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7/30/2019 How to Cope With Anxiety Related Chest Pain Palpitations.ag
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How to Cope with Anxiety Related Chest Pain & Palpitations
2010 Paul Dooley Anxietyguru.net 1
Table of Contents
Copyright and Disclaimer.2
Preface.3Why is this eBook free?..............................................................4
Who is Paul Dooley?...................................................................5
Why Chest Pain and Palpitations? ...........................................6
Word to the Wise7
Part 1 Anxiety Related Chest Pain.9
Common Causes of Chest Pain............10
Common Causes of Anxiety Related Chest Pain11
Chest Pain Quality.15
Location of Chest Pain..16
Ways to Relieve Anxiety Related Chest Pain..18
Part 2 Anxiety Related Palpitations...19
Common Causes of Palpitations...19
Common causes of Anxiety Related Palpitations....22
Types of Palpitations..22
How to Stop Palpitations...24
The Path Toward Recovery...27
References35
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Disclaimer
All information contained in How to Cope with Anxiety Related ChestPain and Palpations is intended for information and educationalpurposes only. The information is not intended nor is it suited to be areplacement or substitute for professional medical treatment or forprofessional medical advice relative to a specific medical question orcondition. I urge you to always seek the advice of your physician orother medical professional with respect to your medical condition orquestions. As a recipient of information from this report, you are notestablishing a doctor/patient relationship. There is no replacement forpersonal medical treatment and advice from a qualified physician.
Copyright Information
You are free to:
Share to copy, distribute and transmit the work. In fact, you are
encouraged to give this eBook away to every man, woman, and child
that needs help with chronic anxiety.
Noncommercial You may not use this work for commercialpurposes. In other words, do not resell this eBook.
With the understanding that:
Waiver Any of the above conditions can be waived if you get
permission from the copyright holder.
Other Rights In no way are any of the following rights affected by
the license:
o Your fair dealing or fair use rights, or other applicable
copyright exceptions and limitations;o The author's moral rights;
o Rights other persons may have either in the work itself or in
how the work is used, such as publicity or privacy rights.
Notice For any reuse or distribution, you must make clear to others
the license terms of this work. The best way to do this is with a link to
Anxietyguru.net.
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Preface
As the author of Anxiety Guru Dot Net I get lots of emails and thus have
tons of conversations with people about various anxiety issues. These
conversations are some of the most productive and useful things that I do onthe site. They allow me to not only reveal what I know about anxiety to help
others, but it also helps me to clarify my own philosophy on the best way to
overcome anxiety related problems. This makes me a better resource for my
readers and offers you valuable information that can, quite literally, change
your life. Speaking of which, several months ago, I pushed my philosophy
into reality and wrote my anti-anxiety manifesto calledHow to Stop
Anxious Thinking. That work represents the core of what I believe to be the
best way to win your struggle with anxiety and this eBook here is an
extension of that work.
How to Stop Anxious Thinkingis a well researched and tediously put
together report. Its also a little on the serious side whereas this eBook is
much more conversational in tone, much like the emails I exchange with my
readers. I changed gears this time because I wanted to remind people that I
am a real person that cares about what he does. I also feel that its important
for me to share the knowledge that I have for the benefit of those who feel
lost with anxiety right now.
And although I dont claim to know everything, and I certainly dont makeany such claim in this eBook, I do think that I have some interesting ideas
that you will find useful. Remember that youre not alone in your struggle to
calm your nerves and reclaim your life. There are millions of people around
the world that are in the same boat as you are. Im here trying to throw you a
life preserver because you dont deserve to live like this; you simply dont
have to stay as you are at the moment. This eBook will hopefully show you
that you can attain peace of mind, finally.
I also want to spread my message among as many people as possible, and to
continue my work I need your support. If at the end of this eBook you feel
like you have been provided with something of value, please consider
making a donation in order to encourage me in my efforts to help people
with anxiety disorder(s). You can help out by buyingHow to Stop Anxious
Thinkingor by clicking on the donations page atAnxiety Guru Dot Net.
Thank you.
http://www.anxietyguru.net/special-report/http://www.anxietyguru.net/special-report/http://www.anxietyguru.net/special-report/http://www.anxietyguru.net/special-report/http://www.anxietyguru.net/special-report/http://www.anxietyguru.net/special-report/http://www.anxietyguru.net/about/http://www.anxietyguru.net/about/http://www.anxietyguru.net/about/http://www.anxietyguru.net/about/http://www.anxietyguru.net/special-report/http://www.anxietyguru.net/special-report/http://www.anxietyguru.net/special-report/7/30/2019 How to Cope With Anxiety Related Chest Pain Palpitations.ag
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Why is this eBook Free?
At some point in your life you may have asked yourself, Why am I here?
What is the purpose of my life? I think its human nature to ask big
questions like these, but if youre neurotic youre always asking these types
of questions! And I am no exception to this neurotic rule. But instead of
spinning my wheels about it Ive concluded that my purpose is to help you.
And the best way for me to do that is to give you information that will allow
you to see anxiety for what it really is, thereby taking away its power to
disrupt your life.
This eBook is also free because helping you overcome anxiety is the only
reason why Anxiety Guru Dot Net exists. I didnt become the Anxiety Guru
to become rich. In fact, the little money I do make is only used to finance mywebsite and its related podcast, the Anxiety Guru Show. These two outlets
have become important to me because its through my website and podcast
that I can extend my message of education, acceptance and inspiration to
those living with anxiety all over the world.
You see, during the early days of my struggle with anxiety I often felt lost,
confused, and terrified. I didnt know where to turn or what to do to make
myself feel better. Its my hope that by providing you with this information
that you never feel confused about what is happening to you and that youre
always able to stay hopeful for the future. I want to make you confident that
you can recover from wherever you are now in your struggle with anxiety.
And although its a miracle that any of us even exist, I want to remind you
that merely existing isnt good enough. You have to squeeze as much out of
life as you can and not just tippy toe through it hoping that anxiety doesnt
kill you. You need to learn how to face this problem head-on and not
surrender your precious time on earth to something that is controllable.
Im also doing this because I know it can be a challenge to find informationabout anxiety disorder(s) that makes sense. I want to make it easy for you to
understand what youre dealing with, so that you can use that information to
take back control of your life.
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Your comments, questions, and testimonials are always welcome. Feel free
to contact me by email [email protected]. I look forward to hearing
from you.
Paul Dooley
Who is Paul Dooley?
Im an anxiety sufferer just like you. For the past ten years I have lived with
anxiety and depression, which means that I have suffered countless panic
attacks, anxiety symptoms, fake heart attacks, doctors visits, crushing
sadness and bitter anger. But since those early years Ive been finding and
using different ways to successfully beat the snot out of my anxiety disorder.
As a result, Ive been able to acquire the experience and information neededto help you regain control of your mind and body.
Let me give you a little background information. The whole process of
healing started for me when I first went to therapy. The thing is, just before
going in to seek help, I was hit by a debilitating panic attack this one had
me believing that I was nuts, for real. I was so terrified that I called a
psychologist and for the next six months he helped me to understand what
was happening to me. But after the six months of counseling ended I kept
looking for answers because I wasnt sold on the general explanation that I
was given. My feeling was that the good doctor might have helped me some,but I wanted to go a lot deeper. I wanted to find out how this anxiety thing
worked and how I could control it. So, I started doing research, and every
time I came upon something useful, it lead me to yet more information that
was also useful. Over time, I built a nice mental library of things I could do
to cope with my anxiety.
