Panic Attacks And Anxiety Quotes

No amount of me trying to explain myself was doing any good. I didn't even know what was going on inside of me, so how could I have explained it to them?

Panic attacks are a lot like being drunk in some ways, you lose self-control. You cry for seemingly no reason. You deal with the hangover long into the next day.

in my experience, the words “now just calm down” almost inevitably have the opposite effect on the person you are speaking to.

Today I wore a pair of faded old jeans and a plain grey baggy shirt. I hadn't even taken a shower, and I did not put on an ounce of makeup. I grabbed a worn out black oversized jacket to cover myself with even though it is warm outside. I have made conscious decisions lately to look like less of what I felt a male would want to see. I want to disappear.

Certain temperaments respond to anxiety by pulling inward. Their instincts tell them ' Don't go out to meet the world - you'll have a panic attack. Inside is where safety is.

Intimidated, old traumas triggered, and fearing for my safety, I did what I felt I needed to do.

The sky was so blue I couldn’t look at it because it made me sad, swelling tears in my eyes and they dripped quietly on the floor as I got on with my day. I tried to keep my focus, ticked off the to-do list, did my chores. Packed orders, wrote emails, paid bills and rewrote stories, but the panic kept growing, exploding in my chest. Tears falling on the desk tick tick tick me not making a sound and some days I just don't know what to do. Where to go or who to see and I try to be gentle, soft and kind, but anxiety eats you up and I just want to be fine.

And then it happens. The panic. It's slow at first, creeping through the cracks in my thoughts until everything starts to feel heavy. It builds; it becomes something physical that clutches at my insides and squeezes out the air and the blood.

Watching someone have a panic attack was like looking in the eyes of someone trapped behind glass, drowning right in front of you.

Many women latch onto language from popular psychology, such as "panic attack," when often they are instead experiencing sensory overwhelm.

Here are three separate but similar things: shyness, introversion and social anxiety. You can have one, two or all three of these things simultaneously. A lot of the time people thing they're all the same thing, but that's just not true. Extroverts can be shy, introverts can be bold, and a condition like anxiety can strike whatever kind of social animal you are. Lots of people are shy. Shy is normal. A bit of anxiety is normal. Throw the two together, add some brain-signal error - a NO ENTRY sign on the neural highway from my brain to my mouth perhaps, though no one really knows - and you have me.

It is not a single crime when a child is photographed while sexually assaulted (raped.) It is a life time crime that should have life time punishments attached to it. If the surviving child is, more often than not, going to suffer for life for the crime(s) committed against them, shouldn't the pedophiles suffer just as long? If it often takes decades for survivors to come to terms with exactly how much damage was caused to them, why are there time limits for prosecution?

I tried deep breathing, but seemed to lose contact with myself between each breath, so that the next one was always an emergency. I began to feel faint.

Being stress and anxiety free is a human preset, I just show you how to 'flick the switch' to off. Permanent stress and anxiety recovery is possible quickly and simply despite what many are told.

Ever been in a spelling bee as a kid? That snowy second after the announcement of the word as you sift your brain to see if you can spell it? It was like that, the blank panic.

Panic attacks are crazy beasts. They don’t care what you think you’re ready for. They don’t care what you want. They just take control, and then you suffer.

No one had ever wanted me. And for some reason I didn't even want me anymore. I wished I could have stepped out of my body and given it back, like you do with a shirt that doesn't fit properly.

He told me that if I hung up, he'd do it. He would commit suicide. He told me that if I called the cops he would kill every single one of them and I knew that he had the potential and the means to do it

The story of my birth that my mother told me went like this: "When you were coming out I wasn't ready yet and neither was the nurse. The nurse tried to push you back in, but I shit on the table and when you came out, you landed in my shit." If there ever was a way to sum things up, the story of my birth was it.

John was still making comments regarding violent things that he shouldn't, but I hoped he was just being a big mouth. Nobody was going to listen to me anyway.

God, the only thing worse than having a panic attack was trying to have one in secret while someone else was watching.

The worst part about anxiety attacks, is that you’re aware it’s irrational and sometimes unexplainable, but knowing that gives no aid what so ever. In most cases, it deepens the anxiety as you realise “if I know it’s irrational, why can’t I stop it… Oh god I can’t stop it” you begin to believe you are no longer in control of your mind. That. That is fear.

One aspect of DID is the PTSD suffered by some of the alters. PTSD is similar to Panic Attacks in that once turned on, the anxiety is fed into a vicious cycle.

I started crying because this would all disappear including me and no one seemed to realise it. Did no one feel what I was feeling.

If only you could command your brain to actually do that. It would be cool to have some kind of remote control to switch off your thoughts. Thoughts off, Siri. Or, more positive thoughts, Siri. Forget about this thought, Siri. if only.

