Really sugar is shaky because it originates from a straight stick see the play is Granny yes Grandma plus new style luv MaryJane so listen (Granny Apple last years blue ribbon production winner AKA) I, I, I ain't on the right side of my house Jane something or the other is in my room: finally after an extermination Grannie speaks once more "let my (old man) Pacman step on it". See it is home on the range so solo as it be truity speaks got a problem it is your own. But alter scenario: Z/n time; narcotics I got that candy s.p.ee..d360 Bar itch its' and Mickey Mouse for the Sultan 7 1 4er well a hem a hem, it went early in the morning like a smack chanting sugar structure 7 -one 1 +eleven and 4 do an ate 'er 8 eight 'er? Well that aint nice. NARCO says do you know them numbers change (response) Yes it is a FiX they are MF's Ope yeah Ope Douglas is it.
Surrounded by Alkaloid is both Mary and Grandma in an never ending circle of membership. French mandates declare put up their dukes... ZEN Pepsi can talk half Chocolate and your ole man Pacman down in Cuba posing as the worlds one and only Coffee Wizard "back 1:1" tis Coffee time... ||
“Fruits and Vegetables Put
to the Test for Boosting Mood,” There are two components of
psychological health: the absence of mental health disorders
such as depression, as well as the existence of positive
psychological well-being. That’s the focus of an emerging
field of positive psychology focusing on happiness, life
satisfaction, and flourishing, which may translate to physical
benefits such as improvements in blood pressure, immune
function, and longevity. What is the contribution of food
consumption to well-being? Well, studies have linked the
consumption of fruits and vegetables with enhanced well-being. A systematic
review of research found evidence that consuming fruits and
vegetables were associated with increased psychological well-being.
Okay, but that’s just an association. A famous criticism in this area of
research is that maybe there’s just some inherent personality trait
or type of family upbringing that might lead people simultaneously to eat healthily, and also
to have better mental well-being. So the diet is merely correlated
with, but incorrectly gives the appearance of helping to
cause the level of well-being. But recent research circumvented
this problem by seeing if changes in diet are correlated
with changes in mental well-being, in effect studying the evolution
of well-being and happiness after increases in the consumption
of fruits and vegetables. And look at that graph—a straight-line
increase between how much more fruits and veggies people started eating
and their change in life satisfaction over time. Increased fruit and
vegetable consumption appeared predictive of increased happiness,
life satisfaction, and well-being— up to 0.24 life satisfaction points for
an increase of eight portions a day. What does that mean?
Is that a lot? Is that a little? That’s a lot, equal in size
to the psychological gain of going from being unemployed
to get a job.My Daily Dozen recommendation
is for at least nine servings of fruits and veggies a day. This study was done in Australia.
It was repeated in the UK, and researchers there found the same
thing, though the Brits may need to bump up their daily minimum to
more like 10 or 11 servings a day. Okay, but does eating fruits and veggies
also reduce the risk of depression and anxiety? I mean
well-being is nice, but governments and medical
authorities are often interested in the determinants of major
mental illness, not life satisfaction. And indeed, using the same data set
but instead looking for mental illness, eating fruits and vegetables may
help to protect against future risk of clinical depression
and anxiety as well. A systematic review and meta-
analysis of dozens of studies found that every 100-gram increased intake of
fruit was associated with a 3% reduced risk of depression. That’s about
half an apple, yet less than 10% of most Western populations
even consume a bare minimum. Maybe the problem is we’re just telling
people about the long-term benefits of fruit intake for chronic
disease prevention, rather than the near-immediate
improvements in well-being. So maybe we should be advertising
the happiness gains, but first, we need to
make sure they’re real. We’ve been talking about associations.
Yes, a healthy diet may reduce the risk of future depression or anxiety, but
being diagnosed with depression or anxiety today could also lead
to lower fruit and vegetable intake. Now, in these studies, you can
indeed show that the increase in fruit and vegetable consumption came
first, and not the other way around, but as the great enlightenment
philosopher pointed out, just because the cock
crows before the dawn doesn’t mean the cock
caused the sun to rise. To prove cause-and-effect you need to put it to the test
with an interventional study. Unfortunately, to date, many
studies were like this, where those randomized to eat fruit
showed significant improvements in anxiety and depression, fatigue,
and emotional distress. Wow, amazing! But that was compared
to chocolate and potato chips. Apples, clementines, and bananas
making people feel better than assorted potato chips and chunky chocolate
wafers—not exactly a revelation. This is the kind of study I’ve been
waiting for: a randomized controlled trial in which young adults were
randomized to a diet-as-usual group, encouraged to eat
more fruits and veggies or a third group was given two servings
of fruits and vegetables a day to eat over and above
their regular diet. And the ones given fruits and
veggies showed improvements in their psychological well-being
with increases in vitality, flourishing, and motivation within just two weeks! However, simply educating people
to eat their fruits and vegetables may not be enough
to reap the full rewards, so perhaps greater emphasis needs to
be placed on actually providing people with fresh produce, for example, offering
free fruit for people when they shop. I know that would certainly
make me happy!As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease! ← https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи
Hello everyone Today we will discuss how to stop palpitation immediately without any medicine , and equipment Now first of all what is Palpitation unpleasant sensation of own heart beat In some types arrhythmia neck vein pulsations also seen clearly with palpitations There are many causes for palpitation Most of cause are simple Like anemia or low hemoglobin Anxiety, stress, these conditions released adrenaline Which causes palpitation Or overactive thyroid and pregnancy If you take heavy caffeine, coffee, alcohol and smoking Or taking some drugs like cocaine and marijuana all increased palpitations Some palpitations have serious causes Like Heart related factors which increased palpitations Heart failure, valvular heart disease, mitral valve prolapse and cardiomyopathy palpitation is serious 4 easy ways/methods to stop palpitation immediately anywhere, anytime First is valsalva Maneuver It stimulates vagus nerve Vagus nerve is connected to heart and brain And as soon as vagus nerve stimulates it decreased heart rate and palpitation finger and thumb Then close your mouth also Then forcefully exhale outside, means breath out while your nose and mouth both closed This Maneuver you do for 10-30 second This valsalva Maneuver increased your intrathoracic pressure Which stimulates the vagus nerve and your heart rate will come down Second method is coughing You do forcefully coughing, As you do forcefully coughing it increased your intrathoracic pressure And bring down your heart rate and palpitation Third method is Deep breathing Deep breathing is simple method to break or stop heart palpitation It also decreased your anxiety and panic attacks And increased oxygen supply to brain To perform Deep breathing you sit comfortably at one place Then take deep and shallow breathing through your nose Then exhale slowly slowly through mouth This procedure do continue for some couple of minutes till your heart rate become normal Fourth method is cold water When you feel palpitations wash your face with cold water Or splash cold water on your face Or take shower or bath in cold water Very simple is to keep ice cubes in towel and Apply on your face, it stimulates your vagus nerve and decreased your heart rate and palpitation So these four are very simple method by which you can break your palpitations In these maneuvers no need any medicine or equipment Thanks As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution really works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease! ← https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи
Alprazolam also known as Xanax, belongs to a group of medications called benzodiazepines Benzodiazepines act on the brain and central nervous system, CNS to produce a calming effect, People use and take Xanax to help them with their anxiety and panic disorders. Xanax is the number 1 prescribed psychiatric medication in the United States. If you’ve been prescribed Xanax for your anxiety or panic disorder, you may feel normal after your first dose. You may also feel relaxed, quiet, or tired, depending on your dosage. Xanax is prescribed in doses that are available in milligrams depending on the symptoms. You experience anxiety or panic disorder. You may be prescribed a high or low dosage. The dosages are 0 25 mg, 0 5 mg 1mg, and 2mg. The effects of Xanax become more significant. The higher the mg you take. Doctors always recommend that first time, Xanax users start with the lowest possible dose until they know exactly how it will affect them. Higher doses can be fatal and you should never take more than what your doctor has prescribed. The effects of taking Xanax should be mild, but detectable. If you experience any of the following symptoms, you should seek medical attention immediately: Extreme drowsiness Muscle weakness, Confusion, Fainting, Loss of balance, and Feeling lightheaded Xanax is taken orally and absorbed quickly into the bloodstream. Some people experience the effects of Xanax within 5 to 10 minutes of taking it, and everyone should feel the effects of it within an hour. Why Xanax is so popular for people struggling with anxiety and panic attacks during a panic attack or anxiety attack. You can take a Xanax and within a few minutes you should start to feel the symptoms of your attacks fade away. The effects of Xanax are brief. Most people feel the strongest impact for 2 to 4 hours after taxing it. However, you may feel a fuzzy feeling for several hours after that It s also possible to build up a tolerance to Xanax. If that happens, then you may notice it takes longer for you to feel the effects and the effects may wear off more quickly. Xanax has a half-life of about 11 hours, which means by that time your body will eliminate half of the dose from your bloodstream. So should you take Xanax for your anxiety, As you’ve heard, and seen in this video Xanax is extremely beneficial in removing the symptoms of anxiety and panic. Attacks such as a racing heart feeling out of control and restlessness. If you think Xanax could help you, please see a doctor and get a prescription, never self-medicate or take it recreationally.As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease! ← https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи
Lily Hi there indistinct Before we begin, we would like to thank you for your support on our channel. Our mission is to help everyone learn about psychology in a digestible way. Now let’s start Despite the growing number of online resources on mental disorders. There’s still a lot of misinformation and stigma surrounding them. Mental disorders are sometimes misrepresented and even glamorized on social media and personality traits can be mistaken for mental disorders or vice versa. As such, this video aims to raise awareness about different mental disorders. However, it should not be used to self-diagnose If you relate to any of the signs in this video. Please seek help from a licensed mental health professional. To avoid improper diagnosis With that said, let’s begin One perfectionism and OCD. According to the American Psychological Association, perfectionism is the desire to achieve an extremely high level of performance, accompanied by overly critical self-evaluations and other people.’s, evaluations of you In people with the obsessive, compulsive disorder, perfectionism often manifests in compulsions, or the need to do something. Like organizing things in a particular way or repeatedly doing something in a way that disrupts their normal life, Unlike perfectionism in typically functioning people or people with anxiety or major depressive disorder, people with OCD are perfectionists in response to the obsessive part of their disorder. Failure to follow through with perfectionist compulsions often leads to feelings of anxiety, panic, or a sense of doom that can harm their personal life and relationships As such. Praising people with OCD for their perfectionism or attention to detail can be harmful because it negates the uncomfortable and fearful feelings that motivate their actions. Not only that using the term OCD to describe a perfectionistic typical functioning person, downplays. The struggles of people who are diagnosed with OCD Two procrastination and major depressive disorder. While procrastination is a common trait, it can occur as a side effect of major depressive disorder or clinical depression. Research has linked brooding and lower levels of self-compassion, with procrastination to factors that are also common signs of depression. Other symptoms of depression that might cause procrastination are fatigue, difficulty, concentrating restlessness, and feelings of hopelessness or emptiness. It can be difficult for those experiencing a depressive episode to be productive because even small tasks like getting out of bed to take a lot of energy to accomplish Those who don’t understand how it feels to have depression may label those with major depressive disorder. As lazy or bad with time management, But their procrastination may stem from their disorder rather than their personality, Three suspicions, and paranoid personality disorder, While most people have jumped to conclusions or felt like they’re being watched at some point in their life. When these suspicions are almost constant, they could be a sign of paranoid personality disorder. Symptoms of paranoid personality disorder include fear that people in your life are trying to harm you without evidence, extreme distrust and suspicion that others will use your words against you, reading malicious intent in people’s benign or indifferent actions towards you, and lashing out. In response, Paranoia could also be a symptom of mental disorders such as schizophrenia or borderline personality disorder Because personality disorders affect parts of someone’s personality. It may be even harder for people without a mental health background to distinguish between someone,’s personality and their mental disorder. It’s important to have empathy in these situations and avoid telling people who have been diagnosed with these personality disorders that they’re overreacting because this creates a false narrative that associates paranoia with their personality, Four shyness, and social anxiety disorder. Although there can be an overlap between shyness and social anxiety, shyness is a personality trait that is usually defined as hyper-awareness of other people. Physical symptoms such as shaking and sweating, and quietness or withdrawal in social situations, While social anxiety is presented as more intense and distressing towards a person’s everyday functioning. In addition, the basis of shyness comes from someone’s personality, while social anxiety stems from fear. Shy people are usually aware of themselves in social situations and take a longer time to open up to and get to know others, but they don’t feel it as strongly or worry about it as much as people with social anxiety disorder. Do Social anxiety can cause people to panic, as a result, they often avoid social situations, because it triggers fear responses and they might be extremely fearful of people’s judgments. This anxiety goes far deeper than the discomfort that may come from shyness, Five egotism, and narcissistic personality disorder. You can probably think of a person who has talked themselves up and boasted about their successes at some point, But if this person vastly exaggerates their accomplishments, finds it difficult to empathize with others, and demand special treatment from everyone, including people of the same or higher qualification, They could be suffering from narcissistic personality disorder rather than an egotistical personality. Six impulsivity and bipolar disorder. Impulsivity is often seen as a fun and even desirable, trait, with self-help resources frequently encouraging us to switch up our routine, But in the case of bipolar disorder, impulsivity comes in the form of risky decisions that people with BD may later regret. Impulsivity in people with bipolar disorder usually occurs during manic episodes heightened moods that typically come with increased energy, multitasking and irritability, and an increased risk for dangerous or harmful behaviors. Examples of impulsive, behaviors, someone with bipolar disorder might do are spending sprees, gambling, reckless driving, unprotected sex, drug use, or binge eating and drinking, And although movies and TV shows often portray these actions as exciting, the real-life consequences include financial loss relationship, conflict property damage, health Complications and even death Glamorizing them takes away from what someone with bipolar disorder might be experiencing as a result. Seven distractions and ADHD ADHD is a mental disorder that involves three types of behaviors inattention, hyperactivity, and impulsivity. People who are diagnosed with ADHD may have one or a combination of these signs. People with inattentive ADHD, often forget things, have trouble, concentrating on a single task struggle to be organized, and have difficulty paying attention to others For a person who is less educated about ADHD. They may take negatively to a person with inattentive ADHD for not listening to them or caring about them when, in fact, their disorder makes it difficult for them to pay attention without getting distracted by their thoughts or external stimuli. Eight attention-seeking and histrionic personality disorders. There are many reasons why someone might seek attention or validation from others, including low self-esteem, self-doubt, and trust issues. But if someone is a part of the two to 3 of the population diagnosed with histrionic personality disorder, their need for external validation goes beyond seeking reassurance. People with histrionic personality disorder can feel worthless or undervalued if they are not at the center of attention and often react with strong emotional outbursts in response to these feelings, Those with HPD might also try to retain other people,’s attention through flirtatious and sometimes inappropriate. Behavior, bright, clothing, and bold claims, A person with a histrionic personality disorder is more than just needy or high maintenance, and labeling them as such can be harmful because it shifts the focus from their personality, affecting the disorder to their personality. Nine people pleasing and dependent personality disorder. Many people find it difficult to say no to others and struggle to set boundaries. However, people with dependent personality disorder feel an intense fear when they have to do anything by themselves, which can include everyday tasks like choosing when to wake up or what to have for breakfast. Those with dependent personality disorder are also more likely to stay in an abusive relationship, change jobs or move to stay with their significant other or another person. They’re dependent on and jump into a new relationship immediately after their previous one ends At the heart of it. All. The difference that sets personality traits apart from mental disorders is the impact it has on someone’s daily life Traits such as perfectionism and attention-seeking are okay for the majority of people, but when it comes to a source of significant stress in your everyday life, Preventing you from living normally, it may be a sign of something more and thus requires the advice and diagnosis of a mental health professional. It’s important to give people the benefit of the doubt. There may be reasons why someone is acting in a certain way that you are unaware of Again. Please note that this video aims to clear up different ambiguities and confusion surrounding personality traits and mental disorders, but does not claim to diagnose anyone with or without a disorder. Have you or someone you know ever experienced confusion between these traits and mental disorders? What was your experience with it, and how did you react? Let us know in the comments below, If you enjoyed this video and learned something new, please consider giving us a like and subscribing to our channel for more videos like this Thanks for watching and we’ll see you next time. As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease! ← https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи
According to the American Psychological Association People with anxiety have a future-oriented fear which leads them to avoid anything that could potentially trigger a stress response. In 2017, the National Institute of Mental Health reported that approximately forty million people worldwide suffer from anxiety Anxiety disorders are highly treatable but recent surveys show that only 36.9% of those suffering from it seek treatment This might be because most people with anxiety worry about the judgment of others and how the stigma against mental illness might negatively affect their lives. Does this sound familiar to you? Do you worry you might be suffering from anxiety and just don’t realize it? Here are 10 tell-tale signs of hidden anxiety to look out for. 1. You don’t like talking to people face to face. You can easily keep a conversation going for hours when you’re texting or chatting online with a friend but talking to someone in person… No… that’s an entirely different story. Even if you already know them well or have talked to them online you still get tense and nervous talking to them in person You have trouble making eye contact or finding the words to respond and you want to end face-to-face conversations as soon as they begin to 2. You’re always self-conscious. Do you walk into a room and immediately feel like everyone is staring at you, listening to you, and judging your every move? Or perhaps you’re overly conscious of the way you walk, the way you eat, the way you sit, the sound of your voice when you talk and so on This could be a sign that you have hidden anxiety 3. You’re easily upset or irritated. Has anyone ever told you you’re too sensitive? Do you find your feelings getting hurt easily? Are you quick to get angry or upset with others over the littlest things? This kind of emotional volatility may be a sign that you have high-functioning anxiety. As anxiety can often make us easily overwhelmed and emotionally imbalanced frequent mood swings, temper tantrums, and irritability can be expected when you’re overly anxious 4. You’re panicky and easily startled. Anxiety makes you want to be as in control and vigilant as possible. An unexpected phone call, a random knock on the door, an email with no subject, or a forgotten task you can easily finish. Anything is enough to send you reeling with panic. You go into a tailspin whenever something catches you off-guard and you find it hard to relax even when the smallest things don’t go exactly as planned. 5. You’re indecisive. Do you have trouble making even the simplest of choices? Are you afraid of making up your mind about something because you’re so sure that whatever decision you make is gonna be the wrong one? Oftentimes, anxiety can manifest as perfectionist tendencies, fear of failure, or distrust in oneself. If you can’t make your own choices without thinking about it for hours and hours first or consulting with all your friends and family, you might be harboring some hidden anxiety. 6. You overthink past conversations. You tend to get hung up on past conversations no matter how much time has passed since then. You analyze the other person’s body language, facial expressions, choices of words, and even the tone of their voice. You can’t help but think about what you should have done or said instead and it drives you crazy and keeps you on edge every time you remember it 7. You’re always making yourself busy It’s common for people with anxiety to have a strong need to keep themselves busy They’d like to occupy themselves with simple tasks and do as many things as possible in a day because sitting still and doing nothing for a long time can make them feel restless and on edge 8. You talk yourself down all the time. Life isn’t always kind to us and self-love and a balanced lifestyle don’t come easily. Living with anxiety, especially if it’s hidden or suppressed, can make it hard for us to feel good about ourselves and let ourselves feel happy. It makes us believe that we don’t deserve it and traps us in a vicious cycle of negative self-talk and constant pressure to be perfect. 9. You have a lot of negative thoughts. Are you a pessimist whose quick to find the downsides in every situation? Do you find yourself getting upset or stressing out over even the most minor inconveniences? Is every day a constant battle with yourself against the spiral of panicked and rational thoughts you have? In 1997, famed psychologist and cognitive therapist, Aaron Beck, termed this kind of thought pattern as catastrophic thinking, Which he often observed in his patients who suffered from anxiety. And 10. You experience physical symptoms. Sometimes anxiety can be entirely physical because while your conscious mind may not always be aware of your anxiety it will make itself known to your body. Things like erratic heartbeats, chest palpitations, muscle tension, a clenched jaw, shaky hands up a little sweating are all indicative of anxiety. Your body may be trying to let your mind know that you’re feeling anxious and stop it before it gets any worse. Do you relate to any of the problems listed here? Or do you do your best to seem ok? And hide your symptoms because you feel embarrassed about your anxiety? The truth is: you’re not alone and having mental health issues is nothing to be ashamed of. What do you plan to do next? Let us know in the comments below! Don’t forget to like this video and subscribe to Psych2Go for more psychology content. Thanks for watching and we’ll see you soon.As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease! ← https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи
Hi. I’m Lynette, from PanicAttackRecovery.com Through our videos we want to help you. In this particular video, I want to share
with you the benefit of exercise, particularly for sufferers of anxiety, panic attacks, and
agoraphobia. I will mention some findings which not only
demonstrate the benefits of exercising but illustrate how these might extend far beyond
what you might have imagined. You may have heard that exercise helps you
generate dopamine and other feel-good chemicals that can help you feel a sense of well-being. But there’s more … Dr. John Ratey, M.D. who has written a book called “Spark: The
Revolutionary New Science of Exercise and the Brain” explains how exercise, particularly
sustained aerobic exercise, promotes improved learning, memory, and executive functioning. Executive functioning refers to the ability
to organize a variety of tasks in our day-to-day lives, for example, the ability to initiate
and stop actions, monitor and change behavior as needed, and plan future behavior when
faced with novel tasks and situations. Additionally, Dr. Ratey reports that people
who perform sustained aerobic exercise are more mentally alert and attentive, less fidgety,
have longer attention spans, and their ability to sort through information and take it in
is increased. How does it work? As mentioned, exercise promotes the release
of brain chemicals that are very good for you such as hormones, neurochemicals, and growth
factors – which Dr. Ratey describes it as a fertilizer to help our cells function optimally
– including brain cells – which helps cells adapt and change. This is important because change is the neurological
process that allows you to learn. You see it is we learn by a process whereby
the brain changes. He explains that exercise also promotes neurogenesis
which helps the brain grow new brain cells. It turns out that exercise is the best-known
way to grow brain cells. How cool is that? You can grow your brain cells by exercising! It turns out that the research and findings
cited in Dr. Ratey’s book are backed by hundreds of more studies. Dr. Ratey also looked at exercise in school
settings, where many of the students had attention deficit hyperactive disorder, as well as other
disorders which inhibited their learning. By integrating an aerobic workout into regular
classes, students were able to increase their grades by an average of one grade point. Students also began to behave better, had
longer attention spans, and fidgeted much less. We think that realizing the connection between
exercise and panic attacks can be very helpful not only because of the reasons above. But the reason is that exercise allows you
to be in a controlled situation where are increasing your pulse. This demonstrates that you can deal with an
increased pulse – an increased pulse, as you are no doubt aware, is often one of the
concerns the sufferer has during a panic attack. I would like to mention a study completed
at Charite University Medicine in Berlin. This study found that 50% of subjects who
completed 30 minutes of daily aerobic exercise were able to avoid having a panic attack in
the experiment. Researchers wrote: “Our results for the
first time suggest that exercise has an acute anti panic activity.” Pretty good evidence for a correlation between
exercise and panic attacks. So what’s cool: The energy that one
might have invested in their anxiety, in the past, can be redirected to their well-being
through exercise. This realization in itself can make one feel
better. Be sure to
subscribe to our channel and like our videos if they are helpful to you. Please feel free to share our videos with
others who may benefit from them. Your communication is important to us. If you have any questions or comments, please
feel free to leave them in the in comments below. To get started with more help you can join
our free newsletter at: PanicAttackRecovery.com.As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease! ← https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи
Hi. I’m Lynette from PanicAttackRecovery.com. We’re a collaboration of former sufferers who are helping those currently struggling
with anxiety, panic attacks, and agoraphobia. However, anyone can benefit from our videos. One challenge for many people who have anxiety
is learning to say no. We discussed this issue with a psychologist
who ran a group for teaching assertiveness and he told
us about an interesting experience he had with the group. One evening, all of the attendees were performing
an exercise where the person next to them would
ask them to do something. They were simply instructed to say no in reply to whatever the other person asked them
to do. Many people had trouble doing this. Instead, they felt the need to also explain
why their answer was no. This is interesting because the situation
was a controlled group exercise and not a real-life situation. The important takeaway messages from this
example are the following: First: Many people have trouble saying no. Period. Second: Many people feel the need to reveal
additional information because they aren’t comfortable simply saying no. However, the problem is that by explaining
themselves, they often give the other person making the
request more of an opportunity to challenge their original
response. In other words, explaining yourself
makes it harder to say no in the end. Had you just graciously said no, that might have ended the discussion. We’re not suggesting that you should go
through life simply saying no all of the time. However, if you have a problem being assertive
in this regard, try practicing role-playing this suggestion with a friend. By practicing this suggestion over time you
will get better at it. Often anxiety sufferers can be helped by learning
how to be gracefully assertive in their relations with others. By learning polite assertiveness, you can
decrease your anxiety across several situations. We hope that you have enjoyed this video. To get more help with your anxiety, and obtain instant access to the 5 steps to
recovery from panic attacks and agoraphobia, just visit our website and provide your email
address. All of our information is free. Please visit our website at PanicAttackRecovery.com.As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease! ← https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи
Hi, I m Lynette from PanicAttackRecovery com. We are a collaboration of former sufferers who are helping current sufferers of anxiety, panic attacks, and agoraphobia. If you are a consumer of caffeine and a panic, attack, or anxiety sufferer, then you might consider this video to be an important one, To begin with. What are the effects of caffeine, Caffeine s effects include stimulation of the central nervous system, CNS, and stimulation of the cardiac muscle. It has been suggested that caffeine can lead to jitters, headaches, irritability, confusion, muscle, aches, heartburn, increased blood pressure, and other effects on the body. However, you might be asking the following question: is there any real connection between caffeine and anxiety, Authors of an article in the Journal of Caffeine Research completed a thorough literature review. The authors indicated that their review showed that caffeine produces behavioral and physiological effects similar to those produced by other drugs of dependence. The article points out that caffeine consumption has been associated with several negative health consequences, including anxiety, insomnia, hypertension, myocardial infarction, bladder instability, gastroesophageal reflux spontaneous abortion, and reduced fetal growth. So should you consume caffeine, You might be able to consume caffeine in moderation. However, it s important to become aware of all of the foods and drinks that contain caffeine and to consider the level of caffeine in each of these foods and drinks, For instance, consider the following caffeine levels: according to the Mayo Clinic Brewed cup 8 oz of coffee 95 200 mg Cola, 30 40 mg, Black tea, 14 61 mg Energy drinks, such as Red Bull, 80 mg. The Mayo Clinic indicates that you might consider reducing your intake of caffeine if you are consuming more than 500 mg of caffeine per day. However, ultimately, we would suggest that you may want to determine your tolerance levels to caffeine. We certainly don t recommend that you quit caffeine or cold turkey. If you are trying to quit, If you are trying to cut back, you should gradually reduce your caffeine intake levels. Instead of making big changes all of a sudden, You should remember that caffeine is a drug, so you may initially go through some withdrawal symptoms when levels are reduced. Withdrawal symptoms have been reported, such as headache, irritability, sleeplessness, confusion, nausea, restlessness, tremor palpitations, and raised blood pressure. You might be asking how to kick the caffeine habit or reduce the amount of coffee you consume. We would suggest you may want to think about two things. 1 Become aware of all your sources of caffeine by taking an inventory of all of your caffeine levels and 2. Consider substituting green tea in place of all or some of your daily coffee. Why green tea? Although green tea, has some caffeine? It s not nearly as much as coffee As mentioned, while a brewed 8 oz cup of coffee can have about 95 200 mg of caffeine. Green tea has about 14 40 mg of caffeine. Only In addition to subscribing to our YouTube channel, you can visit our website and Sign up for our free email newsletter, Obtain a range of articles about panic, attacks, anxiety, and agoraphobia, and Follow us on Twitter and Facebook. By taking advantage of these options, you can be assured that you will not be missing out on any of our resources. Please visit our website at PanicAttackRecovery com. .As found on YouTubeThis solution reverses kidney disease! Guaranteed to be effective or your money back: Beat kidney disease. Just by following a simple treatment plan, you can reverse kidney disease. No matter how old you are! Just listen to what people who have tried this solution have to say. “Thank God I came across your solution by accident! Dad’s kidney function decreased from 36% to 73% in just two months. He’s 90 years old! His doctor said people his age shouldn’t have kidneys that efficient!” Graeme Asham, QLD, Australia, And this… “No more dizzy spells! My creatinine has gone down from a staggering 1800 to 1100. My blood count has greatly improved and I’ve been taken off my blood pressure medication. Your solution works! ” Joe Taliana, 55, Malta Simply follow the scientifically backed solution and restore your kidneys, fast! => This solution reverses kidney disease! ← https://www.facebook.com/100000332115031/videos/590895892954739/ яαℓρн ℓєαмαи
this episode was pre-recorded
as part of a live continuing education webinar on-demand CEUs are
still available for this presentation through all CEUs registered at all
CEUs comm slash counselor toolbox I’d like to welcome everybody today to the
presentation love me doesn’t leave me addressing fears of abandonment the purpose of this
presentation is really to help us help clients increase their awareness of their story including
beliefs about behavioral reactions to situations that trigger their fear of abandonment so how
do we do that well the first thing we need to figure out is what fear of abandonment is and how
can we identify it in a clinical set setting then we’re going to explore the concept of schemas or
core beliefs and these are things that are formed in early childhood you know if you remember
prior classes we’ve talked about early childhood cognition is generally very dichotomous in children
young children don’t have the ability to look at that gray area so these schemas if they’ve gone
unchecked can lead to some very extreme belief patterns which lead us into common traps in
thinking reacting and relationships if your schemas are based on all-or-nothing you either
love me or you’re going to leave me hence the name of the book then your reactions are going to
tend to be more extreme and more all-or-nothing which increases anxiety because then anytime
a person who perceives any amount of disapproval obviously is going to go to that extreme so we
want to talk about bringing it more toward the middle line and helping people learn to appreciate
and love themselves for themselves while they may not approve of the behaviors of other people they can
still love other people so just because somebody doesn’t approve of your behavior doesn’t mean
necessarily that they’re going to abandon you so we’re going to talk about that and then we’ll
learn skills necessary to help people accept their past as part of their story maybe they do
have a lot of abandonment issues and you know some people do and it really is painful it cuts
to the core especially when those abandonment issues occur in early childhood when kids going
what that does so we’re going to talk about that and help people learn how to integrate it into
their present and we’ll learn the skills necessary to acknowledge that their past does not have to
continue to negatively impact them in the present so if they were abandoned when they were a child
