I’m always excited to share about mental health from a quality faith based perspective. Dr. Michelle Bengtson is an amazing expert on the subject. She not only has a long-term career of helping others create treatment approaches but has also had to live out coping skills herself as she and her husband have both battled cancer diagnoses. Her guest appearance talking about depression on the Counselor Thoughts podcast continues to get great reviews. We have literally treated kids with panic attacks so bad they have not been able to attend school. Our first step to changing our culture is to create awareness and education so I hope you will share this post with a friend or on social media.
Out of nowhere, you experience an incapacitating feeling of fear and dread. Your heart races and pounds so loud in your chest that you hear it in your ears. The sudden overwhelming onset of panic leaves you feeling paralyzed and afraid—sometimes to the point of being afraid you might die.
If you can relate to that, chances are you have experienced a panic attack. Sadly, for many, panic attacks leave them overwhelmed, incapacitated, afraid to leave the house, and result in withdrawal from activities they previously loved and enjoyed.
The most distinguishing differences between panic attacks and anxiety attacks are with respect to the trigger (or lack thereof), the intensity of the symptoms and how long they last.
Typically, anxiety attacks are a response to a specific stressor or worry over a potential danger. For example, anxiety attacks may occur in response to fear of a medical procedure, or having to go to court.
During an anxiety attack, a person may experience fear, apprehension, increased startle response, muscle tension, shortness of breath, dizziness, increased pulse rate, sweating, difficulty concentrating, fatigue, or irritability. Some of these symptoms could also be symptoms experienced during a panic attack, but are generally less severe. Furthermore, the symptoms usually intensify over a period of time, don’t usually last very long and will typically end as soon as the stressful trigger goes away. In some cases, however, the symptoms associated with more general anxiety may be prolonged, lasting days, weeks, or months.
Unlike anxiety attacks, which are in response to a specific trigger or stressor, panic attacks aren’t a response to a specific stressor. They are unprovoked and unpredictable.
During a panic attack, a person may experience fear, apprehension, or sheer terror. They often feel like they are going to die, or perhaps have a heart attack. People often describe shortness of breath, difficulty breathing, heart palpitations, chest pain, trembling, nausea, intense sweating, chills or hot flashes, dizziness, chest pain and fear of dying or losing control. The onset of symptoms is generally very sudden, and the severity intense. The symptoms appear to “come out of the blue” without forewarning and may last several minutes.
Once someone has experienced a panic attack, they may be prone to anticipatory anxiety, which is fear of or worry about having another panic attack. Because the fear is so pronounced, they may even begin avoiding places they have had a panic attack before.
Whether you’re dealing with anxiety attacks, persistent anxiety, or panic attacks, help is available.
Here are 9 tips for managing anxiety or panic:
- One of the most important things you can do in the moment when you experience an anxiety or panic attack is to breathe deeply from your diaphragm rather than from your chest. It is impossible to be fearful or anxious and relaxed at the same time. Deep breathing signifies to your brain that it’s time to relax.
- Cognitive behavioral therapy can also be a helpful and effective treatment modality for those who suffer from anxiety or panic attacks. It helps someone who suffers understand why they have anxiety, change their thoughts about anxiety, as well as change how they react to the triggering stimuli that precedes anxiety or panic attacks.
- Another treatment modality used by some clinicians is Exposure Therapy. This essentially teaches the anxious individual how to control their level of anxiety or panic by exposing them to graduated levels of panic in a safe environment, while helping them through exercises such as deep breathing to control their emotions.
- Exercise is also beneficial for those who experience anxiety or panic attacks. As little as 10-15 minutes of physical exercise can flood the brain with positive, calming endorphins which help elevate mood and decrease anxiety.
- Paying attention to our nutrition is important, particularly if we are predisposed to anxiety, worry, or panic. Many of the foods we eat (e.g. chocolate) or drink (e.g. coffee) are stimulants and can actually increase anxiety, cause heart palpitations, make us sweat, etc. It’s important to eat a balanced diet and avoid ingestion of stimulants that will bring about a physical response like anxiety or panic.
- Some people will utilize prescription medication to help manage anxiety and panic attacks. Anti-anxiety medications slow down brain activity, and essentially, decrease over-stimulation of the nervous system during an attack, minimizing its fallout.
- Music, depending on the style, volume, and beat, can have a calming influence when one is struggling with anxiety or panic. Nature sounds, like the sound of a rainfall or the ocean coming ashore can also help relax when anxiety comes calling.
- Prayer is another key consideration during an anxiety or panic attack. When we pray, if we will focus on God and His strength, rather than pay such close attention to ourselves and our current situation, we can regain His peace. Scripture tells us, “You will keep in perfect peace all who trust in you, all whose thoughts are fixed on you!” (Isaiah 26:3)
- Reciting Scripture and speaking truth back to your anxiety can be extremely effective in reducing anxiety or panic. This is one of the most under-utilized, but in my opinion, most important methods for managing anxiety. Not sure which Scripture to memorize or recite when anxiety comes calling? Be sure to read part 2 of this post.
I’d love to hear other ways that you have learned to manage worry, fear, and anxiety in the comments below.
Want more tips? Listen to my podcast and hear Dr. Michelle Bengtson share how hope prevails in the midst of depression.
Dr. Bengtson studied neuroscience and is board certified in clinical neuropsychology. She established her own clinical practice in the Dallas area. From her professional and personal life, she recognized a deep lack of understanding of the call to “renew our minds” and the transformational effects a robust understanding of this has on our physical and mental health and outlook. Dr. Bengtson lives to foster regeneration and renew life in her listeners. She recognizes brokenness in her life and others’ and offers steps we can take as we walk with Christ through the thin places.
Dr. Bengtson authored the award winning Hope Prevails: Insights from a Doctor’s Personal Journey Through Depression and its award winning companion Hope Prevails Bible Study. Her third book, Breaking Anxiety’s Grip: How to Reclaim the Peace God Promises is now available. (Revell). She blogs at DrMichelleB.com and maintains a Monday morning radio show and podcast at GraceandTruthRadio.world. She is a frequent guest on Fox News Radio and speaks at conferences and churches internationally. For more, find her at DrMichelleBengtson.com
Karen Tackett says
Thank you, Dr. Michelle, for this very helpful information. As you described the differences in panic attacks and anxiety attacks, I could see me in those explanations. I think mine have been more anxiety attacks as I dealt with fear for so many years. Funny, I could be so calm in the moment at times and then fall apart after the stressor was all over. So appreciate all the tips and the last two: prayer and reciting scripture, have become my main tools to go from worry, fear, and anxiety to Father’s peace. I found those scriptures that mean so much to me and that I could hang onto and I learned how to enter into prayer with the foundation of faith and my focus on Jesus. All of these tips make a big difference. Thank you for sharing!!! Thank you Michelle Nietert for having Dr. Michelle share her heart and from her great love and compassion for others.
Michelle Nietert says
So glad this was helpful for you! I agree about how helpful her information is for anyone facing anxiety challenges.