How to Overcome Flashbacks and Panic Attacks

Here is a list of grounding techniques which you can use immediately, to help when you have lost control of your surroundings in a panic attack. Grounding techniques work well not only with panic attacks, but also with flashbacks from PTSD.

First, look around you. Find five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste.

It is also good in a flashback to ask yourself how old you are now, to differentiate from how old you were when the trauma actually happened.

One of the worst things about having a panic attack is how frightened you are about having the next one.

The following video by Babette Rothschild (herself a victim of childhood trauma) illustrates how to overcome panic attacks by focusing awareness on the perception of here and now rather than on the internalized memories of previous trauma.

After this basic level of security and safety has been attained, client and therapist can then collaborate in the construction of a therapeutic relationship which will increase feelings of confidence and self-esteem, overcome anxiety, depression, and despair, and bring forth an optimistic outlook on life which enables them change the narrative of their life story. (Levine, 1997; Naparstek, 2004; Rothschild, 2000; Scaer, 2007).  These new methods of treatment by the world's leading trauma researchers and clinicians constitute  ". . .a paradigm for understanding trauma's far-reaching psychological and physical consequences, without which, psychotherapeutic interventions remain extremely limited, and at times harmful to our clients." (emphasis mine). 

Procedures such as these are rapidly dealing a death blow to outmoded, Twentieth-Century notions of "healing" based upon regression to cause, which is about as sophisticated and as useful as trying to housebreak a puppy by "rubbing his nose in it." The puppy will usually stop sooner or later, but is that because of our treatment or in spite of it? And if the "training" is vigorously pursued, could the frustration and anxiety thus engendered actually make new learning more difficult? 

The following video from PESI Seminars features some of the world's leading experts discussing how recent breakthroughts in the treatment of trauma, dissociation, and multiple personality are making it possible for clients who have gone years without improvement to finally begin to change.  

References

American Psychiatric Association (2013). Diagnostic and Statistical Manual, DSM-V, 5th ed. Washington, DC: American Psychiatric Association.

Forward, S. (1997). Emotional blackmail: When the people in your life use fear, obligation, and guilt to manipulate you. New York: Harper-Collins.  

Forward, S. & Buck, C. (2002). Toxic parents: Overcoming their hurtful legacy and reclaiming your life. New York: Bantam.

Levine, P.A. (1997). Waking the Tiger: Healing Trauma. Berkeley, CA: North Atlantic Books.

Naparstek, B. (2004). Invisible heroes: Survivors of trauma and how they heal. New York: Bantam.

Rothschild, B. (2000), The body remembers: The psychophysiology of trauma and treatment. New York: Norton.  (Click on the link for a YouTube book review.)

Scaer, R. C. (2007) The body bears the burden: Trauma, dissociation, and disease. New York: Routledge.

Anniversaries, Nodal Events, and Social Systems

by Annette K. Schreiber, Ph.D.

A nodal event is an event in a person's, family's, community's or country's life that affects it profoundly. Some events are positive, like the election of a president or the birth of a Royal baby. Some events, however, are so negative, that they throw everything out of equilibrium. Hurricane Sandy was such an event.

The Jersey Coast and those of us who were personally affected by the storm know that things will forever be different. We, as individuals, families and communities, have been knocked off balance. Everything has changed, as we search for the "new normal."

When we approach anniversaries of negative nodal events, we may find that we don't feel "quite right." We may become symptomatic in many ways, physically, emotionally or behaviorally. One person may get a bad cold, or break out in a rash. Another may quietly get drunk, or not so quietly go speeding down the highway and get a bunch of tickets. And most people have emotional upsets. Feeling depressed, sad, irritable, anxious, or having panic attacks are ways that many people "mark" these anniversaries. Why? Do we decide this is how we are going to observe the anniversary of Sandy? No, it is not a conscious decision. Each individual is part of a system: a family, a community or a country. And if the system is out of equilibrium, there are shockwaves that reverberate throughout all parts of the system, bringing on symptoms.

After Sandy, many members of our communities remain in deep trouble. The disillusionment stage of recovery has set it. The insurance companies, FEMA, SBA, the local, state and federal governments aren't moving fast enough to get people back in their homes, or their businesses up and running. Many people remain displaced, and have lost everything they owned and are desperately trying to figure out how to move forward.

But, there are random acts of kindness, people volunteering and giving, and countless fundraisers. Groups of people gather in formal and informal support groups to help themselves and others make sense of it all, and to draw strength from each other.

So, if on a particular anniversary, you don't feel "quite right," realize that you are not alone in feeling this way, and that we have all been knocked for a loop.  But our people and our communities are strong --  so Keep Calm, and Carry On!