In the previous video, we talked about the panic attack cycle. First comes a sensation or feeling.
Second, you judge that feeling to be unacceptable, bad, or dangerous.
Then this triggers an escalating fight/flight/freeze response, and your brain
learns that panic and anxiety are dangerous. So let's take a deeper look at step two,
the thoughts that transform a physical sensation into something we interpret as dangerous. Here are
common ways of thinking that trigger panic attacks: "It would be disastrous if I had
a panic attack." "It would be awful if my anxiety takes over." "What if I'm having a heart attack?"
"What if I pass out?" "If I can just force myself to calm down, this will all go away."
Why does this always happen to me? The big issue is believing that panic attacks are dangerous.
Now, panic attacks are inconvenient. They're uncomfortable. They can be embarrassing,
or they can interfere with what you want to be doing. But they aren't physically dangerous. All
these uncomfortable symptoms are just the body tossing you into fight/flight/freeze mode, which
actually makes it less likely that you'll pass out, stop breathing, or any of those other fears.
If someone's having a panic attack and they go to the ER, an EKG will show a regular but
rapid heartbeat. When people worry about passing out, you should know that you pass out with low
blood pressure. A panic attack takes your blood pressure up. Heart attacks feel worse
when you walk around, but when you move around with a panic attack, you actually feel better.
Right? So panic attacks are not actually dangerous. And our society doesn't help. It's
constantly talking about how bad stress is for you and how bad anxiety is for you. Now, at its root,
stress is not dangerous for you. Chronic stress is dangerous, but stress itself isn't,
and neither is fear. Okay, now there's some of you out there right now who are saying,
"But it could be a heart attack this time. A panic attack could hurt you.
What about this one time that I read about this one thing that happened a thousand miles away?"
Right? Well, great. Thank you for bringing that up. That is a perfect
example of how the anxious mind is going to highlight the worst-case scenario and kidnap
your emotions until you can be 1000% sure. It, this is the certainty trap,
that you shouldn't live your life or take helpful actions until you can
1000% guarantee that nothing bad will ever happen.
There's so much to be said about the certainty trap. This is, I don't have time for it in this
video. I'll make another video on it. But let me ask you a pragmatic instead of logical question.
Okay. So what if there is a one in a million chance that you could die? Now what?
Do you want to spend the rest of your life afraid of panic attacks? Or do you want to
choose to face life and accept uncertainty and live the life you value? Drive places.
See your loved ones. Hold a job. You have to choose between living a life in fear of emotions
or a life of acceptance of emotions. So panic attacks aren't dangerous.
You can choose to live a rich and meaningful life even if you have some anxiety or you experience
the occasional panic attack. But when we fear anxiety, when we fear panic attacks,
we feed that cycle of fear and panic. So this is where if you search how to stop a panic attack,
you get really bad advice if you have chronic panic attacks. The articles all say,
"Try to take some deep breaths. Try to calm yourself down. Try to distract yourself."
Look, if you've tried this and it worked, you wouldn't be here. This is the exact wrong
advice. Stop trying to calm down your body because that sends a message to your brain
that the anxiety is actually dangerous and it must be avoided. This feeds the
fear cycle. You can learn to calm down. You can learn to calm your body down. But this
is a paradox because something has to come first before change, and it's acceptance.
So the only way to stop this cycle of panic attacks is to demonstrate to your brain
that anxiety is not dangerous, is to show your brain that you can feel anxiety and be okay.
And the way you do that is willingness. I've talked about this a bunch,
but basically you have to shift your relationship to anxiety.
You say, "Anxiety is uncomfortable but not dangerous. This is uncomfortable
but not dangerous. These body sensations aren't dangerous; they're uncomfortable."
So try this experiment instead: say, "Fear, bring it on. Go ahead. Make me as anxious as possible."
Or say something like, "I can feel the fear and do it anyway."
It's impossible to make yourself have a panic attack because the thing that
causes them is trying to make them go away. Okay. Number two, make space for your sensations.
