Practices

Breath work goes straight into the body, and for some people that is the problem. If your panic has ever been about not getting enough air, putting your attention on your breathing can set it off rather than settle it.

Asthma, a history of choking or smothering, panic that arrives through the chest: any of these makes the breath a loaded place to put your attention.…

For when you are stuck in shutdown there is a faster practice: short sharp exhales driven from the belly, letting each in breath happen by itself, about twenty of them.

It is meant to rouse, so expect to feel more awake and a little buzzy afterwards rather than calm. Twenty is plenty. Sit down before you start so…

Breathe in for about five and out for about ten, and do not hold at the top. Go straight from the in breath into the out breath, five to ten times over.

That pause after the inhale feels natural to add, and it can raise your heart rate rather than lowering it, which undoes what you came for. If ten…

Fighting, running and freezing are the ones everybody can name. There is a fourth: going along with things, smoothing them over, making yourself easy to be around so that nothing bad happens.

It gets read as being agreeable, or as a personality, and it is often neither. If you grew up being criticised, or spent years around someone…

You are not trying to talk yourself into feeling calm. You are trying to move your body from one setting into another, and the breath is the handle you can reach.

Once the alarm system is running, stress hormones are already in the blood and telling yourself to relax does very little about them. Changing the…

Four in, hold four, four out, hold four. The holds are the strong part of this one, and they stay optional every single time.

Some people find the pauses deeply settling. Others meet the edge of what they can tolerate there, especially at the bottom of the exhale. Both are…

If you keep only one thing, make the out breath longer than the in breath. Four in and eight out is enough, and nothing clever is needed on top of it.

This is the closest thing to a dependable settling lever. It suits the end of the day, a queue you are stuck in, the ten minutes before sleep. Some…

If big breathing feels like too much, make it smaller instead. Breathe so smoothly that the in breath rolls into the out breath with no sound and no edges.

This asks almost nothing of you, and that is the point. Nothing to count, nothing to hold, no depth to reach for. For anyone whose panic runs through…

The pull towards bread, pasta and biscuits when you are low is not simply greed. Carbohydrate makes it easier for the brain to get hold of the raw material it needs for serotonin, so it gives a real if short lived lift.

Calling it self medication instead of a failure of character changes what you do next. You stop trying to out-discipline the craving and start asking…

Irritable bowel symptoms turn up more often in people with ADHD, and they tend to track stress. If your stomach is at its worst in the weeks when everything else is at its worst, that is information rather than coincidence.

Two things help more often than they get suggested. Cutting caffeine frequently settles symptoms on its own, since it speeds the gut up and raises…

One of the earliest signs that you are drifting out of the present is that your hands and feet go vague. Not numb exactly, just less there.

It tends to happen before you notice you have gone anywhere. If you learn your own version of it, you get an early warning: a chance to press your…

When someone is distressed, moving too fast to settle them can land as a message that their distress is not welcome here. Let them set the speed.

Offering a breath, a blanket, a change of subject: all of it can help, and all of it can arrive as a shutting down if it comes before the person has…

Cold water on your face, especially around the eyes and cheeks, slows things down fast. Splash it, or hold a cold flannel there for half a minute.

This is one of the few things that works when you are too far gone to concentrate on anything. It asks for no skill and no privacy beyond a tap. Lean…

Cross your arms over your chest, hook your thumbs together, and tap your shoulders slowly, left then right. You set the pressure and the speed.

Twenty or thirty seconds is enough to feel something shift, and most people find the breath falls into step with the tapping on its own. Warmth in…

When you are helping someone settle, put the technique in their hands rather than your own. They tap themselves, they set the pressure, they stop when they want to.

Being touched by someone else, even kindly and with permission, asks a lot of a person whose body has been handled badly before. Self-administered…

Trace a square in the air with your finger while you breathe: in for four along the first side, hold for four, out for four, hold for four.

The counting slows the breath to roughly the rate that suits the heart best, and the tracing gives your eyes and hand something to do, which is…

In the thick of it, keep your eyes open and give them something outside you to rest on. A fingertip, a doorframe, the line where the wall meets the ceiling.

Closing your eyes takes away the evidence that you are here and safe, and for some people it lets images in that they were holding off. Most…

Breathe in, hold it a moment, then let it out as a sigh you can actually hear. Not a polite one.

The sound is the point. A silent out breath does some of the work, and letting the voice into it adds a bit more, which is probably why sighing turns…

Tap the fleshy side of one hand with the other and say it plainly: even though I am feeling all this in my body right now, I can accept that this is how I am.

You can strip away everything else and this part still stands up. Naming the state and accepting it in the same sentence blocks the second wave, the…

Before you try anything, give your distress a number out of ten. Do the thing. Then give it a number again.

Even a drop from eight to six is worth having, because you were the one who moved it. That is often the more important result: not the two points,…