In 2008, after making tremendous progress with my own anxiety problem, I
launched Anxiety Guru Dot Net to help other people with the same problem.
At first it was just a way to share a few tips with other anxiety sufferers, thenit became something much bigger. I began to not just publish useful
information, but more importantly I was making a connection with the
people I was helping. I knew that because of my work some people were
being helped back into something resembling a normal life and that
realization was powerful. So powerful, in fact, that I decided to expand my
efforts and reach as many people as possible. And till this day, Im as happy
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to hear from a reader who has been helped by the information I provided
him or her as I was two years ago when this all began. It was this sense that I
was helping others that got me hooked on the Anxiety Guru project. I think
its because of the deep sense of satisfaction I get from helping other people
see the truth about anxiety, especially people that contact me and sound
depressed or filled with fear. I just cant stand to see people getting punked
by anxiety. It makes me want to lend a handhence this eBook.
Why Chest Pain and Palpitations?
I decided to write about anxiety-induced chest pain and palpitations for two
reasons. The first reason is because chest pain and palpitations are perhaps
the most common, the scariest, and the least understood of all anxiety
symptoms. These two symptoms evoke a great deal of fear and helplessnessin most anxiety sufferers, but in most cases this high level of fear is
disproportionate to the threat these symptoms actually pose.
Ive received countless emails and comments at Anxiety Guru Dot Net from
people detailing their nightmarish experiences with chest pain, skipped heart
beats, or even a racing heart. This pattern of fear and uncertainty is so
recognizable to me now. The stories sound so similar sometimes that you
would think that the various emails were written by the same person. This is
a universal problem for anxiety sufferers that needs some explaining in
simple terms.
The second reason why I decided to write about this topic is because I
thought it would highlight the process that I underwent to gain control of my
own anxiety disorder. There is incredible value in learning how to
systematically break down an anxiety symptom with facts and critical
thinking. This allows you to strip the symptom down to its bare components,
so you can see how it works from the inside out. Its like removing the cover
from the back of a clock in that it demystifies something youre used to
seeing, but dont know the inner workings of. It lets you see what istormenting you from an objective point of view and thus makes it more
manageable as a result.
So, with all that being said, the goal of this eBook is to give you a detailed
explanation of what anxiety induced chest pain and palpitations are and how
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they work to arouse anxiety, fear, and panic but, the most important thing I
will teach you is how to manage these two troubling symptoms.
Lets do this!
Word to the Wise
What Im about to tell you may make your eyes roll into the back of your
skull, so bear with me for just a second. Now, Im not a psychic but the
reason I think that this could be your reaction is because I used to have the
same reaction when I heard other people say the same thing.
Here it is: If you are having new or different kinds of chest pain then you
need to go see a doctor. If youre afraid of doctors or hospitals let me just
tell you that your fears are overblown. There is nothing about getting
checked out for heart problems that is hard or undoable. Its true; let me give
you a run down of things you can expect if you go in for chest pain or
palpitations.
1. ECG: This is short for Electrocardiography. This is a test that evaluates
the electrical activity of your heart, hence the name Electric Heart Graph.
By measuring the electrical
activity of the heart, doctors are
able to diagnose abnormal rhythms
that could indicate disease. Youfirst lie on a bed, get electrodes
strapped to you, (pictured right)
and wait 2-5 minutes to get a
reading easy.
2. Stress test: A stress test is an
ECG reading taken while you walk
or run on a treadmill.
3. Blood work: Your blood can be
drawn to search for abnormalities
in cholesterol levels along with
several other substances that are
used as markers to predict or
diagnose heart disease.
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4. Holter monitor: This is essentially a portable ECG machine. It also has
electrodes that are taped to you and a small machine that is worn around the
neck. Its used to monitor heart activity for extended periods of time and
gives doctors a more accurate means of recording heart function.
Sounds simple enough, but I used to get annoyed with this line every time I
heard it because I always felt that if I wanted a doctors advice Id go get
one and not waste my time reading about it. My frustration lay in my desire
for an immediate answer to my problem without being bothered with
anything even resembling a hospital. This type of thinking, however, is
wrong. Let me tell you why, real quick.
The problem with this type of thinking is that, like it or not, chest pain can
be a sign of something medically significant, such as heart disease for
example. But its not just heart disease, as youll find out later in this eBook,that can cause chest pain. It can be almost anything, and given that this is the
case, how is anyone supposed to know what you have if they arent A. a
doctor and B. in the same room as you checking you out? It really is that
basic. You simply cant be properly evaluated over the internet, at least not
yet anyway! And please dont leave your health in the hands of well
intentioned forum regulars. Forums are a great place to pickup some
information, tips and such, but they are not a substitute for a doctors
diagnosis, period.
The other reason for doing this is that if you dont youll be missing a golden
opportunity to begin the process of healing because no matter what anyone
ever tells you, no amount of positive thinking alone is going to fix what you
have. What are needed instead of just hopeful thoughts are facts. Facts that
you can see and believe in - and whats more believable than someone who
took an insane amount of math and science classes for at least ten years and
did really well in all of them? Doctors are essentially scientists and the
hospital is their lab. Dont let your fear of either of these useful resources
rob you of the key to this all, namely, finding the answer to the most
important question in the world: WHAT IS WRONG WITH ME? This isbecause if you know whats wrong with you then you can take appropriate
action. You can stop shooting in the dark and hoping for the best. Granted, I
know the mere fact that something couldbe wrong is enough to scare off
even the toughest among us, but whats the alternative? You dont actually
believe that if you did have an illness of some kind, ignoring it will
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somehow help you, right? Of course you dont believe that, so why act like
it?
Look at it this way, if nothing is found then you know that it is anxiety at
work and its time to leave the fear of chest pain behind you. If, on the other
hand, you do have a disease of some kind then you can begin treatment
immediately. It is a win-win situation. So, if you suffer from chest pain and
have not been seen by a doctor, then go see a doctor. If you have been to the
doctor, maybe even several times, and if youre reading this eBook, then
Ive got something for you too just keep reading.
Part 1 Anxiety Related Chest Pain
For our purposes, chest pain will be defined as a bodily sensation that causes
pain, pressure, squeezing, pressing, achiness, stabbing sensations, tightness,
heaviness or other feelings of discomfort and pain in or around the chest
area. In other words, we arent just talking about acute pain that makes you
clutch at your chest, but also the more mild forms of chest pain and
everything in between.
The types of chest pain I just described above are very common. In fact,
chest pain is one of the most common reasons why many people go to see a
doctor at all. This, I hope, should be a clue that not all chest pains spell
disaster or exotic disease - it is a routine symptom. Imagine all the thousands
of people that seek medical attention, because of this, everyday of everyyear, and now imagine that most of those people dont die because of this
sometimes random physical symptom. But, of course, we dont have to just
imagine this because it is a well known fact that you can have chest pain for
hours, days, or even years and not lose your life over it. This happens a lot,
to anxious people, normal people, skinny people, to all kinds of people.
Having recurring chest pain doesnt put you in some special category all of a
sudden. In other words, if you suffer from chronic chest pain it doesnt
always follow that it is a sign that youd better stay away from an activelifestyle or anything that could raise your heart rate even a tiny bit. This is an
assumption that I hope I can disprove to you, so that you dont end up
running circles around yourself wondering about all the crazy things that
could be happening to you because of your chronic anxiety.
