do you feel stressed out in that case you’re not alone a common issue that many people experience daily is stress millions of American people claim to experience everyday stress we’ve all felt the effects of stress after all being under threat and unable to control our stress can have a big impact on how we feel think and act our health can be seriously impacted by stress regardless of whether it comes from work home or school 83 percent of American workers experience work-related stress according to data compiled by the American Institute of stress AIS from a variety of sources finding methods to reduce stress is just as important as understanding what can happen if we don’t deal with it in this video we will discuss a few but most important tips to reduce stress so stay tuned with us 1.
Laugh loudly do you recall how frequently you used to laugh when you were younger right it felt quite good just because you’ve reached adulthood doesn’t mean you can’t still laugh ing can make you feel less stressed spend time with friends read humorous books and watch comedic movies for a good laugh ing causes your facial muscles to contract faster keeping your face looking attractive while also assisting in stress relief 2. go for a walk or go to the gym the best technique to reduce stress is said to be through exercise going for a walk in the sunshine and warm weather can be beneficial for clearing your mind with fresh air and exercising your body exercising out can help you release some energy and take your mind off a situation a gym is not necessary to exercise perform jump Jacks in place run and search on YouTube for more home base exercises up to 50 stress can be lowered with just 20 minutes of exercise three get enough sleep anyone who has ever had to function on only a few hours of sleep is aware of how difficult it is to deal with stress when sleep deprived getting enough sleep is important for stress reduction you are better able to handle stressors during the day if you get enough sleep for eight hours each night if possible speak with your doctor about potential remedies if you are having trouble falling or staying asleep 4.
Try yoga yoga’s physiological effects may explain why those who practice it appear less stressed if you’ve ever noticed this yoga relies on breathing to synchronize the body and mind your body may start to feel more at ease as a result many of the effects of yoga seem to be centered on lowering cortisol and blood pressure which can also lower the effect stress has on the body 5. eat a balanced diet is another important factor in Stress Management every area of your health including your mental health is impacted by your diet Healthy nutrition is important according to Vagopian you will feel worse if you consume a lot of fast food or food that has a lot of processed flour or sugar if you eat fewer meals and drinks that have undergone extensive processing and more Whole Foods like fruits vegetable legumes fish nuts and seeds your body will be well fed consequently you can become more resistant to stress as a result 6.
Connect with loved ones the social support of friends and family can help you get through tough times and manage stress if you are stressed out talk to your friends and relatives according to study people who receive less social support exhibit greater overt signs of stress your social support system’s capacity affects your overall Mental Health if you’re feeling lonely and don’t have friends or family to turn to social support groups could be helpful consider getting involved with a club a sports team or a cause that is important to you by volunteering seven spend time in nature more time spent outside could help lower stress Studies have shown that being in nature and spending time in green areas like parks and forests are excellent strategies to manage stress spending as little as 10 minutes in a natural environment May assist enhanced psychological and physiological markers of mental well-being such as perceived stress and happiness although hiking and camping are excellent possibilities some people don’t like them or don’t have access to them even if you live in an urban area you can look for green areas like local parks arboretums and botanical gardens even if you reside in a city we have discussed seven tips to reduce your stress follow these and provide your feedback in the comments section do not forget to subscribe to the channel for more upcoming videos
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In traumatic stress or chronic everyday stress what happens is cortisol keeps getting pumped out, keeps getting pumped out and when cortisol
goes up, cortisol is manufactured from one of our key reproductive hormones, our mother hormone called progesterone. So consider progesterone. Pro-gestation. You know, it is to support fertility,
progesterone is predominant in the second half of our menstrual cycle, post ovulation, so it’s kind of the hormone that makes the bed, essentially, in the uterus for the embryo to implant so
that’s progesterone.
Cortisol is made from progesterone, downstream from progesterone. Hence, when
we have to make cortisol, progesterone goes down. With that all the other hormones that are
downstream from there including estrogen DHEA and testosterone are reproductive hormones or
hormones of sexual desire or hormones of fertility or hormones, you know, of pregnancy. So all of those get depleted to sacrifice to make this life-saving hormone cortisol. But when cortisol is going on for
too long you get this significant depletion and in my case it becomes infertility. So I always say and
teach this and I’ve taught residents and other physicians worldwide but the
eyes don’t see what the mind doesn’t know.
