercise will help you to work off the effects of life’s stresses
3-5 times per week of regular exercise that can elevate your heart rate for 15-45 minutes would be best. Check with your doctor before beginning an exercise program if you have been inactive for a long while. Even though elevating your heart rate can be a little scary, the release of tensions and the strengthening of your cardiovascular system will have great benefits.

4. Eat regular meals.
Low fat and complex carbohydrates are better than fast foods with lots of sugar. AVOID CAFFEINE and other stimulants. Caffeine is found in coffee, black teas, cola drinks, chocolate, some over-the-counter pain medications, and other foods/drugs. Read labels. Eating as closely as you can to natural foods (lots of: fruits, vegetables, whole grains, etc.) will benefit any one.

5. Practice positive self-talk.
Do not let your fears escalate into you losing control of your body and your mind. By breathing slowly and staying in your body, in present time, you avoid falling into the negative pattern of fear and panic.

6. Get support from your friends, doctor, and a therapist if necessary.
Check your area for panic/anxiety support or treatment groups! Regular use of anti-anxiety medications may be better than just taking your prescription only after the panic has begun. Reduce your medication in a supervised way after you have mastered the relaxation/biofeedback control techniques.

Remember you can get back in control of your body and your life! You must make this a priority so you can avoid being a victim to this set of scary symptoms.

Panic/anxiety is not always your enemy. This reaction is designed to protect you and may teach you something about the stresses and transitions you are going through. Denial of these challenges only creates a more stubborn set of symptoms that can be more debilitating.

Other Good books that can help you:David Barlow, Ph.D. and Jerome Cerny, Psychological Treatment of Panic, Guilford Press, New York. 1988.

Susan Lark, MD, Anxiety & Stress: A Self-Help Program, Westchester Publishing Company, Los Altos, CA. 1993.

For more information regarding the Stress Education Center Panic/Anxiety Control Program visit the website at www.dstress.com or call 360-593-3833.

Executive Stress

Executive Stress – Why We Are More Stressed Now Than Ever Before

On his one hour commute into work, Robert, the executive vice-president for a large international bank, noticed that his stomach seemed tied up in knots. His doctor had referred him for some executive coaching to assist him in reducing symptoms of job stress. Robert was being treated for stress related high blood pressure and now he was having tests for a possible stomach ulcer. It was not uncommon for tension headaches and neck aches to develop near the end of his work day and prevent him from sleeping well at night. Sometimes he would awaken at his normal time and feel completely un-rested as he pulled himself out of bed to prepare for his day. Even on his weekends, Robert would be distracted by his fatigue, loss of concentration, and an irritated stomach.

As he began his stress management coaching, Robert had a difficult time finding the time required to practice his stress management exercises. These were provided for him on audio CD’s that he could listen to while undistracted for 20 minutes. Robert was struggling with finding 20 minutes in his heavily scheduled day. After several weeks, Robert was convinced, by his coach, that this expenditure of time would not only allow him to feel better, it would probably save him time. He began to practice these relaxation strategies and to his amazement, Robert found that the program really worked. He listened to the CD’s while being driven to work. At work, he discovered that he was better able to concentrate and to communicate with his co-workers. This allowed him to get his work completed in less time. He saved one and half hours on most days. Robert invested the “extra” time in some projects that he enjoyed but had not found the time to accomplish. This gave him greater satisfaction and a sense of control that he had not remembered feeling for a long time. In several more weeks, Robert reported fewer headaches, better sleep, and reduced stomach problems. Eventually, his blood pressure began to respond and was reduced to normal ranges with less medication. Robert was convinced that stress management improved the quality of his life and allowed him to be more productive.

Why do Executives suffer from the effects of stress?
What are the possible symptoms of stress?

We are all born with a primitive survival mechanism called the “Flight/Fight Response.” This ancient survival responses has been inherited from billions of years of evolution. 5,000 years ago, if a man was confronted by a threat, he could either run away or stand his ground and physically fight against his attacker. His body would automatically prepare for the action required to survive. His heart beat would increase, his blood pressure would go up, his breathing would become more rapid, muscles would tense to prepare for the fight or to flee, his hands would get cool and clammy, digestion and libido would be reduced, and the primitive brain would take over reducing his ability to think clearly, instead making him more reactive to his fear or anger. These “hard-wired” responses that are triggered when we are threatened. The threats today are usually not as life threatening as 5,000 years ago but our sub-conscious perceptions believe that an upset client or a poor contract negotiation are as serious as a life and death confrontation. We only have one way to respond to the stress of change. Even if the change is a positive experience our body responds in part, if not all, the “Flight/Fight Response.”

