Imagine…your heart is pounding. You suddenly feel like you can’t breathe. You wonder if you are dying and feel like you are going CRAZY.
This, ladies and gentlemen, is what it feels like to have a panic attack.
A panic attack is a sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause. Panic attacks can be very frightening. When panic attacks occur, you might think you’re losing control, having a heart attack or even dying.
What You Feel
A panic attack means you experience some of these following symptoms (from WebMD):
- Feel like you’re losing control or going crazy
- Pounding heart
- Sweating
- Trembling or shaking
- Shortness of breath
- Chest pain
- Nausea
- Dizziness
- Chills or hot flashes
- An out-of-body sensation
- Like you’re choking
- A fear that you’re dying
- Tingling or numb hands, arms, feet, or legs
While extremely unpleasant, panic attacks are NOT life threatening.
As a clinician, I can see the anxiety become palpable as my clients describe this debilitating disorder to me in great detail. Panic disorder has a way of making someone live in terror of the next attack. You see the thing about people who suffer from panic disorder is they begin to fear their fear. A panic attack is an extreme form of fear that causes physical and physiological symptoms. But a panic attack is not physically or medically dangerous. You are not in ANY danger of dying when you suffer from a panic attack but in that moment you truly may think you are dying. It is THAT psychological painful.
Panic attacks can lead you to constrict your life out of fear of having an attack in a place where you perceive there to be NO escape. Unfortunately, when I work with people who suffer from panic disorder, I often see symptoms of agoraphobia present as well. I will see people refuse to drive, refuse to leave their house without a “safe” person with them (someone they can turn to for help if a panic attack arises), struggle with social situations out of fear of having an attack in front of people, refuse to be in crowded places such as malls and concerts, and be afraid of any activity that reminds them even remotely of their panic attacks.
This is no way to live.
Panic disorder is NOT a life sentence.
People who struggle with this disorder start to limit their worlds: being particular with where they will go and what they will do. They try to be as “safe” as humanly possible.
Vigorous exercise may become a no go because the rising heart rate reminds them of their last panic attack when their chest was POUNDING. Caffeine is treated like it is poison because of the jittery, sweaty, high blood pressure feeling it produces which brings about a flashback of their last panic attack. Going into a hot tub and starting to sweat? No way—I can pass out in here and drown, they may tell them self.
One’s thoughts become increasingly irrational with panic disorder.
Anything that produces symptoms similar to a panic attack (increased heart rate, sweating, shortness of breath) will be avoided at all cost. Driving on the highway where you can’t get off an exit for another THIRTY miles? NO WAY. I am not getting STUCK.
The thing is the fear of being stuck and or in a place of no escape is a form of “internal” claustrophobia~existing in one’s mind and not in the external world.

You see panic disorder and agoraphobia go hand-in-hand.
IF you suffer from panic attacks on the regular, you may begin to fear you have will have another attack at the worst possible moment. In the middle of a presentation at work, waiting on-line at the store, driving on a bridge, flying where there is no perceived escape, at a social gathering–embarrassing yourself in front of many with nowhere to hide….
These fears can be so powerful you can begin to plan your life around them—allowing your range of experiences to become smaller and smaller. Your world becomes limited.
What can you do if you suffer from panic attacks?
Consider seeking treatment immediately. This is not something you should struggle through on your own. Counseling can help you with coping skills, relaxation techniques, and help you become cognizant of how one’s thoughts can amp up our body’s fight/flight response.
You see a panic attack is a response to something we view as threatening–even if in actual there is NO REAL DANGER FACING US. We can be triggered by other people, certain places, or the mere thought of facing down our fear.
During a panic attack, our body’s alarm response is triggered even in the absence of real danger.
Remember, you can overcome your panic disorder. When we avoid panic or treat it like our enemy, it will in turn ONLY get stronger. Don’t run away from that which you fear–it will only strengthen it. Accepting you struggle with anxiety is the first step to becoming better.
Acceptance drops our resistance.
Be gentle and kind to yourself. Don’t judge and criticize yourself for panicking. This will only make your more susceptible to an attack. YOU ARE NOT WEAK.
This disorder is HIGHLY responsive to treatment. Taking care of your mental health should always be a top priority.
And remember…this too shall pass. What you resist will persist. Do not try to fight the feelings of anxiety and panic.
Stay calm.
Breath through the thoughts and feelings.
