Panic Disorder: When The Fire Isn’t Out

 

Panic disorder is like a fire.

At worst – a raging inferno.

Your body becomes sensitised and responds to everything as if it’s a threat and each fearful response releases more stress hormones into your body. It’s like throwing petrol onto a fire that’s already out of control..

So, you work your backside off to get better and in time those do flames die down. The panic attacks reduce and are less severe or they stop altogether. You’re no longer in fight or flight mode 24/7. You sleep better. You feel better. You think you’ve recovered.

So, you stop doing the things that helped you to feel better..

This is where you make a big mistake because those embers are still burning away..

The fire isn’t completely out.

The way it works is this: Your body has been sensitised for a long time and even though you feel better, you still have a higher than normal level of stress hormones knocking around in your body. These are the burning embers, if you like. Meaning that it doesn’t take much for the fire to be rekindled. Then a few months down the line you wake up at 4am with your heart thumping in your chest. You feel sick and dizzy and the full weight of despair punches you in the face.

There’s Fear, suitcase in hand, with a big smile on it’s fugly face.

HEY HEY HEY!! I’M BAAAAACK! DID YOU MISS ME?

Fear doesn’t wait for an answer. It’s already pushed it’s way past you and before you know it the little shit’s sitting with it’s size 10 feet up on your imaginary sofa.

WTF?! How did this happen?!

Here’s how..

You went back to your old habits and for a while your body tolerated it because you were less sensitised, but when you have been nervously exhausted it really doesn’t take a lot for things to get out of control again. The good news is that there are signs that let us know us that our stress levels are increasing.

  1. Increase (or return) of addictive behaviours
  2. Increase in obsessive compulsive behaviours.
  3. Rumination
  4. Tensed muscles
  5. Inability to complete tasks.
  6. Seeking reassurance.
  7. Completely losing your shit over trivial stuff.
  8. Living in the past or the future, never in the present.
  9. Avoidance behaviour.
  10. Insomnia.

These are all signs that anxiety is flaring up. Those embers are now flames but it doesn’t have to escalate into a full-on inferno. Recognising these warning signs gives us the chance to address our stress levels BEFORE things get out of hand.

The Fab Five.

Five important steps that will put you back on the road to recovery.

  1. Diet
  2. Relaxation exercises
  3. Thoughts
  4. Sleep Hygiene
  5. Acceptance

Diet

Have you lapsed back into poor eating habits by eating crap? By crap, I mean sugar-laden or fatty foods? or caffeine? The foods that made you feel shite when you were poorly?

A reminder.

Eating such foods releases CORTISOL into the body. Cortisol is a STRESS HORMONE.

If you want to get your cortisol levels down – you have to watch what you eat and drink. Boring, I know, but it depends on how much you want to kick this anxiety shit out of your life?

Relaxation

When was the last time you did some relaxation or meditation? Chances are you’ve gone from doing it religiously every day to when you can be arsed or never at all. It’s good practice to do some kind of relaxation EVERY DAY, even when when you feel better because it helps to keep the stress hormones down. Mindfulness lowers cortisol levels. FACT.

Thoughts

Be aware of your thoughts. Are your thoughts in the past or in the future? They should be mostly in the present. Thoughts about the past can produce pain if your dwelling on painful events whereas thoughts about the future can produce fear because the future is unknown. Fleeting thoughts about either are fine, necessary even in order to make plans. The problem is when you are living in the past or the future (or both) instead of the present.

Sleep Hygiene

How are you sleeping? If it’s poorly. What are you doing differently? Are you on social media before bedtime? Or watching stimulating TV? If so, remove all the electronics and read a book. A really boring book and aim to be asleep by 10pm.

Are you ingesting caffeine (inc chocolate) after 3pm? If so, stop. Caffeine is a stimulant. All you are doing is ramping up the stress hormones.

Are you lying there thinking about problems? If so, try mentally put those worries into imaginary balloons (or whatever you like) and watch them float away. You can address them the next day when you can actually do something about them. You can’t do much in your rollers and nightie, can you?!

Acceptance

Acceptance is the most important of them all.

You must accept every bewildering symptom.

You must accept every bewildering thought.

You must accept that you will have crap days.

You must accept that you will have some monumentally crap days.

You must accept that the road to recovery isn’t short.

You must accept that you need to keep doing the things that made you feel better EVEN WHEN YOU FEEL BETTER.

It’s called MAINTENANCE.

As long as you fight against your anxiety, you will never beat it and I do mean, NEVER. Those embers will keep on glowing with the potential to flame up at the slightest bit of stress.

Fear is the firestarter – the twisted firestarter. Deprive fire of oxygen and it will be extinguished. Deprive Fear of stress hormones and it becomes powerless. Make no mistake, Fear will try to knock on your door again and again but each time you will become more adept at seeing him coming..

The day you no longer react WITH FEAR to Fear, is the day you’ve well and truly beaten that nasty little shit and with time (and effort) you will put that fire out completely.

 

 

3 thoughts on “Panic Disorder: When The Fire Isn’t Out

  1. Great tips as always.

    I’ve just tackled sleep and relaxation with an app! I’ve always need white noise to get to sleep. For years it’s been the radio, which depending on what I’m listening to plays havoc with my dreams.

    The other night I had a weird dream someone was choking on a fish he’d tried to snog. That one turned out to be true story, mind. My brain out surrealled(?) by real-life events, who’d have thought it?

    But back to the app. I was reading a Guardian ‘8 hacks to improve your life’ article and amongst the sublime (RunPee – best point in a film to nip for a wee) and the ridiculous (PoopLog – I assume the pun was intended), was Pzizz. It uses ‘psychoacoustic principles’ to send you to sleep, which sounds terrifying, and possibly is.

    Mercilessly mocked by Janet, although to be fair she apparently walked in when some strange man was telling me how wonderful I was to the sound of panpipes, but I’d long since dozed off by then and had the best nights sleep in …. well, ever!

    Liked by 1 person

    • LOl I’ve been using hypno videos to go to sleep to for the last couple of nights and I’ve slept better than I usually do. It’s a valid point about what you listen to as having an effect on your dreams. Music can be just as stimulating. That’s why I listen to classical music at night, mostly choral. So does The Boy – he also has the sound of a heart beat via a relaxation machine thingy. Good to hear you had a decent night’s kip. 🙂

      Like

  2. I can identify with this. Anxiety is so sneaky and when your comfortable it can come back to haunt you. I take medication and I reduced it. I accept I need medication or else I feel very suicidal. Of course I do other techniques but as long as I can think. Icons move forward and help myself X

    Liked by 1 person

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