Jeremy Quinlan Talks About Panic Disorder and Choosing to Embrace Panic
Welcome back to another episode of Your Anxiety Toolkit Podcast. Today we have a very special guest. For me, this is THE most special guest, because this week I had the honor of interviewing my husband about Making the Choice to Embrace Panic.
In this episode, Jeremy tells the story of his Panic Disorder, how panic took so much from him and how he made the choice to embrace panic, instead of run from it.
I have wanted to record this episode for the longest time, but life, work, family and business always got in the way. But, on a beautiful spring day, we both sat down while the kids were at school in our lounge room and recorded his story.
Together, we talked about the fear of flying and how this caused him to exit off many flights in a state of panic. We also talk about his fear of driving on the highway, fear of getting on elevators, fear of getting on a train or a trolley or a taxi cab, etc. We also got very deep into the experience of panic disorder and what it felt like to have a panic attack. Jeremy described his specific experience of panic and how it made him fear he would hurt someone or lose control of his body.
What I loved the most was how he shared his bumpy journey to recovery. Jeremy carefully describes what that journey with panic felt like and how he made an intentional decision to “choose life” over running from anxiety, panic, and dread. He addressed how he came to a place where he could see that he had only two choices: choose to embrace panic or to keep running and let it take over his life.
I am so excited to share this episode with you, CBT School community. I hope he inspires you as much as he inspires me.
Welcome back to another episode of Your Anxiety Toolkit. You are going to LOVE this week’s podcast interview with Dr. Reid Wilson. For those who don’t know Dr. Reid Wilson, he is a world-class specialist in the area of Anxiety Disorders. Dr. Reid Wilson is the Director of the Anxiety Disorders Treatment Center in Chapel Hill and Durham, NC, and is Adjunct Associate Professor of Psychiatry at the University of North Carolina School of Medicine.
Dr. Reid Wilson is a Founding Clinical Fellow of the Anxiety and Depression Association of America and a Fellow of the Association for Behavioral and Cognitive Therapies. So, I am sure you are wowed already, but wait for it! This episode will blow your mind even more.
In this week’s episode, I talk with Dr. Reid Wilson about a perspective change and an attitude change from one where we do not want anxiety to one where we WANT anxiety. I know this may seem strange, but believe me, this will change your whole game when it comes to the treatment of anxiety, Obsessive Compulsive Disorder (OCD) and other anxiety disorders.
In this episode, we address the following topics.
Why do we want anxiety?
What is going on in our brains when we have anxiety and when we face our fears
How to get a client to do Exposure & Response Prevention
How to Engage the Ambivalent or resistant OCD Client
A different approach to the ERP hierarchy?
How to have a complete Attitude change about fear and anxiety.
Please consult Reid’s other site, Anxieties.com, for additional information, videos, resources, and treatment options.
Before we go, I have a few exciting events to tell you about! I’ll be speaking at both the OCD SoCal Conference and OCDeconstruct.
On Saturday, March 30, I will be speaking at the OCD Southern California 4thAnnual Conference alongside other OCD specialists and advocates. I’ll be speaking during the breakout session titled Managing OCD Roadblocks: Creative and Effective Tools to Tackle ERP. For registration information, visit ocdsocal.org or click HERE.
OCDeconstruct is a free online conference designed to give those with OCD, and their loved ones, the information needed to understand key concepts related to the disorder so they can get a productive start on treatment. During the conference, six therapists will present on topics including intrusive thoughts, ERP, family dynamics, medicine and more. OCDeconstruct happens on Saturday, April 13 and will run about 4 hours.
Do you want to get weekly free content from us, right to your inbox? SIGN UP HERE FOR OUR NEW WEEKLY NEWSLETTER! The weekly newsletter includes free mental health tips and tools, information about upcoming events with Kimberley. and free coupons for CBT School products.
If you know me at all, you know that I 100% believe that WE CAN DO HARD THINGS! If you are on Instagram or Facebook, you will often hear me repeat,
“We can do hard things!”
“We can do hard things!”
“We can do hard things!”
I am also a strong believer in Progressive Mastery. Progressive Mastering is the systematic and step-by-step approach to learning new things. Basically, we incredible humans can learn just about anything if we break it down into small steps and take one step at a time.
I cannot stress this approach enough when it comes to mental wellness. We must not look up at the mountain, tell ourselves how we will NEVER be able to make it up there and then give up. We must take on emotion at a time. One thought at a time. One sensation at a time. One urge at a time.