I ’ve often felt separate from other human beings. I have my moments of togetherness with others; I love all sentient beings with my heart and am wildly fortunate to have friends I can talk to, share joy and despair with; we loyally have each other’s back. I wordlessly communicate with other musicians, sometimes plumbing great depths. But I’m awkward with other people, sometimes even my closest friends. My mind wanders, seeing others hold hands in a circle, from my separate place. My earliest memories are rooted in an underlying sense that something’s wrong with me, that everyone else is clued into a group consciousness from which I’m excluded. Like something in me is broken. As time passes I become more comfortable with this strange sense of being apart, but it never leaves, and on occasion, I go through phases of intense and debilitating anxiety. Gnarly fucking panic attacks. Perhaps it is a form of self-loathing, that I’m often unable to find comfort in community. Am I the only one who’s fucked up like this? Can I get a witness?

When you’re very anxious, you end up trapped in your head all the time— the prison without walls. Your

You are not your anxiety. As abnormal as it makes you feel, this anxiety is not the real you. It is not who you are or who you have become.

YOU NEVER HAVE TO APOLOGIZE FOR HAVING HIGH ANXIETY.

It's okay to panic. It's okay to be scared and to have no clue what you're doing. As long as you keep going. As long as you keep fighting.

The temptation to worry is also the invitation to pray. You must choose the later if God is your Master.

And then it happens. The panic. It's slow at first, creeping through the cracks in my thoughts until everything starts to feel heavy. It builds; it becomes something physical that clutches at my insides and squeezes out the air and the blood.

Yesterday it was sun outside. The sky was blue and people were lying under blooming cherry trees in the park. It was Friday, so records were released, that people have been working on for years. Friends around me find success and level up, do fancy photo shoots and get featured on big, white, movie screens. There were parties and lovers, hand in hand, laughing perfectly loud, but I walked numbly through the park, round and round, 40 times for 4 hours just wanting to make it through the day. There's a weight that inhabits my chest some times. Like a lock in my throat, making it hard to breathe. A little less air got through and the sky was so blue I couldn’t look at it because it made me sad, swelling tears in my eyes and they dripped quietly on the floor as I got on with my day. I tried to keep my focus, ticked off the to-do list, did my chores. Packed orders, wrote emails, paid bills and rewrote stories, but the panic kept growing, exploding in my chest. Tears falling on the desk tick tick tick me not making a sound and some days I just don't know what to do. Where to go or who to see and I try to be gentle, soft and kind, but anxiety eats you up and I just want to be fine. This is not beautiful. This is not useful. You can not do anything with it and it tries to control you, throw you off your balance and lovely ways but you can not let it. I cleaned up. Took myself for a walk. Tried to keep my eyes on the sky. Stayed away from the alcohol, stayed away from the destructive tools we learn to use. the smoking and the starving, the running, the madness, thinking it will help but it only feeds the fire and I don't want to hurt myself anymore. I made it through and today I woke up, lighter and proud because I'm still here. There are flowers growing outside my window. The coffee is warm, the air is pure. In a few hours I'll be on a train on my way to sing for people who invited me to come, to sing, for them. My own songs, that I created. Me—little me. From nowhere at all. And I have people around that I like and can laugh with, and it's spring again. It will always be spring again. And there will always be a new day.

You know, having a panic attack feels like you're collapsing, like your organs are rebelling against you, and that you'd throw them up. It's like you're on a swing ride in an amusement park. At first, you're there waiting for things to happen, and for gravity to mess up with you. After a while of waiting, it starts working, and slowly you're reaching a frightening height. And it's not like you have phobia, but you certainly feel things as your chest starts tightening, you think it’d explode. Then, it's swinging and you just want to scream or jump or whatever, but you can't do that. You're tied and scared and there is no way you'd reach a solid ground.

Think of your attacks as the ocean during a storm. Waves come and crash. They beat on the sand over and over. Slamming into anything on its way. But then, the storm retreats. The water is calm and the waves slowly come and go. Every attack rises and falls. You either have to hold on," he squeezes my shoulders, "or stop it before the storm comes.

Danger is only when we feel the insecurity of what pains us the most.

A panic attack is interesting the way a broken leg or a kidney stone is interesting—a pain that you want to end.

You are not a weak or cowardly person for having an anxiety problem.

Don’t ignore the life that is happening now because you are too focused on getting to the finish line of some ambiguous societal destination.

You are a living, breathing vision board and can change it daily with your thoughts to create the life you desire.

panic disorder with agoraphobia (DSM-V code 300.22): the condition, as Hippocrates described it, “usually attacks abroad, if a person is travelling a lonely road somewhere, and fear seizes him.

I wish bad brain stuff was an actual guy I could punch in the face. PTSD, panic attacks, anxiety, flashbacks, hallucinations, anything that gives you hell, could just send'em to me, I'd fight them all. [...] Stuff's a lot harder to fight when they're stuck in your own head." "Yeah... didn't stop me from trying, though.

