This is a guest post by Ryan Rivera from Calm Clinic.

Panic attacks are intense events. The first time I suffered from a panic attack I was hospitalized, convinced that I was having a heart attack. During subsequent panic attacks, on more than one occasion I found myself reaching for my phone, preparing to call 9-1-1. And yet panic attacks are entirely psychological events, and – in most ways – 100% safe. They’re not indicative of a larger health problem, despite an experience that mimics something far more serious.

But panic attacks are far more troubling when you’re recovering from chronic illness. Panic attacks often feel so overwhelming that it’s hard to believe nothing is wrong, and when you’re recovering from cancer it’s possible that something is genuinely wrong. That’s problematic for treatment, because generally treatments revolve around the idea of accepting that your panic attack is a mental health issue, rather than a physical health issue. Yet it’s still very important you learn how to manage your panic attacks while you recover from cancer, in order to live a better quality of life and avoid unnecessary hospitalizations. While there’s no surefire cure for panic, try the following strategies:

  • Expect It – Fear of experiencing a panic attack can lead to a panic attack, and the surprise of the panic attack can lead to greater panic about your physical health. Another way to handle it is to go out and wait for it. Know that a panic attack is going to occur, and when it does, wait for it to go away. Panic attacks are frightening, but they’re made worse (both in symptoms and in your response) if you don’t know they’re coming. Try to expect it and the severity of the panic attack should decrease.
  • Have a Call Buddy – Someone to call is also important. When I dealt with panic attacks, I would immediately call my grandfather. He was retired and understood where I was coming from (he had experienced panic attacks himself earlier in life), so any time I was suffering I’d give him a call. Knowing that someone was on the phone with me, making sure I was okay was important.
  • Exercise – It can be hard to gather enough energy to exercise during cancer recovery – and depending on the type of cancer it can be unsafe – but if your doctor approves, you should try taking up running. Running uses up stress hormones, and releases a “mood” neurotransmitter that makes it easier to control negative thoughts – thoughts that can lead to panic attacks.

It’s tough to control panic attacks, because the mere act of trying to control them increases their frequency. But as a cancer survivor, you want to make sure that your panic attacks don’t create more concerns about your health, so that you can achieve a happier recovery. The above tips are the best way to do just that, and important first steps for managing panic attack symptoms.

About the Author: Ryan Rivera suffered from intense panic attacks most of his life, and has now dedicated himself to panic and anxiety cures. You can find out more about panic attacks at www.calmclinic.com.

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This is a guest post from my friend and cancer caregiver, Kim Hamer:

You’ve just dropped the C word. Your friend stares at you, opens her mouth and at some point during her shock, says “If you need anything, let me know.”  You smile, say you will and then you don’t. You see her months later and she says, “You never called me!”

So why didn’t you call?  Because those seven words “If you need anything, let me know” are the seven least helpful words one can utter to a person in crisis.  They leave you (and your very stressed-out brain) having to figure out what they mean by “anything.”  Will they scrub your toilet or pick up a prescription?  Will they sit with your snotty-nosed child or drive you to your appointments? When they utter those seven words, you have to guess what their limits are and then risk offending them when you ask something that may be out of bounds of what they’re willing to do.  With a cancer diagnosis, your plate is already overflowing. Your daily routine has likely changed drastically and in many cases the effect of the stress make it hard to do things like remember to buy milk. And now, you are expected to figure out what a person is willing to do for you?  Who needs that pressure!!  So you just don’t call.

You can, however, turn those 7 Least Helpful Words into real support for you.  But before you do, remember you deserve support!  Those how love you want desperately to help you. In most cases, the second biggest obstacle to getting help is often you!

Here are four simple steps can take that those around you can show you how much you mean to them.

Respond to Those 7 Least Helpful Words by Asking Them to…

email or leave you a message with a few things they’re willing to do. “Thank you so much for that offer. I am so grateful. But, I can’t keep anything straight these days, can you send me an email or txt with a few things you can do? That would ease my stress a bit!”

This will do two things.  First, it will weed out the ones who really don’t want to help.  Second, it will get people to be more specific with what they are willing to do. That’s super great.

1. Make a Giant List

Grab your good friend, spouse, partner, or mom and have a brain dumb! Ask yourself, what do I do on a daily-weekly-monthly basis?  Write down everything! This is not a list of what you think people will do.  This is a list of everything you think you’ll need. Change the oil in the car or wash it. Clean the toilet (yes put that on there!), do laundry, make a grocery list with brand names (so you get food you are familiar with), organize meals, be the doctor-note-taker, buy toothpaste, toilet paper and nail polish. Include financial help, even though you may not be comfortable with giving it, many people are comfortable offering.  Include a gas card or Visa/American Express gift cards. If you have kids, include organizing transportation to and from school, packing lunches, arranging play dates. You can sort through what you’re comfortable asking for later.

