4 Warning Signs of Generalized Anxiety Disorder

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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Understanding Anxiety – A Psychiatrist Explains Symptoms, Medication Options and Therapy

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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The 5 Major Anxiety Disorders

When it comes to anxiety disorders, there is no ‘one type’. Each form of anxiety has its own set of symptoms and treatments It is important to remember that, while some symptoms will overlap. No two anxiety disorders are alike This list aims to bring attention to the five major anxiety disorders, and what they mean for the sufferers We at psych2go hope to bring awareness to the growing number of anxiety sufferers and their needs So, without further ado, here’s five anxiety disorders as well as their symptoms and treatments Number one: obsessive compulsive disorder or OCD Obsessive compulsive disorder technically has two components: the obsessions and the compulsions Obsessions can encompass anything from a severe fear of germs to the placement of things around the home and many things in between The compulsions are what the sufferer does to rid themselves of those obsessive thoughts Someone who has obsessions about germs may ritually wash their hands or carry hand sanitizer everywhere they go Someone who has obsessive thoughts about the placement of objects might arrange and rearrange their belongings until they feel just right These obsessions and compulsions can become very intruisive and disrupted to the sufferers daily life As far as treatments for OCD go, there are a couple: There are selective serotonin reuptake inhibitors such as fluoxetine sertraline These medications are meant to help alleviate the symptoms for the sufferer so that they are at a manageable and less destructive level The other widely used treatment is psychotherapy With this, you might run into cognitive behavioral therapy that will be used to help the sufferer essentially reprogram their response to obsessions and compulsions For the most part, medications and therapies are used in tandem to get the best results Number two: generalized anxiety disorder Generalized anxiety disorder or GED is a bit unlike the other anxiety disorders on this list Those who suffer from GED aren’t always able to give a reason for their symptoms In fact, one of the symptoms is a general feel of restlessness or an ease They may also experience worry as one of the symptoms Everyone worries from time to time, but GED causes the sufferer to eternalize those worries and take them to an entirely new level They may think of them in an obsessive manner which will cause a downward spiral of other symptoms such as a disturbance in sleep patterns The treatments available for GED are similar to those of OCD Medications and therapy.In this case, the medications may be benzodiazepines and antidepressants rather than the run-of-the-mill SSRIs Cognitive behavioral therapy is used with GED as well as relaxation techniques and mindfulness Number three: social anxiety disorder Those with social anxiety disorder experienced panic attacks related to social situations This can manifest in a fear of public speaking or stage fright and can be so severe that they avoid going into public altogether Social anxiety can also have symptoms of severe self-consciousness and a general fear of being around others Someone with social anxiety might find it hard to speak when other people are present even if they aren’t addressing the crowd as whole Social anxiety is mainly treated with SSRIs and therapy As we stated before, just because a treatment option looks similar from one anxiety to another it isn’t going to be the same Each sufferer presents their own needs that must be taken into account.Each therapy isn’t going to work the same for each individual Personalization of treatment is key in these situations Number four: panic disorder Unlike the other anxiety disorders on this list, panic disorder rests solely on panic attacks With many other anxiety disorders, panic attacks are just another symptom when it comes to panic disorder those attacks are the symptom Panic disorder is characterized by recurrent panic attacks The sufferer may experience heart palpitations, erasing pulse an intense fear and the feeling that they are hopelessly out of control There isn’t a rhyme or reason to many of these attacks, so the sufferer is essentially lying in wait for the next one to come Panic disorder can be treated in many ways The medications used are some that we’ve heard of such as benzodiazepines and SSRIs We are also introduced to serotonin norepinephrine reuptake inhibitors or SNRIs and beta blockers These medications, as with OCD, are often used in conjunction with therapy to help maximize the usefulness of each Number 5: post-traumatic stress disorder Post-traumatic stress disorder or PTSD can be diagnosed in anyone For the most part you have probably heard it, when someone speaks about veterans or police officers While those careers have a higher rate of PTSD, it is in fact true that anyone can be diagnosed with it PTSD is the result of a very traumatic event or series of events This leaves the sufferer with flashbacks and night terrors where they feel as if they are right back in the event again The sufferer may also suffer from panic attacks as well as phobias associated with people places or even sounds Medications such as fluoxetine venlafaxine may be used in the treatment of PTSD Therapies such as prolonged exposure, cognitive processing therapy, and brief eclectic psychotherapy may be utilized as well Again, this is a situation where the use of medications and therapy together can help give a better outcome than just one alone It is important to note that those with PTSD can lash out in certain situations But there is no need to be afraid of the sufferers There is nothing inherently dangerous about them In fact those with mental illness are exponentially more likely to be the victims of violent crimes than they are to be the perpetrator This is not a complete list of the different anxiety disorders out there by any means, nor is it completely comprehensive in each description There are many kinds of anxiety, these just happen to be the most talked about and diagnosed at this particular moment Regardless of which anxiety disorder the diagnosis is for, it is important to remember that the sufferer is in need of help and acceptance You don’t have to understand anxiety to be able to offer an ear to talk to, or some words to keep them grounded in the moment Remind the sufferer that they are alright, that what they are feeling are just symptoms of their anxiety and that it will pass if given the time Aside from that, just make sure that they know you are there with them and wait it out Do you suffer from one or more of the disorders listed? Share your story in the comments below On a different note, psych2go is now selling t-shirts.Links will be in the description below. As always, don’t forget to subscribe, and thanks for watching.
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4 Signs of Generalized Anxiety Disorder

