Panic Attacks and Anxiety: Adios! to Derealization and Depersonalization

By Mark B

Here is another article on panic attacks self help that you may find useful

For those who’ve read my previous article, Panic Attacks and Anxiety: Derealization and Depersonalization - You Aren’t Going Crazy!, this is the perfect follow-up scoop. But if you’ve yet to read it, not to worry, there’s still much to be learned here.

Now, in review, derealization and depersonalization all too often accompany panic attacks and anxiety. In general terms, derealization is a frightening feeling of detachment from one’s external environment, and depersonalization is an equally as frightening sense of detachment from self. Both can be absolutely crippling and take you to the turnstiles of your perception of insanity.

I believe many researchers and theorists would concur that within the context of panic and anxiety, derealization and depersonalization may well be the mind’s self-protective reaction to the ultimate perceived state of overload. See, it goes like this – when the mind feels it’s mega-overwhelmed it flips the switch on a perceptual filter, believing even the slightest additional bit of in-coming stimuli may lead to various degrees of psychic meltdown. Within this theoretical framework, it’s all about the mind in a powerful state of defense, doing all it can to give itself a fighting chance to sort and process that with which it’s already wrestling. So it only makes sense that it tries to survive by inhibiting and prohibiting fresh sensory messages streaming in from one’s immediate internal and external experience. And the resultant mind states are dominated by derealization and depersonalization.

Now, as we approach delivering a knockout punch to derealization and depersonalization it’s important to always keep in mind that, as I said in the previous paragraph, both of these sensations are born of the mind’s effort to protect itself. And the very cool thing about this notion is it leads us to the unique understanding that the mind has – well – a personality of its own. Furthermore, this personality is all too often negatively impacted by the mind being overwhelmed and in great mental and emotional pain. To me, this brings to the fore a “personality of mind,” giving the hellish protection-generated sensations of derealization and depersonalization rather a bit of softness and gentleness, making them seem so much less treacherous. I mean, it’s like the mind is this living, feeling being that actively communicates with us, so often asking for help. And we, in turn, have the opportunity to provide compassion and relief.

Alrighty then – so let’s move on to what one can do to make these horrifying, but now familiar and much less terrifying, phenomena go bye-bye. First of all, if one is willing to accept derealization and depersonalization as mind-protecting phenomena, it only stands to reason that their appearance – more importantly, disappearance – will be greatly influenced by our ability to maintain balanced and tolerable loads in our mental/emotional wheel barrel. And this is accomplished by stress management, which is so often driven by how we monitor and adjust our processes of thought. Now, of course, in many cases high levels of stress, and resultant anxiety, can’t be avoided – that’s just life. But we still hold the ability to manage their intensity and fallout by keeping tabs on how we think and subsequently react. It’s a matter of maintaining enlightened perspective and calm as our reasoned powers of interpretation have time to take the stage after the panic alarms have sounded.

Allow me to reiterate, there’s no doubt that the best first strategy to keep derealization and depersonalization at bay is to do all we can to maintain management over our stress and anxiety levels. Whether it’s through relaxation, visualization, diet, guided imagery, exercise, job or school change, relationship change, lifestyle change, therapy – or my techniques of interpreaction, interpreversal, S.A.I.L., S.P.A., I.A.M. not F.E.A.R. – whatever – we must do what it takes to stay self-managed on a day-in and day-out basis. If we do this, not only will we be able to keep derealization and depersonalization at arm’s length, but should they strike and the alarms sound, we’ll be able to cruise our way past any exaggerated and inappropriate reactions. See – it’s our misinterpretations and overreactions that cause the problems, not derealization and depersonalization. How ‘bout that thought?

And as we’re approaching all of this, let’s not dismiss the concept of the mind having a personality and its expression of its need for “some love” through the frightening sensations of derealization and depersonalization. To me, as we accept this seemingly strange notion we apply a very soothing balm upon a potentially fevered mind. And this very much relates to the concept of mindfulness – a clear-minded, in-the-present-moment, self-observational technique that emphasizes viewing self as an outside observer – without criticism or judgment.

