Archive for July, 2009

Strategies to Eliminate Anxiety Hot & Cold Flashes

Tuesday, July 28th, 2009

There are many symptoms for different anxiety disorders including the panic disorder, the bipolar disorder and quite a few others. One of the most common symptoms is for anxiety is a hot flash, and in some cases the cold flash. It’s a sensation characterized by intense heat, sometimes coupled with increased heart rate and can last anywhere from a few minutes up to an hour. The sensation itself varies from person to person, but it’s safe to say that for most people it starts in the upper body, like the head or neck area.

Not only this anxiety hot flash or cold flash is an internal, mental sensation, it usually develops into a real physical symptom, that can be identified by touch. Usually a hot flash is accompanied with blushing too.

Hot flashes can affect people in varying degrees, but it always reduces the quality of their lives, sometimes leading to insomnia. Social awkwardness is almost a given.

To reduce anxiety hot or cold flashes, one should examine a wide range of areas that might have cause these flashes. Ask yourself the following questions:

Is your life very stressful? Perhaps it’s time to reduce the number of things that are happening in your life and just focus on some that really matter?

Do you exercise regularly? Exercise and physical activity has been linked to one of the most important pieces for reducing anxiety related symptoms, including anxiety hot flashes.

Do you eat properly? This is one of the hardest concepts for people to implement. Although simple in practice, but very hard in implementation, people should at least be aware that caffeine, sugar and excessive carbohydrates make them feel anxious and try to minimize their consumption as much as possible.

What to Do about Shortness of Breath With Anxiety

Monday, July 27th, 2009

Anxiety, panic and stress are considered to be a normal state of emotion but there are times that these can turn our lives into a nightmare. These may lead to serious disorders that may cause shortness of breath which can be one of the scariest conditions that can happen to human beings. Shortness of breath can sometimes be life threatening for it causes serious diseases such as heart attacks, asthma, pneumonia, bronchitis and emphysema. Such illnesses are generally chronic, unremitting and can grow progressively worse in time as it is accompanied by different hard feelings like chest pains, dizziness and nausea.

Anxiety disorders are the most common mental illness in human beings. Most people are experiencing anxiety before an important event like major exams, presentations, job interviews and the like. Oftentimes, anxiety is abnormal and unpleasant. It is an exaggerated degree of worry and sometimes it is felt for no reason at all and can be out of control and disproportional. This can disrupt life, happiness and peace of mind.

One of the most alarming symptoms of anxiety is shortness of breath and palpitations. Complaints of difficult, troubled and uncomfortable breathing can be a signal of anxiety disorder. The problem usually stems from inability of lungs or the chest wall to expand freely especially when an individual is anxious or stressed. The particular feeling of shortness of breath results from a proper combination of several impulses that are relayed to other parts of the body.

People who have anxiety disorders should know how to tell when breathlessness is caused by anxiety or medical conditions. Perhaps, positive and relaxed awareness can be very important so one will be able to observe the earliest signs and symptoms and take positive steps for the management of the problem. To sum it up, shortness of breath may require professional attention because if shortness of breath will not be treated properly, it is likely to get worse. In such cases, it is recommended to consult with a doctor as early as possible.

Strategies to Overcome Anxiety and Chest Tightness

Sunday, July 26th, 2009

Have you ever experienced such an overwhelming feeling of despair, that you can almost swear the world is about to crumble and take you down under its weight? Did you ever have such intense anxiety that you feel like you’re about to suffocate, or such a gripping chest tightness that you become convinced you will just drop dead at any second? If so, then you’re having serious anxiety issues, which you should try to overcome. We don’t mean to propose it’s easy or automatic (it’s not), but all the while you should know it’s possible, and it will be worth every little effort you put into it. Maybe you can no longer conceive of such a thing, but have you imagined what your life would be like if you somehow managed to replace anxiety with well-being?

If you’re serious about managing your anxiety and getting rid of that chest tightness that frequently takes hold of you, rest assured: you won’t have to take expensive (and potentially addictive) drugs; you won’t have to endure psychological therapy, and you won’t be asked to do anything unnatural. In fact, we believe the single most effective way to manage anxiety is by following the natural route of self-help and awareness. No one knows of your problems better than you do, and as such you’re more qualified than anyone else to help yourself. You just have to learn some fundamental techniques, and from there it’s a matter of changing your life little by little, until anxiety no longer has a reason to be there.

