Medication for panic attacks can be very beneficial if, like everything else, they are not abused. There are thousands of people who would not be able to hold down a job or regain any sense of a fulfilled life were it not for the medication they have been prescribed with by their doctor. In my mind, the danger with medication occurs when the user becomes overdependent on the panic attack medication, when the very thought of forgetting to bring the medication out with you will trigger a panic attack.

Most good medics advise a proper treatment plan, ensuring that once the user starts to feel more in control of their panic attacks, they will then gradually decrease the dosage. Under no circumstance should such a patient eliminate the use of pharmaceuticals completely without consulting the doctor. When you feel you are making good improvement, discuss a reduction of panic attack medication with your doctor.

What are the different kinds of panic attacks medication out there?

Benzodiazepines

Benzodiazepines have shown to be effective in reducing panic attack symptoms in many cases but not in all. It can be taken as a single dose therapy or several times a day for months or years. Side effects include drowsiness, decreased mental sharpness, slurred speech, clumsiness, less occupational efficiency, sexual side effects, low moods, irritability, agitation and increased susceptibility to the effects of alcohol. Examples of benzodiazepines are Klonopin, Valium, Serax and Librium.

Tricyclic antidepressants

These drugs are used to treat severe depression or depression with anxiety. Some of these anti-depressants are also used to treat obsessional disorders and panic attacks. Side effects include a dry mouth, blurred vision, constipation, difficulty urinating, postural hypotension, tachycardia, loss of sex drive, erective failure, sensitivity to sunlight, weight gain, sedaction, sweating, jitteriness, irritation, unusual energy and disturbed sleep patterns. Examples of tricyclic antidepressants are Tofranil, Sinequan, Anafranil and Effexor.

Selective Serotonin Reuptake Inhibitors (SSRIs)

These are a newer type of anti-depressant introduced into the US in the 1980s beginning with Prozac. They work differently to traditional antidepressants and by assisting the brain in maintaining levels of the neurotransmitter serotonin which is often found to be low in sufferers of depression, Obsessive Compulsive Disorder (OCD) and anxiety and panic disorders. Side effects include nausea, insomnia, headaches, sexual difficulties and initial agitation. Examples: Prozac, Zoloft and Paxil. Beta blockers

Beta blockers have proven to be helpful in controlling the physical symptoms of anxiety and panic attacks, particularly social anxiety and are prescribed to control rapid heartbeat, shaking, trembling and blushing. The side effects are less than other medications but can cause light-headedness, drowsiness, short-term memory loss, decrease in heart rate, insomnia, diarrhea, cold extremities, depression and nightmares. Beta Blockers include Atenolol and Propranolol.

Other panic attack medication

Buspar is a mild tranquilizer and has been approved for use for anxiety with mild depression, social phobias and OCD. This drug has few side effects, headache, drowsiness and dizziness can occur in some cases but this usually clears within a few days of use.

When discussing medication, it is only right to examine natural or herbal methods, which are becoming increasingly popular, to lessen the strength and frequency of panic attacks. The argument of using a natural approach is that they tend to be less addictive and have fewer side-effects than conventional medicine. The most effective natural approach I want to mention briefly is Bach herbal remedies.

The late Edward Bach, M.D., B.S., M.R.C.S., L.R.C.P., D.P.H. (CAMB.), gave up his practice and research in 1930 to devote his time fully to the finding of the remedies and the perfecting of his method of flower healing. He sought for remedies in the plant world, which would restore vitality to the sick and ailing, so that the sufferer would be able to overcome their worry, their fear, or depression, and in that manner, assist in his own healing.

The remedies used in this method of treatment are all prepared from the flowers of wild plants, bushes, or trees. None of them are harmful or habit-forming. They are prescribed, not directly for the physical complaint, but rather according to the sufferer’s state of mind, according to his moods of fear, worry, anger, or depression. According to Bach, “An inharmonious state of mind will not only hinder the recovery of health and retard convalescence, but it is the primary cause of sickness and disease.”

As an example, the remedy for terror or extreme fear (rock rose) is given when the patient or those near and dear to him are seized with sheer terror, i.e., a panic attack. The nature of the condition, or the name of the disease, makes no difference. If terror is present, then the remedy for terror is the one, which the patient (and his family or friends about him) requires.

Along with this, a mixture of five Bach flowers, aptly named “Rescue Remedy,” is good for general day-to-day fear and anxiety or panic attacks. This remedy is commonly used for anxious moments, e.g., before exams, visits to the dentist, or an important interview. Bach Remedies are benign in their action; they do not produce an unpleasant reaction. They are usually taken as a number of drops in a glass of water. Both these herbal products are readily available in most health food stores, or over the Internet.