you know we need to deal with that however if they continue to expect that every significant person
in their life will abandon them notice I use the word every because we’re still in those extremes
then they’re going that the past is negatively impacting them in the present so we’ll talk about
how to sort of moderate those belief systems how does this impact recovery whether you’re talking
about addiction or mental health issues connection is a basic human need we are not meant for the
most part to be Hermits in the middle of the woods there are introverts and in my husband’s an
introvert he has a couple of really good friends he needs quiet time each day he doesn’t need to
be surrounded by people and he’s fine but I mean we’ve got human connection he’s not going to be
one that’s just going to you know move out to the middle of nowhere I’m an extrovert on the other
hand and I tend to have a lot of acquaintances and a lot of friends I draw energy from
being around other people so just because someone doesn’t have 150 acquaintances doesn’t
necessarily mean they don’t need connections so we want to recognize that connection is a basic
human need when infants are born they are put on their mother’s chest when we embrace each
other whether it’s mother and child or friends or whatever a chemical called oxytocin is released
and it’s our bonding chemical we are programmed we are hardwired for connection and oxytocin is a
very rewarding chemical so we want to recognize this that if people are so afraid of abandonment
that they push everybody away what are they losing as far as quality of life as infants and children
survival is dependent upon the relationship with the primary caregiver so if mom or dad wasn’t
happy if mom or dad was rejecting the young child was pretty much helpless to think about a child
who’s growing up in a family that’s just riddled with addiction and mental health issues and the
primary caregiver or caregivers are completely emotionally unavailable they may be physically
there but they may be so high or so depressed or so psychotic that they cannot attend to the
children’s need what does that communicate to the child feels abandoned the child
feels a sense of neglect for people’s beliefs about other people and relationships were formed largely
based on their interactions with their caregivers so if this child was going mom I’m hungry and
nothing happened or worse yet child was going mom I’m terrified and nothing happened or they
were just given a pacifier and told to shut up then that is they were told they were communicated
to that their beliefs their feelings their wants and their needs were not important so they were
being rejected healthy relationships serve up as a buffer against stress so even if they had all
these negative experiences in early childhood teenage years you know maybe up until
they walked into your office it doesn’t mean it has to continue and how much can they gain from
having healthy relationships with a lot of clients that I work with who have pretty significant
abandonment issues can’t even fathom trusting someone enough to be in a healthy relationship so
we’re going to talk about how to sort of ease into that because you’re not going to say don’t let
your past influence your future and we’ll wave a magic wand and they’re ready to trust people
even once you point out that what happened in the past was largely not their fault or maybe not
even their fault at all they’re still going to have difficulty not accepting responsibility
and going everybody leaves me so what talk about that addressing beliefs that formed as a result
of these relationships the past dysfunctional relationships we can help people create a
new understanding of events was mom or dad or caregiver really being rejecting were you being
abandoned emotionally and physically because of you or because mom or dad just was able to do what
they needed to do to be a caregiver at that point in time they were doing the best they could with
the tools they had but it wasn’t enough to meet your needs so we want to talk about alternate
explanations for why parents and caregivers may have behaved in that way if you have a young child well
an adult now but who was put up for adoption or abandoned by their caregivers at a young age the
a young child was probably very confused because one moment their caregiver was there in the
next moment they were in the system so they were trying to figure out what did they do wrong and why
doesn’t that person love me anymore it must be me because children really can’t see well you
know mom is not able to function as a parent right now or dad is having difficulty coping we
want to help people better understand themselves in their reactions so that when they start getting
this urge to just cut all ties and be like you know what fine you know I’ll take my ball and go
home no problem what does that mean at there’s a certain point in all relationships in all healthy
relationships that you know sometimes people have to distance themselves from one another because
it’s becoming dysfunctional but for the most part, people will in relationships encounter
hiccups will encounter disagreements but in healthy relationships, they can work through
them in relationships with people who fear abandonment there are going to be two extremes
there’s going to be complete compliance and please don’t leave me or complete disengagement
and whatever I don’t care the final thing we want to do is help make people more conscious of
what they’re doing so they can make healthy decisions in their current relationships so when
they get that urge to either comply or disengage is that a healthy normative reaction right now
or are you reacting out of your past experiences the abandonment experience in childhood survival
depends on caregivers a four-year-old left alone for five days is not going to do so well you
know they may be able to scavenge food but once the food runs out where do they get it you
know there’s only so much that a child can do an infant can’t even get their own food
so survival depends on their caregivers and if their caregivers fail to meet those needs there are
high levels of anxiety and I will refer regularly to caregivers who are emotionally unavailable
and emotionally absent in addition to physically unavailable or absent because some parents and I
worked in the field of co-occurring disorders for over two decades and some parents just they are so
overwhelmed and so paralyzed by life itself they can’t even attend to anything else that’s going
on they’re doing good just to be breathing but if they have a child and that child’s needs are
getting neglected and fear of abandonment is a natural survival response when your food source goes away
what happens you start to freak the freak out so this is normal we look at this and say that that’s
that’s natural if a child thinks about the first time you take a child to kindergarten or pre-k
or daycare or whatever it is and you drop the child off even if they’re securely attached what
do they cry because they’re afraid that mom or dad won’t come back and they’re afraid of
this new situation that’s changed securely attached children will you know adjust and then be happy to
see mom or dad when they come back but the point is there’s that initial oh crap reaction meeting
biological needs and safety are key triggers for anxiety at any age so we’re talking about housing
we’re talking about safety we’re thinking about Maslow’s hierarchy if somebody is not meeting the
child’s needs or if the person is not getting their needs met then they may have high levels
of anxiety and I add to the safety concept not only physical safety but also emotional safety
people need to feel safe in their own heads and they need to be free from emotional abuse when
focused on survival people can’t focus elsewhere so if they’re not getting their physical needs
met guess what you know if you take somebody who is in pain who is sick who is hungry and who is
homeless are they going to work on self-esteem are they going to work on relationship skills
no, they’re focused on survival they need to have those basic needs met they need to have a certain
sense of security if they are in a situation that is dangerous physically obviously they’re not
going to be focusing on how can I better myself when they’re worried about somebody coming in
and hurting them physically likewise it’s hard to focus on how can I better myself when everywhere
they turn they perceive someone telling us you’re not okay you’re stupid you’re lazy you’re bad
you were the worst decision I ever made in my life they can’t focus on personal growth when
all they’re getting is these verbal beatdowns all the time so people need to have acceptance if
they don’t have acceptance kind of the opposite of acceptance is abandonment two kinds of extremes
again we’ll bring it back to the middle every stressful situation becomes a crisis the in
securely attached child now you can go back to and read Bowlby’s work on secure and all that kind
of stuff great reading but for the short version of this presentation remember that certs securely
attached children feel anxiety when their parents leave but then they can adjust and they’re happy
to see the parents return in securely attached children feel a great amount of anxiety when
their parents leave and are terrified that mom or dad won’t come back and then when mom or dad does
come back it’s your very very clingy or very very rejecting so with this child that’s in securely
attached it’s just like one to a hundred as soon as something happens that they think they may be
abandoned you see this pattern again in adults who are still struggling with these abandonment issues
that schema that they’ve formed and I’m getting a little ahead of myself that schema that they form
says if you let this person at your site or if this person disagrees with you or if this person
criticizes you they’re rejecting you and they’re going to abandon you so we want to you know check
in with those cognitions and look for trying to make those thoughts a little bit more helpful in
infancy or early childhood if caregivers were away for long periods of time because of work because
of military, if they were in jail if they just chose to be away or if they passed away children
may experience some abandonment issues now if the parents are away because a parent is a way
because of work or military or even jail and the other parent can help the child work through it
there’s much less drama if you will there’s much less issue with abandonment issues in totality
now if it’s whatever parent it is if the pay, if the father happened to be the one, went away
that person may have some residual issues with adult figures in their life that they need to deal
with but they may not know I’m not saying that every child of a soldier or a service person
is going to have abandonment issues that are so not true however if the experiences of the time
apart was not handled in a way where the child felt secure then it could have consequences that
are going into present-day if in early childhood caregivers were inconsistently or unpredictably
physically or emotionally present so think about a parent who has major recurrent major depressive
disorder addiction or is just ill-equipped to deal with a child when I was working at the treatment
center in Florida I had 14 15 16-year-old young women coming in and having babies and you know
what does a 14-year-old know about giving birth and raising a child so it’s not that they weren’t
necessarily trying you know they didn’t have great role models raising them in most cases and so they
don’t have anything to work with they don’t know how to be a parent they’ve never been taught so
it’s not always I don’t want to pathologize or make the parents look like bad people because
I believe that people do the best they can with the tools they have at any given time parents
don’t choose to be sucky parents sometimes it happens but I really don’t believe they choose to
anyhow off my soapbox in later childhood as the child becomes elementary school middle school
age if they’re a poor family fit or they feel like they’re the black sheep they just don’t
have the same beliefs that the other people do they don’t seem to have the same interest that
their family does they may not feel accepted especially if the family’s going no that’s wrong
to believe and invalidate them so going back to that psychological safety if they’re constantly
being told their ideas are stupid they’re wrong they have the wrong point of view and they can
feel very isolated something can happen that ruptures the relationship with the primary care
giver whether it’s abuse or you know some kind of other trauma and introduction of a new less
an emotionally or physically safe caregiver can also lead to abandonment if the child feels like the
biological caregiver chose a new spouse over him or her say if you see where I’m going with that
because if this new person comes in and is less safe is abusive in some way emotionally physically
sexually it doesn’t matter the child is going to feel like they didn’t have a voice the child
is going to feel like the biological caregiver didn’t care and brought this other person in
any way which leads to feelings of rejection and abandonment so what are the reactions
fight-or-flight whenever there’s a threat we fall back to fight or flight or freeze but we’ll
talk about that when there’s a threat our anxiety goes up and we say in the past in these kinds of
situations, if I fought, did I succeed if so then we’ve got fights in the past did I succeed and if
the answer’s no then the response is to flee pretty simply so anger towards someone who’s unavailable
if they got angry and felt like it got them some sort of acceptance from somewhere that might
be the prevailing reaction sadness when someone goes away a sense of helplessness this person
just left me shame or self-anger about feeling needy or about pushing someone away fears related
to rejection and isolation, nobody will ever love my loss of control or the unknown everybody
always leaves see how I’m using these extreme words again and fear of failure I can’t maintain
a relationship nobody wants to be with me because I’m not good enough so the questions for clients
in these situations what caused these fears as a child so when someone starts to have these fears
about a relationship if the relationship starts to get rocking first question is what is it that
you’re afraid of in this situation if you stay together what is it that you’re afraid of if this
the person leaves what is it you’re afraid of and how likely is it that this person is going to leave
based on whatever is going on right now so let’s get some objective evidence here and another
the tool you can use is the challenging questions worksheet in cognitive processing therapy if
you google it challenging questions worksheet CPT or cognitive processing therapy really helps
people walk through the logic in some of their cognitions and identify some know unhelpful
distortions so then after you figure out kind of what the fear is then we say what caused that as
a child in the past when you felt like this what caused that and how was this reasonable or helpful
you know in the past when you felt like this and you reacted in anger what was the outcome and
how was it helpful in some sort of way you know did it get somebody to pay attention to you did
it gets somebody to come comfort you, okay so you were identifying the function of the current
behaviors and then we want to say what causes these fears now a lot of times it’s the same symp
or similar stuff but we could say how are these reactions now unhelpful because as independent you
know adult-type people we can fend for ourselves we can put food on the table we can go to work we
can do we can function independently whereas this is a child we couldn’t you know there were just
some barriers to that does that mean again that we should live in isolation and say well
I don’t need anybody no that’s not what I’m saying what I’m saying is is these fears that
are overwhelming about abandonment that causes people to push others away or cling on like you
know whatever clings on uh are these reactions helpful in the present day you know do you still
need to hold on to people like there’s no tomorrow temperament based on their temperament children
need different types and amounts of caregiver interaction um some children are wide open and
easily overstimulated you know my son was that way when he was born well to this very day um
when he’s awake he is like the Energizer Bunny on methamphetamine I’m he’s just going going
going and talking and talking to himself and he needed a lot of structure and he would get
overstimulated easily but we were able to help him figure out how to handle that instead of
getting mad at him for what seemed to be acting out we were able to help him channel and figure
out when he needed to take a break the introvert may not need as much one-on-one attention with
the caregiver may need a comforting word here and there but they may not need the amount of
the attention that an extrovert may need an extrovert tends to need more interaction with parents with
family with other people because they draw energy and they think while they talk and they think
while they talk with other people so they feel a lot more isolated if they are isolated so we
want to understand the person’s temperament and how they may or may not have gotten their needs
met how they may have been told they were wrong and invalidated when they were younger and you
can hear some of this is kind of going towards Linda hands DBT environment um but what we want to
look at what do you need now how can we create an environment that’s accepting and welcoming
to you now based on their needs and caregivers’ reactions children form schemas or core beliefs
about the world and others so if they state their opinion and it’s squashed or it’s ridiculed then
they’re going to form this core belief that it is not safe ever to share my opinions because I am
always wrong now we’re talking about children here but a lot of times think back for yourself there I
think most of us have at least some all-or-nothing dichotomous thoughts that come in every once in
a while and you know we can catch them but if these dichotomies go unaddressed the person starts
feeling very lost and very abandoned because it’s all-or-nothing important points about children
under 7 from 8 to 12 children are developing alternative cognitive skills they’re
starting to be able to think abstractly they’re starting to be able to see the gray area and
alternate explanations but even you know during that period so zero to 12 children are having
difficulty envisioning all the possibilities so anything that happens before that we want to
encourage them to look at the schemas that were formed and challenge them to examine whether they
are currently accurate and helpful children think dichotomously when they’re that young it’s all
or nothing it’s good or bad it’s not kind of sort of something it is what it is I mean even think
about thinking back to grades that we would get it was satisfactory or unsatisfactory there was
no ABCD F when we were in elementary school and I don’t remember middle school then it was a
dichotomous grading scale you either did it or you didn’t children are egocentric so whatever happens
they say what was it about me that made this happen if mom’s in a bad mood what did I do if
you know Mom is rejecting well that was stupid I’m stupid children are very egocentric so you take
all or nothing combined with all about me and you can see we’re creating the perfect storm of children
can only focus on one aspect at a time when I work with adult clients you know they come in and they
tell me that they had an interaction with their boss he was walking down the hall and he was in a
bad mood and I just knew I did something and so we talked about that and I’m like how do you know