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Narrator Everybody gets anxious or worried every once in a while. Maybe you have an important work event: you’re planning or a family member going through tough times, But what, if you feel anxious and worried a lot of the time? And you’re just not sure why You might have a mental health condition called generalized anxiety, disorder.
Generalized anxiety disorder is characterized by excessive anxiety and worry.
This is different from regular anxiety.
You might feel Here are a few reasons why your anxiety persists over a long period.
You’ll feel this way for more days than not for at least six months.
Two, anxiety and worry affect your day-to-day life.
You might face challenges at your job or social life.
Maybe you don’t go out as much or socialize with friends.
Three, the worrying seemingly comes out of nowhere.
One moment you’re feeling fine and the next. You might be anxious and can’t figure out why Four, your anxiety and worry are associated with at least three of the following symptoms: Restlessness, getting tired, easy difficulty focusing irritability muscles, tension, and sleep disturbances, Generalized anxiety, disorder, isn’t the only condition that Can make you worry a lot Other medical conditions, as well as certain medications, can also make you more anxious If you are feeling worried all the time for no reason talk to your doctor, You don’t have to deal with this worry and anxiety by yourself.
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Fear is
something that everybody experiences. We all have fear,
and fear is a normal response to a threat. The difference with anxiety
is that anxiety is more diffuse. It’s not specific to a threat. It’s more global and it’s more vague and general. A fear of elevators
could be rational if you know that the elevator
reached the maximum capacity or you know for sure
that it’s been failing or is shaking strangely, that’s rational, and avoiding that is normal. But anxiety would be for someone
to be afraid of elevators, even though it’s a perfectly functioning
elevator you know has been recently installed and checked and
technically is flawless, and you still have anxiety about that.
Anxiety disorders are a large family
with several individual disorders, but it’s important to know
that sometimes they happen together or you may have one
and a little bit of another one. But the most common are panic
disorder, social anxiety disorder, we have also generalized anxiety
disorder, separation anxiety disorder, and the last one is selective mutism. It’s a rare disorder
that is mostly seen in children. In psychiatry,
probably the most successful group of illnesses or disorders
that we can treat successfully are anxiety disorders.
The treatment of choice is therapy. Multiple therapies are validated by research that can be effective. In addition to that,
we can use medications that are just as needed,
for example, panic attacks.
Many people use a type of medication
called benzodiazepine. There’s a family of anti-anxiety medications. They can work for someone
who has only sporadic attacks, but not for someone who has chronic,
what is called generalized anxiety disorder, because it’s easy
to become dependent on those medications. The other mainstay type of treatment
in terms of medications is antidepressants, specifically the so-called serotonergic
antidepressants. Some of them, for example,
are sertraline or paroxetine and these medications
increase the transmission of serotonin in the brain and can alleviate
some of the symptoms of anxiety. When we are
thinking of treatment for anxiety disorders without medication,
we have therapy, but also we have self-help. So we can do a lot with self-help. Probably the most effective
are all kinds of activities that tend to reduce the activation of the stress response system in the body. So the stress response system releases
several chemicals, like cortisol and adrenaline,
but also changes the heart rate, breathing, and so forth. And so there are many activities,
including meditation, yoga, tai chi, and sports in general,
aerobic exercise, that can down-regulate the activation of the stress
response system.
In addition to self-help, another type of non-medication,
non-pharmacological treatment for anxiety disorders
is therapy. Counseling. And several types are specific for anxiety and they’re being developed through
research and they are highly effective. One of the most common and most well-known is cognitive behavioral therapy,
which is a systematic training of the patient to identify certain thoughts and beliefs
that can be challenged, and the challenging
of switching reframing, and changing those thoughts can alleviate anxiety. The main coping skill for anxiety
is avoidance. Unfortunately, avoidance
is the worst thing that we can do because it will perpetrate
and make it chronic.
The more we avoid something,
the more powerful that fear becomes, or that anxiety. Therefore,
one of the treatments for anxiety is to try not to avoid
the triggers, is to expose ourselves as much as we can tolerate that. For example,
if public speaking is a source of anxiety, some of us can get trained
and go to Toastmasters,
and go to a setting where we feel safer and slowly
and progressively expose ourselves. Because the brain learns not to react. With more practice, we lose that fear. If you believe
that you have an anxiety disorder, I would say the first thing to do
could be a screening for that. That could be done by your primary care
physician or yourself. One of the most common tools to screen for anxiety disorder
is called General Anxiety Disorder-7.
