Brainspotting for Anxiety and Panic Attacks
What is Brainspotting?
Brainspotting is an advanced therapy for overcoming negative emotions, healing traumatic experiences and rebalancing the nervous system. The process involves identifying, processing and releasing stored trauma and emotional stress with the help of a certified Brainspotting therapist. It is one of the few techniques that effectively addresses the root cause of psychological stress and emotional trauma. This is a primary reason why Brainspotting is so effective at treating PTSD, depression, anxiety, addictions and many other stress-related and mental health challenges. If you feel like you have plateaued in your healing or are not finding relief in other approaches, Brainspotting offers new possibilities for breakthrough.
How Brainspotting Helps Heal Anxiety and Panic Attacks
Anxiety and panic attacks are rooted in a chronic state of nervous system hyperarousal. The body remains stuck in a heightened fight, flight, freeze, or appease response. Brainspotting works by accessing the subcortical brain regions, such as the amygdala and brainstem, responsible for storing unresolved trauma and maintaining this anxious state. Brainspotting enables the processing and release of stress and traumatic imprints that play a significant role in chronic anxiety and panic. Through a simple yet sophisticated process, brainspotting supports unravelling the cause of anxiety and panic. As the nervous system re-regulates and moves toward homeostasis, clients often report feeling noticeably calmer, more resilient, and less reactive. Situations that once triggered intense anxiety begin to feel neutral or manageable—an indication that healing has taken root at the brain-body level. Research in neuroscience and somatic therapies continues to affirm the effectiveness of brain-based approaches in reducing anxiety symptoms by targeting the body’s implicit memory systems.
Brainspotting vs. CBT: Key Differences in Treating Anxiety
Both Brainspotting and CBT are used to treat anxiety and panic attacks, but they differ in some significant ways.
- Brainspotting is a bottom-up, neurobiological approach that begins with the body’s sensory experience to calm and regulate the nervous system and mind. Since anxiety is often a visceral and deeply felt experience, accessing the subcortical regions of the brain, the areas connected to instinct, emotion, and body memory, is essential for lasting relief.
- CBT is a top-down, analytical approach that relies on the rational mind to identify, manage, and reframe anxious thoughts. While this method can be helpful for some, it often falls short during acute anxiety or panic. If you’ve ever tried to tell yourself to “calm down” in the midst of a panic attack, you know how ineffective logic can be when the nervous system is in a heightened state of alert.
What is Anxiety?
Are you anxious or just stressed out?
We all know what it feels like to be stressed out, worried, overwhelmed and as though we may buckle under the pressures of life. At these times the nervous system can get activated and our heart may race, palms sweat or stomach feels queasy. Just think of a time when you had to speak in public or felt put on the spot in front of a group of people and didn’t know what to say. Anxiety often triggers our body’s natural fight, flight, freeze, collapse or appease mechanisms. These responses from our nervous system are designed to protect us from a perceived threat or danger. However most modern-day anxiety is based on our perception of situations and not true physical threats. Persistent worry and stress can cause a constant state of nervous system overdrive and become very uncomfortable to experience.
Although feeling anxious is normal in new, uncertain or risky situations, it can be challenging to know if there is a problem with anxiety or if you are experiencing normal levels of stress and nervousness. As a general guideline, you are likely having a problem if anxiety becomes so frequent and intense that it takes over your life and you can’t control the worry, self-doubt, stress and overwhelm. Anxiety in this case, becomes generalized and as a result, feelings of worry and stress can be felt in multiple areas. It can also have a very intense physical component impacting sleep, energy levels and feeling tense or on edge all of the time. Many people feel like they don’t want to be in their body because they are so uncomfortable. These are all signs that the sympathetic nervous system is activated and it is releasing stress hormones. This is often part of the fight, flight or freeze response where we are on heightened alert to guard against the perceived threat.
By nature, anxiety is related to a fear of what might happen, once the snowball of the nervous system starts it can sometimes be rather challenging to stop. In other words, anxiety begets more anxiety and a vicious cycle ensues. Understanding how to prevent this from happening and also stop it once it’s started requires working directly with the nervous system.
When Normal Stress Becomes an Anxiety Disorder
Although feeling anxious is normal in new, uncertain or risky situations, it can be challenging to know if there is a problem with anxiety or if you are experiencing normal levels of stress and nervousness. As a general guideline, you are likely having a problem if anxiety becomes so frequent and intense that it takes over your life and you can’t control the worry, self-doubt, stress and overwhelm. Anxiety in this case, becomes generalized, and as a result, feelings of worry and stress can be felt in multiple areas. It can also have a very intense physical component impacting sleep, energy levels and feeling tense or on edge all of the time. Many people feel like they don’t want to be in their body because they are so uncomfortable. These are all signs that the sympathetic nervous system is activated, and it is releasing stress hormones. This is often part of the fight, flight or freeze response where we are on heightened alert to guard against the perceived threat.