The purpose of this article is to highlight that there are always options when dealing with panic attack medication. Never let your mind mislead you into believing there is no solution.

I am sure you will agree that the only true successful recovery is the one independent of any crutches such as alcohol, medication, or even an understanding partner or friend. When you start to recover it is important to release any crutches such as panic attack medication. It is important to feel you alone are driving your own anxiety free life and can do so without any aid.

You wish to visit http://www.what-really-works.net to read reviews about different panic attack medication. The reviews are posted by other people suffering from panic attacks and you can read about their experience using a variety of different medications recommended to them by their GP’s

Please note in relation to panic attack medication. All material provided on the web site is provided for informational or educational purposes only. No content is intended to be a substitute for professional medical advice, diagnosis or treatment. Consult your physician regarding the applicability of any opinions or recommendations with respect to your symptoms or medical condition.

www.panic-and-anxiety-attacks.com

Because of a feeling of being vulnerable, people who experience this fear often suffer from panic attacks in these “open” situations. It is true to say many people who have regular panic attacks experience different degrees of agoraphobia. Some have a lingering background anxiety about being away from home should they experience a panic attack. Other people are so immobilized by this fear that they find it very difficult to leave their home for even a short period.

The thinking behind agoraphobia usually follows the line that were a panic attack to occur, who would look after the person, how would he or she get the assistance and reassurance they needed? The vulnerability grows from the feeling that once victims of agoraphobia are caught in the anxiety, they are suddenly unable to look after themselves and are therefore at the mercy of the place they find themselves in and the strangers around them. In its extreme form, agoraphobia and panic attacks can lead to a situation where people become housebound for numerous years. Please note, this is by no means a hopeless situation, and I always need to reinforce the fact that something only becomes hopeless once the person really believes that to be the case.

To begin with, the primary issue that needs to be addressed is the belief in the safe zone. To clarify, when I talk about safe zone, I am referring to the zone where the person believes panic attacks do not occur, or at least occur infrequently. As comfort is found there, it is where the person tends to spend more and more time. The safe zone of anxiety is a myth sustained by the mind. The mind has developed a habit of thinking that dictates that being inside the safe zone is the only place to feel secure and avoid agoraphobia and panic attacks. If agoraphobia is an issue for you, watch as your mind comes up with reasons why it believes only a certain area is safe and another is not. Those reasons range from being near the phone or people you trust to having familiar physical surroundings to reassure you.

The reality of anxiety is that there is no such thing as a safe zone. There is nothing life threatening about a panic attack, and therefore sitting at home is the same as sitting under the stars on a desert island. Of course, your mind will immediately rush to tell you that a desert island is a ridiculous place to be as there are no hospitals, no tranquillisers, no doctors, NO SAFETY.

You need to review your previous experiences of panic attacks. Aren’t you still here, alive and well, after all those attacks during which you were convinced you were going to die?

It may be that on occasions you have been driven to the hospital where they did medicate you to calm you down, but do you really believe that you would not have survived were it not for the drugs? You would have. If the same bout of anxiety had occurred on this desert island, it too would have passed, even if you were all alone. Yes, when it comes to conditions that need medical attention such as asthma, diabetes, and a whole litany or other conditions, then having medical aid nearby is a big asset, but no doctor in the world would tell someone with anxiety that there are only specific safe zones in which she or he can move.

As I know more than anyone how terrifying it can feel to move out of your safe zone as the feeling of fear is welling up inside, I do not wish to sound harsh. This course is not about chastising people for their behaviours. It is a way of looking together at solutions and seeing through the myths that form prison walls. The goal is to enable you to return to a richer and more meaningful life and ultimately defeat your agoraphobia and panic attacks. I also realize that people around you cannot understand why a trip to shops would cause you such discomfort. You will have to forgive them and try not to be upset by their lack of understanding of your problem.

If an individual such as a partner or family member has not had a similar anxiety issue, that person may often find it hard to understand and empathize with what you are going through. I am sure you have been dragged out of the house numerous times against your will, kicking and screaming. This can then lead to tensions and arguments and is upsetting as it can make you feel less understood by those around you. People around agoraphobics are often simply trying what they feel is best. If you can see that their intentions are well meaning (although often misguided), then you will be able to relate to them better and help sooth any potential conflicts.