And when I have anxiety attacks about the future—What if right now is the happiest I will ever be and I’m not appreciating it enough? Will I reach the end of my days having never lived in France or made enough people happy or learned everything there is to know about outer space or being able to do a split? Am I eating enough anti-oxidants? What will I be doing in ten years? In twenty?—I say I miss you when I blink to myself, and it means, Get a grip. Don’t panic. To figure out where to go next, look at where you came from. If you got here, you can get to the next thing.

For people like us, looking towards the future can feel daunting. It can literally make us feel sick to the stomach and often induces panic attacks. Trust me, I’ve been there; I get it. That’s why the far-future should never be at the top of our “to-plan” list. It’s alright to have goals but to stress ourselves out with plans and options and worries of the future is a good way to drive us crazy. However, there is one time when I want you to consider the future. Always have something to look forward to.

Although panic attacks can be scary and overwhelming, they can also be a powerful teacher, showing us the depths of our inner strength and resilience. We may develop more self-awareness, self-compassion, and a stronger feeling of connection with others by addressing our anxieties and finding ways to control our anxiety.

Bipolar disorder is the impact of the memory loss, ADHD, dread, anxiety, racing thoughts, depression, mania, panic attacks, and more. Bipolar disorder is suffering in silence and mourning the lost years. Bipolar disorder is misreading situations and people and constantly checking to see if things are as they seem to be.

There's a characteristically brilliant Peanuts strip which opens with Linus sitting on the living-room floor, anxiously clutching his mouth. Lucy enters and asks what's wrong. "I'm aware of my tongue," he explains. "It's an awful feeling! Every now and then I become aware that I have a tongue inside my mouth, and then it starts to feel lumped up... I cant's help it... I can't put it out of my mind... I keep thinking about where my tongue would be if I weren't thinking about it, and then I can feel it sort of pressing against my teeth." Loudly declaring this the dumbest thing she's ever heard, Lucy scowls away. But a few steps down the corridor, she stops dead in her tracks. She clutches her own mouth. Suddenly she's aware of her tongue too. She runs back and chases him round the room, shouting, "You blockhead!" with her gigantic booming gob. Occasionally, late at night, while I'm trying to sleep and failing, I experience someting similar - except instead of being aware of my tongue, I'm aware of my entire body, the entire world, and the whole of reality itself. It's like waking from a dream, or a light going on, or a giant "YOU ARE HERE" sign appearing in the sky. The mere fact that I'm actually real and actually breathing suddenly hits me in the head with a thwack. It leaves me giddy. It causes a brief surge of clammy, bubbling anxiety, like the opening stages of a panic attack. The moment soon passes, but while it lasts it's strangely terrifying.

When the farmer arises in the morning unreconciled to get out of bed, he feels no anxiety that he has wasted time through his sleep; au contraire, he is confident that the seed has continued to grow during the night. So, too, the spiritual woman does not fret and flap over opportunities missed, does not hammer herself for not working hard enough, and does not have a panic attack wondering whether she has received grace in vain. She lives in quiet confidence that God is working in her by day and by night. Like the farmer, she is not totally passive or presumptuous. The woman knows that she has her full measure of work to do, but she realizes that the outcome rests with God and that the decisive factor is unearned grace. Thus, she works as if everything depends on God and prays as if everything depends on her.

Somewhere, my thirst for distraction from the pains and poverties of life grew into a sweltering, parching thing. There are always feelings to be numbed, anxieties to tamp down, and panic attacks to avoid. The people of the Shire knew this, and so do I. I suppose I could have turned to things eternal—didn’t Jesus promise us rest?—but we seem to have a way of losing ourselves in our manmade salves—the bottle, the pill, the cheeseburger, self-inflicted starvation. I suppose we’re all drunk on something.

I’d say that a panic attack is when psychological pain becomes so strong that it manifests itself physically. The anxiety becomes so acute that the brain can’t … well, in the absence of any better words, I’d say that the brain doesn’t have sufficient bandwidth to process all the information. The firewall collapses, so to speak. And anxiety overwhelms us.

When you confront the monster you

When you confront the monster you fear the most, you'll defeat your fears.

You’d probably start laughing because you’d realize that your fears had been the result of a gigantic cosmic joke that had persisted throughout all of your previous reincarnations.

Depression end somewhere… here… when anxiety and panic attacks start attacking.

If we can see anxiety-inducing situations as opportunities to improve, grow, and become better at challenges, we are less likely to avoid or distract ourselves from them.   A

Do you feel afraid a lot?' he said. 'For no good reason you can think of?

Hevige angst komt in golven opzetten; lang achtereen kan het lichaam dat niet verduren. In de zware kalmte tussen de golven kon Dolarhyde nadenken.

Swimming was the opposite of panic attack. Fluid and calm and quiet.