By nature, anxiety is related to a fear of what might happen, once the snowball of the nervous system starts it can sometimes be rather challenging to stop. In other words, anxiety begets more anxiety and a vicious cycle ensues. Understanding how to prevent this from happening and also stop it once it’s started requires working directly with the nervous system.
What are Panic Attacks?
Panic attacks are sudden surges of intense fear and physical discomfort that reach a peak within minutes, often accompanied by racing heart, shallow breathing, feeling dizzy, choking sensation and a fear of losing control or dying. Many clients describe panic attacks as terrifying and disorienting, especially when they happen without warning.
Are you Anxious or Depressed?
Clients come to us confused as to whether they are anxious or depressed. The answer is quite often, both. Persistent worry and fear of the future that is typical with anxiety often brings up regrets from the past that is typical with depression. It is common for people who experience anxiety to also experience depression and vice versa. In fact, 50% of people who experience depression also report experiencing anxiety.
Anxiety has been considered the common cold of mental health with more than 40 million adults in the United States experiencing anxiety every year. That equals over 18% of the population and makes anxiety the #1 mental health diagnosis. Although anxiety is considered a mental illness or disorder, we find it more useful to think of it as an imbalance in the mind and body. While only 36% of people seek treatment, there are many effective treatments for anxiety. If you or someone you know is experiencing several of the following signs, consider reaching out for help.
Common Symptoms of Anxiety
Emotion / Mood
- Fear, terror, dread
- Uneasy, edgy, irritability
- Hypervigilance, panic, excessive worry
- Overwhelm, fear of death
Cognitive
- Racing thoughts, catastrophic thinking, rumination
- Hypochondriac, self-doubt
- Difficulty concentrating, focusing, making decisions or remembering
Physical
- Gastrointestinal issues, stomachache
- Low energy or wired with high energy
- Muscle tension, heart palpitations, heart racing
- Shortness of breath, shallow breathing,
- Nausea, headaches, palms sweaty, dizziness
Weight
- Appetite changes, losing weight, gaining weight
- Craving foods
Behavioral
- Avoiding social interactions
- Risky and self-destructive behaviors such as excessive drinking, using drugs, gambling, driving fast and promiscuity
Sleep
- Sleep disturbance – too much sleep or too little sleep
- Nightmares
Equally Challenging, Less Known Symptoms of Anxiety
12 Lesser-Known Signs of Anxiety You Might Be Overlooking
Emotion / Mood
- Developing phobias and fears such as driving, heights, small spaces
- feeling detached from one’s body or sense of self
Cognitive
- Disassociation
- Pessimism
Behavioral
- Staying at home to limit social interactions or fearful of going outside,
- Over attachment to a safe person, place or thing that feels safe
- Impulsivity, talk fast and loudly
- Nail biting, self-harm, picking at one’s body or skin
Physical
- Constipation or diarrhea, frequent urination
- Trembling, shaking, pins and needles, chills, hot flashes, numb, buzzing
- Sensory sensitivity such as lights, noises, scents, bright colors, crowds
- Teeth /jaw grinding, fainting, changes in body temperature
What Does Anxiety Look Like?
4 Major Types of Anxiety (and How They Differ)
Generalized Anxiety Disorder (GAD)
A pattern of anxiety where excessive worry is experienced in many aspects of a person’s life such as finances, health, relationships, driving, work and other issues. The anxiety reaction to these issues is disproportionate, catastrophic or generally unwarranted to actual situations. Worry is experienced more days than not for a period of 6 months and the individual has three or more additional clinically significant symptoms such as restlessness, irritability or sleep disturbance.
Panic Disorder
Panic Disorder is characterized by recurring panic attacks. A panic attack is a sudden feeling of extreme fear and discomfort that reach its peak within several minutes. Four additional criteria must be met such as trembling, heart palpitations, shaking, feelings of choking, fear of death, nausea, dizziness or chest pain. As well, one of the panic attacks must be followed by a month of extreme worry about having another panic attack.
Social Anxiety Disorder
A pattern of anxiety related to social situations and the fear of being judged, ridiculed, rejected, or negatively evaluated in some way by others. Extreme anxiety about upcoming social events and avoidance of social situations are common. This may include job interviews, parties, dinners, holidays, going shopping or other important events.
Obsessive Compulsive Disorder
A pattern of anxiety where unwanted and intrusive thoughts are obsessed over and relief is found temporarily in compulsively carrying out a specific act. The compulsive act is intended to relieve the pressure and anxiety caused by the distressing obsessive thoughts.
What Causes Anxiety?
What Can Trigger or Contribute to Anxiety?
- Past trauma or highly stressful life events
- Chronic insomnia
- Gut-brain imbalances
- Hormonal fluctuations
- Sudden loss or change
- Health challenges
Treating Anxiety
Traditional approaches for anxiety generally include medication and talk therapy. Although these are often viewed as the primary forms of treatment, they don’t work for everyone. Many of our clients find they experience short term or limited results with these approaches. Our evolving understanding of the mind body connection and neuroscience have led to a range of highly effective methods for treating anxiety.
