Anxiety: The Impact of Stress on Breathing Awareness - Psychiatry

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I suddenly started to pay constant attention to my breathing?


Thank you, doctor, for your previous response.
Regarding your mention of whether there has been increased life stress causing my anxiety, I believe there are two main points: 1.
Due to the impact of the pandemic, my personal income has decreased, leading to concerns about future job stability and household expenses.
2.
After being fearful of contracting the virus during the recent surge, I have spent almost the last two to three weeks staying at home, which has made me feel quite depressed.
These two points have indeed made me feel restless and anxious.
Then, last Tuesday night, I suddenly experienced chest tightness and a sensation of not being able to breathe.
At that moment, I thought it was due to the hot and stuffy weather, so I turned on the air conditioning.
After about ten minutes, the sensation of not being able to breathe did improve, but perhaps the sudden discomfort made it too distressing, so from that point on, I began to obsessively monitor my breathing, trying to control each inhalation and exhalation, which made my breathing very unnatural and uncomfortable...
Thank you for listening, doctor.

Guo Xiansheng, 30~39 year old female. Ask Date: 2021/06/20

Dr. Wu Enliang reply Psychiatry


Hello, online friend: Self-awareness is very important; it is the first step towards change.
It seems that you have already analyzed your situation well.
I suggest downloading the Mood Meter app to assess your emotions at any time.
It also includes e-books and videos that teach relaxation techniques.
Don't worry about the scoring part; there's no need to be concerned.
I'm here answering questions as a volunteer to help others.
Dr.
Wu Enliang

Reply Date: 2021/06/20

More Info


Understanding anxiety and its impact on breathing awareness is crucial, especially in the context of the stressors you've described. Your situation reflects a common experience where prolonged stress, such as that caused by the pandemic, can lead to heightened anxiety and physical symptoms, including breathing difficulties.

Firstly, it's important to recognize that anxiety can manifest in various physical symptoms, one of which is altered breathing patterns. When we experience anxiety, our body's fight-or-flight response is activated, leading to physiological changes. This includes rapid or shallow breathing, which can create a cycle of increased anxiety. As you noted, your awareness of your breathing has become a focal point, leading to a sense of discomfort and an unnatural breathing pattern. This phenomenon is often referred to as "hyperawareness" of breathing, which can exacerbate feelings of panic and discomfort.

The two stressors you've identified—financial concerns due to the pandemic and the fear of contracting the virus—are significant sources of anxiety. These stressors can lead to a constant state of worry, which in turn can affect your mental and physical health. The feelings of chest tightness and difficulty breathing you experienced last week are not uncommon in individuals dealing with anxiety. It's essential to understand that while these symptoms can be distressing, they are often not indicative of a serious medical condition, especially in the absence of other alarming symptoms.

To address your concerns about breathing and anxiety, consider the following strategies:
1. Breathing Exercises: Engaging in structured breathing exercises can help regulate your breathing pattern. Techniques such as diaphragmatic breathing (breathing deeply into your abdomen rather than your chest) can promote relaxation and reduce anxiety. Try inhaling deeply through your nose for a count of four, holding for four, and exhaling slowly through your mouth for a count of six. Repeat this several times.

2. Mindfulness and Relaxation Techniques: Mindfulness practices, such as meditation or yoga, can help ground you in the present moment and reduce anxiety. These practices encourage awareness of your body and breath without judgment, which can alleviate the hyperawareness you are experiencing.

3. Physical Activity: Regular physical activity can significantly reduce anxiety levels. Exercise releases endorphins, which are natural mood lifters. Even simple activities like walking or stretching can help alleviate feelings of tension and improve your overall mood.

4. Limit Exposure to Stressors: Given the ongoing pandemic, it may be beneficial to limit your exposure to news and social media that heightens your anxiety. Instead, focus on activities that bring you joy and relaxation.

5. Seek Professional Help: If your anxiety continues to interfere with your daily life, consider reaching out to a mental health professional. Therapy can provide you with coping strategies tailored to your specific situation and help you process the underlying stressors contributing to your anxiety.

6. Connect with Others: Social support is vital during stressful times. Reach out to friends or family members, even if it's just to talk about how you're feeling. Sharing your experiences can help alleviate feelings of isolation and anxiety.

In conclusion, anxiety can significantly impact your awareness of breathing and overall well-being. By implementing coping strategies and seeking support, you can work towards managing your anxiety more effectively. Remember, it's okay to seek help, and taking proactive steps can lead to improved mental health and a greater sense of control over your breathing and anxiety.

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