GAD-7. And that’s widely available
in the public domain on the Internet. And if you have a suspicion
of an anxiety disorder, I would go to your primary care doctor. Alternatively, you can go to a therapist
because this, can be very effective and the therapist would be prepared
to tell you, “I think you need medication in addition to therapy.”.
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listen to what experts say about the easiest parenting hack for tantrums and misbehavior 5 minutes with your kid as often as possible of just time without phone I call it PNP time with my younger kids play no phone the 10-minute Miracle this is a game Cher for unwanted behaviors special time is one of the core principles of ADHD and behavior management and is actually beneficial for all kids and I’m just doing whatever they want to do and that works wonders no matter what you call it one-on-one playtime is frequently recommended for its profound impact on kids behavior and parent child relationships but there are some crucial things that most people get wrong about this strategy so what are the experts not telling you and most importantly how do you avoid these mistakes and actually make this hack work well first know that the concept of special playtime isn’t something novel despite what you see on social media it really originated in the 1970s as a a part of pcit and other parent training programs so what started as a structured component of specific therapies has evolved into more simplistic advice but it’s actually far from a quick tip special time is really an intentional practice that when done right makes lasting change so I actually already hinted at the first misconception about special time did you catch it imagine for a moment that when you play with your child your home is the set of a TV show your child holds the very important jobs of story writer director and lead actor you’re the production designer first planning and making the set for the story to unfold sometimes you’re also kind of like the gaffer the person who shines the light on specific parts of the story but most importantly you are like a live audience directly witnessing each scene unfold so special time is not just about playing with your child you both have critical roles to purposely follow and you as the parent are using specific skills to directly work on your child’s behavior and your relationship with them initially your special time is like the first several takes of a scene in your show you and your child rehearse your roles and lines until they’re more natural and can make the final cut of improved behaviors and connection so two things are actually true here spending dedicated one-on-one time playing can positively impact kidss behavior and parents must use certain skills to really have meaningful change but what are those skills exactly think back to your TV show set for a second imagine as a live audience member you go up to the director and ask her so what are the characters going to do next or you tell the lead actor you should sit over there instead would you really do that something that I see many parents do when playing with their child is offering ideas or suggestions that inadvertently steer the play time and when they do they’ve assumed the role of the director of the show the role that’s intended for their child your child has full creative direction to make their choices about how they want to play during special time it’s essential for parents to be the audience you’re not asking the actor or director questions and you’re definitely not giving instructions on what they should be doing questions and instructions take over the conversation in play and they could suggest disapproval or what your child should be doing instead I know it’s tough but a parent who is skillful at special time will save all their questions for after and will avoid giving any instructions to their child during play time but if you’re not supposed to ask your child questions or give them any sort of directions during special time then what are you supposed to say when parents and kids have gotten into negative behavior Cycles noticing the bad has usually become more of the norm we know that from research kids with ADHD in particular get more negative and critical feedback than than kids who don’t have ADHD so during special time use positive words and attention to let them know you see all the good things too in your role as the gaffer you want to specifically shine a light on your child’s positive and neutral behaviors that align with your family’s values and expectations you do this with your words whether that’s through specific praise like I love how calm your body is while we play simply describing their positive behavior like you’re sitting still at the table playing or repeating back or paraphrasing their words like if your child says I want to play with trains and you respond you’re telling me you want to play with trains next you’re focusing on their strengths and encouraging the behaviors you want to see more of your role as the spotlight operator reinforces positive actions rather than drawing attention to the unwanted behavior that you want to end you’re purposefully catching them when they’re doing the good stuff you want to see and telling them that directly by doing this you’ll make it more likely for those specific behaviors to happen again also just like an enthusiastic live audience who generously applauds consistently celebrate what you’d like to see in your child non-verbal actions like smiles and high fives or thumbs up can also effectively convey support and encouragement the key is ensuring that they feel seen and appreciated for their efforts just like special time helps your child feel appreciated your likes and comments let me know this content is valued so if you haven’t