My home has become my "safe spot" /"safe place". I feel calm and in control there. I am trying to push myself to go on trains, long walks and to the mall. I challenge myself step by step and I try not to feel guilty or bad about not being able to function like I once did. When I am outside, I try to think logically about the situation. "What could happen now that could not happen inside my home?" "Why would something happen now, when I felt so calm at home". I try to convince myself that it's only in my head and it's my nerves and my brain that try to trick me. I am not more safe at home even tho my brain likes to think that I am. I am just as safe outside. I am safe wherever I chose to go because God is with me. And He is with you too. Whenever you feel like you're not in control - don't forget that God is. He is always in control. He is the one that keeps you safe when you are sleeping and the one that kept you safe in your mothers womb. In every situation that you lack control, He is there. He keeps us safe. He keeps the whole world safe and from not burning up from the sun. You don't need to be in control all the time - you just need to trust God. ❤️
A few months ago my panic disorder worsened after experiencing dizziness. After that I was afraid to stand, go to the kitchen etc. Just the thought of dizziness made me panic. I must say that during a panic attack I never felt dizzy. Now, when I go to the elevator, I experience severe panic, my legs are shakin tremendously etc. I had a severe vertigo condition 4 years ago and that 's why I'm so afraid of that. Experiencing dizziness, for me is even more scary than having a panic attack because I now that panic will end like a thousand times before, but losing your balance is something most awfull for me. Thank god the dizziness passed, but I'm still having panic attacks. Yesterday I was O.K, but then just the thought of dizziness caused me anxiety. I see your point about exposure in your video, I had my exercise yesterday. I was cooking and had anxiety and I just tried to feel it, not run away to my bed, it was unpleasant, but less scary. Thank you for this insightfull video, I wish you all the best.
I was on the freeway and my heart started pounding, blurred vision, rapid breathing, great fear. I pulled off at the next exit and parked, and started thinking. I realized I was just fine and that I was having a panic attack. I just waited for the sensations to subside and continued on my way. It works.
Hi Pearl - thanks for your comments. You are absolutely right. The more a person tries to fight the panic sensations, the worse the panic attack gets. The more a person allows the panic attack to just happen, it usually dissipates pretty quickly.
I didn’t think anyone would be able to explain exactly in words what I’ve been dealing with. It is unmeasurably relieving to know this is not uncommon, and these sensations themselves are natural in a way. I absolutely follow the fear of fear model. I’ve been up since 2:20 am with a panic attack and I started watching these vids out of a desperate need to calm down. Your calm quiet voice really helps as well as this information. I’m calmer now. Seriously, thank you for making this.
Great explanation of interoceptive exposure. I will definitely use this video (and your other panic videos) to help my patients/clients. Keep the great work on these videos!
Thank you for this excellent video Dr. Nader! You always explain everything so well. I'm going to start doing some of these today. Also, I love that you're using a metal straw :)
thanks Dr for this great video🙏🏻, so dureing the recovery time from Panic attacks and anxiety when expirance depersonlaization and Intrusive thuoghts is that normal brain mechanisim of Healing or thats meaning you going throught new mental illness?
@@cdouglas8393 oh where did you read that i try to find any kind of inormations about this but i couldnt, i hope if @dr.rami if he could tell us somthing about that and thanks anyway🙏🏻
Thank you doctor. I'm glad those sensations I used to name them as "feeling strange" are not uncommon. I've been sick of these sensations from two years and was trying to fight with willpower. But failed. Recently, diagnosed as panic attacks. My problem has all been these times is also that I'm underweight. So, whenever I pass through panic attack, I'm being interpreted as having conditions of low blood pressure and being careless about my health and not taking proper diet. So, I used to take saline water or anything that could overcome low BP. This therapy seems to be logical and a positive way. But I ever wonder why we feel such sensations?? What's the reason? What if we cope with the real problem?
From my perspective, the physical sensations aren't the real problem. The real problem is the catastrophic misinterpretations of the bodily sensations and that's what leads to panic.
Hi, I’m very keen to try the interoceptive exposure therapy and would like to know what exercise would be best to use for someone who experiences adrenaline rushes before their panic attacks? That is my main symptom that starts my attacks off and I would like to be able to overcome this in a safe environment before attempting to overcome it outside my house as I also suffer from agoraphobia too.
Most people have to try different types of interoceptive exposures to find the ones that bring on physical sensations most similar to what they experience during panic attacks.
