Coaching practices for How to Deal with Anxiety After a Car Accident

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Does this sound like the set of challenges you might be facing?

  • Even once the worst of it passes, I can’t get back into the room
  • I’ve got all these little rules that keep me okay
  • A while after one passes, all that’s left in my memory is how terrifying the worst moment was
  • I only ever try a new way to handle this once I’m already deep in a full-blown wave, and by then I’m too far gone to think
  • When I make myself face the scary scenario I end up still wound up and rattled afterward, and then I dread doing it again

Practices that may help

  1. Engage with the present moment
    Once the edge comes off, redirect attention fully into an activity or your surroundings.
    The DARE Response to Anxiety, Made Practical
  2. Drop the safety behaviors
    Let go of the small avoidances and crutches you use to feel "safe" from anxiety.
    The DARE Response to Anxiety, Made Practical
  3. Conduct a post-panic review to counter catastrophic memory
    After every attack, record what actually happened — because anxiety memory is biased toward danger.
    Panic Surfing
  4. Rehearse the response before you need it
    Learn and practice the four steps in low-stakes moments so they are available under pressure.
    The DARE Response to Anxiety, Made Practical
  5. Combine worry exposure with relaxation skill
    After the exposure period, apply a relaxation practice to close each session with a deactivation phase.
    Worry Exposure, Made Practical
  6. Fade reassurance-seeking
    Gradually reduce how often you seek reassurance from others that the feared thing won't happen.
    Safety Behavior Fading, Made Practical
  7. Reframe from "preventing catastrophe" to "coping with discomfort"
    Shift the goal of entering feared situations from preventing disaster to practicing tolerance.
    Safety Behavior Fading, Made Practical
  8. The 5-4-3-2-1 grounding technique
    Name five things you see, four you hear, three you feel, two you smell, one you taste.
    The Anxiety Toolkit, Made Practical
  9. Run the full 5-4-3-2-1 sequence
    Work through all five senses in order: 5 things seen, 4 heard, 3 touched, 2 smelled, 1 tasted.
    The 5-4-3-2-1 Grounding Technique
  10. Debrief after each stressful encounter
    Within 24 hours of a challenging event, review what you did, what worked, and what you will adjust.
    Stress Inoculation Training

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