People who have never experienced a panic attackoften judge the anxious person harshly.
The outsider has no real comprehension of what is happening to the person experiencing a panic attack and wonders why they fear to do the simplest things.
I know myself that I could not understand how overnight I went from being a confident young man to someone who became anxious of common everyday situations.
Going places took on a whole new dimension as I constantly evaluated if being there might trigger a panic attack.
I had to force myself to do very simple things like go to the cinema or drive in traffic.
As a man that type of anxiety really erodes self confidence, as so much of male self esteem comes from being perceived as strong and brave.
…but here I was afraid to queue at the bank!
Today I know better. Through my own journey and all those I have worked with, I know now that anxiety disorders have nothing to do with a person’s level of bravery.
I know this to be true because I have worked with many people from the ‘bravest’ professions around. Firemen, policemen, soldiers. All of them admired by others for their bravery.
Some of these individuals would actually prefer to run into a burning building than stay awake at night with a panic attack.
That sounds strange but it isn’t really. In a burning building they knew what to do and how to handle the situation. During a panic attack they felt powerless and out of control.
What you have to remember is that panic attacks and general anxiety have no relationship to the level of courage an individual has. In fact, it has nothing to do with the world out there, -it is a problem born out of an internal crisis.
It is easy to feel brave and fearless in the world when your internal world feels safe but when you feel those internal walls have been breached by fear, then your confidence is rocked. The danger you fear becomes internal. Your psychic foundations feel vulnerable.
That is where the crisis originates. The doubting of your ability to handle the sensations shakes your inner confidence and that is what the fear feeds off.
It is a crisis of confidence in your body and mind’s ability to handle the stress. This crisis however does not stop the bravery.
People with anxiety actually do the bravest of things.
They get up each day and get on with life. Picking themselves up after each and every setback. It does not make headline news but it counts because it is real bravery, true courage.
To the untrained eye it does not seem like such a big deal to simply drive out of state, attend church, or go shopping. However, for the person with anxiety, that experience can be a massive accomplishment, especially if they have tried and failed many times before.
The good news is:
This bravery does not go unrewarded.
Once the person has triumphed over their anxiety problem, they develop an inner strength that the average person never gets to develop.
You see, no matter how many brave things you do in the world, if you have not been challenged on an inner level, then you miss out on the opportunity to develop real inner strength.
That is the hidden opportunity anxiety presents to you. To become a bigger person than you already are. That is what you take from the challenge of anxiety.
It does not matter if you have not reached that point yet. The journey is unique to everyone so do not judge your progress against others.
By Barry McDonagh, who is an international panic disorder coach. He created the Panic Away program to help people around the world deal with their anxiety and avoid panic attacks – a subject that he is personally attuned to because he himself found that he was prone to these issues since he was young. His hatred of his powerless lead him down the path of finding natural ways to treat himself without having to depend on expensive medications.
The short and obvious answer: panic attacks are caused by high anxiety. But, what exactly is anxiety? Understanding how anxiety crops up will help you defeat panic attacks.
One of the biggest myths surrounding anxiety is that it is harmful and can lead to a number of various life-threatening conditions.
Definition of Anxiety
Anxiety is defined as a state of apprehension or fear resulting from the anticipation of a real or imagined threat, event, or situation. It is one of the most common human emotions experienced by people at some point in their lives.
However, most people who have never experienced a panic attack, or extreme anxiety, fail to realize the terrifying nature of the experience. Extreme dizziness, blurred vision, tingling and feelings of breathlessness—and that’s just the tip of the iceberg!
When these sensations occur and people do not understand why, they feel they have contracted an illness, or a serious mental condition. The threat of losing complete control seems very real and naturally very terrifying.
Fight/Flight Response: One of the root causes of panic attacks?
I am sure most of you have heard of the fight/flight response as an explanation for one of the root causes of panic attacks. Have you made the connection between this response and the unusual sensations you experience during and after a panic attack episode?