There is one thing I am sure you will agree with, and that is that the only person who will get you out of agoraphobic thinking is yourself. These are your thoughts, and only you can begin to change that pattern. Dealing with long term agoraphobia and panic attacks is a slow process to begin with, but once the results start happening, it moves faster and faster until you reach a point where you will find it hard to believe that going out was such a difficult task.

This article is copywritten material by Joe Barry, an international panic disorder coach. His informative site on all issues related to panic and anxiety attacks can be found at www.panicportal.com.

For a proven program used by over 28,000 people to relieve and cure both panic and anxiety attacks, visit us at www.panicattackfreedom.com.

The exact causes for nocturnal panic attacks are not known. So what we need to help you do is reduce the frequency of them and if they do happen, to come out of them quickly

We know that most nocturnal panic attacks are not caused by dreams. Records of sleep polysomnographia show a maximum of panic attacks during early sleep phase (phase II), not during the REM-phases associated with dreams. This is a major difference to nightmares. Nightmares happen during the second half of the night, so we are often able to remember the content of these dreams.

When awoken with a nocturnal panic attack, use my One Move Technique and that will drop your anxiety significantly. You will then probably find it takes you some time to get back to sleep as your mind is racing with all the things that could go wrong during the night. Should you find your mind racing and you cannot get back to sleep. Have a journal beside your bed and start to write down all of the symptoms you are feeling

“I was feeling xxx now I feel yyy” and continue to write until this actually becomes quite a boring exercise and your body and mind will want to return to sleep.

Writing down what you are feeling e.g. “now I feel less tired and eyelids heavy” is a simple tool for preparing your mind in a linear way to wind down and return to sleep. (An advanced form of counting sheep) Don’t be afraid of writing pages and pages of nothing in particular , what you are doing is helping the conscious mind release whatever is keeping it wake so it can relax and return to sleep.

It is also important when preparing for bed not to go to bed fearing you might awake with a nocturnal panic attack. Go to bed confident that if one should arise you will deal with it successfully. That way you do not put yourself under pressure to “not to have an anxiety attack”

If you are overly anxious about not getting a good night sleep then adopt the following attitude:

Each night as you retire say to yourself

“ I am preparing for bed but I will not try and force sleep -if it comes it comes – if not I will not beat myself up over it”

. Every person goes through periods of sleeplessness from time to time it is very natural, you may not be aware of why you are experiencing what you do but at the very least you can accept it.

When you wake in the night don’t leave your bed try and stay there, getting up and watching tv etc takes you further out of the sleep pattern and it is best you stay in bed – reading/writing is fine but always do so lying down as that sends a message to the brain that it really is bed time.

Naturally the best way to get a good nights sleep is a good physical workout each evening. This is very effective as the mind may try and keep you awake but the sheer physical exhaustion will bring sleep on quicker.

The frustration at not being able to sleep is important to surrender. Surrender to what ever may or may not happen during the course of a night and you will sleep naturally. It is the anger and frustration that most often keeps you awake.

www.panic-and-anxiety-attacks.com

www.panicattacks.com.au

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; he 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 (Chapter 5 gives a full discussion on diet and its importance).

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.

 
This article is copywritten material by Joe Barry, an international panic disorder coach. His informative site on all issues related to panic and anxiety attacks can be found at www.panicportal.com.

For a proven program used by over 28,000 people to relieve and cure both panic and anxiety attacks, visit us at www.panicattackfreedom.com.

• Palpitations
• a pounding heart, or an accelerated heart rate
• Sweating
• Trembling or shaking
• Shortness of breath
• A choking sensation
• Chest pain or discomfort
• Nausea or stomach cramps
• Derealization (a feeling of unreality)
• Fear of losing control or going crazy
• Fear of dying Numbness or a tingling sensation
• Chills or hot flashes …

then you’ve experienced firsthand some of the possible symptoms of a panic or anxiety attack. If you are reading this page because a loved one suffers from these symptoms and you are trying to understand or help, it’s hard to appreciate what they go through.

Just try to imagine what it feels like to experience one, if you can.

Here is a typical example:

Standing in a supermarket queue, it’s been a long wait but only one customer to go before you make it to the cashier. Wait, what was that sensation? An unpleasant feeling forms in your throat, your chest feels tighter, now a sudden shortness of breath, and what do you know—your heart skips a beat. “Please, God, not here.”

A quick scan of the territory—is it threatening? Four unfriendly faces queue behind, one person in front. Pins and needles seem to prick you through your left arm, you feel slightly dizzy, and then the explosion of fear as you dread the worst. You are about to have a panic attack.

There is no doubt in your mind now that this is going to be a big one. Okay, focus: Remember what you have been taught, and it is time now to apply the coping techniques. Begin the deep breathing exercise your doctor recommended. In through the nose, out through the mouth.

