Various forms of panic attacks and anxiety conspire with clinical depression in various ways.  The panic attacks and anxiety issues can be primary and causing a secondary condition of clinical depression. But it can also go the other way:  The clinical depression can be the primary condition that turns the ignition key for panic attacks and anxiety.  In this article we are going to briefly consider this strange relationship in which depression cozies up to panic attacks and anxiety, as well as the way panic attacks and anxiety invite depression to move in just to share rent.  Who pays the burdensome rent?  You do, if you have both anxiety and depression taking up residence in your life.

Panic Attacks and Anxiety are Cut From the Same Cloth

Sometimes a client will be describing to me an ongoing experience of stress and I will mention the word anxiety.  “Oh, no,” she replies.  “Not anxiety.”  I have a puzzled look on my face.  She goes on, “It’s more like worry.”  Then I am reminded that many people don’t like to think of themselves as having anxiety.

Anxiety is a physical response in which a particular branch of our nervous system is activated to prepare the body for defensive action (fight or flight).  Brief anxiety is something we all experience frequently as a part of  normal life.  If your boss hands you an urgent new assignment minutes before you were to leave work early for an appointment, you feel something.  It’s probably not panic attacks and anxiety.  But it’s anxiety, however small.

Anxiety can come in the form of mild stress, caution, worry, concern, a startle response, and….an anxiety attack.  It’s a matter of degree.  Normal anxiety seems to fit well with the situation.  If you work on the 10th floor of an office building and the fire alarm begins sounding, it’s normal to feel a rush of anxiety.  But panic attacks and anxiety for weeks following the event can be a real pain, besides being unnecessary.

So panic attacks are a form of anxiety.  Panic attacks become dysfunctional when your whole body shutters with anxiety and there is no apparent danger.   You may know all too well that being ambushed by panic attacks and anxiety “out of the blue” is most undesirable.

chicken hen

Which Came First? The Chicken?

brown chicken egg

Or, the Egg?

How Panic Attacks and Anxiety Lead to Depression

A chicken is not an egg.  Chickens can walk around and even fly.  Eggs can do neither. So, which came first?

Likewise, anxiety and depression are not the same at all.  Anxiety ramps our bodies up for defensive action, while depression slows (depresses) the systems of the body.  In particular, the brain has a kind of fog, not to mention the sadness.   This is why it’s so hard to feel “with it” when we are depressed.  It seems that our brains have been designed to slide into depression when subjected to anxiety and stress over a long period of time.  Depression loves chronic stress in the way that eggs love chickens because they provide just the right environment in which to incubate and ultimately hatch.

So, people with frequent panic attacks and anxiety will almost always become depressed because the brain eventually says, “I’m not made to handle all this adrenalin  (anxiety) without a break, so I’m shutting things down (depression).  Frequent, ongoing panic attacks push the brain chemistry into depression.  Chronic anxiety makes depression appear in your crystal ball:  it’s coming.

The Vicious Cycle Begins:  How Depression Sows the Seeds for Panic Attacks and Anxiety

It’s almost a cruel joke of brain chemistry, that depression can also lead to panic attacks and anxiety.  This is because panic attacks and anxiety seem to thrive when we are not thriving.  The key mechanism here is our the sense of vulnerability.  Depression over many days plants in us a sense of vulnerability that just happens to be the soil that panic attacks and anxiety love.

Panic Attacks, and Anxiety Resources to Take Back Your Life

If panic attacks and anxiety are constantly hounding you, what kind of help do you need to reclaim your enjoyment of life?  You certainly don’t need to be told to “just get over it.” Instead, you need a tried and true method for systematically overcoming your panic attacks and anxiety, one step at a time.

Therapy May Not be Necessary

What about therapy?  You may need therapy and it’s a good idea to have at least one session of evaluation by a competent psychologist to make sure your situation lends itself to self help.  A professional evaluation of the “league” of panic attacks and anxiety that you are in can save you unnecessary discouragement.

On the other hand, a good self help program may be all you need.  For many people starting with something at home can help them begin to make progress and even eliminate panic attacks entirely.  The point here is that a self study program at home may help you determine if you need therapy or not.

Double Benefit

Either way, you need a program that can give you the tools and perspective to deflate panic attacks and anxiety one twinge at a time…so that you make progress without becoming overwhelmed in the process.  For many people the end of panic attacks means that the prison cell door of depression opens wide and they obtain a double benefit:  no more panic attacks and anxiety as well as relief from depression.

Panic Away Review

Recently, I have reviewed one of the most popular self help programs for breaking free from panic attacks and anxiety including generalized anxiety.  The name of the program is Panic Away. It was developed by a man who suffered from relentless panic attacks and anxiety himself. Though he is not a mental health professional, I found the program content to be very solid and practical.  It is also affordable for most people.  I like it because it is consistent with what we know about panic attacks from anxiety research.  I collected my findings and put my analysis of the Panic Away program in a 30 minute audio review that you can access here. It’s included in the free SILVER membership to StepsforChange.com.

