The #1 Way to Manage a Panic Attack

The #1 Way to Manage a Panic Attack

This post is going to outline the best strategy I have for my clients to manage an acute panic attack when they do not have a prescription medication that they use to manage their symptoms, or are waiting for their medication to kick in.

For people who experience regular panic attacks, medication is often a necessity, but as I’ve discussed in other posts about panic and anxiety, you will likely need several strategies to manage your symptoms. For others that have only occasional episodes of panic or anxiety attacks, you may not need a regular medication, but you may want to have a PRN medication that you can take as needed. Others will find that they can employ non-medical strategies to combat their symptoms and they can manage their symptoms without a prescription.

Panic attacks are a distressful and uncomfortable set of symptoms that can range from mild to severe and which often require intervention of some sort. Individuals may experience a panic attack in many different ways, but during an acute panic attack, you may experience:

  • Tightness in your chest
  • Difficulty breathing
  • A sense of dread or overwhelming stress
  • Increased heart rate
  • Uncontrollable tearfulness
  • Trembling
  • Sweating
  • Feelings of choking
  • Nausea or stomach pain
  • Dizziness
  • Fear of losing control
  • Fear of dying

Those who have experienced panic attacks know that they can be very upsetting and when they happen you need to take action or symptoms may worsen.  The strategy I’m outlining here uses 3 coping methods in combination to combat an acute panic attack when you feel one coming on.  I’ve talked about several ways to cope with panic and anxiety in this post, where you can read more about other strategies to use.

What to Do

The most effective way I know of to manage an acute panic attack aside from medication is a combination of:

  1. Deep-breathing

Breathe deeply in through your nose and out through your mouth. When you inhale as deeply as possible, pause for a few seconds before releasing your breath out again. Continue with these breathing exercise as long as necessary and try to focus only on your breath and release other thoughts and fears you may be having in the moment.

  1. Walking

While you are doing this breathing exercise, get up and walk at a comfortable pace. Walking helps you to get rid of the excess energy that comes along with a panic attack and distracts you so you don’t feel like jumping out of your own skin.

  1. Essential Oils

The oils here are the extra boost that can provide that additional relief you need when you’re experiencing a panic attack. There are 3-4 oils that you can use that have been demonstrated to be effective in managing anxiety, and which can be used safely during a panic attack. The best oils to use are LavenderFrankincenseBergamot and Black Spruce .

To use this method:

  1. Rub a few drops of Lavender Oil onto your chest or décolletage area
  2. Then take a few drops of Frankincense Oil and rub it onto the back or nape of your neck and across your shoulders/traps
  3. Rub a few drops of Black Spruce Oil or Bergamot Oil onto both wrists or inner forearm area
  4. Begin walking at a comfortable pace, preferably outdoors if possible, and taking deep breaths.
  5. Bring your wrists up to your face as you walk and inhale deeply
  6. Take at least 10 deep breaths with your forearms up near your nose and continue to walk
  7. You can continue with this process until you feel calmer and your symptoms start to recede

As always, if you have a medication that you take for panic attacks, you can and should use your medication as prescribed to combat your symptoms. However, this method can be used to help relieve some of your symptoms while your medication starts to kick in.  If you don’t have medication for panic attacks and need another way to help you when you begin to feel panic coming on, this is the #1 method that I teach and recommend to my clients who have anxiety and panic attacks. I have used oils for years myself, and I have recommended lavender oil in particular to all of my clients with anxiety problems for quite some time now.  This particular method I learned partially from consulting with a friend of mine who is a wellness advocate for doTerra. I personally use doTerra oils whenever I can because of the quality, environmental, and corporate social responsibility policies. However, doTerra doesn’t offer a Black Spruce oil so I’ve purchased that one through different brands as needed.

Why Does This Work?

Plant oils and other preparations such as herbal supplements have been studied for their medicinal properties, and some have been proven to be clinically effective with certain symptoms. Lavender oil has been demonstrated as an effective intervention through research to reduce anxiety. Black spruce and Frankincense both have grounding properties that help with that overwhelming feeling that comes along with a panic attack. Lavender has a sweet, calming scent that makes you feel relaxed and calmer, and Bergamot has a citrus scent that is uplifting and refreshing.

