It started with what I thought was a mild cold, just a scratchy throat and some fatigue.

I told myself I’d be fine. I’m healthy and vaccinated.

But, within two days, walking from my bed to the kitchen left me breathless. A rapid test confirmed what I feared: I had tested positive for COVID.

The physical discomfort kept growing.

Shortness of breath showed up alongside a persistent cough, a congested nose, and an on-and-off fever.

Spiraling into panic

One morning, while watching a movie and trying to relax, the shortness of breath escalated.

I figured it was just normal exertion — COVID affects your lungs, after all. But, then, my breathing became shallow. My heart thudded loudly in my ears.

“I can’t breathe.”
“Am I breathing?”

I felt desperate.
I stood up.
Walked quickly to the balcony.
Tried to inhale as deeply as possible.
Felt the stuffiness in my nose.
I could only breathe through my mouth.
Tried again through my nose. Nothing.
My heart pounded faster.
I kept scanning the space around me, disoriented.

I was on the brink of a full-blown panic attack.

Here’s what made it so terrifying: COVID can cause serious respiratory symptoms, but so can panic. Both make your chest tighten. Both make your breath feel shallow. Both send your mind into overdrive.

I couldn’t force my lungs to work better. I couldn’t shut off the fear. But, I could choose how to relate to both.

Anchoring in the present

Panic pulls you out of the now and into imagined catastrophes:

  • “What if this gets worse?”
  • “What if I pass out?”
  • “What if I have a heart attack?”
  • “What if there is something wrong with me, and I don’t know?”

But, Acceptance and Commitment Therapy teaches you something counterintuitive yet powerful: You don’t have to get rid of fear, you can anchor yourself in what’s real right now.

Use your senses as an anchor

Ground yourself by naming:

  • 5 things you can see
  • 4 things you can feel
  • 3 things you can hear
  • 2 things you can smell
  • 1 thing you can taste

Let your senses become your compass.

I deliberately looked around me:

  • I saw the light hitting the wall in long streaks.
  • I felt the cold mosaic with my hand.
  • I heard the soft ticking of the hallway clock.
  • I tasted the mint of a dissolving cough drop.
  • I smelled the laundry detergent on my sweater.

Notice your physical contact points

I shifted my attention to the places where my body connected with the world:

  • My feet pressing into the hardwood floor.
  • My back against the wall.

These physical contact points were real and happening now, not in the imagined future.

The goal isn’t to calm down.
It’s to stay present, to make space for the fear, not battle it.

Name your sensations, thoughts, and feelings

Say out loud (or in your head):

  • “I’m here. My heart is racing. I’m breathing. I feel scared.”
  • “I’m having the thought that…”
  • “My mind is telling me…”

Let yourself stay with the moment, without fixing it.

Practicing self-compassion

Let’s be honest: most of us aren’t kind to ourselves when we’re struggling.

You might hear a voice saying:

  • “This is ridiculous.”
  • “You should be stronger.”
  • “Why are you panicking over this?”

But that inner critic only adds fuel to the fire.

In moments of distress, you can place a hand over your chest and imagined someone who cared deeply about you speaking gently:

  • “This is really hard right now.”
  • “You’re scared, and that makes sense.”

You don’t need to erase your fear or pretend you’re okay.

These skills didn’t “fix” everything, but they changed everything.

Self-compassion didn’t clear the virus from my lungs.

Anchoring didn’t make the panic vanish.

But, they helped me respond to both with more flexibility, more care.

In moments of breathlessness or fear, you don’t need to force calm or push through.

You can pause.
You can care.
You can anchor yourself in the present, again and again.

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About Dr. Z.

I’m originally from Bolivia, South America, and am a psychologist by training. I’m formally trained in empirically supported treatments, and when I say “formally,” I mean that since 2004 I have received intensive training in them, particularly in Acceptance and Commitment Therapy (ACT) and Cognitive Behavior Therapy (CBT). 

Over the past 18 years, I have created resources for and worked with overthinkers and overachievers dealing with all types of anxiety-related struggles: perfectionism, procrastination, productivity anxiety, uncertainty intolerance, indecision, impostor phenomenon, overthinking, phobias, rumination, panic, worry and obsessive-compulsive disorder. I absolutely love my job!

In 2019, I was nominated as a fellow by the Association for Contextual Behavioral Science because of my contributions related to the applications of ACT for anxiety-based struggles. I’m the author of seven books and the co-author of three (see the section on previously written books).

I’m the founder and director of the East Bay Behavior Therapy Center, a boutique private center in the San Francisco Bay Area that offers therapy and coaching for anyone experiencing anxiety-based struggles.

In 2023, I gave a TEDx talk, “Stop playing-it-safe and start living” that has more than 264K downloads.

While I’m a psychologist by training and science-based by passion, my style is jargon-free, accessible, caring, and lighthearted; teaching ACT skills doesn’t have to be boring or inaccessible, so I do my best to make every skill I teach—in any format—as engaging as possible. 

I believe that learning to navigate anxiety-based reactions is one of the key skills of the 21st century, and I’m passionate about it.

I'm passionate about disseminating ACT skills for anxiety-based struggles.

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