We avoid panic situations to escape the shocking feelings of panic. Since avoiding works so well in the short run, we hold on tightly to our avoiding tactics. We get so good at using them, others, and even ourselves, hardly notice them even while we build a huge array of escapes. In the long term, avoiding unravels our progress and sabotages success.
The immediate effect of avoiding is relief; a powerful, instant reward. The thought is, "I don't have to go through panic." The darker effect is that avoiding keeps you ignorant about what may work better. The moment you avoid the source of panic, you stop the search for a better way. Avoiding makes you increasingly helpless. In time, a broader effect sets in: an attitude towards yourself
that you could not handle it any other way (see Sensitivities for more information on how your beliefs affect you).
(This section contains excerpts from the book Panic Free by Dr. Richard Raynard, Trafford Publishing, 2006, 311 pp)
There are many types of situations people commonly link their panic to. Dr. Raynard's own Phobic Situation Scale is a useful tool and is one of the cornerstones to your recovery. Here are some of the common situations:
(Note: If you are highly sensitive and panic easily, consider skipping the visual items below and proceed to the printed version of the Phobic Situation Scale by e-mailing richard@panicdoctor.com .)
Agoraphobia
The consequences of prolonged avoidance and giving up more and more of life makes for a condition many call a prison. This prison is called agoraphobia - an active avoidance of many situations which can lead to some phobics becoming reclusive and home-bound.
Agoraphobia
Situations which frequently appear on the Phobic Situation Scale and can be a sole phobia or part of an agoraphobic condition are:
Alone in a Crowd Elevator Enclosed Places Emergency Room Escalators
Flying in airplane Hospitals Heights Test
Results Cat Scans
EKG, etc. In a Theatre Public Transportation School Phobia
Shopping / Malls
Dentist Doctor Wide Open Spaces Supermarket
Being Stared At
Unfamiliar Place Being Alone Sudden Meeting Being Abandoned
Intimacy/Contact
See Dr. Raynard's book, Panic Free, chapter 3, Panic, for basic information and reassurances about panic,
and pages 153 to 281for action plans on how to overcome these and other specific situations.
Simple Phobias
Spider Dogs Other situations can
include balloons, thunder, darkness, etc.
Social Phobias
Social phobias can develop when you actively avoid situations such as:
Asking for help Crowds Family Gatherings Standing close to others Parties
Public Speaking Standing in Line Writing Checks in Public Being Criticized Being Waited On
For a more complete list, see the Phobic Situation Scale in chapter 8 of Dr. Raynard's book, Panic Free.
Driving Phobias
Driving is the most frequently checked item in the 52-item Phobic Situation Scale, a scale developed over 25 years ago by Dr. Raynard to help identify panic situations. No matter how a phobia began - in a crowd, store or classroom - it often spreads to driving.
Winding Roads Heavy Traffic Highway Driving Icy, Slippery Roads Night Driving
Next to big trucks Rotaries, roundabouts Tunnels Bridges Railroad
Crossing
Being in Accident At a Stop Light Parking Lot
These are the more common of the Driving Phobias. Situations can often be as specific as:
Being in car while in driveway
Being a passenger on 2-lane road
Entering a 4-way stop
Driving 2+ miles from home
Driving in downtown traffic
Merging onto highway
Changing lanes
Driving around the block
(For more information on overcoming a Driving Phobia, see chapter 13, Driving, in Panic Free. The Driving Phobia Scale (pg 154) is a useful tool to identify which specific sensitivities you have.):
How can you put an end to this?
My goal in designing this website is to provide you with the basic information to help you identify your anxiety or panic and provide you with alternatives in seeking help. Effective treatment, whether self-help or through the help of a qualified professional, can put an end to your
panic.
How do you find effective help? See Treatments for details in finding the most effective help for your panic, as well as specific questions to ask when seeking a qualified professional. If you would like information about Dr. Raynard - The Panic Doctor - visit the Credentials page.
To be panic free is a reasonable hope,
no matter how long or severe your attacks have been.
The Panic Doctor
Richard C. Raynard, Ph.D., Clinical Psychologist
www.panicdoctor.com w
505-231-8625 wSanta Fe, New Mexico