Grounding technique: keep a small, safe object handy for when you need to feel grounded. This could be something like a pebble or stone, something that won’t break easily, or perhaps some children’s ‘putty’ / play-dough that you can squeeze, or anything you think will help to ground you. Make sure that you can’t hurt yourself on it, that it doesn’t have sharp edges, won’t break if you hold or squeeze it, and that makes you feel calm when you hold it as a grounding object.
If you feel like you are experiencing anxiety, panic, dissociation, dizziness, confusion, intrusive thoughts or mental and emotional distress, use this object to help you ground yourself. Focus on how it feels to touch, what it looks like, observe it, the way the light touches it, its texture and so forth and focus intently on this safe object while calming your breathing. Keep it in your pocket or take it with you so that you can use this to help you when you need it. The good thing about a small object like this is that other people most likely will not even notice it in case you are worried about that.
Also, you can try the ‘5, 4, 3, 2, 1’ method as a grounding technique where you focus on being aware of your five senses. Notice 5 things you can see, 4 things you can hear, 3 things you can touch, 2 things you can smell, and 1 thing you can taste.
Anxiety can leave you feeling pretty small. If you battle against anxiety, you know that this ‘nemesis’ can leave you feeling overwhelmed, underprepared, backed up against a wall, cowering in a corner with your hands over your face, wishing it all would just go away. But guess what? You lived to fight another day. And if you stay in training, one day you will find that you have the courage to step away from that corner, lift your head high, tell anxiety who’s boss, and win the battle as you take the next step to accomplish your goal however big or small that goal might be. Don’t get me wrong, anxiety like most opponents doesn’t give up easily…winning one battle doesn’t mean that you won’t face others in the future, but as you stay in training, build resilience and learn how to use your ‘armoury’ then you will become increasingly stronger and better prepared so that it doesn’t continue to overwhelm your every day life in such a debilitating way as it might be doing just now.
You’ll probably realise, and if you’ve read my previous blog posts on related issues then you’ll know, that I speak from years of painful experience in this regard. However, I have learnt a fair bit in this difficult journey, it certainly has been a battle against a persistent foe, but as small as we might be feeling when experiencing anxiety, panic attacks and related conditions, we can become ‘superheroes’ in our own way as we overcome our own battles, and use our increasing skills and strength to help others.
You are not alone
I know how debilitating living with Generalised Anxiety, panic attacks, PTSD, etc can be. My heart goes out to you if you are overwhelmed by these things just now. I’d love to share with you some of the things I’ve learned that help me make progress on this journey. It continues to be a daily challenge, however, it does get better the more you understand. Actually, the reason I started writing this was prompted by almost having a ‘meltdown’ this evening because I couldn’t find an address that I needed, but I was able to ‘talk myself out of that corner’ that I felt backed up against.
Quick tips for your training to become a ‘superhero’ in your fight against anxiety.
Arm yourself with knowledge – know your opponent.
You can’t really win this fight if you don’t know what you’re up against. I know the fear of feeling that your head and heart are about to explode, hyperventilating and feeling that you will be sick (or in my case, actually being sick a couple of times), collapsing physically in a heap, feeling dizzy, stressed, and worrying that you might be going crazy because of the relentless and unceasing bombardment of thoughts firing at you like arrows from all sides.
Knowing that these are ‘normal’ symptoms of a condition that many people share was one of the first steps for me for making sense of things and lessening the fear that something far worse was happening to me. So find some recommended resources – there are plenty out there such as MIND in the UK https://www.mind.org.uk/ but there will be plenty of others that can help explain to you what’s going on in your body, brain and nervous system. You’re not going crazy if you’re experiencing anxiety or panic attacks – you are in fact incredibly brave as each small thing that may seem easy or effortless to other people, is a monumental task for us.
