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What To Do When You Feel a Panic Attack Coming Part 3: Facing the Demon |
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Learn how exposures work - the technique that will give you the power to stand up against your fears and never have a panic attack again! |
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| Author: Dr. Lindsay Kiriakos |
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There are two keys to exposures:
1. They have to be voluntary (which means that you can’t do them all the time, because you won’t always be in the mood)
2. If you imagine your anxiety from a 0-8 (with 0 being calm and 8 being a panic attack), you want to hit a 4 during any given exposure (because if you go above a 4, the anxiety might get ahead of you and no longer be voluntary and under your control).
Exposures are used to gain mastery over any phobia. They work for panic disorder because the core of panic disorder is usually phobia as well: A phobia to certain physical sensations. Whether it’s a racing heart, dizziness, nausea, a choking sensation, or a certain pain, every panic disorder patient has at least one or two physical symptoms that trigger their panic cycle. Exposures show you how to experience these sensations in such a way that you finally stop being triggered by them. After 1-2 months of exposures, most patients find that coping techniques begin to be effective (i.e. the shield actually starts working). Once patients are good at exposures, they can often use them to actually stop a panic attack that is coming on. In other words, once the demon appears, they can turn the tables on the demon, challenge it, and get it to run scared with it’s tail between it’s legs. After several months of exposures, most of my patients become completely panic free (and can usually be taken off on any panic-related medications they have started).
Exposures are at the heart of Cognitive Behavioral Therapy, and they are by far the most useful techniques for killing the Demon and gaining mastery over panic once and for all.
About Author
Lindsay Kiriakos M.D. completed his undergraduate degree in psychology and biology at Stanford University, earned his medical degree from the University of Pennsylvania, completed his residency in adult psychiatry at the UCLA Neuropsychiatric Institute, and then served as a clinical instructor at the UCLA Anxiety Disorders Clinic for two years. He was certified in Cognitive Behavioral Therapy by both the UCLA Anxiety Disorders Clinic and the Academy of Cognitive Therapy. Dr. Kiriakos specializes exclusively in the treatment of adults with anxiety disorders and is also the creator of the Panic Mastery Course. Free information, a free downloadable copy of “The Worry Guide – How to Stop Anxious Thoughts”, and access to his panic disorder treatment program can be found at: http://www.PanicMastery.com
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