Bipolar Disorder Living With Techniques to Tame the Fight-or-Flight Response By Marcia Purse Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial process Updated on January 12, 2024 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print PhotoAlto/John Dowland / Getty Images Table of Contents View All Table of Contents Defininition Calming Techniques Abnormal Fight-or-Flight Trending Videos Close this video player If you've ever been in a highly stressful situation, you've likely experienced the fight-or-flight response. Your pulse races, your breathing speeds up, your pupils dilate—all in response to a perceived danger. These symptoms serve an important purpose in some situations, but they can feel disruptive and uncomfortable in others. Someone with a mental health condition, for example, may have an overactive fight-or-flight response that can be triggered frequently, even when they're not in danger. In these situations, there are techniques you can use to calm the fight-or-flight response and alleviate the symptoms of acute stress. Deep breathing, relaxation strategies, physical activity, and social support can all help if you are feeling the effects of a fight-or-flight response. The Best Online Therapy for Anxiety of 2024, Tried and Tested What Is the Fight-or-Flight Response? When we're faced with a situation that causes extreme anxiety or fear, our bodies will respond with a sudden, involuntary display of symptoms like: A racing heartBalled fistsDilated pupilsShallow, rapid breathingTensed muscles These physical reactions are what we call the fight-or-flight response (also known as hyperarousal or the acute stress response). This occurs when the perception of a threat triggers a cascade of physiological changes and the brain sets off an alarm throughout the central nervous system. As a result, the adrenal glands will start pumping out hormones, called adrenaline and noradrenaline, which place the body on high alert to either confront the threat ("fight") or leave as quickly as possible ("flight"). These physiological changes serve specific, important functions: Rapid pulse and respiration increase your oxygen supply for fast and/or prolonged action.The conversion of your body's fuel source (glycogen) to fuel (glucose) allows for a burst of energy in your muscles.The dilation of your pupils allows more light into your eyes, helping you to see better at night. The fight-or-flight response is reflexive, and it allows us to act before thinking (such as slamming on the brakes to avoid an accident). How to Treat the Fight-or-Flight Stress Response in Panic Disorder How to Calm the Fight-or-Flight Response Since the fight-or-flight response is a reflex, you can't control when and where it occurs. However, you can use self-help techniques to calm down quickly and alleviate the symptoms. Deep Breathing One technique involves a three-part breathing exercise, which allows you to voluntarily slow your breathing. This can also bring down both your heart rate and adrenaline response. The exercise, which incorporates some of the technique of pranayama breathing in yoga, involves six basic steps: Find a place that's quiet. Turn off your phone and close doors and curtains.Sit in a straight-back chair with both feet on the ground or lie on the floor.Place your right hand on your stomach and your left hand on your rib cage so that you can physically feel your inhalation and exhalation.Start inhaling by expanding the belly outward, allowing it to inflate like a balloon.Next, move your breath into the rib cage and all the way into the upper chest.Exhale by reversing this action, contracting your abdominal muscles as you finish. You can practice this in one-minute intervals with the goal of gradually increasing to five minutes. The practice may not only help alleviate acute attacks, but it can also be used to de-stress as part of a daily routine. Relaxation Practices Aside from deep breathing, there are several other relaxation techniques you can use to bring yourself out of the fight-or-flight response. Visualization is one method that involves using mental imagery to picture yourself in a calming location. Similar to daydreaming, visualization exercises require you to imagine yourself in a relaxing place, like a peaceful beach or secluded field, while focusing on the details of those surroundings. Mantra meditation is another way to reach a more relaxed state. This form of meditation relies on a mantra, or chosen word or phrase, that's repeated throughout the practice. Your mantra can be anything you choose, and you can repeat it out loud or silently throughout the meditation. Mindful Moment Need a breather? Take this free 2-minute meditation for instant calm—or choose from our guided meditation library to find another one that will help you feel your best. The 7 Best Meditation Apps of 2024 Physical Activity Engaging in light physical exercise may help regulate your breathing, reduce your muscle tension, and distract you from the cause of your acute stress. Some options include: Yoga, which may improve your ability to recover after a stressful event Tai chi, which could affect how your body reacts to stress