Okay – but let’s say in spite of our self-management efforts, derealization or depersonalization make a surprise visit. Ya’ ready? First and foremost – just stop whatever it is you’re doing. If you’re driving, pull over when you can. If you’re in a meeting, take a break. Heck – take a walk, if you’d like. Now, take a few full abdominal breaths, and as you take them immediately tell yourself that the one and only thing happening right now is your mind telling you it’s operating on overload and needs a little help. It’s talking with you, and that’s pretty cool. Nothing dangerous, without a reason, or permanent is happening to you. And since you know what’s going on, and why, take some time to communicate with your mind, letting it know you’re there for it and will do whatever it takes to provide aid and comfort. Visualize your mind as if you’re looking at it from outside of your physical self (a healthy “out-of-body” experience). And as you do, visualize your mind very nicely calming down. Simply open yourself to a spirit of insight and reason, as you employ relaxation techniques, guided imagery, visualization, the strategies I’ve mentioned before, or anything that’s worked for you in the past. And as you’re keeping yourself together, know that as soon as you get your sea-legs back, moving on with your day is the next order of business. It’s this thinking and believing that keeps the alarm from increasing in decibels, and keeps it from sounding in the future.

Yes – it’s this mindset, along with a few victories, that will enable you to function in the presence of derealization and depersonalization, allowing you to explore these uncomfortable states, accumulating insight along the way. And I’m betting you’ll find that this philosophy, as well as time-proven strategies and techniques, will keep these icky sensations at bay – period. It’s all about making peace with derealization and depersonalization - indeed, making the best of an initially perceived unpleasant situation. I mean, who knows what kind of inner secrets could be unveiled upon exploration of our altered states of perception and consciousness. And I’ll tell you this – establishing a level of insight and comfort with a nemesis is a great way to remove any potential threat. But, make sure you identify the true nemesis. In this case, it’s not derealization and depersonalization, rather our misinterpretation and overreaction to a foreign perceptual experience.

From tons of experience I can tell you that you must ride out episodes of derealization and depersonalization. As was said earlier, if and when they pop onto the scene, acknowledge they’re there and calmly tell yourself they’re not a permanent state of consciousness and will shortly pass – that is if you stay cool. Remind yourself that your mind is overloaded and it’s talking with you, asking for a little help. And do a friend a favor. Just use any intervention strategy and technique you’ve come across, including those presented in my book, and go on about your business and your day, as no one will have a clue as to what you’re going through. I’ll go you one better. I’m challenging you to welcome derealization and depersonalization as they arrive, and dive right in to some intrapersonal exploration in their presence. Wouldn’t that be an interesting twist? And how disarming would it be to the all out dread and fear these sensations traditionally generate.

Ah – the mysteries and miseries of derealization and depersonalization. Nothing with which we can’t peacefully coexist. Go get ‘em, tiger!

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Panic Attacks and Anxiety: Derealization and Depersonalization – You’re Not Going Crazy!

By Mark B

Here is another article on panic attacks self help that you may find useful

Two of the most horrifying little goodies that so often accompany panic attacks and severe anxiety are derealization and depersonalization. Both can be absolutely crippling and take you right to the turnstiles of your perception of insanity. This article will discuss what these spooky phenomena are and what may cause them.

Coming from personal experience, derealization is a deep and disturbing sensation of unreality and detachment from one’s immediate world, rather an altered state of consciousness. It’s been described as feeling as though one is looking at the world through thick glass. I mean, you can see clearly, are fully oriented, and can function; however it’s like you’re operating in a very exclusive dimension. It is an absolutely terrifying experience and generally leads to the belief that insanity is at hand - especially if one hasn’t the knowledge as to what’s really going on. As derealization presents, one becomes extremely concerned about what to do and how to find help. See, it’s all about the fear of being, and appearing, crazy - or at the very least, extremely strange.

Now, just as derealization is an environmental perceptual issue, depersonalization is an equally disturbing self-perception phenomenon. During my junior year in college I walked into the house I shared with some buddies and caught a glimpse of a photograph hanging on the wall of the six of us. Though it was only a glimpse, something just didn’t seem right – that quickly. So I stopped, walked back to the photo and saw this person right in the middle of the picture. I knew who he was, yet I didn’t. But it was me! I can’t tell you how frightening that sensation was. Depersonalizaton holds the potential to snatch away your last morsels of identity and security, having any sort of concept of self relegated to the dumpster.