2. Find A Project Manager or Two

It’s hard (and a bit embarrassing at times) to ask someone for something so find a project manager (or two) to do it for you. We all have that one friend who is that take charger person.  She or he is the person you want to hand your list to. They are happy to take over and show others how best to support you. Find that friend, find your courage and ask them to help you.  Focus on you and let them focus on getting you the support you need.

3.Get Over Yourself

Asking for help is one of the hardest actions to take. It requires courage, vulnerability and belief that someone will actually say yes.  I promise you, they will.  Deep down you may fear that no one will actually help and/or you don’t want to burden your friends. In addition, some women worry they will have to ‘pay back’ those who help. The opposite is often true. When you have people wanting to help you, it’s because you have already helped them!  Only you don’t, and may never, know how. Your friends want to show you they love you by taking action.  Trust and accept that you are worthy of the help. Their wanting to help means they want to pay you back!

Your cancer is an opportunity for those around you to say “Thank you and we love you.”  It’s an opportunity to reap what you have sown. Every friend you have has already been a recipient of your love. Let them love you back.

Still having trouble asking for help?  Here are words from a friend that drove me to acceptance. “Kim, you are one of the most self-less people I know.  But right now you are being a selfish prig by not letting any of us help you. The cancer is not just about your family. This cancer is about all of us, our love for you and being part of a community. Don’t be selfish.”

With those words, I started my list.

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About Exactly What They Need

Kim Hamer’s husband died from cancer in 2009. Before and after his death, friends and family wanted to offer support but didn’t always know how to be helpful and effective. Out of her personal tragedy, she realized there was a strong need for resources for those who want to help but aren’t sure how. Exactly What They Need offers ideas, tips and inspiration for those who want to help others who are dealing with death, divorce, cancer or illness. Visit http://www.exactlywhattheyneed.com for help, advice and support.

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Accreditation Makes a Difference

March 30, 2012

This is the slogan of the National Accreditation Program for Breast Centers or NAPBC. I had never heard of them before, so I decided to participate in a webinar this morning. Apparently, breast centers have never been held accountable for a “standard” of care until the NAPBC came along in 2005. There first center to [...]

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Not my Mother’s Journey

February 20, 2012

In our February newsletter, we had a contest to give away 5 copies of the book, “Not My Mother’s Journey” by Heather St. Aubin-Stout. To enter the contest you had to email me and describe the difference between your life journey and your mother’s. I received many responses, but 1 stood out that I wanted [...]

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Is My Cancer Different? – a New website

February 8, 2012

Clarient, a GE Healthcare company, recently launched ismycancerdifferent.com, a new website that educates patients about how molecular-level testing can lead to more individualized cancer care. The website informs patients about molecular-level testing and encourages them to talk to their oncologists about its potential benefits by asking a simple question: Is My Cancer Different? Ismycancerdifferent.com features [...]

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Chemo Brain seminar in Los Angeles, February 21st

January 24, 2012

Visit their website

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What are you Passionate about?

January 15, 2012

In our September 2011 newsletter, I asked the question, “What are you passionate about.” We had a great response and here are some of the replies: * I am passionate about helping others and I really want to be able to help other cancer survivors. I am taking a psychology/ social work course which I [...]

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Our Member’s Life Lessons Learned

January 15, 2012

In our October 2011 newsletter, we asked the question, “please describe a life lesson that you learned either during or since your treatment.” Here are some of the responses: The major life lesson learned is Life is what you make it.  You can choose to have a pity party or embrace the changes in your [...]

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Starch Intake May Influence Risk for Breast Cancer Recurrence

December 21, 2011

Researchers have linked increased starch intake to a greater risk for breast cancer recurrence, according to results presented at the 2011 CTRC-AACR San Antonio Breast Cancer Symposium. “The results show that it’s not just overall carbohydrates, but particularly starch,” said Jennifer A. Emond, M.S., a public health doctoral student at the University of California, San [...]

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The Power of Being Positive

November 29, 2011

This is a guest blog post by Florence, Cancer Warrior One of the books which has most shaped my character is “The Power of Positive Thinking”, by Norman Vincent Peale (1952).  I read it at a time in my life when positive thinking came easy.  I was married to my high school sweetheart, we had [...]

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