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.