So, what actually causes these sensations? Recent research has suggested that extraordinary and frightening sensations, such as near-death and out-of-body experiences – which I believe are in the same ballpark as derealization and depersonalization – may occur because of stress-induced malfunctioning brain chemistry. For example, a structure in the temporal lobe (lower side) of the brain known as the angular gyrus, specifically the right angular gyrus, is believed to process sensory input in an effort to aid in the perception of our physical selves. Featured in one particular study was a seizure disorder patient participating in a course of electrical stimulation treatment. During a procedure the electrodes were applied to the right side of the patient’s head (right angular gyrus?), and guess what? When the juice was turned on the patient reported an out-of-body experience. Now, this research doesn’t specifically address the cause of derealization and depersonalization; however it begins to point some fingers. At least I think so.

The strange sensation of floating outside of the body during times of perceptual disorientation may be generated by any number of things, including panic, intense anxiety, major life stress, emotional and physical trauma, and brain disease or injury. As it applies to mental and emotional distress, perhaps as life circumstances begin to overwhelm us we become victims of transitioning consciousness as our minds react by generating custom-tailored out-of-body experiences known as derealization and depersonalization. V.S. Ramachandran, M.D., Ph.D., director of the Center for the Brain and Cognition at the University of California, San Diego, underscores the power of perceptual alteration by proposing there’s a shift in the very boundaries of self-perception when incoming sensual input doesn’t comply with what one perceives and requires as the norm. By the way, do whatever you can to read any of Ramachandran’s writings because it’s absolutely amazing stuff. This guy is the real deal.

As a past sufferer of this hocus-pocus, I view derealization and depersonalization, intense perceptual alterations, as the mind’s self-protective reaction to the ultimate perceived state of overload. It just seems to me that when the mind believes it’s mega-overwhelmed it flips the switch on a perceptual filter, believing even the slightest additional bit of stimuli may lead to various degrees of psychic meltdown. Yes - it’s the mind in a powerful state of defense. Within this theoretical framework, the mind is trying to give itself a fighting chance to sort and process that with which it’s already wrestling, so it chooses to inhibit the sensory messages streaming in from one’s immediate internal and external experience.

Now, unfortunately, the mind’s fear circuitry is chugging along very independently and just as efficiently as its perceptual filter. So off go the alarms because the sensations experienced as a result of the mind’s work to defend itself, which may include derealization and depersonalization, are causing the alarm circuitry to freak. As a result, one flips into all-out panic mode, desperately trying to reestablish a sense of perceptual orientation and comfort. And that only makes things worse because it totally interrupts the mind’s immediate mission of managing thousands of cars at rush-hour. And so one is left with this ever-building traffic jam caused by two vehicles: an overloaded mind on the verge of meltdown and a very agitated and loudly rebellious fear circuitry. Needless to say, no one’s going anywhere.

I might also suggest that derealization and depersonalization may also present as a result of the mind being so consumed by its present overload, it simply can’t deliver perceptual accuracy in response to what the senses are bringing to the table. Don’t ever forget – this is all about how we receive self and the world. And there’s only so much of the mind to go around. Yes – it does have its limits.

Dr. V.S. Ramachandran, from his book, A Brief Tour of Human Consciousness: From Imposter Poodles to Purple Numbers (Pi Press, 2004), sets the table for his thoughts on derealization and depersonalization by mentioning two fascinating neurological disorders. The first, Capgras Delusion, is characterized by the patient being convinced a close family member or friend is an imposter. The patient has no problem grasping familiarity of appearance and behavior; however the relational significance just isn’t there, and the patient is fully aware of the disconnect. Ramachandran then mentions Cotard’s Syndrome, a neurological disorder characterized by the patient believing she has lost everything, even parts of her body, and believes she may, indeed, be dead and is walking about as a corpse.

