Men's Health (UK)

Whatever You Do, Don’t Panic

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Up to a third of men will

suffer from an anxiety disorder or panic attacks in their lifetime. But as real-life responsibi­lities truly start

to bite in your thirties, you’re more vulnerable than ever. Use our timeline to survive any breakdown 0-3 MINS

WHAT IT FEELS LIKE You’re short of breath and your heart rate spikes. You’re trembling and, in an evolutiona­ry response, your body redirects blood to muscles and organs that can help you overcome a threat. It’s designed to maximise your odds of survival, but it can lead you to misinterpr­et a minor office crisis as a matter of life and death. WHAT’S HAPPENING

A panic attack occurs when the mind makes a powerfully negative interpreta­tion of normal events. When your boss sets you an impossible deadline, for example, your hypothalam­us activates your pituitary and adrenal glands,

which causes stress hormones adrenaline and cortisol to flood your system: the ‘fight or flight’ response.

YOUR DEFENCE

A US study found that refocusing the mind on simple tasks can calm you. The solution can be as mundane as counting the number of tiles on your office ceiling until the panic passes. 3 MINS – 2 HRS WHAT IT FEELS LIKE Your breathing normalises and your heart rate falls. ‘What was that? Am I dying?’ you wonder. You’re not.

WHAT’S HAPPENING Adrenaline has a half-life of three minutes, so the initial panic soon passes. Cortisol, however, sticks around for longer. It can take two hours for your more chronic feelings of stress to subside.

YOUR DEFENCE

Your brain is associatin­g the current situation with a sense of panic. Staring at your inbox will do nothing to rest your overactive endocrine system. Take yourself away from the situation: leave your desk for a 10-minute break and divert your attention to what’s around you, even if it’s just what’s being served in the office canteen. Eventually, your cortisol levels will even out and you can return to your desk on a more even keel. 1 WEEK

WHAT IT FEELS LIKE Anxiety can easily extend beyond a specific stimulus and hang over you once the stressful situation has passed. Unexplaine­d chest pains and a sense of fear are symptoms that your anxiety is a chronic problem. WHAT’S HAPPENING These heightened anxieties mean that your hypothalam­us is unable to switch off. In its state of constant agitation, it’ll keep ordering the release of adrenaline and cortisol; with levels set to surge at any point, the simplest upset can burst the dam.

YOUR DEFENCE

In severe cases, your GP may prescribe antianxiet­y drugs along with beta blockers to steady your heart rate. Aside from that, here are a few effective lifestyle prescripti­ons: omega-3 fatty acids in oily fish, which curb adrenal activation caused by stress; the cortisolsl­ashing B vits in steak; and a lunchtime run, which produces moodboosti­ng endorphins while making use of the extra adrenaline. Outrun your panic: flight, in this case, might be the best way to fight back.

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