Everybody gets anxious or worried every once in, a while. But what, if you feel very anxious and worried a lot of the time and you’re just not sure why You might have generalized anxiety, a disorder a mental health condition that’s different from regular anxiety.You might feel Symptoms of a generalized, anxiety disorder including your anxiety persisting.Over a long period the.Anxiety and worry affect your day-to-day life like your job or your social life.You experience multiple physical or emotional symptoms, for example, having trouble getting or staying asleep, feeling, irritable, or becoming tired easily Certain medications or medical conditions can also make you more anxious or worried If you aren’t sure what’s going on talk to your doctor, You don’t have to deal with this worry and anxiety by yourself, bright, music, .
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Understanding Anxiety – A Psychiatrist Explains Symptoms, Medication Options and Therapy

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 challenge 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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Magnesium’s Effect on Mood: Anxiety and Depression

let’s talk about magnesium’s effect on mood especially anxiety and depression there are a lot of things that magnesium does in the body it’s involved in probably actually more   than 300 different enzymes involved in biochemical pathways but I want to emphasize just one area the   effect of magnesium on neurotransmitters which are hormone-like but instead of traveling through the   blood they travel through the nervous system now a magnesium deficiency is extremely common well over   50 of the population is deficient and probably a lot more that have a subclinical deficiency   but it’s very difficult to test magnesium since only one percent of your whole body’s   magnesium is in the blood the rest is in the bone it’s in the teeth it’s in the muscle and it’s also   inside the cell so you kind of have to go by symptoms and just take some magnesium consume   foods with higher magnesium and see if these symptoms go away so if you’re deficient in magnesium   you can get anxiety depression low tolerance to stress you’re not going to sleep that well you’re   going to be irritable and have brain fog other than that you’re going to be good to go but magnesium   has some direct effect on increasing serotonin serotonin is the hormone that kind of brings you a state of well-being it makes you feel calm happy and without stress number two   magnesium can decrease cortisol so cortisol is a stress hormone and if it’s too high it puts you   in a state of stress so many people have chronic elevations of cortisol and they’re stressed out   and magnesium can help them all right number three magnesium can lower adrenaline okay so   that’s going to help your sleep number four you can increase GABA which is a neurotransmitter   involved in relaxation and feeling calm and even sleep number five magnesium can increase melatonin   it’s going to help you sleep all right number six it can increase the parasympathetic nervous system which is that that’s part of the nervous system that’s responsible for rest and digestion   so it calms you down it’s an active wave in your body that’s pushing things down to keep   things calm so let’s say for example you ran up the stairs or you’re exercising and then you stop   the parasympathetic kicks in there and bring your pulse rate down and calms you down without that   everything would stay fairly elevated for a long period and in practice I used to measure   the parasympathetic nervous system I had a a test it’s called heart rate variability which measures   the autonomic nervous system and when people would come in with very low parasympathetic function   if they were to exercise their pulse rate would go high and it just would not come down   so they have to do very very light things and not a lot of exercise all right number seven   magnesium decreases the sympathetic nervous system so this is the opposing nervous system   this is the nervous system that keeps things turned on and it keeps you from sleeping so   magnesium can chill that out and another name for the sympathetic nervous system is flight or fight   all right there you have it magnesium’s effects on your mood before you go if you have a question   about a product or you’re new to keto and you want to know how to begin keto or you’re on keto and   you need a debug because it’s not going as smooth I have a keto consultant standing by to help you this is just for the people in the u.s.hopefully in In the future, we’ll be able to answer everyone’s call   but I put the number down below so you can call and get some help.ᵃⁿⁱᵐᵃᵗⁱᵒⁿ ˢᵗᵘᵈⁱᵒ ᴏɴᴇ-ᴛɪᴍᴇ ꜱᴘᴇᴄɪᴀʟ ᴜᴘɢʀᴀᴅᴇ ᴅᴇᴀʟ – ᴍᴀʏ ᴇxᴘɪʀᴇ ᴏɴᴄᴇ ʏᴏᴜ ʟᴇᴀᴠᴇ ᴛʜɪꜱ ᴘᴀɢᴇ. ꜱᴋɪᴘ ᴛʜɪꜱ ᴅᴇᴀʟ ᴀᴛ ʏᴏᴜʀ ᴏᴡɴ ʀɪꜱᴋ ᴀꜱ ᴛʜᴇ ᴘʀɪᴄᴇ ᴍᴀʏ ᴅᴏᴜʙʟᴇ ᴡɪᴛʜᴏᴜᴛ ɴᴏᴛɪᴄᴇ! Animation Studio is a must-have for anyone serious about selling or promoting anything online with video! Damon Nelson. Wow, Paul & Todd, this is a competition killer. “Animation Studio The Animation Creator That You Have Been Waiting For Has Finally Arrived… …..”Pythagorean Betting System ꆛシ➫ The Pythagorean Betting System is my ultimate way to find out which team is undervalued and overvalued in all the major professional leagues, including NBA, MLB, NFL, and NHL. 8 months later, the user says: “The Pythagorean Betting System is … 18:07 The latest testimonial from Anders in Norway. He says: “The Pythagorean Betting System is amazing!… Every day you’re not inside, you’re losing money! God bless you Champ. It’s been an amazing ride!”