that because he had it he had angry look on his face okay what are some other possibilities what
else might have been going on with him at that point in time and a lot of times we can brainstorm
ideas about a call he just got or where they just left a meeting that didn’t go so well or who
knows what else in this day and time when we’ve got our cell phones and PDAs and everything
there are a lot of things that can trigger a mood besides just whoever you pass in the hallway
children can’t think about those other things that might have triggered the mood they see somebody
unhappy and they’re like I’m sorry um so we want to encourage as adults we want to encourage them
to say all right what are the other possibilities even as children I try to work with my kids
to encourage them to look at alternate reasons why somebody may be acting a certain way children
can’t think abstractly and consider those possible options um even with kids you know knee-high
to a grasshopper, if you’re in a situation and maybe in a store and somebody behaves not kindly
to you, you can talk about that later with the kids and say you know that was kind of unpleasant to go
through what you think might have caused that and brainstorm three ideas my favorite number is
three I don’t know why but brainstorm three ideas for alternate explanations for why that person
may have been in an unpleasant mood if children learn to do this when they’re younger it’s a
a lot easier to transition to as adults schemas are a broad way of perceiving things based on
memories feelings and thoughts basically it’s our go-to perception of what something’s going
to be like we have schemas about everything if you go to church you have a schema about what’s
going to happen when you go to your mother’s house you have a schema about how mom’s going to
behave and what’s going to happen we form these it’s our brain’s short shortcut instead of having
to analyze every situation it says oh I remember this been here before it’s probably going to be
like X Y Z unfortunately sometimes things change and one of the things we see in addictions
treatment as is as caregivers into recovery and really get a hold on it and start working that
a new way of life and sobriety and all that stuff old family members or family members still expect
that old behavior they have that schema that when Jane comes in this is what’s going to happen
because they’re remembering how she behaved and acted in her addictive self so we want to help
people identify their schemas and check them sometimes they’re still accurate sometimes not so
much schemas that trigger abandonment fear center around the cell acceptability is this person going
to like me which is one of the reasons we do a lot of self-esteem work in reducing abandonment fears
because we want to reduce the need for people to solicit external validation we want them to say
I’m all that and a bag of chips and I would love to play with you but if you don’t want to play
I’m okay with that love ability if they were told they were unlovable if they perceived
they were unlovable then in the present they may fear isolation they may fear that they’re not
lovable so they will try to do whatever they can or likewise they will build a lead wall that is 5
feet thick all the way around them so nobody can hurt them they may have fears about their own
the competence you know thinking back to Erikson you never thought some of these theorists from the
past would keep coming up even in current practice but they do if a child going through that period
of industry versus inferiority Erik Erikson’s stages of psychosocial development and they felt
like a failure, all the time or they were never good enough the parents never recognized their
positive achievements then they may question their own competence and feel like a failure if they
feel like a failure they may feel they may believe that nobody wants to be around them so they will
leave so if I fail they will leave and fears may center around adaptability some people are not
able to tolerate any loss of control they’re just like that they’re holding on with a death grip to
the relationship to anything that’s going on and it starts to go wonky they are going to freak out
so we want to look at what it means if you’re not in control of everything what does it mean
if you trust that this person is going to do the next right thing if you are doing the next right
thing as well schemas that trigger abandonment fears can also be sent around center around others
if someone is rejecting distant cold or is unable to handle the person’s needs then the person may not
feel acceptable so if they are in relationships with people like this then we need to look at is
Is it you who’s not acceptable or is something else going on with that person that may be making
them unable to deal with anybody else’s stuff right now the person may feel isolated if other
people are absent if people fail to keep promises they may feel like nobody’s ever there for them
competence if other people are always critical then the person will question their own competence
and if others are unpredictable a lot of the time when people who have anxiety about abandonment
they come from situations where other people have not been predictable or if they were they were
unpredictably absent and relationship of self to others if they are afraid about their ability to
relate with others if they’re afraid of rejection if they’re afraid that if they start to love they
will be rejected and then they will be isolated forever if they are afraid of the unknown and they
I just want consistency more than anything and as soon as consistency starts to waver a little
a bit because as we grow things change and people with abandonment issues don’t like things to
change because that’s not predictable and that’s not consistent so they may have difficulty if one
the person starts to change what they do I see this a lot not saying that it’s an abandonment issue
necessarily but when law enforcement officers retire you know because they can retire after
20 years so they may start a new career and that causes a lot of change schedule changes
they’re not law enforcement anymore and the spouse sometimes has culty adjusting to it as
does the retired officer but controllability if the person holds on to relationships and
everything in their life with white knuckles because they’re so afraid if they let go of
control that they are going to disappear or disintegrate then if something seems like it’s not
in their control, it’s going to be a catastrophe so attachment Styles secure if there’s an
emotionally available caregiver the child will seek the caregiver for comfort and guess
what the caregiver will be there and will more often than not meet the need for comfort with the
the correct type of comfort so hungry cold scared kind of following the child’s upset when the caregiver
leaves especially in new situations but the child gets over it it’s not a child that’s going to sit
there and cry for eight hours and then the child’s happy when the caregiver returns in this kind of
attachment the child learns to trust others will be responsive to their needs and validate their
needs a child learns to be self-reliant and try new things but if they fail they know they can
return to the home base they can go out and go well that didn’t go as planned and the caregiver will be
there to say alright let’s figure out what to do next not you are such a failure the child learns
to adapt to a variety of situations because when they’ve been faced with something that’s a little
scary caregivers been there to kind of coach them on and go you got this it’s scary I got it but
you can do it the child learns to deal with stress because the caregivers are there to coach them
or to process it with them afterward because the caregiver is not always physically there but if
you’ve got children you know sometimes they’ll come home from school and they’ve had a really
bad day and you’d pull them aside and go you know what’s going on let’s talk about it so in this way
the child learns to deal with stress and the child learns to have accurate expectations of others
in the secure attachment, emotionally available situation remember children are egocentric so
if mom’s upset the child goes what did I do or oh my gosh I hope mom’s not going to leave in
a secure situation sometimes the parent has to say something like mommy had a really bad day at
work today has nothing to do with you I need to go take a timeout that helps a child understand
that you know what it’s not all about me and I can understand that sometimes moms upset for
something besides me and I can understand that if moms up said it doesn’t mean she’s going to
leave so obviously this is the ideal situation avoidant attachment styles the rejecting or harsh
caregiver the person depends less on the caregiver for security because every time they go saying, mom
mom, I had a nightmare can I come into bed with you they’re met with going back to your own bed and the
caregiver rolls over it’s not oh I’m sorry you had a nightmare let me walk you back to your room
when the child is separated from the caregiver there’s little response when the caregiver leaves
or returns because the kids like what uses that person to me the child learns not to depend on
a caregiver for comfort connection or security now imagine yourself a four-year-old child or a
six-year-old child thinking I can’t count on my caregivers for comfort connection or security
that must be a terrifying place to be and I can see why you would develop some pretty strong
defense mechanisms the ambivalent relationship between the cave caregiver is inconsistent or can bow can’t
talk caregiver is inconsistent or chaotic this is really true in a lot of homes where there are
at least one parent who is battling some sort of addiction or mental health issue so the parent
may or may not be available you don’t know what the good days are going to be you don’t know what
the bad days are going to be so the child may be anxious and afraid to try new things or explore
because they’re like things are going good right now I don’t want to top will be an applecart just
going to sit here and ride it out a child may be clinging and demanding trying to elicit a response
remembering negative attention is better than no attention at all and the child is upset when the
caregiver leaves but also inconsolable when the caregiver returns because you know I was upset
I was scared you went away but you came back and that’s good but I don’t know when you’re going
to go away again and if you’re going to come back so it’s this constant anxiety of abandonment
core abandonment beliefs all people leave so we want to challenge that by identifying exceptions
mistrust people will hurt reject take advantage of me or just not be there when I need them you
know what that’s true sometimes because people have their own stuff so when this happens let’s
look at whether it’s happening all the time and/or let’s also look at what else might be going on
with that person that caused them to hurt reject take advantage or not be there when you needed
the emotional deprivation I never get the love I need nobody understands me cares about me or even
ever tries to meet my needs here how dramatic and extreme that is so one of the things as clinicians
we can do is say if you are getting the love you needed what would it look like what
would be different what is it that you need that you’re not getting once we identify
then we can create a plan to get it but a lot of times other people don’t understand or may not
be able to interpret what you need so let’s help let’s try to figure out how to make this happen
nobody understands me alright let’s talk about why that might be and you know let’s look at some
people who’ve kind of gotten a grasp sometimes with clients with abandonment beliefs nobody
understands me translates to I don’t give a buddy a chance and I cut them off as soon as they become
confused and because they associate confusion with the rejection so we might talk about communication
skills we might work on what it is that people don’t understand and how to better communicate
that and where to find people who have similar interests nobody ever even tries to meet my needs
you know here I would really look for exceptions but I would also challenge the person and I would
say when do you meet your needs what do you do to take care of yourself a lot of times
clients with abandonment beliefs are so freaked out and afraid of being abandoned that they’re
not taking care of themselves either they’re just living and are paralyzed going back to fight
flee or freeze they’re living a paralyzed state of I want to be loved but if I love I’m gonna get
hurt and I don’t know what to do they don’t even love themselves so we want to start talking about
if you had your best friend you know create this best friend persona what would he or she say to
you what would he or she do right now let’s try to help you understand yourself with mindfulness exercises
are really good here because a lot of times these clients don’t understand themselves they’ve got
so much anxiety they’re so afraid and they don’t know where it’s coming from because a lot of
it has been going on for so long defectiveness if people knew me they would reject me you know
not everybody’s going to like you why do you need everybody to like you why is it important that
everybody likes you and failure I don’t measure up and I’m not able to succeed I usually put pull
out the obnoxious quote that if you haven’t failed you haven’t tried and we talked about what it
means to get outside your comfort zone and you’re not going to be perfect at everything you’re not
going to be Michael Phelps you’re not going to be the president of the United States that doesn’t
mean that you’re a failure that definitely doesn’t mean you’re a failure so what things are you
good at what can you and have you succeeded at and go back and look over things like you graduated
high school, not everybody does that you know raised a family not everybody does that so we
want to challenge all nothing’ languages we want to look for exceptions and we want to look
for in what ways can you provide yourself the validation so you don’t fear abandonment you don’t
need other people to tell you you’re okay because guess what you’re telling yourself I’m okay and
before I go on to unhelpful reactions I do want to point out that if we tell people to tell
themselves you know I’m okay that sounds great but if they don’t believe it if it’s not supported
with evidence, it’s actually probably going to slow their growth because they’re sitting there going
telling themselves I’m okay and in the back of their head going you know you’re not so we need
to get that internal critical voice to kind of hush up by providing the person with the objective
evidence of why they’re okay why they’re good enough and that’s a slow process it’s not going
to happen overnight but encourage people to figure out why they believe what they believe and then
you can work from there okay unhelpful reactions fighting with someone you don’t want to leave
me because so the person may engage in dominant sort of posturing behavior aggression hostility
blaming and criticizing trying to tear down the other person to say you know what I don’t care
and you should be grateful that I’m in your life recognition seeking to get attention validation
or approval so if they feel something’s going wrong in a relationship they may start trying to
do something to gain recognition to prove that they’re worthy of a relationship for what they do
versus who they are manipulation and exploitation said lying justifying I did this because you made
me so sometimes we all occasionally do things that aren’t the nicest people who fear abandonment
have difficulty saying you know what I screwed up and they’re more likely to go you made me do
I wouldn’t have done it if you would have X Y & Z people again who are worried about a relationship
is going to fall apart and may also make excuses for other people’s inappropriate behavior it’s like
you know I really hate what this person does but if I don’t make excuses for it if I condemn it
then this person is going to leave in counseling we can talk about the difference between loving a
person and loving a person’s behavior you know I love my kids to death there is no question about
that but some of their behavior makes me want to climb a wall I’m very clear to separate from them
the difference between the behavior that I dislike and them because you know like I said I love them
to pieces and we want to help people start making this differentiation if they don’t do it already
and clinging and chasing is the other fight reaction stalking and messaging somebody 47 times on
Facebook in an hour all these kinds of behaviors and even online bullying those sorts of things can
be fight reactions in response to feeling like there’s a threat of abandonment flight is more
of the I don’t care if you leave so the person will withdraw physically and emotionally and
maybe even numb themselves with some sort of addictive behavior or distract themselves with
something completely different or find a new person just proof that you know what I didn’t
need you because I’ve got this new person now questions for clients about core beliefs
all people leave okay so what does it look like if somebody’s available to you if they
don’t abandon you who in your past left you or was unavailable emotionally now a lot of
I find it helpful for mental health and addiction clients to have them write an
autobiography because then we can go back and kind of review it and identify the core
people at certain stages in a person’s life what did the person who left you do to make you
feel rejected or abandoned in retrospect you know it was hard to see the difference what
was going on back then because you were a kid in retrospect what are the alternate explanations
for why this may have happened was it really you or was it more about them who in your past
has been available to you emotionally most of the time people can point to one maybe two people
who have generally been there it’s unreasonable to expect someone to always be there who in your
present is available to you emotionally you know maybe they’ve only been in your life for six
months or a year but they are available and I say emotionally because you know not everybody can
be available physically all the time we’ve got jobs kids all that kind of stuff but can you pick
up the phone and call them or text them and say hey you know what I’m really struggling right now
what do you do in your current relationships that cause people to leave do you push them away if so
how what are alternatives to pushing them away cutting all ties and just saying fine be that way
I wipe my hands off you if you cling how do you do this in what ways do you perceive yourself as
being clinging and what are some alternatives to holding on with all desperation and mistrust people
will hurt reject or take advantage of me or just not be there when I need them so again what does
it looks like when somebody’s or what does it feel like when someone is trustworthy and safe who in
your past was untrustworthy or unsafe what do they do they taught you this and what are alternate
explanations who in your past has been trustworthy and safe who in your present is available and
trustworthy what do you do to yourself that is unsafe or dishonest that’s one of those tricky
questions you’re there talking about other people other people then it’s like what
do you do to yourself how do you lie to your self or how are you mean and hateful to yourself
how does your distrust of other people or even yourself impact your current relationships some
people distrust their own internal intuition so much that they don’t want to make friends with
other people they’re like I can’t tell who’s going to hurt me and who won’t so just yeah I’m
going to wipe my hands of it all what could you do differently what do you think you could do
