Ruchita Profile picture
Oct 13, 2018 12 tweets 6 min read
Hello. Let’s talk panic attacks. I am noticing that numerous people are experiencing heightened mental distress, so I am going to try and provide some helpful ways in which you can help a friend who’s having a panic attack.
Do - Validate. If they say that they’re struggling, agree and tell them that it sucks but that you’re right there. Agree with them when they say that their distress feels scary and real.
Do - Tell them that this is a consequence of a trigger and that it will pass, that it’s a panic attack that is a consequence of extreme distress. Give them language to what is happening. Tell them that this is temporary and assure them that you will stay will them till it is over
Do - Encourage a breathing pattern with them. Breathe in till the count of 3, hold for 2, breathe out till the count of 8 usually works very well when done consistently. Do it with them. Reassure them that they will be okay.
Do - Talk to them, or if they start talking, keep them going. If they do talk, they will start talking about everything that is distressing and confusing to them in that moment. DO NOT DISMISS ANYTHING.Just be there and validate.This will help them in feeling heard and supported.
Do - If they are comfortable with touch, hold them. Degrees of touch that involve pressure like hugging, release different neurotransmitters that are associated with relief, safety and a release of emotion. If they are wailing, let them cry. They need it.
Do - If they are reaching a place where they can communicate effectively, ask them what will help. Ask them what has helped before. They have the agency to decide because this is their subjective experience. If they can tell you what will help, listen & try to make it happen.
Don’t - Don’t ask them to calm down. Please don’t. If it was that easy, they would have done it already. Don’t tell them that they are overreacting. It is extremely invalidating and insulting. It is definitely not helpful.
Don’t - Don’t offer unsolicited advice about their life. Now is not the time to tell them that they should quit their job or leave their partner. It’s like punching someone in their chest while having an asthma attack. Please don’t do it.
Don’t - Don’t dismiss it, don't ignore it. Even the 50th panic attack is as traumatising, impairing and debilitating. They are not ‘used to it’. This is not their gym schedule.
Don’t - Don’t be irritated or judgmental. It will make the panic attack worse. Patience is crucial. The degree of safety the individual feels will determine the duration of the panic attack. If they feel like they are inconveniencing you & are a burden, it will get much worse.

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More from @roocheetah

Jun 21, 2021
Post covid mental health observations from a clinician & from someone who had it 2 months ago: I feel like there is a lot that's getting missed 'cause we're perpetually stressed but there are some observations I've made with those who made a full recovery-irrespective of severity
Emotional lulls - so many unexplained emotional lulls. The best way for me to describe an emotional lull is disinterest in activities but also in socialising,communication fatigue, feeling blank in the head or overstimulation, random mood episodes. Someone called it a 'funk'.
Difficulty maintaining focus, a sense of heaviness while waking up in the morning, difficulty with falling asleep or sleeping a lot. Having a mix of good emotional days and then terrible days and feeling confused about why this is happening.
Read 7 tweets
Dec 29, 2020
Things I have learnt after having 4 burnouts this year: Burnout is caused by prolonged stress exposure + extreme exhaustion. The 1st burnout I had showed up as symptoms similar to COVID - body fatigue, fever, dry cough coupled with difficulty concentrating and extreme irritation
Showed up out of nowhere and knocked me out for 5 days. After 5 days, I felt much better, like my physical and emotional energy had returned to some degree. Thing is, I could do NOTHING for the 5 days so my body got the rest it had been asking for, for months.
So I learnt that doing nothing and refraining from stimulation could be useful and I started assigning one work day a month where I'd do nothing - no structure, nothing organised, nothing to look forward to.
Read 14 tweets
Jul 2, 2020
When u put the onus of ‘mental fitness’ on the individual,u snatch responsibility from the oppressive hierarchies that contribute to their mental health stressors,make them vulnerable to violence + reduce their access to resources.Stop listening to influencers acting like experts
Since nothing pisses me off more than misinformation about mental health and the romanticisation of mental wellness, I’m going to take some time to bust some myths by this influencer. Firstly, if these are ‘truths’, I’d like to see citation backing the claims.
‘Feeling depressed’ is not some individually created choice. It’s a response. Feelings are responses that your body has, so is stress. These responses are influenced by environmental factors, relationships, other stressors, even diet + sleep and more.
Read 12 tweets
May 4, 2020
If you know teenagers within your family/other circles, I encourage you to talk to them. Talk to them about their stressors, struggles, relationships, sex, school, college, build a relationship with them. Try. Reassure them that they have a safe space for honest communication.
I am talking about this for all gender and sexual identities. Violence is a structural issue and vulnerability to violence is much higher with the hyperconnectedness that the internet allows for, these days.
Cis gendered boys are conditioned into believing that being violent in language and behaviour is an exercise of dominance and a display of power, and rape culture creates a very helpful environment for this to become an ideological belief.
Read 13 tweets
Mar 26, 2020
As a 27 year old, who is considered high risk for COVID19, living with 60 something year old parents who are also high risk, the one thing that has started helping me manage my anxiety is safety planning, preparing myself & making sure I look after myself.
I have asthma, which is usually managed, but when it flares, it is horrifying. I’ve been educating myself more and more about how COVID19 risk factors are higher for people with asthma. It’s scary to look at the information, so I do it in pieces. I read some, take time to process
I’ve been disciplined with my preventative inhaler & I keep my rescue inhaler with me at all times, I keep the number of the nearest testing centre on my phone, I’ve made an action plan for which doctor to call first to confirm symptoms, tried to understand procedure for testing
Read 7 tweets
Mar 17, 2020
Warning signs for symptoms of anxiety in a time of enforced social isolation: feeling a flood of rapid thoughts,increased heart rate, feeling breathless or shallow breathing, feeling a sense of ‘doom’,concerns with sleep and appetite, difficulties with regulating emotions (contd)
... thinking of all the worst case scenarios, nightmares, difficulties with focus and concentration, difficulty in completing tasks, feeling obsessive about thoughts related to worst case scenarios + more.
Things you can do: Prepare a list of easy to do coping activities that will keep you engaged for a while,pay attention to your body-every feeling response starts first in the body.This can help in recognise when the 1st symptom of anxiety kicks in & help in the regulation process
Read 14 tweets

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