The pace of change has increased and adapting to change triggers the stress response. Even positive changes can be stressful. To prove a point about how positive change and stress can be dramatically bad for your health, I want to tell one brief story. When I was growing up, I read a newspaper account of a man who suffered from good fortune! The story read that a man had won a large sweepstakes award. He had won a fortune…. $100,000, which back in those days was a lot of money! He was so overjoyed with his good luck that he celebrated in an unfortunate way… he died of a heart attack! How many people do you know who get a new job or relationship, and wind up paying the price of this positive stress?

Now, more than ever before in history, people are overwhelmed by the stresses of life. The pace of change due to new technologies and the new information that technology generates has created overloads that we are not able to handle in appropriate ways. In the past ten years, people are developing symptoms of these new technologies. Eye strain, back strain, wrist/hand strain, neck problems, even increased body weight, and substance abuse increases can be linked to long hours in the modern work world of computers and technology.

Who in this modern world can say that our primitive response to stress, from millions of years of adaptation and survival, has been able to keep up with the accelerated pace of change during the past few decades? Have you evolved a new survival mechanism to counter the old Flight/Fight Response? Normally, evolution of these systems takes nature thousands of generations to develop. In today’s world, more people are overwhelmed by the accelerated pace of change than ever before in human history! There are always a few “genetic immunes” who make the rest of us look like “slackers” but, trust me, more of us suffer from the pace of change than there are those who seem to thrive in this 24/7 world…)

If we can not change the pace of the world around us, or the people we do business with, or the behaviors of the people we live with, or the global changes that affect us, then we can at least become aware of these stressors and avoid becoming a victim to these changes! We do have control over the way we respond to these changes.

Awareness is half the battle! Know how you respond to stress in your own unique way! Know what in your life is causing this transitional stress. Then, you must develop daily habits that effectively control the negative physical and emotional responses to stress. You can GET BACK in CONTROL! You can prevent, or at least minimize, symptoms of stress such as: headaches, backaches, neck aches, high blood pressure, panic, anxiety, many stomach problems, sexual dysfunction, possibly reduce auto-immune problems like allergies or some forms of arthritis, sleeping problems, bruxism, TMJ, and other stress related symptoms. The emotional symptoms such as: loss of concentration, withdrawal (depression), anxiety, being accident prone, memory loss, poor motivation, poor communication, poor performance, and some learning disabilities can be linked to stress and reduced, if not eliminated, by awareness and lifestyle changes. Key executive personnel can be given executive coaching and this can prevent them from becoming liabilities due to inefficiency or poor productivity. You will want to protect your valuable employees and avoid having to replace and then retrain key personnel who may be impaired or lost due to stress related symptoms. One higher level executive let his response to stress take the form of anger and had lawsuits threatened and the alienation of his team to deal with (and the liability that faced the company.)

Executive stress management programs are tailored to the specific requirements of the executive and their specific symptoms. Programs can include a combination of strategies such as: regular relaxation practices, increased physical exercise, and changes to the diet. These are the three components of a lifestyle designed to encourage health and symptom prevention. Though they require time and energy, they tend to give back health, well being, and effectiveness.

Stress management and regular relaxation can be performed in different ways. These can be selected and developed for individual preference and to fit different styles. Some executives enjoy stress management techniques that were created from Western European tradition such as Autogenic Training phrases. Other executives may respond better to styles of meditation drawn from “Eastern” traditions such as yoga. Regardless of the historical origins of the relaxation strategies they all will benefit the practitioners in similar ways. They all reduce heart rate, lower blood pressure, slow and deepen breathing, relax muscles, send warmth into the hands and feet, and increase the ability to concentrate, solve problems and enhance communication. The best results come with practice. It takes 8-12 weeks of regular daily practice for most people to get the maximum benefits. For myself, I found that after 12 weeks of regular practice with Autogenic Training (20 minutes per day) that I required one and half hours less sleep at night. I was better rested and could focus on tasks better, allowing me to get more accomplished in the same amount of time at work! This is not uncommon.