Anxiety results from the perception of danger. You can’t feel anxious unless you tell yourself that something terrible is about to happen.

Whatever! I accept and allow this anxious feeling. I’m excited by it as I engage with what’s in front of me.

pleasant

Recovery lies in the midst of all the sensations you dread the most.” –Dr. Claire Weekes

In my practice I use neurofeedback primarily to help with the hyperarousal, confusion, and concentration problems of people who suffer from developmental trauma. However, it has also shown good results for numerous issues and conditions that go beyond the scope of this book, including relieving tension headaches, improving cognitive functioning following a traumatic brain injury, reducing anxiety and panic attacks, learning to deepen meditation states, treating autism, improving seizure control, self-regulation in mood disorders, and more.

If I try to flirt with her, I’ll probably get shot down. That would show what a loser I am.” This thought contains nearly all ten cognitive distortions, but it’s a classic example of Self-Blame,

The anxious thoughts you experience are just thoughts and nothing more. They don’t represent the real you. They’re simply the result of stress hormones interacting with your vigilant and creative mind.

The next symptoms that may appear are: •   Panic attacks, anxiety, and phobias •   Mental “blankness” or spaced-out feelings •   Avoidance behavior (avoiding places, activities, movements, memories, or people) •   Attraction to dangerous situations •   Addictive behaviors (overeating, drinking, smoking, etc.) •   Exaggerated or diminished sexual activity •   Amnesia and forgetfulness •   Inability to love, nurture, or bond with other individuals •   Fear of dying or having a shortened life •   Self-mutilation (severe abuse, self-inflicted cutting, etc.) •   Loss of sustaining beliefs (spiritual, religious, interpersonal)

Here is a short form list of what is happening to your life: 1. You are practicing hate. 2. You are practicing violent abuse toward your parents and to your own family. 3. The way you treat your parents causes them physical and emotional pain. 4. The way you treat your parents causes them to develop mental diseases such as PTSD, depression, obsessive thoughts, low self esteem, aggressive and self destructive behavior, distrust of entering relationships, isolation, anxiety, panic attacks and obsessive thought of suicide. 5. The way you treat your parents causes them to develop physical illnesses such as chronic toxic stress which leads to inflammation of body organs which leads to heart attacks, arthritis, and irritable bowel syndrome. 6. The way you treat your parents produces feelings of abandonment and ostracism which is experience as physical pain on a

Describing a panic attack to someone who has never experienced one is impossible. However, to one who has, no explanation is needed. You just have to say the word “anxiety” and their eyes would light up with a knowing look.

How'd you know that would help, Grandma? Used to have a regular who had attacks like that all the time. Poor guy. He was an accountant, loveless marriage-most of em were back then-and vaginas scared the bejeezus outta him.

First, you’d discover that the monster was not real. You’d realize that it was just an illusion that you never had anything to fear in the first place. You’d see that the monster had no teeth. This would be an incredible triumph.

If fear is like a storm wave striking you, then a panic attack is a tsunami that batters your soul. Drinking to overcome panic attacks is like smoking cigarettes to overcome asthma. You start with one problem, then you have two.

Most of us have physical or mental conditions that have caused us distress in the past. And when we get a whiff of one coming—an incipient asthma attack, a symptom of chronic fatigue, a twinge of anxiety—we panic. Instead of relaxing with the feeling and letting it do its minute and a half while we’re fully open and receptive to it, we say, “Oh no, oh no, here it is again.” We refuse to feel fundamental ambiguity when it comes in this form, so we do the thing that will be most detrimental to us: we rev up our thoughts about it. What if this happens? What if that happens? We stir up a lot of mental activity. Body, speech, and mind become engaged in running away from the feeling, which only keeps it going and going and going. We

Solomon had good days and he had bad days, but the good had far outnumbered the bad since Lisa and Clark had started coming around. Sometimes, though, they'd show up and he's look completely exhausted, drained of all his charm and moving in slow motion. They could do that to him—the attacks. Something about the physical response to panic can drain all the energy out of a person, and it doesn't matter what causes it or how long it lasts. What Solomon had was unforgiving and sneaky and as smart as any other illness. It was like a virus or cancer that would hide just long enough to fool him into thinking it was gone. And because it showed up when it damn well pleased, he'd learned to be honest about it, knowing that embarrassment only made it worse.

The amygdala responds to imaginary information in the same way it responds to a real situation, so anxiety brought about by thoughts and images created in the cortex is just as strong as the anxiety you will experience from a real and live situation or threat.

Anxiety is a sly parasite. It creeps slowly into your mind, until one day, it takes over completely. Then you find yourself alone and scared to go anywhere because you may have another panic attack. You fear you may not be able to control it. You fear the unknown.

