焦虑惊恐 Worry, Anxiety and Panic

By the end of this module you can…

• Ask about a panic attack: when, where, what the body felt, and what they feared most.
• Explain panic in plain words, once a doctor has checked the heart and other causes.
• Coach slow breathing and grounding when a patient panics in front of you.
• Ask the GAD-7 questions faithfully, and say the score back as a screen, not a diagnosis.
• Talk about avoidance, and plan small steps back with the patient leading.

Key vocabulary

Sixteen words from this module. Tap the speaker to hear each one.

In the body

• 心慌xīn huāngRacing or pounding heart; panicky
• 喘不上气chuǎn bu shàng qìCan’t catch your breath
• 手抖shǒu dǒuShaking hands
• 出汗chū hànSweating
• 头晕tóu yūnDizzy, lightheaded
• 发麻fā máTingling, numbness
• 肌肉紧张jī ròu jǐn zhāngMuscle tension
• 坐立不安zuò lì bù ānRestless, can’t sit still

In the mind

• 焦虑jiāo lǜAnxiety
• 紧张jǐn zhāngNervous, tense
• 着急zháo jíAnxious, worked up
• 惊恐发作jīng kǒng fā zuòPanic attack
• 恐惧kǒng jùFear, dread
• 回避huí bìAvoidance, to avoid
• 放松fàng sōngTo relax
• 呼吸hū xīBreathing, to breathe

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 上一次是什么时候？在哪里？Shàng yí cì shì shén me shí hou? Zài nǎ lǐ?When was the last time? Where?
2. 当时身体有什么感觉？Dāng shí shēn tǐ yǒu shén me gǎn jué?What did your body feel at the time?
3. 最难受的时候，您心里怕什么？Zuì nán shòu de shí hou, nín xīn li pà shén me?At the worst moment, what were you afraid of?
4. 医生检查过您的心脏吗？Yī shēng jiǎn chá guo nín de xīn zàng ma?Has a doctor checked your heart?
5. 这些担心，您能控制得住吗？Zhè xiē dān xīn, nín néng kòng zhì de zhù ma?Can you keep these worries under control?
6. 有没有什么地方，您因为怕发作，就不去了？Yǒu méi yǒu shén me dì fang, nín yīn wèi pà fā zuò, jiù bú qù le?Places you avoid for fear of an attack?
7. 您现在很安全，我在这儿陪着您。Nín xiàn zài hěn ān quán, wǒ zài zhèr péi zhe nín.You’re safe right now. I’m here with you.
8. 用鼻子慢慢吸气，用嘴慢慢呼气。Yòng bí zi màn màn xī qì, yòng zuǐ màn màn hū qì.Breathe in slowly through your nose, out through your mouth.
9. 感觉非常可怕，但是惊恐发作本身不会让人死，也不会让人疯。Gǎn jué fēi cháng kě pà, dàn shì jīng kǒng fā zuò běn shēn bú huì ràng rén sǐ, yě bú huì ràng rén fēng.It feels terrifying, but a panic attack itself won’t kill you or make you go crazy (only once a doctor has checked).
10. 这个分数只是参考，不是诊断。Zhè ge fēn shù zhǐ shì cān kǎo, bú shì zhěn duàn.The score is a guide, not a diagnosis.

What’s in Module 4

1. Part 1 · Warm-UpWarm-Up: What Makes You Nervous?
2. Part 2 · The Words for AnxietyReading the Pinyin · Saying 心慌 vs. Charting 惊恐发作 · Vocabulary · Flash Cards · Slow Breathing, Coached
3. Part 3 · Talking About PanicThe Panic Script · Questions About an Attack · Key Patterns · What a Panic Attack Is · Checking the Heart First · Worry That Won’t Stop
4. Part 4 · Screening and Small StepsThe Seven Anxiety Questions (GAD-7) · Avoidance, and Small Steps Back · Coming Back to the Room
5. Part 5 · Concerns & WordsWhat Patients Say · Words for the Chart · Putting It Together
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 4 Knowledge Check
8. Part 8 · Wrap-UpModule 4 Homework · Take-Home Phrase Sheet · Module 4 Wrap-Up · 下次见