How can I calm down during a panic attack?
ImHere01
on
Jun 28, 2015
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Try to control your breathing and lower your heart rate. Communicate your attacks on doctors and parents please.
Anonymous
on
Jun 28, 2015
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Take deep breaths, think about something that once made you happy and keep building it up until you eventually calm down.
AnxiousKitten
on
Jul 1, 2015
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Focus on your breathing. Count how long it takes you to breathe in and breathe out. Try counting to three, then to four. Breathe in - 1, 2, 3, 4... breathe out - 1, 2, 3, 4. If that doesn't help, try reaching out to a loved one. If it continues, seek medical attention.
Anonymous
on
Jul 2, 2015
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You really can't but you just need to breathe, and that will help. That's what I do when I have a panic attack
DevinT7
on
Jul 2, 2015
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Breathing regulation is a very easy coping skill that is also effective very quickly. Slow, deep breaths bring down your heart rate and cause you to feel calmer.
MindfulEmpathy
on
Jul 2, 2015
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Focus on something else. Sounds easy, but it may be challenging. Find something in the room where you are; a photograph, a painting, a piece of furniture, etc. Describe every aspect of that item in your mind. For example, you feel a panic attack coming on, look at a painting, say either outloud or in your mind: "I see dark blue, light blue, flowers, a barn; the wood on the barn looks aged, the blue matches a necklace I used to have; I wonder what is in the barn, it could be a lamb; etc. Be mindful that you are inhaling deep, slow breaths while you are describing. Be very detailed, get your mind really into that painting. It's a way of distracting that can be very useful and can take you out of the panic attack. Just be mindful of the pace at which you are describing and breathing and keep it as slow and purposeful as possible.
Sarscars
on
Jul 2, 2015
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Maybe just take it slow snd breathe then go for a walk to calm down a little or you could lay down and just rest.
Beautifuldays14
on
Aug 15, 2015
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Try and breath in and out deeply. realise that you have just had a panic attack then try to calm down
Lorelei333
on
Dec 22, 2014
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When having a panic attack you are experiencing an overwhelming amount of negative emotion. I would say that during a panic attack, your breathing will generally become more labored and shallow and you may sweat, and it may come on suddenly or it may be affective, in that it is sparked by something. In both situations, it is important to try to control yourself physically and mentally. If you feel an overwhelming sense of negative emotion it is best to sit down and attempt to breathe deeply to calm yourself. You should also turn your thoughts to positive things instead of fixating on what is bothering you at the present moment. Try to be still in body and mind and wait for it to pass.
friendlyJoy23
on
Jul 10, 2015
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The five steps to overcoming panic attacks are:
Acknowledge & Accept
Wait & Watch (and maybe, Work)
Actions (to make myself more comfortable)
Repeat
End
Let's take a look at what each step entails.
Acknowledge & Accept
All progress starts here. This is the most important single step to overcoming panic attacks.
Acknowledge
Here I acknowledge the present reality, that I'm afraid and starting to panic. I won't try to ignore it, or pretend it's not there. I won't struggle to distract myself, tell myself to "stop thinking about it!", or snap any rubber bands on my wrist.
I'm acknowledging simply that I am afraid, not that I am in danger. The thought that I am in danger is just another symptom of panic, not an important or useful thought.
Accept
Here I accept the fact that I'm afraid at this moment. I don't fight the feeling; ask God to take it away; blame myself, or anybody else. I accept, as best I can, that I'm afraid in the same way I would accept a headache. I don't like headaches, but I don't bang my head against the wall in an effort to get rid of them, because that makes them worse. Overcoming panic attacks begins with working with, not against, my panic and anxiety symptoms.
How Can I Accept a Panic Attack?
What makes a panic attack acceptable (not desirable, but acceptable) is that, while it feels awful and fills me with dread, it isn't dangerous. It won't kill me or make me crazy. Someone pointing a gun at me, that's not acceptable. I might get hurt or killed. If someone points a gun at me, I have to do whatever I can to change that: run, hide, fight, yell, bribe, or beg, because the consequence of being shot is so terrible that I must try to avoid it.
On the other hand - a policeman giving me a ticket, even if I don't deserve it, I can live with that, and can hopefully keep my temper in check so I don't make things worse for myself.
Accepting the symptoms, not resisting, is a powerful step to overcoming panic attacks.
What Can a Panic Attack Do to Me?
It makes me feel afraid, that's what a panic attack does. And, if I'm having a panic attack, I'm already there! I'm already experiencing the worst that will happen. I just need to ride it out. That's the surest path to overcoming panic attacks.
Why should I accept a panic attack? Because the more I resist panic, the worse it gets. The more I develop the habit of acceptance, the more progress I make toward my goal of overcoming panic attacks.
That's Acknowledge & Accept. How does that compare to what you usually do during a panic attack?
Wait & Watch (and maybe, Work)
Wait
What I mean by "Wait" is this: don't just do something, stand there. It's similar to the suggestion "count to ten before you get mad".
