Hi,
Yes, it’s normal. Panic attacks, sudden intense fear with physical symptoms), drain energy, leaving exhaustion. Living with anal fissure pain adds stress, making panic harder. Be gentle with yourself. your body is carrying double weight. Rest, hydrate, soothe.
Here’s how I’d guide you as your therapist, step by step
1. Stabilise first : learn quick calming tools (breathing, grounding, relaxation).
2. Psychoeducation: Understand Panic, Knowing it’s not dangerous reduces fear of fear.
3. Body–mind link – chronic pain (anal fissure) raises baseline stress, so we integrate pain management + emotional care.
4. Track triggers : keep a panic diary: when, where, thoughts, sensations.
5. CBT work – gently challenge catastrophic thoughts, build coping statements.
Next Steps
Consult a psychologist and start therapy.
Health Tips
Name it, don’t fight it: when panic rises, say to yourself, “this is a panic surge, it will peak then pass”. Naming reduces fear.
Breathe low + slow: hand on belly, inhale 4, hold 2, exhale 6. Slows the nervous system.
Grounding 5–4–3–2–1: notice 5 things you see, 4 touch, 3 hear, 2 smell, 1 taste. Brings mind back to present.
Pain + panic overlap: remind yourself discomfort isn’t danger. Reframe the thought “I can’t handle this” into “this will ease, I’ve handled before.”
Gentle routine: consistent sleep/wake times, short walks, light stretching if tolerated. Predictability soothes anxiety.