Ramachandran suggests derealization and depersonalization may well be caused by the same altered brain circuitry that brings on Capgras and Cotard’s, even to the point of referring to derealization and depersonalization as rather a “mini-Cotard’s.” In the face of a life-threatening emergency a piece of anatomy in the frontal lobe of the brain, the anterior cingulate (also involved in the processing of physical pain), becomes active. Its ensuing action pulls in the reins on the brain’s fear circuitry. As a result, disabling phenomena such as fear and anxiety fall by the wayside. But it doesn’t stop there, as the anterior cingulate then ramps-up alertness just in case we need to defend ourselves. Well, the bottom-line is we’re left in this emotionally void and hypervigilant state, and Dr. Ramachandran proposes we have but two alternatives to account for what’s happened: “The world just isn’t real,” presenting in the form of derealization, and “I’m not real,” presenting in the form of depersonalization. Go back several paragraphs to my description of my personal experience with depersonalization. One of my statements was, “I knew who he was, yet I didn’t.” Kaboom – what a fit.

I find all of this really very fascinating, especially when you consider that something that feels so horribly frightening, and that holds the potential to cause such major dysfunction, may actually be the mind’s naturally intended way of protecting itself. Indeed, the mind may be saying, “I’ve got a bit more than I can handle here – could someone please help me out?” To me, assigning a personality, if you will, to the mind gives its generated distressing phenomena a bit of softness and gentleness; making them seem so much less abysmal. I mean, it’s like the mind is this living, feeling being to which we can show compassion as it’s hurt, confused, worn-out, and desperately in need of rest and care. I really believe in this relationship with mind, and it’s my opinion the only thing that keeps us from realizing its fullest two-way potential is overcoming our misinterpretations and overreactions to the mind’s naturally occurring protective mechanisms. Yes - as soon as we sense the beginnings of sensations such as derealization or depersonalization, and the alarms sound, we think our way to exaggerated and inappropriate reactions. And it’s this dynamic that causes all the hubbub, not the perceptual alterations themselves.

Well, hey – that’s it for this writing. Hopefully you know a bit more than you knew coming in. And if derealization and/or depersonalization are tearing your life apart, here’s hoping for some insight and relief. Don’t ever forget – you are not going crazy! Keep an eye out for my article, Panic Attacks and Anxiety: Adios! to Derealization and Depersonalization. It’s a great bit of follow-up.

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There Are Ways In Managing Your Panic Attacks And Depression

By Mark B

Here is another article on panic attacks self help that you may find useful

A person must learn the ways to deal with depression and panic attacks. Here is a short list of techniques that a person can use to help manage their depression and panic attacks.

Sometimes, we can get depressed over a task that we will have to perform in the near future. When this happens, visualize yourself doing the task in your mind. For instance, you and your team have to play in the championship volleyball game in front of a large group of people in the next few days. Before the big day comes, imagine yourself playing the game in your mind. Imagine that your playing in front of a large audience. By playing the game in your mind, you will be better prepared to perform for real when the time comes. Self-Visualization is a great way to reduce the fear and stress of a coming situation.

One of the ways to manage your depression is to challenge your negative thinking with positive statements and realistic thinking. When encountering thoughts that make your fearful or depressed, challenge those thoughts by asking yourself questions that will maintain objectivity and common sense. For example, you are afraid that if you do not get that job promotion then you will be stuck at your job forever. This depresses you, however your thinking in this situation is unrealistic. The fact of the matter is that there all are kinds of jobs available and just because you don not get this job promotion does not mean that you will never get one. In addition, people change jobs all the time, and you always have that option of going elsewhere if you are unhappy at your present location.

Some people get depressed and have a difficult time getting out of bed in the mornings. When this happens, a person should take a deep breath and try to find something to do to get their mind off of the problem. A person could take a walk, listen to some music, read the newspaper or do an activity that will give them a fresh perspective on things. Doing something will get your mind off of the problem and give you confidence to do other things.

Another technique that is very helpful is to have a small notebook of positive statements that make us feel good. Whenever you come across an affirmation that makes you feel good, write it down in a small notebook that you can carry around with you in your pocket. Whenever you feel depressed, open up your small notebook and read those statements.

Take advantage of the help that is available around you. If possible, talk to a professional who can help you manage your fears and anxieties. They will be able to provide you with additional advice and insights on how to deal with your current problem. By talking to a professional, a person will be helping themselves in the long run because they will become better able to deal with their problems in the future. Managing your fears and anxieties takes practice. The more you practice, the better you will become.

