Your body

Breath work goes straight into the body, and for some people that is the problem. If your panic has ever been about not getting enough air, putting your attention on your breathing can set it off rather than settle it.

Asthma, a history of choking or smothering, panic that arrives through the chest: any of these makes the breath a loaded place to put your attention.…

When you are flat rather than wound up, try this. Rub your palms together until they feel awake, let them rest, then breathe in as your arms lift and out as they lower, two or three times.

Sluggish, heavy, far away: those states rarely respond to more calming. A bit of friction in the hands, some movement through the arms and a fuller…

For when you are stuck in shutdown there is a faster practice: short sharp exhales driven from the belly, letting each in breath happen by itself, about twenty of them.

It is meant to rouse, so expect to feel more awake and a little buzzy afterwards rather than calm. Twenty is plenty. Sit down before you start so…

The pull towards bread, pasta and biscuits when you are low is not simply greed. Carbohydrate makes it easier for the brain to get hold of the raw material it needs for serotonin, so it gives a real if short lived lift.

Calling it self medication instead of a failure of character changes what you do next. You stop trying to out-discipline the craving and start asking…

Put a rubber band round your water bottle for each refill you want to get through today, and slide one off each time you finish it. Nothing to remember, nothing to buy, and you can see where you are at a glance.

Tracking anything in your head is hard when your head is already full, and harder still when concentration is one of the things that has taken a hit.…

One of the earliest signs that you are drifting out of the present is that your hands and feet go vague. Not numb exactly, just less there.

It tends to happen before you notice you have gone anywhere. If you learn your own version of it, you get an early warning: a chance to press your…

When what is happening inside gets too loud, turn outward. Name what you can see, listen for the furthest sound, press your feet into the floor.

This is not avoidance. The outward senses and the sense of where your body sits both carry information about now, which is exactly what the flooding…

Four steps you can do in ten seconds in the middle of anything: stop, take one breath, look at what is actually happening, then carry on.

It fits inside an argument, a shopping queue, the second before you send a message you will regret. The value is not the breath itself, it is the…

Cold water on your face, especially around the eyes and cheeks, slows things down fast. Splash it, or hold a cold flannel there for half a minute.

This is one of the few things that works when you are too far gone to concentrate on anything. It asks for no skill and no privacy beyond a tap. Lean…

Cross your arms over your chest, hook your thumbs together, and tap your shoulders slowly, left then right. You set the pressure and the speed.

Twenty or thirty seconds is enough to feel something shift, and most people find the breath falls into step with the tapping on its own. Warmth in…

Trace a square in the air with your finger while you breathe: in for four along the first side, hold for four, out for four, hold for four.

The counting brings the breath down to somewhere between four and six a minute, depending on how fast you count, which is the range most of the heart…

In the thick of it, keep your eyes open and give them something outside you to rest on. A fingertip, a doorframe, the line where the wall meets the ceiling.

Closing your eyes takes away the evidence that you are here and safe, and for some people it lets images in that they were holding off. Most…

Breathe in, then let it out as a sigh you can actually hear. Not a polite one.

The sound is the point. A silent out breath does some of the work, and letting the voice into it adds a bit more, which is probably why sighing turns…

Tap the fleshy side of one hand with the other and say it plainly: even though I am feeling all this in my body right now, I can accept that this is how I am.

You can strip away everything else and this part still stands up. Naming the state and accepting it in the same sentence blocks the second wave, the…

Before you try anything, give your distress a number out of ten. Do the thing. Then give it a number again.

Even a drop from eight to six is worth having, because you were the one who moved it. That is often the more important result: not the two points,…

When you have gone numb rather than frantic, try a long low sound on the out breath. Voo, drawn out until the breath runs out, so your lips and chest buzz with it.

This is for the flat, far away state, not the racing one. The buzz gives you something unmistakable to feel when nothing else is registering, which…

Rest one hand on your forehead and the other on your chest. After a few minutes, move the forehead hand down to your belly. Eyes open or closed, whichever you prefer.

Again the instruction is only to notice what goes on between the two hands. That noticing is quietly the training: it is body awareness arriving…

Two senses rarely get named: the one that tells you where your limbs are, and the one that tells you which way is up. Pressing your feet into the floor or slowly turning your head feeds both.

When someone feels unreal, or far away from their own body, these are the channels that have gone quiet. They carry plain information with no feeling…

Keep one strong smell for when you have gone flat, lemon or peppermint, and one soft smell for when you are wound up, something like lavender. Smell asks nothing of you, which is its whole advantage.

Set this up in advance, because the moment you need it is the moment you will not feel like planning. A small bottle in a bag, a sprig in a pocket, a…

For coming down, something sweet taken slowly tends to help more than anything you chew: sipped through a straw, or let dissolve on the tongue. Nobody around you can tell you are doing it.