2. Get support from a professional.
I am so blessed and thankful that living in the UK I have free access to health care, including support for mental health conditions such as anxiety. I had to face in myself the ‘stigma’ that I felt in reaching out for help but things had got to such a point that after years of stress my body was overloaded with stress hormones and I physically and mentally couldn’t cope any more. I needed support, and actually reaching out to get that, as scary as I felt it was at the time, and as reluctant as I was, is one of the best things I have done in my recovery.
Work at getting rid of and overcoming any stigmas you might have about getting help for mental health. Just as you wouldn’t feel ashamed about getting help for a broken arm, for diabetes or migraines or other physical conditions, you and I have no reason to feel ashamed if the chemicals in our brains, our hormones, nervous systems and consequently our thoughts are ‘not working properly’. Nor would you sit at home trying to repair your own broken arm, or at least I hope you wouldn’t, so learn from my mistakes of trying to get through things on my own for so many years, and losing out on quality of life and suffering more than necessary, by getting help from someone who knows and understands what is going on. If you live in a country where you have to fund your own health care, try to find out if there are charitable groups with a strong background in mental health that can offer you some support, phone a related helpline and ask if someone can help you understand what’s going on, access online resources, including YouTube videos such as those by licensed therapist Katie Morton – she is lovely and explains things very well. But don’t try to go it alone when you don’t need to. Even ‘Batman’ has backup, so why shouldn’t you? 🙂
3. Friends, family and a support network.
Related to this, share with trusted friends and family members and try to build up a support network. You might not like the sound of this at first, but you won’t always be what you might feel is ‘the needy one’. You are strong too and can reciprocate help. Having friends and family involved to supplement the support from professionals, rather than feeling like you are overburdening people who might not have the resources to help, can be a big part of your recovery, and your training on your ‘superhero’ journey 🙂 Just knowing that you have someone who is aware that you might need a bit of encouragement when you both are walking into a crowded room, or going out with friends, or that you might need a bit of extra time as ‘leeway’ when leaving the house to meet them because anxiety can strike when you’re not expecting it, can help build and preserve understanding within these relationships. You might find that they also struggle and that you can be sources of mutual support to each other.
4. Breathe, breathe, breathe!
You and I really need to practice this regularly and stay in training. This is one aspect of becoming resilient that we cannot afford to neglect. Breathing properly is essential for life. It is also essential for quality of life. When we panic, we hyperventilate, we breathe short, shallow breaths, sometimes ‘gulping’ in air, or holding our breath, and we can breathe erratically and too frequently. Everything speeds up! We send our bodies and brains into fight / flight / freeze mode, adrenaline and cortisol go up, we might start pacing up and down, looking for a ‘way out’, sweating, crying or facing a melt down. An inevitable response is that we then have to contend with racing thoughts, mostly negative and self-deprecating, or ‘catastrophising’ about the situation and imagining the worst which means our anxiety goes up rather than coming under control.
This is why breathing properly is so essential. I know, I know, ‘it’s easier said than done’, right? That’s true, but it’s also not as hard as you think. You’ve seen in films how someone panicking might be given a paper bag to breathe into, and gradually the pace and intensity of their breathing calms down. You don’t need a paper bag, but you do need to breathe in a more helpful way. Try this – breathe in through your nose for a count of 4, breathing so that your belly rises on the in breath, hold the breath for 4 seconds, and then exhale through your mouth for a count of 5. There are different variations on this for the amount of time, but the main thing to remember is breathe in through the nose, hold, and breathe out through your mouth, allowing your tummy to rise and fall with the in and out breaths, and making sure that you exhale for just a bit longer than you inhale. This helps to regulate the oxygen and carbon dioxide in your system, calms the nervous system and get you out of the ‘fight / flight / freeze’ state into being more in control of your body and mind.