Mind body Approaches
Effective Mind-Body Therapies for Anxiety Relief
Mind body approaches are fundamental to treating anxiety. Given anxiety has a primary physical component, brain informed, or body-based therapies have been shown to be essential in reducing symptoms of anxiety. In many cases these treatments far surpass traditional approaches.
- Meditation, mindfulness, diaphragmatic breathing practices and other relaxation techniques
- Brainspotting
- EMDR
- Somatic therapy
- Parts therapy
- Hypnosis and visualization
Integrative Approaches
There is a wealth of integrative medical approaches that many people find to be great alternatives or additions to medications. This may include acupuncture, herbs, CBD, essential oils, pet therapy, music therapy, homeopathy, amino acid and nutritional supplementation and a host of other natural methods to healing and rebalancing mind and body.
Healthy Lifestyle
Regular exercise, yoga, regular exercise, adequate sleep, spending time in nature, social support and healthy nutrition habits have been well researched as vital components of a healthy lifestyle that decrease anxiety.
Brainspotting and Anxiety
Many people who experience chronic anxiety or have ever had a panic attack, have either had trauma in their history or feel trauma from having anxiety. We have found Brainspotting, somatic therapy and other methods that directly address the underlying trauma are a vital component of healing anxiety.
About the Authors
Hilary Stokes Phd
Dr. Hilary Stokes is a licensed psychotherapist in private practice in San Diego, California. Dr. Hilary received her PhD in psychology with a specialty in transpersonal psychology from San Diego University for Integrative Studies, a master’s degree in social work from San Diego State University and a master’s degree in Sport Psychology from San Jose State University.
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In addition to her private practice, she has experience working in integrative medical facilities such as the world-renowned healthcare facility Sanoviv Medical Institute, treatment centers for addictions and PTSD including Casa Palmera Treatment Center, psychiatric hospitals, schools and universities, correctional facilities, and business organizations.
Dr. Hilary specializes in a mind-body approach to healing trauma, anxiety, depression, grief, coping skills, self-esteem, addictions, eating disorders, relationship challenges, life transitions, purpose in life, and performance anxiety.
She has published several articles and co-authored two books, The Happy Map: Your roadmap to the habit of happiness and Manifesting Mindset: The 6-step formula for attracting your goals and dreams. She is currently furthering her knowledge and expertise in attachment focused EMDR and somatic therapy. In addition to a love of learning about neuroscience and mind body healing, Hilary can be found meditating, hiking, surfing, scuba diving, and spending time with her pets, family, and friends.
Companies and organizations we have worked with:
Presentations, Doris Howell Foundation, Institute of Functional Medicine, La Jolla Institute for Immunology, Nissan, Compass Real Estate Sharp Health Institute, Mattel, Usana Health Sciences, Youth and Family Assistance, MLK Family, Decorus, Odessy, Ariix, Casa Palmera Treatment Center, EVCI, Interboro, DEMA, GSDBA, LGBTQ Center San Diego
Websites and social featuring our publications:
- Mind Body Green
- Psych Central
- Cure Joy
- SD voyager
Kim Ward Phd
Dr. Kim Ward received her PhD in psychology with a specialty in transpersonal psychology from San Diego University for Integrative Studies. She also holds a master’s degree in transpersonal psychology from John F. Kennedy University in Orinda, California. Dr. Kim is a certified trauma-informed coach and life coach in private practice in San Diego, California.
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In addition to her private practice, she has experience working in integrative medical facilities such as the world-renowned healthcare facility Sanoviv Medical Institute, treatment centers for addictions and PTSD including Casa Palmera Treatment Center, psychiatric hospitals, schools and universities, correctional facilities, and business organizations. Dr. Kim specializes in an integrative approach to dealing with trauma, anxiety, and depression, making peace with the past, transforming stress, healing relationships, living with purpose, and rewiring your brain for happiness.
She has been featured in several articles and co-authored two books, The Happy Map: Your roadmap to the habit of happiness and Manifesting Mindset: The 6-step formula for attracting your goals and dreams. Given the powerful healing experiences she witnesses with Brainspotting, she is presently advancing and deepening her skills in both Brainspotting and somatic therapy. Outside of her love for helping people, Kim has a passion for exercise, all animals, spending time in nature, meditating, and connecting with her family and friends.
Companies and organizations we have worked with:
Presentations, Doris Howell Foundation, Institute of Functional Medicine, La Jolla Institute for Immunology, Nissan, Compass Real Estate Sharp Health Institute, Mattel, Usana Health Sciences, Youth and Family Assistance, MLK Family, Decorus, Odessy, Ariix, Casa Palmera Treatment Center, EVCI, Interboro, DEMA, GSDBA, LGBTQ Center San Diego
Websites and social featuring our publications:
- Mind Body Green
- Psych Central
- Cure Joy
- SD voyager
Phone/Fax: (619) 819-6841
Email: contact@authenticityassociates.com
Our office is located in Carlsbad, CA 92009
We also do nationwide sessions via Zoom and FaceTime.
Please contact us for an appointment.