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Exposure Planning Session 4


15 years ago 0 8760 logo logo logo logo logo logo logo logo logo logo 0
Hi Miki,
 
Don't be too hard on yourself about yesterday, at least you pushed through your anxiety. That alone is great progress!
 
Here's a How-To for Progressive Muscle Relaxation:

Progressive Muscle Relaxation

When people feel stressed they usually "carry" anxiety in their body. We often say that people who are anxious are tense people. People who are anxious or tense usually report a variety of aches and pains including headache, sore neck, sore back, and shore shoulders. When you carry anxiety in your body, you feel tense and sore. Feeling tense and sore creates more stress and anxiety...more fuel for the Panic Cycle. Fortunately there are ways in which you can 'download' tension. Box breathing is one way to reduce anxiety and tension. Progressive muscle relaxation is yet another.

We often don't notice the tension we carry. What you do in practicing progressive muscle relaxation is simple. Try tensing ALL of your major muscle groups at once, and then relax. As a result you really notice the feelings of tension and relaxation. Progressive muscle relaxation allows you to relax one muscle group at a time. As you do this you'll learn to notice which parts of your body are tense, and how to relax them.

To do progressive muscle relaxation you'll need a half hour or so. You also need to sit down.

What you're going to do in progressive muscle relaxation is tense a muscle group for 10 seconds, and then relax it for 20 seconds. Basically, we'd like you to tense a muscle group and count to ten, relax and count to 20, then tense the next muscle group. The trick is to tense up for 10 seconds and then really let go. Don’t relax the muscle slowly; relax it all at once, so that you can really feel the muscle go from maximum tension to maximum relaxation.

If you have any kind of muscle or joint problem, take it easy. Don't tense too hard. If it hurts, back off a bit. Use common sense and do NOT tense any muscle group that causes you pain.

Start with your feet and legs, then you back, chest and stomach, shoulders, hands and arms, move to your head and then finish with a body scan. To get the most out of this exercise you'll need at least half an hour and a quiet room.

Let's go over each muscle group. We'll place these instructions in your Session Diary for later reference.

Feet and Legs
Put your feet on the floor. Curl your toes down to tighten the muscles in your feet. Hold for a count of 10 then relax for a count of 20.

Lift your feet slightly off the floor and point your toes to tense the muscles on the back of your lower legs (calves). Hold for a count of 10 then relax for a count of 20. Repeat.

Put your feet on the back on the floor. Push your knees together to tense the muscles of your inner thighs. Hold for a count of 10 then relax for a count of 20. Repeat.

Tense your hips buttocks and upper legs. Hold for a count of 10 then relax for a count of 20. Repeat.

Back
Gently arch your back to tense the muscles of your lower back (If you have lower back problems skip this part). Hold for a count of 10 then relax for a count of 20.

Chest and Stomach
Take a deep breath and tense all of the muscles of your chest and stomach. Hold for a count of 10 then breath out and relax to account of 20. Repeat.

Shoulders
Try to touch your ears with your shoulders to tense the muscles of your shoulders. Squeeze the muscles for a count of 10 then relax for a count of 20. Repeat.

Stretch your upper arms backwards, as if you were trying to touch your shoulder blades together. Hold for a count of 10 then relax for a count of 20. Repeat.

Hands and Forearms
Clasp both hands into fists and squeeze. You should feel your forearms tighten. To make your forearms even tighter, curl your fists slightly inward. Hold for a count of 10 and then relax for a count of 20. Remember to relax all at once, not slowly. Repeat.

Upper Arms
Curl your arms so you feel your biceps tense. Make a muscle like a weightlifter. Hold your arms with your biceps for a count of 10 and then relax for a count of 20 (20 seconds). Repeat.

Triceps
Tense your triceps by locking your elbows and tensing the back of your arms. Hold for a count of 10 and then relax for a count of 20. Repeat.

Head
Tilt your head as far back as you can and tense the muscles in the back of your neck. Hold for a count of 10 then relax for a count of 20. Repeat

Close your eyes as tightly as you can and tense your lips and smile as big as you can to tense the muscles of your face. Hold for a count of 10 then relax for a count of 20. Repeat.

Close your eyes and open your mouth as wide as you can to tense your jaw muscles. Hold for a count of 10 then relax for a count of 20. Repeat.

Close your eyes and raise your eyebrows as high as you can. This will tense your scalp. Hold for a count of 10 and relax for a count of 20. Repeat.

Body Scan
If you do the above, you're going to be feeling more relaxed. However, what you want to do at this point is to scan your body for places that might still be tense. So, starting at your toes, work your way up your body. If you feel tension somewhere, for example, in your neck and shoulders, tense and relax that area one or two more times.

That's all there is to progressive muscle relaxation!

If you had trouble the first time, try it again. It sometimes takes a while for people to get comfortable with Progressive Muscles Relaxation. Some people like to do it lying down while others enjoy listening to relaxing music. Other people get a more complete relaxation experience by going straight from progressive muscle relaxation into five minutes of box breathing. Whatever works for you is fine.

Now would be a great time to take a short break. Try the above exercise before continuing. Imagine all that of the muscles in your body are relaxed. Try some deep breathing.

Hope this helps!
 
 


Danielle, Bilingual Health Educator
15 years ago 0 341 logo logo logo logo logo logo logo logo logo logo 0
Miki you've done great being away, thats a huge boost for you,  And you've had a lot of challenges and you've got through it all..welll done, big congrats.
15 years ago 0 477 logo logo logo logo logo logo logo logo logo logo 0

Ooh, how do you do the progressive muscle relaxation?

