When Panic Attacks

The New, Drug-Free Anxiety Therapy That Can Change Your Life

David D. Burns

19 min read
58s intro

Brief summary

When Panic Attacks argues that most emotional distress is not a brain disease but a result of the stories we tell ourselves. By identifying and changing distorted thought patterns, you can recover from anxiety and depression without medication.

Who it's for

Anyone struggling with anxiety, panic, or depression who wants to learn practical, skill-based techniques for managing their emotional state.

When Panic Attacks

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How Your Thoughts Can Help You Recover

Research shows that people struggling with severe depression can often recover simply by reading about cognitive techniques. In studies, two-thirds of patients improved so much they no longer needed professional intervention. This "bibliotherapy" often works faster than medication, carries no side effects, and empowers people to become their own therapists. The core of this approach is Cognitive Behavioral Therapy (CBT), which targets the negative thoughts that fuel emotional distress. By identifying and changing these thoughts, individuals gain practical, long-term skills to manage their moods and prevent future relapses.

Anxiety is rarely a reflection of reality; instead, it is a reflection of the stories we tell ourselves. Whether it manifests as a racing heart during a panic attack or the heavy dread of chronic worry, the root is almost always a belief that danger is imminent. Most fears are built on cognitive distortions, such as fortune-telling (convinced a future event will be a disaster) or mind-reading (assuming others are judging you harshly). These illogical patterns create a vicious cycle where a scary thought triggers a physical sensation, which then "proves" to the brain that the danger is real. By understanding that our feelings follow our thoughts, we gain the power to rewrite our emotional state.

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About the author

David D. Burns

David D. Burns is a psychiatrist and adjunct professor emeritus in the Department of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine. A pioneer in the development of cognitive behavioral therapy (CBT), he is known for popularizing its techniques for managing depression and anxiety through his bestselling books and for creating the T.E.A.M.-CBT framework. He is also an award-winning researcher and teacher who has been recognized for his contributions to psychology and psychiatry.

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