Remember: 1) You are not going to die; 2) This is a panic attack and it WILL end — it will not go on forever; 3) Work to calm your baseline anxiety which will help reduce the severity and the duration of the panic attack — going to a quiet place, focusing on regulating your breathing, stating over and over again, even if you don’t believe it, “I will be okay, this too shall pace, I am safe.”
You WILL come out on the other side.

Below I share with you a TED talk from my fellow UDEL alum, Summer Beretsky, on the struggle of dealing with anxiety & panic disorder.
To schedule a counseling session with me (AND if you are a reader who lives in New Jersey):
https://anewcounselingservices.com/erin-theodorou%2Cm-ed-%2C-lpc
Anew Counseling Services LLC
617 Oradell Avenue, Suite 3, Oradell, New Jersey, 07649
(551) 795-3822
etheodorou@anewcounselingservices.com





No matter who we are we all have our days where we just aren’t feeling great about ourselves. It can be situational such as a recent break up, a falling out with a friend, trouble with one of our kids, health issues (our own or someone we love’s), weight gain, financial stress, an issue at work, our house looking a fright. Insert crummy feeling here. When we are feeling bad about ourselves or our current situation, it can affect our life in numerous ways.
Feeling bad about yourself can color your view of the world—making us feel negative about everyone and everything. When we are in this state, we tend to bring others around us down too. We drive people away from us with our negativity. Let’s be fair here. Life is hard enough without being around a Negative Nancy or Debbie Downer. No one is going to want to be in your company if you spew negativity. When we put negativity out into the universe, we bring down the vibe of the room and the moods of others. I refer to this behavior as anger dumping–where we dump our negative emotions on someone else. For many people this helps them feel better. Yet this type of behavior will drive people away from us which in turn will only make us feel worse about ourselves.
Besides hurting our relationships, often when we aren’t feeling very high on ourselves, we make matters worse with our chronic negative self-talk.
A running dialogue in your mind can begin to play caustic self-talk. I am not making enough money. I am too fat. My house isn’t organized enough. My kids won’t listen. Why won’t my cholesterol numbers budge? I have too much to do. I am getting so old. Are those gray hairs? Why is my blood pressure so high? I hope I don’t lose my job. What am I going to do when my kids go to college? Does my wife still find me attractive? Why can’t I finish what I start? What’s next? Am I doing enough?
We all have a unique “tape” that plays in our mind.
What are the thoughts that run through your mind when you are spiraling into your “negative zone?” We all have negative thoughts we tell ourselves when we are feeling down and out. Our thoughts are very subjective and usually are a reflection of our values. If you are a parent, maybe you get down on yourself about your parenting. If you are self-conscious about how you look, maybe you beat yourself up for how you are aging or how much weight you have put on through the years. If you are career-oriented, you chide yourself for things you could have done better with clients or colleagues. If you are relationship oriented, you focus on the state of your marriage or relationship. If you are into fitness, you beat yourself up about not getting below a 7 minute mile.
We all have unique values and different things we tend to focus on. Yet it seems to be a universal experience that we are ALL our own worst critic.
Too often we do not question the thoughts we think. We just accept our thoughts at face value. The way we talk to ourselves is going to impact how we feel. CBT (cognitive behavior therapy) and REBT (rational emotive behavior therapy) are centered around how we feel is largely a result of the thoughts we think. Thus the goal in treatment is to work on a client’s cognitions and thought processes.
The way we think is going to have a direct impact on how we feel AND act. All too often we let a bad day spiral. Our thoughts turn pessimistic. We begin to view a bad day as a bad life. A bad work day as a bad job. A bad fight as a bad relationship. A lazy day as us just being lazy. We generalize negative feelings and blow things out of proportion.
The reality is some days are better than others.
We have days we are more productive than others. When days go less well, we usually are harder on ourselves.
But feeling bad about yourself won’t get you anywhere you want to go. The negative self-talk will zap your motivation. It will color the way you feel about others. You will begin to feel exhausted–mentally and physically. It was impact the way you feel about yourself. It can make you physically ill.
When you start to feel in a down mood…ask yourself what IS IT that I am focusing on?
Maybe you will find you are focusing on something you don’t want or something you don’t care for.
Perhaps you are focusing on….a person you don’t like, a habit you have you are struggling to kick, a situation at work that is driving you nuts, a problem your kid is having that you can’t seem to help her to overcome, an ongoing point of contention with your spouse, a number on the scale that won’t budge, and so on and so forth.
What can you do when you are feeling down to boost ourselves up?