in order to start building trust and what does it look like to build trust because Trust doesn’t
just appear it builds gradually emotional deaths deprivation I don’t get the love I need nobody
understands me so again what does it look like when somebody understands you and meets your
needs who in the past failed to meet your needs emotionally and how can you deal with that now
you know it may have been mom it may have been ex-husband it may have been you know who knows
how can you deal with it now yourself so you can put it to rest who in your past is understood
you who in your present understands you how can you start again better understanding yourself
because it’s hard for other people to understand us when we don’t even understand ourselves and
what can you do to start getting your needs met you one of the things was starting to get your own
needs met is to figure out what your needs are and this is one of the exercises I have people do as
a homework assignment they keep track of what is it they want on a daily basis keep a log and then
let’s talk about what common themes were seeing if people knew me they would reject me okay so how
do you know when you’re accepted or acceptable to someone who when you’re past may make you feel
defective are there alternate explanations and how can you silence those old tapes because
that person that statement stays as a heckler in the gallery we need to hush the heckler what
can you do part of it could be talking back and saying you know what I’m not going to listen
or I don’t have time for this right now who’s been accepting and supportive who is in your life
that’s accepting and supportive and how can you start accepting yourself and being compassionate
so some compassion focus training mindfulness work to help people understand themselves and start
being compassionate with themselves understanding their vulnerabilities and cutting themselves some
slack I don’t measure up I’m not able to succeed okay that’s a pretty big success you know what
is what success means success means different things to different people so what does it look
like to you to be successful let’s kind of hammer that out what is it if you are successful what
would be different what in your past has made you feel like a failure what are some alternate
ways of viewing it such as a learning experience or something I had to go through to grow or you
know brainstorming alternate explanations for why people fail they don’t have a response to
sometimes I ask them to kind of take on a flip role and say pretend you’re a parent and
your child comes home and they’ve tried out for the football team and they didn’t make the team
they failed what are you going to tell on what have you succeeded at doing in the past what are
you good at in the present and we really want to pay attention to minimization here because a
a lot of our clients are not good at identifying their strengths what does being successful mean in
terms of your relationship with others do you have to be successful in order to be loved and be a
the good relationship you know obviously you’re going to be successful in a relationship if you’re
but do you have to be financially successful and powerful all whatever you define success as in
order to be in healthy relationships who are three successful people you know and what makes
them successful in your eyes does success equal happiness you can do a whole group on that and
what do your kids need to do to be successful in life you know we want our kids to succeed in us
want our kids to be happy so what is it that I envision my child’s life to be 10 to 15 years from
now triggering relationships the abandoner is unpredictable unstable and unavailable the
an abusive relationship is untrustworthy and unsafe the deprived err depriving relationship the
a person is detached or withholding the Devastator is always judgmental rejecting and critical and
the critic is critical and narcissistic usually a lot of times people replay their past to try to
kind of get it right the second time so we want to look at do you have a habit of getting into
relationships with people who are not safe we can also ask them how do you exhibit these behaviors
in what ways are these behaviors present your current relationships and in what ways were these
present and your primary caregiver relationships behavioral triggers abandonment and mistrust
if somebody starts acting differently they change their behavior in some way a person who fears
abandonment goes oh that’s not good if they’re not getting constant reassurance that’s
that external validation can trigger abandonment fears so again we want to work
on internal validation and why is it that you feel you need constant reassurance from the other
person’s relationships feel threatening so work relationships those sorts of things the
a person who has abandonment issues won’t want their significant other around other people
and they become hyper-vigilant to rejection and disconnection even if it’s just somebody
going I had a really bad day I need 20 minutes and go into the room and shut the door
the person with abandonment issues will likely have a high level of anxiety so we want to ask
how these behaviors have threatened them in the past what are alternate explanations for why this
is happening with this person right now and what would be a helpful reaction to these behaviors
now so this is happening what would be a helpful reaction instead of assuming that the sky is
going to fall defectiveness and failure so if somebody is critical if they have unexplained time
apart there’s absent or inconsistent reassurance or if the person tells them they’re a failure
these or they fail at something these could all be behavioral triggers they could be like I
failed at something I’m not getting reassurance that this relationship fixing to end question how
is this threatened you in the past alternate explanations and what would be a helpful
reaction to this particular situation right now envisioning activity what does a healthy
the relationship looks like presence versus abandonment acceptance versus rejection emotional support
versus emotional unavailability trustworthy versus untrustworthy and safe versus harmful
these are extremes what does it look like to be a middle ground there are going to be exceptions
you know things are going to happen so what does a healthy relationship look like and how to do you
deal with exceptions if somebody’s not always present how can you create this relationship with
yourself that’s the big one and then how can you create this relationship with others’ mindfulness
questions what am I feeling what’s triggering it am I safe right now and if not what do I need to
is this bringing up something from the past if so how is this different how am I different
then I was when I was six or four and how can I silence my inner critic finally what
would be a helpful reaction that would move me more toward my goals and toward a positive
emotional experience summary core beliefs about the self and others are formed in early
life due to children’s lack of knowledge of other experiences and primitive cognitive abilities
these core beliefs are often very dichotomous core beliefs can be formed around events or
experiences outside of the conscious memory identifying and being mindful of abandonment
triggers in the present can help people choose alternate more helpful ways of responding in
the present in secure and loved me don’t leave me are two really excellent books
there are google previews if you want to look at them to see if it’s something that you like
but they do take what we talked about in this presentation and expand upon it a whole bunch
more if you enjoy this podcast please like and subscribe either in your podcast player or on
YouTube you can attend and participate in our live webinars with doctor Snipes by subscribing
at all CEUs comm slash counselor toolbox, this episode has been brought to you in part by all
CEUs com provides 24/7 multimedia continuing education and pre-certification training to
counselors therapists and nurses since 2006 used coupon code consular toolbox to get
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this episode was pre-recorded
as part of a live continuing education webinar on-demand CEUs are
still available for this presentation through all CEUs registered at all
CEUs comm slash counselor toolbox I’d like to welcome everybody to today’s
presentation on common co-occurring issues exploring the interaction between mental health
physical health and addiction so we’re kind of putting together the stuff that we’ve been
talking about for a couple of sessions now we’re going to start by talking about some
questions and then reviewing what a healthy person needs and then going through and talking
about how different addictions may cause or be caused by mood disorders and physical health
issues and we’re going to talk about things that you may see in private practice or the
a facility that you’re working in just real quickly for those of you who are here how many people if
you would just type in the chat window if you’re a mental health counselor type mhm if you are a
addictions counselor type SI or whatever so just kind of so and know who I’m talking to you okay
so mostly mental health ok cool so what we’re going to look at is what you may
see in private practice or a mental health setting because these clients a lot of clients
that have substance abuse or addiction issues and I use the term addiction because we’re
talking about behavioral addictions too many times they don’t meet the criteria for admission
for substance abuse because they don’t meet that threshold of a substance use disorder tolerance
withdrawal yay yay so substance abuse agencies can’t get funding to provide the treatment so
they end up in a mental health facility or a mental health counselor’s office and they may
be dealing with some of these addiction issues and wanting to address them or they may not be
but those issues are out there and exist so we want to know how they interact so told you
we’re gonna have a couple of questions to think about and I’m just asking you to ponder these for
right now and you can add throughout the class if you want but we’re gonna talk about it more at
the end how can we and why is it important to address chronic illness and disabilities
that result from or that cause mood disorders or addictions so thinking about you know like
HIV or hepatitis are two of the big one’s cirrhosis of the liver chronic obstructive
pulmonary disease from smoking so these are things that can result from addiction why or how
is it important for us as clinicians mental health clinicians mainly to think about addressing these
how can we address depression and/or anxiety kind of our mood disorder genre and hopelessness that
results from or causes depression and anxiety so we know that thinking back affects acceptance
and commitment therapy there’s clean discomfort which is what he calls your initial emotion
when you feel something if you feel depressed if you feel anxious that’s how you feel and
it’s uncomfortable but it’s clean it is it is what it is and then he calls dirty discomfort
the feelings that we have about those feelings so we can get angry that we are depressed we can
get depressed that we’re still depressed and he calls that dirty discomfort because we’re kind of
layering on and piling in think about just kind of throwing somebody into a hole and piling more
dirt on top of them so we want to think about how can we address these issues that result from
depression or anxiety or sleeping eating or energy changes so if you’ve got somebody who is dealing
with a chronic illness or something else has happened or they’re they’ve got some sort of
an addiction and they are not eating well not sleeping well it could trigger depression or
anxiety so we’re going to talk about that how can we address sleeping eating and energy changes
seems like we’re getting repetitive we’re looking at how each one interface and how can we address
these things that are caused by or cause mood disorders or addictions because we know when we
look at the diagnostic criteria for depression for example sleeping eating and energy changes
primary in there and how can we address guilt and regret which may accompany addiction recovery
or the diagnosis of the disease as the result of addiction such as lung cancer or HIV or cirrhosis
of the liver and people who have liver disorders cirrhosis of the liver and hepatitis are at a
greater risk of liver cancer so that can they can have some additional anxiety that is related
to that so they may look back and go I wish I hadn’t well you have so how can we help you deal
with that and come to some level of acceptance so my little editorialized soapbox when we’re talking
about addictions I mean sometimes we don’t want to think that they exist we want to pretend that our
clients are coming in their mental health clients otherwise their perfectly healthy things are
going great well that may not be the trick the case a lot of people begin to use and I mean
think about ourselves when we’re when we were in high school and college or you know even later
some people use it for recreation you know they want to go out have a few beers do whatever cool you
know that’s fine some people drink or use it for relaxation my son has a love of we will use that
word videogames and he will get on his videogames and we’ll kind of get lost in it it helps him
escape from you know life as we know it for a little bit of time some people use
because of peer pressure you know it’s everybody’s doing it or you know you’re at a football party
or something and everybody’s having a beer and somebody offers you one and you don’t want to be
rude things like that can happen and some people begin to use straight up for self-medication
they’re like I feel crappy I need something to help me feel better or numb the pain so there’s
a lot of reasons people begin to use so then you might say well why don’t they just say no because
it’s easy to say no well it’s not some people start to use it because they’re bored and
they want something to bring some excitement some euphoria to their life and we’re talking about
everything from sex addiction to internet addiction to cocaine use I mean we’re running the gamut here
they may lack the awareness of the dangers or how quickly you can become addicted I know when I was
working in the facility in Florida there was the sort of knowledge if you will and knowledge is not
the right word rule I guess that with crack cocaine for some people, it was a one-hit wonder
you did it once and you were hooked and several drugs can be highly addicting
quickly especially if they’re taken either through injection or inhalation but we’ve talked
before about the fact that our bodies can start developing tolerance to opiates within 3 to 5
days so you know people may not a lot of people don’t realize when they go in and their doctor
writes him a script for two weeks of opiates and they take it as prescribed that they’re actually
becoming somewhat addicted to those opiates if they take the whole prescription so they may not
understand that some people don’t say no because they have low self-esteem so they’re looking for
comfort to help them relax to help them loosen up so they can be more fun at the party and or
to peer pressure somebody tells them why don’t use or why don’t come out and go drinking
with us or whatever the case may be so to fit in they may try to use it to fit in to feel
part of a crowd and part of it can also be you know with that peer pressure just generally the
culture promoting this kind of behavior going it’s ok I think I’ve shared with you before at
At the beginning of some of the original Beverly Hillbillies episodes they still advertised Winston
cigarettes, like they are the greatest thing and cool people, have them and that’s the thing to
do so if that message gets out people may start believing it and not do their research so to
speak on what the true problems or risks may be and then again self-medication some people may
be struggling just to get by from day to day and this helps them survive the best they can with the
tools they have until we give them some new tools so just saying you know I had I grown up
during the era of Nancy Reagan and you know God loves her she was trying to help and for a certain
small percentage she probably did but for a larger percentage just saying no is not that easy we need
to give people the tools so they can say no so they don’t so they aren’t relying on these drugs
for some reason because when people start using it for recreation and relaxation some people may not
have a big big issue with it other people may start throwing their neurotransmitters kind of out
of whack depending on how much how often they use what combinations if they’re on any medication so
people may inadvertently start messing with their neurotransmitters and creating and we’ll talk
about this creating depression or anxiety that they end up trying to self-medicate so that
that is my soapbox for it is not that easy to just say no we as a culture not just as clinicians
have some work to do so what do we need to do to help people be able to just say no
they need to have access to healthy nutrition and knowledge of what that means my son and it’s
still like drawing fingernails on a blackboard to me today this week, I told his sister that you
no, he didn’t understand why she was so concerned with the nutrition he’s a guy he doesn’t need to pay
attention to nutrition it’s just whatever and I was just like oh my gosh you know everything I’ve
said has fallen on deaf ears but okay we’ll back up and figure out a way they need access to
it and then they also need to eat it you know if we have healthy foods available but people are
still eating peanut butter and jelly sandwiches for every single meal it’s not going to help so we
need to make sure people understand what a healthy diet looks like and how to do it in a way that’s not
painful you know we’re not asking you to just eat rabbit food as my daddy used to say but so what
does it look like to eat a diet or nutrition that makes you feel good that’s happy that makes you
feel happily fulfilled you like it tastes good whatever you want to say but that’s also
healthy you know it’s not just pizza or just peanut butter we need to educate people and a
lot of adults that I work with have no clue about sleep hygiene you know they know they’re supposed
to try to go to sleep but they don’t know anything about turning off the blue turning on blue light
filters so the blue lights are not keeping them up so we need to do some education here ideally in
elementary schools but if we can get it out to the community so they can pass it on to their little
minions we’ll be on a good path to pain control we need people to start having pain control but
we need to also have them have alternatives to pain control besides opiates and there are a lot
of them out there again people don’t know about so we must educate and we’re not
prescribing pain control that’s not our job but if we have a client who’s in chronic pain we can
suggest that they work with their doctor that they look into options for pain control you can google
it and find a lot of different alternatives now if they don’t want to go to the doctor but you
know there are a lot of different things from acupressure it attends units to things that are
nonpharmacological that can help people manage their pain so they can sleep which will help
the rest and rebalance to deal with fatigue and be able to deal with life kind of on life’s terms
because they won’t be in this constant state of stress people need access to regular medical care
to prevent problems so you know we want to prevent this thing on your face from becoming skin cancer
we want to prevent anything else that that might trigger problems and early intervention so like
with Lyme disease, if people get early intervention mentioned they don’t end up with the chronic
problems with HIV the earlier the intervention the better same thing with hepatitis you know