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Common Causes of Chest Pain
One of the biggest problems that chest pain causes in anxious people is
abnormal levels of uncertainty and worry. And thats because when anxious
people experience chest pain they almost always imagine the worst possiblescenario. Everything becomes viewed through a lens of extremism that never
fades with time and always ends with visions of death. But this view is
skewed because it doesnt take into account all the possibilities that can lead
to chest pain, especially the ones that dont cause death.
For example, if you were riding on an airplane and you heard a loud banging
noise, would you be the type to assume that a bomb just went off? Say you
are such a person: should this fearful thought be your first conclusion? Or
would you stop and think for a second about the minuscule probability of
you dying in a terrorist attack considering that you live in a population madeup of millions of people? Or what about all the dozens of mechanical
reasons that could have caused a loud bang to occur? This fearful type of
thinking is a gut reaction not based on reason, at all. We have to get you
back into using the logical side of your brain to help you sort these things
out without an exaggerated emotional reaction controlling your thought
process.
Dont get me wrong, Im not saying that chest pain cant develop because of
some rather serious conditions, but its a mixed bag, at best. For example,chest pain can indicate the following:
Angina
Aortic dissection
Heart attack
Chest wall conditions
Trauma
Coronary spasm
Viral infections Heartburn/ GERD
Esophageal spasm
Hiatal Hernia
Gallbladder or pancreatic problems
Precordial catch syndrome
Microvasular
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Pericarditis
Pulmonary hypertension
Cervicodorsal arthritis
Coronary artery disease
Pleurisy Mitral valve prolapse
Myocarditis
Cocaine abuse
Asthma
Gas
Shingles
Pinched nerves
And the list goes on and on. I have no intention of dissecting theaforementioned conditions not related to anxiety because there is no need.
My goal was to point out that when chest pain strikes it can be almost
anything, literally. So, like I said at the outset, if you have new or different
types of chest pain, see a doctor. But once youve been cleared from having
heart problems by an MD, you can stop your recurring trips to the ER and
start thinking about the more likely causes of your chest pain like anxiety
maybe.
Common Causes of Anxiety Related Chest Pain
So far weve discussed conditions that can cause chest pain in anyone. Now
Id like to talk about the likely causes of chest pain in you the anxious
person.
The most likely cause of chest pain in people without heart problems is
get this gastroesophageal reflux disease, which is also called GERD
(Seller, 2007). GERD is a stomach condition that is associated with a weak
esophageal sphincter which is a ring of smooth muscle fibers that separates
your esophagus and stomach. The esophageal sphincter is crucial because itkeeps strong stomach acids from going into your esophagus and throat,
which, if youve ever had stomach acid flow up into your throat, you know
is something that you want to avoid. The loosening of the ES is what opens
the door to more than just heart burn. Common symptoms of GERD include
chest pain, nausea, chronic cough, gas, shortness of breath, sinusitis, and
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regurgitation. Dont some of these symptoms sound familiar? Yes, indeed.
So, how does anxiety mess with your digestive system?
One reason is the fight or flight response. The fight or flight response is,
along with fear, at the center of your problem with the physical symptoms of
anxiety disorder. It is a mechanism that is operated by several of the more
primitive parts of your brain and is concerned with one thing and one thing
only survival. Way before Brendan Fraser played a caveman in the
movies, there were real cavemen struggling to survive in a dangerous world.
At a time when there was no such thing as guns, tanks, or even swords,
cavemen were competing against and running from all kinds of deadly
predators. As a result, our cave dwelling ancestors developed a survival
response that became largely automatic in times of danger.
When activated, the fight or flight response heightens all of your senses bypumping your blood with adrenaline and other stress hormones in
preparation for action. This in turn makes you sweat, creates nervousness,
and makes your heart race a thousand miles per hour. But with respect to
GERD, the most critical thing that the fight or flight response does is wreak
havoc on your stomach. It does this by taking blood away from your
stomach and sending it to other parts of your body, like your arms and legs,
in order to provide the highest level of oxygen to those other body parts, thus
providing you with the most possible power for action (fighting or running).
When this happens the decreased amount of blood in the stomach diminishes
its ability to do its jobwhich is digesting food. This decreased capacity to
digest food starts a process that can lead to GERD and other stomach
conditions, like ulcers.
But its not just the fight or flight response that can lead to stomach
disorders like GERD. It can also be behaviors that we take part in because
we are so anxious all the time. When we are anxious, we are, of course,
stressed, and stress can cause you to overeat, eat fatty comfort food, drink
too much alcohol, smoke, become physically inactive because you fear heart
problems, or, because you fear the potential side-effects caused by certainmedications that youre taking to fight your anxiety. Its really a catch 22
situationbecause on the one hand you try and do things to relieve the
anxiety, but on the other hand some of the very things youre doing to help
yourself out could be making things worse. So, if you do any of the above,
take note that they may be causing you more harm than good.
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In addition to GERD and stress driven behavior, another cause of anxiety
induced chest pain is sore and tight muscles. Do you know how many
muscles are in your body? The answer is a little over 600 and these things
are all over the place. That is, they cover your whole body, including your
chest. When you become anxious or panicked your muscles will tense up
and stay this way for prolonged periods of time, which can cause tenderness
and pain. Lets also not forget anxietys ability to increase your heart rate
and blood pressure, both of which can cause chest pain as well.
In summary, anxiety can cause chest pain. Having chest pain doesnt
always mean that the grim reaper is calling your number. The reality is that
considering all the stress you endure, and the anxious behavior you engage
in, you bet that this can all catch up to you and create real physical
sensations, up to and including pain. But wait, theres more, because these
physical sensations can get so nasty that you can begin to fear your ownbody, and ultimately turn into a hypochondriac. Not because you want to or
because you think that theres some benefit to being that way, but because if
you spend lots of time focused on your body what do you expect to happen?
This is why you have to respect your body and treat it well. Getting wrapped
up in problems of harmless physical symptoms will only make it more likely
that your nervous sickness will stick around longer than youd like. To
avoid this you can take purposeful and direct action to stop, or at least
lessen, the things that are causing your body distress. Ask yourself: Are you
doing anything to reduce stress? Are you doing anything to reduce anxietys
influence on you? Well, if youre not, here are a few tips. To counter the
effects of stress and anxiety consider the following:
Exercise: Doing moderate physical activity for at least 30 minutes per day
will help to burn off some of the excess stress hormones coursing through
your veins and thus reduce the affects of what I like to call anxiety juice.
Exercise also releases feel good endorphins that improve mood and which
work rather well as a stress reducer.
Diet: On the stomach front, try to combat GERD by eating smaller mealsthroughout the day, as well as increasing your water intake. You can also try
to avoid caffeine, chocolate, dairy products, alcohol, tomatoes, carbonated
drinks or spicy foods. Sucks huh? All this is the good stuff, but trust me,
cutting back will do great things for your stomach. You can also talk to your
doctor about over the counter or prescription medications that are available
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to reduce stomach acid and heart burn symptoms. But dont overdo it with
the drugs, since they can have drawbacks when taken long term.