Black spruce smells somewhat like a Christmas tree and has a property called bornyl acetate that can have a relaxing effect on the musculoskeletal system, which could be why it is so effective for anxiety as well.

Frankincense has been used medicinally and ritually for thousands of years, and has anti-cancer, anti-inflammation, and anti-microbial properties.  It has a sweet and spicy scent that can be comforting and calming. Frankincense stimulates the limbic region of the brain, which may help regulate stress. Most of the research on frankincense has focused on its healing properties for cancer, skin conditions, and arthritic conditions.  However, more research is being done to study its effects on emotional health as well.

Your reaction to essential oils is individualized as well, and thus it is a good idea to make sure you try out the scents by inhaling them from the bottle first before you apply them topically on your skin.  These oils are all safe to use topically, but if you have very sensitive skin you can use one to two drops in a carrier oil to reduce any skin reaction. I have had clients who have not enjoyed the scent of Black Spruce or Frankincense, and so for those clients I’ve recommended sticking with Lavender and Bergamot, because those oils are pretty universally enjoyed. However, I think that the grounding properties in Black Spruce and Frankincense are really powerful because of the heightened state of arousal that occurs during a panic attack. Make sure that if you use this method that you are using essential oils and not fragrance oils. Fragrance oils are synthetic compounds made in a lab, whereas essential oils are distilled from real plants and contain the properties of those plants, making them a natural and concentrated element of that plant. Fragrance oils will not do anything for you and will likely result in a headache if you try to substitute with them.

Panic attacks are very real and require real solutions.  This method is the best way that I’ve found to help my clients who suffer from panic attacks and need a concrete method to combat those symptoms when they occur. While everyone may have a different experience, most of my clients with anxiety are willing to try new methods to help combat their symptoms if they haven’t found success with other methods.  I’m most interested in making sure my clients have all the tools possible to manage their symptoms, so this is one way that I can encourage people to try something new that might just help them find some relief when needed.  As always, if you have a panic disorder or other mental health condition, please seek support from your mental health providers or primary care doctor to consult with about ways to manage your mental health symptoms. As a licensed clinician, I can provide advice and suggestions, but this is not a substitute for consulting with your own providers. That being said, I do hope that you will try this method and see if it works for you if you are suffering with panic attacks or anxiety.

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    The Therapeutic Benefits of Nature

    The Therapeutic Benefits of Nature

    Many people report that they feel better in a variety of ways when they spend time in nature.  Hiking, walking, going to the beach, gardening, outdoor sports, and camping all have tangible benefits to your mental health. Nature helps us disconnect from the stressors of our everyday lives, reminds us of our connection to the earth and the cycles of life, and facilitates spiritual connections by engaging our senses and quieting our minds.

    Some people intuitively know that they need that time in nature or outside in the fresh air in order to keep mentally well. But sometimes we forget that nature is a powerful healer, and if you did not grow up in an environment in which exposure to nature was routinely encouraged, you might not have considered how much of an impact that exposure can have.

    In the field of mental health, therapists and doctors are used to making clinical recommendations such as medications, cognitive-behavioral therapy, and support groups to help clients on the path to mental wellness. In outpatient settings, there is attention given to building coping skills such as meditation and exercise, but we don’t always do a good job of encouraging our clients to spend time in nature as a valid practice to improve mental health.  This is unfortunate, because nature provides so much that can boost mental health and it does so for free in most cases.

    How Does Nature Benefit Your Mental Health?

    Research supports the positive benefits of nature exposure in a variety of ways. One study found that neighborhoods that had more green space such as forests and parks had lower levels of depression, anxiety and stress.  This was found to confer benefits to communities in many ways, including encouraging physical activity, increasing social interaction, and protecting against air and noise pollution. Another study found that patients who were in a nature-based horticultural program saw more improvements in their levels of depression, anxiety and stress, and that those benefits lasted longer once they completed treatment.

    Here are some of the benefits that exposure to nature provides:

    • Sunlight

    Sunlight provides us with Vitamin D, an important vitamin that helps us stay well. Vitamin D has deficiency has been associated with poor cognitive function, depression, and anxiety. We know that exposure to sunlight boosts your mood, because of research done on the phenomenon of Seasonal Affective Disorder (SAD).  SAD occurs in areas that do not get exposure to sunlight for many months out of the year due to their proximity to earth’s poles.   People in these areas often experience depression during those months because of the lack of exposure to sun. The treatment for this disorder actually involves using light boxes to transmit the necessary benefits of light to people suffering from SAD. This study found that workers who had exposure to natural elements and sunlight in the workplace reported less depression and anxiety and more workplace satisfaction.  In fact, exposure to direct sunlight was the dominant predictor for anxiety traits; so if you have anxiety getting exposure to sunlight could be key in managing your symptoms.

