So – we’ve been talking about panic – where it comes from, and some basic fears and facts.
You may have read those posts, tried some of the strategies, and concluded that they don’t work.
If that’s the case – let me assure you that they do work; let’s just tweak how and when you use them.
Let’s put anxiety on a scale of 0 to 10. 0 means you’re so relaxed that you’re barely conscious; 10 is a full-blown panic attack.
If you’re living with PTSD, then chances are, you never actually get all the way down to 0; your best day is a 5. Your average day is more like a 7.
That means that on an average day, you’re already over two-thirds of the way to panic. (Yes, this is precisely why I keep carrying on about relaxation – because if you do some sort of relaxation exercise regularly, it will help to bring down that average. Even if you get your average down to a 6, you’ve already given yourself a little extra breathing room).
So – on a typical day, even something small is enough to get your anxiety to start creeping up.
You feel the familiar tell-tale signs – your heart starts beating a little quicker. Your muscles start to tense up. You feel a little more nervous.
And what do you do? Well, if you’re like most of the patients that I work with, you do your best to ignore it.
It’s kind of like a really annoying neighbour. The kind who talks your ear off about nothing, boring you to tears. If that guy is knocking on your door, you might decide to sit really quietly, pretend you aren’t home, and hope he goes away.
Well – it might work with your neighbour. But with anxiety? Here’s what your head is doing while you’re trying to ignore anxiety:
“Uh oh… I know that feeling… Oh crap, are we gonna do this again? CRAP. I really, really don’t want this to happen again. Please, please, please, not this nonsense again….”
Yeah. Just reading that makes you feel a little nervous right? Stop. Breathe. You’re okay.
The point is – thinking that way makes you feel completely helpless, and that makes the panic worse. So, while you’re busy trying to ignore your panic – it just builds and builds. And then, when you get to a 9.5 out of 10 – then you think: “Oh, crap. It’s coming. Quick – what was I supposed to do? Breathe, and tell myself some reassuring stuff? How did that go again?”
Folks – by the time you get to 9.5, trying to remember what you’re supposed to do to relax is a lot like trying to hold back Niagara Falls with a paperclip. It’s not going to do much to help you out at that point.
Your timing’s off. You’re doing the right things, at the wrong time.
Here’s how to tweak it to get more control: the moment you start to feel your anxiety inching up – right when you start to get the urge to try to ignore it – that is when you need to remind yourself that you are not helpless. Now is your chance to be proactive and take control. Yes this will be unpleasant – but it can’t hurt you, and the more you focus on taking control, the more you’ll be successful in making this kind of thing shorter and less frequent.
…And when you start your slow, deep breathing, keep breathing – your panic will make you want to give up after just a few seconds and go, “It’s not working, it’s not working!!! I can’t do this!”
Hey – it’s not working yet, okay? It works. Keep doing it. Give it at least ten minutes of good, focused, slow, deep breaths. It’ll work. And with practice, it’ll get easier.
I’d love to have you share your thoughts, comments, and questions. If you do post a comment, please don’t give specific details of your trauma – these may be triggering to another reader. If you’d like to offer criticism, I’ll take it – I know I’m not perfect, and I’m always willing to learn. If you do offer criticism though, I’d really appreciate it if you could do so constructively (ie., no name-calling, please). Thanks…
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~ Dr. Dee Rajska, C. Psych.
*Fine print: Please feel free to share the link to this blog wherever you think it might be helpful! Reading this blog is a good start, but it’s no substitute for professional help. It takes a different kind of courage to admit to yourself that you’re struggling. PTSD is not a sign of failure – it’s a sign that you’ve been through a lot, and have tried to stay strong for too long. If you need help – you’re in some pretty great company. Reach out, and give yourself a chance to feel better.
**Really fine print: The content of Coming Back Home is copyrighted; please feel free to share the link, but do not copy and paste content. Unless otherwise noted, all original photography on Coming Back Home is copyrighted. The photo gracing today’s post was taken by M & C Charbonneau, and I’d like to thank them for generously allowing me to use their work. Please do not copy photographs from Coming Back Home without permission.