One of the hallmarks of a panic attack is that it temporarily robs you of your ability to think, remember, and concentrate. This step will buy you a little time to regain those abilities before you take any action.
When you react before you have a chance to think straight, what do you do? If you're like most people, you probably flee, or struggle. You do things that actually make it worse. This is what people mean when they say things like "I know I'm doing it to myself" and the harder I try, the worse it gets.
Jumping into action too quickly is a big obstacle to overcoming panic attacks.
So, even though you have a powerful urge to leave, postpone that decision for a little bit. Don't tell yourself you CAN'T leave - keep that option open so you don't feel trapped - but put off the decision about whether or not to leave. Stay in the situation. You don't need to run away to get relief. Let relief come to you.
Watch
Use the occasion to observe how the panic works, and how you respond to it. The best way to do this is to fill out a panic diary. The diary is a questionnaire which helps you notice important aspects of a panic attack, so you can respond more effectively over time. Feel free to download and reproduce it for your own personal use. You can also download a set of instructions.
My patients often report that just filling out a diary helps them to calm down. How does this work? It's not that they're distracted from the subject of panic, because the diary questions are all about panic. It helps you get a little distance from your emotions. It works because, while you complete a diary, you're in the role of an observer, rather than feeling like a victim.
The best way to use the diary is to fill it out during the attack, rather than after. If you're in a situation where writing is impractical, perhaps while driving a car, you can: use a digital recorder; have your support person read the questions to you and record your answers; or pull over for a few minutes to write.
What About "Work"?
If you're in a relatively passive situation during the panic attack - a passenger in a vehicle, getting your hair cut, or waiting in a waiting room - "Wait & Watch" is all you need. If you're in a more active role - driving a car or giving a presentation - then you also need to attend to the "Work" of conducting that activity. Do "Wait & Watch", but also remain engaged in your task.
That's "Wait & Watch (and maybe, Work)". How does that compare to what you usually do during a panic attack?
Actions (to make myself more comfortable)
At this point, you've already gone through the two most important steps to overcoming panic attacks.
These steps, and all the steps necessary to overcome panic disorder and phobia, are covered in much more detail in my Panic Attacks Workbook.
What's Your Job During an Attack?
It's not your job to bring the panic attack to an end; that will happen no matter what you do.
Your job now is to see if you can make yourself a little more comfortable, while you wait for the attack to end.
Here are a few techniques that my patients have found particularly useful in overcoming panic attacks.
Belly Breathing
Regardless of what else you do, do belly breathing. It's also known as diaphragmatic breathing, but I think "belly breathing" is more descriptive. Many people think they know how to do deep breathing, but don't do it correctly, so they don't get good results. A good belly breathing technique is a very powerful tool in the work of overcoming panic attacks!
How to Talk to Yourself
Talk to yourself (silently!) about what is happening, and what you need to do. One question my patients find very helpful is this: is it Danger or Discomfort?. Some of the other responses my patients like include the following:
1. Fine, let's have an attack! It's a good chance to practice my coping techniques.
2. Answer your "what if...?" fears by saying "So what? I'll get afraid, then calm down again."
3. It's okay to be afraid.
Get Involved in the Present
People don't panic in the present. People panic when they imagine something bad happening to them in the future or in the past. This is why your panic attacks are almost always accompanied by some "what if...?" thought. If a dog just bit my leg, I don't say "what if a dogbite?". The reason you say "what if...?" is because what you fear is not actually happening!
Get back into the activity you were engaged in prior to the attack, and become involved with the people and objects around you. If you're in a store, resume shopping, reading labels, comparing prices, asking questions, etc. It will move you closer to your goal of overcoming panic attacks when you bring your focus and energy back to the present environment. By this I mean, work with what is around you.
Work with Your Body
Identify, and relax, the parts of your body that get most tense during a panic attack. This typically involves first tensing, and then relaxing, the muscles of your jaw, neck, shoulders, back and legs. Do not allow yourself to stand rigid, muscles tensed, and holding your breath. That just makes you feel worse! If you feel like you "can't move a muscle", start with just one finger!
That's "Actions (to make myself more comfortable)". How does that compare with what you usually do during a panic attack?
Repeat
This step is here because you might start feeling better, then feel another wave of panic. Your first reaction might then be to think "Oh No, it didn't work!". The Repeat step is here to remind you that it's OK if that happens. Just take it from the top again. It's not unusual or dangerous. You may go through several cycles, and you just need to repeat the AWARE steps again, as often as you need.
How does that compare with what you usually do?
End
This is here to remind you that your panic attack will end; that all panic attacks end; that they end regardless of how you respond; that it's not your job to make the attack end; and that your only job is to make yourself as comfortable as possible while waiting for the attack to end.
Have these statements been true for you? Don't take my word for it. Review your own history of panic attacks and see.
And maybe the next time you panic, when you notice yourself thinking, once again, "Will this ever end?", you'll find yourself answering, "YES!"
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Reviewed Jan 14, 2025
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