Closer (UK)

MANAGE A PANIC ATTACK AND SOOTHE YOURSELF

If you suddenly find your heart racing and your breaths becoming shallow, it can be terrifying. With many of us now feeling more on edge, Emma explains how to calm yourself in a crisis

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Panic attacks are frightenin­g. I have had clients go to A&E believing they were having a heart attack, and others who would curl up in a ball on the pavement unable to move. They are not “all in your head” – the physical symptoms are very real, incredibly scary and, at times, physically painful.

SLOW YOUR BREATHING

You can be having a good day and suddenly find yourself unable to catch your breath, paralysed with fear. When you can’t breathe, you understand­ably try to get more air in your lungs – but you end up taking in too much oxygen, so your body fails to hold the amount of carbon dioxide you require, leading to hyperventi­lation. Balance your breathing by using the 4-7-8 method: inhale through your nose for a count of four, hold for seven, then exhale through your mouth for eight. This distracts you while you concentrat­e on your breath, and stabilises the amount of carbon dioxide and oxygen in your bloodstrea­m. If you find this difficult to remember in the moment, try to hold your breath for 15 seconds.

BE MORE PREPARED

If you often have panic attacks, write a few lines about what helps on a piece of paper, and carry it with you, or order a card from Stick man communicat­ions. co.uk, which has products for disabiliti­es. Then, if someone stops to help, you can direct them to what you need, whether that’s reminding you to slow your breathing, or distractin­g you by chatting. Clear thinking can feel a challenge during an episode, but remind yourself that it will pass, it is not life-threatenin­g, and that everything will be OK.

ASK FOR HELP

Prevention is key, so practise breathing techniques, meditation and exercise in your spare time, as all of these have been clinically proven to reduce panic attacks. Acupunctur­e has also been shown to have a positive impact, so explore these options to try in the future. If your panic attacks are beginning to impact significan­tly on your life, speak to your doctor, as they can refer you for Cognitive Behavioura­l Therapy (CBT), which is proven to be a very effective treatment for this condition.

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