How should clinically isolated syndrome be treated? (Conditions A-Z)
If you experience CIS you and your doctor need to weigh the risks and benefits of treatment. Learn how to make the decision.
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After and in that book, I wrote about the story that you tell yourself and everybody else after the challenge is over. The last thing I’m going to talk about is that it’s an openness to accept the outcome of the exposure based on the fear of disaster not happening rather than how you felt like this is where you hear me say again and again, and it Sounds cruel and it sounds cold and it sounds all of those things. But when I tell you that I don’t care how it felt, I only care what happened That’s, where I am like begging you to see that. I know that it was hard And I know that you were terrified. I know that you thought you were going to die And I know that it felt like you were going to go insane, But you are now here an hour or a day, or a week later telling me that story Because none of those things happened So it’s so important to be open to the lesson that the exposure teaches us, which is that surprise. The thing that you are terrified of will happen. Doesn’t happen That’s so important. Now, if you’re listening to me, you may say, but the bad thing is the anxiety I get And for some people, it’s, not that the anxiety signals a danger because, for most of the community, it’s. Well, I’m terrified to panic, because when I panic, I think I’m going to die or think I’m gon na go insane Or I’m going to pass out or I’m going to have a psychotic break For other people. It’s just No. I don’t think that I’m just afraid of the panic itself, Because the panic itself tells me that I’m failing, I’m weak. I’m broken. I’m less than I can’t. Do this, this shouldn’t be happening, But even if that’s the way, you fear it and you don’t fear, death or passing out or a heart attack. In the end, the panic came and left, And again nothing bad happened. That does not show that you are broken or weak or less than at all. So you’re going to have to begin to accept that lesson that, like oh look, I did that again. I tolerated it again Instead of saying it was wrong for happening knowing I did a great job getting through it, So it’s so important to be open to the lesson that the experience teaches you other than just recounting the experience as a nightmare and something That you never want to happen again. That is so important And it’s why we say all the time we do. Don’t care how it felt we only care about what happened. We only care what happened So that kind of gives you. You know. 25 minutes on the difference between habituation and inhibitory learning and a rough idea of how that fits into exposure work, And I hope near the end here is how you can start to gear. Your exposure and recovery work to take advantage of the inhibitory learning model and not just try to get used to anxiety or make it go away. The key takeaway here is: am I doing these hard things to try to make it go away, Or am I doing these hard things to learn that I can do hard things and it doesn’t matter? If I get anxious that’s, really where you want to be That’s, where I want you to be, I want you there. I know that you’re trying to make it go away. We all want it to go away, But I say all the time go away is a happy secondary effect. It’s a secondary outcome. It’s a happy secondary outcome of learning that you’re. Okay, even if you do panic So please, if you take anything out of this episode, take that you should not be approaching recovery as a way to feel better and make it stop. You should be approaching recovery as a way to learn that it’s. Okay, even if you do get anxious and panic because when you get there and know that you can handle it, no matter where you are or what the situation is, then it starts to go away And it goes away more durably. It goes away across context. You don’t have to worry about like well. I can go to restaurants, but I haven’t gone to the movies yet So I got to do six months where the movie exposure to be able to go. No, you know that I’m okay if I panic in a restaurant, so I’m okay if I panic in the movies It’s, there’s magic in there. There is So that is my 2627 minutes on habituation and inhibitory learning and the mechanics of exposure. Hopefully, it has been helpful. I’ve been looking forward to doing this episode to be completely honest with you, And it was going to be super geeky at first. But I’m pretty proud of the fact that I didn’t get too deep into the technical woods here And I hope that I’ve been able to present it in a way that’s understandable and relatable. More than anything else. More than anything else, So that’s it We are done. This is episode 226 In the book. You know it’s over because of the music, that is Afterglow by Ben Drake. That is a song you hear at the beginning and end of every one of these podcast episodes. If you’d like to hear the whole song or know more about Ben and his music, you can visit his website at Ben Drake, music com. If you’re listening to this podcast on Spotify or iTunes, or some platform that lets you rate and review, the podcast leaves a five-star rating and maybe writes a quick review. If you dig it because it helps other people find the podcast. If you’re watching on YouTube subscribe to my channel, like the video leave a comment, I circle back every few days to interact on YouTube. So if you want to ask the question, I promise I’m gon na see it And I think that’s it Thanks for coming by. I appreciate your support. To find all of my other resources and goodies at the anxious truth com. I will be back again next week with another podcast episode. I don’t know what I’m going to talk about, but I will be here and remember until then. This is the way Unknown. Yeah, you’re doing fine story begins. You got a feeling that you go
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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.
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They’re just designed to make you feel different. But
feeling different isn’t safer at all, because you’re never in
actual danger from feeling anxious. Right? So you’re gonna
have to confront the reality behind that question. But how am
Did I suppose to surrender or accept? Well, look what those
questions mean. So next question is, what exposures can
I do get ready for dot dot dot, pick an event, a wedding, a
concert, a family vacation, something. And so in the end,
this is a simpler answer. You have to remember what exposures
are therefore, people think, or they get confused. And they
think, Well, I’m learning to drive on the highway. Again, I’m
learning to go shopping, I’m learning to stay home alone.
