PANIC

PANIC STATIONSSTATIONS

Panic Stations
Module 3
The Thinking-Feeling Connection
Introduction

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How Our Thoughts Influence Our Feelings

2

What am I Feeling?

2

Automatic Thoughts

3Feelings Are Not Thoughts

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Making the Thinking-Feeling Connection

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Module Summary

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About this Module

7

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Page 1PANIC STATIONSIntroduction
People often believe that the feelings and emotions they experience are determined by external events,
situations, and the behaviour of others. For example, we may hear ourselves say, “My boss made me sonervous,” “My partner made me so angry,” “This trip down south made me feel so relaxed,” or “I’mdepressed because I didn’t get the job I wanted.” What is the assumption underlying these statements?
That someone or something other than ourselves was directly determining the feelings we experienced.
We come to these conclusions automatically without asking ourselves if this assumption is true. However,
if we stop to analyse the process that links an external situation to our emotional responses, we will findthat there is a step in between.
The aim of this InfoPax module is to describe how thoughts can influence emotions. Learning how thoughts
can influence the way we feel is the first step in understanding how we can change that process to improve
our mood.

How Our Thoughts Influence Our Feelings
What really makes us feel and respond the way we do, is often not the situation or the words and actionsof another person, but how we perceive that situation or that person’s actions. It is how we see somethingor someone and what we think about it or them that really influences how we feel. It is our thoughts andbeliefs about an event that significantly influences our emotions and actions.
Here’s an example. You’ve had a long and tiring day at work and arrive home to find two sets of muddy
footprints (your son’s and his dog’s) on your cream-coloured carpet. If you thought, “I can’t believe that I
have to come home to this. That inconsiderate, selfish brat!” - how would you feel? What if you thought,“I’ve told him not to bring the dog in but he never listens. I try so hard, but I just can’t get them to do what
I ask. I must be a really bad mother.”
You probably realised that you felt different emotions as a result of those different thoughts. Often, we are
not aware of our thoughts and beliefs because they are so automatic and happen quickly. But they are
there, and they affect the way we feel.

WHAT AM I FEELING?
It is often difficult to know exactly what we are feeling and even more difficult to put it into words. The
following list contains words that describe feelings, and this may be a useful starting point in you being able
to understand the connection between your thinking and your feelings.
WORDS THAT DESCRIBE FEELINGS
Tense

ScaredAngry

JoyfulCheerful

UneasyAnxious

Depressed

EnragedExcitedEuphoric

Disgusted

Frightened

Sad

Irritated

Exhilarated

Keyed Up

JealousPanickyUnhappy

Annoyed

Calm

Tired

Frustrated

Nervous

Discouraged

MadHappy

Flat

Insulted

Obviously this is only a limited list but it gives you an idea of the kinds of words we use to describe ourfeelings.

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Page 2PANIC STATIONSAUTOMATIC THOUGHTS

Just as we are not always conscious of the way we walk or how we drive a car, we are often not aware ofour thinking. Some of our thinking is so habitual that it is automatic, and just like driving, when things areautomatic, we might not be conscious of them. All of the time, our brains are turning over thoughts andideas. However, we are not consciously aware of most of them because it happens relatively fast and weare not accustomed to slowing them down. Our automatic thoughts, however, play an important role inour emotional well-being.
There are three kinds of automatic thoughts:
Neutral thoughts→e.g. "I think I will buy some bread today"
Positive thoughts→e.g. "This is something I can do really well"
Negative thoughts→e.g. "I must look like a fool, I bet everyone thinks I am acting stupid"
People who have difficulties with panic attacks often have particular types of thinking patternsa) Have catastrophic thoughts about normal or anxious physical sensations (eg “I’m a bit dizzy – I’m goingto faint!”)b) Over-estimating the chance that they will have a panic attack (eg “I’ll definitely
have a panic attack if I catch the bus to work”)c) Over-estimating the cost of having a panic attack (eg “No! This can’t happen
now. It will ruin everything!" )Automatic unhelpful thoughts often reflect worries and concerns, however they
can be about anything at all, anything we have ever seen, heard or learned. Additionally, it can be anything
we know about from any source at all – positive, neutral, or otherwise. Obviously, though, negative
automatic thoughts are the ones that can cause us emotional distress and it is these thoughts that can bechanged to reduce your anxiety about panic attacks. We call these negative types of thoughts unhelpfulthoughts.

FEELINGS ARE NOT THOUGHTSWhen we first try to distinguish thoughts from feelings, it can be easy to confuse them. We might be used
to talking about thoughts and feelings as being part of the same experience, but it is more helpful toseparate them and remember that feelings are not thoughts. For example, you might hear a person saying“I think I’m anxious,” but they’re probably thinking “I’m going to have another attack,” and so they feelanxious. More commonly, you might hear someone saying something like “I feel that my partner doesn’t
appreciate the gift I bought for him,” when they are actually thinking, “My partner doesn’t appreciate the gift
I bought for him,” and feel hurt.
Try the exercise on the following page and see if you can identify the possible feelings and thoughts in eachof the scenarios. Remember to try and make the distinction between thoughts and feelings.

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PANIC STATIONS

Making the Connection
Part One
Instructions: Read the following scenarios and identify the feelings that may result from the self-statements.

SCENARIO 1:
You are packing your suitcase, getting ready to go on an overseas holiday. It’s your very first time on aplane. As you start to pack, you notice your heart beating faster.
A) You say to yourself:

Possible Feelings:“Oh no! What’s wrong with my heart? I must be unwell! I’ll have tocancel the trip. If I don’t get to a doctor soon, I’ll be in trouble!”B) You say to yourself:

Possible Feelings:“Wow, this is so exciting - even my heart’s beating faster! I can’t
wait to get on that plane!”