Anxiety is a response to a danger or threat. It is so named because all of its effects are aimed toward either fighting or fleeing from the danger. Thus, the sole purpose of anxiety is to protect the individual from harm. This may seem ironic given that you no doubt feel your anxiety is actually causing you great harm…perhaps the most significant of all the causes of panic attacks.
However, the anxiety that the fight/flight response created was vital in the daily survival of our ancient ancestors—when faced with some danger, an automatic response would take over that propelled them to take immediate action such as attack or run. Even in today’s hectic world, this is still a necessary mechanism. It comes in useful when you must respond to a real threat within a split second.
Anxiety is a built-in mechanism to protect us from danger. Interestingly, it is a mechanism that protects but does not harm—an important point that will be elaborated upon later.
The Physical Manifestations of a Panic Attack: Other pieces of the puzzle to understand the causes of panic attacks. Nervousness and Chemical Effects…
When confronted with danger, the brain sends signals to a section of the nervous system. It is this system that is responsible for gearing the body up for action and also calms the body down and restores equilibrium.
To carry out these two vital functions, the autonomic nervous system has two subsections, the sympathetic nervous system and the parasympathetic nervous system.
Although I don’t want to become too “scientific,” having a basic understanding of the sympathetic and parasympathetic nervous system will help you understand the causes of panic attacks.
The sympathetic nervous system is the one we tend to know all too much about because it primes our body for action, readies us for the “fight or flight” response, while the parasympathetic nervous system is the one we love dearly as it serves as our restoring system, which returns the body to its normal state.
When either of these systems is activated, they stimulate the whole body, which has an “all or nothing” effect. This explains why when a panic attack occurs, the individual often feels a number of different sensations throughout the body.
The sympathetic system is responsible for releasing the adrenaline from the adrenal glands on the kidneys. These are small glands located just above the kidneys. Less known, however, is that the adrenal glands also release adrenaline, which functions as the body’s chemical messengers to keep the activity going.
When a panic attack begins, it does not switch off as easily as it is turned on. There is always a period of what would seem increased or continued anxiety, as these messengers travel throughout the body. Think of them as one of the physiological causes of panic attacks, if you will.
After a period of time, the parasympathetic nervous system gets called into action. Its role is to return the body to normal functioning once the perceived danger is gone. The parasympathetic system is the system we all know and love, because it returns us to a calm relaxed state.
When we engage in a coping strategy that we have learned, for example, a relaxation technique, we are in fact willing the parasympathetic nervous system into action.
A good thing to remember is that this system will be brought into action at some stage whether we will it or not. The body cannot continue in an ever-increasing spiral of anxiety. It reaches a point where it simply must kick in, relaxing the body. This is one of the many built-in protection systems our bodies have for survival.
You can do your best with worrying thoughts, keeping the sympathetic nervous system going, but eventually it stops. In time, it becomes a little smarter than us, and realizes that there really is no danger.
Our bodies are incredibly intelligent—modern science is always discovering amazing patterns of intelligence that run throughout the cells of our body. Our body seems to have infinite ways of dealing with the most complicated array of functions we take for granted. Rest assured that your body’s primary goal is to keep you alive and well.
Not so convinced?
Try holding your breath for as long as you can. No matter how strong your mental will is, it can never override the will of the body. This is good news—no matter how hard you try to convince yourself that you are gong to die from a panic attack, you won’t. Your body will override that fear and search for a state of balance. There has never been a reported incident of someone dying from a panic attack.
Remember this next time you have a panic attack; the causes of panic attacks cannot do you any physical harm. Your mind may make the sensations continue longer than the body intended, but eventually everything will return to a state of balance. In fact, balance (homeostasis) is what our body continually strives for.
The interference for your body is nothing more than the sensations of doing rigorous exercise. Our body is not alarmed by these symptoms. Why should it be? It knows its own capability. It’s our thinking minds that panic, which overreact and scream in sheer terror!
We tend to fear the worst and exaggerate our own sensations. A quickened heart beat becomes a heart attack. An overactive mind seems like a close shave with schizophrenia. Is it our fault? Not really—we are simply diagnosing from poor information.