yet go ahead and tap those like And subscribe buttons now in all seriousness though I really appreciate your support because it motivates me to keep making more videos like this so thank you for that now back to some more stuff the experts aren’t telling you about special time while the focus of special time is on strengthening your relationship and promoting positive behavior it is inevitable that children can have challenging behaviors during play and then what are you supposed to do well thinking back to our TV show analogy what happens when an actor bumps into a prop and messes up their lines people on set generally expect minor mistakes to happen and an actor would just keep going or try again but what if something more major happened like if the actor got injured during a stunt they wouldn’t really be able to keep going as usual and you’d probably have to Halt production so first parents need to differentiate between minor annoying or frustrating behaviors and dangerous or destructive ones be prepared to stop play immediately if a child does anything that could potentially harm themselves or others like throwing hard objects or acting aggressively safety should always take priority just as it does on the set of a TV show immediately stopping special time when something dangerous or destructive happens will set a clear boundary for inappropriate behavior when other more minor m Behavior happens like shouting or knocking down a block tower out of frustration I know it’s tempting to address it since that’s where you’re trying to fix in the first place but parents should intentionally choose not to respond or give attention to minor misbehaviors this lets your child know that they’ll only get your full attention when their behavior is neutral or positive now these next two ideas are really important and rarely talked about experts often tout special time as a small mirror Le or hack even I did it in the title of this video which implies it’s more of an immediate fix for bad behavior while this may happen it can also set up an unrealistic expectation about the immediacy of its effect or that it’s a one-time fix consistency is crucial when scheduling and practicing special time much like practicing your lines is crucial to successfully film your TV show on schedule you’re not expecting that reading the script once or right before filming will be enough so so relying on special time solely as an in the- moment strategy for poor behavior Can diminish its impact and this leads into the next mistake I don’t see being talked about using special time reactively as a response to negative behaviors or taking it away as punishment undermines the intended purpose of building positive connections between a parent and child studies show that it’s the regular practice that enhances communication skills strengthens bonds between a parent and child reduces behavior problems and promotes emotional well-being for both parents and their kids special time is meant to be a preventative strategy rather than a punitive one sometimes special time can unintentionally turn into something punitive or critical in a different way though simply with the words used can you imagine how that might play out what if your child was rehearsing their lines and finally after 10 times through they delivered it perfectly and then someone watching said thanks for not messing up while while at a first glance it might be recognized as praise there’s an underlying message of disapproval that’s somewhat critical other examples of this hidden criticism or negative talk are phrases that involve words like no don’t and stop like don’t throw that toy or stop playing with the light switch during special time these should be avoided in order to get the full benefit so instead of saying thanks for not yelling Focus your comment on the behavior you wanted to see like I loved how you used a quieter voice it’s crucial to tell kids what to do instead of what not to do and I know that navigating special time correctly can be a complex script to follow especially when it comes to kids with ADHD or anxiety it can be confusing and really tough to know what to encourage and what to do so to help with your TV show I’ve got long-term production plans laid out for both anxiety and ADHD right here so go check out those next and put your relationships first see you there
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Hi, I’m Cathy with Level Up RN. In this video, we
will be discussing generalized anxiety disorder, as well as a few key specific anxiety disorders.
At the end of the video, I’m going to give you guys a little quiz to test your knowledge
of some of the key points I’ll be covering, so stay tuned for that. And if you
have our Level Up RN Psychiatric Mental Health Nursing Flashcards, I am just starting
in the disorder section of this deck. Everyone experiences anxiety from time to time and
that is a normal thing.
However, with generalized anxiety disorder, or GAD, an individual will have
persistent and excessive worrying that will cause significant physical and/or psychological
symptoms. Females are more likely than males to experience a generalized anxiety disorder, and
symptoms include excessive anxiety and worry that lasts for more than six months, as well
as symptoms such as fatigue, restlessness, irritability, muscle tension, as well as insomnia.
In terms of diagnosis, it’s important to rule out any underlying disorders, such as hyperthyroidism.
Treatment can include talk therapy, as well as cognitive behavioral therapy, or CBT. I covered
CBT in a previous video in this playlist, so if you need a review of that therapy then
definitely check that out. Medications used in the treatment of generalized anxiety disorder
include SSRIs, SSNRIs, as well as benzodiazepines, and atypical anxiolytics such as buspirone.
