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Browse through 411.749 posts in 47.054 threads.

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13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
Breathing

My primary care physician suggested consulting with a physical therapist to try biofeedback, since anxiety tends to manifest in my gut, causing GI problems. Ever the skeptic, I doubted the usefulness, but went and saw one anyway.
 
The physical therapist I've been seeing hooked me up to a breathing and heart rate monitoring computer program that visually displays a signal of your breath and heart rate as sort of sine waves. The goal was to use your breathing to control your heart rate to have both signals synchronized, thus (theoretically) putting your body into relaxation mode.
 
The first thing I noticed was that I had to take very slow, deep, even breaths to synchronize the signals -- about 5 seconds from inhale to exhale. I also had to make a very conscious effort to breathe in this manner. I've been practicing my breathing during meditation for years and thought I had good breathing techniques, but the breathing required to synchronize the signals was very different, more exaggerated. My normal breathing, especially when stressed, was displayed as a shorter, more jagged signal, and could even see the "catch" reflected in my heart rate when there was a pause in my breathing.
 
Overall, the technique does seem to be helpful in lowering my stress level and improving my breathing habits. I purchased a hand-held device and try to use it for 15 minutes, twice a day.
 
FYI, biofeedback usually isn't covered by insurance and the hand-held device wasn't necessarily inexpensive. No particular endorsements here, just wanted to let people know about something I've tried.   
13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
A couple of questions.

Hi jSquared,
 
Info from a previous discussion I had with my psychiatrist: anxiety and panic tend to be harder to deal with in the morning because your cortisol (stress hormone) levels are higher upon waking -- evolutionary thing. Eating something solid for breakfast (not just milk or juice, I'm assuming you don't do caffeine) will help to lower your cortisol levels. Meditation and/or breathing exercises in the morning may also help.
 
It's very inspiring and insightful to hear what you're doing to deal with anxiety and panic. Keep up the great work! BTW, I'm also a boulderer, but have been limited to gym climbing due to agoraphobia issues. Hoping to get some outside climbing time with friends soon for exposure work.
 
Take care.   
13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
setback after a month of relief from panic

Hi loves trees,
 
Sorry to hear that you're going through such a difficult time.
 
(Strictly my own opinions below) 
Just wanted to add to Sunny's comment about most men being "fixers". Unfortunately, I'll have to agree with her view on this one. One of my best friends set me straight one day when she was venting about a problem she was having, and I automatically jumped in with ideas on how to fix the situation. She told me that she didn't want or need advice, just an understanding, sympathetic ear.

I think a lot of men tend to take a problem-solving approach to challenging circumstances. And if we can't solve the problem, feel helpless, angry, or frustrated and try to withdraw or extricate ourselves from the situation. This may or may not be the case with your partner, but what I feel he may need to realize is that the most effective way to "solve your problem" is to be understanding, patient and supportive of you when you're having anxiety or panic. From what you've described, problem-solving and subsequently distancing himself from the situation isn't helpful to you.
 
I do hope the two of you are able to further open the lines of communication and work through these issues. You can also find resources and information online for friends, family and loved-ones to better inform them on how to best be supportive for people dealing with anxiety or panic.
 
 Take care.
13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
Hello everyone, I´m new....

cmgypsy,
 
Welcome and congratulations on the upcoming nuptials! Thanks so much for having the courage to post your story here, and you're certainly not alone.
 
When I first read it, I couldn't believe how similar it was to how my own anxiety manifests itself, fear of "poop accidents" and all. One of these days I'll work up the will to post my own story, but I've been struggling with the same fears for years, and steadily increased avoidance behavior drove me to a point where it was difficult just to leave home. I recently found out that a medication I was taking was the primary culprit of my daily GI problems (have you ruled out any physical causes?), but I'm still working on overcoming these in-grained fears and getting my life back. I'm still far from being "my old self", but have made more progress in the past six months than in the past six years.
 
I'm also fairly new to this program, but can already notice the benefits. And as you've probably already noticed, the people that post in the forums are very helpful, motivating, and inspiring. Hope you're able to stick with it and enjoy a wonderful wedding in June.
 
Take care,
Flint
13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
Anxiety after the fact

Hi Maggie,
 
Re: resizing your photo in Windows, you could try the Paint application.
 
1. Launch Paint (Start -> Accessories -> Paint) and open your photo.
2. From the File menu, select "Save As..." and rename your photo and select "JPEG"  as the "Save as type".
 
If all goes well, your saved photo should be about 1/3 the size of the original.
 
Hope this helps.
Flint
13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
Introductions

Hello,

I've been working through the Panic and Depression programs for several weeks and figured it was time to introduce myself.