Think relaxing thoughts, and again, while breathing in, think “Relax,” and then breathe out. But it doesn’t seem to be having any positive effect; in fact, just concentrating on breathing is making you feel self-conscious and more uptight.

Okay, coping technique 2:

Gradual muscle relaxation. Tense both shoulders, hold for 10 seconds, then release. Try it again. No; still no difference. The anxiety is getting worse and the very fact that you are out of coping techniques worsens your panic. If only you were surrounded by your family, or a close friend were beside you so you could feel more confident in dealing with this situation.

Now, the adrenaline is really pumping through your system, your body is tingling with uncomfortable sensations, and now the dreaded feeling of losing complete control engulfs your emotions. No one around you has any idea of the sheer terror you are experiencing. For them, it’s just a regular day and another frustratingly slow queue in the supermarket.

You are out of options. Time for Plan C.

The most basic coping skill of all is “fleeing.” Excuse yourself from the queue; you are slightly embarrassed as it is now that it is your turn to pay. The cashier is looking bewildered as you leave your shopping behind and stroll towards the door. There is no time for excuses—you need to be alone. You leave the supermarket and get into your car to ride it out alone. Could this be the big one? The one you fear will push you over the edge mentally and physically. Ten minutes later the panic subsides.

It’s 10:30 a.m. How are you going to make it through the rest of the day?

If you suffer from panic or anxiety attacks, the above scenerio probably sounds very familiar. It may have even induced feelings of anxiety and panic just reading it. The particular situations that trigger your panic and anxiety may differ; maybe the bodily sensations are a little different. Or maybe it happened to you for the first time on a plane, in the dentist chair, or even at home, while doing nothing in particular.

If you have ever had what has become known as a “panic attack,” take comfort in the fact that you are by no means alone.

A panic attack always comes with the acute sense of impending doom. You feel you are either about to lose your mind or one of your vital bodily functions is about to cease functioning and you will end your days right there among the canned goods and frozen food.

You are by no means alone; you’re not even one in a million. In America, it is estimated that almost 5% of the population suffer from some form of anxiety disorder. For some, it may be the infrequent panic attacks that only crop up in particular situations-like when having to speak in front of others, while, for other people, it can be so frequent and recurring that it inhibits them from leaving their home. Frequent panic attacks often develop into what medical physicians refer to as an “anxiety disorder.”

One of the first steps to regaining control of your life is getting helpful information. This site will give you that, and more.

The beginning of your recovery starts here. What you will learn is that there is a very good chance you are about to end the cycle of panic attacks in your life. You will learn not only to regain the carefree life you remember once having, but will also gain new confidence in living. Your answer to living free from “panic” or “anxiety attacks” is at hand.

This site demonstrates that the panic and anxiety that you have experienced will be the very key to your courage and success.

Begin the road to recovery by browsing through the site. While many of you may have read almost everything you can possibly read relating to panic and anxiety I assure you this site offers something very effective.

Did you know…?

The key difference between someone who is cured of panic attacks and those who are not is really very simple. The people who are cured no longer fear panic attacks. I’ll try to show you how to be one of these people as well.

What if I told you the trick to ending panic and anxiety attacks is to want to have one. That sounds strange, even contradictory, but let me explain.

The trick to panic attacks is wanting to have one-the wanting pushes it away. Can you have a panic attack in this very second? No!

You know the saying that “what you resist, persists.” Well that saying applies perfectly to fear. If you resist a situation out of fear, the fear around that issue will persist. How do you stop resisting–you move directly into it, into the path of the anxiety, and by doing so it cannot persist.

In essence what this means is that if you daily voluntarily seek to have a panic attack, you cannot have one. Try in this very moment to have a panic attack and I will guarantee you cannot. You may not realize it but you have always decided to panic. You make the choice by saying this is beyond my control.

Another way to appreciate this is to imagine having a panic attack as like standing on a cliff’s edge. The anxiety seemingly pushes you closer to falling over the edge.

To be rid of the fear you must metaphorically jump. You must jump off the cliff edge and into the anxiety and fear and all the things that you fear most.

How do you jump? You jump by wanting to have a panic attack. You go about your day asking for anxiety and panic attacks to appear.

Your real safety is the fact that a panic attack will never harm you. That is medical fact. You are safe, the sensations are wild but no harm will come to you. Your heart is racing but no harm will come to you. The jump becomes nothing more than a two foot drop! Perfectly safe.