In terms of nursing care, we want to teach our patient how to recognize the
signs of escalating anxiety and teach them interventions to help decrease their
anxiety, such as deep breathing and exercise. It should be noted, however, that if a patient is
experiencing severe or panic-level anxiety, then problem-solving is not going to be possible and
our nursing care should be focused on the patient’s safety as well as their physical needs.
Moving on to specific anxiety disorders now.
Two specific anxiety
disorders that I would be familiar with include social anxiety disorder and agoraphobia. With
social anxiety disorder, an individual will experience anxiety related to social situations
due to fear of humiliation or rejection. Agoraphobia translates to fear of the marketplace,
and an individual with agoraphobia will experience anxiety related to public transportation,
crowds of people, and being outside the home. Some patients have anxiety that is produced by
a specific object or situation. For example, arachnophobia is the fear of spiders and
claustrophobia is the fear of confined spaces. Treatment of specific anxiety disorders can
include behavioral therapy, such as systematic desensitization and anti-anxiety medications,
which we covered earlier in this video. All right, it’s quiz time. Are you guys
ready? Question number one. Is generalized anxiety disorder more common in females or
males? The answer is females. Question number two. Name one or more drug classes that are
used to treat generalized anxiety disorder. All right, if you said SSRIs, SSNRIs,
benzodiazepines, or atypical anxiolytics, such as buspirone, then you are right.
Question number three.
What do you call anxiety that is produced by fear of
public crowds and being outside the home? The answer is agoraphobia.
All right, that is it for this video. I hope you found it helpful.
Take care and good luck with studying. Two specific anxiety disorders
that I would be familiar with.
I thought I was dying. It felt like I was having a heart attack. (sirens wail) I ended up in the ER to make sure I wasn’t. I got tunnel vision and I couldn’t breathe. I felt like I would pass out for sure. Now I’m scared every day. What if it happens again? These are the voices of people who have had panic attacks. Once a person has even a single panic attack, the worst part can be the intense fear that it will happen again. I know, I’ve lived with that fear. My first panic attack happened on a day when things were going fine.
I was with my friend from work, we were driving home in rush hour traffic. It was busy, like always. I was talking to my friend while she drove and she was focusing on the road. All of a sudden, I couldn’t breathe. My chest was tight, my palms started sweating, and my heart pounded faster. And it was rising like it was in my throat or ears. I looked at my friend and the car seemed to get smaller around us. I was positive I was dying, right then and there.
0:01:24.418,1193:02:47.295
And I don’t want to die. I was so scared, and she could tell. She asked if I was okay and I shook my head no.
I couldn’t speak. She pulled over and called 911. After lots of tests, doctors in the ER told me my heart was fine. They said I was having a panic attack and that they’re pretty common. They gave me ideas about how to get help. The reason for a panic attack is sometimes clear, and sometimes a mystery. Panic attacks are a group of physical and mental health symptoms that happen all at once. Because of the intense physical sensations and anxiety, people can feel like they’re dying.
Some symptoms are a pounding heart, trouble breathing, chest pain, feeling tingly or light-headed, and tunnel or blurred vision. People also feel terror, like something awful is about to happen. For me, that moment in the car was like any other day until it happened. As a result, people change the things they do, Either way, because a panic attack is the way they interact with others, their activities, are so scary, that once people have one, they’re often afraid it will happen again. and even how much they go to work or school. This collection of symptoms is known as panic disorder. Sometimes this becomes so serious that people stop leaving their houses to avoid places and situations where an attack might happen. But treatment helped me. And treatment is available. This is called agoraphobia. I found a great therapist who knew what to do. For me, with a combination of medicine and therapy, I learned to live with the fear of future panic attacks and know what to do if one starts to happen.
Panic attacks don’t have to control your life. You can take that control back. I know I did.
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In Fact … On Average, Out Of Every 100 People Who Visit On Your Pages
3% are ready to buy 30% don’t think they’re interested
6-7% are open to the idea 30% KNOW they’re not interested
6-7% are open to the idea
Long Story Short, 97% Of People
Just Aren’t Ready To Buy From You Right Now…