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Dealing with Anxiety Attacks

Dealing with Anxiety Attacks

Last Updated: 31-03-2023

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Written by :

MrsZahabiya Bambora
Counselling Psychologist
M.Sc. Psychology - Swansea University, UK.

Reviewed By:

Counselling Psychologist MA Psychology Pennsylvania State University, USA
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Anxiety attacks, frequently marked by intense sensations of despair, concern, and bodily unease, can be crushing and challenging to manage, impacting a personโ€™s capacity to operate in everyday life. During an anxiety episode, people might experience racing thoughts, difficulty breathing, a quickening pulse, or a powerful sensation of losing control. These episodes may be short yet powerful, leaving a long-term effect on an individualโ€™s sense of wellness. The bodily feelings linked to anxiety attacks are genuinely felt and can resemble those of a medical crisis, leading to increased distress. The anxiety and unpredictability that come with these episodes canย  hinder effective anticipation or management of them.

With growing awareness of mental health concerns, grasping anxiety attacks, their triggers, and the details that differentiate them from other mental health problems have become crucial. Anxiety is not merely a temporary sensation of uneasiness; for numerous individuals, it is a persistent issue that impacts their everyday existence. Identifying the signs and triggers, alongside creating a set of coping strategies, can enable individuals to handle their anxiety attacks more efficiently. By utilizing a solid understanding and research-backed method, individuals facing anxiety can discover relief and reclaim authority over their mental well-being, enabling them to exist with enhanced resilience and peace.

What is an Anxiety Attack?

Anxiety is converted into an anxiety attack when there are unpredicted sudden episodes of intense fear and discomfort, often triggered by a stressful event or some unresolved fears & conflicts. During an anxiety attack, individuals may feel that everything is out of control and there is no way out. It usually feels like a heart attack, although, in reality, it does not result in a physical illness or issue. People also feel an overwhelming worry and the need to come out of the episode as soon as possible. The worry can also convert into uncontrollable crying spells. Unlike panic attacks - which can come without warning and involve intense physical sensations- anxiety attacks usually have identifiable triggers and are marked by prolonged worry and apprehension.

Research published by the National Institute of Mental Health highlights that stress from social, financial or health related issues often contribute to anxiety attacks. Identifying these signs and triggers is the first step towards managing and even preventing future episodes.

Signs of an Anxiety Attack

Anxiety attacks have many different symptoms that impact the body and the mind. These are some important indicators:

Physical Symptoms: During an anxiety attack, the body s fight-or-flight mode takes over. This reflects as physical symptoms like:

  • Rapid Heart Rate (Palpitations

  • Shortness of Breath

  • Dizziness or Lightheadedness

  • Sweating and chills

  • Nausea and Stomach Discomfort

  • Numbness or Tingling Sensations

Emotional Symptoms: Anxiety attacks are characterized by strong emotional reactions that might exacerbate the distress:

  • Overwhelming Fear or Terror

  • Desperation to Escape

  • Feel Helpless or Hopeless about the future

  • Detachment from once enjoyed things

Cognitive Symptoms: Cognitive distortions and harmful thought patterns are brought on by anxiety attacks.

  • Racing Thoughts

  • Focusing on the worst-case scenarios

  • Difficulty Concentrating

  • Perceptual Distortion

Behavioral Symptoms: There are observable ways in which anxiety attacks can affect a person s behavior:

  • Avoiding Situations or People

  • Compulsive or repetitive behaviors

  • Hypervigilanceย 

According to the American Psychological Association, acknowledging these signs can help individuals recognize when they are experiencing an anxiety attack and employ strategies to manage the situation effectively.

Causes and Triggers of Anxiety Attacks

Anxiety attacks can be caused by various factors, such as:

  1. Chronic stress: Situations with high levels of stress, such as uncertain job conditions, family conflicts, or academic stress, frequently serve as significant stress inducers.

