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.

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.

Caffeine Cause Anxiety Attacks

Since the dawning of the “Information Age” in the early 1980’s the pace of change has accelerated in our society. To keep pace with the explosion of new information and this rapid rate of change, many people have adopted a new coping strategy of increasing their consumption of caffeine. Caffeine is a drug. It is a stimulant which increases many of same physiological responses as the survival response known as the “Flight-Fight” response. It is this reaction by the body to the stimulation from caffeine that can trigger an anxiety-type physical reaction. Many people are unsuspecting and naïve regarding the full extent of this response to which often includes a common, and even, celebrated “rush” of energy. Knowing about this response can keep you from being a victim to caffeine related anxiety attacks.

As a stimulant, the effect of caffeine can be different from one person to the next. The amount of caffeine consumed, and then the amount actually absorbed by the body, can contribute to the range of reactions. It is not uncommon for caffeine to cause an increase in brain wave activity that can arouse a tired mind. This is the most desired response for many sleep deprived people. This can backfire on many people who may have a day long response to their morning coffee (or other caffeine source) because many people can not sleep well at bedtime as a response to this early caffeine consumption. This “vicious cycle” will then cause poor quality sleep/rest which requires more caffeine to get “up” for the next day’s activities.

The stimulation caused by caffeine can also increase heart rate and for some people increase their blood pressure as it simulates the release of excitatory hormones like adrenaline (epinephrine.) This rapid heart rate, when severe, can scare people, triggering the hormonal release which can cause a greater anxiety reaction. The frightening response to the physical associations of an anxiety attack can cause fear and can even drive people to the emergency rooms with the concern that the patient believes that they going to die from a heart attack. We have enough anxiety in our society without pushing ourselves over the edge with the stimulation of caffeine.

Caffeine can cause an increase in skeletal muscle tension as it triggers the classic flight response. This muscle tension can be distracting (loss of focus), cause fatigue, and in many cases increase the likelihood of increased muscle spasms and so, muscle contraction pain. In this way, caffeine can contribute to muscle tension headaches from the tightness of muscles in the jaw, neck, and shoulders. For people suffering from chronic muscular tension pain, this can contribute to their tension and pain. It will often cause an increased anxiety driven response to their pain which can intensify their chronic pain complaints. This is especially true for lower back pain and neck/shoulder pain, as well as the peripheral pains in the arms and legs that can be associated with back pain.

For those of you who use caffeine regularly, you should also know that there are plenty of cases of physical and psychological addiction to this drug. Many people feel withdrawal symptoms that are not comfortable when they try to discontinue their caffeine habit. If you want to discontinue, the best way to do this would be gradually over time. Substituting ½ de-caf into your morning coffee and minimizing other caffeine laden products will be helpful. Be patient and drink extra water!

In its defense, caffeine can be helpful for some types of headaches such as migraine headaches which can be reduced by caffeine or associated cafergot. (Cafergot is a brand name of the combination of ergotamine and caffeine.) With its stimulating effects on the digestive system, caffeine may also work as a laxative to minimize problems with constipation. Historically, European coffee “salons” were places where intellectuals could meet and have lively discussions while drinking brewed coffee which was more healthful than the untreated available water which was often contaminated with deadly diseases of the Middle Ages. The other alternative beverage for most Middle Age Europeans was to drink beer or alcoholic drinks which did not encourage good discussion, thinking, or productivity.

Since the 1980’s, our society has seen an explosion of coffee houses and Espresso stands. You can not get through any American city without being confronted by easily accessible purveyors of liquid coffee refreshments. Both young and old are caught in this “glamorous” habit with expanding zeal. A gift of choice is the insidious gift certificate for the expensive coffee houses. This has gotten to be big business.

Besides coffee or espresso drinks, caffeine is found in many products. Black teas, green tea, soft drinks, chocolate candy, and as an additive in many other products are but a few of these additional sources for caffeine. There are even a few products with commercial names like: Jolt, Red Bull, and RockStar that cater to the young caffeine crazed generation that seem to require higher concentrations of caffeine. I do not want to deprive people from indulging in these products, but people must be aware of what the effects of these products can do to their body’s and to people who interact with caffeine saturated folks. Many cases of “road rage” may be traced to the negative effects of over-caffeinated, stressed drivers.

Let’s have some common sense. Moderation is a great rule to follow, especially if you are one the people who are most sensitive to the effects of caffeine. Coffee businesses are not bad or the enemy, we just need to learn how use their products in the most appropriate ways.

If you are looking for wellness coaching, please investigate the Professional Stress Management Coaching Program (train the trainer) at http://www.dstress.com

L. John Mason, Ph.D. is the country’s leading stress management expert and the author of the best selling “Guide to Stress Reduction.” Since 1977, he has offered Success & Executive Coaching and Training.

Please visit the Stress Education Center’s website at Stress, Stress Management, Coaching, and Training (at http://www.dstress.com) for articles, free ezine (newsletter) 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.