PHYSICAL EXERCISE AND PANIC!

When Physical Exercise Feels Just Like A Panic Attack

By Summer Beretsky
(postscript by MOM!)

Photo credit: Thomas Hawk

I’ve had more honest-to-goodness panic attacks in my life than I can count. And by “honest-to-goodness,” I mean the real deal: racing heart, palpitations, nausea, dizziness, shortness of breath, incredibly unsolicited surges of adrenaline…and so on. Simultaneously.

Many people — from friends to doctors — told me to start exercising. My friends said it would reduce my stress and help me to sleep better at night. The University of Georgia says it can reduce my anxiety. My doctor told me that getting in shape will reduce heart palpitations and increase my lung capacity.

True, true, and true. But here’s the big Catch-22 that kept me from following everyone’s good advice: exercising made me panic.

And why? Well, a body that’s going through a nightmarish panic attack is physiologically similar to a body that’s happily jogging along a park trail:

-Heart rate: Increases during panic. Increases during exercise.

-Breathing rate: Increases during panic. Increases during exercise.

-Adrenaline: Increases during panic. Increases during exercise.

I could go on, but you get the idea. Exercise can feel like a panic attack. And who wants to willingly invoke THAT awful feeling?

Well, me.

I grit my teeth as I write this. I don’t want to face this fact, but it’s true: for the umpteenth time in my life, I have become afraid of exercise. The rapid heart rate reminds me of my worst ohmygod-I-swear-this-is-a-heart-attack breed of panic attacks. I am always afraid that the quick breathing will make me pass out — even though I know the extra oxygen I’m inhaling is 100% necessary, normal, and natural during physical activity. And the inevitable adrenaline rushes? They make me want to bolt. Straight out of the gym. To quickly escape the (intangible) threat that is my own fear.

And I hate these faulty associations. A rapid heart rate, as I’m sure I learned in 6th grade health class, is a healthy effect of exercise. The heart is a muscle, exercise strengthens that muscle, yadda yadda, and so on. I know this stuff. I know this stuff deep down in the rational part of my brain, but I simply can’t bring that notion — that exercise is safe and healthy and won’t hurt me — to the front burner when I’m standing on my treadmill.

That said, I am determined to start exercising again.

I faced this problem a few years ago when I was a grad student at the University of Delaware. I lived in a campus apartment building and we (conveniently!) had small gym about a two minute walk away. One day, while feeling anxious about an upcoming exam for my Statistics class, I decided to take everyone’s advice & expose myself to the miracle cure that is physical exercise. I tied my sneaker laces and walked to the gym.

I had a panic attack on the elliptical and I never went back.

Over the next few months, I slowly trained myself to let go of my exercise fear. Thankfully, I took notes. Here’s what I jotted down as a how-to guide for my future self:

1. Start in a comfortable environment. Skip the gym, for now, if it triggers agoraphobia or any sense of unease. Even if you don’t have any fancy equipment, you can begin to exercise in your own home or apartment. Try a few of these activities. Dancing and jogging in place might look a little silly, but they’re legit ways to get your heart pumping.

2. Take baby steps. You don’t need to jump right into the 20-minutes-3-times-per-week deal. Treat yourself kindly. If the sensations of exercise scare you, start slowly. See if you can run in place or dance for thirty seconds. Then, stop. Don’t overdo it on the first day. Try a full minute on day 2. If that works, try two minutes the next day. Such a gentle schedule might sound laughable, sure, but don’t let anyone tell you that you ought to be doing more right away. The goal, at this point, is to reacquaint yourself with the physical sensations of exercise. Two minutes of dancing around in your apartment is better than nothing at all.

3. Distract yourself from the uncomfortable sensations (at first). Sure, the long-term goal for anyone suffering from frequent panic attacks ought to be one that involves developing a tolerance for those disconcerting sensations like lightheadedness and muscle fatigue. Ultimately, learning to cope with those panicky feelings — feelings that might never disappear 100% — will allow you to live a less limited life. But for now, if distraction can help you get through a few exercise sessions and onto a better path, all the better. Try focusing on music while running or dancing, or try watching a TV show in your living room while doing pilates. If you pay attention to the plot line, the musical beat, or the lyrics — instead of focusing such strict attention on your body — your exercise session will probably feel less daunting.

4. Expose yourself to the sensations of exercise (and panic) in other ways. If feeling hot or sweaty is a panic trigger for you, try hanging out in your bathroom for a little while after showering. Feel the warmth and allow yourself to sweat a little bit. Notice the sensations on your skin. Simply pay attention to the way your hands, legs, and body feel. The more often you become aware of and accept these sensations, the more you’ll desensitize yourself to their discomfort.

Tomorrow, you’ll find me dancing around in my living room for about two minutes. (And I will probably look ridiculous, so I’ll be sure to close the curtains. You’re welcome.)

But next month, you’ll find me jogging around the block

POSTSCRIPT

by Karen L. Hill

I remember when this concept was given to me by my favorite therapist, Dr. D.  Doctor D. insisted I would eventually be able to move through the misinterpretation of panic and eventually learn to enjoy exercise.

However, I had a very difficult time moving to that place. I finally asked Dr. D. about how I was doing. It had been months and I was still struggling with moving beyond the "I've got to get home before I sh**t my pants!!" He asked how I felt after I returned home. "Was that before or after I used the master throne?" I asked. I told Dr. D that I was well aware that a fit person's heart rate would return to normal very quickly after discontinuation of a physically stressful activity. But for me, my heart was NOT calming down for what seemed like hours. AND to top it off, I remained jumpy for the rest of the day!!

This is when I learned the biggest lesson of my life! Dr. D. informed me that nothing I do, or think is normal! Imagine that! He informed me that IF I were normal, my heart would indeed return to its normal resting beat soon after stopping the job. However, I am ME!! My brain insists a dangerous gun is held to my head at all times! Although I reach a point where I no longer continue jogging; the gun remains held to my head! AHAAAA! The sad part? I then had to figure out who had power over the gun. I do of course, but that is irrelevant in the world of 'let's pretend you are normal.'

The relevant part is determining the size of the gun. Because depending on the gun, I may have a better chance of surviving. There is no way, I am going to succeed as long as Panic continues to shove these against my brain: 

                               

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On those rare occassions when I determine I will control this battle, I imagine weapons of such grandeur that no one can control what happens at either end of the gun:

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The  least I should be able to accomplish is to convince myself that the gun cannot injure me. I wonder if Dr. D. has any recommendations that could help prevent me from looking like this after a good session of ignoring the ammo:

With a good haircut, I may be able to claim a loss of five pounds, right? One can only hope!