@@DrRamiNader thank you for getting back to me. The thre most similar symptoms I can relate to from your video are an increased heart rate, shortness of breath and sweating/hot flushes. What exercises would you recommend to try daily for these? And would you recommend to try one exercise at once until completed over 7 days or more than on exercise a day?
Hyperventilation tends to bring on a lot of common panic sensations. I usually recommend people start with just one interoceptive exposure practice at a time, rather than mixing different types of exposures.
Thank you so much for this video! One symptom I really dread is that "sense of impending doom", like a knot in my stomach and a nagging feeling that something horrible is about to happen. I would love to try to expose myself to that, but I am having a hard time thinking of how to trigger it while at home. Would you have any tips for exposure for that? Thank you!
I am no professional, but my main thought would just be through visualization. Think of something that cusses said dread, then open your eyes, realize you are home and safe. Let the dread diminish.
The key idea is that the physical sensations that a person experiences during a panic attack are not dangerous and should not be treated as such. So by engaging in trying to relax to ward off a panic attack, the person is telling themselves that there is something dangerous or harmful about the symptoms and that's why they need to make them go away. I know it's counterintuitive, but I explain it in a lot more detail in these videos: ruclips.net/video/VVudLksCbfo/видео.html ruclips.net/video/hwteV__My2M/видео.html ruclips.net/video/jckYi91KP-g/видео.html
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My home has become my "safe spot" /"safe place". I feel calm and in control there.
I am trying to push myself to go on trains, long walks and to the mall.
I challenge myself step by step and I try not to feel guilty or bad about not being able to function like I once did.
When I am outside, I try to think logically about the situation.
"What could happen now that could not happen inside my home?" "Why would something happen now, when I felt so calm at home". I try to convince myself that it's only in my head and it's my nerves and my brain that try to trick me.
I am not more safe at home even tho my brain likes to think that I am.
I am just as safe outside. I am safe wherever I chose to go because God is with me. And He is with you too.
Whenever you feel like you're not in control - don't forget that God is.
He is always in control. He is the one that keeps you safe when you are sleeping and the one that kept you safe in your mothers womb.
In every situation that you lack control, He is there. He keeps us safe. He keeps the whole world safe and from not burning up from the sun.
You don't need to be in control all the time - you just need to trust God. ❤️
Thank you for sharing your experiences. I hope the video has given you some additional insights into panic and panic attacks.
A few months ago my panic disorder worsened after experiencing dizziness. After that I was afraid to stand, go to the kitchen etc. Just the thought of dizziness made me panic. I must say that during a panic attack I never felt dizzy. Now, when I go to the elevator, I experience severe panic, my legs are shakin tremendously etc. I had a severe vertigo condition 4 years ago and that 's why I'm so afraid of that. Experiencing dizziness, for me is even more scary than having a panic attack because I now that panic will end like a thousand times before, but losing your balance is something most awfull for me. Thank god the dizziness passed, but I'm still having panic attacks. Yesterday I was O.K, but then just the thought of dizziness caused me anxiety. I see your point about exposure in your video, I had my exercise yesterday. I was cooking and had anxiety and I just tried to feel it, not run away to my bed, it was unpleasant, but less scary. Thank you for this insightfull video, I wish you all the best.
I was on the freeway and my heart started pounding, blurred vision, rapid breathing, great fear. I pulled off at the next exit and parked, and started thinking. I realized I was just fine and that I was having a panic attack. I just waited for the sensations to subside and continued on my way. It works.
Hi Pearl - thanks for your comments. You are absolutely right. The more a person tries to fight the panic sensations, the worse the panic attack gets. The more a person allows the panic attack to just happen, it usually dissipates pretty quickly.
I didn’t think anyone would be able to explain exactly in words what I’ve been dealing with. It is unmeasurably relieving to know this is not uncommon, and these sensations themselves are natural in a way.
I absolutely follow the fear of fear model. I’ve been up since 2:20 am with a panic attack and I started watching these vids out of a desperate need to calm down. Your calm quiet voice really helps as well as this information. I’m calmer now.
Seriously, thank you for making this.
You're very welcome. Glad you found it helpful.
It really works ! It’s scary at first but after a while your anxiety to the sensations begin to subside
What if the onset of a panic attack occurred because an event in the present triggered a traumatic memory from the past?
That would be less related to Panic Disorder and more indicative of a PTSD-like trauma reaction.
Great explanation of interoceptive exposure. I will definitely use this video (and your other panic videos) to help my patients/clients. Keep the great work on these videos!
Thanks Chris!
love, love, love your videos and I am going to subscribe now!!!
