My Tried and True Tool for Panic Attacks

There's one tool I always turn to when I'm anxious. It helps prevent panic attacks and shortens an attack if I'm having one. If I do it every day, or even a few days a week, it lowers my generalized anxiety. It's my go-to, tried and true, helps-every-time technique called Progressive Muscle Relaxation.

I heard about it years ago when my therapist recommended "The Anxiety and Phobia Workbook" by Edmund Bourne, which became my favorite book on anxiety. Although my therapist recommended reading the whole book, he specifically wanted me to learn how to use this technique. And, I've been using it ever since. Without fail, Progressive Muscle Relaxation provides me with some relief from both generalized anxiety and from panic attacks. It works best if I practice it a minimum of three times a week, more if my anxiety is acute. And, if a panic attack is starting, I've found that it reduces the symptoms and shortens the attack. In other words, I can keep it from turning into a full-blown panic attack, which I ALWAYS want to avoid.

Progressive Muscle Relaxation isn't new. It was developed in the 1930's by a physician, Dr. Edmund Jacobson, and originally had over 200 exercises to reduce stress. Thankfully, it doesn't take all 200 exercises to reduce anxiety; about 15-20 are commonly used. And, don't freak out over the word exercise. No work-out is involved. If you read my blog often, you know I'm not using something that involves a work-out...

So, how do you go about doing this amazing technique? It's pretty simple. It involves systematically tensing and releasing your muscles while breathing. You can do it lying down or sitting in a chair. If you're doing the whole series of movements it takes about 20 minutes, and a dim, quiet place is ideal. However, I've found doing even a few movements under the table at a business meeting or sitting on a plane can be helpful. I first learned to do it following the written instructions in the book, but now I use a guide that I downloaded. Actually, once you have it memorized you don't really need a guide. I just like the voice and the music.

To learn the technique you can click on this script I found online that was adapted from Edmund Bourne's book. Or, you can download a guide. The one I like is by Ken Goodman and I found it on the iTunes store. You can also get it from his website.

Let me know what happens when you try it. I hope it helps you as much as it's helped me!

The Doctor is In

One of the worst triggers for my anxiety is a visit to the doctor. To make it worse, I worry obsessively about my health. Back in the day they called it being a hypochondriac. These days, the fancy term is "medical anxiety." Well, let me tell you, I've got medical anxiety in every sense of the term. I'm anxious  that there's something physically wrong with me, and I'm anxious if I have to go to the doctor to be checked out.

One of the worst parts of having anxiety and panic attacks is that most of the symptoms are also symptoms for scary stuff, like heart attacks and strokes. Chest pain, tingling hands, numbness, feeling like you can't breathe, dizziness, nausea. The list goes on. Google those symptoms and you're going to find things you don't want to have. And, when anxiety starts to spiral, your mind starts saying things like, "This feels different than it ever has before." Or, "This time there really is something wrong."

Also, for those of us with medical anxiety, every twinge, every slight pain, every twitch or muscle jump takes on significance. We constantly scan our bodies for changes, are hyper-vigilant about our breathing and heartbeat. We have unrealistic expectations about how good we should feel, so that if we catch two colds in a row we think it's because of some scary, underlying disease.

The question is, what do you do? If you run to the doctor with every symptom, you'll be broke, because the doctor will be professionally obligated to run tests because the symptoms are similar to the ones for serious physical illnesses. And, believe me, I've done this. Or, if the thought of going to the doctor creates so much anxiety that you can't bring yourself to go, you don't get the medical care you need. I've done that, too.

The best answer I've come up with is to find medical professionals that understand anxiety disorders and are willing to work with you. This has meant being very honest with my medical doctors and their staffs, being able to tell them about my anxiety without being worried they'll think I'm a lunatic, and then very honestly describing any symptoms. I've been happily surprised that most of the medical professionals I've used have been understanding about anxiety and have answered my questions patiently. They've explained why I should or shouldn't have tests or medications, and have understood that to treat me properly they also have to take my anxiety into consideration. It's also meant finding doctors who have great phone nurses who're able to talk with me and (with the doctor's input) determine if I need to come in. In fact, some of my doctors take the time to call me personally. This eliminates a lot of unnecessary office visits and alleviates a lot of my health fears.

Does this mean I'm cool, calm, and collected at the doctor's office? NO! I'm a mass of jittery nerves. But, when they call my name and I head back, I remind both the staff and the doctor that I have anxiety about being there. And, it's almost always a part of the discussion I have with the doctor. After all, they always notice that my pulse is fast and my blood pressure's up! And, almost without fail, everyone is calm, reassuring, and understanding. No one has acted like I'm a lunatic, that they're annoyed with me, or that it's "all in my head." And, if they did, I'd change doctors...

Flexing Your Mental Muscles

The other day I read an article from Forbes called "Mentally Strong People: The 13 Things They Avoid." The article was hugely popular and was shared like crazy on social media. I read it when Healthy Place (one of my favorite mental health websites) posted it on their Facebook page. You can read the article and form your own opinion about mental strength. The main reason I mentioned it here is because it made me start thinking about the concept of being "mentally strong."

What exactly does "mentally strong" mean? Does it mean you're smart? Does it mean you're in control of your emotions? Does it mean you'll be more successful, more happy, more capable if you're "mentally strong"? And, exactly who decides what it means to be "mentally strong"?

I decided to come up with my own definition. And, here's what I think.

Mentally strong people get out of bed every morning and put one foot in front of the other, even when they're so anxious they feel like their hearts will come out of their chests. They continue through the day even when their thoughts won't stop racing around in their brains. They go to their therapists and talk about things that scare them, that depress them. They use the tools their therapists teach them, even when it seems like they don't work. They take the medicines their doctors prescribe, even when they don't like the side effects. They keep trying, keep getting up, keep going no matter how hard it is. When they feel better, they celebrate. When anxiety or depression sets in again, they still get out of bed in the morning. When it's so bad they can't get out of bed, they remind themselves that it won't be so bad tomorrow and they'll be able to get up again. They do whatever it takes to keep themselves safe from the frightening, depressing, anxious thoughts that run through their heads. They hang on to the memory of the days when they felt a little less anxious, a little less depressed. And, then, they get out of bed again and put one foot in front of the other. And, eventually, they feel better.

To me, mental strength has less to do with the characteristics of people who achieve what our society calls success and more to do with living your life the best way you're able. It has to do with trying new things when the old ones aren't working. It has to do with going forward no matter how much you want to stop. It means you never, ever, give up.