About half of patients with pure anxiety disorders develop major depression within five years. Insofar as depression and anxiety are genetically determined, they share a single set of genes (which are tied to the genes for alcoholism). Depression exacerbated by anxiety has a much higher suicide rate than depression alone, and it is much harder to recover from. “If you’re having several panic attacks every day,” says Ballenger, “it’s gonna bring Hannibal to his knees. People are beaten into a pulp, into a fetal position in bed.

Overcoming panic attacks has left me humbled. It’s taught me how to be brave. It’s left me compassionate to the fears and sufferings of other people. It’s given me the wisdom that my thoughts and feelings are simply subjective responses, and don’t need to be taken as true reflections of reality. But the most important thing I’ve learnt from coping with panic is this: No matter what happens in life, no matter how hard things seem, no matter how painful things are, moments always pass like fluffy clouds in a blue sky, and I will be fine.

For example, if you feel sad or depressed, you’re probably telling yourself that you’ve lost someone you love or something important to your sense of self-esteem. If you feel guilty or ashamed, you’re telling yourself that you’re bad or that you’ve violated your own personal values. If

Do you know what a honey mushroom is?" she blurted out, plucking at the hairs on his arm, which was wrapped around her. He was silent for a moment before letting out a husky laugh "No. Why?" "It's the largest living thing on earth. Larger than trees, elephants, whales-this one living thing takes up over three square miles in Oregon." She could almost feel him turning that random fact over in his brain. She was glad she wasn't facing him. This would be so much harder if she had to look into his eyes instead of at the wall. "Like the mushroom cap is over three miles across?" he asked. Harper shook her head. "No, no. That's the amazing part. When you look at it-the part you see aboveground-it's this tiny little mushroom head. It looks so insignificant. They just pop up here and there" she gestures with her fingertips as though she could draw them in the air. "But it creates this root-like system called hyphae. And the hyphae-it spreads and grows and, kind of... takes over underground. One living thing, every cell genetically identical, spreading below the surface to take up this enormous amount of space." Dan was quiet for a moment. "Why are you telling me this?" he asked, placing a kiss into her neck. Harper swallowed and fiddled with the edge of the sheet. "Because thats' what my anxiety feels like-a honey mushroom." She felt Dan tense behind her, but she pushed on." A lot of times, someone on the outside, like you, maybe, sees these clues to it-my fidgeting, my mind seeming a million miles away, panic attacks. But inside" -she tapped her chest- "it's this intricate network of sharp pain and fear that's constantly growing and pulsing through me. It's always there, right beneath my skin, huge and controlling, but no one can see it. I just feel it. And it hurts. So badly. It makes me want to curl up into a ball or sprint out of my skeleton. This huge, inescapable thing inside me that controls me." she paused, picking aggressively at her nails; "It feels cruel to have your own body do that to you".

To change that thought process, state the obvious: “I was/am terribly depressed.” Now for the different thought. Say to yourself, “So how depressed am I?” Now go for the less obvious. “I am so depressed…” Now think of something not obvious. How about, “I’m so depressed I sleep under my mattress”?

a panic attack is when psychological pain becomes so strong that it manifests itself physically. The anxiety becomes so acute that the brain can’t … well, in the absence of any better words, I’d say that the brain doesn’t have sufficient bandwidth to process all the information. The firewall collapses, so to speak. And anxiety overwhelms us.

Let’s try discrimination. “I have been discriminated against.” State the obvious. “People treat me differently when they find out I have bipolar disorder.” Now state the not so obvious. “As someone with a mental illness, I see discrimination where others don’t. Take happy hour, for instance. I think that is being discriminatory. There should also be a crappy hour for depressed people. And people with bipolar disorder could go to both.” So where do you see discrimination? At work? At school? With family? Now think of the unexpected. How about the bathtub? Or the local restaurant? Let’s take the restaurant. What would be a menu item that is discriminatory? Scrambled eggs? Take your time. Let your mind

Yet an anxiety disorder is simply an experience that a person moves through, just like a period of grief or sadness. Would we give a person with a broken heart or someone suffering from grief a label for life? No, yet people who go through a period of anxiety sometimes end up believing that this diagnosis, this label, is now a part of who they are.   “HOW

Something similar often happens to people who develop an anxiety disorder, such as agoraphobia. People with agoraphobia can become so overwhelmed with fear that they will no longer leave their homes. Agoraphobia is the consequence of a positive feedback loop. The first event that precipitates the disorder is often a panic attack. The sufferer is typically a middle-aged woman who has been too dependent on other people. Perhaps she went immediately from over-reliance on her father to a relationship with an older and comparatively dominant boyfriend or husband, with little or no break for independent existence. In the weeks leading up to the emergence of her agoraphobia, such a woman typically experiences something unexpected and anomalous.

How would you explain panic attacks? . . . I'd say that a panic attack is when psuchological pain becomes so strong that it manifests itself physically. The anxiety becomes so acute that the brain can't. . . well, in the absence of any better words, I'd say that the brain doesn't have sufficient bandwidth to process all the information. The firewall collapses, so to speak. And anxiety overwhelms us.