Sometimes, when I'm anxious before I sleep, I started to think about when I sleep since I try so hard to sleep that it ends up waking me up. The noises and such doesn't really bother me.. I get scared that I don't know when I fall asleep. I know this is one of my obsessive thinking again.

So here I am on day 3! In 24 hours I should be at home sweet home. Last night, I went to my friend's apartment to eat dinner but I was anxious the whole time there. I just wanted to leave and go back to the motel. I was so hungry and everything smelt so good, but I was so grossed out about my stomach that I only at a bit. I felt so bad for my friend because I didn't really say much and it's been a while since we saw eachother. I couldn't even help make the dinner, so I tried my best to at least do the dishes but I thought I might faint and I couldn't finish. I cried on the way back to the motel... which made me feel better a bit and once I got back to the motel, I was perfectly normal. I just hate that. But my husband did mention, "Hey, your comfortable with the motel now!" Which is true... this makes me realize more and more that I get anxious with people other than my comfort person. I am most comfortable with my mom, but I don't like to be because I feel like she doesn't need to 'worry' more about me in the negative sense. I am comfortable with my husband because he is complete opposite of me and never gets sick, always confident, and always happy... somedays, sorry, but I worry when he'll leave me for being so blue.
Another thing I realize is that my comfort place can change! I thought my room in my house was the only place I felt safe, but I do actually feel safe in this motel. I am starting to believe that practice can make some changes.
 
Later on, we are going to go to the beach. I can't wait because I LOVE the beach here. (Anxiety better not ruin it! I hope the beach will cure it.) And I will see my other friend who will be leaving to another country for a year.
15 years ago 0 8760 logo logo logo logo logo logo logo logo logo logo 0
Miki,
 
Have you tried progressive muscle relaxation?
 


Danielle, Bilingual Health Educator
15 years ago 0 101 logo logo logo logo logo logo logo logo logo logo 0
Miki-
When I'm away sleeping some where else I use ear plugs!  I'm really sensitive to unfamiliar sounds like the heat or ac running.
When I get a decent night sleep the world feels like a better place!
Sounds like you are doing great facing your day!  I've had the stomach blotting thing myself.  Now that I've got an over all sense of what causes mine and calm myself down and feel an overall sense of calm mine has all but stopped.  It's been almost a year with no medicine for my stomach.  
Birdie

15 years ago 0 477 logo logo logo logo logo logo logo logo logo logo 0
Hi all. Thanks for replying. I am on my second day on the trip and it is a bit better. I was able to calm down after yesterday's entry and was able to focus and read my material. My husband came back to motel and we went to go eat. I was nervous to go eat out at a restaurant but I did it anyway and it was ok. I wasn't able to eat much since I am still nauseous and so I took it to go. I ended up eating it at the motel. I had somewhat of a hard time sleeping well. Everytime I'd wake up it felt like I wasn't sleeping at all, but now that I think of it I may have been sleeping but restlessly. I went to my old work to pick up lunch with my husband but I did feel quite anxious there. I still feel like my stomach(upper stomach) is really bloated and all my chest is sore. These physical symptoms wont let me go at ease. If they weren't there I wouldn't be anxious... but then again, if I weren't anxious.. maybe they wouldn't be there??
15 years ago 0 341 logo logo logo logo logo logo logo logo logo logo 0

Well done Miki, you have achieved a lot by going with him, thats fantastic, keep up the good work, and keep posting your travel journal. 

15 years ago 0 778 logo logo logo logo logo logo logo logo logo logo 0
Hey there Miki , how great is it posting when you are away ? Fantastic !!
 
Well you have done one big mile stone by actually getting there , so whoohoooo . OOOO used to love watching sex and the city . I watch friends every single night , i find if im listening to it then it does kind of distract me abit . Watch it lol , i mean listen to it .
 
Look forward to your next post , routing for you

15 years ago 0 2101 logo logo logo logo logo logo logo logo logo logo 0
Hiya Miki!
 
Congratulations on all your great successes going on your trip. Wow I am impressed. As for not knowing how you will do this till Friday, well I beleive in you and I think you can do this :) It does get easier. I find you get used to new situations and get through them. One moment at a time. And hey, if you find tv and dvds help well go for it why not? I beleive sometimes distraction is the best medecine!
 
Anyway, I am super proud of you and hang in there. Sorry if I can't be more hlpful I must admit I am quite tired and thus my brain is not at it's best. Have a good trip and keep us posted :)
 
-Diva
15 years ago 0 477 logo logo logo logo logo logo logo logo logo logo 0
Hi guys! I am here on the trip!! We left at 5 am in the morning and the ride here was ok ( I did sit in the back seat though!!) Once I got here, I had to wait in the car a bit for my husband.. but that made me extreeeemely anxious! I was terrified and I wanted to go home so bad! But home is 2 hours away and I can't drive with anxiety and husband has to work. I had no choice but to stick with it... my husband let me stay in his work's lunch room and I watched my "Sex and the City" dvds, which helped me ease my mind. We were able to check in the motel room at 12 so now I am here waiting for him to get off work. I feel a lot better now, but I don't know how I'm going to do this until Friday! I brought my textbook since I need to read material but I cannot concentrate at all!! I need to be on the web or watch a silly show to let time pass for me. Aaahhh!

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