When anxiety patients experience uncontrollable palpitations, they can usually alleviate the symptoms through psychological intervention and medication assistance. Panic may be related to factors such as autonomic nervous system disorders, hyperventilation, catastrophizing thinking, somatic reactions, and long-term stress accumulation.

1. Autonomic nervous system disorders
During anxiety attacks, excessive excitation of the sympathetic nervous system can lead to physiological reactions such as palpitations and sweating. Progressive muscle relaxation training can help regulate autonomic balance by alternately tightening and relaxing muscle groups in various parts of the body, gradually reducing heart rate. Abdominal breathing exercises can also help activate the parasympathetic nervous system, and it is recommended to repeat deep breathing exercises several times a day.
2. Overventilation
Rapid breathing can lead to a decrease in carbon dioxide concentration in the blood, causing dizziness and palpitations. You can cover your mouth and nose with a paper bag for breathing again, or use the 4-7-8 breathing method to control your breathing rhythm. Daily practice of diaphragmatic breathing can enhance respiratory control ability, which can effectively stabilize blood oxygen levels.
3. Catastrophic thinking
Overinterpreting physical symptoms can exacerbate feelings of panic. The mind record table in cognitive-behavioral therapy can help identify automatic negative thinking and reconstruct reasonable cognition through evidence testing techniques. When palpitations occur, one can try to shift attention to specific objects in the external environment to reduce excessive focus on internal sensations.

4. Somatic response
Long term anxiety may manifest as discomfort in the heart area. Physical therapy such as transcranial magnetic stimulation can regulate abnormal electrical activity in the brain and improve physical symptoms. Regular moderate intensity aerobic exercise such as brisk walking or swimming can increase the body's tolerance threshold for physiological responses.
5. Long term stress accumulation
Chronic stress can reduce the body's ability to cope with sudden anxiety. Establishing a stable sleep rhythm and a balanced diet can help repair the nervous system. You can try mindfulness based stress reduction training to enhance your acceptance of discomfort through exercises such as body scans. When the symptoms of palpitations continue to worsen or are accompanied by chest pain or fainting, seek medical attention promptly. Daily emotional diary can be established to record the triggers of seizures and avoid consuming stimulating substances such as caffeine. Systemic therapy usually takes 6-8 weeks to show significant effect, and patients need to maintain treatment compliance. Cultivating focused hobbies such as gardening and painting can effectively divert attention from physical symptoms. Group psychotherapy can provide social support and reduce the impact of shame on rehabilitation.

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