That’s right, you anxiety is there for certain reasons… if you think otherwise, you’re just fooling yourself. One of the most important things you have to do before committing to an anxiety management programs is to understand the roots of your anxiety, because that’s where you’ll have to place your efforts: in severing those roots. To this effect, you should try doing some meditation or yoga, since these disciplines are known to help in terms of self-realization, as well as relaxation.

You don’t just feel anxiety and chest tightness because you have bad luck; there are psychological, emotional and behavioral causes which work together to make you feel anxious. Rather than trying to force yourself to relax (which will just make your more anxious), you have to be able to sit quietly, look deep into yourself, and ascertain the sources of your anxiety… so you can then proceed to deal with them. There are many other self-help therapies you should adopt, along with meditation. These techniques will build up on one another, and help gradually dismiss your anxiety. Some examples include having increased physical exercise and finding new hobbies and pass-times. You will have to find new ways to keep your body active as well as ways to keep your mind from going hyper-active.

You should also consult with a medical doctor, to make sure that anxiety is indeed the cause of your chest tightness; it’s better being safe than sorry, and seeing your doctor is also a way of dismissing a potential source of your anxiety: the looming fear there’s something wrong with your heart. Remember, anxiety isn’t a single problem… it’s a confluence of factors that you’ll have to detect and deal with, in order to develop a secure and lasting sense of well-being and contentment in life.

Techniques to Control Anxiety Hyperventilation

Tuesday, July 21st, 2009

Several things can be done to control hyperventilation, each of which may be helpful for different individuals.

A hyperventilation test (described above) may be helpful in establishing the role of hyperventilation in producing some of the symptoms associated with panic. If overbreathing provokes anxiety, then control of hyperventilation may prevent or relieve those symptoms. Knowing that hyperventilation symptoms can be very distressing but are not harmful provides some comfort even while these symptoms are occurring.

Specific techniques to gain control of overbreathing are also available:
1. Cover your mouth and nose with a small paper bag and breathe into and out of it. This technique causes some rebreathing of the carbon dioxide that you have just exhaled.
2. Slow your breathing rate by using a clock to breathe (for example, breathe just once every five seconds, or 12 times a minute). This technique can bring runaway breathing under control.
3. Consciously take smaller breaths; this will reduce the volume of air being moved with each breath.
4. Try belly breathing (breathing mainly with the diaphragm and not with the chest) to control hyperventilation. One technique for learning belly breathing is to spread your hands and fingers around your ribcage and then breathe, as much as possible, by merely moving your belly in and out and keeping your ribcage nearly still. As your belly moves in and out, it reflects the movements of the diaphragm, which provides ample ventilation for a person at rest.
5. Rehearse the words “slow and shallow” to the point at which they become a reflex thought when symptoms of hyperventilation appear.
All of these methods decrease overbreathing and help to restore the blood electrolytes (carbon dioxide, bicarbonate, calcium, and phosphorus) to normal levels. As the ventilation of the lungs and the blood’s electrolytes return to normal, the symptoms of hyperventilation disappear.

Practicing methods to control overbreathing provides many who suffer panics with something useful to do when panic occurs. There is some evidence that combining these methods with exposure therapy improves results in people who hyperventilate as part of their panic or other Anxiety Disorder. However, it does not appear that methods to control overbreathing are sufficient by themselves to overcome Anxiety Disorders. Exposure therapy—and, in some patients, medications—are usually necessary.

Anxiety Visualization That Stops Anxiety Dead In Its Tracks

Monday, July 13th, 2009

Lie comfortably on your back and yawn once or twice. When you yawn, you automatically breathe deeply, from your abdomen. The object of this exercise is to help you release muscular tension in your body by reminding you of conditions in which you have felt very peaceful and relaxed.

It is a warm morning in the desert. The fragrance of sage and wildflowers is carried in the warm air. You stand at the mouth of a canyon. A stream of crystal-clear water runs past your feet. You are hot and tired, and you kneel down and refresh yourself with a drink of this clean, clear water. You follow the stream up the canyon to its source, an abundant spring surrounded by palm trees. You remove your clothes and bathe in the comfortably cool water, sitting in a niche in a boulder that fits your body.