Regular physical activity not only helps with the health of the heart and can burn calories for weight loss but it also can assist you in by releasing stored muscle tensions. This muscle tension can cause many problems from fatigue, loss of focus, poor sleep, to muscles spasms that create headaches, and neck and back aches. By working these muscles, they can relax better after the exercise period. Many mental health professional also know that regular exercise can help to minimize or prevent depression.

Diet and nutrition can effect your health and well being. There are many different philosophies on eating for the best health. In busy times, business people need to eat well to maintain their highest levels of performance. Eating as close to “natural” is recommended. Fast foods and highly processed convenience foods are not the best for long-term health and well being. Food additives (colors and preservatives) can cause bad reactions. American eat too quickly and this unfortunate habit is spreading worldwide. Drinking alcoholic beverages for relaxation can easily move to excess and can then stress certain systems in the body. One glass of wine is probably better than no stress management, but becoming dependent on drinking wine, beer, or distilled spirits is not a good strategy for stress management.

Regarding diet and nutrition, executives who find themselves suffering from the symptoms of stress should consider reducing, if not eliminating, caffeine from their diets. Caffeine acts as a stimulant and can increase symptoms of stress. Caffeine can negatively impact your sleeping patterns and reduce your productivity on future days. With the increase of coffee and expresso shops in the past 15 years, we have noticed an increase in symptoms of stress. Caffeine is found in coffees, black teas, chocolate, sodas (most colas and some caffeine enhanced beverages), and some other products. (Please read the packaging labels.) This can be a very difficult habit to change. If you want to eliminate caffeine, and you are a heavy user, please slowly reduce your consumption by gradually replacing your caffeinated products with non-caffeinated products. I have worked with people who have eliminated their headaches, muscle pains, sleeping problems, stomach dis-stress, and even high blood pressure problems by minimizing their use of caffeine.

Though stress from the pace of change is unavoidable, you can avoid becoming a victim. By taking the time necessary for these preventive activities, you will save time and enhance your performance.

Since 1978, the Stress Education Center has provided consulting and training services for individuals and organizations. The books, tapes, training seminars, online courses, and executive coaching have assisted thousands of motivated business people to improve their performance and enhance the quality of their lives.

For additional information on retention or copies of the executive summaries on Hiring Winners or Keys to Retention based on information gathered from executive interviews, contact L. John Mason, Ph.D. at the Stress Education Center – Dstress.com (360) 593-3833 or mason@dstress.com

As an Executive Coach, consultant, and trainer, John works with executive management teams to leverage their strengths and create superior performance.

L. John Mason, Ph.D. is the author of the best selling “Guide to Stress Reduction.” Since 1977, he has offered Executive Coaching and Training.

Please visit the Stress Education Center’s website at Stress, Stress Management, Coaching, and Training for articles, free blog signup, and learn about the new telecourses that are available. If you would like information or a targeted proposal for training or coaching, please contact us at (360) 593-3833.

Empowerment: Get Back in Control

Are you feeling that many things in your life are out of control? Does this feeling of “lack of control” make you feel stressed? Would you like to “Get Back in Control”?

There are many things that are important to you and yet beyond your control. These are the things that are the most stressful. Relationships are stressful and often beyond your control. The economy, world conflicts, global warming the fear of nuclear proliferation are all stressful and, in most cases, beyond your control. You may not be able to control other people’s actions or the global economy, but you can learn to control one important thing, the way you respond to these challenges.

To “Get Back in Control,” you most do 2 things. First, you must identify how you physically and emotionally respond to these stressors. This awareness will aid you in NOT becoming a Victim to your habitual patterns of holding stress. Secondly, you will want to learn how to change (and control) your responses. Biofeedback and stress management research have proven that any physical system that can be monitored in “real time” can be controlled. You can learn to control your: brainwaves, blood pressure, heart rate, muscle tension, blood flow/circulation, even the release of gastric juices. Through awareness and learned control, you can learn to change your habitual response to stress and invest your available energies in more appropriate and positive ways.

I recommend starting with temperature training biofeedback combined with a stress management strategy like Autogenic Training or visualization. You can learn to control your physiology and this will in turn lead to Empowerment. It is often reported by my coaching clients that: “things that used to bother me do not seem to bother me anymore (or the same way.)” My clients learn that they can get back in control of the their bodies’ and then their lives.
It may not change all of the stressful situations that surround you, but it will give you an opportunity to put things in perspective and make the best use of your available time and energy.

