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cbt and panic attacks

1103 Views 9 Replies 6 Participants Last post by  terri*
I have a question that I've asked a few times on here before but I I'm having the same conundrum again. I have textbook panic disorder. I'm scared of having panic attacks and going crazy and usually what causes my panic attacks now is derealization. Originally I guess stress caused them. Now the cycle is stress, then derealization, then panic. So, I've started cbt. And it is helping a LOT. I'm learning to quit obsessing and how to deal with my worries.
The problem is, my therapist wants the next time I have a panic attack for me to just find a chair or something, sit there and let the panic happen. Don't try to distract myself. He wants me to feel the fear and realize that nothing terrible is going to happen as a result of my panic attack. But this goes against everything I have learned on this board. Everyone here seems to say distraction is the key to dealing with derealization. Don't think about it. But if I keep distracting myself, I'm never gonna get over my fear of panic attacks. The derealization is better but I still live a life scared of the next incident. So basically I have no idea what I should do. Fight or flight? It's driving me crazy because I don't know which direction to go in. ANY responses would be greatly appreciated. Thanks everyone.
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All that keeps going through my head is that once Janine said that she had a therapist that tried to make her "scare herself" as much as possible to face the fear and she said she got so messed up by that that she thought she was gonna have to be committed.

But I'm thinking this isn't exactly that same thing as what my therapist is suggesting. He's suggesting that I feel the fear and let it pass. Not necessarily conjuer up every frightening thought I have. Just when my anxiety starts, don't run from it, just let it happen.

Any thoughts?
I think I'm ready for it, it just seems to go against what people here say about not facing the fear. For dp distraction is key. For panic facing it is the key. So which one should I do??
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