Some encouraging studies suggest that the answer may be yes. Dr. Isaac Marks, from the Institute of Psychiatry at the University of London, has shown that many individuals can overcome anxiety disorders using CBT techniques without face-to-face psychotherapy or medications. I’m hopeful that this book will prove just as effective for people with anxiety as Feeling Good has been for people struggling with depression. However, no

The only way to get to Antarctica is by cruise ship. Even the smallest one has 150 passengers, which translates into me being trapped with 149 other people who will uniquely annoy the hell out of me with their rudeness, waste, idiotic questions, incessant yammering, creepy food requests, boring small talk, etc. Or worse, they might turn their curiosity toward me, and expect pleasantry in return. I’m getting a panic attack just thinking about it. A little social anxiety never hurt anyone, am I right?

By consuming the news, you’re putting your body under stress. Chronic stress leads to anxiety and digestive and growth problems and leaves us prone to infection. Other potential side effects of news consumption include panic attacks, aggression, tunnel vision and emotional desensitisation. In short, consuming the news puts your psychological and physical health at risk. According to a study by the American Psychological Association, half of all adults suffer from the symptoms of stress caused by news consumption.

because studies also show that we women often hold anger in our bodies. Unacknowledged or actively repressed, anger takes its toll on us. Numerous psychological studies have unequivocally shown that women who mask, externalize, or project their anger are at greater risk for anxiety, nervousness, tension, panic attacks, and depression. A growing number of clinical studies have linked suppressed anger to serious medical conditions such as high blood pressure, heart disease, gastrointestinal disorders, and the development of certain cancers.

I envision my mind as a plot of grass full of sheep surrounded by a perimeter of electric fence. If I'm not constantly vigilant and aware of my thoughts, the electric fence shuts off, the sheep jump out, and my panic gets away from me. The chance for an attack is especially bad just before bed or when I'm distracted or lost in thought in the car, causing me to slap myself in the face as hard as I can or bite the inside of my upper arm. If I can feel the pain, then I am still alive and can begin to focus on rounding up the sheep again. See? This makes perfect sense in my head.

Now through her aching, Helen felt a flicker of peace as though Mum was there, placing a hand on Helen’s shoulder and saying, “Come now. The world is always a brighter place on a full stomach. Help me—it will go faster that way.” In the stillness of the kitchen they used to work, Helen’s light hair and Mum’s dark bent over the bowl. Mum would not prod or fill the silence with chatter, but used the recipe to call Helen back to herself. She would pop a currant into her daughter’s mouth, or gently instruct her to smell the cinnamon, and for Helen, the world would come into focus.

Screw all mental illness stigma. Having the courage to admit yourself for psychiatric care to heal is phenomenal. Shrugging off a panic attack is badass. Battling through intense spells of fatigue and demotivation is incredible. Going to the psychologist to attend to your mental health is a boss move. Achieving things despite having little to no interest or pleasure is impressive. Frequently practicing self-care is fantastic. Picking yourself up after hitting rock bottom is exceptional. Openly talking about your mental health struggles is courageous. Don’t let anyone tell you otherwise.

shake my head. “These aren’t supposed to happen,” I say. “I’m on medication. I’m happy. It’s meant to go away now.” “Steffi,” Jane says, still gentle, still calm. “You know that’s not how it works.” “Why not?” “Because anxiety doesn’t care if you’re happy or not,” she says patiently. “Just like cancer doesn’t care if you’re happy. Or a broken leg. Or diabetes.” “That’s not the same.” “Blaming yourself for your illness will hinder your recovery process,” Jane says. “It won’t help. If you tell yourself you’re not allowed to have panic attacks because you’re ‘meant to be happy,’ it will make you feel worse. It will feed the negative emotions.

Was it as scary for you as it is for me? Falling for Sawyer?” “Not really, no.” She shakes her head. “I’m sure I had some of the same worries, everyone does. But I’m a leaper. You’re a thinker. We process things differently.” “You didn’t have a panic attack and run away?” I ask sarcastically. “No,” she muses. “Not even that time he refused to have sex with me.” “That was your first date, Everly. And you did have sex,” I remind her. I know, because I heard about it for a week. “Whew.” She blows out a breath. “It was a tough few hours though. How is Boyd’s POD by the way? Can we talk about that?” She leans forward on the couch, looking at me expectantly. “Um, no. I don’t think so.” She shrugs good-naturedly then changes the subject back to me. “Chloe, why didn’t you tell me you were struggling with your anxiety? You know I’m never too busy for you, no matter how many husbands or children I have.” “You have one husband, babe,” Sawyer says, walking into the room at that moment. “You’re still the one, baby.” “We’ve been married for three months, Everly. I sure as hell better still be the one.” “Sawyer,” she sighs. “I was trying to have a moment, okay? Work with me.” “Next time, try waiting more than a day after downloading Shania Twain’s greatest hits to your iPod. You do realize the receipts come to my email, don’t you?” “Um.” Everly looks away and scrunches her nose. “No?” “You’ve been on quite the 90’s love ballads kick this week. Which is weird, because you’re not old enough to have owned the CD’s those songs were originally released on.” He looks at her with amused interest. “What’s a CD?” She blinks at Sawyer dramatically. “Cute. Keep it up.” “Nineties music is all the rage with the millennials,” she tells him with a shrug. “I saw a blog post about it.” “Don’t worry, sweets. We’ll beat the odds together.” He winks and she scowls. “You’re still the only one I dream of,” he calls as he walks into the kitchen and grabs a bottle of water. “See! I don’t even care that you lifted that from a song. It still gave me all the feels!

