Rising Sun Psychotherapy & Nuevo Amanecer
Michele Boudreau, PhD, MFT, LMHC

Retraining Reactions

 

Practice letting fears go past changes the way my mind reacts.


Over time, panic becomes an automatic conditioned reaction to certain
situations or to symptoms of anxiety. Retraining involves desensitizing your
reactions to anxiety that seems to come from nowhere. A toddler was
conditioned to be afraid of a stuffed rabbit by hearing a loud bang every
time he touched it. He was then desensitized to this fear by being given
food on which to refocus when the rabbit was present, or he simply faced
his anxiety without hearing a bang. These two methods can be used to
make the worst panic as harmless as a stuffed rabbit. Practice refocusing
during panic and check which strategies are most helpful to you.

WHEN FEARS ARE BOGUS, JUST REFOCUS

Refocus on something pleasant—take a walk, knit, shoot baskets, work a
crossword puzzle, count backwards from 100 by 3, hum, or recite poems. At
first, you may still notice some anxiety. You will need to remind yourself that
the effects of adrenaline always pass and that the less concern you give
symptoms, the more quickly they fade away. Refocusing is no different from
reading an exciting novel even though you hear a siren in the background.
Refocus not to avoid anxiety, but to allow sensations to continue as
“background music.”

Refocus on breathing. Taking breaths with awareness is one of the best
things you can do for yourself. The following “calming breaths” should be
practiced frequently so you can easily execute them when you are feeling
anxious:

     1.        Take a deep, slow breath through your nose to the count of
                three, completely filling your lungs.
     2.        Hold for three counts.
     3.        Exhale through your mouth while counting to six.
     4.        Pause for three counts.
     5.        Repeat steps 1–4 two more times.

Refocus on a positive image during calming breaths. You can imagine a
safe place where you would feel peaceful by yourself. This might be the
beach, the woods, a mountain, or a church. You can also imagine yourself
doing something you enjoy, such as swimming, playing bingo, or bowling. It’
s important that you make the details of where you are or what you’re doing
as vivid as possible: What time of day is it? What is the temperature like?
What colors and shapes do you see? What sounds do you hear? What
textures do you feel? Make sure your image is the right size and intensity.
When people experience panic, they often want to run to a place of safety.
You can do this instantaneously by imagining such a place in your mind.

Refocus on a spot. Concentrating on a focal point will spontaneously
cause a relaxation response. You may notice becoming still, your jaw and
shoulders dropping, your eyes blinking, your eyelids getting heavy, and
your eyes wanting to close. Like focusing on breathing or imagery, staring
switches you from being a thinker to being an observer. The only thing that
produces tension is thoughts. Repeating a comforting word when thoughts
dare to enter your mind helps maintains a state of observance that makes
panic impossible.

Tapping acupressure points may go further than refocusing by removing an
imbalance in the body’s electrical flow that “holds negative emotions in
place.” The most important treatment points to tap (about seven times
each) during a panic attack are:
     
     1.        The bony ridge directly under the eye pupil
     2.        Four inches under the armpit
     3.        Where the nose meets the ridge of the eyebrow
     4.        An inch under the collarbone and an inch to the side of the
                sternum
     5.        Inside the little fingernail.

After noticing some calming effect, further reduce anxiety by moving your
eyes in a horizontal figure 8 while tapping the outside points of your
eyebrows, humming a few notes, counting to three, and humming again.
This is supposed to balance the emotional and logical brain hemispheres.
Then repeat steps 1–5.

The floor-to-ceiling eyeroll combines the use of acupressure points with
automatic eye closure that is a sure sign of relaxation. While tapping the
back of your hand between the little and ring finger knuckles, hold your
head still and look down until your lids are almost shut. Slowly roll your eyes
up as if you were trying to see your own eyebrows. When it is too tiring to
look up anymore, allow your lids to flutter closed. Take a deep breath, stop
tapping, and exhale while your eyes rest.

WHEN YOU FACE A FLOOD OF TENSIONS IT LOSES ITS DIMENSION

Flooding is the opposite of trying to control symptoms. If you face your
sensations, encourage them (flood), and float past them, panic will last less
than 60 seconds and go through you like a wave. When you try to control
your symptoms, you are actually trapping anxiety inside yourself.

Attempting to hide what is happening or holding still are ways of trying to
control. Even worse, some people run from panic to a “place of safety.”
This pumps adrenaline into their systems and is like pouring gasoline on a
fire. Shaking, allowing a racing heart to run its course, and doing the
following allows anxiety to pass through.

 

 

 




References

See Jeffrey M.  Schwartz’s “4-R’s of recovery” for OCD found in Brain Lock
(HarperCollins, 1996).

Trans-Formation in Everyday Life by Kate Cohen-Posey (Golden Nuggets
Press, 800-440-1773), www.psych-assist.net.

The brain balancing approach has numerous relaxation exercises used
here was developed by Fred Gallo to modify Callahan’s original “Algorithm.”
Contact fgallo@energypsych.com or see Energy Psychology by Fred P.
Gallo (CRC Press, 1998).

Algorithm for treating panic disorder was developed by Roger Callahan.
Contact Callahan Techniques at 760-345-4737 or www.tftrx.com.

Flooding is further described in Simple, Effective Treatment of Agoraphobia
by Claire Weekes (Bantam, 1979)

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