  2. Trauma: Past traumas can trigger anxiety, even when we are not consciously thinking about it. Such traumatic experiences need to be processed completely to reduce the risk of anxiety later.

  3. Lifestyle factors: Some lifestyle factors can cause anxiety unknowingly. These factors can be low sleep quality, unhealthy eating habits, and too much caffeine or alcohol. These can make the stress worse leading to anxiety.

  4. Genetics and Family History: Having a family history of anxiety or other mental health issues can increase the chances of developing anxiety and in some cases anxiety attacks. People can be more prone to anxiety if they have a combination of genetic factors and situational vulnerabilities.

  5. Personality Factors: Traits like perfectionism, sensitivity to criticism, or overthinking can make someone more prone to experiencing anxiety attacks. People displaying these characteristics may have a greater tendency to worry, leading to an increase in anxiety symptoms during times of stress.

Short Term Techniques for Immediate Relief from Anxiety

During an anxiety episode, the following rapid, practical methods can be helpful:

  • Deep Breathing Exercises: Techniques like box breathing can help calm the mind and reduce physical discomfort. Box breathing is an evidence-based method that helps induce calm and rapidly reduce anxiety symptoms. It involves inhaling for four seconds, holding the breath for four seconds, and then exhaling for four seconds.

  • Grounding Techniques: This activity helps bring the individuals into theย  presentย  moment by consciously focusing on their immediate surroundings. One technique to deal with problems is to turn away from negative ideas and worries.

  • JPMR, or Jacobson Progressive Muscle Relaxation, is a well-liked method for easing and lowering bodily discomfort. It functions by first making the muscles tight and then letting them relax. Slowly the whole body is relaxed. Once the body is relaxed the mind cannot be tensed at the same time as both are opposite in nature.

  • A Harvard Health study found that deep breathing exercises in particular help set off the body s relaxation response, which reduces heart rate and blood pressure and restores control during an anxiety episode.

Long-Term Techniques for Handling Nervousness

Effective anxiety management frequently calls for long-term techniques that take care of the body and the mind.

  • Physical Activity: Regular exercise lowers anxiety levels over time. According to a study published in the Journal of Affective Disorders, regular aerobic exercise might improve mood and release endorphins, which may reduce anxiety.

  • Cognitive behavioral therapy (CBT): CBT helps people reduce the risk of anxiety attacks by helping them change harmful thought patterns.

  • Healthy Sleep habits: Sleep and anxiety are closely related, and lack of proper rest can worsen anxiety symptoms. Research from the Public Rest Establishment recommends that maintaining a regular sleep routine with appropriate hours of rest, can ensure reduced anxiety and improved mental clarity during the day.

  • Diet & Nutrition: A balanced diet with a variety of whole foods, vitamins and minerals can positively impact the mood reducing anxiety levels. Research published in Psychiatry Research shows that deficiencies in certain nutrients like magnesium & omega 3 can increase anxiety symptoms. Limiting caffeine and alcohol intake can alsoย  reduce anxiety levels to a great extent.

  • Social Support: Having a strong support system is essential for managing anxiety over time. Studies show that people having close friends along with a strong social network experience lower levels of anxiety and stress. Regular communication with friends, family, or professionals can provide a vent out, leading to emotional comfort, increased sense of control and enhanced coping strategies.

  • Journaling and Reflection: Regular writing down of thoughts through journals can be a powerful tool for managing anxiety. Reflecting on things that happened throughout the day along with thoughts and emotions can help identify patterns, triggers, and potential solutions. Research published in Psychological Science shows that expressive writing can improve mood and decrease stress & anxiety by allowing individuals to process and release emotions in a healthy way.

  • Regular Meditation: People who engage in mindfulness exercises are encouraged to live in the present, which might help them avoid having anxious thoughts. Meditation, which emphasizes self-awareness and tranquility, has been demonstrated to dramatically reduce anxiety symptoms.