Slow sucking soothes in a way that goes right back to the first weeks of life, and it is quiet enough to use in a meeting, on a bus, in a waiting…

When you have gone flat and far away, chew something noisy or blow something: pretzels, raw carrot, bubbles, a slow puff at a candle flame. It lifts you without tipping you into panic.

Collapse does not respond to calming, since you are already too far down for that. What helps is work for the jaw and a long active out breath, both…

Missing a day is not the end of the programme. You missed a day. Tomorrow you carry on.

The dangerous part is not the missed session, it is the story that follows it, the one where you have blown it so you may as well stop altogether.…

When attention has nowhere to settle, give it something. A fixed point on the floor, the breath, the shape your hands are making, or the plain feel of the position you are in.

Which one you choose matters more than people expect. Focusing on the breath turns attention inward, and inward is the wrong direction for anyone…

Say it, out loud if you can manage it: I am done for the day. A decision, rather than a slow guilty drift away from the desk.

The hours after a proper clocking off feel different from the same hours drifted into, even when nothing else about them changes. It does mean facing…

With your eyes closed, bring to mind someone who is glad to see you, and let your face receive that look. A small smile usually arrives in the eyes on its own.

It can be someone you love, someone who loved you, a teacher from years ago, or an animal. The point is not the memory but the feeling of being…

Let something out of your throat. A sigh, a groan, a hum, or the word for whatever is stuck, said aloud to an empty room.

It does not have to sound nice and it will not. Most of us learned early to go quiet when upset, so the throat becomes very good at holding. If a…

Closed eyes are optional. If closing them makes you anxious, or the inside of your head gets loud, open them and look around the room.

Name a few things you can see, listen for the furthest sound you can hear, notice any smell in the air. Looking outward like this is a way of…

The first time you slow a rising panic with your own breathing, something changes that no amount of reassurance could have changed. You have evidence now.

Panic runs on the belief that the sensations are in charge and you are not. One demonstration to the contrary is worth more than a hundred…

Tap the fleshy outside edge of your hand and say something like: even though I feel this, I accept myself completely. Three times, in whatever words are actually true for you.

The shape of the sentence is the point. It names the problem and refuses to make your worth conditional on solving it, which is the exact opposite of…

The first twinge often brings back every previous episode with it, and that dread is not separate from the pain. Fear tightens the muscles and turns the volume up.

Catching the moment is what helps: this is the twinge, and here comes the film of the last three weeks I lost to it. You are not talking yourself out…

Not every kind of quiet is calm. Settled feels warm and present. Shut down feels flat, far away and oddly fine.

Learning the difference in your own body is worth the trouble, because the two states need opposite things. If you are settled, stay there. If you…

Before picking a calming technique, work out which way you are off. Revved up and shut down need opposite things.

Wound up: slow the out breath, lower the lights, less input. Shut down: more input, movement, sound, a change of room. The common mistake is running…

Try saying it plainly, out loud if you can: my body did what it needed to do, and I am still here.

Say the specific version rather than the general one. My body went still so it would be over sooner. My body kept quiet so it would not be noticed.…

Aim low on purpose. Not the best day of your life. I like my cat. I got here on time.

Big positive memories tend to backfire: they are hard to reach on a bad day, and for some people feeling good at all starts a wait for the other shoe…

Calm can feel unsafe if you have not had much of it. Take it in small amounts and let it be strange at first.

Grounding exercises sometimes leave people more agitated rather than less, and then they decide they are doing it wrong. Often the truth is that…

When you are far from settled, aim for the next step rather than for calm. Rattled is a real improvement on numb.

There is a rough order to these states: shut down at the bottom, revved up in the middle, settled and connected at the top. Coming back tends to…

Freezing is not something you decided on. It is what was left once the other options had gone.

A mouse does not try to charm a cat. It runs, and if it is caught it goes limp, and none of that is a considered plan. People ask themselves for…

Before you close your eyes for anything calming, spend a minute looking round the room. Let your eyes land wherever they want to.

Closing your eyes too early is one reason relaxation exercises backfire. If your body has not registered that the room is fine, going inward means…

Breath reaches the settling machinery faster than reasoning does, because it works on a part of the brainstem that does not wait for your opinion.

That is why arguing yourself out of a panic rarely works while six slow breaths often do something. It also explains why breath practice can feel…

Cold water on your face, particularly at the hairline and around the lips, sets off a reflex that slows the heart. It is one of the few things fast enough to interrupt real panic.

A splash at the sink, a few minutes outside in cold air, or a bowl of cold water if you have one to hand. There is a quieter version for when you…