Please take good care of yourself.
L. John Mason, Ph.D.
www.dstress.com (360) 593-3833

Behavioral Techniques for Controlling Panic and Anxiety

Symptoms of panic and anxiety can be confused with life threatening physical disorders! Please consult your physician to determine the source of your symptoms.

This is an update of specific things you can do to control the symptoms of panic and anxiety attacks. These devastating occurrences can negatively affect your day to day quality of life. But this is not news for anyone suffering from this terrible disorder. Millions of people live in fear of these “attacks.” Major transitions, trauma, and stress can lead to feelings of little or no control over one’s life! This can affect people in major ways.

A scary symptom which can develop is called Panic (or Panic Attack.”) A panic episode can come on suddenly or can awaken you from your sleep with a nasty feeling of apprehension. Some people believe that they are having a heart attack because often there is chest pain, a shortness of breath, neck or arm pain, major stomach upset, an adrenaline rush, lightheadedness, dizziness, and other unpleasant feelings of fear and apprehension. These feelings can be triggered by specific events such as: driving (getting stuck in traffic), shopping, waiting in lines at stores, banks, post offices, etc, feeling trapped in church/movies/classes, traveling distances from home (especially flying, etc.), making a presentation in front of a group of people (drawing attention toward yourself), doing new or unfamiliar activities, meeting new people, basically, doing anything new or seemingly stressful where you may fear “LOSING CONTROL.” Loss of control is the main feature that makes this so frightening for the people who suffer from panic and anxiety. We may not know a panic sufferer by looking at him or her because they can maintain such good control that unless we were to look very carefully we might not notice the nervousness below the surface.

Heart problems, chest pain, and respiratory difficulties (hyperventilation and dizziness are common symptoms of panic/anxiety attacks) should be carefully examined by your physician! If no heart related problem exists, but you are still in great fear of these occurrences of panic then the following behavioral program, with practice, will greatly aid you in preventing or at least minimizing the episodes of panic. Also, remember that exciting/positive actions or events can raise your heart rate. This excitement is not bad or life threatening, but you fear of the physical symptoms of excitement can really hamper your enjoyment of life!

The keys to controlling panic and anxiety are:
• Breathe slowly/diaphragmatically
• Remain in the present… in your body, in a positive way
• Positive self-talk… not negative ruminations
Avoid caffeine and stimulants
• Regular aerobic exercise
• Regular deep relaxation with Biofeedback Temperature monitoring
• Use relaxation tapes/CD’s regularly!
• Learn to warm your hands and feet
• Get support in confronting and then desensitizing yourself to fears/phobias
• Taper your anti-anxiety medication after you have mastered the relaxation-biofeedback

1. Learn to breathe diaphragmatically
Place a hand over your upper abdomen
Push it OUT as you inhale
Let in move IN as you exhale
Let your chest, shoulder, neck, and back relax as you breathe.
Only on a very deep breath should these parts move in the breath.
This may be the most important Panic Control Technique you can learn!

2. Use any of the Stress Management CDs, especially, Stress Management for Controlling Panic and Anxiety (From www.dstress.com products), 1-3 times per day for 8-12 weeks.

After achieving a level of controlled deep relaxation, repeat suggestions of “control,” especially control of slow, regular breathing and slow regular heart rate. Suggestions of “letting go” to help achieve hand and foot warming, along with any visualizations that can encourage this increase of peripheral blood flow, would be very useful, as well.

Use some sort of temperature training biofeedback device on your hands to learn how to warm your hands with relaxation. When you can consistently get above 90 degrees Fahrenheit (93-95 degrees is ideal) then you can begin to master warming your feet to 90 degrees.

When you can “let go” by relaxing and warming your hands and feet, you will be able to control if not prevent your panic episodes. Then you must develop the confidence in your control so the fear of panic will not control your life.

3. Regular exercise will help you to work off the effects of life’s stresses
3-5 times per week of regular exercise that can elevate your heart rate for 15-45 minutes would be best. Check with your doctor before beginning an exercise program if you have been inactive for a long while. Even though elevating your heart rate can be a little scary, the release of tensions and the strengthening of your cardiovascular system will have great benefits.

4. Eat regular meals.
Low fat and complex carbohydrates are better than fast foods with lots of sugar. AVOID CAFFEINE and other stimulants. Caffeine is found in coffee, black teas, cola drinks, chocolate, some over-the-counter pain medications, and other foods/drugs. Read labels. Eating as closely as you can to natural foods (lots of: fruits, vegetables, whole grains, etc.) will benefit any one.

