Cognitive
Behavioral Therapy Panic: Combine these things to change your
thought patterns and get better!
Question: “Why is my mind moving
backwards instead of moving forwards?”
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Matthew's
response:
Often after a person has his/her first panic attack he/she thinks
about the next one and really begins to worry about
it.
Unfortunately it is as if a switch gets triggered in the
brain and a flow of anxious thoughts are opened
up.
Each time one
feels anxious it’s - as if things are getting worse and
worse. Now I’m not
suggesting that they really are getting worse, but I am suggesting
that that is how it feels to the anxiety and panic attack
sufferer.
Not that I am one
who believes in dwelling on the negative aspects of something but I
in no way want to brush over this point.
After the first
panic attack or two our brains, in a sense, go the “dark side”; we
start to fear the next attack and overall see many things in a much
more negative light than we did prior to the onset of our first
panic attack.
It’s important to
recognize that this “dark side” thinking occurs for most if not all
panic attack sufferers on one level or another. The problem is that while our
mind is a wonderful and creative instrument, this wonderful and
creative instrument unfortunately is capable of having a positive
or negative influence on us.
When I say
“negative influence” I’m referring to negative patterns of thought
concerning the state of affairs and the impending feeling of worry
that keeps sneaking into everyday tasks which makes us more and
more anxious.
One of the things
I can really recall about after first being stricken with panic
attacks is the thought that things were getting worse the more
often I became anxious.
The thought in my
head would go something like this: “Well if I thought the last
panic attack was bad, this one is much worse. It’s getting worse.”
I, like many
people at this thought stage felt that I was losing my mind.
While it was not
the case that I was losing my mind, it was the case that I felt
more anxious.
However at this
point I want to move on now to state that there is a way for you to
move from the “dark side” to the “bright side” because the mind
will move in the direction of our focus.
Now unfortunately
it’s not as easy as simply flicking a switch like it seemed to be
after the onset of our first or second panic
attack. It does
take time.
That’s why we need
to consistently work on our underlying thoughts as I’ve done with
the examples throughout this newsletter.
Well the same
consistent, proactive, follow-through is essential to getting
better.
If you’re a
subscriber to my newsletter and have been proactive with the
examples of Cognitive Behavioral Therapy (CBT) in which I’ve looked
at underlying thoughts you have probably see that the new thought
processes developed from this serve as the “switch” that needs
to get turned on for you to begin the road to
recovery.
The great news is
that you can really start a momentum in the right direction and
maintain that momentum through CBT. What I mean is that by starting
with the first time you really give CBT a try you continually build
a momentum in creating more positive thought processes.
So now: Let’s try
to go back to the above question again and analyze it for
underlying cognitive distortions and then look at some alternative
more realistic thoughts. In order to do this, even if this
is not our current question or thought, let’s pretend it is for the
moment.
The question
was:
“Why is my mind
moving backwards instead of moving forward?”
The first step to
analyzing thoughts is actually recognizing the underlying thoughts
causing our emotions - although they may not be obvious - so we
need to become a detective (in a sense) and, like any technique,
over time we can improve with practice.
The thought
causing the above referenced distress is likely the belief that
things are actually getting worse rather than better.
So now we have a
starting point.
When we analyze
what evidence exists for the above thought (that things are
actually getting worse rather than better) we will likely state
that we feel more and more anxious each time we have an
attack.
Now looking at the
list of cognitive distortions (for reference purpose this link opens
in a seperate window) see if you can pick out the
distortions present.
Present is
emotional reasoning because what is happening is that we are
reasoning the ways things are on the basis of our feeling – our
emotions. However our
emotions can trick us about reality. Sometimes there is no basis in
reality to support our anxious thoughts other than the fact we feel
anxious.
Now we need to
look at a more realistic thought.
For starters, we
could tell ourselves that just because we feel more and more
anxious it does not mean that we are in fact worse or that our mind
is really moving backwards instead of forwards. It just means that we are feeling
anxious.
The great news is
that we are learning to do CBT on our thoughts so that we can feel
better. We can learn
positive thought patterns that can make us feel
better.
Even better, there
is actually evidence from advanced brain imaging technology that by
changing our thoughts, such as we are doing through CBT, we are
improving our brain function.
Moreover you don’t
even need to actually believe your alternative thoughts at
first. The process of
continuing to generate alternative thoughts will help us over time
but the first step is to go through the motions.
I’m sure you’ve
had the experience many times where you’re in a really bad mood and
someone tries joking around with you. You feel so stuck in the current
emotional state that you’re not having it. You resist being in a better
mood. Well this is
what happens on an unconscious level with
anxiety. You
resist any thoughts that challenge your current emotional
state.
But, like the
example of someone trying to joke with you when you’re in a bad
mood, if you let yourself enjoy the humour, you actually start to
laugh and feel better.
You see it’s not
really possible to be in a bad mood and a good mood at the same
time. Just like it’s
not possible to be in the “dark side” and “bright side” at the same
time.
By utilizing the
information discussed in this newsletter I hope you’ll continue to
work on the “bright side” and if you have not been doing so that
you’ll start.
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