Panic,Attacks,The,Mindfulness, health Panic Attacks: The Mindfulness Therapy Approach to Anxiety


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Panic attacks and panic disorder affect agrowing number of people in the US and Western Europe. Those who do not sufferfrom panic attacks have a hard time understanding how unbearably painful panicanxiety is for those who experience ongoing panic attacks. To the victims ofpanic disorder, the experience is very visceral; it is a full-blown fight orflight type reaction that can cause the heart rate to increase dramatically andproduce profuse sweating and many other physiological and biochemical changes.Imagine walking along a trail and suddenly encountering a mountain lion; thatis how it feels for those suffering from panic anxiety - and sometimes muchworse. Panic anxiety is certainly not just “in themind” as some people might think, but comes from an integrated reaction thatinvolves both mind and body; each supporting thereactive process. However, ultimately it is what happens in the mind thattriggers the emotional and physiological processes that produce a full-blownpanic attack. Many panic anxiety sufferers are looking for methods to changethe underlying mental process that produces anxiety. Many turn to some form ofcounseling or talk therapy, others prefer a more direct process of therapy suchas CBT or Mindfulness Therapy because these attempt to change the internalmechanism that creates the emotional reaction that then triggers the bodilyreactions. At the core of panic disorders you willinevitably find some form of reactive thinking that triggers the panic attacks,and of course the theory behind CBT is that if you can change these habitualpatterns of negative thinking and negative beliefs then you can diffuse thepanic attacks. In the Mindfulness Therapy approach, we take this a stepfurther, because we realize that the problem is not simply with the content ofthe thoughts or beliefs or memories, but with the emotional energy that isinfused into these particular thought forms. It is this emotional charge thatgives such power to negative thoughts, beliefs or traumatic memories. This iswhy two people can think the same thought but react completely differently -because the emotional charge is different for different people. Therefore, inMindfulness Therapy the emphasis is on finding ways to change this emotionalenergy, allowing it to discharge and resolve itself. Then all that remains isan “empty thought” which ceases to have any particular meaning or power tocause anxiety or suffering. In Mindfulness Therapy, clients/studentslearn how to “sit” with their emotions. This means that they learn to hold theemotion in their conscious awareness without getting lost in the story orbecoming reactive to the emotion with hatred, resistance or avoidance. Thisfundamental change in relationship from being consumed by an emotion to one ofbeing able to observe the emotion as an object, which we hold in our awarenessis pivotal. We call this the Primary Relationship in Mindfulness Therapy, andthis provides the best possible conditions in which the emotional charge canbegin to discharge itself. Then the negative thoughts and beliefs begin to loseintensity and lose their power over you. Find a quiet period during the day andpractice sitting with your panic anxiety. It is difficult to do this during apanic attack, but quite possible to do when you are not. What you are learningto do is to meditate on the emotion itself, making it the focus of mindfulawareness. In this deliberate way you will begin to develop a relationship withthe emotion itself that is not based on reactivity, which only reinforces the problem,but on mindfulness, which creates the ideal inner environment for change. It isthrough repeatedly returning to the emotion and cultivating this non-reactiverelationship that you begin to break free from the habitual patterns ofreactivity, becoming stronger and more balanced. But, more than that, thismindfulness meditation on the emotion creates the inner space in which theemotion will begin to change and transform itself.

Panic,Attacks,The,Mindfulness,

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