Posts Tagged anxiety

Is it COPD?

April 18th, 2012 | Author: COPD Coach

Dear Coach,

I am from New Zealand and have yet to discover any support service for people with COPD here. I was diagnosed three months ago.  What led to this was lung cancer resulting in surgery, and a Lobectomy on the right side.   Since starting on medication for COPD, my symptoms have become much more pronounced which is a worry.  Anyway, I have enrolled at a gym near where I live and have been going three times a week for thirty minute sessions for the past eight weeks. I also go to go to Tai Chi once a week. I have yet to start regular walking but I find just plain walking much more difficult, and I get so out of breath.  The enormity of what is happening to me and my culpability is still very overwhelming.

Any advice or information would be great.

Perplexed in New Zealand

Dear Perplexed,

What your letter did not say was if your COPD was the result of the lung cancer treatment or was a co-morbidity of the cancer.  A co-morbidity is two or more coexisting medical conditions or disease processes that are additional to an initial diagnosis. Cancer is a known co-morbidity of COPD. If the COPD is a result of decreased lung capacity as a result of surgery or cancer treatments, it is possible that it cannot be controlled or treated as effectively as chronic bronchitis or emphysema. In this case, the medications you are taking probably are just allowing the physical lung capacity you have to work more efficiently.

From google.com

As far as working out at the gym, you are probably on the right path. What may be more beneficial is to consult with a respiratory therapist or a pulmonary rehabilitation center to find out what type of exercises would work best in your situation, and then continue with that program at your local gym. Staff members trained especially in pulmonary rehab can help you learn to pace yourself, perhaps one of the most important – and difficult – things you can learn. It’s common that a person does well with exercise in the gym but then has difficulty out there in the “real world.” Translating gains in the gym to making a difference in your everyday life can be accomplished through effective exercise and pacing techniques.

Exercise is as important in the treatment of COPD as the medications you take. With a proper exercise routine, you will train your muscles to work more efficiently, which will in turn allow them to work using less oxygen. The end result is that you will build your endurance and get less short of breath.

The other thing you have to watch out for is that depression, stress and anxiety can exacerbate your shortness of breath making things seem much worse. Your attitude and positive outlook are vital in your treatment of COPD. When you get out of breath, stop, relax, reset and then continue on. If you start to feel overwhelmed or depressed, speak with your doctor. There are medications and treatments that can help you!

One other thing you can do to really help is GET EDUCATED about  COPD. The more you learn, the better able you will be to address symptoms and recognize warning signs of an exacerbation so you can remain stable and become ill less often. You will also learn about diet andexercise as well as many useful tips. A good source of information is our Big Fat Reference Guide.

I hope this helps, and please accept our best wishes,

The COPD Coach

Ask the Expert is aimed at providing information for individuals with COPD to take to your doctor, and is not in any way intended to be medical advice.

If you would like to submit a question to the Coaches Corner email us atcoachescorner@copdfoundation.org. We would love to hear your questions and comments. You can address your emails to any of the following: COPD Coach, Caregiver Coach, COPD Doctor or COPD RT.

COPD and Panic Attacks

March 19th, 2012 | Author: Fabiana Talbot

This blog post was written by Ryan Rivera, www.calmclinic.com

Panic attacks are a type of mental health disorder that can feel overwhelming. Most people associate the word “panic” with fear, but panic attacks are not necessarily a fear-related disorder. Indeed, while they can be triggered by fear, panic attacks may have no trigger at all, and the symptoms are almost entirely physical. They include:

  • Severe shortness of breath.
  • Racing heartbeat.
  • Chest pain and difficulty breathing.
  • Feeling faint, lightheaded, or dizzy.

People that have never experienced panic attacks before often describe the experience as “feeling as though they are dying.” Over-sensitivity to your own physical responses is one of the clear culprits. A little bit of anxiety or nervousness (which is common for those with panic disorders as they worry that they may get a panic attack) causes the person experiencing the panic attack to overact to the heart beat increasing, triggering another panic attack.

Panic attacks are difficult enough for those that have no other physical or mental health problems, leading to agoraphobia and the occasional hospitalization despite nothing being physically wrong. For those with COPD, panic attacks can be much worse, because when you have COPD, a panic attack – which, again, has no physical cause – can be misconstrued as a serious health complication. Worse is that, for safety, it would be dangerous for a doctor to assume that someone living with COPD is having a panic attack, so they may load those with COPD with medicines and treatments they otherwise don’t need, potentially exacerbating your health problems or, at the very least, causing considerable medical expenses.

Managing COPD and Panic Attacks

The most important thing you can do to help with your panic attack management is to learn as much as you can about panic attacks, pay attention to your own panic attack symptoms, and make sure those around you understand that you suffer from panic disorder.