SCENARIO 2:
One evening, your parents ask you to go over to their house for dinner. As you arrive, you noticed that it
is all dark and there are no lights on. You knock on the door and ring the doorbell but no one comes toanswer the door. You turn the doorknob and find that the door is unlocked. You step in and find that thehouse is in total darkness. Suddenly, you hear a chorus of voices shouting, “Surprise!” The lights come on
and you see a group of your friends and relatives singing “Happy Birthday” to you.
A) You say to yourself:

Possible Feelings:“Oh, NO! I can’t believe my parents would do this to me!
Everyone’s staring at me, and I’m not even dressed up. I just want toget out of here.”B) You say to yourself:

Possible Feelings:“Wow! I completely forgot about my birthday! What a really nicesurprise! Everyone must think I’m pretty important to throw me
this party!”

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Page 4PANIC STATIONSPart TwoInstructions: Read the following scenarios and now fill in the self-statements that may lead to the feelings
experienced.
SCENARIO 1:
You just finished cooking dinner for you and you partner. Your partner calls to say that he/she will not behome for dinner because he/she has to work late.
A) You say to yourself:

Feelings:
DisappointedB) You say to yourself:

Feelings:
ConcernedSCENARIO 2
You are shopping at the local supermarket. You go around an aisle corner and run into a tall stack of toilet
rolls. They tumble down and roll in many directions forcing many shoppers to stop to avoid hitting therunaway rolls.
A) You say to yourself:

Feelings:EmbarrassedB) You say to yourself:

Feelings:
IndifferentC) You say to yourself:

Feelings:
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Page 5PANIC STATIONSModule Summary•

Thinking responses and the types of thoughts we have play a large role in panic disorder.
While we assume that situations "make us feel" a particular emotion, there is actually astep in between. Our thoughts influence our feelings. The same situation can be perceived
in different ways, leading to different emotional experiences.

•Automatic thoughts can be neutral, positive or negative. Automatic thoughts that are
negative are usually unhelpful thoughts, reflecting worries and concerns, and leading tounpleasant emotions such as anxiety.

•An important step in understanding how thoughts influence feelings is to more clearly
identify and label particular emotions. Furthermore, it is important to separate thoughtsfrom feelings, acknowledging that feelings are not thoughts - feelings follow from thoughts.

•It can be useful to examine a situation and identify different types of thoughts that mightoccur in response to the situation. You can then more clearly identify which types ofemotions follow on from those different types of thoughts.

In the next module we will lookat how you can analyse theABC’s of thinking and feeling as
a first step towards changing
how you think.

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About This Module
CONTRIBUTORSPaula Nathan (MPsych1)
Director, Centre for Clinical Interventions
Adjunct Senior Lecturer, School of Psychiatry and Clinical
Neuroscience, The University of Western Australia
1Masters of Psychology (Clinical Psychology)

Dr Louella Lim (DPsych2)
Centre for Clinical Interventions
Dr Helen Correia (MApp Psych1; PhD)
Centre for Clinical Interventions

2Doctor of Psychology (Clinical)

Some of the material in this module was taken fromNathan, P.R., Rees, C.S., Lim, L., & Smith, L.M. (2001). Mood Management – Anxiety: A Cognitive Behavioural
Treatment Programme for Individual Therapy. Perth: Rioby Publishing.

BACKGROUND
The concepts and strategies in this module have been developed from evidence based psychologicalpractice, primarily Cognitive-Behaviour Therapy (CBT). CBT for panic disorder is a type of psychotherapy
that is based on the theory that panic disorder is a result of problematic cognitions (thoughts) andbehaviours. There is strong scientific evidence to support that cognitions and behaviours can play animportant role in panic disorder, and that targeting cognitions and behaviours in therapy can help many
people to overcome panic disorder. Examples of this evidence have been reported in the following:
Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for PanicDisorder and Agoraphobia. (2003). Australian and New Zealand clinical practice guidelines for thetreatment of panic disorder and agoraphobia. Aust N Z J Psychiatry, 37(6), 641-56.

REFERENCES
These are some of the professional references used to create this module.
Craske, M.G., & Barlow, D.H. (2001). Panic disorder and agoraphobia. In D.H. Barlow (Ed.), ClinicalHandbook Of Psychological Disorders, Third Edition. New York: Guilford Press.

FURTHER READING
There have been many other information resources written for people with panic attacks
Barlow, D. H., & Craske, M. G. (2000). Mastery of your anxiety and panic (3rd edition). San Antonio, TX:
The Psychological Corporation. (ISBN: 0127850783)
Royal Australian and New Zealand College of Psychiatrists. (2003). Panic Disorder and Agoraphobia:
Treatment Guide for Consumers and Carers. Available: http://www.ranzcp.org/publicarea/cpg.asp (clickon “Panic Disorder and Agoraphobia”). Accessed Feb. 2004.
Zuercher-White, E. (1998). An End To Panic: Breakthrough Techniques For Overcoming Panic Disorder (2ndEdition). Oakland, CA: New Harbinger Publications. (ISBN: 1567313760)“PANIC STATIONS”
This module is part of the following InfoPax:Nathan, P., Correia, H., & Lim, L. (2004). Panic Stations! Coping with Panic Attacks. Perth: Centre for ClinicalInterventions.
ISBN: 0-9751985-8-0 Created: June, 2004.
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