Coaching practices for What to Do When Someone Has an Anxiety Attack

Describe almost anything you are working through and IX Coach finds the practices whose real-world fit is closest. For What to Do When Someone Has an Anxiety Attack, these are the strongest matches in the current practice library.

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

  • I always wait until I’m already in full panic to try to calm down, and by then it’s too far gone for anything to work
  • The second I feel my heart pound or my chest tighten I clench up and try to force it to stop, and the fighting just cranks it higher
  • Even once the worst of it passes, I can’t get back into the room
  • The second I feel my heart race or my chest tighten I throw everything at making it stop
  • The anxiety hits in the middle of a meeting or while I’m standing in line, and I can’t exactly close my eyes and name what I smell in front of everyone

Practices that may help

  1. Use grounding before anxiety peaks, not after
    Start the technique at the first sign of anxiety — not once the wave is overwhelming.
    The 5-4-3-2-1 Grounding Technique
  2. Allow the sensations without resisting
    Let the physical feelings of anxiety be present instead of bracing against them.
    The DARE Response to Anxiety, Made Practical
  3. 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
  4. Allow the sensations instead of fighting them
    Do not try to stop the racing heart, the dizziness, the breathlessness — allow them and observe.
    Panic Surfing
  5. Use a 30-second micro-grounding version for public settings
    In public or meetings, a single-sense version — three named things you can see — takes 30 seconds and shows nothing.
    The 5-4-3-2-1 Grounding Technique
  6. 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
  7. Deploy 4-7-8 as an acute anxiety interrupt
    Four cycles of 4-7-8 breathing can interrupt a building anxiety response before it escalates.
    4-7-8 Breathing, Made Practical
  8. Rapid relaxation: achieve a relaxation response in 20–30 seconds
    Deploy a practiced, condensed relaxation sequence the moment anxiety begins rising.
    Applied Relaxation, Made Practical
  9. The DARE Response to Anxiety, Made Practical
    The DARE response, popularized by Barry McDonagh, is an acceptance-based way to meet anxiety and panic: Defuse the scary thought, Allow the sensations without resisting, Run toward (rather than away from) the feeling, and Engage with life again. Its logic lines up with what exposure- and acceptance-based approaches do — you stop reinforcing fear by fighting or fleeing it. These are self-help skills for everyday anxiety; for severe or persistent panic, work alongside a qualified professional.
  10. Interoceptive awareness
    Practice noticing and naming body sensations neutrally, so they stop reading as alarms.
    The Anxiety Toolkit, Made Practical

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