The one factor causing depression and anxiety in the workplace | Johann Hari | Big Think

I learned about nine causes of depression and anxiety, for which there’s scientific evidence with different sets of solutions. But I’ll just give you a very quick example of one. I noticed that lots of people I know who were depressed and anxious. Their depression and anxiety focus on their work. So I started looking at, well, how do people feel about their work? What’s going on here? Gallup did the most detailed study that’s ever been done on this. They found that 13 percent of us like our work most of the time. Sixty-three percent of us are what they call “sleepwalking” throughout work. We don’t like it. We don’t hate it. We tolerate it. Twenty-four percent of us hate our jobs. If you think about that 87 percent of people in our culture don’t like the thing they’re doing most of the time. They did send their first work email at 7:48 a.m. and clock off at 7:15 p.m. on average. Most of us don’t want to be doing it. Could this have a relationship with our mental health? I started looking for the best evidence, and I discovered an amazing Australian social scientist called Michael Marmot who I got to know, the story of how he discovered it is amazing, but I’ll give you the headline.He discovered the key factor that makes us depressed and anxious at work: If you go to work and you feel controlled, you feel you have few or limited choices you are significantly more likely to become depressed or even more likely to have a stress-related heart attack. And this is because of one of the things that connects so many of the causes of depression and anxiety I learned about. Everyone watching this knows that you have natural physical needs, right? You need food. You need water. You need shelter. You need clean air. If I took them away from you, you would be in trouble real fast, right?There’s equally strong evidence that we have natural psychological needs. You’ve got to feel you belong; You’ve got to feel your life has meaning and purpose; You’ve got to feel that people see you and value you; You’ve got to feel you’ve got a future that makes sense. And if human beings are deprived of those psychological needs they will experience extreme forms of distress. Our culture is good at lots of things.We’re getting less and less good at meeting people’s deep underlying psychological needs. And this is one of the key factors why depression is rising. And that opens, just to finish the point about what that opens up, a very different way of thinking about how we solve these problems, right? So if control at work is one of the drivers of this depression and anxiety epidemic I think well what would be an antidepressant for that, right? What would solve that? In Baltimore, I met a woman called Meredith Keogh as part of an amazing transformation. Meredith used to go to bed every Sunday night just sick with anxiety. She had an office job. It wasn’t the worst office job in the world, she wasn’t being bullied, but she couldn’t bear the thought that this monotony was going to be the next 40 years of her life, most of her life.And one day Meredith experimented with her husband Josh. Josh had worked in bike stores since he was a teenager. Again, it’s insecure, controlled work, as you can imagine. And one day Josh and his friends in the bike store just asked themselves: what does our boss do? They liked that boss. He wasn’t a bad guy, but they thought, “Well, we fix all the bikes.” They didn’t like this feeling of having a boss.They decided to do something different. So Meredith quit her job. Josh and his friends quit their jobs. They set up a bike store that works on a different, older principle. It’s a democratic cooperative, not a corporation. So the way it works is there is no boss. They make the decisions together democratically by voting. They share the good tasks and the bad tasks. They share the profits. One of the things that was so interesting to me going there which is completely in line with Professor Marmot’s findings is how many of them talked about how depressed and anxious they’d been when they worked in a controlled environment and they weren’t depressed and anxious now. Now it’s important to say: it’s not like they quit their jobs fixing bikes and went to become like Beyoncé’s backup singers, right? They fixed bikes before, they fixed bikes now. But they dealt with the factor that causes depression and anxiety. As Josh put it to me, there’s no reason why any business should be run in this top-down, depressogenic, humiliating way, right? The modern corporation is a very recent invention.Think about how many people you know who feel terrible today if they were going to work tomorrow at a workplace that they controlled with their colleagues. If there had to be a boss, they elected the boss and the boss was accountable to them. Where they chose the priorities for their workplace. A lot of people would feel very differently. Now that is an antidepressant, right?Chemical antidepressants should remain on the menu. They give some relief to some people. That’s valuable. But we need to look for antidepressants that deal with the reasons why we’re depressed. So I was able to identify nine causes of depression and anxiety and seven antidepressants like this which are actually about dealing with the reasons why we feel this way and not just blunting the symptoms.
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K Brosas opens up about her struggle with chronic anxiety disorder | Magandang Buhay

