Panic Attacks

The short answer is: Yes.

The longer answer is: Yes, however resolving it doesn't generally happen the way people think it should.

Resolving Anticipatory Anxiety Takes a Different Approach

People often seek me out to work on overcoming fear of flying because they've heard from others or read about the way I work. Over many years of practice, I've interestingly had some people relay to me that they were told by other experts that it's not possible to overcome anticipatory anxiety.

It is of great curiosity to me that anyone who offers specialized help in fear of flying would believe that anticipatory anxiety can't be overcome. (Though, I will also say that it does validate the reason I created my approach many years ago. The way professionals, including other therapists, coaches, and even pilots and airlines have approached the issue over time has been largely inadequate.) I have consistently in my practice seen people come through the other end of anticipatory anxiety. I've also seen a large number of people who not only have become settled with flying, but who have actually become excited by flying and now look for opportunities to travel more -- excitedly anticipating their trips as they grow closer rather than fearing or dreading them. Anticipatory anxiety is not a hopeless issue. It just isn't resolved the way people tend to imagine it should be.

What Do Other Approaches Miss?

Exposure Therapy and Cognitive-Behavioral Therapy (CBT)

If you've read my articles previously, you've probably read about my approaches with normalization, underlying causes, emotional regulation, and passenger flying education as the big four components that are woven together to help overcome fear of flying. When it comes to anticipatory anxiety, there is a lot happening that greatly differs from one person to the next, based on their own experiences and histories, emotionally, relationally, contextually, and more. While *ideally* simply normalizing flying and doing the related exercises would take care of anticipatory anxiety, when there is more going on in the underlying causes area, normalization can actually become blocked. This means no matter how much you may fly, or how much you work on something like exposure therapy, it can't break through or ease your anxiety. (It's also not easily possible to do exposure therapy with flying because of the limits of access to planes and how this process would need to be handled). This is one of the reasons why cognitive-behavioral therapy (CBT) isn't as effective as one would hope for fear of flying, and especially not for anticipatory anxiety. Behavioral approaches can be helpful with certain elements of flying at times, but these tend to only goes so far.

Pilots and Airline Programs

Another approach that people often try is seeking out pilots or airline sponsored programs to try to overcome their anticipatory anxiety and dread leading up to flying. Ultimately, these kind of approaches generally aim to teach you about flying, hoping you'll learn why you shouldn't be scared of flying. The idea is that if you know how flying works, then you won't be scared anymore. While the intentions are good, when is the last time you've experienced anxiety or panic and it actually worked when someone responded with all the reasons you shouldn't be scared?

I know pilots are well-meaning and intending to help, but if you're looking for help with fear of flying, my first suggestion wouldn't be to go to a pilot. Pilots are experts in flying the plane and in aviation. They aren't experts mental health, emotional processes, or in the way deeper emotions tend to become activated (or calmed), and how complex it can be to help people find their way through tremendous fear, panic, and anxiety. While pilots have tremendous knowledge and ability in the world of flying planes and in aviation, it is very rare that *knowing* about how flying works calms panic and anxiety more than a little bit.

You may be wondering how I know that the above methods are generally less helpful. The answer is pretty simple: Many people over time come to me after trying all of these different approaches still feeling anxious about flying.

Anticipatory Anxiety Isn't Rationally-Based

Anticipatory anxiety doesn't function in the rational brain. When people are in rational mode, the brain is in a very different state than when in panic, fear, and anxiety mode. More knowledge isn't going to do much to relieve the panic state. Fear of flying tends to push people into an anxiety and panic state that can't be easily reasoned with once it's activated.

When you're scared, rational thought essentially shuts down. You're just looking for safety at this point as if you're in imminent danger. Anticipatory anxiety can feel for many people like something between a low-grade and a full on panic attack for periods of time leading up to a flight, feeling as if you're preparing to walk into danger (both in mind and in body). For many, this starts the moment the ticket is purchased and the commitment is made. Though many others may not start to feel it until a month or less before the flight.

Anticipatory anxiety, believe it or not, can also often be about more than only the flight. The flight can be the catalyst that brings all of the vulnerability forward -- and it can of course be about the flight, as well. However, I have seen a significant number of people who are calm and grounded during flights with little to no anxiety at all, even on turbulent flights, who are still terrified leading up to every flight anyway.

Overcoming Anticipatory Anxiety and Fear of Flying

Anticipatory anxiety brings added layers that are different for each person (which is why the way I work with this issue is so personalized in bringing the components together). If you're trying to overcome anticipatory anxiety by focusing solely on the flight itself, it's likely not going to help you feel much better if what's causing the anticipatory anxiety is stemming from deeper anxieties and vulnerabilities that are tapped into by the flight. Anticipatory anxiety lives and breathes in the stored emotions that builds from experiences over time. When faced with an environment like flying, where it can tap into people's greatest vulnerabilities, this is when anticipatory anxiety wakes up the sleeping demons.

If you are struggling with anticipatory anxiety, fear of flying, or anxiety in general, it is not hopeless.

#fearofflying #Anxiety #PanicAttacks #Phobia #phobias #Anticipatoryanxiety

For years, I was stuck inside a body that flinched at the world.

I carried trauma like a second skin — invisible to most, suffocating to me.

I had served in one of Israel’s elite combat units, and I came home with wounds no X-ray could show.

The symptoms were relentless.

Panic attacks that came without warning.

A heart that raced even in silence.

A mind that replayed things I couldn’t talk about — and a body that refused to rest.

I’d lie in bed and stare at the ceiling for hours, wired and exhausted at the same time.

No peace. No quiet. Just static.

At first, I tried to outrun it.

Then I tried to numb it.

And then I broke.

But one day — I picked up a pen.

Not because I thought it would heal me.

Because nothing else worked.

Because I had nothing left to lose.

And something happened.

The page didn’t judge.

It didn’t flinch.

It listened.

The writing didn’t “cure” me.

But it gave the pain a voice.

It let me shape the chaos.

It taught me that stories can hold what bodies cannot.

That was the beginning.

Of healing.

Of reclaiming.

Of finally understanding that I didn’t need to be who I was before the trauma — I just needed to become someone honest about what I carried.

Today, my novel Dog — the book born from that pain — is being published in the United States.

It still stuns me.

I didn’t write it to impress anyone.

I wrote it because silence was killing me.

If you’re out there, stuck between symptoms and shame — I see you.

And I promise: the page is waiting.

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#Veteran , #MentalHealth #Writing