Cardiovascular Effects Activity in the sympathetic nervous system increases our heartbeat rate, speeds up the blood flow throughout the body, ensures all areas are well supplied with oxygen and that waste products are removed. This happens in order to prime the body for action.
A fascinating feature of the “fight or flight” mechanism is that blood (which is channelled from areas where it is currently not needed by a tightening of the blood vessels) is brought to areas where it is urgently needed.
For example, should there be a physical attack, blood drains from the skin, fingers, and toes so that less blood is lost, and is moved to “active areas” such as the thighs and biceps to help the body prepare for action.
This is why many feel numbness and tingling during a panic attack-often misinterpreted as some serious health risk-such as the precursor to a heart attack. Interestingly, most people who suffer from anxiety often feel they have heart problems.
If you are really worried that such is the case with your situation, visit your doctor and have it checked out. At least then you can put your mind at rest.
Respiratory Effects
One of the scariest effects of a panic attack is the fear of suffocating or smothering. It is very common during a panic attack to feel tightness in the chest and throat. I’m sure everyone can relate to some fear of losing control of your breathing.
From personal experience, anxiety grows from the fear that your breathing itself would cease and you would be unable to recover. Can a panic attack stop our breathing? No.
A panic attack is associated with an increase in the speed and depth of breathing. This has obvious importance for the defense of the body since the tissues need to get more oxygen to prepare for action.
The feelings produced by this increase in breathing, however, can include breathlessness, hyperventilation, sensations of choking or smothering, and even pains or tightness in the chest. The real problem is that these sensations are alien to us, and they feel unnatural.
Having experienced extreme panic attacks myself, I remember that on many occasions, I would have this feeling that I couldn’t trust my body to do the breathing for me, so I would have to manually take over and tell myself when to breathe in and when to breathe out.
Of course, this didn’t suit my body’s requirement of oxygen and so the sensations would intensify—along with the anxiety. It was only when I employed the technique I will describe for you later, did I let the body continue doing what it does best—running the whole show.
Importantly, a side-effect of increased breathing, (especially if no actual activity occurs) is that the blood supply to the head is actually decreased. While such a decrease is only a small amount and is not at all dangerous, it produces a variety of unpleasant but harmless symptoms that include dizziness, blurred vision, confusion, sense of unreality, and hot flushes.
Other Physical Effects of Panic Attacks:
Now that we’ve discussed some of the primary physiological causes of panic attacks, there are a number of other effects that are produced by the activation of the sympathetic nervous system, none of which are in any way harmful.
For example, the pupils widen to let in more light, which may result in blurred vision, or “seeing” stars, etc. There is a decrease in salivation, resulting in dry mouth. There is decreased activity in the digestive system, which often produces nausea, a heavy feeling in the stomach, and even constipation.
Finally, many of the muscle groups tense up in preparation for “fight or flight” and this results in subjective feelings of tension, sometimes extending to actual aches and pains, as well as trembling and shaking.
Overall, the fight/flight response results in a general activation of the whole bodily metabolism. Thus, one often feels hot and flushed and, because this process takes a lot of energy, the person generally feels tired and drained.
Mental Manifestations: Are the causes of panic attacks all in my head? is a question many people wonder to themselves.
The goal of the fight/flight response is making the individual aware of the potential danger that may be present. Therefore, when activated, the mental priority is placed upon searching the surroundings for potential threats. In this state one is highly-strung, so to speak. It is very difficult to concentrate on any one activity, as the mind has been trained to seek all potential threats and not to give up until the threat has been identified.
As soon as the panic hits, many people look for the quick and easiest exit from their current surroundings, such as by simply leaving the bank queue and walking outside. Sometimes the anxiety can heighten, if we perceive that leaving will cause some sort of social embarrassment.
If you have a panic attack while at the workplace but feel you must press on with whatever task it is you are doing, it is quite understandable that you would find it very hard to concentrate. It is quite common to become agitated and generally restless in such a situation.