We need to keep practicing this though, daily. Start small, for a few seconds at a time if that’s all you feel you can manage, and then just build from there and keep going – it works wonders! At first I felt frustrated when doctors kept on at me about the breathing when I felt I needed something more to help me, but simplicity is really the key sometimes, and just trust me they know what they’re talking about when they prescribe ‘breathing’ properly as the medicine you need! Sometimes, as the saying goes, the best things in life really are free!!! 🙂
This is a very personal journey, so ask for advice, information and guidance from healthcare professionals. Tell them what your concerns and symptoms are and consider whether taking medicine to help with anxiety, might be a helpful option for you, even if just in the short term to take the edge off things.
6. You are what you think?
Be transformed by renewing your mind. Challenge and intercept your negative thoughts, and grow in understanding of the connective cycle between thoughts, feelings, reactions and actions. You might need help with this at first, but it is essential, and as with breathing, it is a daily and lifelong training we need to maintain. Initially it feels impossible to rise up from the onslaught of negative thoughts incessantly bombarding our minds, and they seldom turn up alone. But if you can address and intercept your thoughts then you can gain mastery over your physical, mental and emotional reactions.
Stay in training even on good days, because if out of the blue anxiety strikes you will be better placed and practiced to talk yourself down into a calmer more rational state of body and mind, as I was this evening when facing a potential ‘meltdown’.
For example, if you have to walk into a room full of people, you might be indulging in negative self-talk such as “I’m so awkward, everyone’s looking at me, I can’t do this, I need to get out of here” etc. This leads to feelings of stress, anxiety, self-consciousness, fear, shame, awkwardness, distress, low self esteem, and so forth. You then might react with a racing heart, hypervigilance, wringing your hands, keeping your head down, avoiding eye contact, clenching your fists, while experiencing symptoms of dizziness, nausea, pain, etc. This leads you to take the actions of walking quickly to where you’re going, avoiding eye contact with others, or seeking an exit (don’t worry, I do this often but I’m working on it, and getting better gradually and you can too) or make excuses to leave. Alternatively, you might have a ‘fight’ reaction and snap at someone, become agitated in your movements, or you might ‘freeze’ like a rabbit startled by the headlights of an oncoming vehicle, which is often what anxiety can feel like.
See how powerful a thought is! So, instead, focus on your breathing, arm yourself with new, positive and affirming thoughts such as ‘I can do this’, and keep practicing these and see how much better you come to feel over time. Basically, you need to learn to ‘be your own best friend’ in all of your self-talk and thought processes – it takes a lot of hard work, but we all need to keep at it to see the benefits.
7. Five, four, three, two, one.
A simple and helpful ‘grounding’ technique has been so beneficial to me, so please do try it yourself and keep practicing even on good days to train your mind. Observe 5 things you can see, four things you can hear, three that you can touch, two that you can smell and one that you can taste. This really helps get us out of our own heads, grounds ourselves in reality and helps us feel safe.
8. Brain training
You’ll be amazed at how much your brain is capable of when you put in the work to take care of your mental health. Brain training is a good and enjoyable way to start, and this might take the form of puzzles, cross words, card games, mind challenges, riddles, touch typing, learning a new language or skill, etc.
9. Exercise and Nutrition
Just as we need to exercise our brains for health and well being, physical exercise, even starting small at first for 5 minutes a day if you are not used to it can boost our endorphins, our ‘happy hormones’, lift our mood, help our bodies, brains and nervous systems and regulate our emotions, while fuelling ourselves with healthy and nutritious foods and water can boost our mood and also help us feel calmer and more balanced.
10. Sleep – Zzzzzzzz!
Good sleep is something I struggle with and have to keep working on. Often I feel anxious before going to bed and can’t settle, or my sleep might be interrupted. I need to work on this, we all do, but little by little, step by step we can make improvements so that we can reap the healing benefits of sleep and rest. Even if we can’t sleep, we can practice stilling our minds, and disconnecting from the overload of online information and chatter, so that we are in a more restful and rejuvenating state.
So that’s my top 10 for now. No one said it is going to be easy, but you and I deserve a better quality of life than we have with anxiety, and it is possible…we are superheroes afterall! 🙂 x
Our lives are always changing. Our experiences ebb and flow with the seasons. We find comfort in the predictability of the seasons of life, and the rhythm of our days – we like change, we even find it exciting, when we can manage it, feel somewhat in control, in the driving seat.
