{"id":11417442,"date":"2024-10-15T11:36:46","date_gmt":"2024-10-15T09:36:46","guid":{"rendered":"https:\/\/alertdiver.eu\/?p=11417442"},"modified":"2024-10-28T15:43:18","modified_gmt":"2024-10-28T14:43:18","slug":"managing-fear-while-diving","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/en_US\/articles\/managing-fear-while-diving\/","title":{"rendered":"Managing Fear While Diving"},"content":{"rendered":"<p data-renderer-start-pos=\"203\">Fear is the cold wave of emotion that can feel like a solid barrier against forward movement.\u00a0 One of the most primitive of human emotions, fear forms part of an adaptive reaction to danger in the environment.\u00a0 When threatened, our biological system offers up a range of states to support survival: freeze \u2013 flight \u2013 fight \u2013 fright \u2013 flag \u2013 faint (Schauer and Elbert, 2010).\u00a0 All are of only limited use underwater and can tend to create more problems that they solve.\u00a0 Combining these psycho-physiological reactions with depth can stimulate further issues and physiological drivers of fear, for example due to the impact of <a class=\"cc-1rn59kg\" title=\"https:\/\/alertdiver.eu\/en_US\/blog\/understanding-gas-density-should-it-matter-to-you-crucial-aspects-in-scuba-diving\/\" href=\"https:\/\/alertdiver.eu\/en_US\/blog\/understanding-gas-density-should-it-matter-to-you-crucial-aspects-in-scuba-diving\/\" target=\"_blank\" rel=\"noopener\" data-testid=\"link-with-safety\" data-renderer-mark=\"true\"><u data-renderer-mark=\"true\">gas density<\/u><\/a>, narcosis and hypercapnia, see <strong><a title=\"https:\/\/alertdiver.eu\/en_US\/articles\/fear-and-loathing-in-scuba-diving\/\" href=\"https:\/\/alertdiver.eu\/en_US\/articles\/fear-and-loathing-in-scuba-diving\/\" target=\"_blank\" rel=\"noopener\" data-testid=\"link-with-safety\" data-renderer-mark=\"true\">Fear and Loathing in Scuba Diving<\/a><\/strong> by Klaus <em data-renderer-mark=\"true\">Stiefel<\/em>. And of course, the risks of the fight\/flight state are fairly clear to any diver with a basic grasp of diving physiology, with rapid ascent being one of the most frequently reported incidents.<\/p>\n<p data-renderer-start-pos=\"1119\">In diving, there are plenty of potential sources of immediate fear. From the various issues that can arise with equipment, through to the occasionally aggressive marine life encounter or boats getting too close for comfort.\u00a0 Beyond the array of threats offered by the underwater environment there are the pre-existing issues that divers may bring. Phobias of sharks, fish, snakes, submerged objects, enclosed spaces, heights, dark and open water: all mean a risk of a strong reaction when the feared object is encountered. Triggers of prior unresolved trauma can sometimes, though not always, be found in the water too. As well as those solid threats to safety are the less tangible human fears of failure, rejection and loss of control.<\/p>\n<p data-renderer-start-pos=\"1119\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11417443\" src=\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/diver1500.jpg\" alt=\"\" width=\"1500\" height=\"1000\" srcset=\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/diver1500.jpg 1500w, https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/diver1500-300x200.jpg 300w, https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/diver1500-768x512.jpg 768w, https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/diver1500-700x467.jpg 700w\" sizes=\"auto, (max-width: 1500px) 100vw, 1500px\" \/><\/p>\n<h3 id=\"So,-is-fear-to-be-avoided?\" data-renderer-start-pos=\"1861\">So, is fear to be avoided?<\/h3>\n<p data-renderer-start-pos=\"1889\">Well, yes and no. The physiological effects of the threat response for example in changing breathing pattern to rapid and shallow, or even breath holding, and the racing heart can cause problems when diving.\u00a0 Underwater this can quickly escalate into panic. Plus, the way that fear grips and steers attention can make it hard to think and problem solve. However, the concern does not come from fear alone, but the cascade reaction to the threat. Walking through the defence reactions, you can see where trouble forms.<\/p>\n<p data-renderer-start-pos=\"2410\">The initial reaction- freeze &#8211; to stop and become more alert, is adaptive and can help us underwater.\u00a0 It\u2019s the point that we can be aware of a problem and consider what we will do about it. STOP-THINK-ACT.\u00a0 Similarly, a little bit of fight\/flight can be useful in providing energy for action, but it\u2019s a state that can soon get out of control underwater. This can happen for physical reasons, such as the fast shallow breathing heightens stress, and from psychological sources such as the thoughts about what will happen and the resistance to feeling the emotion.