So glad you have found the videos helpful. Thank you for supporting the channel!
Thank you for this excellent video Dr. Nader! You always explain everything so well. I'm going to start doing some of these today.
Also, I love that you're using a metal straw :)
Hi Chelsea - glad you found it informative. Good luck with the interoceptive practice! And I love metal straws :)
Very useful, thank you
How do you do this with the fear of going crazy?
thanks Dr for this great video🙏🏻, so dureing the recovery time from Panic attacks and anxiety when expirance depersonlaization and Intrusive thuoghts is that normal brain mechanisim of Healing or thats meaning you going throught new mental illness?
That sounds like those symptoms would be part of the panic disorder rather than something new or different.
@@DrRamiNader thank you very much sir for your responding 🙏🏻
@@bigarms4341 I've read that a good interoceptive exposure exercise for depersonalisation is to spend time looking in the mirror
@@cdouglas8393 oh where did you read that i try to find any kind of inormations about this but i couldnt, i hope if @dr.rami if he could tell us somthing about that and thanks anyway🙏🏻
Thank you for the amazing videos
What would you recommend for a teen that is getting nauseated after eating and then avoids eating
Thank you doctor. I'm glad those sensations I used to name them as "feeling strange" are not uncommon. I've been sick of these sensations from two years and was trying to fight with willpower. But failed. Recently, diagnosed as panic attacks.
My problem has all been these times is also that I'm underweight. So, whenever I pass through panic attack, I'm being interpreted as having conditions of low blood pressure and being careless about my health and not taking proper diet. So, I used to take saline water or anything that could overcome low BP.
This therapy seems to be logical and a positive way. But I ever wonder why we feel such sensations?? What's the reason? What if we cope with the real problem?
From my perspective, the physical sensations aren't the real problem. The real problem is the catastrophic misinterpretations of the bodily sensations and that's what leads to panic.
Hi, I’m very keen to try the interoceptive exposure therapy and would like to know what exercise would be best to use for someone who experiences adrenaline rushes before their panic attacks? That is my main symptom that starts my attacks off and I would like to be able to overcome this in a safe environment before attempting to overcome it outside my house as I also suffer from agoraphobia too.
Most people have to try different types of interoceptive exposures to find the ones that bring on physical sensations most similar to what they experience during panic attacks.
@@DrRamiNader thank you for getting back to me. The thre most similar symptoms I can relate to from your video are an increased heart rate, shortness of breath and sweating/hot flushes. What exercises would you recommend to try daily for these? And would you recommend to try one exercise at once until completed over 7 days or more than on exercise a day?
Hyperventilation tends to bring on a lot of common panic sensations. I usually recommend people start with just one interoceptive exposure practice at a time, rather than mixing different types of exposures.
Thank you so much for this video! One symptom I really dread is that "sense of impending doom", like a knot in my stomach and a nagging feeling that something horrible is about to happen. I would love to try to expose myself to that, but I am having a hard time thinking of how to trigger it while at home. Would you have any tips for exposure for that? Thank you!
To be honest, I'm not exactly sure how to simulate that sensation. Sorry about that.
Hi have you figured out how to expose yourself to that feeling?
For how long should I practice ?? Since i improve ?? Or i should continue??
I am no professional, but my main thought would just be through visualization. Think of something that cusses said dread, then open your eyes, realize you are home and safe. Let the dread diminish.
one of best video about this topic
Thank you. Glad you found the video helpful.
I did CBT for 23 years. Unless. My panic is so bad i have seizures.
Do you feel the CBT helped in any way?
Why shouldn’t we use relaxation techniques during a panic attack
The key idea is that the physical sensations that a person experiences during a panic attack are not dangerous and should not be treated as such. So by engaging in trying to relax to ward off a panic attack, the person is telling themselves that there is something dangerous or harmful about the symptoms and that's why they need to make them go away. I know it's counterintuitive, but I explain it in a lot more detail in these videos:
ruclips.net/video/VVudLksCbfo/видео.html
ruclips.net/video/hwteV__My2M/видео.html
ruclips.net/video/jckYi91KP-g/видео.html
@@DrRamiNaderthank you!! I was wondering this as well.
wao nice
Glad you found it helpful.
Many thanks DR. RAMI
I GUESS YOU ARE FROM AN EGYPTIAN DESCENT NO ?
This is a good video but I wish you would just use your voice. People with anxiety don’t need to be whispered to. Its patronizing to be honest
Sorry, wasn't an intentional thing. Will be more conscious of it in the future.