Management
The techniques for management can be broken into two groups. The first group addresses the immediacy of the anxiety and its whirlwind-like habit. These exercises promote “grounding” or, to put it another way, getting out of the mind and into the world around you. Because so much of the material we use to build anxiety is only a perceived threat of annihilation, we can disable it by returning our focus to our physical body and environment. There are several exercises for this, but I found two particularly useful. In the first exercise you close your eyes, take a couple of slow, deep breaths into your abdomen and then open your eyes. With your eyes opened you begin listing out loud the things that you can see. (Mumbling under your breath is fine.) Stop at about 5 or 6. Next begin listing the things you can hear, again limiting it to about 5 or 6. Continue in the same way through feel, smell and taste. The last two are always a little harder, but no matter. If you need to, repeat the listing portion of the exercise until you feel more settled. The exercise looks something like this:
I see a telephone pole, a silver car, fallen leaves, a plastic pink flamingo, a muddy puddle. I hear rain drops hitting the roof, the fan on my computer coming on, the dog snoring, my own exhalation, a distant truck engine. I feel the uneven cushion of my chair, the warmth of the keyboard, my scarf too tight around my neck, the ache in my right knee, an itch on my elbow. I smell the wooliness of my sweater, the cool dry air. I taste coffee still on my tongue.
I also liked this breathing exercise. Breathe in to a count of five. Then see if you can seamlessly begin breathing out without there being a discernable stopping point to the breathing in. Breathe out for a long count of 5 to 7 and then breathe in, again without the stopping point. Continue this until you feel your chest relax and your breathing deepen into your abdomen. Sound silly? When under stress most of us will begin holding their breath. It’s instinct. Noticing your breathing will remind you to breathe. It will help to prevent the escalation of anxiety, hyperventilation and possible panic.
The second group of exercises provide a sort of counter-attack to the anxiety. First, assess your environment. Are you in physical danger? No. Then say, “I’m safe. Everything’s okay.” Are you being emotionally abused or attacked? No. You say, “I’m safe. Everything’s okay.” This might seem needless, but remember, you’re having an animal reaction. Tell the animal that annihilation isn’t imminent. Calm the animal first and it will begin to stand down.
The most effective technique is changing your self-talk. Self-talk is the voice you have in your head which feeds you with regular assessments and judgments of yourself and your environment. It is a trained feature of your mind, in other words, it can be taught to say different things. The inner self begins talking to us early on. Mother scolds her child for sneaking cookies from the kitchen. She smacks his hand and tells him he is a naughty, disobedient boy. The child, when next tempted to take a cookie, hears the voice in his head say, “Don’t take the cookie. There is a consequence.” Unfortunately, he also hears the judgment, “You are a naughty, disobedient boy who deserves to have his hand smacked.” This continues throughout our teen years and adulthood as we make judgments about ourselves in relation to family and social values. I do/want this, therefore I am this. Because I am this, I won’t be loved/provided for. I’ll be punished/judged/ostracized. You combat this type of self-talk by removing the negative judgment and creating a positive assessment based on what is normal rather than what is right. (And for the record, while being “right” is usually perfectly personifying one value or ideal, being "normal" covers a wide range.) Of course I wanted the cookie. I was hungry and I knew it would taste good. That’s very normal. Next time I will ask first.
This type of positive self-talk works with a host of situations and feelings. I have problems with depression, so no one who knows this about me will want me can be combated with I have a lot to offer another person besides my challenges. I am smart, funny, successful, responsible and caring. When I am ready and the right person comes along, I will find a lasting partnership.
Feelings of being unlovable as we are, of being found out as a fraud and of not deserving goodness in life, are all common. Targeting these internal judgments with positive self-talk specific to the issue is essential to sucking the wind out of the anxiety tornado. Remember to be kind and frank with yourself. I did the best I could in that situation with what I had at the moment. I have learned from my mistake and I am leading a healthier life now. It doesn’t take a psychologist to tell you these things. Imagine what you would say to your best friend and practice avoiding the word should.
Though it can take time for those messages to sink in, if you are consistent with providing them, eventually they will. Soon you will be able to talk yourself out of an anxiety attack just by telling yourself what the reality of the situation is. Beyond that point, your mind will begin to play those messages to you in times of stress without your having to consciously generate them every time.
The more often you do these exercises the sooner you will stop the anxiety when it arises and the easier it will be to identify the feelings and thoughts that are underlying. This is really important when you begin confronting the root of your anxiety.