As some may know from my group chat, I am currently in therapy to manage my anxiety and Iâve been learning grounding techniques and the kind of questions to ask myself when I get in one of my moods where I might spiral into an attack or spark it. I slowly have been working through how to manage and my therapist sent me techniques in the Betterhelp app which is how Iâve been going to sessions. The techniques I have started to learn and apply I am finding to actually be helpful when I actively work on them in a moment of panic.
For instance the other day at work I started to feel my heart race and that overwhelming stomach knot I feel when my anxiety spikes. I was in the middle of paperwork and received a text from a dear friend who supported my desire to leave my current job and sent me multiple job postings every few days. But the posts she sent me some of the listings just overwhelmed me and in my head, I began to spiral with thoughts about my abilities to handle those kinds of environments and I could feel myself start to panic a little. So when I walked to the mailbox to get the mail, I did one of the techniques I had read about previously and started to say out loud everything I saw outside to ground myself. I kept my focus on the things around me, naming each tree or car which helped calm me from a full-blown attack.
I am sharing this story because I know with PCOS many of us struggle with anxiety and depression and I know not everyone can afford therapy as it can be very expensive. Shoot I barely can afford it but with the app Betterhelp, it's a lot more affordable than other avenues so I make it work. This is why I am writing this post to share a few grounding techniques so that any of you who struggle with anxiety can have a tool that will help ease at the moment. Now it's not a cure-all so some may work better than others, but at least it can help (as a few help me) to ground you when your anxiety gets high.
There are seven ways you can ground yourself so take what works for you the best and use it to overcome those moments.
The first step in this technique is to sit in a comfortable chair where your feet touch the ground. Close your eyes and breath in slowly to the count of three and then out slowly. Bring your mind's focus to the rest of your body in the chair. How does it feel? Scoot your bum right into the back of the seat so that the whole length of your back is pressing into the back of the chair. Can you feel the contact of the chair against your body?
If the chair has arms, touch it, is the material smooth or textured? Press your arms down the length of the chair's arm, notice how your hands hang off the end.
If your chair doesn't have arms, touch the material of the seat, how does it feel?
Next push your feet into the ground, imagine that energy drain down from your mind, flow down through your body, and out through your feet into the ground. As that energy drains from your head, feel how heavy each body part becomes, your torso feels heavy, and now your arms as you relax your muscles. Lastly, feel the heaviness go down your legs through your feet and down into the ground.
2. The 5-4-3-2-1 Grounding Technique
This technique uses all five of your senses to help get you back to the present. It starts with you sitting comfortably, close your eyes and take a couple of deep breathes. In your nose (count to three) then out your mouth (to the count of three). Now open your eyes and look around you. Name out loud five things you can see, you can look within the room and out the window. Name four things you can feel, (such as the silkiness of your skin, the texture of the chair you're in, or what your hair feels like.) What is in front of you that you can touch? Name three things you can hear, (traffic noise, birds outside, noises in the room you're in.) What noises do you hear? Name two things you can smell. Do you have something scented nearby or in the area that you can walk to? Name one thing you can taste, (it might be a good idea to keep a piece of chocolate or mint handy in case you are doing this grounding exercise.) You can always leave the chair in this exercise and taste whatever it is you have chosen with a small bite. Let it swill around your mouth for a couple of seconds, letting it really savor the flavor. Take a deep breath to end.
(This one works a bit better for me personally.)
3. Hold Something and Really Focus On It
Hold an object in your hand and really bring your full focus to it. Look where shadows may fall on parts of it or is there something about it that is textured? Or are there color variants in it or on it? Feel the weight of it, is it heavy or light? What textures do your hands feel while holding it? Is it rough or smooth? This can be done with any object you have lying around or if you know you are going into a stressful situation, take one of your favorite small objects and put it in your pocket so you can do this calming exercise on the go.
There are several ways to distract your mind so it stops thinking about whatever it is that is worrying you and focuses on something that isn't emotionally driven.
You can pick a color in the room you are in. How many things in different shades of that color can you see around you? How about out the window? Still feeling stressed? Pick another color.
Count backward by 7, starting at 100. It isn't easy and requires you to concentrate.
Or my personal one I use sometimes is having some friends send me pictures of cats on the internet or their cats and it stops me in my worst spirals. (Mostly cause I love cats.) But if you have a creature you love look them up. Or watch a video with them in it. Whatever works to pull you out of that spiral find that image online or video.
5. Draw Around Your Foot In Your Mind
Place your feet on the ground and in your imagination pick your favorite color to draw an outline around each foot. Start at the heel and using your imaginary pencil slowly go up on the side of your foot to your pinky toe and then around each toe then back to your heel. Repeat on the other foot.
Another way you can focus on your feet in a stressful moment is just wiggle your toes inside your shoe. Pay attention to the sensation as you move to separate each toe. Do some move independently of the others? Tense your whole foot then stretch it out. Now do the other foot.
6. Let Your Thoughts Come and Go
So this one is simple in that most of us with PCOS constantly have our minds overthink and wander. Personally, I know when my mind lingers on the parts I can't control or can't fully change my anxiety spikes and it just spirals till I have a panic attack because I don't stop myself and observe my thoughts. And I am learning in therapy that part of this is all due to cognitive distortion and the challenge to overcome those thoughts is to really think about what those thoughts do to my feelings and then my behavior.
This technique requires you to watch your thoughts for a minute. Imagine leaves floating on the surface of a stream. For each thought that comes to mind allow that thought to take its place on a leaf and watch it blow away in the wind. Or allow them to change into a fish and watch it float down the stream. Allow those thoughts to come and go, you don't need to respond to them.
In this case, you don't have to challenge these thoughts at the moment your anxiety spikes but down the line start to challenge them.
7. Get Your Adrenaline-Fueled Energy Out
If for whatever nothing works at first because your adrenaline is spiked your best bet to kick start the calming down process is to do something physical first to get that pent-up energy out. Go for a run if you can, a brisk walk if you aren't as conditioned to run or hate running, or clean a room like the kitchen, the house, or even outside if you have a yard. Dance around your room or house while listening to loud music. (I do this often, even on car drives for my daily commute and it helps me.) When you're physically spent you can try to return to the grounding techniques above to calm down your mind.
I hope this helps some of you in some form through those moments. I know in the past there are a couple I have applied without knowing these in full as grounding techniques and I am grateful to have a therapist who sent me this information as some others I have started to apply.
Living with PCOS isn't easy and managing anxiety isn't easy either. But hopefully, this helps those of you who struggle to find healthy ways to ground yourself so those overwhelming thoughts don't get the best of you. Take care cysters. You know I care about each one of you even if I am not a frequent poster.
All this information can be found on Dr. Sarah Allen's website.