When we do this, we move forward. We move upward. We soar!
This week’s podcast is the first of a series I am doing called “We can do hard things”. During this series, I will interview people who have taken the hard, but rewarding route of working through their emotions, mental health disorders, trauma and difficult childhoods.
I could not be more excited to share this weeks episode with you. Dennis A. Aguilar joins us today to share the inspiring story of his life journey through mental illness. Dennis talks about trauma, depression, suicidal ideation, OCD, anxiety, Bipolar Disorder, ADD, social anxiety and other struggles he manages. I found this interview to be incredibly inspiring and I am sure you will to0.
Dennis also gives TONs of amazing advice to those who feel like recovery is not an option for them. He talks about how he would go through stages of hopelessness and how to fought himself to just keep going.
When your physical symptoms of anxiety are high, you may feel like nothing works. You may have moments when you feel like you can’t come back to your rational brain. When we are all wound up on anxiety, fear can run the show. You know what I am talking about, right?
Despite there being some great tools out there, but one of the most difficult parts of having severe anxiety or panic is the comprehending what IS real danger and what IS NOT.
Last month we talked about R.A.I.N, which is an acronym that helps us use some of the most important mindfulness tools. There is also non-judgment, acceptance, willingness, bringing our attention to the present moment. These are all wonderful tools.
For me personally, if I can understand the mechanism behind what is happening, I can handle it better. That is why understanding what was happening in my brain was SO helpful.
Today we are going to delve deeper into understanding our brain and what happens when we experience high anxiety.
The problem with the anxious brain is that it often sets of an alarm, making us feel like our lives are at risk, danger is ahead, when really there is no danger at all. This is a mistake our brain makes, particularly when we have an anxiety disorder like Obsessive Compulsive Disorder, Generalized Anxiety Disorder, Panic Disorder, Social Anxiety or Specific Phobias.
Sometimes just understanding a little bit about what our brain is doing can help us with awareness and then allow us to implement the tools better.
A Simple way to Understand YOUR Brain and Anxiety
I want you to think of the brain like a house.
This house is a two-story house, with a stairway that leads us to from upstairs to downstairs, or vice versa.
Dan Siegel and Tina Payne wrote a wonderful book called, The Whole Brain Child that coined this concept, but I have shifted them a little to specifically address the management of anxiety.
**Please note that scientifically, this is not perfect. It would take hours for me to explain the intricacies of the brain and all the areas that provide different functions. For the purpose of getting a basic understanding, we will use this simple metaphor.
The Upstairs of the brain is where we do most of our Executive Functioning. What this means is, in the upstairs brain lives the “Thinkers”.
Functions of the upstairs brain allows us to
Regulate our body (speed up or slow down)
Tune in to someone else or something else.
Balance our Emotions and use Empathy and compassion
Have response flexibility (slows down the time between impulses or urges and an action). Basically, this means that we don’t respond based on pure emotion.
Calm our fear: There are inhibitory peptides called gabba that tame our fear and help us interpret the stimuli in a rational, appropriate way. This occurs in the Prefrontal Cortex at the front of the brain.
For kids, I love Hazel Harrison’s idea of giving each of these functions a character name. Hazel Harrison is a blogger for Mindful.org, if you are interested. You can be super creative with this process and make it silly and fun.
In our upstairs brain lives:
Creative Cassidy
Problem Solving Pete
Patty the Planner
Reasonable Renee
Calming Catarina
Kind Kelly
Flexible Felix
The downstairs area of the house lives the Basic functions. While these might not seem as sophisticated as the upstairs of the brain, the downstairs helps us to stay alive.
Downstairs brain controls
Bodily mechanisms that are automatic (Breathing, Digestions and Blinking). It is really quite incredible that our whole body can function without us needing to do anything at all.
Fight, flight and freeze mechanisms. This is the most important, for today‘s discussion. The downstairs is the Emotional hub of the brain. We need to be thankful for this part of our brain, as it keeps us safe from real danger. This downstairs area of the brain is what keeps us from touching the hot plate on the stove or not walking out onto a busy highway.
For the kids (and for use Adult Kids!), our downstairs brain is the home of:
Fearful Frannie
Panicky Pete (Fight flight or freeze)
Sad Sandra
Furious Frank
Bossy Benjamin
In the downstairs brain lives the Amygdala, which interprets the current stimuli, past memories about such stimuli and the general environment to determine if there is danger or not.