1.Reduce stress. We are more likely to get stuck in a negative spiral when our life is more hectic than we care for. Try to find ways to mitigate stress–focus on the musts, not the shoulds of your to-do list. Accept your needs, manage your time, practice relaxation. Learn to recognize the signs of your body’s stress response (difficulty sleeping, being easily angered, feeling depressed, having low energy, increased substance use).
2.Schedule things you enjoy into your week. Too often we forget about our self-care. Make sure you have time throughout the week to get in some things you enjoy–a tv show, a book, a workout, coffee with a friend. If you need to, literally schedule “fun” into your weekly planner. Adults need downtime and fun just as much as kids do.
3.Watch what you eat. Bad nutrition does not help our mood. In fact much research shows a direct correlation between an unhealthy diet and mood disorders. Make an effort to focus on a healthy diet as the foods we eat certainly impact our mental well-being. Do some research on nutritional psychiatry if you feel your diet can be impacting your moods.
4.Exercise. Even if you only have 15 minutes to go take a walk outside your office. Every little bit helps. Exercise has a way of getting us motivated, giving us energy, and improves our self-esteem. It also helps to break up the monotony of our day.
5.Limit time spent with negative people. You do not need other people’s negativity bringing you down. Set boundaries with these energy vampires. These people should get the least of our energy and time–anyone with a bad attitude, fatalistic outlook, disdain for other people, catastrophic thinkers—-they have got to go. These people have a way of creating problems for themselves AND others. It will be hard to not feel misery around miserable people.
6.Connect with the people you love. Too often we let weeks go by without calling a friend or family member. Texting is NOT the same. Try to figure out a way to connect with the people you love—call on the drive home from work, stop by on your Saturday morning bagel run, make the effort to connect.
7.Ask for help. We are all in this together. No man is an island. If you are struggling, reach out for support. Don’t let pride or fear get in the way. Sometimes we begin to self-isolate when we aren’t feeling too happy with ourselves. Withdrawing from people will only make you feel worse.
8.Meditate. Quieting our mind can reduce stress, improve sleep, increase focus, improve relationships, and improve our mood. Meditating has a way of stopping our judgmental thoughts and bringing us back into the present moment. It can help you stop spinning stories, thoughts, fantasies about yourself (and other people). Meditation cultivates calmness from within and helps you to take your thoughts (and self) less seriously.
9.Keep going. Give yourself credit for how hard you work. Action breeds confidence. Often when we are feeling down on ourselves, we get paralyzed into inaction by our negative thoughts. Don’t sit home thinking about it, just do it.
10.Watch your thoughts. Notice when you find yourself falling into a negative spiral. Thinking is the way we talk to ourselves. Often we talk to ourselves in a way we would never dare speak to others. Try to take note of your mental habits–the stories you tell yourself, your fantasies, your ideas. Learning to observe yourself is pivotal to monitoring your actions and changing how you feel.
We all struggle from time to time. No one is immune from feeling bad about themself every now and again. Part of being human is realizing we are all works in progress. We will never be “done” or “complete.” (Unless we are dead–I don’t think any of us want that).
We are always growing and evolving.
Try to feel good about yourself regardless of what trials and tribulations life brings. If you continually struggle with this, counseling may be the place to begin the journey to self-acceptance.
If you enjoyed this article and are interested in seeking counseling with me:
Good relationships are the cornerstone of mental health and well-being.
They are a vital part of being able to withstand the vicissitudes of life.
If I were to think of the hardest times of my life, my friends and family’s support made all the difference. Their support, love, and comfort=priceless.
The people in my life who I know are with me through thick and thin…truly one of life’s greatest blessings.
Reflect on your own hardships and the most trying moments of your life. Who were the people who stood by your side and helped you make it through? Who had your back no matter what? What relationships have endured the test of time?
The fact is it is easy to be there for someone when times are good. It is when times are bad when we see the true colors of everyone in our lives.
Sadly, it is during tough times when the people we may have thought cared about us may reveal they do not care as much as we had previously assumed. The pain of this truth can be tremendous.
As painful as this may be, it makes you all the more appreciative of all the supportive, loving people in your life. You recognize the value these relationships are to your well-being.
That is what this post is about–the importance of nurturing good, healthy relationships. And the responsibility you having in doing so.
It is all too easy to neglect our relationships. Life happens–marriage, kids, careers, running a household. Listen, I get it! You are busy. You can only juggle so much!
But if you were to think of the happiest moments in your life–the majority of them most likely entailed being surrounded by ALL the people you love most. Weddings, parties, baptisms, graduations, housewarmings, anniversaries, birthdays, holidays, vacations. Happy memories are usually the times we spent with the ones we love and cherish the most.