Yet change doesn’t always happen in a way that we would like. When planned for, change can be life enhancing – the new job we prepared for, the travel adventures we want to go on, the new seasons of life that come with new friendships, relationships, births, marriages, achievements, academic success, promotions, new hobbies, and so forth, where change happens, but it is wanted and to some extent planned for. Life sometimes just happens though….regardless of whether the changes that come are what we want or not. Changes may be unwanted, negative – they might involve suffering or pain or loss or just throwing us outside of our comfort zone more than we would like. But what of those changes that are neither particularly ‘good’ nor ‘bad’….just different?
To bring things to a personal level, with where ‘life happens to be’ for me at the moment, the organisation I work with has recently been amalgamated / absorbed into our larger ‘parent’ organisation, as it were. Old logos have gone and we are now all ‘one and the same’, within this bigger organisation. I helped, along with some of my colleagues, with the business transfer – the legal stuff. It was an exciting new challenge and I learned a lot that I would otherwise have had no opportunity to without these unique circumstances. As important as it was – that was the easy bit!
Now that all of the legal procedures have been dealt with, and things are official, the practicalities of what this means have come into play. Thankfully, I won’t be moving to another building, but 250 people are moving in to the one I’m in. I’m seeing new faces every day, I have no idea who most of them are or what their jobs are, and I have on the positive side of things been involved with new and more interesting work.
Now, as a person with C-PTSD, Generalised Anxiety Disorder and Depression, changes like this can be quite tricky. I had a panic attack and was sent home from work last week, and that’s even before the new people arrived – I had just been moved out of the room I was in, someone was in the temporary quiet place I was to be in for a couple of weeks until they let me know where I’ll be sitting, and so this ‘little issue’ turned out to be a major trigger for me in feeling unsafe, overwhelmed and like a helpless and threatened child again – I was no longer in control of my surroundings and felt like certain people were being hostile towards me, which may just be their less than graceful way of communicating. And so came the fear, stress, hyper vigilance, hyperventilation, panic, tears, dizziness, PTSD etc.
Thankfully, despite various hurdles and challenges along the way, my workplace is pretty supportive overall, and I am very thankful for that. If you find yourself in a similar situation, and have ‘hidden disabilities’ that make things harder for you, then know that there are ways for you to manage change at work. Maybe like me, you’re protected by legislation, and have people within your organisation who can advocate for you when speaking up for yourself is difficult or seemingly ‘impossible’. Through this process I have had meetings, a risk assessment, and an occupational health review. As such, I am being considered for work in a quiet space, to help me stay well at work, and to continue doing the excellent work they know I am capable of doing. I am awaiting a decision on that, but in the meantime I have been given a laptop to use in a quiet room, which happens to have a beautiful view of trees – which is just the calming effect that I need. I still have the hurdles of my own anxieties to overcome, like encountering new people, wondering whether colleagues think I’m getting preferential treatment, or whether they think I’m ‘crazy’, or weird or are talking about me.