K Brosas shares how her psychiatrist helped her deal with her mental health problems.Subscribe to the ABS-CBN Entertainment channel! – http://bit.ly/ABSCBNOnlineThe official website of Magandang Buhay! – https://entertainment.abs-cbn.com/tv/shows/magandangbuhay/mainWatch the full episodes of Magandang Buhay on TFC.TV http://bit.ly/MagandangBuhay-TFCTV and on iWant for Philippine viewers, click: Watch more Magandang Buhay videos here: Highlights – http://bit.ly/MagandangBuhayHighlights Momshie Advice – http://bit.ly/MomshieAdvice Yummy Recipes – http://bit.ly/MagandangBuhayRecipes Business Ideas – http://bit.ly/MagandangBuhayBusinessIdeas Watch your favorite Kapamilya shows LIVE! Book your tickets now at http://bit.ly/KTX-MagandangBuhaySubscribe to ABS-CBN Talk! – http://bit.ly/ABS-CBNTalkVisit our official website! http://entertainment.abs-cbn.com http://www.push.com.phFacebook: http://www.facebook.com/ABSCBNnetworkTwitter: https://twitter.com/ABSCBN https://twitter.com/abscbndotcom Instagram: http://instagram.com/abscbnonline#ABSCBNMagandangBuhay #MBEmpoweredWomen #MagandangBuhay

Variants, Stephanie Hans, & More Comics to Hunt | Hidden Gems Ep28

Check out a new episode where I spotlight some comic books that you should be aware of when you are out hunting comics. This will be just a short spotlight on some books, some of which may be known, while others you may not be aware sell for a decent amount of $$$. This week I look at some Variants, Later Prints, Stephanie Hans, and more.The purpose of this series is to introduce comics some folks may not even know exist while putting some context around why they are worth being aware of. A little extra knowledge to put into your comic-collecting mental databank.Join this channel to get access to the perks: https://www.youtube.com/channel/UCnoVXNgQQcjWE4fqNOrBziA/joinSign Up for Whatnot and get a free $10 off your 1st purchase: https://www.whatnot.com/invite/rennavisionFind me on: IG – https://www.instagram.com/rennavision/ Whatnot – https://www.whatnot.com/user/rennavision Facebook Group – https://www.facebook.com/groups/239386074331546 Twitch – https://www.twitch.tv/rennavisionLooking for Rennavision merch, well check out Teespring and TeePublic for some fun stuff: http://www.rennavision.com/ https://www.teepublic.com/user/rennavisionChannel intro created using: https://www.renderforest.com/If you like this video, Please Like and subscribe.#comics #rarecomics #rennavision#variantcomic #ghostcomic #chasingghosts #marvel #hiddengems #marvel #MCU #disneyplus #DCThanks for stopping by.