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

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worried all day about your more-than-usual wheezing or tightness in the chest you<br />

noticed that morning. As you noticed it, maybe thoughts crossed your mind about a<br />

possible flare up of COPD symptoms or pneumonia. As the pneumonia thought crossed<br />

your mind, perhaps you saw a “flash” in the mind’s eye of being in the ICU of your local<br />

hospital.<br />

And, from that point on, to continue with the example, perhaps your breathing<br />

speeded a little, heartbeat quickened <strong>and</strong> chest tightened. You took all that on the chin<br />

without making a big deal of it, until the panic symptoms loudly knocked on the door <strong>and</strong><br />

the “emergency alarm” went off.<br />

Not being aware of the relationship between your anxious thoughts <strong>and</strong> rapid<br />

breathing, you might feel you’ve lost all control over yourself. The adrenaline “rush,”<br />

the fuel for the “fight-flight motor” wants you to flee but you can’t because someone is<br />

right there in the room. You don’t want to look like you’re doing something “crazy”<br />

right in front of your house guest. You become more tense up <strong>and</strong> ever more breathless!<br />

This takes you right to the panic state <strong>and</strong> you start hyperventilating. You begin<br />

to think catastrophic thoughts such as, “My breathing could get out of control, “I am<br />

going crazy” “I’m losing control (or losing my mind)” or “I won’t make it to the<br />

hospital!” can increase the anxiety severely.<br />

Now, the panic attack has reached the “Point of No Return” <strong>and</strong> you experience a<br />

full- blown panic attack.<br />

Logical Explanation of Specific Symptoms<br />

Here is the explanation of how <strong>and</strong> why these symptoms take place:<br />

Shortness of breath or rapid breathing is intended by nature to help us run or fight<br />

(notice when runners run or fighters fight, they are breathing rapidly). The heart beats fast<br />

<strong>and</strong> strong because it’s the heart’s job to rush the blood to the arms <strong>and</strong> legs. After all,<br />

we need our arms <strong>and</strong> legs to run or to fight.<br />

Reason you feel lightheaded, faintish or dizzy is because the blood is being<br />

diverted from the head <strong>and</strong> rushed to the peripheries, that is, your arms <strong>and</strong> legs.<br />

Some panic attack patients feel as if they are in a dream or that panic attack events<br />

are happening to someone else. This is called a state of dissociation. <strong>Anxiety</strong> can cause<br />

dissociation from the normal level of awareness. Such experiences also result from<br />

blood/oxygen being diverted from the brain.<br />

Since you need the “fuel” for your “fight-flight engine,” adrenaline is being pumped<br />

into the blood. Adrenaline is sheer energy which creates excess heat in the body. The<br />

heat can sometimes cause hot flashes all over the body or in parts of the body. Since<br />

blood is being diverted to some areas of the body, you may experience cold chills in other

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