The Body Scan

The body scan is another meditation that can help you deal with panic, anxiety, or fear by
first sensing or feeling into the body with mindfulness. By practicing the body scan
you’ll learn to bring your attention directly into your body, part by part, to feel and
acknowledge whatever’s present—physically, emotionally, and mentally.
As you scan your body you may discover physical tension or pain, as well as strong
emotions of panic, sadness, or anger. The practice is to be mindful and nonjudgmental
and to acknowledge whatever you’re feeling. If you have sensations of tightness, see
whether you can allow them to soften, and if you’re unable to do so, then let them be—
let the waves of sensations ripple or resonate wherever they need to go. Just as the sky
gives room for a storm, make space for what you’re feeling physically or mentally. By
acknowledging your body, emotions, and thoughts rather than suppressing, denying, or
repressing them, you’ll become less burdened by them.


How to Deal with Challenges

When you formally practice mindfulness, from time to time you’ll experience
challenges that are considered hindrances for your growing practice. You may wonder
why you’d want to bring awareness to your panic in the first place, because all you’ve
ever wanted is to get away from it. You may even have fears that your panic could get
worse if you pay attention to it. Although it’s normal to feel this way, you may be
surprised to discover that as you gradually turn toward panic with greater awareness,
acknowledgment, and compassion, it will subside—just as turning in the direction of the
skid straightens you out on a snowy or icy road. Even though it feels counterintuitive at
first, the seeds of possibility are there if you’re open to them.
Let’s look at other predictable challenges that will arise when you practice
mindfulness. When you begin to meditate, you’ll soon notice how frequently your mind
wanders or is consumed with wanting, avoiding, restlessness, sleepiness, or doubt.


One of the first insights you’ll experience when you first begin a formal practice of
mindfulness is how busy your mind is and how much it wanders. Rest assured that it’s
always been that way—you’ve just never been very mindful of its activity. Although you
may think that an inability to focus means you’re no good at meditating, most everyone’s
mind inevitably wanders during meditation. It can even be helpful to notice your mind’s
activity when it becomes distracted. You may discover that your thoughts and emotions
are often preoccupied with either rehearsing the future or rehashing the past. This insight
into the workings of your mind will give you important information. You may realize,
for example, that you need to deal with an unresolved relationship or other unfinished
In dealing with your wandering mind, you’ll begin to understand more about your
mind-body connection. When you come back to the present moment after wandering off
with various worries, you may notice that your jaw is clenched or your stomach is in
knots. You’ll begin to realize that these physical tensions are connected to your thoughts
and emotions.
Another use for the wandering mind is concentration training. The way to build and
sustain concentration is to repeatedly bring your mind back to the present after it has
wandered off. Just like lifting weights again and again to grow muscle, when you bring
your mind back again and again to your breathing or whatever you’re meditating on, you
increase your capacity for attention.
As your practice of mindfulness deepens, you’ll understand that (a) the only changes
you can ever make are in the here and now and (b) the moment you realize you’re not
present, you are in fact present. This is “where the rubber meets the road,” starting in this

Wash Away Your Panic

Have you ever had a panic attack in your sleep? One woman told us that on many mornings she’d
wake up trembling in a cold sweat. On these occasions she ached for a long, hot bath before
starting her day, but she never had the time.
Few people have time for a long soak in the bath before work. A brisk shower is the best most of
us can hope for to wash away sleep and pull ourselves together for the long day ahead. And sadly,
showers can also be another part of a mindless routine, a task that we do simply to get it over
with and get on with our day.

Everyday activities are perfect opportunities for cultivating
mindfulness. Perhaps you might consider each shower as a cleansing ritual, approaching it as a
symbolic act of washing away the panicky sensations trapped in your mind and body. In this next
practice you’ll do just that, step by step, breath by breath.

1. Before you run the water or get in the shower, take a few breaths. Each breath links you closer to
the present moment, right here and now.

2. Set your intentions for this mindful practice. You may say aloud or to yourself: May this shower
bring me into my body. May this shower help me be with things as they are and ease my body and

3. Once the water temperature is set to your liking, step carefully and slowly into the shower.
Experience this moment with all your senses—touch, taste, sound, smell, and sight. What does
the water feel like on your face, arms, chest, back, and legs? What sounds are coming from the
water? What fragrances do you notice from your soap, shampoo, or shaving cream? Notice the
steam collecting on the curtain, mirror, or glass surfaces.

4. Remember to tune in to your breathing while you continue to shower.

5. On your next inhale, recognize any feelings that your body is trying to relay to you. You may
experience fear tightening your throat, making it hard to swallow. If so, allow the water to wash
over your neck and be conscious of your intentions from step 2. You may experience anxiety
making your lower back tense. If so, take this moment to let the warm water wash over and
loosen those aching muscles as you breathe out.

6. For the rest of your shower, continue to pay attention to your body in this mindful and attentive
manner, listening in on what your body needs. By doing so, you’re fostering a new kind of
relationship with your body and your body’s experience of panic.
Let morning showers be your special time for you to mindfully check in with yourself, each
warm droplet of water replenishing and healing to your mind and body.

Calming the Rush of Panic in Your Body

Your body, emotions, and thoughts all play a role in panic. Learning how to work with
them can help you stay centered and calm. In this chapter we look at ways that you can
reduce the panic in your body. We will introduce you to two mindfulness meditations
that focus on the body.

The first is mindful breathing, and the second is the body scan.
For each meditation, we provide a script you can follow, as well as a URL so you can
download an audio track to guide you. Then we discuss the mindful practice called
S.T.O.P. Finally we offer some practical applications of mindfulness for you to try, to
help you feel more confident and comfortable in your own skin.
So that you feel safe, before you begin we’d like to offer some gentle suggestions
regarding all of the meditations and other practices in this book: Please tread lightly.

The meditations, informal practices, and applied practices are meant not to create more panic
or pressure in your life but as a way to help you practice engaging with panic in safe and
relatively comfortable surroundings. Know that you can stop at any time. Please take care
of yourself in the best way you need to. Remember: easy does it; one step at a time.
Slowly and gradually you can learn to live with more ease.

The Many Causes of Panic

As stated, research has demonstrated that mindfulness-based stress reduction can be
extremely beneficial in decreasing panic. We’re sure that you too can use these mindful
practices to live better with panic and decrease the challenges you face.
Before you get started, you should know that although most cases of panic stem
from the psyche, there are some cases in which it derives from physiological sources.
Although mindfulness training may help you regardless of the cause of your panic, you
may also need to consult a health care professional to investigate whether there’s any
biological reason you feel panicky. In addition, if your panic attacks are frequent or
severe, it’s best if you take steps to address your panic under the guidance and
supervision of a health care professional.
Sometimes a very active thyroid (hyperthyroidism), low blood sugar
(hypoglycemia), heart arrhythmia, or other physiological conditions can lead you to
panic. Some medications and herbs may have side effects that make you susceptible to
panic. You may also want to look at diet as a contributing factor, especially if you
consume lots of caffeine or highly refined carbs and sugary foods.