If you are not safe Call 9-8-8 Text 9-8-8 911
All four numbers
Equipped With Agency

Panic Protocol

Breathe out twice as long, and stop fighting it.

This is panic. It peaks, and it passes.

Straight to the steps

Use it when

Where it stops Self-regulation has a ceiling. The protocols below are matched to the state, and they still assume enough of you is available to run one. Past the ceiling, no protocol in this book substitutes for another person, and the correct move is not a better tool. It is a phone call.
Before you use cold waterTemperature: cold water on the face (strongest there), or on wrists or neck. If you have a heart condition or cardiac arrhythmia, consult your doctor before using the cold water tool. If you have an eating disorder, a history of disordered eating, or take medication that affects heart rhythm, check with a clinician first.

The steps

  1. Orient. Name five things in the room. Force visual contact with each one.
  2. Feet on floor. Feel the pressure. This is real. You are here.
  3. Extended exhale — inhale four counts, exhale eight. Repeat five times minimum.
  4. Cold water — on face or wrists. The dive response activates within thirty seconds. ⚠ Check with a clinician first if you have a heart condition, an arrhythmia, disordered eating now or in the past, or take medication affecting heart rhythm.
  5. Name it — "This is panic. It is temporary. It will pass. I have been here before."
  6. Do not fight the sensations — that amplifies them. Allow the wave. Regulate the breath.

What to expect

You may not feel completely calm, but the exhale lengthens, and the sensations become something you are riding rather than fighting. Panic peaks and comes down whether or not you believe that while it is happening.

If this isn't the one

Where it comes from

Prefer it one step at a time? The same protocol as a guided runner in the app, which also keeps a private record if you want one.

This is one of the tools a seventeen-session series teaches, ninety minutes at a time, in a room of six to twelve people. It is peer-facilitated, free to host, and every handout and worksheet it uses is free to take.

Where this one comes from

You have just run one protocol. Behind it is one idea: everything you do is paid for out of a single account, and almost nothing is charged at the moment you do it — which is why the fifth repetition is worse than five times the first, and why a bad night does not present its bill until the following afternoon. Shoulder the Bill is that argument as one continuous read, written out of a workplace injury and the four years afterwards. The manual is the one you open at a page. The Workbook is the one you write in.

three books, one system →

Check what stayed 3 questions

Answer in your own words, out loud or on paper. Nothing is scored, nothing is marked, and nothing is stored — this is for noticing what you have, not for anybody to grade.

  1. What state is this protocol for, and which side of the window is it?

    What the material says

    Panic, flooding, racing heart

    Where this comes from — Use it when

  2. The first step is to orient. How many things, and what do you do with each?

    What the material says

    Name five things in the room. Force visual contact with each one.

    Where this comes from — The steps

  3. There is one instruction about the sensations themselves. What is it, and what happens if you do the opposite?

    What the material says

    Do not fight the sensations — that amplifies them. Allow the wave. Regulate the breath.

    Where this comes from — The steps