Anxiety and Panic Attacks In Emphysema ... - Mind Publications

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Example of Panic Producing Thinking Anxiety or panic attacks are among the most common and disabling problems encountered by both mental health professionals and general medical practitioners. Even otherwise healthy people can have an absolutely terrifying experience during anxiety and panic attacks. When a person actually has a breathing disorder, anxiety and panic attacks present even a bigger challenge. People with normal lung function are terrified by such thoughts as “I might not be able to catch my breath,” “I may smother to death” or “I may be having a heart attack (or stroke). For people who actually have lung impairment such fears feel dauntingly real. However, fears of a person with COPD may not always be proportionate to the seriousness of the problem. For example, if you had a major episode in the past, it’s not necessary that chest tightness and more-than-usual shortness of breath you experience right now would result in a medical crisis and hospitalization. I know a person with emphysema who used to panic every time she felt a common cold coming. The basis of her fear was that one time her cold caused several complications and she ended up having pneumonia. Since then, whenever she had a cold, she would think of lying in an intensive care unit bed with tubes in her throat with uncontrollable coughing and other medical complications. Since cold equaled pneumonia for her, the first signs of a cold she noticed would lead her to endlessly worry about it. Such obsessive worry would then lead to panic attacks. One time she came to my office with a cold. She was crying and hyperventilating fearing pneumonia was on its way. I asked her why she was so upset, she said, “I don’t’ want to get that terrible pneumonia again!” This is how the rest of our conversation went: Sharma: Every time you have a cold, do you end up developing pneumonia? Client: “No, but that sure happened to me a couple of years ago and it was not pleasant!” Sharma: What is the guarantee that it would happen again? How do you know it won’t just be an awful cold rather than pneumonia? Client: True I don’t know for sure. All I know is that I don’t want it to happen to me ever again. I asked her to join me for Pursed-Lip Breathing (PLB) to get control over the hyperventilation. Then we talked about the treatment and precautions she was taking for her cold. We talked about the steps she would take if she starts developing complications. I told her I could see the benefit in taking precautions for possible complication. She should talk with her doctor about her concerns, but I didn’t see any benefit in making herself scared of pneumonia before it happens. At this point she had
calmed down, her chest was not heaving any more and instead of whispering, she spoke in an audible voice. What Do We Learn from this Example? People with impaired lung function can have exaggerated fears, that is to say, but their fears may be disproportionate to the actual breathing problem at the time. Panic attacks occur because of our highly exaggerated response to the following: 1) Breathing discomfort 2) Unpleasant bodily sensations 3) Due to the catastrophic thoughts that cross our mind in relation to the breathing discomfort and bodily sensations. Self-help exercise What you have a major problem with breathing, what are your worry/fear thoughts? ________________________________________________________ ____________________________________________________________ What do you think or do when you experience increase in your symptoms? ______________________________________________________________ _______________________________________________________________ ________________________________________________________________
Page 1 and 2: Anxiety and Panic Attacks In Emphys
Page 3 and 4: Foreword Anxiety and Panic Attacks
Page 5 and 6: Table of Contents Chapter 1—Intro
Page 7 and 8: Main Messages of this Presentation
Page 9 and 10: efore. I did finally sleep last nig
Page 11 and 12: We All Are Not Exactly Alike The im
Page 13 and 14: Suggestions: How to Get What You Wa
Page 15: INCIDENCE OF ANXIETY AND DERPESSION
Page 19 and 20: 8. Say silently in your head words
Page 21 and 22: Unique Features of Anxiety and Pani
Page 23 and 24: Symptoms Heart attack Panic Attack
Page 25 and 26: Another lady who had asthma and als
Page 27 and 28: A Breathing Disorder Such as COPD C
Page 29 and 30: Thirteen (13) Symptoms of a Panic A
Page 31 and 32: RUBBERY, “JELLY LEG HEADACHES/PAI
Page 33 and 34: How Does a Panic Attack Start and E
Page 35 and 36: Anxiety, Panic Attacks Feed on Brea
Page 37 and 38: Tips For Panic Control WHAT SHOULD
Page 39 and 40: parts of the body. Sweating also se
Page 41 and 42: Chapter 5 Understanding Anxiety, Pa
Page 43 and 44: Dr. Kozora studied the Neurobehavio
Page 45 and 46: Other associations between anxiety
Page 47 and 48: Chapter 6 Frequently Asked Question
Page 49 and 50: Role of STRESS in Panic attacks The
Page 51 and 52: Role of EXERCISE in anxiety managem
Page 53 and 54: Chapter 7 The Role of Worry in Pani
Page 55 and 56: Have you frequently been so worried
Page 57 and 58: seize your mind you have about one
Page 59 and 60: Chronic and excessive worrying can
Page 61 and 62: Chapter 8 Calming the Breath, Mind
Page 63 and 64: Notice that in the above example, I
Page 65 and 66: The more practice you have under yo
Page 67 and 68:
Bonus Exercise-- Visualization for
Page 69 and 70:
Chapter 9 Correct Breathing • Sig
Page 71 and 72:
Potential Benefits of Breathing tra
Page 73 and 74:
Signs of regular and relaxed breath
Page 75 and 76:
Check and Improve Your Own Breathin
Page 77 and 78:
How to Do “Diaphragmatic Breathin
Page 79 and 80:
Chapter 10 PHYSICAL AND MENTAL RELA
Page 81 and 82:
Three Types of Physical and mental
Page 83 and 84:
Any blockages in the upper part of
Page 85 and 86:
2. Raise the legs a few inches and
Page 87 and 88:
28. Right Nipple Center 29. Heart C
Page 89 and 90:
Let’s begin Each time inhale "as
Page 91 and 92:
Back to exhaling as if through the
Page 93 and 94:
Take in a breath and exhale. While
Page 95 and 96:
People with heart disorders or hype
Page 97 and 98:
Question—2 In reading your presen
Page 99 and 100:
getting better, such as mucus clear
Page 101 and 102:
and how much God truly cares about
Page 103:
1. Only go to a teacher who is regi
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Anxiety and Panic Attacks In Emphysema ... - Mind Publications

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