the list goes on so we want to make sure that if people have some sort of issue that’s disrupting
their ability to get enough sleep process nutrition go to work do any of these things that
they have access to some method whatever method they need to address it so sometimes it’s medical
sometimes it’s mental health it’s social services they need safe housing so we’re on to
social services now and that includes a roof over their head that they’re not worried when
they go to sleep at night but also being safe from domestic violence and things like that safety
and this kind of goes with safe housing and I put internal and external because you know the first
part is external safety we want to be able to know that our patients can relax wherever they’re at
they have enough money to keep a roof over their head in a safe place and you know typically that’s
not something that we think about as mental health counselors we think about helping them deal with
their anxiety but if they can’t get enough sleep and they never feel safe when they’re at home
they’re not going to be able to rest and they’re at best their recovery is going to be impeded at
worst you know it’s going to contribute to the issue that they’re seeing us for so safe housing
is important we’re not going to get it for them but we can point them in the right direction your
local United Way which is 2-1-1 and most places generally has a listing of different resources
for accessing safe housing if you don’t work in a facility that’s used to dealing with that
and then internal safety that’s shutting up that internal critic that’s being able to go through
a day without being derogatory to yourself and that’s something that we definitely can
help with we can help people shut down that internal critic or that internal person that
is always calling gloom and doom and you know waiting for the other shoe to drop or whatever
the case maybe we can help clients change their cognitions so it’s safe inside their head
and then people need love and acceptance and this should sound pretty familiar are you
know Maslow’s hierarchy here kind of in Reverse but people need love and acceptance but in order
for love to have love and acceptance in many cases they also need to love and accept themselves so
we’re gonna work on self-esteem we’re gonna help people develop relationship skills hopefully there
are some people in their life that have provided some level of love and acceptance maybe not the
unconditional positive regard we’ve hoped for but they’re there so these are things that the healthy
happy person needs and these are things in large part we can do through education referral and direct
services help people get so why do we care about co-occurring issues as mental health counselors
well 35 percent of people with anxiety disorders have according to one of these studies abused
opiates so that’s a lot if you’ve got somebody with an anxiety disorder this isn’t just panic
this isn’t just something you know severe this is you know any of your anxiety disorders
one in three roughly have abused opiates they’ve used some sort of opiate drug to help them kind of
chill out of opiate or alcohol dependent patients 20% have major depressive disorder so of that
35% you know there’s going to be a percentage of them who may be opiate or alcohol dependent
and there are a lot of our clients that we see in mental health treatment who are not willing to be
truthful about how much they really drink or how often they drink because they might be
suspecting it’s a little bit of a problem but they’re not wanting to go there yet they’re in
what we call pre-contemplation okay so let’s just go with this in mind that there may be some
underlying other stuff that they haven’t told us about opiate or alcohol-dependent patients 20%
have major depressive disorder so you know we’re taking them and we may be seeing them in the clinic
for depression and we do want to be suspect of whether there’s either some opiate or alcohol
issues there depression and opioid-dependent patients including pain management patients so
those who are opiate-dependent by prescription have been associated with poorer physical health
decreased quality of life increased risk-taking behaviors and suicidality am I saying that pain
management clinics are bad no but what I’m saying is those who are in pain management clinics for a
variety of reasons are at a high in a higher risk category I mean think about it if your pain is
bad enough that you need to be going to a pain management clinic think about how much that must
hurt think about how much that must impair your daily life think about the impact of the drugs
that you’re taking on your mood your energy levels and the stigma in some cases associated with it
some people here suboxone and they’re like yeah whatever my neighbor takes that other person here
suboxone and they’re like ah you can’t be taking that so there is still a lot of social stigmas that
goes along with medication-assisted therapies so there are a lot of things that may contribute
to depression in opioid-dependent patients the prevalence and severity of depression tend to
decline within the first few weeks after treatment initiation so if they are trying to get off of
you know ideally their detox and they’re trying to you know remain sober the prevalence
and the severity of depression tends to decline so we need to get them off of it first and get them through
that acute withdrawal from a depressant including alcohol and I know this slide is boring
but we’re gonna be through in a second withdrawal from depressants including alcohol opioids and
even stimulants invariably include potent anxiety symptoms so it’s important to pay attention and
withdrawal from stimulants can also include potent depressive symptoms if they’ve been on a crack
binge for you know five days that won’t sleep for a while many people with substance use disorders
may exhibit symptoms of depression that fade over time and are related to acute with drawl well we
talk about acute withdrawal we’re talking about the first three months we’re not talking about
the detox period which is generally three days so encourage people who’ve gone through detox and
maybe they’re seeing you on an outpatient basis encourage people to you know be patient and work with
the treatment team if they need to but the first three months is always the hardest so chicken or
the egg you know did the person start using and become depressed or was the person depressed so they self
medicated does it matter depression and anxiety are associated with addiction because because
if you have stimulant withdrawal or recovery that period after you quit using that’s maybe
a week maybe two weeks where your body is going whew that was a run people may feel depressed
fatigued have difficulty concentrating which can impact how well they eat it’ll impact
their sleep they’re gonna sleep a lot more but the quality of sleep may be poor so they can mess
up their circadian rhythms and you know they may not have access to the social support that
they wanted they may but really with stimulant withdrawal we’re looking at nutrition
and sleep so we want to educate patients if they decide to stop taking stimulants what they need
to look at stimulant use can also be associated with depression and anxiety because many people
not you know the majority but a lot of people out there will self-medicate depression with
stimulants from anything from caffeine which you know maybe like mild dysthymia but if you
abuse enough caffeine you know it starts getting into your system you become dependent on it but if
you start combining caffeine and nicotine plus oh let’s add in some workout supplements or you know
the occasional Ritalin or something not suggesting it then it’s these things can wear the body down
which can lead to additional depression but people may use these things to try to feel better because
think depression is related for some people they may not feel like they can wake up they’re
fatigued they’re lethargic all the time and they’re feeling blue so if they take stimulants
they get that dopamine rush they’re starting to feel good and they’re awake stimulant
use can cause anxiety well the so if you’ve got somebody who already has maybe they are depressed
but they’ve also got some anxiety and they start using stimulants which may make the anxiety way worse
alcohol or opiate use some people use these things to numb or to forget and that’s just your
the standard used the depressant some people will use either one of these but especially opiates to
deal with physical pain to medicate depression or anxiety remember there are a lot of trials not
several trials right now that are looking at using opiates to treat intractable depression
but a lot of people also use opiates off-label illegally to address anxiety so if you’ve got a
client with depression or anxiety just kind of be alert for how they’re behaving if they’ve
got pinpoint pupils or if they’re itching and picking all the time I mean not the occasional
are winter and the heat just turned on I’ve got dry skin itch but constantly itching and picking
and you know where you’re like please just settle down detox from opiates can all often produce
depression produces a lot of flu-like symptoms which can make people feel crappy and the
flu-like symptoms I won’t get graphic impaired nutrient absorption impaired sleep you know
they’re sleeping a lot because they feel like crap but they’re also having to get up every
10 minutes to go to the bathroom sometimes so this first week or so during the initial if they
go cold turkey so to speak can be rough detox from alcohol as I’ve talked about before
can produce anxiety symptoms so understanding that when people are going through detox whether
they are alcohol dependent and have been drinking a whole lot which needs to be medically monitored
I can’t say this enough and I’ll say it a lot more tomorrow when we talk about where Nikki Korsakoff
syndrome but people who are detoxing from alcohol will have anxiety symptoms and a period of high
blood pressure and sometimes depression and anxiety are associated with addiction just because they
sober up one morning and they look at their life and they’re like what the hell have I done so
you know and you’re looking at them going yeah I don’t blame you for feeling that way now let’s
see what we can do to improve the next moment so make sure that we understand that these
things are going to go hand in hand and to be on the lookout because like I said a lot of people
aren’t forthcoming even about alcohol use which is legal but if they’re using something illegally
or using maybe their kid’s Ritalin or something they’re pretty much almost guaranteed not to tell
you so we want to be on the lookout for signs and symptoms bipolar disorder can be triggered by drug
use so we just know that we can the person could get worn down mess with the neurotransmitters
enough they’re not exactly sure how it happens but we have seen the initial acute episode of
bipolar disorder-triggered mania triggered by drug use it is more common for people with bipolar
to use stimulants when they’re depressed and just about anything when they’re manic now if you’re
working with somebody with bipolar you know you’re probably already having these discussions
about how you stay safe when you’re in a manic episode people with ADHD may use to self-medicate
and we’re talking cannabis is a big one for ADHD to help people feel like they’ve got more focus
and not feel like they’ve got so much coming in and so much stimulation all the time which can be
exhausting and after the use of any of the substances of abuse the disruption and neurotransmitters
can make people feel like they’ve got ADHD-type symptoms faculty concentrating difficulty
following through with things etc so understanding that even if things don’t meet the threshold for
DSM-5 diagnosis we want to look at what symptoms are there and how can we help people manage them
so they’re getting adequate sleep nutrition pain control social support and safety borderline and
antisocial personality just kind of threw those in there because we see those a lot when we’re
working in dual diagnosis facilities more people are more likely to use addictions to cope with a
lack of sense of self and their emotional lability if they’re borderline so I mean their world is so
chaotic many people with borderline personality disorder are likely to use to try to get some calm
in the storm now I will put out my other soapbox here with both of these personality disorders
when you see somebody in active addiction or early recovery they probably have symptoms that
would meet diagnosis you know their symptoms are pervasive in multiple areas of life their
symptoms would meet the diagnosis for one of these two personality disorders during this period
but it resolves as recovery becomes the norm as the neurotransmitter stabilizes they develop
interpersonal skills so you know giving people a little bit of time before we say it’s borderline
personality disorder versus borderline personality characteristics if you will be helpful because
both of these diagnoses can block people from getting into certain treatment centers and getting
some of the services they need okay so we’re going to move on to some of our more common addictions
alcoholism is associated with eating disorders there’s a really strong Association and it usually
flip-flops between bulimia and alcoholism so if somebody’s symptomatic for bulimia they may not
be drinking a lot of alcohol but they may during periods of remission from the bulimia drink a lot
more alcohol become alcohol dependent so there’s a lot of research out there that shows there’s
a strong correlation between these two things and it’s also associated with binge eating disorder
but especially bulimia nutritional deficiencies from alcoholism can cause mood disorders so
even if somebody is not and I use the term I should have put alcohol instead of alcoholism
because even the term heavy use without physical dependence can cause nutritional deficiencies that
can cause ulcers it can cause physical problems physical exhaustion which can disrupt sleep
alcohol impairs sleep quality alcohol makes apnea worse so if you’ve got a client who has
sleep apnea they’re drinking they’re probably gonna sleep even worse than they normally do
depression is the result of using well alcohol as a depressant so what do people expect well most
people expect to relax they don’t think about the rest of the stuff that’s going on in neurochemical
imbalances because the alcohol exits our system a lot faster than our brain can catch up and go okay
it’s not in there anymore so I need to adjust the temperature and in sleep disruption anxiety can
also, be triggered as a result of use I’ve said before say it again after that initial period
where people feel the depressant or relaxing effects of alcohol there is an upsurge in anxiety
so a lot of people have another drink to kind of quell that anxiety feeling but you know people
with anxiety disorders are gonna feel it more prominently and the neurochemical imbalances
that alcohol use causes can worsen pre-existing anxiety conditions or trigger anxiety conditions
nicotine is another one that we see a lot even in just straight-up mental health clinics not
co-occurring so what effect does nicotine have well anxiety and depression are 70% more likely in
smokers so that’s one of those statistics we want to look at nicotine triggers dopamine release okay
so nicotine is one of the most addictive drugs on the planet and you’re thinking I thought that was
opiates well opiates are in there but nicotine not only is nicotine legal but it’s also one of
the most addictive drugs on the planet so that’s another important point to think about people are
using their trigger and dopamine release their brain gets used to being flooded with dopamine so
their receptors on the other end start sensitizing so we’re creating an artificial environment
basically when people are smoking blood vessel changes when people smoke it causes blood vessel
changes that can cause high blood pressure as well as depression and fatigue and confusion in the blood
vessels narrow and get stiffer so the oxygenated blood has a harder time getting to where it needs
to be so people start feeling blah and that can cause them to think that they’re starting to feel
depressed can also cause those cause loss of energy people with severe and persistent mental
illnesses are two to three times more likely than the general population to use nicotine so that’s
just an interesting little fact to have out there if you work with people with SP MI and people
with ADHD may smoke because it increases their concentration and attention for about five minutes
literally, for about five minutes but during that five minutes they’re like oh my gosh it’s a relief
I can like focus for half a second so we want to look at what else is going on whether the
a person has adult ADHD for example physical health mental nicotine is linked with COPD and emphysema
and lung cancer so you know all kinds of lung and cardiopulmonary stuff well when that happens
you know we have less oxygenated blood efficient efficiently getting through the system we’re going
to have increased fatigue increased confusion some grief that may go along with that especially if
people are starting to have to carry an oxygen tank around with them or something you know we may
have to help them deal with disability acceptance and depression and stroke because smoking like
I said increases blood pressure and reduces circulation so cutting off or greatly reducing
circulation to the brain they have shown that people who smoke especially heavy smokers are at a
much greater risk of stroke and addiction nicotine is strongly correlated with other addictions a
a lot of people when they’re in the bar well not so much anymore since smoking is not allowed in
public places but used to be when they were in the bar they would also be smoking but a lot of
people associate alcohol and nicotine or nicotine and other drugs so if somebody is using other
drugs likely they’re smoking now it doesn’t work the other way around just because they’re smoking
doesn’t mean they’re likely using other drugs the reason this is more important is that people
who continue to smoke after they have gone into recovery for their drug of choice have a relapse
rates as high as 68 percent higher than for people who quit smoking so we start thinking about that
and we say well why is that well because nicotine is a mood-altering substance you know we don’t
think of it as such because it’s not a woohoo it’s Marva hey okay it’s not as prominent
of interaction as maybe cocaine or something but it does change the balance and people still
do use smoking to cope with life when things get stressful they smoke well if things get stressful
and you know they’re too stressed for smoking to handle then they may start going back to what
else can I take use or do that will make this feeling go away right now we know also that was
smoking and that repeated release of dopamine they’re messing with the neurochemical balances
in their brain, so it makes sense that eventually just like tolerance to other drugs happens it may
not be enough at a certain point and they may fall back into other habits nicotine has been known to
suppress appetite and but whether it keeps weight off or not they haven’t shown alcohol
and nicotine both are appetite suppressants which is another reason people with bulimia tend to
drink and one of the reasons why people quit smoking they tend to be hungrier so helping
them get through that period now whether it helps them keep weight off the party that deals with
the reason that they eat it’s not really that it’s suppressing their or increasing their metabolism
so much its nicotine suppresses the anxiety and sometimes the desire the hunger but if people
are still eating out of anxiety if they’re still eating under stress eating then you know when they stop