If you're in a death match with your sensations, you might think things like this:
"I can't feel this way. I have to breathe slower. I have to calm down."
You're essentially telling your brain that these feelings or sensations in your body are dangerous.
This triggers that spiral. So instead,
send the opposite message. Open up to your sensations. Get super curious: "Oh,
I wonder what it feels like to breathe fast." Get back in your body, and get present in the moment.
Notice what you're feeling, and allow it to be there.
Be compassionate toward your sensations, even the ones you don't like. Say, "Hello,
upset stomach. It's okay. You can keep doing that if you need to." Say, "Hello, jiggle legs,
what do you feel like right now? What do you need?" You can even exaggerate those sensations
if you'd like. Tense your muscles tighter. Try to breathe faster. Jiggle your legs faster. Just
show yourself that you can feel this and be okay. So instead of trying to calm your body,
say, "It's okay to have a fast heartbeat. It's okay to breathe this way."
You can create awareness without that negative interpretation.
So when you judge your emotions, you say things like, "Oh, this has to change. This is so
bad. This is so dangerous. This means I'm dying," etc. And when you change your relationship to
your feelings, you say, "This is a feeling. It is what it is. I can handle feeling feelings."
Okay. Next, don't distract yourself.
Don't leave the situation. Stay in it. Because when we avoid anxiety,
we reinforce in our brain that anxiety is actually dangerous. Remind yourself
that anxiety isn't dangerous, that these uncomfortable sensations aren't dangerous;
they just feel dangerous, but you are safe. And ride it out. Say something like, "Bring it on."
When you do this, you demonstrate to your brain that these feelings aren't dangerous.
They're uncomfortable, but they're not dangerous. Remember Steve, back from video
number two? He grew up in an abusive home, and he learned that emotions were dangerous.
He would have panic attacks over and over again because he was scared of getting anxious or sad.
Sometimes in session with Steve he would start getting anxious,
and his wife would lovingly try to calm him down. And Steve would get really afraid
that he was going to start feeling really anxious, and then he'd start freaking out.
So sometimes in session I'd tell him, "Steve, I want you to get as upset as possible right now.
This is really important. I need you to get really scared of your emotions and get really anxious.
Could you please do that?" And for a moment, he'd get really emotional, and he'd try really hard.
And then he'd just pause, and his breathing would slow down,
and his face would open up, and he'd lift his head up and look at me, and something would
just click. And you could see the moment he stopped the struggle against anxiety.
He, he dropped the rope, and this wave of peace came over him. I think he still felt
some weird sensations, but he wasn't fighting them anymore. And the intensity dropped by like 99%.
Franklin Roosevelt said, "Courage is not the absence of fear but rather the assessment that
something is more important." It's okay to think or feel all sorts of panicky stuff.
But that doesn't mean you have to listen to it or believe it. This is the paradox of a panic
attack. "To free ourselves from panic, we need to be willing to have it," Nick Wignall says.
Remind yourself that you're actually safe. Anxiety won't hurt you. Your situation is actually safe.
Now, if there is something in your environment, something physical,
that's not actually safe - like a rattlesnake, let's say - get out of your head,
stop trying to change your feelings, and actually take some action to get safe.
Otherwise, make some space for those feelings. Stop fighting them.
I've got tons of videos on how to do this - how to feel your feelings, willingness,
how anxiety and depression are connected, and the willingly out of breath activity. This this skill,
willingness, is a skill you can learn, to let yourself feel your feelings without fighting them.
Number three, don't believe everything you think. The third step to stopping future panic attacks
is to get really good at noticing your panic story. So for Steve, his panic stories were,
"What if I always feel this way? What if I never get better? What if this means I'm
losing my mind?" The way you tell your story reinforces your brain's perception of danger.
So you need to learn to notice the panic stories that you tell.
And then just get good at noticing them without buying them, noticing them without
believing them. We talked about some of those thoughts earlier. It's catastrophizing. It's
believing you're having a heart attack. It's saying, "Why does this always happen to me?