You feel totally secure and at peace. Everything seems to be in its place. Everything seems to fit together. When you gently paddle the water with your hand, you think, “Is my hand pushing the water or is the water pushing my hand?” You smile at this playful question.

You notice that a large, soft, white towel has been laid out on the sandy bank where you left your hiking boots and worn and dusty clothes, which have been replaced by a soft and beautiful tunic and sandals. Bowls of inviting fruit lie within your reach. You smile in gratitude and eat some de¬licious berries.

A small bird lands on a rock near you and turns its head quizzically. It seems to ask, “Is everything all right?” You nod and say, “Umm-hmmm, thank you, everything is fine.” The bird makes a cheery sound and flies away.

In the clean water of the spring, you can see bubbles rising up from deep within the earth. They rise to the surface and disappear.

A blind man with a full white beard, dressed in a dark robe, comes up the path to the spring. He deftly uses a staff to find his way among the boulders and sits down on one not far from you.

“Do you know what thoughts are like?” he asks.

“Umm-hmmm,” you reply. “They are like these bubbles.”

“Ah yes, the bubbles,” he says with a smile. “Do you know what emotional reactions are like?”

“Umm-hmmm. They are the ways we have learned to physically and psychologically respond to thoughts and other events. For example, if the thought ‘I am helpless’ arises, the muscles in my neck and shoulders may contract, I may clench my teeth and hold my breath. The thought ‘I need help’ or ‘I want to reach safety’ may arise.”

“Does all of our behavior consist of these emotional reactions?”

“Unfortunately, this seems to be true for most of us most of the time,” you reply.

“Is there any escape from emotional reactions?” the man asks.

“No escape is needed if we are able to recognize such thoughts as ‘I am helpless,’ ‘I need help,’ or ‘I want to reach safety’ not as things with the power to govern us or trap us, but as reflections of the past conditions of our lives.

“Every time any thought arises or any event occurs, we are at a point of choice. This choosing point is our freedom. We are always free to choose between reacting emotionally or simply allowing the bubbles—whether they are thoughts or traffic sounds or the sounds of birds singing or dogs barking—to move through our awareness.”

“You have much understanding,” he tells you.

“My wish is to put this understanding to use in my everyday life. In this, I am just a beginner. I often carry anger, resentment, and worries on my back.”

“Even so, your answers are honest and pleasing. As you may have guessed—since this is an imaginary visualization exercise—I have the power to grant you three wishes. What three things would you wish for yourself and for all people?”

Go ahead and make these three wishes. Speak out loud if you wish.

After a moment, the blind man says, “Remember your freedom to choose. You can do small things every day to help make these wishes come true in your life and in the lives of others. Stay with us as long you like and return here whenever you like. Your clothes are being washed and mended. They will be returned to you shortly. For now, I bid you adieu.”

When you wish to conclude this visualization, yawn once or twice and clap your hands together three times. You will feel invigorated and refreshed, and your heart will be full of compassion for yourself and others.

Simple Exercises For Relaxed Travel With No Anxiety

Thursday, July 9th, 2009

These guidelines appeared in American Way, the in-flight magazine provided to passengers by American Airlines:

Some simple exercises, all done with your seat back upright and seat belt fastened, can make a long airline flight more comfortable by stimulating circulation and relaxing muscles.

The exercises can be done so discreetly that your fellow passengers may not realize what you are doing. But if the kids are along, have them follow the leader or do as “Simon says.”

1. Lean head forward as far as possible. Feel a stretch down the back of your neck. Lean head to the side (keep face front) and feel the stretch down the side of the neck. Lean head to other side.
2. Let head drop back (jaw relaxed), and look up at the overhead compartment of the row behind yours. Arch upper back as you look up. Feel stretch under your chin.
3. Hug yourself (right hand on left shoulder, left hand on right shoulder). Lean head forward, cave in upper chest, and pull your shoulders forward. Feel stretch down the back of the neck and between your shoulder blades.
4. Push shoulders forward and cave in upper chest and stomach. Push shoulders back and arch lower back. Keep head straight. This exercise moves the rib cage to front and loosens muscles in the center back.
5. Relax your shoulders and arms and make a circle with one shoulder at a time by moving it forward, raising it up, pushing it back, and down. Then move it back first, reversing the exercise.
6. Press elbows down onto armrests and press shoulders down as hard as you can. Feel stretch across top of shoulders.
7. Grasp the right armrest with your left hand and turn your upper body around to the right to look behind you. Turn to the left grasping the left armrest with your right hand. Feel stretch down each side of your back.
8. Reach up toward light or air vent without rising from your seat. Breathe in as you reach up and exhale as you lower your arm. Stretch as you reach, using one hand and then the other.
9. Loosen seat belt slightly, and lean over to the floor as if to pick up something you’ve dropped or to adjust packages under the seat in front of you. Reach down as far as possible, and then sit up slowly. This stretches lower back and back of thighs.

