Your body

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

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

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

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

Open your mouth and put on a big obvious fake yawn. More often than not a real one follows, and the soft palate lets go with it.

Yawns are catching, so if you are sitting with someone else one of you starting will usually set off the other. Let it be a proper one: jaw wide,…

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Breathing that has gone almost invisible happens in both kinds of stillness, so it will not tell you which one you are looking at. Muscle tone will.

Look at the jaw, the hands, the shoulders, the way the body is being held in the chair. Tight and set is one thing. Slack and heavy is another. You…

Try locking your ankle and holding everything rigid while you balance. You will fall over. The wobble was doing the work.

People who are frightened of losing control often try to hold themselves regulated: clamped, monitoring, allowing no drift. It is exhausting and it…

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

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

Hum a note you like for a few breaths, and try covering your ears with your palms so the sound fills your head.

The vibration carries through your throat and your inner ear, and humming lengthens the out breath for you without any counting. Choose your own note…

Breathe in, then push the air out gently against a closed throat, or against lightly pinched nostrils, for a couple of seconds.

The change of pressure in your chest is what does the work, and two or three rounds are enough to notice something. Keep it gentle. Straining is…

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

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