There is
phobia that is linked to the experience of panic attacks, and that
is agoraphobia. Agoraphobia is the fear of open spaces or of being
in crowded, public places such as shopping markets. It is a fear
associated with leaving a safe zone, such as the home.
Because of a
feeling of being vulnerable, people who experience this fear often
suffer from panic attacks in these “open” situations. It is true to
say many people who have regular panic attacks experience different
degrees of agoraphobia. Some have a lingering background anxiety
about being away from home should they experience a panic attack.
Other people are so immobilized by this fear that they find it very
difficult to leave their home for even a short period.
The thinking
behind agoraphobia usually follows the line that were a
panic attack
to occur, who would look after the person, how would he or she get
the assistance and reassurance they needed? The vulnerability grows
from the feeling that once victims of agoraphobia are caught in the
anxiety, they are suddenly unable to look after themselves and are
therefore at the mercy of the place they find themselves in and the
strangers around them. In its extreme form, agoraphobia and panic
attacks can lead to a situation where people become housebound for
numerous years. Please note, this is by no means a hopeless
situation, and I always need to reinforce the fact that something
only becomes hopeless once the person really believes that to be the
case.
To begin
with, the primary issue that needs to be addressed is the belief in
the safe zone. To clarify, when I talk about safe zone, I am
referring to the zone where the person believes panic attacks do not
occur, or at least occur infrequently. As comfort is found there, it
is where the person tends to spend more and more time. The safe zone
of anxiety is a myth sustained by the mind. The mind has developed a
habit of thinking that dictates that being inside the safe zone is
the only place to feel secure and
avoid
agoraphobia and panic attacks. If agoraphobia is an
issue for you, watch as your mind comes up with reasons why it
believes only a certain area is safe and another is not. Those
reasons range from being near the phone or people you trust to
having familiar physical surroundings to reassure you.
The reality
of anxiety is that there is no such thing as a safe zone. There is
nothing life threatening about a panic attack, and therefore sitting
at home is the same as sitting under the stars on a desert island.
Of course, your mind will immediately rush to tell you that a desert
island is a ridiculous place to be as there are no hospitals, no
tranquillizers, no doctors, NO SAFETY.
You need to
review your previous experiences of panic attacks. Aren’t you still
here, alive and well, after all those attacks during which you were
convinced you were going to die?
It may be
that on occasions you have been driven to the hospital where they
did medicate you to calm you down, but do you really believe that
you would not have survived were it not for the drugs? You would
have. If the same bout of anxiety had occurred on this desert
island, it too would have passed, even if you were all alone. Yes,
when it comes to conditions that need medical attention such as
asthma, diabetes, and a whole litany or other conditions, then
having medical aid nearby is a big asset, but no doctor in the world
would tell someone with anxiety that there are only specific safe
zones in which she or he can move.
As I know
more than anyone how terrifying it can feel to move out of your safe
zone as the feeling of fear is welling up inside, I do not wish to
sound harsh. This course is not about chastising people for their
behaviors. It is a way of looking together at solutions and seeing
through the myths that form prison walls. The goal is to enable you
to return to a richer and more meaningful life and ultimately defeat
your agoraphobia and panic attacks. I also realize that people
around you cannot understand why a trip to shops would cause you
such discomfort. You will have to forgive them and try not to be
upset by their lack of understanding of your problem.
If an
individual such as a partner or family member has not had a similar
anxiety issue, that person may often find it hard to understand and
empathize with what you are going through. I am sure you have been
dragged out of the house numerous times against your will, kicking
and screaming. This can then lead to tensions and arguments and is
upsetting as it can make you feel less understood by those around
you. People around agoraphobics are often simply trying what they
feel is best. If you can see that their intentions are well meaning
(although often misguided), then you will be able to relate to them
better and help sooth any potential conflicts.
There is one
thing I am sure you will agree with, and that is that the only
person who will get you out of agoraphobic thinking is yourself.
These are your thoughts, and only you can begin to change that
pattern. Dealing with long term agoraphobia and panic attacks is a
slow process to begin with, but once the results start happening, it
moves faster and faster until you reach a point where you will find
it hard to believe that going out was such a difficult task.
Learn
more
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Panic Away
Joe Barry is an international panic
disorder coach. His informative site on all issues related to panic
and anxiety attacks can be found here:
Panic Away
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Panic Away
It is
often observed that many people’s top ranking fear is not death
but having to speak in public. The joke is that these people
would rather be lying in the casket at the funeral than giving
the eulogy. Public speaking for people who suffer from panic
attacks or general anxiety often becomes a major source of worry
weeks or even months before the speaking event is to occur.
These speaking engagements do not necessarily have to be the
traditional “on a podium” events but can be as simple as an
office meeting where the individual is expected to express an
opinion or give verbal feedback. The fear of public speaking and
panic attacks in this case centers on having an
attack while speaking. The individual fears being incapacitated
by the anxiety and hence unable to complete what he or she is
saying. The person imagines fleeing the spotlight and having to
make all kinds of excuses later for their undignified departure
out the office window….