Quick tips:
If you suffer from frequent heartburn and want to avoid taking medication,
try taking 1 or 1/2 a teaspoon of baking soda in 4oz of water. This can
relieve mild heartburn and gas.
You can also try to eat more of these foods:
Almonds
Apples Bananas
Garlic
Chewing gum
Fennel
Pickle Juice
Probiotics
Also, if youre overweight, consider losing a few pounds. Its a well known
fact that having a healthy body weight can reduce stomach problems. Youcan also try not to eat up to 3 hrs before bedtime. This way the contents of a
full stomach wont be tempted to creep up into your airway and wake you up
at night and cause you to think that youre dying seriously this has
happened to me a couple of times and its unpleasant to say the least.
So there you have it. Not all that complicated when you take a moment to
think this through. Absent real disease, it boils down to stress, muscle
tension, and stomach problems. The good news is that you can do quite a bit
to reduce stress and stomach issues like the ones I mentioned above. Its
important that you understand that anxiety is not a static thing, it can and
will act on you. And if youre not careful it can over long periods of time
erode your health and lead to the very problems you fear the most. And as
cruel and ironic as that is, you dont have an excuse to allow this to happen
anymore because you now know better. You arent the helpless victim you
think you are, so stop procrastinating and take mitigating measures now.
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Chest Pain Quality
How do you know what kind of chest pain is dangerous? This is an
important question because inevitably when you are experiencing chest pain
youre bound to ask yourself, Am I dying? So, lets talk about chest painquality for a second.
The quality of chest pain refers to type of pain, which can be described as
sharp, dull, pressing, etc. Firstly, we are all different and as a result no two
people will experience chest pain, heart attack or whatever medical issue in
exactly the same way. For that reason I want you to know that Im speaking
in generalities and at no time are you excused from seeking medical
attention if you think you need it.
In general, when you experience sharp, short intervals of pain that last onlyseconds it is most likely not a cardiac event, like a stroke or something along
those lines (Seller, 2007). So the quality of anxiety-induced chest pain can
be described as low to high in intensity and sharp or stabbing in nature; it is
felt more on the surface of your muscles versus deep in your chest where
your heart is, and in short bursts.
Secondly, one of the biggest differences between anxiety induced chest pain
and chest pain that indicates danger is the duration of the pain. Anxiety
related chest pain tends to be knife-like, short bursts of pain, whereas painoriginating from the heart tends to be intense and longer lasting. For
example, if you were sitting on the couch crunching on some chips and
began to feel chest pain suddenly AND it went on for more than a few
minutes, then you likely have a real problem - something that requires
medical attention. But if on the other hand, you had shallow pain that lasted
only a few seconds, especially if the pain is coming from the center of your
chest, then you likely have issues with GERD or some other stomach
ailment. In addition to all that, anxiety-induced chest pain is not usually
present during exercise but is more likely to wake you up at night (Seller,
2007). And if you can reproduce the pain by pressing on the affected areathen it is also likely to be anxiety related. This is because most cardiac pain
is deep in your chest. The two pains are generally different even if not in
every single case.
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Location -Location- Location
I also want to talk to you a little about the different areas of your chest that
can be affected by chest pain. This is because it is good to know where you
can expect anxiety related chest pain to appear, so that you dont assume thathaving pain in any one part of the chest is necessarily tied to a serious
medical event, especially if you have felt the pain radiate to other parts of
your body like your arms or neck, for example.
For starters, it is possible to have chest pain anywhere on your chest. It can
even move to your back, shoulders and ribs, but in most cases chest pain
particularly anxiety-induced chest pain occurs in four areas, which include
the center of the chest, the upper left chest, the lower left chest, under the
left arm, and in the left arm itself.
Center chest: This area includes the
area just above and below the
sternum. The sternum is the bone
that runs down that center of your
chest and connects your ribs. You
can easily feel it by placing your
finger(s) square in the center of your
chest and pressing down gently.
Upper left chest: This area includes
the upper left side of the chest just
below the clavicle (collarbone) and
just above the nipple.
Lower left chest: This area is
around the left nipple and below the nipple about 2-3 in (5 cm-8 cm). Pain
here can really freak you out!
Under the left arm: This encompasses the side of the chest up to the armpit.
The left arm: This pain can run the length of your arm, but pain here is
usually felt on the inside of the arm near the bicep muscle.
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Here is the important thing to remember: the area in which the chest pain
strikes (absent heart disease) doesnt mean much. You can have it hit you
virtually anywhere and if anxiety is indeed the culprit, then youre fine. I
dont want you to think that having arm pain means lights out! Because the
fact of the matter is that anxiety-related chest pain can make your arm(s) feel
heavy, painful, sore and stiff for days, but this is harmless.
I know that you may have Googled chest pain and found all kinds of
information that scared you to death, but understand that having chest pain,
or any other symptom, is not always all or nothing. For example, the most
common area for an anxious person to feel chest pain is over their left breast
(Lippincott, 2007), so its understandable why you could assume that its
your heart causing the problem. But remember that that assumption is based
on faulty logic that puts a negative spin on even minor events.
But if you fear chest pain a great deal, dont feel badyoure not alone!
There have been many studies done on this issue that support this fact. For
example, in 1995, a study was conducted at a Montreal hospital to track
what percentage of patients that came in to the emergency room for chest
pain also had anxiety issues. Of the 400 plus patients that were surveyed
about 25% met the criteria for panic disorder. Most of these patients reported
higher levels of pain than normal people, 75% of them were discharged
because they did not have heart problems, and 98% of those patients were
not referred to a cardiologist (Fleet, 1996). What does all of this tell you?
Mainly it tells you that the vast majority of anxious people that seek medical
attention arent sick with heart trouble. The problem is more a
misunderstanding of heart disease, anxiety disorder(s), and the relationship
between the two conditions. This also tells you that people that live with
chronic anxiety have a tremendous amount of fear and stress to contend
with. It is nothing short of overwhelming at times and this can be seen by all
patients that felt scared enough to seek help but tested negative for heart
disease nonetheless.
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Ways to Relieve Anxiety Related Chest Pain
If you know that you dont have a heart condition then you should feel
confident that experiencing chest pain alone is not the end of the world. You
should also remember that there are a few things you can do to stop or atleast reduce anxiety related chest pain.
1. Rest: Whether its stress, panic, or whatever causing your chest pain,sometimes you just need to go lie down. Lying down will usually
lower blood pressure, respiration rate, and even slow down racing
thoughts thereby reducing stress. It gets you back to your base settings
and off the runaway train that anxiety can become. With your body
relaxed it is likely that your chest pain will dissipate on its own.
2. Stomach care: Make sure that you dont ignore your belly. Inaddition to eating right, you can also try taking antacids or baking
soda like I mentioned above when chest pain occurs. If your chest
pain is relieved by this, then it is a sure sign that youre having
digestive problems and you can talk to your doctor about ways to
remedy this.
3. Nitroglycerin tablets: These tablets are a vasodilator that smooth outmuscle fibers and lower blood pressure. This is only occasionally
prescribed to patients with anxiety problems but its not unheard of. Itmay help on a short term basis. Talk to your doctor.
4. Control your bad habits: Make an effort not to overeat, smoke,drink too much alcohol, and avoid caffeine and drink plenty of water
to stay hydrated.
It can be a battle to do what I outlined above for you, but you have to be less
emotional about this process and more methodical in your thinking. Think in
terms of problem and solution; not problem and complaint.