<\/p>\n<p data-renderer-start-pos=\"2978\">All can send the diver towards the panic cycle, and they lose the ability to think and act clearly.\u00a0 Where fight or flight is not an option, the next stage is fright.\u00a0 This is where the emotion of fear will be most intense, because in this state a person is effectively paralysed, and still conscious of the threat. From there, the person begins to disconnect and numb out from emotion, they have no energy (flag) or even fall into unconsciousness (faint).\u00a0 Clearly these latter stages have a negative impact in diving situations.<\/p>\n<p data-renderer-start-pos=\"3510\">Although fear may be experienced within these reactions, fear is only one aspect. Fear is an emotion: it\u2019s the <a class=\"cc-1rn59kg\" title=\"https:\/\/www.youtube.com\/watch?v=-e6SQGmbXn0\" href=\"https:\/\/www.youtube.com\/watch?v=-e6SQGmbXn0\" data-testid=\"link-with-safety\" data-renderer-mark=\"true\"><u data-renderer-mark=\"true\">wave of energy<\/u><\/a> moving through the body in a natural progression. The middle part of that wave is physiological processes, such as the release of stress hormones.\u00a0 This can be an issue, but it\u2019s really the cascade reactions that lead to incidents.<\/p>\n<p data-renderer-start-pos=\"3510\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11417452\" src=\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers_1500-1.jpg\" alt=\"\" width=\"1500\" height=\"1000\" srcset=\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers_1500-1.jpg 1500w, https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers_1500-1-300x200.jpg 300w, https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers_1500-1-768x512.jpg 768w, https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers_1500-1-700x467.jpg 700w\" sizes=\"auto, (max-width: 1500px) 100vw, 1500px\" \/><\/p>\n<p data-renderer-start-pos=\"3872\">Fear alone is not the problem. We feel anticipatory fear when stimulated to perceive a source of threat.\u00a0 That could be an actual threat, but also our own thoughts can set off the defence reaction. \u201cWhat if I run out of air?!\u201d\u00a0 and \u201cI don\u2019t think I am ready for this deep dive\u201d.\u00a0 Fear is often a signal that something may be wrong and a reminder to take effective action.\u00a0 Fear reminds us where our limits are and encourages a pause to reflect on whatever we are doing.<\/p>\n<p data-renderer-start-pos=\"4345\">If anything, as divers we need to have fear.\u00a0 We also need the ability <a class=\"cc-1rn59kg\" title=\"https:\/\/alertdiver.eu\/en_US\/articles\/finding-wellbeing-in-diving-via-improved-regulation\/\" href=\"https:\/\/alertdiver.eu\/en_US\/articles\/finding-wellbeing-in-diving-via-improved-regulation\/\" target=\"_blank\" rel=\"noopener\" data-testid=\"link-with-safety\" data-renderer-mark=\"true\"><u data-renderer-mark=\"true\">to regulate emotion and attention<\/u><\/a> in the face of fear. What we do not need is the reactive, energetically-demanding and unthinking state that fear can drive us to when we resist it.\u00a0 The way we resist fear can cause more problems than the emotion of fear.\u00a0 Firstly, not heeding valid fear can mean a diver going into a situation that they are not prepared for.\u00a0 Secondly, the unwillingness to feel strong emotions like fear can stimulate panic in itself.\u00a0 By this I mean a diver has an issue and, rather than notice the fear and do something about the problem, they turn in the other direction, running from the fear and taking attention away from the problem.\u00a0 Given that this will tend to create more problems, the panic escalates out of control.\u00a0 Thirdly, ego-defences can make it hard to call a dive on feeling fearful.\u00a0 Fourthly, avoidance behaviours that do not lead to improved safety and increase risk, because the intention is focused on avoiding fear (rather than addressing the problem).<\/p>\n<h3 id=\"How-to-dive-with-fear\" data-renderer-start-pos=\"5418\">How to dive with fear<\/h3>\n<p data-renderer-start-pos=\"5441\">Fear is always a possible experience, so learning to dive with fear is an important part of being a diver.\u00a0 That does not mean putting ourselves in danger, but instead being open to fear as a signal and developing skills (both technical and psychological) that support safe diving.\u00a0 It may even mean holding fear when telling a fellow diver that you have decided to miss a dive. Here are some options:<\/p>\n<ul>\n<li>Reduce the chances of meeting situations that trigger intense fear.