1 minute read
The ABC maintenance cycle of panic
from Clinician's guide to exposure and habituation for panic disorder using the Fears Conquered protocol
Physical symptoms
Palpitations, Increased heart rate, Sweating, Trembling or shaking, Shortness of breath, Dry mouth, Chest pain, Nausea, Feeling dizzy, Unsteady or light-headed, Chills or heat sensations, Numbness or tingling sensations (paresthesias) Feeling detached (de-realization)
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Behaviours
Avoidance of internal and external triggers
Escape behaviours to get through situations more quickly or to leave if symptoms become to high Safety seeking behaviours to reduce fear artificially
Altered thoughts
“I am having a stroke” “I am having a heart attack” “I am choking” “I am going crazy” “I am going to collapse” “I have to get out of here” “I must avoid triggers for feeling anxious” “People will stare at me”
