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Understanding Hyperventilation Symptoms

The document discusses hyperventilation and panic attacks. It describes the physical symptoms of hyperventilation and provides techniques for stopping over-breathing and getting more carbon dioxide into the lungs, including breathing into a paper bag. It also lists helpline resources and recommended reading for panic and anxiety.

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Ratu Pats Lauban
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0% found this document useful (0 votes)
10 views8 pages

Understanding Hyperventilation Symptoms

The document discusses hyperventilation and panic attacks. It describes the physical symptoms of hyperventilation and provides techniques for stopping over-breathing and getting more carbon dioxide into the lungs, including breathing into a paper bag. It also lists helpline resources and recommended reading for panic and anxiety.

Uploaded by

Ratu Pats Lauban
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

HYPERVENTILATION

HYPERVENTILATION
Hyperventilation

Hyperventilation means breathing in more than your body needs.


Another way to describe it is to say 'over-breathing'.

Over-breathing is common during panic attacks. Some over-


breathing is part of the body's normal response to threat. It
supplies the muscles with more oxygen so that the body is ready
to face the threat or to run away. This is known as the 'fight or
flight' response.

When you begin to over-breathe, the balance of gases in the


lungs is upset. A small amount of carbon dioxide normally stays in
the lungs. If you breathe in too much air too often, the carbon
dioxide is pushed out. When this happens, it can cause:

 difficulty in getting breath


 tightness in the chest
 very rapid heartbeat
 sweating
 tingling or numbness
 faintness
 feeling of unreality
 visual problems
 rigid muscles, cramps
 sudden emotional outburst, for example crying
 feeling too hot or too cold

2
These reactions are caused by too little carbon dioxide. They are
very frightening in themselves, and can lead to more over-
breathing. This is known as the vicious circle of hyperventilation.

Fear Hyperventilation (over-breathing)

Returning to normal breathing

In order to break the vicious circle of hyperventilation and return


to normal breathing, it is important to:

 stop over-breathing

 make sure there is enough carbon dioxide in the lungs

Stopping over-breathing

 try to find a quiet place to sit down

 think about the word 'calm'

 try to release some of the tension in your upper body. Try


loosening your shoulders and sit with a straight back

 now think about your breathing:

3
STEP 1: breathe out
STEP 2: breathe in slowly to the count of four, 'one
elephant, 2 elephant, 3 elephant, 4 elephant'
STEP 3: hold your breath for the count of four
STEP 4: breathe out slowly while counting elephants

Repeat the above steps until you begin to feel calm.

Remember, don’t take too many deep breaths in a row or


breathe too quickly, or you will become dizzy.

Take a few ordinary breaths in between the deep ones.

Getting more carbon dioxide into your lungs

The re-breathing technique

Breathed-out air has more carbon dioxide in it than ordinary air. If


you breathe it in, the carbon dioxide will get back into your lungs
more quickly. To do this, follow the steps below:

1. Cup your hands together

2. Place them over your nose and mouth and keep them there

4
3. Breathe in through your nose ) This should be done
) slowly and without
4. Breathe out through your mouth ) holding your breath.
) Repeat no more
5. Breathe your own exhaled air ) than four times.

6. Throughout the exercise try to stay calm and relaxed.

A paper bag works even better than hands; so if you can find
one easily, try that. (Do not use plastic.)

Further help

Some useful helplines

No Panic – confidential helpline


Helpline (Daily 10am-10pm) 0844 967 4848
Youth Helpline (13-20yr olds – Mon- Fri 3pm-6pm)) 0330 606 1174

Samaritans – confidential support for anyone in a crisis


National Helpline (24 hours a day) Tel: 116 123
Borders Tel: 01750 20000 (local rate)
E-mail Helpline jo@[Link] (answer within 24 hours)
Visit Local Branch 21 West Port, Selkirk, TD7 4DG

Living Life – Appointment-based telephone support based on


Cognitive Behavioural Therapy for anyone over the age of 16
experiencing low mood and/or anxiety
Monday-Friday (1pm-9pm) Tel: 0800 328 9655

5
Panic websites
[Link]

Comprehensive help for panic and associated conditions.


Includes telephone and written recovery programmes.

Useful reading
Manicavasagar, Vijaya & Silove, Derrick (2017) Overcoming
Panic, Second Edition Robinson ISBN: 978-1472135827
A step-by-step guide on how manage panic disorder. Based on
Cognitive Behavioural Therapy

(This book uses cognitive-behavioural techniques to give the


reader better coping skills to help them overcome panic attacks
and agoraphobia. It provides information about the forms and
causes of panic and ways that readers can effectively manage
their panic attacks.)

