By Arianne MacBean

Many clients come to therapy because they experience panic. Panic, or intense anxiety, can show up in the most random places and moments. You’re sitting there, doing your thing, and then suddenly you feel dizzy, your heart races, you feel nauseous, and a sense of doom overtakes you. This is panic, and it can feel overwhelming. However, there are three steps you can take to understand, manage, and re-ground yourself if you find yourself in the throes of an episode.

Panic attacks are a way your body deals with fear.

Before we get to the ABC’s of how to deal with panic, it’s important to understand that panic is a way your body deals with fear, and it is a natural survival mechanism. In a way, panic is your body trying to help you. You’ve probably heard of the flight, flight, freeze responses that all animals have when they are faced with something that threatens them. These innate responses say that when the animal is frightened, they should either engage aggressively, run away, or hide. Fight, flight, and freeze are tools that keep animals alive.

You can ease out of panic attacks.

When a human animal experiences panic, it’s the same thing. Panic in a human is saying, “You’re scared, and you need to do something about it.” But why do we experience panic when we’re just sitting on the couch? Because life is complicated for human animals, and we have many kinds of micro and macro threats that we experience over a lifetime. Those threats become recorded into the body and, especially if we do not process them, they can show up unannounced to remind us that we do indeed need to deal with them. In this way, panic is a reminder that we have some fear that needs to be processed. This is why so many clients come to therapy – to deal with these unconscious fears. So, when you’re not in the therapy office processing emotions in a safe space with a caring advocate, how can you soothe yourself out of panic?

The ABC’s of Panic Attacks: 3 ways to recover

A. Acknowledge.

It’s vital that when you begin to experience panic that you acknowledge what is going on and that the panic is not YOU, but a feeling you have. Acknowledging panic can look like saying to yourself, “You’re feeling panic. Panic is just your body telling you to pay attention.” You can remind yourself that panic is an energy in your body that will pass soon. Our instinct when we feel panic is to distract ourselves from the discomfort and focus on something else, but like most emotions, being with the feeling will help you move through it more productively than ignoring it. Dealing with, and acknowledging panic, is the one of the best cures for it.

B. Breathe.

Focusing on your breath really is the trick to calming panic. A simple slow inhale through the nose and a long, controlled exhale through the mouth is always a great technique. If you watch any great baseball slugger at bat, you will see them use this method to calm themselves under pressure. If you want to try something a little more structured, you can inhale for a count of three, and exhale for a count of five. Lengthening the exhale will activate your parasympathetic nervous system, which controls how the body relaxes.

C. Center.

Centering is a way to re-orient yourself back to the here and now. A great way to center is to look around and notice three things in the environment around you. When your eyes fall on, let’s say, a bookshelf, really look at it. Notice the spines of the books, the colors of covers, the sheen of the wooden shelf. Then, let your eyes wander to another thing in your field of vision. Focus on it, see the details, textures, as if you’re looking at it for the first time. This will help bring you to the safety of the moment. It will help you see that you are not under attack.

As much as panic can feel engulfing, it is not entirely out of your control. Understand that panic is your body’s way of letting you know you have feelings of fear that need to be addressed. Acknowledge that panic is an energy force moving through you. Breath to anchor yourself and calm the panicky energy. Center yourself by gently engaging with the environment around you. These ABC’s are steps you can take to befriend panic as a signal to slow down, check in with yourself, and be in the process of healing.



Further Resources for Understanding Panic:
https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Panic

https://washingtoncenterforcognitivetherapy.com/problems-treated/panic-disorder/panic-disorder-organizations/

https://www.psychologytools.com/self-help/panic-attacks-and-panic-disorder/

https://www.healthline.com/health/anxiety/best-anxiety-books#A-quick-look-at-the-13-best-books-about-anxiety