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Part 2 Anxiety Related Palpitations
Remember that terrible Jean - Claude Van Damme movieDouble Impact? If
not, its about two brothers separated at birth that later develop the same
ability to beat down badly dressed bad guys pretty much the same way.Thats what anxiety-induced chest pain and palpitations remind me of. They
are both different, but their effect is very similarnamely, their ability to
make you think that something dangerous is happening when its not. And
like chest pain, palpitations are an anxiety symptom that generates more
bark than bite.
Palpitations are defined as sensations of the heart that make you feel as if
your heart is beating fast, slow, skipping beats. Most importantly, it also
involves a heightened awareness of your heart. Its your heart acting funny
and you paying close attention to it.
Like chest pain, palpitations can be scary because when palpitations occur
youre likely to assume theres that word again that something is wrong
with your heart and that as a result you may be in some kind of danger. But
as youll soon discover, having palpitations does not necessarily mean that
youre in danger nor does it mean that you need to change your behavior in
any way to avoid aggravating your heart condition. Ironically, lying around
because youve become afraid of your heart is counterproductive given that
palpitations are normally felt when youre at rest. Its when you have yourfeet kicked up or when youre in bed that this is more likely to happen. But
instead of wondering about all the things that could be killing you, whats
more helpful is to fact check and not jump to conclusions when this stuff
happens, but well talk more about that later.
Common Causes of Palpitations
Palpitations can be caused by many different conditions. So its not as if if
you have palpitations youre going to automatically go into cardiac arrest.This is by far one of the hardest things to accept about chest pain and
palpitations. Its not as if your disbelief or mistrust of these two symptoms is
something you hold on to for its own sake though. I think it has more to do
with the fact that all of us take the proper functioning of our heart for
granted, and when something feels wrong, its a huge deal because it isnt
typical. But just because something is atypical doesnt make it lethal. You
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might already know this on a logical level, but Im talking to your anxiety
right now. I need to teach that part of your brain the truth, so it sticks. So,
lets continue that process.
Here is a list of some things that can cause palpitations:
Anxiety
Panic
Hyperventilation
Electrolyte imbalance
Caffeine
Cocaine
Methamphetamines
Valvular disease
Ischemia
Heart failure
Hypoglycemia
As you can see it could be lots of things causing your palpitations. But the
thing about palpitations that is important to remember is that they ARE NOT
the almighty indicator of heart health. That title belongs to medical science.
Look at the list of palpitation causes above, and what do you see? You see a
dichotomy. A list divided in two parts, different from each other. I wanted to
illustrate that so when you experience a palpitation you dont have toautomatically think that its heart failure or valvular disease afoot. Anxiety is
a cause, panic is a cause, and too much caffeine is a cause. Dont overlook
this when you are flipping through your mind and wondering what it could
be.
Before we go on, I have to tell you a quick story. About 3 years ago, I was
driving home from work in rush hour traffic when something terrible
happened to me. Nothing about the day was special other than my inability
to locate my favorite radio station, when I suddenly felt odd, although Icouldnt quite put my finger on why. So as I drove I began to tune out my
surroundings and got tuned into my body. And inside my head all I could
hear and feel was thump, thump, thump. It was my heart pounding and it
felt like it wanted to jump out of my chest.
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I was headed toward my in-laws house for a reason that I cant recall now.
When I got there I speed walked up to the front door and when I saw my
mother in-law I half waved her off and muttered something like, Hi there,
hello, hey you mind if I go upstairs and lie down for a bit? That all
happened in about three seconds. My mother in-law looked confused but she
said, Sure, go right on ahead. So I did. I sprinted upstairs and swan dove
onto the nearest mattress. The entire time I kept hearing the thumping sound
in my chest, but by this point the noise was louder and much faster thump,
thump, thump, thump. I thought, man, of all places to have a heart attack?
About 30 minutes later my wife came over and she took my pulse and I was
shocked at my heart rate. No, it wasnt 180, 160 or even 140 like I
suspected. It was 120. It was a measly 120!
Later that week I went to see my GP and he had me wear a Holter monitor
for 24 hours. Every time I had palpitations I pressed a button on the deviceand it would record and transmit an ECG read out to the nurses station back
at the hospital. Every couple of hours I would do a recording and call the
nurses station and the nurse there would always say, 120, looks fast but
normal. After awhile I started feeling dumb, even a little embarrassed.
The point of the story is that I was freaking out this entire time and my heart
was never in danger of exploding like I thought it was. It was only beating
faster than normal. But in this case fast is a relative term because a heart
rate of 120 is not within the regular range of a resting heart, but its also
nothing to write home about. It was my awareness that became more of an
issue.
My hyperawareness was not the only problem; it was also my inability to
even imagine that the thing causing my palpitations could be anything other
than heart disease. Thats why I pointed out that the list of the causes of
palpitation can be broken up into two parts, because I want you to be able to
consider an alternative something other than a disaster. Its so critical to
have alternative thoughts to the common anxious thoughts you always have,
to help you see things from a different perspective, one that is separate fromthinking based on fear reactions and gut instincts.
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Common Causes of Anxiety Related Palpitations
Palpitations related to anxiety are fueled in much the same way that chest
pain is. So again, you have a mixture of stress hormones, like adrenaline,
acting on the nerves of the body which stimulate different kinds of reactions.These reactions are controlled by the sympathetic nervous system, which is
for the most part out of your control.
The sympathetic nervous system is part of the autonomic nervous system,
which operates organ function (like the beating of your heart) and it also
helps to jump start your body when its under stress or when it needs to react
to danger. When related to an anxiety disorder this jump starting doesnt
all happen at once either, its gradual. Its the slow creeping fog of sustained
anxiety that gets things moving in the direction of panic and palpitations
when you are otherwise safe. Its long-term stress that weighs on your mindand body until, at some random point, you become sensitized. And its this
sensitization that makes the triggering of the fight of flight response more
likely. Anything can set you off when youre in this state of high anxiety,
even certain sights, sounds or places. In the end, it boils down to this:
Palpitations come from a stressed mind, a sensitized body, and a
misunderstanding of whats happening to you.
Types of Palpitations
There are just a few reactions that emanate from the heart when its being
affected by stress hormones and they include tachycardia, bradycardia, and
PVCs. These three, in the order I listed them, are a fast heart beat, a slow
heart beat, and skipped heart beats.
Tachycardia: Is a condition where your heart beat rate goes above 100
beats per minute (bpm). And its when your heart starts pumping too fast
while youre at rest that your heart stops pumping blood efficiently to the
rest of the body. The subsequent decrease in oxygen supply can lead to
symptoms like:
Fainting
Lightheadedness
Dizziness
Shortness of breath
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This is why when palpitations strike, you feel like you are going to lose
control and die because you assume that the secondary symptoms of
dizziness or shortness of breath indicate that a heart attack is coming. But as
you can see, you get faint and short of breath because the heart is beating
rapidly, not because youre about to die; its a natural reaction to a change in
the body that does not necessarily indicate a catastrophe. And, although over
time (years and years), anxiety and stress can lead to poor heart health,
generally speaking having a fast heart rate absent heart disease isnt the
killer that you imagine it to be.