    • Decreases Stress

    Mental stress is a primary factor in anxiety and depressive conditions. The more stress people are under, the more likely they are to experience anxiety, depression, burnout, cognitive decline, and physical manifestations of their mental health problems. Research continues to build support for nature’s ability to decrease stress, improve mental clarity, and reduce symptoms associated with mental health problems. One way to use this information to your benefit is to try and fit in a walk outdoors before, during or after your work day whenever possible. Even small amounts of outdoor activity can build up to give you improvements in your quality of life that will boost your mental health.

    • Improves Attention

    Everyone knows that when children can’t pay attention to a task, you send them outside to play for awhile.  We live in a time where we are increasingly disconnected with nature. Surveys have shown that Americans on average spend 90% of their time indoors. Screen time and consumption of media has increased exponentially, and this has had an impact on our collective mental and physical health. However, a review of the research reveals that exposure to nature has the ability to actually restore our attention. Excess concentration can lead to “attention-fatigue”, which most of us have probably experienced, like when you stare at a page and read the same paragraph over and over again without retaining the information. Getting out into nature can reset our attention span by provoking fascination, which allows us to recover from mental fatigue.

    • Improves Gut Health

    Getting dirty has tangible mental health benefits too. Getting dirt under your nails and inadvertently into your mouth can increase the good probiotics in your gut. A healthy gut has been linked to good mental health because your gut is connected to your brain through your central nervous, immune, and endocrine systems. Traditional thinking maintained that psychological conditions did not have a biological origin, but the latest research is finding that our mental health is actually very much connected to our bodies and specifically our gut. The bottom line is that exposure to nature, specifically getting dirty, can improve your gut health which has demonstrable benefits to your mental health. For more on this, read my post on Gardening for Mental Health.

    • Fosters Spiritual Wellbeing

    Nature has long been a place where people go to restore their spirit and reflect on their connection to the earth and the universe we inhabit.  Observing natural wonders such as the beauty of the plants, the unique qualities of wildlife, or the power of water and wind forces us to realize how small we really are and how short our time here on earth is. These kinds of reflections often lead to feelings of gratitude and serenity.  You don’t have to be religious to appreciate the beauty of nature, but many religious writings have revered nature throughout history. Traditional Native-American spirituality wholly incorporates reverence for nature into religious practices. Spirituality is highly individualized, but many people rely on their spirituality to help them cope with mental illness.  Thus, the spiritual restoration that time spent in nature seems to provide is an important benefit conferred upon those who seek spiritual refuge in natural spaces.

    How Can I Boost My Mental Health through Nature?

    It’s not hard to understand why being cooped up indoors for most of the day with little exposure to natural light and fresh air can leave you feeling sapped for energy, mildly anxious and a little depressed.  Given all the benefits of nature to our physical and mental wellbeing, everyone should be making an effort to make time spent in nature a priority. Particularly if you are struggling with depression, anxiety, or other mental health problems, spending more time in nature can help you gain improvements in your symptoms and keep you more balanced overall.

    To put this into practice, first take an assessment of your resources. If you live in a rural area, you probably already know where to go.  Whether you can hike local trails, wander in the nearby forest, or spend time near the closest lake or ocean, plan to get outside more and spend time really getting to know the natural spaces near where you live.  You can journal outdoors, take pictures of natural wonders, or just use the time to process your thoughts and feelings and get some clarity about your goals and intentions.  This may be more challenging if you live in an urban area, but there’s still plenty of options. If you live near a park, plan to take walks there.  If you have few natural spaces around you, bring nature to you. Buy some houseplants and start doing some container gardening. If you have a porch or a deck, make that a little outdoor sanctuary with plants, bird-feeders, or a mini-fountain for a water feature. Even just taking a walk around the block can give you a boost. You’ll still get exposure to sunlight, and you can take time out to observe any bird or other wildlife that is hanging around. Most importantly, get creative and look for the opportunities that you have to foster your own relationship with nature and support your own mental wellness.

