Monday, November 12, 2007

Anatomy of a Panic Attack

First, your brain will not shut off. Thoughts swirl around in a miasma of negativity. Some of them are recriminatory, some are laced with fear, others are like endless lists of what ifs which always culminate in disaster.

Second, you feel like you can't breathe properly. Air is going in and out, but too quickly, while (paradoxically) you feel starved for oxygen. This is called hyperventhilating and it is about as fun as it sounds.

Third, the tiny part of your brain that is rational keeps chipping in with soothing, calming thoughts designed to stem the overwhelming sense of impending doom. These thoughts are largely ineffective, like shouting at a thunderstorm.

Fourth, you are seized with a frenetic energy. You must move; run, pace, wring your hands continually, whatever. Sitting still is not an option. Although you may be physically exhausted, this in no way mitigates the need to expend that energy. I find it is best to follow the "flight" impulse until it burns itself out.

Fifth, your husband, completely unable to help you with this, suggests you seek professional help.

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