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COPD vicious-cycle
respiratorty
distress leads to
anxiety
anxiety leads to
hyperaroused autonomic
nervous system with rapid
shallow, breathing
feelings of
suffocation
with associated fear
fear increases anxiety and
it’s attendant physical
sensations, which in turn
increases fear and anxiety
and so on
attentive to
breathing and fear
of suffocation

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COPD vicious-cycle

  • 1. COPD vicious-cycle respiratorty distress leads to anxiety anxiety leads to hyperaroused autonomic nervous system with rapid shallow, breathing feelings of suffocation with associated fear fear increases anxiety and it’s attendant physical sensations, which in turn increases fear and anxiety and so on attentive to breathing and fear of suffocation