    10 Non-Medical Ways to Cope with Anxiety and Panic

    10 Non-Medical Ways to Cope with Anxiety and Panic

    Anxiety is common mental health condition that affects millions of people every day.  While many people use anti-anxiety medications to help manage their symptoms, I often hear from people who want to learn more about strategies to cope with anxiety and panic attacks without using medication.

    My general recommendation for coping with anxiety is to think of yourself as having a toolbox.  You can use many different tools to cope with your symptoms, and medication may be one of those tools.  Depending on the severity of your symptoms, medication may have place in your life as you learn how to manage your symptoms in the best way for you as an individual.

    However, even if you take a medication for anxiety or panic attacks, you probably still want some other strategies to help you manage your symptoms so that you feel more confident that you can effectively cope when you begin to feel overwhelmed.

    Here are 10 non-medical tools and strategies that you can utilize to help build your coping skills around managing your anxiety and panic attacks:

    1. Deep-breathing Practices
    • Deep-breathing is a necessary strategy if you struggle with panic and anxiety. Deep-breathing techniques increase the oxygen flow to your brain and body, and it is the Number 1 way to combat acute panic and anxiety. Practice inhaling deeply through your nose, holding your breath for 5 seconds, and then exhaling through your mouth. Do this at least 10 times to produce a calming effect in your body and mind. Try closing your eyes while you are doing it as well, to increase the focus of your senses on your breathing.
    • Another deep-breathing method to try involves closing your right nostril with your thumb while you breathe deeply in through the left nostril. Hold your breath for 5 seconds, then close the left nostril with your forefinger while you release your thumb on the right nostril, and then exhale through the right nostril. You are directing the flow of air throughout your nasal passage in a conscious way. Repeat this 10 times, alternating the open and closed nostril.
    1. Guided Meditation
    • I love using guided meditation apps for sleep, but they are great for panic and anxiety as well. Using an app with your headphones can help you focus on your breath, and listening to a calming voice talk to you in a soothing way will bring your attention back to the present moment. Just go to wherever you usually get your apps from (I just use the app store on my phone) and search for “guided meditation” and look through the options.  Many apps have free versions that give you a few tracks, while others cost a few dollars and come with expanded options.
    1. Yoga
    • Yoga is an excellent technique to incorporate into your lifestyle to reduce stress and anxiety. The practice focuses on attention to your breathing as you move through poses that will stretch your muscles, increase your flexibility, and enhance your mind-body connection.  Research has shown yoga to be an effective strategy for reducing anxiety and depression.
    • Incorporate a hatha-style (gentle) yoga practice into your routine twice a week for 90 minutes for the best results. If that kind of schedule doesn’t work for you, try shorter practices more frequently, such as 15 minutes twice a day.  For more tips on building a yoga practice for mental health, check out my post on How to use Yoga for Depression.
    1. Aromatherapy
    • Aromatherapy works by using essential oils to stimulate your olfactory system, which connects scents to your nose and your brain. I have recommended them to my clients frequently as an extra resource to cope with panic and anxiety. You can use essential oils by applying them topically to the skin, in conjunction with a massage, in a diffuser for your entire room, or you can just inhale directly from the bottle.
    • The best oils in my experience to use for panic and anxiety are Lavender Oil, Frankincense , and Black Spruce. If you’ve never tried using oils before, you can start by rubbing a drop or two of oil on your wrists, and then bringing your wrists to your nose and inhaling deeply. Just be careful, as some oils that are very strong need to be blended with a carrier oil. The 3 oils mentioned here are fine to use topically on your skin, but if you have very sensitive skin, just mix a drop of oil with a teaspoon of carrier oil like coconut oil or grapeseed oil before applying to your skin.
    • Make sure that you use essential oils, and not fragrance oils. Essential oils are derived from plants, whereas fragrance oils are synthetic and laboratory made. Fragrance oils will not have the same effects as essential oils and are not a replacement.
    • I have tried different brands of essential oils, but I do prefer to use doTERRA when possible for 3 reasons: product quality, corporate social responsibility, and environmental responsibility. I’ve researched the company and find them to be reputable in those areas, which is important to me.
    • Another method of aromatherapy is to diffuse the oil into the air around you. You can use a combination of lavender and frankincense by just adding a few drops of each to a diffuser with water, and then allow the scent to fill the room. Diffusing is probably best as a more preventative method. If you find yourself having acute anxiety, you most likely will find it more effective to apply the oils topically and inhale. Diffusing is great though, for creating on overall calming and relaxing atmosphere in your personal space.
