The information given below is designed to help you manage your stable long-term breathlessness. If your breathing is getting worse, or you are experiencing breathlessness as a new feeling, it is important to seek medical advice from your GP.
When we are worried or stressed, perhaps by a chronic illness, family worries, financial worries, or other difficult circumstances, it is very easy to spend most of the time thinking about the past, dwelling on things that have gone wrong or worrying about the future and being fearful about things that might happen.
The body responds to worry and stress by increasing the production of stress hormones which lead to the fight or flight response as described in Leaflet 5: Managing Thoughts. Increasingly, research has suggested that reducing the level of stress hormones can help us to cope better and feel better. One way of reducing the level of stress that we feel is by learning how to practise a technique called ‘mindfulness’.
Mindfulness is when we are able to adopt a ‘mindful awareness of the present’. Most people are aware that if they see (or think about) something they enjoy, such as chocolate, even the very anticipation of eating it can bring pleasure. The explanation for why this occurs lies in the internal chemistry of the brain; the experience of pleasure results from chemical changes in the brain.
The change in the chemical reaction in the brain can also reduce anxiety - this is the way that anxiety-reducing drugs work. By practising mindfulness we can reduce the amount of stress we feel and the impact of the stress on the brain. However, it does take a bit of practice.
The CD, which you have been given, is best used with the same regularity as you might take a tablet. Initially, we would suggest that you use it twice a day. The CD only lasts nine and a half minutes; it is most helpful when you can be in a quiet place and not disturbed. We recommend that you use at a time when you can arrange not to have to answer the telephone and when it is unlikely that you will have to answer other people’s needs. It is fine to use it late at night, but if you fall asleep quickly after starting to use it, it will not give you as much training in experiencing the mindfulness that will help you manage stressful situations.
We have found that some people like to use it with their husband, wife, partner, child or carer so that they can both get the benefit from it. You may prefer to use it separately.
After a couple of weeks of using the CD regularly, you may start to notice that worries
or concerns seem to come into your mind without making you feel anxious and disturbed.
You may also find that you start to relax and get more pleasure from the simpler things in your life – music, trees blowing in the wind, a friend’s smile. If at the end of using the CD for a while you would like to take mindfulness training further, please do not hesitate to ask one of us for details of how you can do this.
For further help or advice contact the Breathlessness Intervention Service on 01223 274404 - 09:00 to 17:00 Monday to Friday
We are smoke-free
Smoking is not allowed anywhere on the hospital campus. For advice and support in quitting, contact your GP or the free NHS stop smoking helpline on 0800 169 0 169.
Help accessing this information in other formats is available. To find out more about the services we provide, please visit our patient information help page (see link below) or telephone 01223 256998. www.cuh.nhs.uk/contact-us/accessible-information/
Cambridge University Hospitals
NHS Foundation Trust
Hills Road, Cambridge
Telephone +44 (0)1223 245151