NHS Improving Mental Health Services
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With thanks to Louise Leighton - MNCS Accredited for providing this blog.
Following on from an article I wrote titled Anxiety and Me, I felt it would be helpful to put together some techniques to use in times of high anxiety or if you suffer with panic attacks.
Many of the clients I have supported found breathing exercises and grounding techniques worked well for them when suffering high anxiety or panic attacks. Many had heard of ‘breathing exercises’ and ‘grounding’, however, they were unsure what they meant and how to go about using these techniques. I have detailed below 5 useful techniques and how to complete them. It’s important to go slow, there’s no rush this allows you to really relax and focus on the specific exercise you are completing.
Tip – we are all individuals, therefore, what works for one person might not work for the other, with grounding, it is about trial and error.
Grounding simply means – to return your focus back to the present. It works by ridding your body of excessive energy, calming and slowing down emotions you are feeling and calming your mind, to allow you to connect back with yourself in the present.
Grounding is often used when working with clients who suffer with PTSD as a way of supporting them with flashbacks and dissociation. However, it works well for stress, panic and general anxiety.
To start off I use a breathing exercise for around a minute. To do this, find a comfortable seat, then simply sit up straight, with your bum to the back of the seat and feet on the ground. Close your eyes and take a slow breath in counting to 5 in your head, then slowly breath out for 5 (some people can hold more breath and may find counting to 10 is better).
Repeat this around 8-10 times or until you feel your breathing has calmed.
Now you’re ready to start on to the grounding techniques, it’s usually a good idea to practice these when you are slightly stressed or anxious, then when you find what works for you, you are ready for those higher times of anxiety or a panic attack.
These are probably the simplest to do, and you can do them anywhere, here are a couple you can try:
Start by choosing your favourite colour, for example Green, look around you and notice how many objects in varying shades of your chosen colour can you see? If your anxiety is still peaked, pick another colour and start again.
For this one you need to count backwards from 100 in 7’s. This is not an easy task (unless you really love Maths), it requires you to really focus and concentrate.
This technique uses all 5 of your senses.
Start by sitting comfortably in your chair (however you would normally sit), now close your eyes and take a deep breath in and then release it slowly…
Open your eyes and look around you, slowly taking in your surroundings (this can include looking out of a window).
Now follow the next steps, remember no need to rush - relax and focus.
Name out loud:
5 things you can see
4 things you can touch (this could be the material of the chair, a rug, flowers, your hair)
What does it feel like?
3 things you can hear (music, rain, wind, traffic)
2 things you can smell (coffee brewing, a candle, your perfume/aftershave)
1 thing you can taste - you might find for this part it’s good to have a boiled sweet, chewing gum or bit of chocolate to hand (you can get up to get something or if not try imagine how it would taste)
Then take a deep breath, release it and end the process.
This is a really good one, as you can do this anywhere.
For this technique you need to choose a small item of your choice (something that fits in your pocket/purse). Things like a stone, gem, crystal, or you could use an earring, bracelet etc.
Once you have chosen your item, hold it in your hand and really focus on it, close your eyes and notice how it feels. Is it soft, hard, sharp or blunt? Is it cold or warm? Can you feel the texture? What’s that like? Is it grainy, smooth or bumpy? Now notice how it feels in your palm, is it heavy or light?
Now open your eyes and really focus on what it looks like. Is it coloured, what colours can you see? Is it patterned or plain? What other details do you notice about it?
Once you have done this a few times and as long as you use the same object, just having the item with you or holding it in your hand, can help you to focus in stressful situations, for example in social or work situations.
For this technique all you need is your imagination.
Start off this exercise by getting comfortable either sitting or laying down, then do the breathing exercise from the beginning of this article.
Once you are relaxed, start to imagine your happy place. This might be laying in a meadow reading a book (my favourite), or laying on the beach with the warmth of the sun and the calming sounds of the sea, the freedom of climbing a mountain or being surrounded by family. You get the idea.
Really engage all of your senses, close your eyes and imagine your scene - What does it look like? How does it feel? - is the sun warming your skin, or you can feel the rough texture of the rocky mountain? What can you smell? The salty air, soil, flowers? Really immerse yourself so it feels like you are really there and relax.
Stay in your happy place for as long as you like and when you are ready to come back, remaining with your eyes closed, count backwards from 10 and then slowly open your eyes and breathe.
The more you practice this, you will be able to arrive quicker and immerse yourself further.
This is something I often do, as an individual with a very busy and active mind, I often find it difficult to focus on some of the slower more relaxing techniques.
So, here is one that I often use which is basically using the adrenaline that is pumping around your body from the panic, stress or anxiety and channel it in to something else. For example, singing, dancing, walking, running or cycling, to name a few.
It’s as simple as it sounds, put some music on (as loud as you like or is permitted) and have a dance, sing, exercise or alternatively get dressed and go outside for a power walk, run or cycle.
When you have burnt off that adrenaline and excess energy, you could always try a more relaxing technique from above when you get back to cool off and calm down.
If you are still struggling to cope or finding things difficult on your own, reach out to someone you can trust, a friend, family member or search for a Counsellor in your area. If you already have a Counsellor, you could talk to him/her about grounding techniques and you could try some together.
With thanks to Louise Leighton - MNCS Accredited for providing this blog. Louise is a qualified Humanistic counsellor and her core approach is person-centred. She works with individuals in a variety of areas, such as anxiety, depression, relationship issues, family problems and bereavement. She also has a particular interest in men’s mental health. Find out more: http://www.acaciacounsellingleeds.co.uk
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