and even improve your ability to cope with it Walking and walking meditation, which may reduce blood pressure (especially when combined with other relaxation techniques) Social Support Reaching out to family or friends for social support may help you cope in a moment of acute stress, and maintaining close relationships is beneficial for your overall well-being. In fact, one study found that the presence of social support helped reduce the negative effects of stress related to the COVID-19 pandemic. Complementary Therapies Other non-prescription treatment options include valerian root and passionflower (herbal supplements commonly used as non-addictive relaxants) and B-complex vitamins, which may help regulate stress chemicals produced by the brain. You should also consider avoiding caffeine, alcohol, and nicotine during a fight-or-flight response. Treatment for Abnormal Fight-or-Flight Response While the fight-or-flight response is a vital self-defense mechanism, some people have an overly sensitive response. For these individuals, the symptoms occur either far too frequently, or they happen at inappropriate times. There may be several reasons for this: An imbalance in brain hormones, such as in anxiety and bipolar disorders Post-traumatic distress A history of verbal or physical abuse The existence of panic disorder Coming into contact with the object of a phobia It's not only exhausting to spend so much time in a state of high alert, but it can also be physically damaging. The physical consequences of acute stress can include high blood pressure, migraine headaches, and exacerbation of fibromyalgia, chronic gastritis, and temporomandibular joint (TMJ) symptoms. If you have an abnormal fight-or-flight response, your treatment will likely involve counseling and psychotherapy to better identify the psychological or psychiatric roots of the issue. In some cases, your doctor may recommend medication, particularly if you're experiencing severe anxiety or post-traumatic stress disorder (PTSD). Get Help Now We've tried, tested, and written unbiased reviews of the best online therapy programs including Talkspace, BetterHelp, and ReGain. Find out which option is the best for you. How to Use Relaxation Techniques A Word From Verywell Whether it's a symptom of a mental health condition or the result of being in a dangerous situation, we will all find ourselves in the fight-or-flight response at some point. Regardless of what prompts it, being in this state isn't a comfortable experience. Learning to calm yourself down is a valuable tool that can help you manage your reaction to acute stress and improve your overall well-being. 10 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Ibrahim A, Koyuncu G, Koyuncu N, Suzer NE, Cakir OD, Karcioglu O. The effect of Benson relaxation method on anxiety in the emergency care. Medicine (Baltimore). 2019;98(21). doi:10.1097/MD.0000000000015452 Sengupta P. Health impacts of yoga and pranayama: A state-of-the-art review. Int J Prev Med. 2012;3(7):444-458. Benvenutti MJ, Alves E da S, Michael S, Ding D, Stamatakis E, Edwards KM. A single session of hatha yoga improves stress reactivity and recovery after an acute psychological stress task—A counterbalanced, randomized-crossover trial in healthy individuals. Complement Ther Med. 2017;35:120-126. doi:10.1016/j.ctim.2017.10.009 Robert‐McComb JJ, Chyu M-C, Tacón A, Norman R. The effects of tai chi on measures of stress and coping style. Focus Altern Complement Ther. 2015;20(2):89-96. doi:10.1111/fct.12179 Matzer F, Nagele E, Lerch N, Vajda C, Fazekas C. Combining walking and relaxation for stress reduction-A randomized cross-over trial in healthy adults. Stress Health. 2018;34(2):266-277. doi:10.1002/smi.2781 Ye Z, Yang X, Zeng C, et al. Resilience, social support, and coping as mediators between COVID-19-related stressful experiences and acute stress disorder among college students in China. Appl Psychol Health Well-Being. 2020;12(4):1074-1094. doi:10.1111/aphw.12211 Meier S, Haschke M, Zahner C, et al. Effects of a fixed herbal drug combination (Ze 185) to an experimental acute stress setting in healthy men - An explorative randomized placebo-controlled double-blind study. Phytomedicine. 2018;39:85-92. doi:10.1016/j.phymed.2017.12.005 Stough C, Scholey A, Lloyd J, Spong J, Myers S, Downey LA. The effect of a 90 day administration of a high dose vitamin B-complex on work stress. Hum Psychopharmacol. 2011;26(7):470-476. doi:10.1002/hup.1229 Oyola MG, Handa RJ. Hypothalamic-pituitary-adrenal and hypothalamic-pituitary-gonadal axes: sex differences in regulation of stress responsivity. Stress. 2017;20(5):476-494. doi:10.1080/10253890.2017.1369523 Roque AP. Pharmacotherapy as prophylactic treatment of post-traumatic stress disorder: A review of the literature. Issues Ment Health Nurs. 2015;36(9):740-751. doi:10.3109/01612840.2015.1057785 Additional Reading Reynaud E, Guedj E, Trousselard M, et al. Acute stress disorder modifies cerebral activity of amygdala and prefrontal cortex. Cogn Neurosci. 2015;6(1):39-43. doi:10.1080/17588928.2014.996212 By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Helpful Report an Error Other Submit