    • You can also use oils in your bathtub by just dropping 5 drops in the water. Using oils along with Epson salts will provide a relaxing bath experience. Again, lavender and frankincense are great options here. If you don’t use a bathtub, try dropping a few drops of oil in the bottom of your shower towards the opposite end of where the drain is where not as much water will wash it away so quickly. It will still diffuse a little into the steam of your shower.
    1. Journaling
    • Journaling can be therapeutic as both a preventative strategy and acute anxiety. Any journal or notebook will do, so try doing a quick entry at night before you go to bed to help you get all your stressors off your mind before going to sleep. Or, you can keep a small journal with you throughout the day and start writing when you begin to feel overwhelmed. Many people find writing to be very helpful as a coping skill, so it’s worth trying. You can also try writing down your stressors and fears and then burning them in a fire-pit or outside on a driveway as a symbolic way to rid yourself of those feelings.
    1. Mindfulness Practices
    • Mindfulness is another practice that has support from research demonstrating its effectiveness as a measure to improve psychological wellbeing. Mindfulness practices will not stop a panic attack that is already in progress, but it is a good strategy to promote mental health and resilience by consciously devoting mental energy to developing healthy habits both mentally and physically.  To get started with a mindfulness practice, try to devote 30 days to changing your habits by paying extra attention to your nutritional, exercise, and mental health needs and reducing unnecessary distractions that create extra stress such as excessive social media and technology use.
    1. Walking
    • Walking is great for your heart and your mind. If you feel a panic attack coming on, getting outside to walk is one of the best things you can do right away to help calm yourself down. Walk at a comfortable pace, which may be faster or slower depending on how you feel as an individual and what your body is telling you that you need at that moment. Take deep breaths while you are walking and if you happen to have your essential oils with you, inhale some of the oils while you are walking and breathing deeply.  This is one of the most effective combinations to combat an acute panic attack. You can also use one of the guided meditation apps in conjunction with walking, which may also help reduce acute anxiety.
    1. Sensory Distraction
    • This strategy involves using your 5 senses to distract yourself and redirect energy to your body in the present moment. Try stimulating your senses by running cool water over your wrists, inhaling from a bottle of calming essential oils, using a scalp massager to stimulate your ASMR response, visual identification, or other methods. For a full description of how to use sensory distraction to help with panic and anxiety, see my post on the topic here.
    1. Emotional Support Animals and Pets
    • If you have an emotional support animal (ESA) already, then you know how important your animal can be to helping reduce anxiety. Companion animals can have a soothing presence and provide unconditional love. ESAs can be cats, dogs, rabbits, or even snakes. The most important thing is that building a physical connection with your ESA or pet can help you calm down when anxiety is building, and stroking or cuddling your animal can produce feel-good endorphins that combat the negative energy of anxiety. You can check out more about the benefits of animals in this post.
    1. Art
    • Art can be an amazing medium to express yourself and cope with overwhelming feelings. If you are artistically inclined and depending on your interests and talents, you may choose to paint, draw, sculpt, write, or play music when you feel overwhelmed to release and re-direct that energy.
    • If you (like me) are not so artistically inclined but still love art and want to try using it to help with stress, then Adult Coloring Books are the way to go. There are lots of adult coloring books out there now with many different themes, so pick one and grab a set of colored pencils or pens and try it.

     

    Refocusing Your Mental Energy

    What all of these strategies have in common is that they bring your attention from the source of your anxiety and stress back to your own body and mind.  They all include a method of directing your energy and attention towards what is happening in the present moment and using that energy towards mental and physical healing.

    Anxiety is associated with worrying about the future in some capacity.  Many people with anxiety conditions worry about having an unexpected panic attack and they experience stress and fear about whether they will be able to cope with it when it happens. Bringing our attention to the present moment with strategies such as these can help reduce the anxiety that you feel about potential outcomes that may happen in the future.  This doesn’t take away our need to think about the future, and it doesn’t change our need to attend to our own needs in the present. But it can help balance those emotions and bring them into proportion.