smoking and they don’t have a cigarette to put in their mouth when they’re stressed they tend to
go for other things and so we need to help people figure out when they stop smoking are you
eating because you’re hungry or are you eating because you’re stressed if they’re eating
because they’re hungry and they’re getting heavier than they want to be they need to talk with their
doctor about you know thyroid tests and also let their doctor educate them on biological setpoint
theory of you know not everybody’s going to be a zero so you know that may be something we can
help them deal with body acceptance issues if you know maybe they’re programmed genetically to
be you know a size X whatever that is and they’re not happy because they want to be a zero which our
culture does tell us to do as clinicians we can help them look at you know the costs and
benefits of continuing to smoke and what being you know a size zero means for them to opiate
abuse there’s a lot of physical stuff and we’re just gonna run through it real quick because
you’re not as concerned with it the physical stuff the doctors are gonna see but we need to be
aware of from a clinical point because it can keep people from getting their basic needs met blood
and injection site infections you know that’s probably going to lay them up for a while but if
they have repeated infections and are repeatedly out of work they can lose their job they can lose
their housing they can you know get some sort of MRSA or something else which can be really
expensive it can be life-threatening ya-ya collapsed veins and this is more common obviously
this is only for injection drug users but collapsed veins just as you would expect keep the
oxygenated blood from getting where it needs to be so people are more likely to experience strokes
and may have certain forms of vascular dementia because of the strokes dementia we’re familiar
with endocarditis is the inflammation around the heart so again this is only for needle
drug users but if you’ve got a client who is using needles to inject any kind of drug be aware
of that and what they get and what they inject is rarely pure so knowing what else they’re injecting
into their system if they’re you know crushing pills from the pharmacy you’re a little bit more
sure about what they’re getting as opposed to if it’s from the corner dealer and sometimes
they’re cut with really nasty things like you know comic bathroom cleaner and stuff HIV if
people get HIV from injection or some other risky behavior they’re probably going to experience
some depression and a lot of times HIV from opiate abuse they’re gonna experience depression
remorse regret all that kind of stuff anxiety about how long they’re going to live what’s
going to happen and oh those medication side effects those the antiretroviral medications that
they have to take are doozies I’ve seen people go through the induction weeks on their medications
and it is a rough time so helping people get through it so they are medication compliance
so they can continue to live we need to help them maintain hope and self-efficacy and all that kind
of stuff to maintain that forward movement to get through the induction period liver damage from
acetaminophen can set people up for you know physical pain among other things and it decreased
pain tolerance now this generally the decreased pain tolerance goes away after the
the body starts producing its endorphins and natural painkillers again but that initial period if somebody quits using and maybe you know you are seeing them as a mental health client and
they had an accident or had surgery or something they started using pills they got a couple of
refills then the doctor said no I’m cutting you off and now they’re going through a detox period
detox from opiates is unpleasant but it is rarely life-threatening unless somebody becomes their
electrolytes get imbalanced because of the flu symptoms but we still may see this in private
practice in mental health practice because of the scenario I just told you people can start
taking painkillers as prescribed for something they may get addicted you know take them for
a month or so then when they get off of them not only do they feel like you know really bad
but their pain is also back and it may be they had their wisdom teeth out that pain may be gone
but other aches and pains and everything you feel is probably going to be intensified until the
body kicks back in so educating clients about this is what happens you know it’s not uncommon
if you think it’s too bad go see your doctor helping them make sure they’re getting
good nutrition you know it’s hard if you’ve got flu symptoms to feel like you want to eat or
hold anything down so what can you do to make sure your body has the building blocks to make the
stuff that it needs to help you feel better what can you do to improve your sleep and a lot of our
clients and you know where I used to work we had a methadone clinic and we also had a mother
baby unit and as soon as the mothers would give birth then the doctor would start them on
their detox from methadone and he didn’t believe in the kinder gentler taper he was just like okay
baby’s gone threats gone because you can’t detox from somebody from opiates when they are pregnant
because it can cause the baby to die anyway so as soon as they would stop or as soon as
they weren’t pregnant anymore he would just D see them and they would feel really bad I mean
not only did they just push an 8-pound something out of their body but they also are experiencing
a decreased pain tolerance because they’re not on the opiates anymore and all they want to do is
sleep it’s just like please so understanding that is important in helping people get through
that period even though they may want to sleep all the time helping them understand that it’s
important to maintain their circadian rhythms if they have to take two or three ten-minute
power naps throughout the day to get through the day you know more power to them but if they
can practice good sleep hygiene they’re gonna be way better off in the long run OPD opiate
abuse is also or opiate use is also associated with the treatment of depression but it can cause
depressive symptoms due to its pharmacological properties I mean it slows everything down from
you’re gastrointestinal to your heart rate to your respiration you’re not breathing as much you’re
not getting as much oxygen in you’re gonna have more fatigue you’re gonna have more confusion
you’re going to have more of those symptoms of depression for some people they find it is and
certain opiates they find it is a powerful way to reduce anxiety it makes them feel like they’ve
got a ton of energy because they’re not stressed out anymore and this last one is one of the
The main reason that I find people don’t want to give up opiates is that they finally feel better when
they’re on the eating disorders commonly a coat co-occur with depression and anxiety which can
be caused by nutritional deficiencies you know you’re not giving your body the building blocks
so it can’t make the neurotransmitters it needs and it also probably disrupts your sleep some
and depression anxiety can cause or trigger or whatever you want to say eating disorders because
people with eating disorders may fear becoming fat have low self-esteem have a sense of lack of
self-control or have body dysmorphic disorder so we also want to be aware that there are mental
health stuff that can trigger dysfunctional eating patterns there’s about a 24% prevalence of PTSD
among people with eating disorders so if you’ve got a client with eating disorders especially
bulimia be on the lookout for depression anxiety body dysmorphic disorder alcoholism and PTSD they
maybe smoking too but of the things, I just listed that’s probably the least of their worries it’s
all eating disorders are also associated with alcoholism and smoking I said physical health
issues now you’re seeing somebody with an eating disorder it’s a mild eating disorder you’re seeing
them once a week outpatient so you’re not and you have you know you have training and
working with eating disorders or maybe it’s mild enough that you’re just getting supervision
on treating this issue whatever being aware that people with eating disorders anorexia or bulimia
can have irregular heartbeats and cardiac arrest due to potassium imbalances and electrolyte
imbalances so if they’re not eating or if they are binging and purging in some way shape or
form and that includes excessive exercise which can trigger a lot of heart problems they may have
loss of bone mass and osteoporosis so they may break bones a little bit easier going back up to
the heartbeat not to belabor the point but again heart problems mean a lack of available oxygen
mean confusion fatigue potential difficulty sleeping depressive symptoms and you know cardiac
arrest in and of itself is bad kidney damage from Doretta caboose and low potassium can also
potentially drain damaged the adrenals which are on the kidneys and so it’s important to be
aware of what people are using a lot of people with eating disorders are going to creatively
use stimulants to suppress their appetite think about any of your diet drugs your enter mean I
think it’s one of them the ones they give to help people lose weight they’re stimulants
they’re intense stimulants so people who are struggling with eating disorders are likely to go
towards abusing stimulants or at least using them which can drain the adrenals it can in some
cases have been linked to the development of Addison’s disease liver damage from not eating
or binging and purging causing toxin buildup and possibly pain we can help people deal with it
as much as we can anemia which can cause symptoms of depression in and of itself so goes back to
that nutrition making sure they’re getting enough infertility which in and of itself can be
devastating for young women if they can’t have children anymore or can’t have children
ever that may be a grief issue that we need to help them deal with cathartic: and this is
an important one to be aware of because you don’t have to have somebody who uses laxatives
all the time but people who regularly use or abuse laxatives can become dependent on them so
when they don’t use them they have a feeling of bloating feeling full and abdominal pain which
especially in people with eating disorders or body morphic disorders surrounding just general
body fit bad back body fat can greatly increase anxiety depression hopelessness and in some
cases of suicidality so again educating people is the first step to helping them understand what’s
going on and how dangerous laxatives can be but also if somebody is trying to cut back on their
use of laxatives or just recently stopped using laxatives like when people stopped using
opiates it takes the body a while to get back online but for most people it eventually does
people with eating disorders also have chronic ulcers which are painful and can keep you up at night
As you know gastric reflux and pancreatitis which can flare up at a moment’s notice will is
extraordinarily painful and can cause people to lose time from school or work social activities
feel bad about themselves and also pancreatitis causes a lot of bloating
which in eating disorders is a huge trigger for anxiety and depression pathological gambling
is associated with stimulant abuse especially cocaine methamphetamine and Ritalin to stay
focused disrupted sleep and rebound depression when they quit taking that stuff they wake up and
they’re like oh wow what did I just do alcoholism is also associated with pathological gambling
some people drink to calm their nerves some people drink because it’s the culture if you go
to any of the casinos you know their hand-and-out drinks, they’re trying to get you drunk so you
keep gambling more and there’s as we spoke about earlier rebound depression or anxiety smoking
may help people increase their focus or make them think they can increase their focus so if
you can’t smoke in public places this is more of an issue if you have somebody who does a lot of
online gambling or they gamble at their friend’s house or somebody’s house where there’s poker
games and stuff smoking has some anti-anxiety anti-anxiety properties and may be part of the
the culture I know when my daddy used to have his poker games everybody would smoke cigars and even
the one woman who went there would be smoking a cigar with everybody else and it was just the
culture of being there so there are a lot of different reasons that people may use substances
in addition to gambling mental health issues from gambling anxiety from the stimulant use or from
the tension and release of am I going to you know I’m down $20,000 am I going to make it back ADHD
is also strongly associated with pathological gambling bipolar disorder, especially during manic
phases are associated with pathological gambling generally you see them co-occurring it’s not
like gambling causes it it’s you will see co-occur depression can occur due to losses and
gambling can start because somebody’s depressed because of their financial situation and their
trying to figure out a way to you know borrow from Peter to pay Paul and get ahead you also see
pathological gambling is more strongly associated with people who have obsessive-compulsive
disorder if you’ve got clients with these diagnoses just kind of you know be attentive to
the fact that they are more likely to engage in pathological gambling or if they start gambling
it’s more likely to become a problem than for people who don’t have these issues internet
an addiction that is diagnoseable so you know I’m not just making something up
depending on your resource affects eight point two percent to thirty-eight percent of the
general population now obviously we were looking at you know like games versus you know games plus
Facebook plus shopping or something so depending on the study you looked at their parameters
were a little bit different but either way up to 38 percent of the population has sacrificed
significant personal recreational activities to engage in some sort of internet
behavior Internet addiction can cause anxiety or depression due to eyestrain and chronic headaches
you know if you’re hurting all the time it can make you feel wonky it can also interrupt your
sleep can cause circadian rhythm disorder which can trigger depression fatigue reduced stress
tolerance this is a condition when your body doesn’t know whether it’s supposed to be awake
or asleep because a lot of people who engage in internet-addictive behaviors do so in the dark or
you know they don’t pay attention to whether the lights are on or not they may just sit there kind of
in their cave carpal tunnel contributes to pain and sleep disruption because carpal tunnel does
wake you up at night back ache again may disrupt your sleep and can cause chronic pain during the
a day which can interrupt your daily activities poor nutrition I know a lot of gamers that will sit
there for an entire weekend and not get up to go eat so if it’s not brought to them they don’t eat
they’ll even wear adult diapers so they don’t have to get up to go to the bathroom reduced immunity
due to exhaustion from not sleeping and job or relationship problems I know uh several people
whose marriages ended over a world of warcraft’ so internet addiction is a real thing and it’s
something that we need to be cognizant of because it does cause a lot of problems and a lot of
relationships and it may be one of many problems but it’s something to look at sex addiction
can cause hepatitis and a variety of different STDs which if not treated can cause systemic problems
it’s related to anxiety and depression because sex addiction may begin in order because somebody
wants to feel loved or connected maybe after a breakup or because they never felt loved you’re
connected and then they feel that rush and they’re like oh I like that I want to do that again part
of it could be engaging in that behavior which is so thrilling you know depends on the person
psychological withdrawal from sex addiction people who have been engaging in sex addiction
type behaviors and I include pornography addiction in it for this presentation if they’re not able to
access that may start feeling anxious or depressed they can’t get to that they can’t get to the
the thing that’s gonna cause the dopamine rush and reflection on behaviors that they’ve engaged in
as a part of their sex addiction can also prompt anxiety about a spouse finding out you know am I
going to develop an STD and am I you know how I feel about what I’ve been doing so as clinicians
if we’re working with somebody who has compulsive sexual behaviors even if you know anywhere about that
the spectrum we need to be aware that these things may exist and figure out or help them figure out
how they feel about it and what they need to do to make sure that they’re getting good sleep
that they’re dealing with their depression and their anxiety so that they can have a safe internal
and external environment so back to that global perspective how can we and why is it important
to address chronic illness and disabilities that result from or cause mood disorders or
addictions how can we address depression anxiety and hopelessness that results from or causes
depression anxiety or physical problems how can we address physical problems that are caused
by mood or addictions and how can we address guilt or regret which may accompany addiction
recovery or the realization of a diagnosis of a disease caused by the addiction so while you kind
of ponder those there was a question that came in so question what about robbing Peter to
pay Paul in association with trauma specifically childhood trauma so if you could clarify that
for me a little bit I had mentioned robbing Peter to pay Paul in terms of gambling so I’m just so
mental health issues can be caused by or trigger addictions or physical health issues addictions
can cause or trigger mental health issues or physical health issues that can
be caused by addictions or mental health issues so again chicken-or-egg we don’t necessarily know
which one came first when you have any one of these it’s probably going to or likely impact
each other person or each other area common issues are seen in all three changes in sleeping
changes in nutrition fatigue and grief effective treatment requires addressing the underlying
causes as well as the ripple effects you know so yes after childhood trauma or trauma
of any sort, some people may spend a lot of time feeding the addiction as you put it or
engaging in addictive behaviors to avoid some of the PTSD symptoms to avoid thinking about it
to deal with the grief to deal with the shame so they may engage in something that makes them
feel better or helps them forget to cope with the trauma that happened until they
have other tools so they can come to some sort of terms with it and you know as I
say close that chapter in their book already if there are no other questions tomorrow’s
the presentation I learned a lot creating is on alcohol-related dementia and vascular dementia
and fetal alcohol spectrum disorders all three of which are issues that are caused by substance
use and specifically alcoholism and then I’ll give you a hint about where an acute Korsakoff a
a lot of clients who abuse alcohol but they’re not alcohol dependent who decide to stop drinking can
trigger where Nikki Korsakoff syndrome and causes alcohol-related dementia-type symptoms
so again in mental health, we need to be on the lookout for it if we hear that our clients
are trying to cut down on their alcohol use alrighty everybody and so tomorrow is that
presentation and then Thursday we’re going to look at different models of new bottles of
treatment if you enjoy this podcast please like and subscribe either in your podcast player
or on YouTube, you can attend and participate in our live webinars with doctor Snipes by
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My Daily Dozen recommendation
is for at least nine servings of fruits and veggies a day. This study was done in Australia.