Bradycardia: Occurs when your heart rate is below 60 bpm. If you have a
slow heart beat then you might experience symptoms like;
Fatigue
Chest pain Dizziness
Fainting
Insomnia
Weakness
Bradycardia causes the heart to pump less blood, and like tachycardia, it also
decreases oxygen levels throughout the body, which is why so many of the
symptoms are the same.
PVCs: Premature ventricular contractions are extra heart beats that are often
described as skipped or extra heart beats. PVCs may cause your heart to
pound, skip, or flutter and make you sit up because you think that your heart
is about to stop at any second, but it doesnt. Keep in mind that all three of
these types of palpitations are not dangerous in otherwise healthy people.
Although that doesnt mean that they cant be scary because indeed they are,
especially because palpitations can last for days and also appear more
intense at night. So intense, in fact, that these things can wake you from deep
sleep. And Im not telling you that because I read it somewhere, I know first
hand.
I used to wake up in the dead of night gasping for air, scanning the room for
what I thought must be an earthquake or something. Seconds after waking
up Id realize that it was my heart pounding, racing, and shaking. Id jump
out of my bed and pace the room absolutely convinced that I was about to
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die. Not maybe die, not unsure in any way, I was a believer in my own
demise. So, at that point Id walk over to my wifes side of the bed and
gently wake her to tell her that I thought I was dying, but for real this time.
She would sit up slowly - only half aware - and say, Honey, youre ok, just
lay back down and youll be fine. And Id sit down and after about 10 or 15
minutes I was able to go back to sleep, but still afraid that it could happen
again at any moment. Even the next morning I would be uneasy even though
I would try to appear normal with the family, at work, and everywhere else I
was, but inside I was concerned. I was worried a lot. Well, I want you to not
get to this point, so let me share with you a few ways to stop palpitations.
How to Stop Palpitations
There are several ways to stop palpitations and they can be effective with
practice and time. None of these techniques are magical, but taken togetherthey will give you options instead of feelings of helplessness.
Balancing electrolytes: When it comes to matters of the heart, the four most
important electrolytes are potassium, calcium, sodium, and magnesium. If
any of these electrolytes become too high or too low, then palpitations may
result. A simple blood or urine test will tell your doctor if this is the case. If,
indeed youre having excessive/deficient levels of electrolytes, then you can
speak with your doctor about how to bring them back into balance. In
general, this would mean taking supplemental vitamins or
increasing/decreasing the consumption of certain foods.
List of foods rich in the four major electrolytes include:
Potassium See full listhere.
Bananas
Apples
Milk
Orange Juice
Potatoes
Raisins
Wheat bread
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Calcium See full listhere.
Dairy Products
Almonds
Beans
Tofu
Hummus
Vegetables
Fruits
Oatmeal
Sodium See full listhere.
Meats
Dairy products Frozen foods
Snack foods
Canned food
Spices
Magnesium See full listhere.
Nuts
Cooked soybeans
Peanut butter Yogurt
Milk
Diet: Like I mentioned earlier diet is an important part of any anti-anxiety
strategy, so here are a few more examples.
Foods that you want to eat more often would include:
Grapes
Guava Honey
Fresh fruit and Vegetables
Whole wheat foods
http://pubs.cas.psu.edu/freepubs/pdfs/uk087.pdfhttp://pubs.cas.psu.edu/freepubs/pdfs/uk087.pdfhttp://pubs.cas.psu.edu/freepubs/pdfs/uk087.pdfhttp://www.pamf.org/heartfailure/lifestyle/diet/foods.htmlhttp://www.pamf.org/heartfailure/lifestyle/diet/foods.htmlhttp://www.pamf.org/heartfailure/lifestyle/diet/foods.htmlhttp://foodshighinmagnesium.com/http://foodshighinmagnesium.com/http://foodshighinmagnesium.com/http://foodshighinmagnesium.com/http://www.pamf.org/heartfailure/lifestyle/diet/foods.htmlhttp://pubs.cas.psu.edu/freepubs/pdfs/uk087.pdf7/30/2019 How to Cope With Anxiety Related Chest Pain Palpitations.ag
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Foods and activities that you should try to avoid include:
Foods that contain caffeine like chocolate, soft drinks, etc.
Sugar
Alcohol
Smoking
Hydration: Water is a fundamental part of what you are. If you dont drink
enough water then even milddehydrationcan create palpitations. You dont
need to go overboard and start walking around with a gallon of water, either.
Many of the foods you eat already have water in them, but its still a good
idea to drink about eight 6-8 oz cups per day.
Medication: You may also want to talk to your doctor about medication.
Doctors will usually prescribebeta blockers, which block the effects ofadrenaline on the body. This would be a good option after experiencing
palpitations for a prolonged period of time.
Valsalva maneuver: This techniquecan be used to stop a fast heart beat.
First, pinch your nose and close your mouth. Next, breath out forcibly. The
idea is to strain as if you were trying to defecate while holding your breath.
This will cause a quick spike in heart rate, followed by a slowing of the heart
rate. If you have heart disease, or are advanced in age, please do not try this
maneuver.
Coughing: Coughing vigorously causes pressure to build in the chest, which
squeezes your heart back into a normal rhythm. This is not a preventive
measure, so do it when youre actually having a palpitation.
Cold Water: Splash cold water on your face. This technique works well for
palpitations and panic attacks. The idea behind this is that the cold water
shocks your nervous system back to normal. The water should be as cold as
possible.
Relaxation: Palpitations can strike at anytime, even while you sleep. As aresult, they tend to startle you and make you feel as if youre going to die at
any moment. This is why its important to not rush around in a panic,
thereby adding stress to your racing heart. Its best to have a seat, breath
deeply from your stomach, and chill out for a moment.
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Exercise: I know Ive said it, but Ill say it again. Exercise might sound like
the opposite of what you want to do when you know that palpitations can
occur. But after a good workout your blood pressure and heart rate will
generally decrease. This is why its not unusual for highly conditioned
athletes likeLance Armstrong to have very low resting heart rates. A
normal resting heart rate is between 70-80 beats per minute. People that
have conditioned bodies, on the other hand, can get their heart rates down in
the 50s or lower.
Lets not forget that the heart is a muscle, and if it is worked, it will get
stronger and more efficient at what it does. So despite the apparent
contradiction, exercise is a great way to cope with palpitations absent any
heart disease.
The Path Toward Recovery
Up to this point we have dealt in detail with two distressing symptoms in
anxiety related chest pain and palpitations. And the lessons we have
reviewed are indeed valuable, especially when you have the sense that
youre not going to survive the stress, pain, and despair that anxiety conjures
up in you. But there is so much more to anxiety disorder than physical
symptoms. I dont want to end our discussion without first providing you
with some information that will make a huge difference in your life.
You see, after a long time of head scratching, reading, thinking, andconferring with others, I learned that I was approaching my problem from
the wrong angle. I was mistakenly focused on the end result of anxiety the
symptoms, while completely ignoring the source of this all, namely my
anxious thoughts. Im going to spare you the lengthy explanation and instead
Ill try to illustrate what I mean.
Think of the problem this way:
Anxiety Adrenaline Fast heart beat Shortness of breath FearConfusion Depression Obsession.
But if you look at this chain of events youll see that it all started with
anxiety. So, in order to deal with all of this madness effectively, you have to
start from the far left of this chain of events. You have to start and end your
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journey toward recovery by tackling anxiety and the anxious thoughts it
produces. You cant afford to get sidetracked from this.
