The Complete Panic Prevention Program
by Tom Griffiths, Ed.D., NAUI 6448
(reprinted from NDA NEWS May/June 1987)
Tom Griffith Ed.D. David Colvard, MD


According to statistics compiled at the University of Rhode Island, drowning due to panic is the major cause of scuba diver death. Air embolism, the second leading cause of fatalities, is likewise associated with panic. Apparently, excessive diver anxiety and stress are also the leading causes of “diver-dropout.” Recently, both equipment design and scuba instruction have improved significantly, making sport diving safer. Little progress has been made, however, in correcting the number-one problem in diving – excessive stress leading to panic. With all the advances made in the sport during the past 10 years, little has been accomplished in preventing 150,000 anxious divers from quitting each year. Many instructors feel uncomfortable or incapable of dealing with nervous students because they lack the knowledge, tools or personality to work in the psychological domain of scuba instruction. How, then, should instructors deal with potential drownees and dropouts? Fortunately, help is on the way. A decade of research and testing on sport divers at the University of Maryland and Indiana State University have led to some interesting findings.

Summary of Findings

Without discussing research methodology, some of the findings are briefly summarized here: (For more specific information concerning methodology and analysis of data, refer to the bibliography at the end of this article.)
  • Those who elect to take up scuba diving have significantly lower levels of general trait anxiety than those who do not dive.
  • The most stressful situation for novice divers is the first open water “check out” dive. The stress levels attained just prior to this dive are significantly higher than pool training situations. The complex “bail-out” scuba training skill is perhaps the most stressful event which can be presented during pool training. Novice divers reporting high levels of pre-dive stress perform poorly, both in the pool and on the open-water dives.
  • Divers dropping out of experiments and scuba classes have higher levels of general trait anxiety than those who complete experiments and the class.
  • Underwater respiration rate is positively correlated with underwater performance and is highly significant.
  • Diver stress is not caused by fear of possible physical danger, equipment failure, or drowning, but rather “social evaluation”, that is, how the diver’s performance is perceived by his/her peers. This type of stressor is especially significant for females.
  • Concerning experienced divers, levels of general trait anxiety correlate negatively with bottom time (as trait anxiety increases, bottom time decreases).
  • Trait anxiety in experienced divers correlates positively with age (as age increases, trait anxiety increases). This is especially true for older divers not diving on a regular basis.
  • Most importantly, it has been repeatedly shown that specific relaxation and mental practice programs do in fact: 1) Decrease specific state anxiety; 2) Improve underwater skill performance; and 3) Increase bottom time.
Practical Program

Based on the research findings just cited, along with thousands of clinical observations, a practical program for diagnosing and treating diver stress has evolved. Stress management and sport psychology experts were consulted in producing a two-hour audiocassette program entitled Stress and Panic Management for Divers. This is a teaching tool that works. It is a “self-help” program designed for divers and may be used by students and instructors alike.

Diver Stress & Panic Prevention 2 CD set $19.95 

The two-hour program is divided into four 30-minute segments. Each half-hour segment gives the listener just enough theory to understand the causes, symptoms, treatment, and prevention of diver stress. Relaxation skills and mental rehearsal exercises are introduced throughout the program and should be practiced while listening to the tapes. The beauty of the program is that the instructor is not required to conduct “therapy.” Once a stressful student is recognized, the tapes may be loaned to the student who may take the tape home to listen and practice at their leisure in the comfort of their own surroundings.

Undercurrent magazine states that these tapes should be a staple in the library of anyone who teaches diving. Undercurrent (Vol. 8. #9) goes on to add: “…For our money, it’s the best effort in the diving community to come up with a practical means to control diver stress. The tapes will no doubt keep many divers active who might otherwise surrender to stress and stop diving.”

The tapes are excellent for several audiences:
  • Diving students who are worried about forthcoming pool exercises and tests;
  • Certified divers who have yet to enter the open ocean and are concerned about their first big dive;
  • A diver who has scubbed a dive out of stress or who has panicked or nearly panicked underwater and is contemplating giving up the sport;
  • A person who would like to learn to dive, but has resisted out of fear;
  • Any diver who would like to better prepare himself to react safely in stressful situations.

Diver Stress & Panic Prevention 2 CD set $19.95 

The four sides of the tapes are as follows:

Side 1 - The Causes and Symptoms of Diver Stress:
The listener learns the causes and symptoms of diver stress and how to recognize these traits in themselves and others. Under the headings of Causes and Symptoms of diver stress, detailed discussions follow, which include:

Physical Causes of Stress:
Overloading
Sensory Deprivation
Time Pressure
Equipment
Cold Water
Poor Fitness/Swimming Ability
Strong Currents, Waves, Obstructions
Dangerous Marine Life

Psychological Causes of Stress:
Peer Pressure
Social Evaluation
Ego Threat
Fear of the Unknown
Fear of Evaluation


Pre-Dive Physiological Signs:
Increased Heart Rate
Rapid Respiration
Muscle Tension
Frequent Urination
Increased Perspiration
Voice Changes
Decrease in Skin Temperature


Pre-Dive Behavioral Signs:
Introversion
Tardiness
Mental Errors
Forgetfulness
Extreme Cockiness
Irritability


In-Water Symptoms:
Rapid Respiration
The “Wide-Eyed” Look
Inefficient Swimming
Clinging and Clambering
Fixation and Perceptual Narrowing
Sudden Surfacing
High Treading/Trashing
Equipment Rejection


Side 2 – Specific Techniques for Panic Prevention:
The key point is understanding that breath control and relaxation go hand-in-hand. The listener also learns the “Calming Response”, a technique combining stomach breathing and autogenic phrases. The calming response is a fast and effective way of improving relaxation and performance. Scuba divers, using this technique, can significantly increase breath control and relaxation within 5 – 10 breaths. Many on-site treatments are discussed for nervous divers preparing to make a dive or already in the water.

Side 3 – Mental Rehearsal for Controlling Underwater Stress:
On this side, the authors place the listeners into a deep state of relaxation and then guide them through mental rehearsal utilizing imagery. This is the same technique that world class athletes use prior to their events. Slow breathing, relaxing, and thinking clearly are strongly emphasized, especially when stressful scenes are rehearsed.


Side 4 - Systematic Relaxation Training:
On this side, the authors lead the listeners through a number of exercises designed to increase their awareness of physical and muscular stress, while providing several techniques to directly relieve that stress. The listeners are taken through steps for full body relaxation, so when this side is completed they will hopefully have reduced their own physical stress symptoms. If not, they may simply listen to the tape again or go through the same process without the benefit of the tape.

After reading and hearing so much about diver stress and panic, instructors finally have a total training package which not only promotes relaxation and performance, but also reduces diver stress and ultimately panic.

Diver Stress & Panic Prevention 2 CD set $19.95