10. Sit up straight and pick one foot up off the floor by raising your whole leg about an inch off the seat. While maintaining this position, make circles in the air with the raised foot by rotating your ankle. Circle your foot to the right eight times and to the left eight times. Place the foot back on the floor and repeat with other foot. This one exercise stretches not only the ankle but all sides of the lower leg as well. (An added benefit is that while you are holding your leg up, you are pulling in and tightening the stomach muscles.)

In doing all exercises, move the part of your body as in-structed as far as possible to feel the greatest stretch. Push your head forward as far as it will go, raise your shoulders or push them back as far as they will go, etc. Even circle your foot as far as it will circle to stretch your toes and arches. Repeat all exercises, right and left, as many times as you need to really feel them working.

Anger Is a Hidden Anxiety Emotion That’s Very Harmful For You

Thursday, July 9th, 2009

Anger is one of the most valuable guides you will meet on the road to recovery. Recognizing hidden anger can reduce anxiety. Expressing anger appropriately can be a powerful affirmation of the self. Although it may be a “no” to another person’s request or demand, it is a “yes” to the self.

Suppose that you recognize—or at least concede the possibility—that your problem with anxiety is related to the suppression of feelings of frustration, displeasure, or anger. What should you do about it? Throw a temper tantrum? Yell at people when they displease you? Become an angry, unpleasant, selfish person?

We are emphatically not advising you to create psychological stress for other people by acting in an aggressive or threatening manner. What we are telling you is that very few people who recover from anxiety conditions do so without accepting, understanding, and learning to express their negative feelings. Unfortunately, many people, largely through a lack of experience with assertiveness, tend to express their displeasure aggressively (threateningly), which more often than not provokes defensive responses and results in their own subsequent feelings of guilt. Such guilty feelings appear to confirm the idea that expressing anger does not work; so they go back to being passive and holding on to their anger. This is why assertiveness (which permits the nonthreatening expression of displeasure) is so vital to recovery. You need to learn how to express negative feelings occasionally without feeling guilty afterward.

Nutrition Which Helps Reduce Anxiety

Thursday, July 9th, 2009

Nutrition is directly related to longevity and physical and mental well-being. The diseases and disabilities that arise from suboptimum nutrition produce physical stress on the body, which in turn can contribute to psychological distress and anxiety. Nutrition is thus of great importance to you both for the sake of your general health and in relation to any anxiety symptoms you may have.

One reason there is so much conflicting advice on the subject of nutrition is that, in a sense, there are two competing sciences of nutrition. One, represented by the United States Food and Nutrition Board and by the medical establishment in general, is based on the old idea that recommended daily allowances of vitamins should be the amounts that prevent vitamin deficiencies in most people. These recommended daily allowances (RDAs) are the ones listed on vitamin preparations manufactured in the United States. This approach to nutrition is analogous to the medical principle that the dose of medicine used should be the smallest amount that will cure the disease. This is obviously a wise approach in dealing with powerful drugs that are not normally present in the body and that produce serious side effects.

However, vitamins are not drugs. They are essential nutrient substances that are normally present in the body. The newer science of nutrition—which has been called “ortho-molecular medicine” by its preeminent spokesman, Linus Pauling—is based on the relatively new idea that the optimum intake of vitamins for human beings in general and for any person in particular may be much higher than the minimum amount that prevents a deficiency disease in most people.

Pauling, the recipient of two Nobel prizes (one in chemistry and one for contributions to world peace), coined the word “orthomolecular” to mean “the right molecules in the right amounts.” He has defined orthomolecular medicine as “the prevention and treatment of disease and the preservation of good health by varying the concentration of these molecules in the human body.” Pauling believes that optimum concentrations of nutrient substances like vitamins can strengthen the body’s natural defense mechanisms against disease, can increase life expectancy by perhaps 20 years, and can similarly increase the period of health and well-being in most people’s lives.