I’m sure I’m not alone in these kind of thoughts and feelings – that’s all part and parcel of anxiety – however, we can find ways to manage change at work better, if we learn to better manage our own thoughts, feelings, nervous system and wellbeing. If you are struggling, maybe that’s the last thing you feel you need to hear right now – but I know that it is a daunting and difficult journey. it takes time, it takes courage, it takes patience and practice. And sometimes we just can’t quite manage it on our own – and you know what – that’s ok. If you are having to manage change at work try to give yourself as much help as you can – when you are less stressed write down some ways in which you can find a helpful way forward – perhaps this might involve asking someone for help, asking your employer for ‘reasonable adjustments’, getting a letter from your doctor or union representative, or some other form of advocate. On a more personal level, it may mean spending more time working on your breathing, managing anxiety, ensuring you are looking after yourself physically, working on improving your sleep, water intake, healthy eating, exercise and generally being really kind to yourself. This can be incredibly difficult when things are tough and stressful. It can also be difficult to keep in contact with friends and you might feel alone – but there are always avenues of support – you deserve giving yourself the best chance. Find familiar things at work and build them into your day – whether that may be going somewhere for lunch that you are comfortable with, keeping in touch with a colleague you are friends with, or working on something that you know you are good at. The bigger, strategic, high-level changes may be out of our hands, but at a more ‘down to earth’ level, we can find ways and means to help ourselves and each other manage the otherwise stressful effects of workplace change. Any helpful ideas from your experience? Please feel free to share them in the comments. x
Yep, this post is real time, happening right now. I’ve written a lot about mental health and my experiences of anxiety so hopefully writing as it happens will encourage and help someone out there somehow.
What is happening right now? In case you’re wondering how I am typing while experiencing an episode of anxiety, I can touch type and have done for years and therefore it is very natural in terms of ‘muscle memory’ and also somewhat ‘soothing’ in a way to help me through this.
I have been having difficulty with my breathing, those ‘icky’ anxious feelings rising up in my chest, struggling to not ‘zone out’ as dizziness takes over and my head lolls back and forth. Feelings of being trapped, unable to control my body’s responses and do simple things, upset, trying to regain control.
This is clearly not one of my worse ‘episodes’. During those I wouldn’t be able to communicate with you at all or sit and write, but hopefully it illustrates to those who don’t understand anxiety, particularly the clinical Generalised Anxiety Disorder that you might see someone in your life with this condition seemingly ‘functioning’ but actually this ‘invisible illness’ can be hurting them pretty bad at that moment. For those of you who do experience anxiety and wonder if you’re crazy or if you are making it up somehow in your head because you can still ‘do stuff’ ….be encouraged that you may still be functioning, maybe somewhat on ‘autopilot’ even though you are moving through life and getting on with things, that doesn’t negate your heightened state of distress, and the difficult thing is it is not easy to see.
When things have been really bad for me during an anxiety or panic attack or dissociation from PTSD and related symptoms, I struggle to walk, talk and write as words get jumbled and my spelling gets all mixed up. I feel dizzy, distressed and have been physically sick before, both at work and on the way to work, I’ve had to be held by people to be able to walk, I’ve hyperventilated and felt like my mind was going to explode, suffering as if with a nightmare even while awake, with intrusive thoughts and an inability to tolerate multiple conversations, sounds, lights, sensory input of any kind.
Why am I telling you this? Because I am a fighter, and I believe you are too. Even as I am currently, as I write and possibly as you read this, going through an episode of anxiety right now, as my body rocks itself back and forth as I type in an automatic effort to ‘self soothe’, I am reaching out to you. Once upon a time I would be floored, I would be immobile and unable to get control of my distress, and maybe that’s the situation you’re in with anxiety or related conditions in your season of life right now.
But keep practicing, on the good days as well as the bad, strengthen your coping techniques, get so strong so that instead of panic, helplessness, fear and despair and your nervous system, mind and body going ‘haywire’, you will have trained your system’s automatic response to be one that finds a way to get control of your symptoms rather than them controlling you. You will get up, you will keep fighting, you will get a handle on the fight, flight, freeze responses, and like me, the overwhelming feelings of maybe being dizzy, disoriented, confused, overwhelmed, upset, distressed, having palpitations, feeling perhaps like you’ll be sick, being sick, feeling like you might collapse, faint, have a heart attack, maybe even die….you will conquer them….so don’t give up hope, we’re in it together…I can’t believe how far I have come sometime, but I am determined to get so strong that I can help other people, and I know that same fight and resilience is in you too my friend. Never give up. You are capable of amazing things, even with your condition, and even as the symptoms happen in real time. Be blessed. x
Time to go and get a handle on this stuff, first step, breath work to regulate nervous system with deep breathing. Here goes….