When I heard about the Valsalva mechanism/theory... it really made sense for me, and awareness of it helps me control it a bit more when it gets bad: [http://1.bp.blogspot.com/-h1NMFLq3mHk/TmXra4qxqnI/AAAAAAAABE8/4UonjQVMd3E/s1600/Detrimental+Self-Talk+Flow+Chart.png](http://1.bp.blogspot.com/-h1NMFLq3mHk/TmXra4qxqnI/AAAAAAAABE8/4UonjQVMd3E/s1600/Detrimental+Self-Talk+Flow+Chart.png) ​ ​