Once you pay attention to those feelings, you can turn them around and begin to improve your overall outlook. Knowing what causes your negative feelings can work a great deal towards ending the cycle of Generalized Anxiety Disorder and panic attacks. What drove me to the ER were one of the two different kinds of anxiety symptoms I experienced throughout a day―there were the lingering kind such as a lump in the throat feeling, more commonly known as Globus Hystericus, or the dizzy feeling of literally feeling like you’re walking in a dream and no one can really see or hear you. Or there were the sudden symptoms in the form of a heart palpitation that seemed to rise from nowhere and scared the life out of me, or the numbness/tingling in my arms that led me to always think a stroke was right around the corner, but as always I was wrong again...thankfully.

Trying to Eliminate Anxiety Can Cause More Anxiety When anxiety becomes a major problem for someone, it’s usually because the person has become stuck in a self-perpetuating cycle where the things he or she does to reduce anxiety in the short term cause it to multiply in the long term. Let me explain how this works. Let’s take someone who gets panic attacks. Because these are so unpleasant, the person logically avoids situations that might trigger an attack. The person might start out avoiding a few situations, such as public speaking or going to the mall on weekends. Paradoxically, the more the person avoids particular situations, the more their anxiety about having another panic attack increases. An increasing number of situations start to trigger their anxiety. The person starts to avoid more and more. The problem snowballs. Avoiding things due to anxiety is termed avoidance coping. It’s one of the main mechanisms that causes anxiety to grow and persist.

Virtually every version of CBT for anxiety disorders involves working through what’s called an exposure hierarchy. The concept is simple. You make a list of all the situations and behaviors you avoid due to anxiety. You then assign a number to each item on your list based on how anxiety provoking you expect doing the avoided behavior would be. Use numbers from 0 (= not anxiety provoking at all) to 100 (= you would fear having an instant panic attack). For example, attempting to talk to a famous person in your field at a conference might be an 80 on the 0-100 scale. Sort your list in order, from least to most anxiety provoking. Aim to construct a list that has several avoided actions in each 10-point range. For example, several that fall between 20 and 30, between 30 and 40, and so on, on your anxiety scale. That way, you won’t have any jumps that are too big. Omit things that are anxiety-provoking but wouldn’t actually benefit you (such as eating a fried insect). Make a plan for how you can work through your hierarchy, starting at the bottom of the list. Where possible, repeat an avoided behavior several times before you move up to the next level. For example, if one of your items is talking to a colleague you find intimidating, do this several times (with the same or different colleagues) before moving on. When you start doing things you’d usually avoid that are low on your hierarchy, you’ll gain the confidence you need to do the things that are higher up on your list. It’s important you don’t use what are called safety behaviors. Safety behaviors are things people do as an anxiety crutch—for example, wearing their lucky undies when they approach that famous person or excessively rehearsing what they plan to say. There is a general consensus within psychology that exposure techniques like the one just described are among the most effective ways to reduce problems with anxiety. In clinical settings, people who do exposures get the most out of treatment. Some studies have even shown that just doing exposure can be as effective as therapies that also include extensive work on thoughts. If you want to turbocharge your results, try exposure. If you find it too difficult to do alone, consider working with a therapist.

Do you remember asking me, one of the first times we met, if I could explain what panic attacks were? I don’t think I ever gave you a good answer.” “Have you got a better one now?” Zara asks. The psychologist shakes her head. Zara can’t help smiling. Then Nadia says, as herself, in her own words rather than those of her psychology training or anyone else: “But you know what, Zara? I’ve learned that it helps to talk about it. Unfortunately I think most people would still get more sympathy from their colleagues and bosses at work if they show up looking rough one morning and say ‘I’m hungover’ than if they say ‘I’m suffering from anxiety.’ But I think we pass people in the street every day who feel the same as you and I, many of them just don’t know what it is. Men and women going around for months having trouble breathing and seeing doctor after doctor because they think there’s something wrong with their lungs. All because it’s so damn difficult to admit that something else is… broken. That it’s an ache in our soul, invisible lead weights in our blood, an indescribable pressure in our chest. Our brains are lying to us, telling us we’re going to die. But there’s nothing wrong with our lungs, Zara. We’re not going to die, you and I.