    I think of managing anxiety as a two-part process.  You need to have an overall strategy to create a sense of balance and general stress reduction methods to improve your overall quality of life. Then, you also need to have that toolbox full of coping skills that can help you in the acute moments when you begin to feel overwhelmed or panicked.  The strategies outlined above can help with both.

    If you are regularly incorporating some of these strategies into your life, you will experience an overall reduction in stress and improved sense of balance in your life.  However, during moments of panic or overwhelm you want to also have methods such as aromatherapy and sensory distraction to help calm you down when needed.

    You may have already practiced some of these strategies before, but if there are some you haven’t tried yet, try to incorporate some new methods into your routine.  You may be surprised to find out what works for you, and none of them will do you harm if you practice them mindfully.

    How to Use Sensory Distraction to Stop Panic and Anxiety

    How to Use Sensory Distraction to Stop Panic and Anxiety

    When you are experiencing overwhelming anxiety, or even having a panic attack, sensory distraction can help you re-focus your energy somewhere other than the distress you are feeling.  It’s a technique that involves using your senses to distract you long enough for you to calm down or regain your composure.  I’m going to discuss a few ways to utilize these techniques and give you some examples so that you can have some extra skills for self-soothing.

    You have 5 senses: sight, sound, smell, taste, and touch, all of which can be used to help you re-focus and calm down when you are having high stress moments.  For each of these there are at least a few ways that you can stimulate your senses to help you distract during high moments of stress or anxiety.  I often recommend these techniques for my clients who are trying to find non-medical ways of coping with anxiety and panic attacks.

    Sight

    There are a couple ways you can use sight as a sensory distraction.  You can walk outside and start looking around you and focusing on what you see, preferably natural objects, like branches swaying in the wind or clouds moving through the sky.  Start to really look for details and try to absorb as much information through your visual observations as possible.  Trying to concentrate and store information will challenge your brain to focus it’s energy on something else besides the distress you are feeling at the moment.  You could also choose a photograph, piece of artwork or another type of image or object that you find to be symbolic to you.  This could be a picture of a relative or family member you love, or something with religious or spiritual significance to you.  Just find something that you can look at to remind yourself to center and shift your focus outside of the current moment.

    Sound

    Music is an excellent way to use sensory distraction.  However, choose your music wisely.  If you are feeling depressed and you go turn on your sad music, you’re not going to feel better.  With music we want to think about using opposites.  If you are angry or anxious, listen to something uplifting or calming.  If you are feeling depressed, turn up your favorite feel good music.  Another way to use sound is through the use of meditation apps, audiobooks, or podcasts.  Again, think about your choices here.  Don’t exacerbate your current distress by listening to something that will further your feelings of anger, anxiety, or sadness.  Use an app to calm down with guided meditation, listen to a motivational audiobook, or subscribe to a podcast with a positive theme.

    Smell

    Using smell as a sensory distraction can be very beneficial.  Essential oils are great for this part.  Good essential oils to use for calming include Lavender Essential Oil, Frankincense Essential Oil , andBlack Spruce Essential Oil .  You can actually just grab the bottle and inhale the scents from there, or you could use them in an essential oil  diffuser.  You can apply on your skin too, but you may need to dilute it with a carrier oil like coconut oil before rubbing directly on your skin.  Carry a small bottle of lavender with you for quick aromatherapy whenever you need it.

    Taste

    For this sense, you can think of it in terms of temperature, and focus on either drinking a very cold glass of water or a hot cup of tea.  Alternatively, you could suck or chew on a piece of ice.  Cooling your body temperature may help calm you down some.  You could also try chewing gum or bubble gum, to get more sensation on your tongue and again bring your energy to a different place of focus.

    Touch

    For touch, you could always just grab a stress ball and squeeze away.  However, one technique I’ve found can be useful is running your wrists under cold water.  Just turn on the faucet and let cool water run over your pulse points, and it may help calm you down by lowering  your body temperature slightly and giving you a peaceful sensation on your wrists.  You could also use ice for this, either by rubbing ice on your wrist or perhaps your neck and chest.  If you have a history of self-harming behaviors, using ice as an alternative to cutting is a good strategy, or you can also use the rubber-band snap method.  That just involves wearing a rubber-band on your wrist and snapping it occasionally or when needed to provide an instantaneous re-direction of your focus towards the snapping sensation on your skin.  As always, be mindful of what works for you as an individual.  With a history of self-harm, you want to make sure this is going to be helpful rather than triggering, so use your own best judgement as to what techniques might be most helpful to you and follow your instincts.

