Panic attacks, anxiety

I suffer from social anxiety, in several forms, socially I feel dizzy and unstable while with people, and feel back to normal when they leave. While driving I get panic attacks and irrational fears. My life is greatly impacted. I need desperate help.
Asked by Worried
Answered
12/21/2022

I'm so sorry to hear that you are having anxiety and having panic attacks. I can imagine it is very uncomfortable. There are few different types of therapy that can be used to address the anxiety. I would recommend working with a therapist in utilizing Cognitive Behavior Therapy (CBT). This will help identify your anxious thoughts and the therapist can help you change the anxious thoughts to reduce anxiety. 

You can also try some relaxation skills such as diaphragmatic breathing. You can use diaphragmatic breathing while you are driving, but I recommend practicing it when you are laying down at home. Diaphragmatic breathing helps increase oxygen to your brain, which can help reduce anxiety.

You can also try progressive muscle relaxation. A lot of people carry tension in their bodies when they are anxious. Progressive Muscle relaxation helps reduce the tension and reduce anxiety. You can also try visual imagery where you visualize a relaxing place. You can use this with diaphragmatic breathing and progressive muscle relaxation. You can find videos online that explain how to practice these skills.

You can also try practicing mindfulness which focuses on being in the present moment, being non-judgmental of thoughts, and increasing awareness. You can also practice mindfulness meditation, which can help reduce anxiety. You can find videos online to teach you how to practice mindfulness meditation. You can also find more information online about mindfulness.

I would also recommend utilizing exposure therapy. This is where you expose yourself to the things that are causing anxiety, but in small increments. Start by socializing in a very small setting with a small number of people in a place you feel comfortable. Gradually, increase the number of people and gradually increase to settings that are more and more uncomfortable with. The gradual exposure helps treat the anxiety in the long term. You can use this same approach with driving as well. Start by driving in a local neighborhood you are comfortable in, and then drive somewhere less familiar but still mostly comfortable. Gradually increase it to places that make you feel more and more uncomfortable. This is called gradual exposure therapy.

The last thing that may help is exercise. Exercise can help increase chemicals in the brain that help reduce anxiety and depression. Try going on a walk for 20 to 30 minutes a day a few times a week. This may help reduce the anxiety.