Many individuals I have worked with who have suffered from panic attacks over the years indicated that artificial light—such as that which comes from computer monitors and televisions screens—can can be one of the causes of panic attacks by triggering them or worsen a panic attack, particularly if the person is feeling tired or run down.
This is worth bearing in mind if you work for long periods of time on a computer. Regular break reminders should be set up on your computer to remind you to get up from the desk and get some fresh air when possible.
In other situations, when during a panic attack an outside threat cannot normally be found, the mind turns inwards and begins to contemplate the possible illness the body or mind could be suffering from. This ranges from thinking it might have been something you ate at lunch, to the possibility of an oncoming cardiac arrest.
The burning question is: Why is the fight/flight response activated during a panic attack even when there is apparently nothing to be frightened of?
Upon closer examination of the causes of panic attacks, it would appear that what we are afraid of are the sensations themselves—we are afraid of the body losing control. These unexpected physical symptoms create the fear or panic that something is terribly wrong.
Why do you experience the physical symptoms of the fight/flight response if you are not frightened to begin with? There are many ways these symptoms can manifest themselves, not just through fear.
For example, it may be that you have become generally stressed for some reason in your life, and this stress results in an increase in the production of adrenaline and other chemicals, which from time to time, would produce symptoms….and which you perceive as the causes of panic attacks.
This increased adrenaline can be maintained chemically in the body, even after the stress has long gone. Another possibility is diet, which directly affects our level of stress. Excess caffeine, alcohol, or sugar is known for causing stress in the body, and is believed to be one of the contributing factors of the causes of panic attacks
Unresolved emotions are often pointed to as possible trigger of panic attacks, but it is important to point out that eliminating panic attacks from your life does not necessarily mean analyzing your psyche and digging into your subconscious.
The “One Move” technique will teach you to deal with the present moment and defuse the attack along with removing the underlying anxiety that sparks the initial anxiety.
By Barry McDonagh, who is an international panic disorder coach. He created the Panic Away program to help people around the world deal with their anxiety and avoid panic attacks – a subject that he is personally attuned to because he himself found that he was prone to these issues since he was young. His hatred of his powerless lead him down the path of finding natural ways to treat himself without having to depend on expensive medications.
Try your very best to not get sucked into reacting emotionally to the thought.
Then
Trust that what you are worrying about will in all probability never come about.
Almost all the anxious thoughts we have are a complete waste of our energy.
Trust that things will work out fine.
Joseph Cossman said “If you want to test your memory, try to recall what you were worrying about one year ago today.”
If you are religious/spiritual then hand your anxious thought over to a higher power.
Trust that there is nothing to fear and you will be looked after.
Trust and let it go.
“Every evening I turn my worries over to God. He’s going to be up all night anyway. ” ~Mary C. Crowley
Lastly,
Move your attention elsewhere. Focus on something positive that takes your mind out of the anxious groove.
Replace the anxious thought with a positive thought. You are not trying to suppress the anxious thought, you are simply moving your attention elsewhere. To continue the record analogy, you pick the record needle up (your attention) and move it out of the groove it was caught in.
If you are engaged in an activity, then move your attention fully there. Be 100% present in the moment.
If you are walking focus on the surroundings, if you are driving observe all the sights and sounds. If you are with someone focus all your attention on them.
By moving your attention into the present moment there is no room for anxious thoughts to dominate your mind.
Play around with both moving your attention to positive thoughts or into the present moment. Different people find one or the other is easier to accomplish. The key thing is to move your mind out of the anxious groove and put you back in your natural flow.
By Barry McDonagh, who is an international panic disorder coach. He created the Panic Away program to help people around the world deal with their anxiety and avoid panic attacks – a subject that he is personally attuned to because he himself found that he was prone to these issues since he was young. His hatred of his powerless lead him down the path of finding natural ways to treat himself without having to depend on expensive medications.
One of the most common times people feel anxious at work (after getting called in to see the boss) is at meetings where you are expected to speak up in front of many others.