\u00a0 That can be done through proper training and experience, building the skills and confidence needed for the level of diving that is undertaken. Uncertainty is the main driver of fear. By gaining effective skills and response through training and practice, we address some of that uncertainty because we know what to do.<\/li>\n<li>Address pre-existing anxieties, phobias and traumas. In particular, it is recommended to address any water-related fears before learning to dive.\u00a0 Where strong reactions or tension have built up after <a class=\"cc-1rn59kg\" title=\"https:\/\/blog.fittodive.org\/2023\/01\/18\/scuba-diving-ptsd\/\" href=\"https:\/\/blog.fittodive.org\/2023\/01\/18\/scuba-diving-ptsd\/\" target=\"_blank\" rel=\"noopener\" data-testid=\"link-with-safety\" data-renderer-mark=\"true\"><u data-renderer-mark=\"true\">bad experiences in diving<\/u><\/a>, these can also be addressed out of the water.\u00a0 (Note, this is a bit different where PTS comes from situations unrelated to diving, when people often find being underwater is a respite from the trauma triggers).<\/li>\n<li>Notice what you are carrying into the water, such as interpersonal stresses, and try to address this before the dive to enter the water with less of a stress-load.<\/li>\n<li>Understand fear as a wave of energy in motion.\u00a0 It has a trigger, then a cascade of hormone and nerve actions, and the peters out into a release of that energy. If something gives you a brief fright on a dive, taking a few moments to allow that wave to pass can be helpful.<\/li>\n<li>One of the most powerful practices for fear is also the most simple: pause.\u00a0 An ability to pause and bring awareness to fear, and what it is telling you. This may be useful information, like a reminder to check your gauges.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11417461\" src=\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers2_1500.jpg\" alt=\"\" width=\"1500\" height=\"1000\" srcset=\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers2_1500.jpg 1500w, https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers2_1500-300x200.jpg 300w, https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers2_1500-768x512.jpg 768w, https:\/\/alertdiver.eu\/wp-content\/uploads\/2024\/10\/divers2_1500-700x467.jpg 700w\" sizes=\"auto, (max-width: 1500px) 100vw, 1500px\" \/><\/p>\n<ul>\n<li>Learn how to defuse from thoughts and emotions. This is the skill of stepping back and having awareness of the emotion, knowing that it is happening while also knowing you are the context for the experience. The distance is like a fire-break, and can allow you to either notice something that requires action, perhaps even ending the dive, or letting go of the fear.<\/li>\n<li>Acceptance and willingness: most of the chaos that arises from the threat reaction is not fear, it&#8217;s the added stress that comes from resisting the experience of fear.\u00a0Being willing to feel an uncomfortable emotion can calm down the reaction, which helps to keep breathing and heartbeat at a useful rate, as well as keeping the intelligent part of the brain online.<\/li>\n<li>Radical acceptance: Some divers are also likely practising radical acceptance; facing fear by fully embracing the worst-case outcome.\u00a0Although this is probably more for the cavers and deep tech divers, it&#8217;s an interesting practice. For a dramatised version of what radical acceptance looks like in diving, check out the documentary \u201cLast Breath\u201d.<\/li>\n<li>Learn the meta-skill of mental rehearsal.\u00a0Studies have shown that mental rehearsal of scuba diving skills can reduce stress and subjective fear when learning to dive or do something new. It also helps in developing competence, so that fear becomes less likely.<\/li>\n<li>Exposure to feared situations: Given the right circumstances, allowing the feeling of fear when doing something will tend to mean less fear is felt on each repetition.Good training incorporates measured exposure to the nerves related to failing and will have in-built safety nets so that students can feel a little of the fear, learn to do the skills needed to fix the actual problem, without too much of a risk.<\/li>\n<li>Exposure to feeling fear. You can do this at home on the sofa! Imagine the thing you are concerned about then watch how your body reacts. Bring awareness to the feeling and create space for it to be there.\u00a0 By allowing your body to relax even when feeling fear, you are teaching it to regulate effectively, making runaway reactions less likely, because you are more confident of tolerating the feeling.