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panic attacks breathing exercises

PANIC ATTACKS

BREATHING EXERCISES THAT CAN HELP

You probably know that panic attacks can cause all kinds of symptoms ranging from nervousness, confusion, feelings of dislocation to numbness in the hands and legs, faintheadedness and even passing out, but what you might know is the physical cause of these symptoms and how to prevent them.  This article deals with what causes these symptoms, one of the major reasons that panic attacks occur and what you can do help yourself.

Panic comes from many sources;  grief, emotional pain, stress, anxieties over everyday life etc...  We all face these on one level or another.  However, people prone to panic attacks have two additional factors that make things worse.  One is that their bodies start pumping out to much adrenaline (you now have the energy to run for hours or to lift a car off the ground, but instead of burning it off physically you focus all that energy within your mind and go into overload), and the second is that when they begin to panic their breathing changes.  In fact, it may be the changes in their breathing patterns that cause that sudden rush of adrenaline.

I want to state here and now.  I am NOT A DOCTOR.  I am not trying to give you medical advice.  I am simply someone who cares, who has known many many people who are subject to panic attacks, who has seen the same thing happen over and over again, and who is offering my opinion on how to reduce the severity of a panic attack.

Before explaining more about panic, it's causes and effects I want you to sit here and try to visualize something:

Imagine that you are watching a movie.  The man on the screen is trapped underwater in a sinking ship.  He's starting to run out of air.  He's trapped between a wall and a heavy piece of ships furniture.  He begins to panic.  You can see him starting to struggle.  He's too weak to push the furniture off.  You know he's going to die.  Suddenly he finds the strength, an impossible amount of strength for a normal man, and he pushes the furniture off.  He now tries to swim to the surface.  You can see that he won't make it.  The surface is to far and he doesn't have enough air. He's getting weaker.  His arms and legs are starting to go numb from lack of oxygen. Suddenly, arms reach down into the water and pulls him to the surface.  He gasps for breath.  One giant breath followed by many small ones.  Miracously he has been saved by other passengers who had made it to the lifeboat.

The example above demonstrates many aspects of a panic attack.  First it shows the cause of the panic attack.  In this case the cause of the panic attack was being trapped underwater.  The effect of the panic attack was to give him a sudden rush of adrenaline and energy so that his body could do the impossible - move the heavy furniture off.  Next, you see the man can't breathe which increases his panic even more.  Soon after you see the effects of too much adrenaline and too little oxygen as his limbs grow weaker - numb - and he reaches the point where he is ready to pass out and drown.  Finally as he is pulled from the ocean you can see that he doesn't breathe calmly but instead breathes in a panic, lots of little short breaths.  As his breathing finally begins to slow you can see him start to calm down.

This is exactly what happens during a panic attack.  Something causes you stress, your body thinks there is some kind of emergency where you will need extra strength or speed and so it reacts by giving you huge amounts of adrenaline.  Since you don't actually physically burn off the energy it all becomes 'emotional energy', you panic more, the body sends even more adrenaline and it continues in a circle.  You keep getting more and more energy, but aren't using it.  Then your breathing begins to change.  Instead of long slow (calm) breaths you begin to take lots of short little (panic) breaths.  As is shown below, this causes a lack of oxygen and then you panic even more (more adrenaline) and eventually the lack of oxygen causes your limbs to become numb (like the man in the movie), you get lightheaded, etc...  So what can you do about it?

One of the keys to controlling a panic attack is understanding the causes and affects.

First of course their is understanding that a panic attack starts by over focusing on something stressful to the point that your body has a physical reaction.  If you can pull your mind towards something else (go outside, take a cold shower, etc) then maybe you can avoid the panic attack.  But, if you aren't able to focus on something else, then you need to understand that the second phase of the panic attack is caused by the change in your breathing and that you can reduce the severity of the attack by controlling your breathing.  Here's how it works:

Normally, humans breath slowly and evenly.  Air (oxygen) enters through our mouth and nose, goes down our throats  and enters the lungs.  There is pause between breaths while the oxygen (good air) is absorbed by the lungs and replaced by carbon dioxide (bad air).  Our lungs then push the bad air out through the throat, then the nose and mouth.  Again, the lungs pause so that the bad air has a chance to blow away and be replaced by good air.  Then we breath in.  The key to the whole process is the pauses "between" breaths, because that's when our lungs absorb the good air and discard the bad.

During panic breathing the whole process is changed.  As we start to breathe faster, the air still comes into our mouths, into our throats and into our lungs, but we don't leave it in our lungs long enough.  The lungs don't have time to absorb all the oxygen or to get rid of all the carbon dioxide. So now we are breathing out some of the good air (oxygen) and leaving some of the bad air (carbon dioxide) in our lungs.  The good air/bad air mix is pushed from our lungs to the throat and to the mouth and nose.  But again, because these are short (fast) breaths, we don't allow all the bad air to leave our bodies. Some of it is still inside us, and see start sucking it back in. Make sense?

Let's look at it like this...  Let's say that a man has a job of carrying a bucket of water in one direction, dumping it, and then filling it with dirt and carrying it in the other direction.  Again at the beginning he rinses out the bucket and gets clean water.  As long as he goes along slowly he is carrying clean water in one direction in and dirt in another.  No problem.  But lets say something happens, he feels he is falling behind at work, his boss is yelling at him, he has an emergency and needs to get off work early, and he starts to panic.  He tries to rush the process.  He runs from one end to another.  He spills water going one way, he spills dirt going the other.  He tries to make up for the spillage by going faster and faster.  Soon he is running spilling almost more than he is carrying.  Now he's really panicked.  He doesn't take time to pour all the water out at one in, then at the other end he doesn't pour out the dirt.  He's running back and forth with a bucket of mud and accomplishing nothing except making his panic attack even worse.   That's what happens to you when you panic and don't breather right, you keep breathing dirty air over and over again and you begin to feel oxygen starved like the man in the movie earlier.  Your muscles get weak, you feel numb, you are on the verge of collapse.  What should you do?

Breathe slowly and deeply.

Many studies have been done on the relationship between panic attacks and breathing, and what has been most commonly noted is that nervous people tend to breathe sort quick breaths from their chests while calm people breathe deeply and slowly from their abdomen.

HOW TO BREATH

Place a hand on your abdomen (just below your rib cage), breathe in slowly (count of five), you should feel your hand rise. Pause.  Then breathe out slowly (Count of five), and hand should lower slightly. Pause.  Then do it over again.

Short breaths cause panic (an increase in adrenaline).


Long breaths create calm (an actual chemical reaction occurs in your body)
 

Short breaths cause oxygen starvation (more panic), numbness in the hands and arms, lightheadedness, a feeling as though everything is going dark and can make you pass out.

Long breaths can make you feel better.

Practice Long Deep Breaths Ten minutes a day and it will become a habit, and you will know what to do next time you start to feel panicked.

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