This is awful. This is terrible." It's any sentence starting with "what if."
It's saying, "I can't handle feeling this way." Well, what are your choices? You can keep
struggling against your feelings and have more panic attacks, or you can let yourself feel the
anxiety and keep living your life. So recognize your thoughts. Name what you're experiencing.
"This is a panic attack. I'm not actually in danger. I'm actually safe." Or say,
"Oh, hello there, worry thoughts. Are you going to tell me that I'm dying
again? Nice to see you again, but you're just a cute little catastrophic thought."
Just like the boggarts in Harry Potter, fear can't stand being laughed at. If you can't laugh,
just be like, "Hey there, you little panic thought. I know what you're trying to do.
That's cool. But I've got some other stuff to think about right now." Or you say, "Right now
in this moment, I'm actually safe." Okay. So back to Steve. One day Steve went to church and he
really didn't want to feel anxious that day. He didn't want to get upset or emotional.
But as he started to walk in, he started to feel that tightness in his chest.
He started to feel the anxiety building up inside of him.
And at first he tried to fight it. He tried to slow his breathing, he tried to distract himself,
but he could feel that panic attack about to blow. And in that moment, about six months of therapy
finally clicked for him. He said, "It felt like a lightbulb clicked on,
and I suddenly realized that my feelings are just feelings. They can't hurt me."
And he just opened himself up to let himself feel them. It's like he stopped struggling
against them and just let himself ride through them while staying at church.
And when he did, they suddenly didn't have power over him anymore.
He stayed through the whole meeting. When he came to session the next week, he was super excited to
tell me, "It's working. It's actually working. My feelings are just feelings. They can't hurt me."
And when he'd get really scared, he'd say, "I'm feeling really scared right now,"
which is noticing the feeling and making space for it instead of what he used to do,
which is say things like, "Will I ever get better?
Am I going to feel this way forever? Does this mean I'm losing my mind?" Now,
sometimes Steve still gets scared of his emotions,
but in general, he's doing so much better. He's decreased his panic attacks by like 95%. And
he's overall just doing so much better at letting himself feel his feelings without fighting them.
Okay. Number four. Panic seems to come from nowhere. You can't always predict when panic
will come, but you can prepare for it to a degree. So learn to notice your triggers. Get better at
predicting when you're going to feel some anxiety or a physical symptom. And that way you can
prepare yourself to use your new skills instead of trying to avoid or control your anxiety.
So don't try and avoid your triggers. That tells your brain those triggers are more dangerous than
they actually are and makes your panic or anxiety worse. It's also important to work
to decrease over-anxiety. So if you imagine anxiety on a scale from 0 to 10, I often see
panic attacks in people who are constantly running at this baseline of like 6 or 7 on the scale,
and small situations that are like a level 1 or a level 2 just pop them out of okay
and into panic. So for example, someone who is extremely stressed out with work and kids and
financial problems, they might have a panic attack from what seems like out of nowhere.
But upon careful inspection, it's like everything was just piling up. And then the traffic and
being late to pick up the kids, something that's not normally panic-attack worthy,
that little thing just puts you over the top. So treating anxiety is this combination
of changing your relationship with anxiety, of accepting anxiety and making space for it,
and also putting things in your life in order.
So doing that groundwork to resolve your background stress, that can make a big difference.
Okay. So just to summarize: panic attacks are usually anxiety about anxiety or anxiety about
the physical symptoms of anxiety. They spiral out of control when you catastrophize about these
symptoms or you try to force them to go away. If you want to stop having repeated panic attacks,
you can learn to accept anxiety as normal, safe, and natural.
Make space for those uncomfortable situations.
Don't believe your catastrophic thoughts. And take steps to decrease your overall anxiety.
When you take these steps, you'll show panic that it doesn't control your life.
And over time you'll retrain your brain that feelings of anxiety
can't hurt you. And the panic attacks will greatly decrease or stop altogether.
Okay. Hope you found this helpful. Thank you for watching, and take care.