In our fast-paced, always on the go world, it has become all too easy to forget that a happy life runs parallel with loving, supportive relationships. We are social animals. We are designed to be connected to others.
As an extremely individualistic society, we often think what will bring us long-lasting happiness are results of our individual pursuits. Our career success, our financial success, our individual goals.
But our communal goals are shown to bring more long-term happiness. We are all in this together, let’s not forget. Our relationships are a source of much of our joy in life. Our families, our circle of friends, the colleagues we are close with. Research shows close, supportive relationships bring more happiness than fame or money.
These are the people we laugh with, cry with, share with, vent with, help with. Our close relationships bring much of the happiness we experience on our journey through life.
Yet at the same time—-what is it that cause of the most unhappiness in our lives?
Our relationships.
Much of the state of our relationships are a reflection on us. Our actions, our thoughts, our behavior. OR our inaction, negative thoughts, negative behavior. We are a large part of our relationship problems.
The problem is–many people do not want to take ownership of this fact. It is much easier to blame the other person than look at how we contribute to problems in our relationships.
Many of us don’t want to do our part.
Let’s be honest. We put care and effort into the things we value. If you value a certain relationship, you will put in the effort to maintain it, protect it, and keep it.
If you were to reflect on your relationships that you have lost throughout your life, at a certain point, if you were honest…you stopped putting in the effort. You stopped caring. Maybe with good reason–you outgrew the other person OR this was a relationship with a person who had not treated you right but you had tolerated for far too long. Part of life is loss and this includes losing relationships that no longer serve us.
Or maybe it was the reverse situation. The other person showed you they didn’t care. They didn’t put in effort. They didn’t value you or the relationship. They forced your hand into walking away.
If you were to reflect on the relationships you lost along the way, can you pinpoint a time when you felt the cons outweighed the pros of maintaining it? I think if we are honest with ourselves we can. Or can you pinpoint a moment when you realized the other person didn’t care to maintain the relationship?
Any relationship in my life that has survived the test of time I have put effort into maintaining. The other person has put the effort in as well. It takes two.
Relationships with family members, friends, my partner. I value these relationships and I do what I can to support the individual and the relationship as a whole.
If you want to be mentally healthy research says having meaningful relationships will help you to fight off feelings of anxiety, depression, and anger. Having people to share your concerns, hopes, fears, and challenges with help you stay connected and stable.
Close relationships fight off feelings of loneliness. Loneliness is a silent killer. Social isolation is shown to lead to depression. Being connected is a fundamental human NEED. We all need to feel a sense of love and belonging.
The reality is if you want the benefits of supportive relationships you need to CHOOSE to put effort into being a supportive, healthy person. You get what you give. It very much takes a choice to invest in the relationships in our life.
The truth is our relationships are very much a choice.
Our behavior is a choice. Our relationships are a reflection of our choices.
William Glasser, the father of choice theory, says virtually all our behavior is a choice. He posits that most mental health issues, including depression, arise from problems in one’s relationships.
I think in popular psychology this concept has played out to a large extent. Many psychological theories focus on the issues that arise from unhealthy relationships with one’s parents. Oedipus complex. Electra complex.
I can say that I have seen as a clinician direct correlation between people who have bad relationships with their parents and their mental health.As a society we jokingly refer to this as having “mommy issues” or “daddy issues” but there is far from a joking matter.
Our relationships, especially key ones like the ones we have with our parents, impact our mental health.
Our relationships have a profound impact on our lives. This is why people who are often in unhealthy or abusive relationships tend to suffer a whole host of mental health ailments. The people we spend the most time with can build us up or break us down.
It is also why people from dysfunctional families tend to develop anxiety, depression, and other disorders.
Our relationships have a direct impact on our mental health.
This is why it is so important to be choosy with who you allow into your life. Who we have relationships with is indeed a CHOICE. It is a choice to keep unhappy relationships in our lives.
It is also a choice to manufacture problems in a relationship. There are ways of behaving that we bring into our relationships that can either enable healthy, happy relationships or destroy our relationships.
Many times, the way people try to remedy relationship problems is by attempting to change others.
But what if we instead focused on changing ourselves? Something we can actually be successful at. If we change our behavior, it will certainly impact the response we get from others.
If you want to have happy, healthy, enduring relationships you need to look at YOUR behavior and how you behave in your relationships.
Is your behavior driving people towards you or driving people away from you?
If you enjoyed this article and are interested in seeking counseling with me: