Dealing With Panic: How to Calm Down During a Panic Attack

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If you have ever had a panic attack you will know how bad they are. Your heart rate goes up, you feel like throwing up and you just want to figure out a way to calm down. It is terrible and it often feels like there is no solution.

A few years ago I had a series of panic attacks and during this time I learned some pretty simple ways to deal with them. In this post I want to share with you my simple but seemingly effective ways to calm down during a panic attack.

Are you sure it is a panic attack?

Panic attacks look different in everybody but they have some common threads. During a panic attack you will feel dizzy, nauseous and your heart rate will increase. Quite often you feel like the walls are closing in and you don’t know what to do or where to turn. This feeling of hopelessness often makes the whole situation worse.

Panic attacks are said to be one of the most frightening things a human can experience.

The most important thing that you can do is go and see your doctor. If your panic attacks are occurring regularly you need to get some professional advice as it might be related to another physical or psychological problem. In the meantime you can use these suggestions to help calm you down.

How to calm down and deal with a panic attack


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1. Sit down and breathe into a paper bag
The first thing that any doctor will tell you to do during a panic attack is breathe. Sometimes they will tell you to breathe in to a paper bag. This is a good idea.

When you have a panic attack your heart rate will go up. You will start to breathe faster and this elevates the level of oxygen in your blood. Not a great thing. When you have too much oxygen in your blood you will be tricked into thinking you are short of breathe but in actual fact you have too much breathe! Breathing fast causes your body to hold on to too much oxygen and not enough carbon dioxide and as such you start to feel dizzy and short of breathe.

Breathing in to a paper helps balance this mess out because you are breathing in mostly carbon dioxide that you have already exhaled. This will slow down your hyperventilation and rebalance your oxygen levels.

2. Go outside into the open
After my first panic attack I was left feeling terrified and vulnerable. I had heard about panic attacks but I had never realized how bad they could be. One of the scariest things about the panic attack was that I felt completely confined and unable to escape the situation.

So the next time I felt a panic attack coming on I raced outside and down the road to the local park. This park near my house has a great big creek running through it and lots of trees and birds. It is very relaxing. I soon started to feel more open and spacious and no longer felt trapped by the panic.

Getting outside in the open is surprisingly effective. Often when we are having a panic attack we are indoors and alone. Going outside might seem like the last thing you want to do but I am certain that it helps.

3. Take a shower
As I mentioned, sometimes during a panic attack you can feel dizzy, sick and very panicked. I found that taking a nice hot shower really helped to calm me down.

Now this tip is not going to be for everyone. Some people like showers, other people don’t. If you are feeling the symptoms of an attack it might be a good idea to strip off and jump in the shower. The hot water, the repetitiveness of the water drops and the steam are all really good ways to slow down. When I had my panic attacks I used to sometimes sit down in the shower for five minutes while my mind settled.

Showering is nice because it is something physical. You get the bodily sensations as well as the mind relaxing. This body/mind combination can be really powerful - especially if you combine it with some slow breathing.

4. Practice some breathing meditation
The last thing you will feel like doing during a panic attack is sitting down and having a formal meditation session. However, I found that a simple breathing meditation really helped to calm me down.

The first thing I would do is remind myself that this panic attack was a good opportunity to learn to master my mind. If I could meditate during a panic attack surely I would be able to deal with anger, pride, attachment, etc. during normal life. This put me in good stead as I saw the panic attack as an opportunity instead of a negative event.

In my eBook Enlightening Stress Relief I talk about the Buddhist master Mingyur Rinpoche and his many battles with panic. There is a great video of Rinpoche on Youtube talking about how he dealt with panic using meditation so I thought I would let him do the explaining. Check it out:

5. Call a friend
Sometimes the best thing during a panic attack is to hear somebody’s voice. They reassure you that everything is going to be okay and they remind you that there is some perspective. Calling a friend can be a wonderful help.

However, there is a downside to relying on a friend. If your panic attacks become re-occurring events it might become tempting to call that person every time. You might make the mistake of thinking that you cannot get through the ordeal without them. This is a very bad thing. You do not want to become dependent on anyone else for your own happiness. It is important that you become strong on the inside.

Relying on a friend is fine if you need that support. Do not feel guilty about calling a friend - they will not mind - that is what they are there for. But do be careful about developing any unhealthy habits. This won’t help anyone.

6. Realize that you are going to be okay
One of the most important things to do during a panic attack is realize that you are going to be okay. Panic attacks do not last forever. You are not going crazy. You will be alright in a few minutes.

Panic attacks are thought to be caused by the part of the brain that governs our fight or flight reaction. If it feels threatened it will pump chemicals into the body that cause you to panic so you will get out of the harmful situation. This is all well and good if there were a threatening situation but most of the time panic attacks seem to come out of the blue or after a not so threatening situation.

Seeing as the panic attack is caused by a chemical reaction it is going to take some time for your symptoms to ease. Your body has just been flooded with hormones and you will not feel better immediately - even if your mind has calmed down a bit. Give yourself time and remind yourself that it will all be over soon. This goes a long way to reducing the severity of the situation.

7. Listen to some slow, rhythmic music
Music is a very powerful tool. It has the ability to change our moods in an instant. I found music to be a particularly useful tool when I was trying to deal with a panic attack.

The best music to listen to during a panic attack is something that is graceful, slow, melodic and rhythmic. I really like to turn on some Vivaldi or Mozart and listen to the happy and joyful songs of the violin and piano. Hip hop and other tracks with a bouncy and catchy baseline can also be beneficial.

See what works for you. Spend a few weeks listening to some new music and see what calms you down. Play that music during the times that you are feeling happy and relaxed (like in the bath) and then when you have an attack you can turn the music on and go back to that place.

Can you help?

If anyone out there has experienced a panic attack and has some suggestions or hopeful stories I would love you to share them. Please leave a comment and tell us what you did and what did/didn’t help. Your comment might really help someone who is going through these dreadful experiences.

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25 Comments »

Comment by Barbara G
2008-12-02 16:30:07

BTDT. I managed to get past the panic attacks and seldom have them anymore with the help of psychotherapy and anti-anxiety medications. But not everyone has psychiatric problems.

I have one suggestion that a psychiatric nurse taught me. Sit down and make an effort to feel your butt on the chair. It grounds you, probably by giving you something to focus on and helps you calm down.

Your suggestions are excellent. Especially the paper bag trick. Hyperventilating is the pits.

B

Comment by The Daily Minder
2008-12-03 02:00:57

Hi Barb.

That is a really interesting trick the nurse taught you. I like it because it bridges both mental and physical. If I ever have a panic attack again I will try to remember it.

Thanks for commenting.

TDM

 
 
Comment by outlawcoach
2008-12-02 18:56:38

It occurs to me that currently, we are being attacked (maybe bombarded is a better word) by a panicky world. If one is prone to panic attacks, as someone close to me happens to be, it may be best to tune out a lot of media about India, the economy, and other things of that nature. I don’t mean to stick head in sand, but at least limit exposure.

Comment by The Daily Minder
2008-12-03 02:02:54

Hi Outlawcoach.

I think you are right. Some people are not able to deal with the pressures of the world in their present frame of mind. Perhaps it is better that they avoid those stresses until they are well again.

Has this helped your friend?

 
 
Comment by Hajib
2008-12-03 06:45:57

what i always do is calling my friands…. good article here…

Comment by The Daily Minder
2008-12-03 08:29:47

Thanks for leaving a comment Hajib. I hope your panic attacks are getting better.

 
 
Comment by Aga
2008-12-03 08:05:49

One thing that helped me through some hard times is to hold onto something small but solid that fits in the palm of your hand like to an anchor. (I used to hold on to a wooden snail figurine I got from a friend.)
Like a lot of suggestions here it’s about getting back in touch with reality as it is and not as it is exagerated or perceived by ones mind.
Sometimes you can’t focus on your breath (especially when you’re hyperventilating) or your body, but holding something tiny, something valuable in the palm of your hand is a good start. If you use something that has a meaning to you - like maybe a small gift from a friend - it’s even better, because you remember that you’re not alone.

Comment by The Daily Minder
2008-12-03 08:29:14

I like that suggestion Aga. Do you think having a physical aid is important?

Comment by Aga
2008-12-03 13:18:24

For me it was the key: get back to reality. Hold on to something physical and stable to get out of a situation of mental instability.

Comment by The Daily Minder
2008-12-03 23:13:54

Thanks Aga!

 
 
 
 
Comment by casimir
2008-12-03 12:45:35

Hi,

I had panik attacks for three years and suffered a lot from. What I learned is not to drink coffee or only without caffeine (this does not mean that you have to refrain from it your whole life). It helps to do sport on a regular basis.

What helped me most, was to understand the signals of my body: if I felt dizzy it did not mean that a panik attack is coming but that e. g. i have to eat something. (I know this sounds utterly silly but I had lost the ability to do interpret those signals).

Apart from this, talk about your problem with others. I was really surprised that I am not alone. Some of my friends had those attacks as well.

Comment by The Daily Minder
2008-12-03 12:57:00

Thanks for sharing Casimir. I am glad your panic attacks have settled down.

 
 
Comment by Tim
2008-12-05 14:01:51

Great blog, good information.

 
Comment by panic attacks
2008-12-05 16:09:00

“People who accept again abrupt agitation attacks and anguish about the attacks are said to accept a agitation disorder.” Thanks all.

 
Comment by Evan
2008-12-06 20:34:45

I just started getting panic attacks on tuesday, and nothing I do seems to calm them down. I’ve had them every day since tuesday, and they really freak me out. Here’s the thing though - I’m a teen, so I can’t afford to allow anything to get in the way of what I’m doing, namely school, athletics, and my friends. I’ll remember these tips though, next time I have one. The only thing that seemed to calm me down a bit was to just squeeze into as tight a space as I could. That seemed to help a little, though not much.

Comment by The Daily Minder
2008-12-07 01:44:29

Hi Evan.

Sounds pretty bad. I am sorry to hear you are having regular panic attacks.

It sounds to me like you have a lot on your plate. Don’t forget to take some time off from school - everyone needs a break now and then.

I hope they get better - let us know how you go.

TDM

 
 
Comment by Jenny R.
2008-12-07 04:47:43

I found your site in google when I was looking up blogs. I realy like what you have done and just wanted to leave a comment saying so. Cheers

Comment by The Daily Minder
2008-12-07 08:01:21

Thanks Jenny! Hope to see you around the blog more often.

 
 
Comment by Tim Reynolds
2008-12-07 22:48:34

Nice post. Thank you for the info. Keep it up.

Comment by The Daily Minder
2008-12-08 00:30:06

No worries Tim. Thanks for leaving a comment.

 
 
Comment by kirsty Subscribed to comments via email
2008-12-28 14:24:42

Hi,
I have been having panic attacks for 12 years now, living with the fear of them every day, making sure I had tablets on me and always needing to know there was someone around to support me. I was doing ok but still very afraid of them and any stress set me off with a spate of panic attacks. I have now decided that enough is enough and I am going to sort this out once and for all. I know how irrational it is and I am not going to run anymore. I am going to face my fears. I have decided that I am going to desensitize myself to the symptoms of panic. Apparently it has an 87% chance of success and 2 years later the results were the same for the people who did this. I now truly belive masking the fear does not help at all. The fear has to be met and I have to see it for what it is, unpleasant but not harmful. I saw my first panic attack without medication through last night. I just let the waves of panic wash over me and even tried to get a buzz off the adrenalin. It only lasted 2 mins if that but I didn’t sleep all night after it and I’m still uptight today and worried about tonight, but hopefully this is the beginning of the end now.

Comment by The Daily Minder
2008-12-28 23:05:47

Hi Kirsty.

I am sorry you are having so many problems with panic. I really hope you get through it.

Have you discovered what triggers your panic attacks? There must be something.

Please stop back and let us know how you go. I’d love to know if you’re alright.

TDM

 
 
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