Some feelings of anxiety, including panic attacks, seem to just come out of the blue. For no reason at all, the anxiety feels overwhelming. Many people who have suffered a panic attack say this.
How does this happen? Well, anxiety can be triggered by a host of tiny triggers, only some of which you are aware of. Your brain stores lots and lots of associations - some good, some bad. You might link the sight of mince and tatties with being safe at home with your mum. Or the smell of perfume with someone particular.
Just as you can do this knowingly, your brain can do this in a flash without you being aware of it. A fleeting image passes through your mind and the association is made with some event in the past and the feelings of that event wash up and can sometimes be overwhelming. It is completely automatic. People who were hit by a parent in childhood similarly find they automatically shield themselves with their arms if they sense a rapid movement. Even into adulthood. Responses to triggers can be completely automatic. So what to do?
Sometimes, it is hard to identify the trigger. A qualified therapist can help you here. With panic attacks, part of the trigger is the rapid breathing. So learning to breathe deeply through your belly is a preventive measure. Learning to relax is a major help too. In other cases, we know what the response is. So we can learn to become aware of our automatic response and use that as a cue to respond differently.
With a bit of practice using cognitive behavioural therapy, , maybe with the help of a professional, you can get a fair idea of the thoughts, ideas and images that trigger these reactions. One you have a clue, the techniques of this kind of therapy can help you work out what to do. And you can learn these techniques yourself so you have the skills to continue to take good care of yourself.
When we think of a situation that scares us, our feelings can so overwhelm us that we cannot imagine managing. So even before the situation is happening, we can feel overwhelmed. This is significant. Just by thinking about the situation, we can experience the situation as though it was really happening. So understanding how your thoughts affect you helps you to manage these situations. With hypnotherapy, this understanding is combined with teaching relaxation in the face of pressure. Imagining a scary situation whilst at the same time continuing to relax is effectively done in hypnosis. So in the end, the feelings associated with the situation are calm relaxation. What a relief.
As well as dealing with the emotions triggered by feared situations, we need to look at the practical side too. What can we do to make things better? If this situation really did occur, what could you do to handle it well? Getting a clear idea of the series of practical steps you could take.
Preparing in imagination means we don't arrive in difficult situations unprepared. Write up a shopping list of coping plans – all the things we could do in various difficult situations - and then in hypnosis try them out to see how they fit. Some work well, some less so. This problem-solving approach soon becomes a habit. We can try out a wide range of approaches and that flexibility itself helps us to cope better and feel confident about responding appropriately in difficult situations.
And then some things we just have to endure, and we can learn acceptance without catastrophising.