Let me give you a few quick tips on how best to approach those meetings:
Generally, these type of work meetings involve a group of people sitting around taking it in turns to speak. Most people anxious about speaking in public dread their turn and hope some divine intervention will save them from having to speak at all.
To get around this try the opposite approach. Pretend to yourself and the group that you are actually dying to speak. Before you enter the room, say to yourself:
“I’m going to speak at any reasonable opportunity that presents itself”
-Be positively itching to speak!
-Before the meeting kicks off, talk to everyone around you. Don’t sit there in silence.
-If you have a short presentation to make and you don’t like the idea of having to do it in one go, break it up by asking those present questions during your talk. This puts the focus back on the group and can help you feel less under pressure.
-If everyone has to speak, it can really take the pressure off to be first up but if you can’t be first then start asking questions of the other speakers when they are finished if that is appropriate.
Come across as really interested and engaged. Give the impression to the room that you want to speak and to be heard. Speaking up works because the anxiety only gets worse if you sit there in total silence waiting to be called upon. Don’t wait for them to call you -speak out.
If you take the above advice on board and it does come to your turn to speak, you won’t feel the same level of pressure because everyone in the room is already used to your voice and you don’t feel the pressure of hearing your voice for the first time in the room.
Everyone is used to you and you are used to speaking to them. Great speakers love an opportunity to talk and present. Believe it or not but you can train yourself to be like that and it starts by pretending to yourself that you really want that opportunity to be in the lime light. Be hungry for it.
Instead of holding back and resisting the opportunity to speak in public, you chase after it! You might think:
“fine but how can I try this out before my next meeting?”
The best way I know of is to join a Toastmaster group in your area (google it) and get started there right away.
If there is no toastmaster group locally find a public meeting or volunteer for something like a research group where you all discuss a topic together.
By Barry McDonagh, who is an international panic disorder coach. He created the Panic Away program to help people around the world deal with their anxiety and avoid panic attacks – a subject that he is personally attuned to because he himself found that he was prone to these issues since he was young. His hatred of his powerless lead him down the path of finding natural ways to treat himself without having to depend on expensive medications.
Public Speaking Anxiety Treatment – Anxiety and Public Speaking
I’ve often observed that many people’s top-ranking fear is not death but having to speak in public. The joke is that these people would rather lie in a casket at their own funeral than give the eulogy.
Public speaking for people who suffer from panic attacks or general anxiety often becomes a major source of worry, possibly weeks or even months before the speaking event is to occur.
These speaking engagements don’t necessarily have to be the traditional “on a podium” events; they can be as simple as an office meeting where the individual is expected to express an opinion or give verbal feedback.
In this case, the fear centers on having a panic attack while speaking. The individuals fear being incapacitated by the anxiety and hence unable to complete what they’re saying. They imagine fleeing the spotlight and having to make all kinds of excuses later for their undignified departure -out the office window . . .
This differs slightly from the majority of people who fear public speaking. With others, their fear tends to revolve around going blank while speaking or feeling uncomfortable under the spotlight of their peers. The jitters or nerves are, of course, a problem for this group as well-but they’re unfamiliar with that debilitating threat, the panic attack, because they most likely haven’t experienced one before.
So how should a person with an anxiety issue tackle public speaking?
Stage 1 is accepting that all of these bizarre and, quite frankly, unnerving sensations aren’t going to go away overnight. In fact, you’re not even going to concern yourself with getting rid of them for your next talk. When they arrive during a speech or meeting, you’re going to approach them in a new manner.
We need to build your confidence back to where it used to be before any of these sensations ever occurred. This time, you’ll approach it in a unique, empowering manner, allowing you to feel your confidence again. Some say that most of the top speakers are riddled with anxiety before an event, but they somehow use this nervousness to enhance their speech.
I’m going to show you exactly how to do this.
My first point is this, and it’s important:
The average healthy person can experience an extreme array of anxiety and very uncomfortable sensations while giving a speech and is in no danger of ever losing control, or even appearing slightly anxious to the audience. No matter how tough it gets, you’ll always finish your piece-even if, at the outset, it feels very uncomfortable to go on.
