Your palms begin to sweat. You can feel your heartpounding through your chest. 
A million negative thoughts race throughyour mind. All because you find 
yourself in a situation that seems outof your control. Most of us deal with 
this feeling of anxiety bysuffering in silence till the situation passes away. 
But a few dayslater we find ourselves grappling with another set of 
similarcircumstances. And the entire cycle repeats itself. Endlessly. Read onas 
Psychiatrist Dr Harish Shetty offers a permanent solution to anxietythrough the 
use of case studies.

What is anxiety?

Anxietyis a defence mechanism that serves the purpose of alerting us todanger. 
It is an emotion that each of us experiences in differentintensities throughout 
our lives. In excess however it causes emotionaland physical disturbances. When 
in an anxious state our autonomicnervous system gets aroused and certain 
chemicals are released which inturn lead to an increased heart rate, 
breathlessness, dizziness,fainting spells etc. As the anxiety increases we may 
experience alarger number of symptoms.

Exams and Interviews

Asa young school-going boy, Manish experienced a pounding heart just ashe would 
reach the examination hall and later he experienced the sameproblem at job 
interviews. Paralysing thoughts such as, ' I will fail,I am no good' went 
through his mind and as a result his performancefell and he experienced a 
full-fledged panic attack withbreathlessness, wanting to run away and even 
fainting.

Solution

Manishneeded counselling coupled with medication to calm his severe anxiety.The 
triggers and the irrational beliefs were discussed and he was mademore aware of 
his capabilities. As a result, rational options wereelicited from him, such as 
'I am good, I am talented and I will passthe test'. He also opted for 
Vippassana to calm his nerves. Meditativepractices and breathing exercises help 
calm the state of hyper arousal.All this together helped him overcome his fear.

Accident and Injury

MrJohar just froze when his auto overturned. He received a deep gash tohis 
forehead and as he touched it, he felt his palms wet with blood. Hetook a long 
time to find his way out of the overturned auto although itwas not a very 
difficult task. Within a short span of time he recoveredautomatically. Yet, 
such a situation of panic need not  have arrived,had he been trained in 
handling emergencies. 

Solution

Fight,flight and fright are the three most common responses during such 
asituation. Rehearsing a disaster response in life is extremelyimportant and 
can prevent extreme anxiety. Being prepared for adisaster involves 
internalising the immediate response throughinformation and visualisation 
exercises. Emergency drills must beperformed in schools and workplaces where we 
spent a large part of ourday. This helps in reducing fear and also the time 
taken to reach anemergency facility.

Honeymoon

Shibufroze when his wife held his hand on the nuptial night. He 
beganperspiring, breathing heavily and suffered palpitations. Shibu hadstudied 
in an all-boy's school and was shy by nature. He was also notallowed to 
interact with his fiance after the engagement as theirfamilies were 
conservative. Due to his inability to share physicalrelations with his wife, he 
felt  guilty and was contemplatingseparation.

Solution

Shibuwent in to counselling where he expressed his fears and  it was 
learnedthat the biggest blocks were the irrational beliefs of the couple andthe 
two families such as, 'The girl is too smart and not fit for ournaive Shibu'. 
The family also learned about Shibu's problem withintimacy and held yet another 
irrational belief such as, 'It is aphysical problem'. Such beliefs were 
discussed with the couple andclarified. During this period all physical 
intimacy was suspended andexercises aimed at knowing each other were advised. 
Slowly the act ofintimacy was introduced in baby steps across an eight week 
period andthe issue was resolved.

Pregnancy

Lekhaworried daily during her pregnancy about having a normal baby. She didnot 
sleep well and lost her appetite. She wanted a baby boy as that wasthe wish 
expressed by her family. She would feel breathless duringvisits to her 
gynaecologist.

Solution

Lekhawas advised counselling where she expressed her fears to the therapistand 
later to her husband in the presence of the therapist. Duringtherapy she 
revealed that when she was just a child, her aunt wasreprimanded in her 
presence for giving birth to three girl childrenconsecutively. The entire 
experience was forgotten and came to lightonly during counselling. Helping her 
visualize her positiveexperiences, providing peer support from her elder 
sisters who hadchildren calmed her completely. Her husband's strong reassurance 
wasthe icing on the cake.

Riots

Lifewas not the same for Mr. Rathod after he was ruffed up in a recentriot. He 
experienced severe pain in the chest and lived in constantfear. His fear 
reached such extreme levels that he refused to leavehome entirely.

Solution

Followingsuch an event fear and anxiety is common but if it persists for 
longerthan a month than it requires help and is referred to as 'Posttraumatic 
Stress disorder'. Rathod was prescribed anti-anxietymedications for a short 
span of time and he also went into counselling.He was exposed to similar 
anxiety inducing situations in an imaginarystate and taught deep breathing, 
calming techniques. His family wasalso counselled and educated about the 
symptoms and the treatmentprocess. Slowly but surely life returned to normal 
for Mr. Rathod.  
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