I am a bit like jjimm, I manage my panic attacks now, but it took practice. I like that smoking analogy that featherlou’s doctor made. I don’t really care why I started getting panic attacks. Deep down, I don’t even find it unreasonable to panic. It’s a bit of a miracle that I’m so calm the rest of the time. Then again, I think the feeling good chemicals in my brain are few and far between. I used to be on a lot of medications for depression, and though they helped somewhat, they were very expensive. When I stopped taking them, I was okay for a while but then I started to get anxiety marked with painc attacks.
When I have a panic attack I can’t think very well and trying to think too hard will make things worse so usually what I do is sort of zone out and repeat calmning thoughts over and over, like, “just relax, that’s okay,” etc. I distract myself like **jjimm ** by trying to find a simple task to do like make a tea or take a walk. If I am out in public I focus on the idea that if I pass out, it will not be the first time anyone passed out in public. I find that the worst thing to make my panic grow is that I get fixated on the idea that I’m going to pass out and then something terrible will happen like I’ll be embarassed or robbed or whatever. So I just think about how close I am to the ground, and how many times I have NOT passed out. The feeling passes.
I make a huge effort not to avoid anything because of panic. Like, at my library, for unknown reasons the floor shakes in front of the Best Bets. It gave me a panic attack the first time I noticed it. Now every time I stand there I feel the vibration and I feel sick but I don’t get a panic attack because I make myself stand there til the feeling passes. I think stuff like that helps me to not associate more and more things with panic.
It also helped me to think about the problem when things were going well. At first, when things were going well I would think, “well good, maybe that will never happen again! I will just pretend it never happened.” When I started to think about it during good times, instead of causing more panic, it helped me with my coping strategies. That was a breakthrough for me. I listened to Claire Weeks tapes, and read some books and websites. It helped me see the traps people get into with their interpretation of panic and how avoidance complicates things. When you have some perspective on things, and you feel relatively okay, that’s the time to plan and make strategies. Only by experience do you see that it does not cause a panic attack to think about panic attacks.
My mantra is “this too shall pass.” It is not easy, but the way I see it, 90% of the torment is the reaction to the initial symptoms. Yes it is very unpleasant to panic in public, but there are people with much worse health problems than occasional dizziness and disorientation and they don’t let it keep them housebound. So that’s my mindset, that yes, I could pass out in public/have a heart attack/go crazy/whatever but so could anyone, they’re just living in blissful ignorance.
Panic is like other things though, that even when you get a handle on it, a lot of stress will blow all your coping strategies to bits. So there is no easy answer. However, perseverance is the name of the game.