Cheatsheet
Panic, Heartbeat Sensations, and Breathing Fear
A session map for panic-related heartbeat and breathing sensations after safety planning and medical considerations are clear.
Criteria, checks, and next step
01
Safety plan
Start with clear boundaries.
- Which signs require emergency care according to the client’s plan?
- What features fit prior evaluated panic episodes?
02
Panic sequence
Map escalation.
- What sensation starts the wave?
- Which interpretation and behavior intensify it?
03
Orientation
Restore contact with the present.
- What physical support and environmental facts are available?
- How can breathing become quieter without being forced?
04
Future response
Create a concise plan.
- What will the client do during a familiar wave?
- What change would trigger reassessment?
Summary
Reduce the decision to a few points
- Write the plan in plain language.
- Do not use strenuous self-testing for reassurance.
- Consider CBT and appropriately supervised interoceptive exposure.
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