This differs slightly from the majority of people who fear
public speaking because their fear tends to revolve around going
blank while speaking or feeling uncomfortable under the
spotlight of their peers. The jitters or nerves of speaking in
public are of course a problem for this group as well, but they
are unfamiliar with that debilitating threat which is the panic
attack, as they most likely have not experienced one before.
So how should a person with an anxiety issue tackle public
speaking?
Stage one is accepting that all these bizarre and quite frankly
unnerving sensations are not going to go away overnight. In
fact, you are not even going to concern yourself with getting
rid of them for your next talk. When they arrive during a
speech/meeting, you are going to approach them in a new manner.
What we need to do is build your confidence back to where it
used to be before any of these sensations ever occurred. This
time you will approach it in a unique, empowering manner,
allowing you to feel your confidence again. It is said that most
of the top speakers are riddled with anxiety before speaking,
but they somehow use this nervousness to enhance their speech. I
am going to show you exactly how to do this, although I know
that right now if you suffer from public speaking and
panic attacks you may find it difficult to
believe you can ever overcome it.
My first point is this and it is important. The average healthy
person can experience an extreme array of anxiety and very
uncomfortable sensations while giving a speech and is in no
danger of ever losing control, or even appearing slightly
anxious to the audience. No matter how tough it gets, you will
always finish your piece, even if at the outset it feels very
uncomfortable to go on. You will not become incapacitated in any
way.
The real breakthrough for if you suffer from public speaking and
panic attacks happens when you fully believe that you are not in
danger and that the sensations will pass.
“I realize you (the anxiety) hold no threat over me.”
What keeps a panic attack coming again and again is the fear of
the fear—the fear that the next one will really knock your socks
off and you feel you were lucky to have made it past the last
one unscathed. As they were so unnerving and scary, it is your
confidence that has been damaged by previous anxiety episodes.
Once you fully understand you are not under any threat, then you
can have a new response to the anxiety as it arises while
speaking.
Defeating public speaking and panic attacks...
There is always a turning point when a person moves from general
anxiety into a panic attack, and that happens with public
speaking when you think to yourself:
"I won’t be able to handle this in front of these people."
That split second of self-doubt leads to a rush of adrenaline,
and the extreme anxiety arrives in a wave like format. If,
however, when you feel the initial anxiety and you react with
confidence that this is not a threat to you, you will move out
of the anxiety rapidly. Using this new approach is a powerful
ally because it means it is okay to feel scared and feel the
anxiety when speaking–that is fine; you are going to feel it and
move with and through the sensations in your body and out the
other side. Because he or she is feeling very anxious, often
before the talk has begun, that person may feel they have
already let themselves down. Now, you can relax on that point.
It is perfectly natural to feel the anxiety. Take for example
the worst of the sensations you have ever experienced in this
situation—be it general unease to loss of breath. You will have
an initial automatic reaction that says:
“Danger–I’m going to have an episode of anxiety here and I
really can’t afford that to happen.”
At this point most people react to that idea and confirm it must
be true because of all of the unusual feelings they are
experiencing. This is where your thinking can lead you down a
train of thought that creates a cycle of anxiety that produces a
negative impact on your overall presenting skills.
So let that initial “oh dear, not now” thought pass by, and
follow it up immediately with the attitude of:
“There you are–I’ve been wondering when you would arrive. I’ve
been expecting you to show up—by the way, I am not in the least
threatened by any of the strange sensations you are creating—I
am completely safe here.”
The
key
to controlling your fear of public speaking and
panic attacks is that instead of pushing the emotional energy
and excitement down into your stomach, you are moving out
through it. Your body is in a slightly excited state, exactly as
it should be while giving a speech, so release that energy in
your self-expression. Push it out through your presentation not
down into your stomach. You push it out by expressing yourself
more forcefully. In this way you turn the anxiety to your
advantage by using it to deliver a speech where you come across
more alive, energetic and in the present moment. When you notice
the anxiety drop as it does when you willingly move into it.
Fire a quick thought off when you get a momentary break (as I am
sure you have between pieces), asking it for “more.” You want
more of its intense feelings as you are interested in them and
are absolutely not threatened by them.
It seems like a lot of things to be thinking about while talking
to a group of people, but it is not really. You’d be amazed how
many different non-related thoughts you can have while speaking.
This approach is about adopting a new attitude of confidence to
what you might have deemed a serious threat up until now. This
tactic will truly help you with fear of public speaking and
panic attacks you have associated with them.
If your predominant fear of the speaking engagement is driven by
a feeling of being trapped, then I would suggest factoring in
some mental releases that can be prepared before the event. For
example, some meetings/speeches allow for you to turn the
attention back to the room to get feedback etc. from the group.
If possible, you might want to prepare such opportunities in
your own mind before the engagements. This is not to say you
have to ever use them, but people in this situation often remark
that just having small opportunities where attention can be
diverted for the briefest of moments can make the task seem less
daunting. It my even be something as simple as having people
introduce themselves or opening the floor to questions. I
realize these diversions are not always possible and depend on
the situation, but anything you can factor in that makes you
feel less trapped or under the spotlight is worth the effort and
can help alleviate fear of public speaking and panic attacks.