A phobia is an excessive or unreasonable fear of an object, situation or place. Phobias are quite common and often take root in childhood for no apparent reason. Other times they spring from traumatic events or develop from an attempt to make sense of unexpected and intense feelings of anxiety or panic. Simple phobias are fears of specific things such as insects, infections, or even flying. Agoraphobia is a fear of being in places where one feels trapped or unable to get help, such as in crowds, on a bus or in a car, or standing in a line. It is basically an anxiety that ignites from being in places or situations from which escape might be difficult (or embarrassing). A social phobia is a marked fear of social or performance situations. When the phobic person actually encounters, or even anticipates, being in the presence of the feared object or situation, immediate anxiety can be triggered. The physical symptoms of anxiety may include shortness of breath, sweating, a racing heart, chest or abdominal discomfort, trembling, and similar reactions. The emotional component involves an intense fear and may include feelings of losing control, embarrassing oneself, or passing out. Most people who experience phobias try to escape or avoid the feared situation wherever possible. This may be fairly easy if the feared object is rarely encountered (such as snakes) and avoidance will not greatly restrict the person’s life. At other times, avoiding the feared situation (in the case of agoraphobia, social phobia) is not easily done. After all, we live in a world filled with people and places. Having a fear of such things can limit anyone’s life significantly, and trying to escape or avoid a feared object or situation because of feelings of fear about that object or situation can escalate and make the feelings of dread and terror even more pronounced. In some situations of phobias, the person may have specific thoughts that contribute some threat to the feared situation. This is particularly true for social phobia, in which there is often a fear of being negatively evaluated by others, and for agoraphobia, in which there may be a fear of passing out or dying with no one around to help, and of having a panic attack where one fears making a fool of oneself in the presence of other people. Upon recognizing their problem for what it is, men should take heart in knowing that eighty percent of people who seek help can experience improvement of symptoms or, in male-speak, the illness can be “fixed.

PATTERNS OF THE “SHY” What else is common among people who identify themselves as “shy?” Below are the results of a survey that was administered to 150 of my program’s participants. The results of this informal survey reveal certain facts and attitudes common among the socially anxious. Let me point out that these are the subjective answers of the clients themselves—not the professional opinions of the therapists. The average length of time in the program for all who responded was eight months. The average age was twenty-eight. (Some of the answers are based on a scale of 1 to 5, 1 being the lowest.) -Most clients considered shyness to be a serious problem at some point in their lives. Almost everyone rated the seriousness of their problem at level 5, which makes sense, considering that all who responded were seeking help for their problem. -60 percent of the respondents said that “shyness” first became enough of a problem that it held them back from things they wanted during adolescence; 35 percent reported the problem began in childhood; and 5 percent said not until adulthood. This answer reveals when clients were first aware of social anxiety as an inhibiting force. -The respondents perceived the average degree of “sociability” of their parents was a 2.7, which translates to “fair”; 60 percent of the respondents reported that no other member of the family had a problem with “shyness”; and 40 percent said there was at least one other family member who had a problem with “shyness.” -50 percent were aware of rejection by their peers during childhood. -66 percent had physical symptoms of discomfort during social interaction that they believed were related to social anxiety. -55 percent reported that they had experienced panic attacks. -85 percent do not use any medication for anxiety; 15 percent do. -90 percent said they avoid opportunities to meet new people; 75 percent acknowledged that they often stay home because of social fears, rather than going out. -80 percent identified feelings of depression that they connected to social fears. -70 percent said they had difficulty with social skills. -75 percent felt that before they started the program it was impossible to control their social fears; 80 percent said they now believed it was possible to control their fears. -50 percent said they believed they might have a learning disability. -70 percent felt that they were “too dependent on their parents”; 75 percent felt their parents were overprotective; 50 percent reported that they would not have sought professional help if not for their parents’ urging. -10 percent of respondents were the only child in their families; 40 percent had one sibling; 30 percent had two siblings; 10 percent had three; and 10 percent had four or more. Experts can play many games with statistics. Of importance here are the general attitudes and patterns of a population of socially anxious individuals who were in a therapy program designed to combat their problem. Of primary significance is the high percentage of people who first thought that “shyness” was uncontrollable, but then later changed their minds, once they realized that anxiety is a habit that can be broken—without medication. Also significant is that 50 percent of the participants recognized that their parents were the catalyst for their seeking help. Consider these statistics and think about where you fit into them. Do you identify with this profile? Look back on it in the coming months and examine the ways in which your sociability changes. Give yourself credit for successful breakthroughs, and keep in mind that you are not alone!