    Using these techniques may help you pull some energy away from the feelings of anxiety or panic you are experiencing.  By focusing attention to our senses, we give our bodies a chance to let go of that anxiety and re-direct our energy towards something more positive or healing.  When managing anxiety, you will benefit from having multiple resources to pull from in order to build your set of coping skills.  These techniques can be part of your overall strategy to help manage your symptoms.

    The Power of a Personal Mantra

    The Power of a Personal Mantra

    Having a personal mantra is something that everyone can benefit from. When I work with people who have struggled with self-esteem, feelings of anxiety or even feelings of grief or depression, I have often encouraged clients to develop a personal mantra as a way of staying centered, focused, and calm in the face of difficult emotions. Having a personal mantra can help you when you begin to feel overwhelmed, anxious, frustrated or defeated. One great thing about personal mantras is that you don’t have to have just one, and you don’t even have to make it up yourself.

    Take, for example, the Serenity Prayer. This is a common mantra that is used in addiction recovery circles and elsewhere, and it basically says: “God, grant me the serenity to accept the things I cannot change, courage to change the things I can, and the wisdom to know the difference” [original credit from the American theologian Reinhold Niebuhr]. Your mantra can be something like this, an inspirational quote with a spiritual focus, or it can be completely different. You could use a song lyric that particularly speaks to you, or something your mother told you frequently when you were growing up that still resonates with you today. The power of a mantra is in its ability to help you focus your mental energy in a positive direction when you need to transition out of negative thought patterns. People often turn to inspirational quotes or wise old sayings in order to provide some comfort and hope during times of struggle (i.e: “this too, shall pass”).

    Creating a personal mantra is just about using the messages that resonate most with you and provide you with encouragement and hope when you need a mental re-set. It serves as a source of positive affirmation and directs you to put your energy in a more productive direction. Whatever words you decide to use for your personal mantra, claim them! Decide that this is your new mantra and you are going to use that positive affirmation to help you through your current struggles or to keep you inspired. You don’t have to go around telling everyone, just make sure you internalize that message and use it when you need to.

    Tips for creating and using a personal mantra:

    – Think about your favorite inspirational quotes, song lyrics from your favorite artists, or words of wisdom you have heard or picked up on from other people you know, OR just make something up and inspire yourself

    – Make your mantra short and easy to remember

    – Make sure your mantra reflects something you actually BELIEVE

    – Ensure that the mantras you will use are positive, uplifting, and encouraging (avoid picking something like “Life sucks and then you die”)

    – Post visual images of your mantra in places where you will see it (in your wallet, on your bedroom mirror, on the wallpaper of your computer screen)

    – Set a daily reminder to reflect on your mantra at a useful time such as when you first get up in the morning, or before you step into that dreaded Monday meeting that always sours your mood

    – Keep repeating the mantra to yourself silently when you are struggling

    – Pick more than one if needed

    – You can use one for times when you are overwhelmed (“Serenity Now!”), and another for times you need to be inspired (“I can create the life that I want”)

    I have several mantras that I use a various times in my life, but just to share, one that I use is “Get out of the Pool”. This phrase is connected to an analogy I use with my clients sometimes, referring to drowning in a pool of self-doubt or negative self-talk. It means that when I feel like I am lingering too long in self-doubt or negative thoughts, I need to get out of that pool before I drown. Sometimes I have to remind myself to get out of the pool, because I’m wasting my times there and it’s not helping me in any positive or tangible way to keep marinating in that self-doubt.

    Once you start intentionally incorporating your personal mantra in your life, you will find that its power will grow. Changing our thought patterns and our limiting beliefs can be done, but you must make a conscious decision that you will actively work to re-focus your energy in a positive direction. You do not have to change everything in your life overnight but starting to use a personal mantra will help you shift your energy and focus in a way that will feel more empowering and will help you get through those times when your thoughts feel like they are controlling you instead of the other way around.

     

    This post originally appeared on Medium.com.