 
This article is copywritten material by Joe Barry, an international panic disorder coach. His informative site on all issues related to panic and anxiety attacks can be found at www.panicportal.com.

For a proven program used by over 28,000 people to relieve and cure both panic and anxiety attacks, visit us at www.panicattackfreedom.com.

These speaking engagements do not necessarily have to be the traditional “on a podium” events but can be as simple as an office meeting where the individual is expected to express an opinion or give verbal feedback. The fear of public speaking and panic attacks in this case centers on having an attack while speaking. The individual fears being incapacitated by the anxiety and hence unable to complete what he or she is saying. The person imagines 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 because their fear tends to revolve around going blank while speaking or feeling uncomfortable under the spotlight of their peers. The jitters or nerves of speaking in public are of course a problem for this group as well, but they are unfamiliar with that debilitating threat which is the panic attack, as they most likely have not experienced one before.

So how should a person with an anxiety issue tackle public speaking?

Stage one is accepting that all these bizarre and quite frankly unnerving sensations are not going to go away overnight. In fact, you are not even going to concern yourself with getting rid of them for your next talk. When they arrive during a speech/meeting, you are going to approach them in a new manner. What we need to do is build your confidence back to where it used to be before any of these sensations ever occurred. This time you will approach it in a unique, empowering manner, allowing you to feel your confidence again. It is said that most of the top speakers are riddled with anxiety before speaking, but they somehow use this nervousness to enhance their speech. I am going to show you exactly how to do this, although I know that right now if you suffer from public speaking and panic attacks you may find it difficult to believe you can ever overcome it.

My first point is this and it is 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 will always finish your piece, even if at the outset it feels very uncomfortable to go on. You will not become incapacitated in any way.

The real breakthrough for if you suffer from public speaking and panic attacks happens when you fully believe that you are not in danger and that the sensations will pass.

“I realize 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 you feel you were lucky to have made it past the last one unscathed. As they were so unnerving and scary, it is your confidence that has been damaged by previous anxiety episodes. Once you fully understand you are not under any threat, then you can have a new response to the anxiety as it arises while speaking.

Defeating public speaking and panic attacks…

There is 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 wave like format. If, however, when you feel the initial anxiety and you react with confidence that this is not a threat to you, you will move out of the anxiety rapidly. Using this new approach is a powerful ally because it means it is okay to feel scared and feel the anxiety when speaking–that is fine; you are going to feel it and move with and through the sensations in your body and out the other side. Because he or she is feeling very anxious, often before the talk has begun, that person may feel they have already let themselves down. Now, you can relax on that point. It is perfectly natural to feel the anxiety. Take for example the worst of the sensations you have ever experienced in this situation—be it general unease to loss of breath. You will have an initial automatic reaction that says:

“Danger–I’m going to have an episode of anxiety here and I really can’t afford that to happen.”

At this point most people react to that idea and confirm it must be true because of all of the unusual feelings they are experiencing. This is where your thinking can lead you down a train of thought that 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 follow it up immediately 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 am not in the least threatened by any of the strange sensations you are creating—I am completely safe here.”

The key to controlling your fear of public speaking and panic attacks is that instead of pushing the emotional energy and excitement down into your stomach, you are moving out 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. You 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 where you come across more alive, energetic and in the present moment. When you notice the anxiety drop as it does when you willingly move into it. Fire a quick thought off when you get a momentary break (as I am sure you have between pieces), asking it for “more.” You want more of its intense feelings as you are interested in them and are 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 is not really. You’d be amazed how many different non-related thoughts you can have while speaking. This approach is about adopting a new attitude of confidence to what you might have deemed a serious threat up until now. This tactic will truly help you with fear of public speaking and panic attacks you have associated with them.

If your predominant fear of the speaking engagement is driven by a feeling of being trapped, then I would suggest factoring in some mental releases that can be prepared before the event. For example, some meetings/speeches allow for you to turn the attention back to the room to get feedback etc. from the group.

If possible, you might want to prepare such opportunities in your own mind before the engagements. This is not to say you have to ever use them, but people in this situation often remark that just having small opportunities where attention can be diverted for the briefest of moments can make the task seem less daunting. It my even be something as simple as having people introduce themselves or opening the floor to questions. I realize these diversions are not 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 and can help alleviate fear of public speaking and panic attacks.

 
This article is copywritten material by Joe Barry, an international panic disorder coach. His informative site on all issues related to panic and anxiety attacks can be found at www.panicportal.com.

For a proven program used by over 28,000 people to relieve and cure both panic and anxiety attacks, visit us at www.panicattackfreedom.com.