You won’t become incapacitated in any way.
The real breakthrough happens when you fully believe that you’re not in danger and that the sensations will pass. By asking for more, you’re saying:
“I realize that you [the anxiety] hold no threat over me.”
What keeps a panic attack coming again and again is the fear of the fear-the fear that the next one will really knock your socks off and the feeling that you were lucky to have made it past the last one unscathed.
Because they were so unnerving and scary, it’s your confidence that’s been damaged by previous anxiety episodes. Once you fully understand that you’re not under any threat, then you can have a new response to the anxiety as it arises while speaking.
There’s always a turning point when a person moves from general anxiety into a panic attack, and that happens with public speaking when you think to yourself:
I won’t be able to handle this in front of these people.
That split second of self-doubt leads to a rush of adrenaline, and the extreme anxiety arrives in a wavelike format. If, however, you feel the initial anxiety and react with confidence that this isn’t a threat to you, you’ll process the anxiety rapidly.
Using this new approach is a powerful ally because it means it’s okay to feel scared and anxious when speaking. That’s fine-you’ll feel it, and you’ll move with and through the sensations in your body and out the other side.
Because people are often very anxious before the talk has begun, they may feel they’ve already let themselves down. Now you can relax on that point. It’s perfectly natural to feel the anxiety.
Take, for example, the worst of the sensations you’ve ever experienced in this situation-be it general unease or loss of breath. You’ll have an initial automatic reaction that says:
“Danger-I’m going to have an episode of anxiety here, and I really can’t afford for that to happen.”
At this point, most people react to that idea and confirm that it must be true because of all the unusual feelings they’re experiencing. This is where your train of thought creates a cycle of anxiety that produces a negative impact on your overall presenting skills.
So let that initial “Oh dear, not now” thought pass by, and immediately follow it up with the attitude of:
“There you are -I’ve been wondering when you would arrive. I’ve been expecting you to show up. By the way, I’m not in the least threatened by any of the strange sensations you’re creating. I’m completely safe here.”
Instead of pushing the emotional energy and excitement down into your stomach, you’re moving through it.
Your body is in a slightly excited state, exactly as it should be while giving a speech-so release that energy in your self-expression. Push it out through your presentation, not down into your stomach.
Push it out by expressing yourself more forcefully. In this way, you turn the anxiety to your advantage by using it to deliver a speech; you’ll come across as more alive, energetic, and in the present moment.
When you notice the anxiety drop, as it does when you willingly move into it, fire off a quick thought when you get a momentary break (as I’m sure you have between pieces), and ask it for “more.” You want more of its intense feelings because you’re interested in them and absolutely not threatened by them.
It seems like a lot of things to be thinking about while talking to a group of people, but it really isn’t. You’d be amazed at how many different, unrelated thoughts you can have while speaking. This approach is about adopting a new attitude of confidence about what you might have deemed a serious threat up until now.
If your predominant fear of speaking is driven by a feeling of being trapped, then I suggest factoring in some mental releases that can be prepared before the event. For example, some events allow you to turn the attention back to the room to get feedback, etc., from the audience. If possible, prepare such opportunities in your own mind before the engagements.
This isn’t to say that you have to use them, but people in this situation often remark that just having small opportunities where attention can be diverted for the briefest moment makes the task seem less daunting.
It may even be something as simple as having people introduce themselves or opening the floor to questions. I realize these diversions aren’t always possible and depend on the situation, but anything you can factor in that makes you feel less trapped or under the spotlight is worth the effort.
For more ideas and tips about public speaking anxiety treatment, watch this video –
By Barry McDonagh, who is an international panic disorder coach. He created the Panic Away program to help people around the world deal with their anxiety and avoid panic attacks – a subject that he is personally attuned to because he himself found that he was prone to these issues since he was young. His hatred of his powerless lead him down the path of finding natural ways to treat himself without having to depend on expensive medications.