<\/li>\n<\/ul>\n<p data-renderer-start-pos=\"9542\">And then there are therapies that help address recurring anxiety, anticipator fear or blocks to performance. I find Eye-Movement Desensitisation and Re-Processing is particularly useful for divers.\u00a0 It can be used to reduce the distress and the chance of being retriggered that sometimes is left after a bad experience.\u00a0 It also has uses in creating calmer and more effective behavioural responses for future scenarios.<\/p>\n<p data-renderer-start-pos=\"9965\">Let\u2019s not fear fear.\u00a0 Not only is fear, and learning to handle it, part of diving, it also reminds us how valuable the experience is. There&#8217;s a theory with extreme sports: that we love them so much <em data-renderer-mark=\"true\">because<\/em> the closeness to the possibility of death generates the joy of feeling alive.\u00a0 How close we get to that line varies between people.\u00a0 For recreational divers, it&#8217;s more like looking over a steep drop with a solid barrier, while for the adventurers it&#8217;s leaping off with a parachute. But in all cases, openness to fear also brings openness to joy and awe.<\/p>\n<hr \/>\n<p data-renderer-start-pos=\"18982\"><strong data-renderer-mark=\"true\">Pull quotes<\/strong><\/p>\n<ul>\n<li data-renderer-start-pos=\"18997\">\u201cWhen something bad happens, you have an immediate physiological response. Your heart starts to race and your mind erupts into a million and one thoughts. I try to immediately take a deep, slow breath, and think to myself, \u201cEmotions, you won\u2019t serve me well right now.\u201d\u00a0<em data-renderer-mark=\"true\">\u2014Jill Heinerth<\/em><\/li>\n<li data-renderer-start-pos=\"19286\">\u201cIf you don\u2019t embrace your fear, you will spend your entire life running from it.\u201d\u2014<em data-renderer-mark=\"true\">\u2014Jill Heinerth<\/em><\/li>\n<\/ul>\n<hr \/>\n<p data-renderer-start-pos=\"19389\"><strong>The Six Defence Reactions (Shauer and Elbert, 2010)<\/strong><\/p>\n<p data-renderer-start-pos=\"19442\">These researchers postulate that the cascade &#8221;Freeze-Flight-Fight-Fright-Flag-Faint&#8221; is a coherent sequence of six fear responses that escalate as a function of defence possibilities and proximity to danger during life-threat. These are the six responses.<\/p>\n<p data-renderer-start-pos=\"19702\">Freeze: an initial orienting response to pause and scan for threat and sources of help.<\/p>\n<p data-renderer-start-pos=\"19791\">Flight\/Fight: a physiological state of high arousal that aids an organism to escape the threat. (Similar state, different behaviours).<\/p>\n<p data-renderer-start-pos=\"19928\">Fright: where fight\/flight are not available, or unsuccessful, a physiological state of being frozen in fear.<\/p>\n<p data-renderer-start-pos=\"20041\">Flag:the physiological arousal level falls and there is disconnection, reduction in ability to think and emotional numbness.<\/p>\n<p data-renderer-start-pos=\"20167\">Faint: a state of immobility and, often, unconsciousness.<\/p>\n<hr \/>\n<p data-renderer-start-pos=\"20641\"><strong data-renderer-mark=\"true\">References:<\/strong><\/p>\n<p data-renderer-start-pos=\"20654\">Schauer, M., &amp; Elbert, T. (2010). Dissociation Following Traumatic Stress Etiology and Treatment. Zeitschrift Fur Psychologie-journal of Psychology, 218, 109-127.<\/p>\n<hr \/>\n<p data-renderer-start-pos=\"21022\"><strong data-renderer-mark=\"true\">About the author<\/strong><\/p>\n<p data-renderer-start-pos=\"21040\">Laura Walton is a clinical psychologist and scuba diving instructor bringing together psychology and scuba diving to help people with their diving. She provides specialist psychological services for scuba divers and accessible courses. Laura has been guiding and teaching scuba diving in the UK since 2012, and is currently a PADI Master Instructor.<\/p>\n<p data-renderer-start-pos=\"21438\"><a class=\"cc-1rn59kg\" title=\"https:\/\/www.fittodive.org\/\" href=\"https:\/\/www.fittodive.org\/\" target=\"_blank\" rel=\"noopener\" data-testid=\"link-with-safety\" data-renderer-mark=\"true\">https:\/\/www.fittodive.org\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fear is the cold wave of emotion that can feel like a solid barrier against forward movement.\u00a0 One of the most primitive of human emotions,&#8230;<\/p>\n","protected":false},"author":9,"featured_media":11417470,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[261],"tags":[437],"authors":[273],"class_list":["post-11417442","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","tag-prepared-diver","authors-laura-walton"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - 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