If there is danger, the Amygdala sends out a message to the body to prepare for flight, fight or freeze. This message may cause a bunch of bodily sensations that will prepare you for survival. Your heart rate might go up, which is your body preparing to be able to run a long distance in a short amount of time. This message may cause you to have stomach issues such as diarrhea or vomiting, which is your body’s way of emptying its contents, again, so you can be lighter and get away from such danger.
Using the metaphor of the house representing the brain, the stairway of the house helps the upstairs and the downstairs communicate together. The upstairs and the downstairs work together to think and feel in a way that is regulated and reasonable.
If there is a real danger, let’s say there is an earthquake, the downstairs brain (specifically Fearful Frannie and Panicky Pete) take over to make sure they can send all the messages necessary to keep the body safe. An example of this is, if there was in fact an huge earthquake, the upstairs “Problem Solving Pete” would not stop to pick up the stray shoes that have been left in the middle of the lounge room in case someone trips. Or, “Reasonable Renee” would not signal for us to stop to say goodbye to the people we are standing with before we ran for safety. Our downstairs brain works very hard so it can get us to the safest place in the fastest possible time. Once the danger has gone, we go back to using a more balanced distribution of the upper and lower brain.
What happens when we have an Anxiety Disorder?
In some cases, as mentioned above, our brains interpret that there is danger and sends out these messages when there is, in fact, little or no danger at all. This is VERY common in anxiety disorders. We could say that our downstairs made a mistake and set off the alarms, signaling to the whole body that is must prepare for fight or flight.
When I am using the metaphor of the two-story house, I often call this “lockdown”. Sometimes, just as our brains do where there is a REAL danger, when our brains mistakenly set off the alarm bells, it “locks down” the downstairs brain and won’t allow us to access our upstairs brain in a reasonable way. Problem Solving Pete and Rational Renee have no way of communicating with Panicky Patty and this keeps us from questioning if this danger is, in fact, a danger.
There is great benefit from knowing this information and being able to notice and observe when your brain is sending you into “lockdown”. Just understanding and observing this can allow us to reset. In fact, identifying that we are in lockdown and that our downstairs brain is being activated instantaneously opens up the stairway a little and allows reasonable Renee to begin doing her work. It is Reasonable Renee who allows us to say “OK, I am in lockdown right now”. Isn’t that SO cool?!
Dan Siegel uses the quote, “you have to name it to tame it” and I cannot agree more when it comes to anxiety. When you (or your little ones) can name what is happening in their brain, it helps them to feel in control and then are able to tame their heightened sense of danger.
Now, don’t get me wrong, knowing this information will not make anxiety go away completely. But, the more we can identify when our downstairs is in lockdown mode, the more likely we are to use our mindfulness and Cognitive Behavioral Therapy tools.
Another tool is to practice using you upstairs brain when you aren’t in automatic lockdown. By exposing yourself to the very things that set off the downstairs brain in to lockdown (when there is, in fact, no danger at all), you can re-train your brain to reassess the danger appropriately. You will use your upstairs brain to regulate your downstairs brain when it wants to send you into lockdown.
It is important to know that the upstairs part of the brain isn’t fully built until sometime in a child 20’s. This doesn’t mean that this tool isn’t helpful to those who are children or adolescents. In fact, it is even more important for those who are younger. Understanding your brain can help develop the use of the upstairs brain and can benefit then in many, many ways. The goal is to have an upstairs and downstairs brain that communicate and work together.
Discussing Anxiety and the Brain with your Kids
If you are working with young children, try to make it fun. If your child is in lock down, have Bossy Benjamin tell Panicky Pete to “scram!!!!”. You could say, “You don’t belong here Panicky Pete!” You might also ask the lovely Calming Catarina to help with breathing and doing a fun activity that engages your child.
For little kids (and us big Adult kids), you might ask Reasonable Renee to keep and eye on Worried Wanda. Worried Wanda often spends too much time worrying about the future and all the bad things that might happen. Reasonable Renee can help remind Worried Wanda that her imagination has gone a little wild. Reasonable Renee might also sit down and come up with some activities that your child can do when Worried Wanda talks too loud and starts to become a bother. Ideas might include arts and crafts, take a walk, build a lego castle, do a jigsaw puzzle. The trick is to get hat upstairs AND downstairs brain engaged and communicating together!
Play around with some of these ideas and please let me know if you have any great ideas or questions.