The techniques that I have just covered are some basic ways to manage your depression, however your best bet is to get some help from a professional.

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Panic Attacks – What You Need to Know

By Mark B

Here is another article on panic attacks self help that you may find useful

That is not only sad, it is dangerous because continually suffering with panic attacks can lead to anxiety disorder (the constant fear of having another anxiety attack). When this happens all life decisions are ruled by the fear of suffering yet another attack.

Needless to say, this can damage your lifestyle, friendships, love-life and even threaten job performance.

This results of panic attacks are that the sufferer will often withdraw from normal everyday activities, such as:

* Planning holidays or travel.

* Leaving your home, or being alone.

* Making appointments or socializing with people, for fear that you might have to excuse yourself half way through.

* Giving a speech or presentation, for fear of having a panic attack.

Common Symptoms Of A Panic Attack

If you are unsure whether you, or someone you love is suffering with a panic attack, then here are some common symptoms that you should look for:

* A Racing Heart

* Chest Pain

* Palpitations

* Difficulty breathing

* Headaches

* Sweats

* Bowel Troubles

* Nausea

* General Fatigue

* Dizziness

* Insomnia

* Butterflies in the Stomach

* Difficulty Swallowing

* Constant Fear Of Impending Doom

* Depression

* Agoraphobia

* Sudden Panic

* Irritability

* Social Nervousness

* Feelings Like You Are Going Crazy Or Losing Control

* Feeling Alone And Out Of Place

* Believing That There Is No Hope Of Normality

* Social Phobia

* Disturbing Dreams And Thoughts

This is not a complete list but any combination of the symptoms mentioned there should very well point to panic attack as the cause. If you are suffering with these symptoms you should take action to get your attacks under control before they increase in frequency.

Immediate Action You Can Take To Help Panic Attacks

Many people have found it helpful to learn what can exacerbate anxiety and lead to panic attacks. Simple items such as food can amplify anxiety, or make a panic attack much more probable.

Foods like:

1 Processed Foods (lunch meats, chips, packaged snacks)

2 Caffeine (in coffee, tea, chocolate)

3 Energy Drinks (Red Bull, Monster, Rockstar etc.)

4 Sugar (in the form of sucrose, glucose, corn syrup)

The Truth About Alcohol And Panic Attacks

Though having a stiff drink may seem like an obvious way to “calm the nerves,” you need to understand that alcohol dehydrates the body and this causes the body to feel tired and fatigued. It also reduces blood sugar levels and causes vitamin depletion as well.

Even though you may feel relaxed, after it wears off, anxiety may actually get worse.

This article was presented by Panic Defence, the UK’s leading name in combating panic and anxiety. If you would like a free download with easy and effective tips to end panic, visit www.panichandbook.com now.

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How to Escape Panic Attacks

By Mark B

Here is another article on panic attacks self help that you may find useful

This article is presented by Panic Defence, the UK’s leading name in combating panic and anxiety. Click here to end panic quickly and effectively.

You’re short of breath. You’re heart won’t stop racing, you’re unbelievably tense, and you feel like you can’t breathe. What is wrong with you? Why do you feel this way? What is a “Panic Attack”? A panic attack occurs when the body gets overloaded with stress. It cannot handle the anxiety it is being put under, and so then it manifests itself into what is termed a “Panic Attack”.

Learning to cope with the panic attacks, can be very difficult in the beginning. You must learn to keep your fears from getting worse and out of control if nothing else. Realize that you are in complete control of the given situation. There are some steps you can take to prepare right now, before you have your next attack. These steps can make dealing with the next occurrence significantly easier.

Try to think about the most relaxing and peaceful place you have ever been. Try to remember with every sense of your body the way it made you feel. Capture that feeling in your minds eye and tell yourself to allow your body to feel that way right now. Keep up these visuals while inhaling and exhaling deep breaths. Soon you will begin to feel the stress and anxiety leave you as it is replaced by a relaxed and calm feeling.

This article was presented by Panic Defence, the UK’s leading name in combating panic and anxiety. 

For full information on Panic attacks self help click here