Panic attacks are difficult to cure, but they’re made worse by a complete lack of understanding both in and out of the medical field about what they are and what the experience of a panic attack is like. Many doctors still treat panic attacks like a medical disorder, when in reality they need mental health treatment. In addition, those that suffer from panic attacks often struggle to believe that something so severe could be caused by something mental, especially if you have COPD. But the more you and others understand panic disorder, the less you’ll be affected by the symptoms.

Similarly, learn to understand your own triggers and focus on the differences between your COPD and your panic attack problems. Your ability to tell the difference is an important part of limiting the panic attack symptoms and unnecessary medical visits. You should also consider all of the following:

  • Give yourself a task to complete when you have a panic attack. Panic attacks happen in cycles, and if you have a go-to task (like drinking water or counting to 20) that you do when you have a panic attack, you’ll be able to manage the attack better and worry less about the next one.
  • Never reinforce it. Agoraphobia – or the fear of being outdoors – is a common side effect of panic attacks. Too many people fear leaving their home because they worry that they’ll get a panic attack if they do, and of course these panic attacks become self-fulfilling prophecies, thus reinforcing their fear. Instead, expect a panic attack. Wait for it, have a plan in place, and move on once it comes. Only by acknowledging that they’re coming can you learn to live with them.

    (wikipedia.com)

  • Find a buddy/partner. Someone to call is always useful, especially if they understand both your COPD and your panic attacks. They’ll be there with you to talk you down from your anxiety/panic, and you know that if something goes seriously wrong you’ll have them on the phone with you to help.

Panic attacks involve some of the most severe anxiety symptoms available, and are difficult enough for those in otherwise good health. If you have COPD, they can feel overwhelming. Learn as much as you can about panic disorders and coping strategies, because only if you learn to live with both can you enjoy the quality life that you deserve.

About the Author: Ryan Rivera used to suffer from unbearable panic attacks and agoraphobia, but learned to cope and can now live more comfortably out in the open. He writes about panic attacks and anxiety at www.calmclinic.com.

What is Dyspnea?

January 3rd, 2012 | Author: Fabiana Talbot

One of primary symptoms of COPD is “dyspnea”, or shortness of breath.  The lack of oxygen to the blood sets off a chain reaction of anxiety, exacerbated breathing, and panic.  Here are some ways to prevent yourself from falling prey to dyspnea (taken from about.com):

(taken from Bing.com)Understanding the Cycle

To learn how to break the dyspnea cycle, you must first understand it. When you start to feel short of

(taken from bing.com) breath, you worry you are not getting enough air, which causes anxiety. Anxiety makes you breath harder and faster, which makes the dyspnea worse. This is when panic sets in.

When people experience this, it can be so distressing that they start to limit their activities in order to avoid anything that may cause them to feel shortness of breath. Not only does this eventually end up taking all the joy out of life, but being sedentary can lead to many other problems, like obesity, which makes it even tougher to breathe.

How to Break the Dyspnea Cycle

Follow these steps to break the dyspnea cycle:

The dyspnea cycle is not only frightening, but can lead to feelings of sadness and worry. If these feelings become overwhelming, they can start to interfere with daily life. Depression is also linked to COPD exacerbation. The good news is that anxiety and depression are treatable medical conditions. Talk with your doctor to see what treatment options are available to you. Once depression and anxiety are under control, your overall health will improve and you can start to enjoy life again.”

How do you break the dyspnea cycle?  Share with us below!!

Anxiety and COPD

June 10th, 2011 | Author: Katelyn Harding

Robin Gatzimos (Hansen) started having anxiety attacks about 10 years ago. Read more…

Love and Loss, A Daughter Remembers Her Mother

October 1st, 2010 | Author: Katelyn Harding

This blog post is written by Joanna Murray, a happily married Read more…

I Can’t Stop Feeling What I Feel

August 9th, 2010 | Author: Ifdy Perez

Last week’s blog post about the labels tagged onto COPD roused up a nice discussion Read more…

Mary Guthrie; A COPDer Who Leans on Faith, Friends and Family

July 2nd, 2010 | Author: Katelyn Harding

This blog post was written by COPDer Mary Guthrie. Read more…

Anxiety, COPD and You

June 16th, 2010 | Author: Katelyn Harding

When I was interviewing COPDer Lanis Vastano last week, she talked about how bad her anxiety became with her diagnosis of COPD. Read more…

Lanis Vastano, A COPDer Taking Back Her Life

June 11th, 2010 | Author: Katelyn Harding

Lanis Vastano, 65, says she was surprised at how much control her COPD had over her life at one point. Read more…