It was repeated in the UK, and researchers there found the same
thing, though the Brits may need to bump up their daily minimum to
more like 10 or 11 servings a day. Okay, but does eating fruits and veggies
also reduce the risk of depression and anxiety? I mean
well-being is nice, but governments and medical
authorities are often interested in the determinants of major
mental illness, not life satisfaction. And indeed, using the same data set
but instead looking for mental illness, eating fruits and vegetables may
help to protect against future risk of clinical depression
and anxiety as well. A systematic review and meta-
analysis of dozens of studies found that every 100-gram increased intake of
fruit was associated with a 3% reduced risk of depression. That’s about
half an apple, yet less than 10% of most Western populations
even consume a bare minimum. Maybe the problem is we’re just telling
people about the long-term benefits of fruit intake for chronic
disease prevention, rather than the near-immediate
improvements in well-being. 
So maybe we should be advertising
the happiness gains, but first, we need to
make sure they’re real. We’ve been talking about associations.
Yes, a healthy diet may reduce the risk of future depression or anxiety, but
being diagnosed with depression or anxiety today could also lead
to lower fruit and vegetable intake. Now, in these studies, you can
indeed show that the increase in fruit and vegetable consumption came
first, and not the other way around, but as the great enlightenment
philosopher pointed out, just because the cock
crows before the dawn doesn’t mean the cock
caused the sun to rise. To prove cause-and-effect you need to put it to the test
with an interventional study. Unfortunately, to date, many
studies were like this, where those randomized to eat fruit
showed significant improvements in anxiety and depression, fatigue,
and emotional distress. Wow, amazing! But that was compared
to chocolate and potato chips. Apples, clementines, and bananas
making people feel better than assorted potato chips and chunky chocolate
wafers—not exactly a revelation. This is the kind of study I’ve been
waiting for: a randomized controlled trial in which young adults were
randomized to a diet-as-usual group, encouraged to eat
more fruits and veggies or a third group was given two servings
of fruits and vegetables a day to eat over and above
their regular diet. And the ones given fruits and
veggies showed improvements in their psychological well-being
with increases in vitality, flourishing, and motivation within just two weeks! However, simply educating people
to eat their fruits and vegetables may not be enough
to reap the full rewards, so perhaps greater emphasis needs to
be placed on actually providing people with fresh produce, for example, offering
free fruit for people when they shop. I know that would certainly
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Some people experience the effects of Xanax within 5 to 10 minutes of taking it, and everyone should feel the effects of it within an hour. Why Xanax is so popular for people struggling with anxiety and panic attacks during a panic attack or anxiety attack. You can take a Xanax and within a few minutes you should start to feel the symptoms of your attacks fade away. The effects of Xanax are brief. Most people feel the strongest impact for 2 to 4 hours after taxing it. However, you may feel a fuzzy feeling for several hours after that It s also possible to build up a tolerance to Xanax. If that happens, then you may notice it takes longer for you to feel the effects and the effects may wear off more quickly. Xanax has a half-life of about 11 hours, which means by that time your body will eliminate half of the dose from your bloodstream. So should you take Xanax for your anxiety, As you’ve heard, and seen in this video Xanax is extremely beneficial in removing the symptoms of anxiety and panic. Attacks such as a racing heart feeling out of control and restlessness. If you think Xanax could help you, please see a doctor and get a prescription, never self-medicate or take it recreationally.
Do Social anxiety can cause people to panic, as a result, they often avoid social situations, because it triggers fear responses and they might be extremely fearful of people’s judgments. This anxiety goes far deeper than the discomfort that may come from shyness, Five egotism, and narcissistic personality disorder. You can probably think of a person who has talked themselves up and boasted about their successes at some point, But if this person vastly exaggerates their accomplishments, finds it difficult to empathize with others, and demand special treatment from everyone, including people of the same or higher qualification, They could be suffering from narcissistic personality disorder rather than an egotistical personality. Six impulsivity and bipolar disorder. Impulsivity is often seen as a fun and even desirable, trait, with self-help resources frequently encouraging us to switch up our routine, But in the case of bipolar disorder, impulsivity comes in the form of risky decisions that people with BD may later regret. Impulsivity in people with bipolar disorder usually occurs during manic episodes heightened moods that typically come with increased energy, multitasking and irritability, and an increased risk for dangerous or harmful behaviors. Examples of impulsive, behaviors, someone with bipolar disorder might do are spending sprees, gambling, reckless driving, unprotected sex, drug use, or binge eating and drinking, And although movies and TV shows often portray these actions as exciting, the real-life consequences include financial loss relationship, conflict property damage, health Complications and even death Glamorizing them takes away from what someone with bipolar disorder might be experiencing as a result. Seven distractions and ADHD ADHD is a mental disorder that involves three types of behaviors inattention, hyperactivity, and impulsivity. People who are diagnosed with ADHD may have one or a combination of these signs. People with inattentive ADHD, often forget things, have trouble, concentrating on a single task struggle to be organized, and have difficulty paying attention to others For a person who is less educated about ADHD. They may take negatively to a person with inattentive ADHD for not listening to them or caring about them when, in fact, their disorder makes it difficult for them to pay attention without getting distracted by their thoughts or external stimuli. Eight attention-seeking and histrionic personality disorders. There are many reasons why someone might seek attention or validation from others, including low self-esteem, self-doubt, and trust issues. But if someone is a part of the two to 3 of the population diagnosed with histrionic personality disorder, their need for external validation goes beyond seeking reassurance. People with histrionic personality disorder can feel worthless or undervalued if they are not at the center of attention and often react with strong emotional outbursts in response to these feelings, Those with HPD might also try to retain other people,’s attention through flirtatious and sometimes inappropriate. Behavior, bright, clothing, and bold claims, A person with a histrionic personality disorder is more than just needy or high maintenance, and labeling them as such can be harmful because it shifts the focus from their personality, affecting the disorder to their personality. Nine people pleasing and dependent personality disorder. Many people find it difficult to say no to others and struggle to set boundaries. However, people with dependent personality disorder feel an intense fear when they have to do anything by themselves, which can include everyday tasks like choosing when to wake up or what to have for breakfast. Those with dependent personality disorder are also more likely to stay in an abusive relationship, change jobs or move to stay with their significant other or another person. They’re dependent on and jump into a new relationship immediately after their previous one ends At the heart of it. All. The difference that sets personality traits apart from mental disorders is the impact it has on someone’s daily life Traits such as perfectionism and attention-seeking are okay for the majority of people, but when it comes to a source of significant stress in your everyday life, Preventing you from living normally, it may be a sign of something more and thus requires the advice and diagnosis of a mental health professional. It’s important to give people the benefit of the doubt. There may be reasons why someone is acting in a certain way that you are unaware of Again. Please note that this video aims to clear up different ambiguities and confusion surrounding personality traits and mental disorders, but does not claim to diagnose anyone with or without a disorder. Have you or someone you know ever experienced confusion between these traits and mental disorders? What was your experience with it, and how did you react? Let us know in the comments below, If you enjoyed this video and learned something new, please consider giving us a like and subscribing to our channel for more videos like this Thanks for watching and we’ll see you next time. 
Life isn’t always kind to us and self-love and a balanced lifestyle don’t come easily. Living with anxiety, especially if it’s hidden or suppressed, can make it hard for us to feel good about ourselves and let ourselves feel happy. It makes us believe that we don’t deserve it and traps us in a vicious cycle of negative self-talk and constant pressure to be perfect. 9. You have a lot of negative thoughts. Are you a pessimist whose quick to find the downsides in every situation? Do you find yourself getting upset or stressing out over even the most minor inconveniences? Is every day a constant battle with yourself against the spiral of panicked and rational thoughts you have? In 1997, famed psychologist and cognitive therapist, Aaron Beck, termed this kind of thought pattern as catastrophic thinking, Which he often observed in his patients who suffered from anxiety. And 10. You experience physical symptoms. Sometimes anxiety can be entirely physical because while your conscious mind may not always be aware of your anxiety it will make itself known to your body. Things like erratic heartbeats, chest palpitations, muscle tension, a clenched jaw, shaky hands up a little sweating are all indicative of anxiety. Your body may be trying to let your mind know that you’re feeling anxious and stop it before it gets any worse. Do you relate to any of the problems listed here? Or do you do your best to seem ok? And hide your symptoms because you feel embarrassed about your anxiety? The truth is: you’re not alone and having mental health issues is nothing to be ashamed of. What do you plan to do next? Let us know in the comments below! Don’t forget to like this video and subscribe to Psych2Go for more psychology content. Thanks for watching and we’ll see you soon.
We think that realizing the connection between
exercise and panic attacks can be very helpful not only because of the reasons above. But the reason is that exercise allows you
to be in a controlled situation where are increasing your pulse. This demonstrates that you can deal with an
increased pulse – an increased pulse, as you are no doubt aware, is often one of the
concerns the sufferer has during a panic attack. I would like to mention a study completed
at Charite University Medicine in Berlin. This study found that 50% of subjects who
completed 30 minutes of daily aerobic exercise were able to avoid having a panic attack in
the experiment. Researchers wrote: “Our results for the
first time suggest that exercise has an acute anti panic activity.” Pretty good evidence for a correlation between
exercise and panic attacks. So what’s cool: The energy that one
might have invested in their anxiety, in the past, can be redirected to their well-being
through exercise. This realization in itself can make one feel
better. Be sure to
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By practicing this suggestion over time you
will get better at it. Often anxiety sufferers can be helped by learning
how to be gracefully assertive in their relations with others. By learning polite assertiveness, you can
decrease your anxiety across several situations. We hope that you have enjoyed this video. To get more help with your anxiety, and obtain instant access to the 5 steps to
recovery from panic attacks and agoraphobia, just visit our website and provide your email
address. All of our information is free. Please visit our website at 
Withdrawal symptoms have been reported, such as headache, irritability, sleeplessness, confusion, nausea, restlessness, tremor palpitations, and raised blood pressure. You might be asking how to kick the caffeine habit or reduce the amount of coffee you consume. We would suggest you may want to think about two things. 1 Become aware of all your sources of caffeine by taking an inventory of all of your caffeine levels and 2. Consider substituting green tea in place of all or some of your daily coffee. Why green tea? Although green tea, has some caffeine? It s not nearly as much as coffee As mentioned, while a brewed 8 oz cup of coffee can have about 95 200 mg of caffeine. Green tea has about 14 40 mg of caffeine. Only In addition to subscribing to our YouTube channel, you can visit our website and Sign up for our free email newsletter, Obtain a range of articles about panic, attacks, anxiety, and agoraphobia, and Follow us on Twitter and Facebook. By taking advantage of these options, you can be assured that you will not be missing out on any of our resources. Please visit our website at 