Seeking Professional Help: When and Why Itโ€™s Important

Professional assistance can be essential for people who suffer from incapacitating or regular anxiety attacks. Techniques including cognitive behavioral therapy, exposure therapy, and acceptance and commitment therapy (ACT) have been shown to be successful in treating anxiety. When a psychiatrist prescribes medication, it can also assist people with severe anxiety disorders control their symptoms.

The National Institute of Mental Health stressed that one effective strategy for comprehending and controlling anxiety is treatment. Additionally, seeing a professional provides a secure setting for discussing triggers and creating a customized coping strategy.ย 

Creating a Personalized Anxiety Management Plan

A customized strategy can enable people to take charge of their anxiety. Important components could consist of:

  • Identifying Triggers: To be ready for difficult circumstances, compile a list of recognized anxiety triggers.

  • Coping Mechanisms: Include quick fixes in the strategy, such as breathing exercises.

  • Frequent Check-Ins: Set aside time to consider your mental health, noting trends and advancements.

Experts like clinical psychologists and psychiatrists claim that each person s particular coping strategies can give them a sense of control and ownership, two things that are crucial for managing anxiety.

Both short-term and long-term coping strategies are necessary for efficient anxiety management. A variety of methods, including therapy and quick breathing exercises, are needed to alleviate anxiety. Through comprehending the traits of anxiety, recognizing its signs, and exploring different coping strategies, individuals can conquer anxiety and recover command over their emotional and mental well-being.

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Reference

  • American Psychological Association. (n.d.). Understanding anxiety disorders. Retrieved from https://www.apa.org
  • Harvard Health Publishing. (2018). Relaxation techniques- Breath control helps quell errant stress response. Retrieved from https://www.health.harvard.edu
  • Jacobson, E. (1938). Progressive relaxation. University of Chicago Press.
  • Kabat-Zinn, J. (2014). Mindfulness-based stress reduction programs improve anxiety, depression, and pain. JAMA Internal Medicine, 174(3), 357-368.ย 
  • Krogh, J., Nordentoft, M., & Wulsin, L. (2018). The impact of aerobic exercise on anxiety symptoms.ย A meta-analysis of randomized controlled trials. Journal of Affective Disorders, 240, 63โ€“73. https://doi.org/10.1016/j.jad.2018.07.033
  • National Institute of Mental Health. (n.d.). Anxiety disorders: Key facts and statistics. Retrieved from https://www.nimh.nih.gov
  • Lister, L. (2007). Stress, trauma, and anxiety disorders. Psychiatric Clinics of North America, 30(4), 717-735.ย 
  • National Sleep Foundation. (2018). How anxiety affects sleep and vice versa. Retrieved from https://www.sleepfoundation.org
  • Pennebaker, J. W. (2011). Expressive writing and its benefits: Insights from experimental research. Psychological Science, 22(4), 398-403.ย 
  • Riemann, D., & Nissen, C. (2017). The role of diet in anxiety and depression: Nutritional implications for mental health. Psychiatry Research, 255, 340โ€“345.ย 
  • National Institute on Drug Abuse. (2019). The impact of substance use on mental health. Retrieved from https://www.drugabuse.gov
  • Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. American Journal of Psychiatry, 169(3), 294-304.ย 
  • Hettema, J. M., Neale, M. C., & Kendler, K. S. (2001). A review and meta-analysis of the genetic epidemiology of anxiety disorders. American Journal of Psychiatry, 158(10), 1568-1578.ย 
  • Smith, J. A., & Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. American Psychologist, 32(9), 752โ€“760.ย 
  • Wingo, A. P., Fani, N., Bradley, B., & Ressler, K. J. (2010). Coping responses to trauma and the development of anxiety and depression. Depression and Anxiety, 27(10), 927-936.ย 
  • World Health Organization. (2022). Mental health and psychosocial well-being: A public health priority. Retrieved from https://www.who.int

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