5. Practice positive self-talk.
Do not let your fears escalate into you losing control of your body and your mind. By breathing slowly and staying in your body, in present time, you avoid falling into the negative pattern of fear and panic.

6. Get support from your friends, doctor, and a therapist if necessary.

Check your area for panic/anxiety support or treatment groups! Regular use of anti-anxiety medications may be better than just taking your prescription only after the panic has begun. Reduce your medication in a supervised way after you have mastered the relaxation/biofeedback control techniques.

Remember you can get back in control of your body and your life! You must make this a priority so you can avoid being a victim to this set of scary symptoms.

Panic/anxiety is not always your enemy. This reaction is designed to protect you and may teach you something about the stresses and transitions you are going through. Denial of these challenges only creates a more stubborn set of symptoms that can be more debilitating.

Other Good books that can help you:
David Barlow, Ph.D. and Jerome Cerny, Psychological Treatment of Panic, Guilford Press, New York. 1988.
Susan Lark, MD, Anxiety & Stress: A Self-Help Program, Westchester Publishing Company, Los Altos, CA. 1993.

For more information regarding the Stress Education Center Panic/Anxiety Control Program visit the website at www.dstress.com or call 360-593-3833.

Controlling Anxiety: Techniques That Can Help

Anxiety can stop you in your tracks. The physical and emotional sensations of anxiety and fear grab your energy, your attention, and rob you of the quality of life you deserve. Anxiety can manifest physically in many ways including: chest pain, racing heart/pulse, upset stomach (poor digestion,) rapid breathing, increased blood pressure, sweating, cold hands and feet, neck/back pain, loss of concentration, feelings of extreme fear and possibly thoughts of heart problems. Prolonged anxiety and fear can lead to depression, loss of energy, and desperation that you may want to “escape.” People “escape” by self-medicating with alcohol, medications, drugs, food, and other possibly risky behaviors. (Many people who have substance abuse challenges are suffering from under controlled anxiety which can lead to abuse and dependence on medications or illegal substances.)

Feeling “out of control” is a common description of the physical and emotional state of anxiety. Getting back in control of body and mind is the desired result. People who have the motivation to get back in control can benefit from some basic information and the willingness to do some work to create awareness regarding the personal manifestations of anxiety and then learning the ways to control it to minimize, if not eliminate, the anxiety.

Awareness is half the battle. If you are aware of the the way your body responds when you start to experience anxiety and how your body’s “flight/fight response” generates this habituated pattern will be a huge start. Reading articles about the “flight/Fight response” (also known as the physiology of stress) will show you how your primitive survival mechanisms can get out of control in your response to life’s stressors so triggering the anxiety response. Every one of the physical and emotional manifestations can be reduced and controlled, but fear can intensify these sensations for the suffers of anxiety. Medications for anxiety are designed to reverse these physical symptoms but do not offer good tools for prevention or for a sense of personal control over these complaints. You can beat this!

The second part of the anxiety control program is to learn how to physically and emotionally relax leading to personal control over the anxiety response. This requires dedication and practice. Most people will require 8-12 weeks of regular daily practice to begin to turn the corner on the habituated fears and physical symptoms of anxiety. For example, learning to go opposite the anxiety response by learning to slow your heart rate and to warm your hands/feet (by improving blood flow through relaxed, dialated blood vessels) requires the focus on “letting go,” slowing your mind, and imagining the warming (or pulse) into your extremities (fingers/toes.) You can learn to do this! More information about how to do this and the technique of temperature training biofeedback can assist you and can be found on the “Articles” page at the Stress Education Center’s website www.dstress.com.

With practice and some mastery of your stress/anxiety response, the next step can include a “desensitization” to any anxiety invoking stimuli. Yes, even the fear of public speaking or flying can be reduced and controlled. For this, you may want a coach or counselor to assist you but the principles are simple, but powerful. The following through will help you to beat your anxiety and then give you back the control over your body and your life.

Contact the Stress Education Center if you want more information and coaching on how to make this personalized for your specific requirements. Please take good care of yourself. AND, remember, you can beat anxiety! I hope that you find the very best anxiety control program which matches you with the most effective anxiety control techniques. It is worth the effort!