What to Do When you Feel a Panic Attack Coming Part 1: the Demon Analogy

Notice: The following is presented for informationalchallenge him, he gets smaller. That is where
purposes only. Assessment and treatment shouldexposures come in to play. Exposures involve turning
always be directed through one-on-one consultationthe tables on the demon by jumping him, challenging
with a trained professional.him, and saying “Bring it on. Is that all you’ve
This is one of my favorite questions and obviouslygot?”
one of the most important ones for people who areInitially, most coping techniques alone are actually not
trying to gain mastery over panic.strong enough to stop a panic attack . For example,
There are basically two options for what to do whenyou may try relaxation to stop a panic attack but
you feel a panic attack coming on. The first is to useit’s just not working. The demon is so large, that
a coping technique. The second is to do an exposure.he just swipes your “shield” aside. However,
And yes, I will explain what coping techniques andusually after one to two months of starting to face
exposures are! But first, let’s start off with mythe demon (i.e. doing exposures), the demon become
favorite analogy:so small that the shield techniques finally start
The Demon Analogyworking! And after several months of exposures, the
Panic disorder can be thought of as a demon. Theredemon typically becomes so tiny that he stops
are two ways to fight this particular demon. The firstcoming around at all and eventually dies.
way is to use your shield -- Using your shield meansThese combined tactics of using your shield and
using medications (such as Xanax), leaving theperiodically facing the demon head on will help you
situation for a while to calm down, using relaxationgain mastery over panic once and for all. If you learn
techniques, and/or talking back to your anxiousthese techniques (in a type of therapy known as
thoughts to quite them down. In the next part, I willCognitive Behavioral Therapy) it is very likely that
describe these coping techniques in detail includingyou can eventually enjoy going out with your friends,
their pros and cons. But apart from your shield, theredriving your car, flying overseas, and enjoying a
is also a second way to fight this particular demonsunny day at the beach without having to worry
– it turns out that every time you face theabout panic any more.
demon head on, he gets weaker. Each time you