Anyone who has experienced a panic attack knows that they feel awful. There is often a sense of, “I need to get out of here!” or a loss of control. For more extreme panic attacks, it may feel like you are dying. More commonly, the following fears may come to mind: · Having some kind of breakdown · Fainting or collapsing · Being unable to breathe · Feeling trapped · Confusion and not being able to relieve it Panic tries to negate your trust in you

A significant part of my practice is working with people who are in a relationship with someone in active substance use disorder (SUD). At the start of our work, the client often sees very few ways in which they enable the addictive behavior to thrive. If you are in this kind of relationship, consider the following: · Do you use a substance with this person, even occasionally? Have you considered how this can send a mixed message: “Your substance abuse is a problem, but