Now, we did spend a good deal of time discussing chest pain and
palpitations, but not because its going to solve your anxiety problem or
magically kill your anxiety symptoms. It was so that you understand whats
happening to you, when these symptoms strike, on a physical level. It was to
give you a legit reason to calm your nerves, so you can focus on the real
issues that need to be addressed. This is because these lessons in anxiety
symptoms are not the total answer to your problem, even if they do play a
critical role in reaching full recovery.
Remember that physical symptoms are only a reflection of what is going on
inside the mind andanxious thoughts (both conscious and subconscious
ones) are at the center of that process. I am excited to tell you that anxiety, atleast in its extreme form, is a stubborn illusion of the mind. Its like the
Matrix on steroids. It causes you to believe not only in the false and the
ridiculous, it also makes you wallow in it and fall deeper into the maze of
fear and confusion. You know how Dracula can give women that come
hither look and they fall for it, every time? Anxiety does the same trick. It
lures you in and makes you a believer of twisted possibilities, but why stay
in this dream realm? Right, so lets get you out of there.
As I pointed out earlier in this eBook, I have written a Special Report that is
entitledHow to Stop Anxious Thinking. That work is designed to go into
great detail as to how you can understand your thoughts and how to alter
them to rid yourself of extreme anxiety once and for all.
Instead of rewriting that report here, I want to present to you the real
problem a bit differently, but still in a way that is clear, and after that you
can decide how you want to solve the final equation. I just want to take care
of the set up.
The anxiety illusion, as I like to call it, has one main theme running throughit at all times and that is: WRONG IDEAS. Professionals like to call these
wrong ideas misconceptions, but I like wrong idea(s) because it is easier to
think of these things in basic terms. There are three main wrong ideas that
anxiety feeds your mind on a loop, and they are:
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1. Misjudgment of danger: This means that every time you have a scarythought or a horrible symptom, your wrong ideas, created by long
standing anxiety, cause you to misjudge the level of dangeryou think
you face. It turns, oh no to AHH!!! and then some. All problems
related to anxiety get blown out of proportion because of this
phenomenon.
2.Fear of collapse: This is the wrong idea that tells you that havingextreme anxiety will cause you to collapse, lose control, or perhaps even
die or go crazy.3.Inability to change reaction: This is the wrong idea that causes you to
assume that you can do nothing to resist (remember Dracula?) the effects
of anxiety. It is a state of helplessness.
The other thing is that these wrong ideas dont work alone. They work in
groups called clusters. These clusters typify certain kinds of anxiety andcome in three general flavors:
Depressive neurosis: Sometimes people with anxiety problems think that
their main issue is related to bad nerves, but in fact depression is very
present in many anxiety sufferers. A depressive neurotic may think things
like:
There is no hope.
I cant change my situation. I dont feel like doing anything. Im going crazy. I have a serious health problem.
Nobody likes me.
Hysterical neurosis: This type is heavy with physical symptoms and tied
closely to depressive thoughts. If youre in this camp youre likely to think
things like:
I cant handle disappointment. I am a victim. All my symptoms signal something deadly. I need attention.
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Obsessive neurosis: If youre obsessive you might find yourself getting
wrapped up in these kinds of ideas:
Everything must be in order. I need to be right all the time. I need to be in control. I cant stand germs.
These three neurotic types are the basic filters through which anxiety
sufferers see the world. Also keep in mind that youre unlikely to just have
one or the other of these thinking types at work; you may find that you share
two or even all three of these modes of thinking at varying times. But
whichever of these types describes you best, they all represent the basic
framework for all of your wrong ideas related to anxiety. These wrong ideas,
in one form or another, run through your mind automatically and stay in thebackground as you go about your life. They are Misconceptions of the
psychological symptoms brought about by prolonged tension (Raimy,
1975). This is all the result of a lot of confusion and mental fatigue working
together to put you in a fog. This mental fog can get so thick that you may
have thought, do think, or will think that youre going insane because of all
this. The funny thing is that the fear of insanity is perhaps the biggest
complaint that nobody likes to talk about, at least openly, maybe because of
stigma, embarrassment or whatever, but lots of people with anxiety and
depression hold on to this fear.
Listen, the belief that you are insane because of anxiety is also an illusion.
Its probably the strongest and most stubborn of your fears, but an illusion it
is. CalledPhrenophobia, its the end of the road for people facing hardcore
stress in the mind and body for long periods of time. It can also result
because of unresolved personal problems, guilt, repression, denial, and
outright ignorance (Raimy, 1975). Its ignorance of how anxiety works and
the effect it can have on you psychologically that lays the foundation for all
the crazy thoughts you have. It is a misunderstanding, a wrong idea. You
dont have schizophrenia. You are not going nuts. You are not going to belocked away. It could be guilt about something that happened a long time
ago, or the problem may not be locked away deep in your mind at all. It
could just be that you are prone to anxiety and stress because of an anxious
ancestor and the genes that they passed down to you but in any case,
insanity is not the issue. Its not your issue!
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On top of all that, there is also the ever confusing thing called the neurotic
paradox holding you back from making serious progress toward recovery.
The neurotic paradox is that by now you already know everything you need
to know to get better, but you stay sick anyway. You subconsciously reject
all the information, all the good news and every trick youve ever learned to
get better. Why do you think that up to this point all you have been doing is
learning without putting your learning into action? Its because of this thorny
bush - the neurotic paradox.
To get past the thought filters of depression, hysteria, obsession and the
neurotic paradox you must do three things.
1. You must find evidence to counter wrong ideas. Reading this eBook isa type of evidence gathering. You need to educate yourself, so that you
understand your body and its reactions to stress. Fact finding is a crucialway of fortifying your mind against baseless fears created by anxiety.
2. You need to examine your thoughts and look for assumptions,exaggerations, and false beliefs of every color. Stop simple symptom
hunting and start thinking about how to change your distorted thoughts
instead. You may even try talking to someone else about what you know
are bogus thoughts because this will make them more clear to you and
allow you to see them from an objective point of view, for a change.
3. Once you find alternative thoughts to the false anxious ones, youmust keep using factual thoughts to reprogram your mind and
repeat, repeat, repeat! Even if you went to the best psychologist in the
world and he/she pointed out your thinking errors for you you would
still fall for anxiety tricks because of the neurotic paradox. So, you
must repeat, in thought and action, what you learn. Youve got to do this
over and over until its muscle memory at work. Until your brain calls it
like it is, on its own. In the end, when you think, Im going crazy, your
mind will replace this BS thought with, No, Im not crazy, its
Phrenophobia working on me. Youll recall what that is, what it means,and come back to reality because youll know that youre being duped by
anxiety. This is the key friend.
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Lets take off the gloves for a second here. You are not a victim. You are the
captain of your body, the commander of your mind. You are in control. Give
up all your fear of illness and the absurd fear of death. Overcome the fallacy
that you cant win this fight. Accept all of your symptoms for what they are
and not what you imagine them to be. Be mindful of what you tell yourself
in quiet moments, and if an anxious thought forms into words, identify it as
an anxious thought, take a mental picture of it, study it, and break it down to
its core. Lose your fear of yourself and stop looking down at the ground in
sorrow and self-pity. Assert your right to live a good life and understand that
you are worthy of being free from the tyranny of anxiety, depression, guilt,
and fear. You have the power to make a change.