I'm 43 and was diagnosed with major depression and panic disorder in my late 20's (though more recently a bipolar diagnosis has been suggested) and have been struggling to keep both under control for the past 15 years.

My first panic attack occurred during an extremely stressful business meeting when I was also experiencing horrendous stomach issues, which I later found was due to severe lactose intolerance. Go figure that to this day my anxiety physically manifests itself in the form of GI distress. Over the next month, I began having multiple panic attacks daily. A friend recognized what I was going through and put me in contact with a therapist and psychiatrist, at which time I received my first diagnosis.

I then went through the medication-go-round and I’m still on it. I've tried practically every medication on the market with limited or no success -- AD's, mood stabilizers, benzos, supplements, etc., trying some two or even three times.  SSRI’s don’t agree with me, and I had an awful time getting off benzos after I built up too high of a tolerance and was experiencing nasty side effects from long term use. I’m currently taking Gabapentin PRN (as needed) to take the edge off the anxiety though I can’t take it regularly due to cognitive impairment. Did I mention that I’m ridiculously sensitive to medications?

I’ve also had years of talk-therapy which has helped me to better understand the sources of my anxiety and depression though not so much help in curing the disorders. I meditate and exercise regularly and do altogether way too much research on trying to heal myself.

Where I am now: as mentioned, my anxiety physically manifests itself in my gut and years of avoidance behavior has made it extremely difficult to leave the house if there’s so much as a gurgle down there. I’m also a very social and physically active person, and being semi-housebound has taken a severe toll on my mood.

Speaking of mood, I tend to have both short (lasting days or weeks) and long (lasting months+) depressive episodes which have been a constant disruption in almost every aspect of my life.

This is my first foray into the realm of CBT and I’m hoping to learn concrete skills to help improve my quality of life and stabilize an existence full of ups and downs.

-Flint   

13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
Introductions

Thanks for the warm welcome and kind words.
 
- Red, a friend of mine also suffers from ulcerative colitis and it's certainly not pleasant for her. Hope you have more good days than bad.
 -Davit, auto suggestion sounds interesting. I'll take a look and let you know how it goes. 
 -Neo, thanks so much for the Valentine! It brought a smile to my face.
 
Flint
13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
My Anxious Valentine

Welcome Neonath and thanks for sharing your story. It's encouraging to know that people can have such a compassionate heart despite the adversities that they've had to endure in their lives.
 
Sounds like we're on the same page re: the SSRI's and SNRI's. I'm glad Lyrica is working well for you. I'm currently taking Gabapentin with limited success but might give Lyrica a try since I've heard good things about it.
 
Take care and hope you have a Happy Valentine's Day,
Flint 
13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
Bio Feedback

Hi Kevin,
 
Sorry you're going through such a rough time. I'm assuming you're asking about neurofeedback or EEG biofeedback?
 
A friend of mine just went through a complete course of neurofeedback (40 sessions), but this was done while she was in intensive CBT with a psychologist and also meditating daily so it's difficult for her to determine if neurofeedback, specifically, was beneficial. Also, she was diagnosed with OCD and has never had a panic attack or severe depression. Overall, her anxiety has significantly improved and she is no longer in CBT or neurofeedback sessions but still meditates daily.
 
Unfortunately, this is one area where there currently aren't reliable studies or data to make an objective assessment on the effectiveness of the treatment. I agree that this is a decision that needs to be made with your health care professionals to determine the best course of treatment for you.
 
Take care and keep us posted.
-Flint   

13 years ago 0 31 logo logo logo logo logo logo logo logo logo logo 0
A question about Panic Attacks

Hi Dizzy,
 
Here's the Wiki definition of hyperventilation:
Hyperventilation or overbreathing is the state of breathing faster than normal at rest (normal minute ventilation is generally 5-8 liters of air per minute at rest for a 70-kg man).

According to this definition, I would say that I do "hyperventilate" when having panic attacks since I find that I take more frequent, short, shallow breaths when the attacks occur. It's not something that anyone would notice if they were watching me. I didn't even notice until I started trying to box breathe during the attacks and noticed a big difference from my regular breathing.
 
I rarely get to a point of fast, labored, more exaggerated breathing when having an attack, which is what I normally imagine when I think of hyperventilation. My guess is that the Wiki definition is what your therapist is referring to.
 
Did you ask your therapist about his specific definition of hyperventilation, and have you tried box breathing when having an attack to see if you notice the difference? Also, I wasn't able to find a definition of panic attacks that necessarily required a symptom of hyperventilation, though I'm sure it's probably one of the most common symptoms.

Hope this helps,
-Flint