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A program of self help for panic attacks is more than simply reading a book about panic attacks. Self help approaches vary significantly if for no other reason than there is so much relevant information. Add to that the different personalities and experience of the authors and you end up with widely divergent approaches and programs of self help for panic attacks.

Yet a good program will present information in more than one format. There is something to read, there are audios and videos, there are interactive assignments. A complete program of self help for panic attacks presents good content using more than one medium.  Going beyond packaging,  there are a few essentials that make up the very backbone of a program of self help for panic attacks.

1. Good Information:  Not Too Much and Not Too Little

Let’s take a look at each of four essential components. These are characteristics that should be part of any program of self help for panic attacks.  Information about panic attacks is not difficult to obtain. The trick is to sift out the information that is most pertinent to effective relief from the symptoms of anxiety attacks. Programs of self help for panic attacks should offer targeted information leads naturally into developing a new set of skills. Therefore, it’s best to look for courses that give good, solid information about panic attacks that allows you to tame the beast of panic. If you are trying to move an elephant out of the circus tent it’s nice to have the facts that really matter for getting elephants to move.

2.  The Right Skill Set:   Getting Up to Speed Quickly

Naturally building on good information is skills training. Good information will help you know that nails do better when they are pounded in straight. It’s the skill of hammering that allows you to actually hammer the nail into wood without bending the nail. So, its important that a program of self help for panic attacks provides accessible lessons for acquiring the right skills.

3.  Tools That Plug n’ Play with the Skills

A program of self help for panic attacks also must introduce tools that fit hand in glove with particular skills. Calming and stopping panic attacks is not too different from getting a boisterous St. Bernard to do what you want him to do. It really helps to have a collar and a leash (tools) at the moment you need it. The tools should plug right into the skills.

4.  Incremental:   Steps Can be Tailored to Your Pace

One of the biggest challenges for people in a program of self help for panic attacks is sustaining motivation through the entire program. In order to sustain motivation you have to see positive, encouraging results as you move through the steps. To achieve this, a program of self help for panic attacks must be tailored to the individual pace of the learner. Why is this such a big deal?

It’s about being nudged incrementally out of your comfort zone without doing it so fast that you become overwhelmed. A useful program of self help for panic attacks will provide a particular method for tailoring the pace of progress to individual needs and apprehensions.

In a Nutshell

Self help for panic attacks in the form of a defined program or course must address the need for four essential aspects. First, it should include useful and relevant information. Second, skills training should be a prominent aspect of the program. Third, the course should offer very practical tools for practicing the skills and for eliminating panic attacks. Finally, there should be adequate instruction for how to tailor the program to an individual student’s pace of learning. It’s one thing to “get back up on the horse” and face one’s fears. It’s another thing to make progress incrementally and confidently.

When you are reading the sales literature for various programs on the web, keep these four essentials in mind. It may save you time and grief as you choose a program of self help for panic attacks.

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How to Fight Depression During Self Help for Panic Attacks

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Self Help for Panic Attacks or Self-Improvement Fatigue?
Starting and finishing a program of self for panic attacks while figuring out how to fight depression is a lofty and even risky goal that might be compared to driving a truck like a speeding sports car on steep, curvy mountain roads. Does it work?  It might.  It [...]

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Many people suppose that depression is simply a feeling of overwhelming sadness. If someone has a terrible week, they might say, “I was so depressed.” But what they really mean is “I was very sad.” What doctors mean by the word depression is not the same as the common usage of the term. But if [...]

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How Psychological Trauma Leads to the Signs and Symptoms of Depression
At what point do painful memories cause the signs and symptoms of depression or anxiety? The following checklists are from the standard diagnostic manual used by mental health professionals. It’s a summary of the criteria for Posttraumatic Stress Disorder of PTSD.
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Self Help for Panic Attacks: 3 Simple Steps to Help Your Husband Understand

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If you are a married woman who suffers from panic attacks you know how difficult it can be to navigate the marital issues resulting from frequent panic attacks.  Lack of participation in family outings, too anxious or too exhausted for intimacy, feeling out of sync with the rest of your family, and isolation from family [...]

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Self Help for Panic Attacks: Building Your Circle of Support

March 6, 2010

Self Help for Panic Attacks:  Encouragement Can Make a Difference
One of the intangible success factors for any program of self help for panic attacks encouragement.  It’s often wise to take the time to enlist one, two, or thee friends to cheer you on.  The problem is that most people just don’t get it.  Unless they [...]

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Self Help for Clinical Depression: What it Feels Like at Square One

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Author’s note:  I wrote this article a few years ago.  I am posting it again because I think that many approaches to self help for clinical depression trivialize the overwhelmingly dark nature of the beast of clinical depression… especially if it is of the more severe variety.  If a person is going to muster the [...]

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Welcome to the Steps for Change Blog

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I am excited about StepsforChange.com and how it will grow in the coming weeks.  This blog carries the same themes of the site, but will include shorter pieces, informal musings, and news about online events.  I am especially looking forward to providing teleseminars and webinars that address some of key aspects of this site:
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