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Hi, I'm sorry you're dealing with this...it can be really challenging and discouraging to have anxiety popping in unexpectedly...
I have a few suggestions, none of them drugs, all of them safe while breastfeeding. I have been having occasional anxiety and even full-blown panic attacks lately and its been two years since I had my twins. I think mine are the result of choppy hormone fluctuations (estrogen spikes while progesterone is too low, or something like that). I'm working to balance that out with nourishing herbal infusions. But for anxiety and panic, here are a few of the tricks I run to, sometimes trying one, then another until something relieves!
1. Five Flower Formula - this is like Bach's "Rescue Remedy" only I think it is possibly more potent. It uses the same flowers as the Bach RR. These are flower essences, sort of like extracted energy from certain flowers. 4-5 drops under the tongue will often take me right out of those "unreal" feelings or mounting panic. One of the flowers in the formula is even great for just nervous irritability, such as when you might feel some low-level anxiety and it is just causing you to be snappish. Flower essences are safe, gentle and very fast-acting. Whether your anxiety is springing from something hormonal, circumstantial or perhaps even from long-ago-trauma-unresolved, now perhaps dislodged since becoming a mother (as often happens)....flower essences are powerful tools and totally safe for everybody.
2. Motherwort extract - the herb motherwort "mothers the mother". Particularly suited for strengthening the heart (its name in latin means "lion hearted"), I have used a 10-20 drops of this in a bit of water when I get palpitations that are either brought on by or worsened by anxiety. Its fantastically calming and good for your heart and safe for use while breastfeeding.
3. Homeopathic remedy Aconitum Napellus - You can find them at health food stores or at Whole Foods and even some independent grocery stores; often the brand sold is Boiron and is a little blue tube (chapstick sized) of white pellets. Get 30c potency and hold just one (side of tube says a dose is 5 pellets but this is not necessary!) under your tongue and let it dissolve. For me, Aconitum has helped stop in its tracks a full-blown (1/2 hour) panic attack and all the corresponding irrational thoughts, terror, panicky 'what if's' ....in minutes. Once you start feeling the anxiety receding, you know the remedy is working; don't take any more but wait and see how you feel. With homeopathic remedies, once you feel signs of improvement, you let the remedy work; don't take more pellets unless/until the anxiety returns, or if the first pellet got rid of some but not all of it. In acute situations, homeopathic remedies can often work within minutes, but give it about 15 minutes before judging whether you need another pellet.
4. Anything with oats. Try to get more oats in your diet; they are very calming, rich in B vites, great for your thyroid, and have a gentle restorative action on the nerves. Oatmeal, oatstraw infusion, oat milk, oatmeal cookies, you get the idea. Oatstraw infusion (buy bulk oatstraw, add 1 cup to a quart of boiling water in a canning jar, lid, and let steep for 4 hours - overnight; strain and enjoy iced or warm) is a mild, nutty delicious flavor. Totally safe and very compatible for breastfeeding/milk supply!
5. Lemon balm. Straight lemon balm or even a nice decaf blend of herbs for moms that includes lemon balm (a pre-made blend). Lemon balm alleviates both anxiety and depression and makes you feel like "hm, things aren't so bad after all". Just a cup a day with a little honey tastes delicious and is a great nerve tonic. Also is high in selenium which in an important nutrient in thyroid health. This and/or oats are great boons to preventive care for your nerves, and both taste great! Lemon balm is also very easy to grow yourself; tea can be made with fresh or dried leaves. With lemon balm, you just take a couple teaspoons to a cup of boiling water, let it steep 10-15 minutes and strain out the leaves.
Most, if not all of these, can be either acquired at a Whole Foods or online...
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Well, these are some of the tricks I keep on hand; my life with four little ones doesn't stop just because I am having a bad (or terrifying) day and want to run away. I am still nursing my twins so what I choose to help myself has to be compatible with breastfeeding. I've had my share of anxiety and panic and did a lot of searching and these are a few that worked for me; you might give them a try before committing to medications. All of these above make me feel like myself, not blunted or unreal or groggy or anything else. All are safe, even for children; and all are affordable (less than a doctor office co-pay!)....
I hope you feel relief and balance soon! [[hugs]]
~weegift333
Claire, SAHM to ABC, 03/03/03; IRC, 03/18/06; CCC & MCC, 03/17/08