You can start the process of change by first accepting everything about your
anxiety problem. Learning how to accept your anxiety disorder is difficult.
This is because our natural instinct is to focus on our anxiety symptoms anddo all we can to push those physical feelings out of our minds. But in fact,
accepting your anxiety disorder is perhaps one of the best ways to manage
and reduce the fear you have of physical symptoms like chest pain and
palpitations. This will allow you to experience such symptoms and not feel
sick with fear.
The fact is, sometimes when people ask you to accept something you really
dont fully accept it. What a lot of us do instead is just put up with whatever
the issue is. However, in order to get a handle on your anxious thoughts and
feelings you will have to learn how to accept your anxiety disorder 100%.This does not only involve you telling yourself , OK I accept it is much
more than that. It is also physical acceptance that is required. In other words,
when you get palpitations, headaches,dizziness orwhatever,you dont just
say to yourself that you accept this, you have to go limp as it were and
really, truly accept what is going on in your mind and body. With practice it
can be done.
Acceptance is important because it allows you time to rest your mind; time
to relieve some of your mental fatigue, if only a little bit (Weekes 1969). Byaccepting all the things that anxiety can produce you will come to learn (and
accept) that although it can make you feel and think strangely it will not hurt
you. One of the biggest worries that I always had was my concern about the
possibility of my anxiety growing into something worse, but it never did get
worse and it wont for you, either.
http://en.wikipedia.org/wiki/Palpitationhttp://en.wikipedia.org/wiki/Palpitationhttp://en.wikipedia.org/wiki/Headachehttp://en.wikipedia.org/wiki/Headachehttp://www.mayoclinic.com/health/dizziness/DS00435http://www.mayoclinic.com/health/dizziness/DS00435http://www.mayoclinic.com/health/insomnia/DS00187http://www.mayoclinic.com/health/insomnia/DS00187http://www.mayoclinic.com/health/insomnia/DS00187http://www.mayoclinic.com/health/insomnia/DS00187http://www.mayoclinic.com/health/dizziness/DS00435http://en.wikipedia.org/wiki/Headachehttp://en.wikipedia.org/wiki/Palpitation7/30/2019 How to Cope With Anxiety Related Chest Pain Palpitations.ag
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I remember sitting in a chair and getting a flash of panic which caused me to
stand up real fast and grab my head almost like I was trying to stop my
thoughts from running out of control. Now when I get those flashes, I am
uneasy but I dont add to it. I dont reinforce it with secondary fear. I just sit
or stand there and let the anxiety symptoms flash, pulsate and run right
through me. Will you still be somewhat uneasy when this first burst of
anxiety comes over you? Sure you will, but understand that if you just wait a
few minutes and remain as calm as you possibly can, it will subside much
faster. It is when you jump out of your seat and start pacing around that you
stir up the adrenaline in your body and almost surely guarantee yourself a
tougher time. I understand that this is hard for you because your anxiety
symptoms are so frightening however, believe me when I tell you that
accepting all aspects of your anxiety disorder will change your life.
It is hard having an anxiety disorder because it can dominate your life butthat is also precisely why you have to do something about it. And, although I
wouldnt expect you to be able to accept your anxiety fully within a week,
you can do it slowly overtime. With everyday that you try to accept your
anxiety you will see a huge difference in the frequency and severity of your
anxiety symptoms, even if it all starts with only baby steps at first. I am sure
that you are frustrated but you have to start somewhere and acceptance is a
good place to start. The next time you get a disturbing thought or strange
symptom let it pass. You have to accept before you can get better and this
part of your recovery is well within your control.
With acceptance, education, and repetition of alternative thoughts you will
be able to assert yourself once again. Youll regain the ability and desire to
stand up straight, look people in the eye, and speak with confidence. You
will stop cowering when confronted with worry, fear of disease, fear of
insanity, and all the other baggage that you lug around because of this
problem you have.
At this point, Im not going to delve back into the finer points of heart
failure and all that because I doubt thats your problem. Ive seen someonedevelop and later die from heart disease. That process was long and painful
and there was never any doubt in his or other peoples mind as to the cause.
That person was my father. And on the other hand, Ive had a friend die in
his early 20s from sudden cardiac arrest. I guess you never know, but the
point is why try and get all Nostradamus with this? There is no point.
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Its neither useful nor productive to play the guessing game with this stuff. If
you feel sick, for real, get checked out and accept the findings. And if
youve been seen and cleared medically, then you need to work on the
acceptance part of this equation. And as you may have noticed this is
perhaps the 4th
time Ive said this. Its not that I dont think you understand -
its your anxiety Im trying to talk to. I hope that you internalize what Im
saying to you.
The cause of chest pain and palpitations isnt the focus of my conclusion
because they dont matter in the grand scheme of things, despite the fact that
it is these two symptoms that you sit up late at night thinking about. But why
lose any sleep over this? How many times have you felt palpitations in your
life? Perhaps it was dozens, or hundreds of times? How many times did you
die as a result? Exactly zero, Im happy to report. So dont get caught up
thinking about things that cant harm you. That is an utter waste of time andenergy.
Also, understand that simply making complaints about your situation wont
give you any long term relief. Its ok to vent, I think everybody needs to do
that every now and then, but you need to start thinking about ways to solve
your problem with anxiety. You are responsible for yourself. Nobody can
heal you without you being an active partner in that effort. And although Im
glad to be one piece to the puzzle youre trying to solve right now, just
remember that it will be you who makes the decision to end this. It is you
who have to identify the real problem, formulate a plan of action, and then
execute that plan. It is, and has always been, up to you.
It is so easy to just read words of encouragement that make you feel good
temporarily, but how long does it have to be before you say to yourself that
youve had enough of this? How many more times do you have to be
dragged through the immobilizing mud of fear before you say enough is
enough? It is now time to take action on your own behalf. You need to start
applying the things that you have learned so you can be free of this torment,
because I can assure you that the cavalry isnt coming. You have to helpyourself to dig yourself out of this pit. I and several others are out there
throwing you a line, but never lose sight of the fact that you have to be the
one to put one hand in front of the other to pull yourself out of this.
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References
Fleet, Richard. 1996. Panic disorder in emergency department chest pain
patients: Prevalence, comorbidity, suicidal ideation, and physician
recognition. Available at:http://www.amjmed.com/article/S0002-
9343%2896%2900224-0/abstract
Lippincott Williams & Wilkins. 2007. Professional Guide to Signs and
Symptoms 5th
edition. Wolters Bluwer business.
Raimy, Victor. 1975. Misunderstandings of the Self: Cognitive
Psychotherapy and the Misconception Hypothesis. Jossey-Bass.
Seller, Robert. 2007. Differential Diagnosis of Common Complaints.
Saunders-Elsevier.
Weekes, Claire. 1969. Hope and Help for Your Nerves. Signet.
http://www.amjmed.com/article/S0002-9343%2896%2900224-0/abstracthttp://www.amjmed.com/article/S0002-9343%2896%2900224-0/abstracthttp://www.amjmed.com/article/S0002-9343%2896%2900224-0/abstracthttp://www.amjmed.com/article/S0002-9343%2896%2900224-0/abstracthttp://www.amjmed.com/article/S0002-9343%2896%2900224-0/abstracthttp://www.amjmed.com/article/S0002-9343%2896%2900224-0/abstract