Weekes, Claire (2015) Self Help for your Nerves Harpercollins


ISBN: 978-0722531556 Emphasises coping with physical aspects of
anxiety and panic)

Apps for mobile phone and tablets


A range of self-help apps are available for your mobile phone
and tablet. Some of these apps are free of charge, whilst others
have a cost attached depending on the developer. Please use
the link below to view some suggested self-help apps for different
mental health problems:

[Link]

6
To cut out and keep:
----------------------------------------------------------------------------------

Coping with Panic


THINGS TO REMEMBER

 the feelings are normal bodily reactions; they are not


harmful
 do not add frightening thoughts, describe what is
happening
 wait for the feelings to pass
 plan what to do next, then start off slowly

-----------------------------------------------------------------------------------

Controlling your breathing


THINGS TO REMEMBER

 breathe in slowly to the count of four, "one elephant, 2


elephant, 3 elephant, 4 elephant"
 hold your breath for the count of four
 breathe out slowly while counting elephants

7
Booklets/leaflets available on the following:

Agoraphobia
Anger
Anxiety
Bereavement
Depression
Loss
OCD
Panic (short version and long version)
Phobia
How to solve problems: a simple DIY technique
Relaxation
Self-Esteem
Self-Harm
Self-Help Websites
Sleep
Stress
Trauma
Worry

Copies of any of the above booklets are available to


download/print at:

[Link]/wellbeing

S Black, R Donald, M Henderson 2005


NHS Borders

Revised Jan 2020


Review Jan 2021
SH5.12

Common questions

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Identifying both physiological and cognitive symptoms during a panic attack is crucial for effective management. Recognizing physiological symptoms such as rapid heartbeat, sweating, or dizziness helps in implementing physical coping strategies like controlled breathing . Simultaneously, acknowledging cognitive symptoms, such as racing thoughts or irrational fears, allows individuals to apply cognitive-behavioral techniques to challenge and reframe these thoughts, reducing their impact . This dual-awareness promotes a comprehensive approach to managing panic attacks, accounting for both body and mind responses.

Self-help resources recommend that individuals recognize frightening sensations during panic attacks as normal bodily reactions that are not harmful. Individuals are encouraged not to add frightening thoughts to the situation, wait for the sensations to pass, and then plan their next steps slowly . This approach helps in reducing anxiety about the physiological symptoms and supports a mindset that can alleviate panic symptoms .

A variety of self-help apps for mental health are available, some free while others require payment. These apps can provide guided exercises, breathing techniques, and cognitive behavior tools tailored for managing panic and anxiety. They offer readily accessible resources and strategies on mobile devices, making them convenient for immediate use during panic or anxiety episodes . For more options, resources like the NHS app library provide a curated selection of effective apps .

Recommended steps during a hyperventilation episode include finding a quiet place, calming the mind, and loosening tense body parts. The breathing technique involves exhaling, inhaling slowly to a count of four, holding breath for four counts, and then exhaling slowly. These steps help by slowing down the breathing rate and allowing carbon dioxide to accumulate to normal levels in the blood, reversing the compromised gas balance caused by over-breathing .

Re-breathing methods help correct the gaseous imbalance caused by hyperventilation by increasing the carbon dioxide levels in the lungs. During hyperventilation, carbon dioxide levels drop, causing symptoms like dizziness and tingling. By re-breathing exhaled air, often using a paper bag or cupping hands to inhale the air, carbon dioxide is reintroduced to the lungs, which helps restore normal levels and reduce symptoms .

During hyperventilation, the body experiences over-breathing which leads to an imbalance of gases in the lungs. Normally, a small amount of carbon dioxide remains in the lungs, but over-breathing pushes it out, reducing CO2 levels. This can cause symptoms such as difficulty breathing, tight chest, rapid heartbeat, sweating, and numbness . These reactions are triggered by a lack of carbon dioxide and can be frightening, potentially leading to more over-breathing, thus creating a feedback loop known as the vicious circle of hyperventilation .

To regain normal breathing during hyperventilation, it is suggested to find a quiet place, think of calming words, and focus on structured breathing techniques. One strategy is to breathe out, then slowly inhale to the count of four, hold the breath for four counts, and exhale slowly while counting . Another method involves cupping hands over the nose and mouth to re-breathe exhaled air which contains more carbon dioxide, helping to restore balance .

Understanding the 'fight or flight' response aids in managing panic symptoms by contextualizing them as survival mechanisms gone into overdrive. Recognizing symptoms like increased heart rate or rapid breathing as natural responses to perceived threats allows individuals to employ strategies, such as controlled breathing and positive affirmations, to dampen this response . By reframing panic attacks as a physiological preparation for action, individuals can diminish the fear of the symptoms themselves, thus managing and reducing their impact more effectively.

Cognitive Behavioral Therapy (CBT) helps manage panic disorders by providing individuals with coping skills to understand and control their panic attacks. It involves techniques for changing negative thought patterns and behaviors that exacerbate anxiety, thereby assisting individuals in overcoming panic disorders . CBT can work as a structured guide to address panic symptoms, giving tools and methods to manage and reduce the frequency and intensity of panic attacks .

Methods suggested for maintaining a relaxed state during hyperventilation include thinking calming thoughts and physically relaxing muscles, such as dropping shoulders and sitting upright . Staying calm is important because anxiety and fear can exacerbate symptoms, perpetuating the cycle of over-breathing. Relaxation techniques help break this cycle by promoting a state where normal breathing patterns are more easily restored, thus minimizing the physiological effects of hyperventilation .

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