It is beyond the scope of this website to go deeply into the reasoning behind orthomolecular medicine, except to note the basic ideas on which the new science is built: (1) the modern human diet is not the one on which the human body is genetically adapted to thrive, (2) the biochemical individuality of human beings may mean that the optimum amount of certain nutrients varies by more than a factor of 20 from person to person, (3) resistance to disease can be significantly increased by increasing the intake of certain nutrients (especially ascorbic acid, or vitamin C) well above the RDA standards set by the Food and Nutrition Board.

At this point, no one really knows what the optimum intake of vitamins is, so the ultimate test is how we feel when we take different amounts of vitamins for a period of time. In the Self-Care Program we have listed the amounts Linus Pauling takes, as well as the ranges suggested by Richard A. Passwater in his book Supemutrition.

We also provide some basic dietary guidelines generally recommended by nutritionists and health-care specialists. We list substances that are suspected or known to contribute to the physical sensations commonly identified as anxiety symptoms, as well as natural substances that are held to have anxiety calming or tranquilizing effects.

Finally, we recommend sources of information for those who wish to explore the subject of nutrition more thoroughly.

In regard to buying vitamin and mineral supplements, our advice is to look carefully for the best prices, since identical substances are sold at widely different per-unit prices.
We have also included a Nutrition and Medication Log to help you become more aware of the effects of your nutritional habits, drugs, and other psychoactive substances (namely, alcohol and caffeine) on your day-to-day sense of well-being.

How to Manipulate Biochemistry That Reduces Anxiety

Thursday, July 9th, 2009

Some medical researchers seek to find the basis of anxiety attacks in their study of biology and biochemistry. They are looking for evidence that a genetic trait or abnormality directly causes anxiety attacks.

Much of the discussion of the possible existence of a genetic problem centers on the role of unusually high blood-lactate levels in triggering physical feelings like shakiness, dizziness, and numbness and tingling of the skin.

Lactate is a normal byproduct of the conversion of the sugar glycogen to energy by muscle cells. The more work our muscles do, the more lactate they will discharge into the bloodstream. A very large amount of lactate in the blood is thought to increase nervous reactivity by binding with calcium molecules and thus interfering with the normal functioning of calcium in the transmission of nerve impulses from nerve fiber to nerve fiber in the central nervous system.

Dr. Ferris N. Pitts, Jr., found that injections of extra lactate into the bloodstream produced paresthesia, “a numbness and tingling of the skin that is usually caused by a low level of calcium in the tissues,” in all 24 subjects of a study he described in 1969 in an article in Scientific American entitled “The Biochemistry of Anxiety.” In addition, the injections produced reports of a wide array of feelings (including tremor, shakiness, dizziness, palpitation, cold, nervousness, nervous chill, and weakness) from the 14 anxiety patients and, to a lesser degree, from the 10 “normal” controls in the study.

During the injection of the lactate, which took 20 minutes, 13 of the anxiety patients and 2 of the control subjects had “typical acute anxiety attacks.” When calcium was added to the lactate solution, fewer symptoms were reported and “there was no significant difference in the extent to which each symptom was reported by the two groups.”

Pitts and his colleague James N. McClure, Jr., concluded that “a high concentration of lactate ion can produce some anxiety symptoms in almost anyone, that it regularly produces anxiety attacks in patients but not in controls, and that calcium ion largely prevents the symptoms in both patients and controls.”

Pitts observed no difference between the anxiety patients and the control subjects in their ability to clear lactate from the blood: “In all our subjects the excess lactate from the infusions was removed normally by the liver in 60 to 90 minutes.”

In a recent book called The Anxiety Disease, psychiatrist David V. Sheehan contends that anxiety disorders stem from “a biological and probably a biochemical disorder.” To support the idea that there is a possible “genetic weakness” in anxious people, Sheehan cites a 1966 study by Pitts, which he describes as follows:

In 1966 . . . Pitts found that giving an intravenous infusion of sodium lactate to victims of this disease brought on spells of panic just like their original symptoms. It is possible to turn the condition on simply by injecting this substance, which is produced in everyone’s body in response to exercise. If you give sodium lactate to normal individuals, nothing happens; with anxiety disease victims, turning off the lactate infusions stops the symptoms.

The conclusion Sheehan draws from this 1966 study does not seem to accord with that offered by Pitts himself in the 1969 article, in which he said that something does happen when you give sodium lactate to normal individuals. All of his subjects experienced numbness and tingling of the skin, and many of them experienced other “anxiety symptoms.” Pitts and McClure’s findings are consistent with a different interpretation: People who suffer anxiety attacks are simply normal people under prolonged stress. Their bodies are overproducing adrenaline (epinephrine) and, as a consequence, the muscles in their bodies continuously contract. The tendency of anxious people to keep their muscles contracted (which was scientifically documented in 1929 by Dr. Edmund Jacobson, the creator of the progressive-relaxation technique) produces the excess lactate that is believed to deplete the amount of calcium available at nerve synapses, leading to over reactivity—especially when additional lactate is injected into the bloodstream.

This view is bolstered somewhat by a finding reported by cardiologist Herbert Benson in the Relaxation Response:

If increased lactate is instrumental in producing regular attacks of anxiety, the finding of low levels of lactate in meditators is consistent with their reports of significantly more relaxed, less anxious feelings. Blood-lactate levels fall rapidly within the first ten minutes of meditation, and remain at extremely low levels during meditation. Though the reason for decreased lactate is uncertain, it is consistent with decreased activity of the sympathetic nervous system.

There may be another biochemical link between psycho-logical stress and the sudden, unexplained experience of acute anxiety. Anxious people typically tend to hold their breath for a few seconds at a time or to overbreathe (hyperventilate) at least slightly when they are distressed and, particularly, when they are startled. These habits disrupt the natural rhythm of breathing and, if strong enough, play havoc with the body’s ability to maintain optimum levels of oxygen and carbon dioxide in the blood. The resulting series of chemical changes in the brain and body may trigger the heightened feelings of physiological distress that constitute anxiety symptoms.

The balanced, relaxed posture and rhythmical abdominal breathing that characterize meditation (1) may reduce the blood-lactate level by reducing overall muscular tension, and (2) may help maintain optimum levels of oxygen and carbon dioxide in the blood by eliminating jerky, arrhythmical breathing.

Rate Your Anxious Feelings of Panic With This Severity Scale

Wednesday, July 8th, 2009

Think of your feelings of panic on a scale of 0 to 10, where 0 is totally relaxed and 10 is the very worst feeling of panic you’ve ever experienced. Doing this, you will begin to differentiate between your own levels of anxiety. We’ve included a form at the end of this chapter to help you. Now, for any anxiety you feel, you can assign a number on this scale.

Rating your own anxiety level is very helpful so that you won’t always anticipate the worst possible attack. When you are aware that you feel lower levels of anxiety, as well as the high one, it becomes a kind of cue to remind you before your anxiety spirals upwards. You will have time to respond to mild anxiety in ways that can calm anxiety instead of alarm you. For example, as you enter a shopping mall you experience mild (level 3, for example) heart palpitations or a slight feeling of shakiness. You may begin to take short, shallow breaths, which will exaggerate your symptoms. However, remembering that a less anxious response is possible, you will have time to slow down and begin using some of the relaxation methods that you’ve learned. Any relaxation method, like those outlined above, can dramatically reduce these symptoms and help avert a panic attack.

When you feel extreme panic and may be feeling very disoriented, you can try one of the coping techniques, such as slow, gentle, deep breathing to lower your anxiety level. You may or may not succeed. But if your anxiety level remains high, do not fight to control it—let it happen. Let the feelings run their course. Remind yourself that there is nothing to fear. Observe your symptoms. You may even decide to make one symptom feel worse, like making your heart, which is already beating fast, beat even faster. Notice that catastrophes do not occur, though, even when you try to bring them on.

If you are having difficulty focusing on using these techniques due to extreme and frequent panic, evaluation for medication by a doctor who specializes in anxiety medication may be indicated. On the other hand, you might want to give yourself more time to adapt to these new ways of dealing with your physical sensations. Discuss these options with your therapist and with your doctor.

If you are already on an anti-panic medication or decide to start one at this time, still proceed with the suggestions outlined in this website in order to overcome your anticipatory fears and deal with those situations you avoid.