Again, you’re not learning to do anything. The
only thing that you’re learning to do, which is portable across
situations and challenges, and context is learning how to
get better at experiencing anxiety and fear.
So we only do
exposures, do specific things like drive go for a walk or
stay home alone or eat food that you’re afraid of. So that
it will trigger that anxiety, we were intentionally triggering
anxiety, fear, uncomfort, discomfort, uncertainty, all of
those things were intentionally triggering them so that you can
practice feeling them and moving through them in a new way, a
the more productive way that ultimately teaches you that you
don’t have to save yourself from them. So if the exposure is not
to the event, the task, or the place where the food or
whatever the exposure is to the feelings, then every exposure is
an exposure that works for other things.
Right? So if you’re
getting ready to go to, for instance, you’re going to a
concert all you got tickets to a concert, how can I expose myself
to that? I mean, yes, can you do things that sort of mimic a
concert? Yeah, that doesn’t hurt in any way. But remember, you’re
only you’re not afraid of the concert, you’re afraid of how
you will feel at the concert. So if you want to take a cruise
around the world get better at staying home alone for two
hours. That’s what I tell people all the time. If you want to go
back to work, then get better at walking around your block.
Because you’re really in the end, you’re learning a new way
to relate to anxiety across all contexts. And if you can
adopt this, then you don’t have to worry about specific
exposures for every single thing you might have to do in your
life, life gets a lot simpler that way.
And your recovery
starts to become a little wider and more durable. So it’s really
important, like think about that. I’m only doing these
things because they trigger my anxiety, the anxiety, fear,
that’s the exposure, not the task or the place. So let’s move on to the question.
You know, in 10. I know which one I want to take, we’re on
seven right now. This question is what does this method work if
I have trauma too. So first of all, I always have to say this
is not a method like I’m not teaching them. This isn’t the
drew method. It’s not my method. I didn’t invent any
of this. These are just the principles of a cognitive
behavioral approach to anxiety disorders. So there are
parallels between anxiety disorder, recovery, and trauma
resolution, that’s 100% True, a lot of things will look the
same.
If you’re working with a trauma resolution specialist,
some of the things that you would hear would sound a lot
like the things that I talked about, but they’re not
the same. And the issue here is, let’s assume that you do have a
traumatic background and you’ve experienced some traumatic
events in your life. And maybe that that trauma did spawn your
anxiety disorder that can happen. But then what I always
say is that one problem, the trauma has now become two
problems. You have trauma and an anxiety disorder. Right? So you
have to realize that it doesn’t mean that the anxiety disorder
doesn’t count because it’s only the trauma if you had one
problem now you have to That’s okay though, don’t freak out.
You can successfully deal with both of those issues. A lot of
people do, right? A lot of people do that work on both
fronts. But traumatic experiences do not mean that the
anxiety disorder doesn’t count, so some people are under
the assumption that like, well, this all sounds good, but
I have trauma.
So what you’re saying doesn’t apply to me.
Okay, you may have trauma, and I’m very sorry for the things
that you’ve lived through. That’s possible. But in the end,
if you will have learned to be afraid of your heartbeat, or
your breath or you have learned to be afraid of, you
know, depersonalization or jelly legs, and you refuse to go out
of the house, or you are convinced that you have some
sort of health problem, and you will only eat foods as a
result. Maybe some trauma spawned that, but
But knowing about that trauma doesn’t help you become less
afraid of your heartbeat.
Now you’re afraid of multiple
things. So maybe you are having, you know, you’re afraid of the
experience. But now you’re also afraid of yourself. So you
have to do both things. But of them, if two
problems, you can solve them both. So traumatic experience
can be a roadblock 100% to executing the recovery plan that
we’re always talking about here. It’s 100% true if you have
lived experiences that teach you that you are always unsafe, the
world is dangerous, you are weak, you’re not capable, you’re
stupid, and you’re not worthy of being better. trauma can do that
to you. And if you have those beliefs about yourself, because
of your past experiences, that can 100% present a roadblock to
doing the work that I was talking about, have to
acknowledge that and I always will always well never going to
invalidate that.
So in that situation, you’re going to have
to work on that too, right? You’ll have to work on that.
It’s kind of hard. And this is different for everybody, right?
There’s no set answer to this on the other side. So in that
situation, you may find you have to do a little bit of work on
yourself before you can effectively do this recovery
work that I’m talking about.
Some other people find
that their anxiety disorder is so bad, that they’re so wracked
with panic and irrational fear that they can’t do the
trauma work until they put out this fire. So some people have
to do this first and then go back to the past and do that
work. Some people can do it at the same time. It’s individual,
it depends. So there’s no set answer to this. But I can
tell you that you can recover from both trauma and
anxiety.
And the things that I’m writing about which are
geared toward anxiety recovery can be effective while
you do that. It’s just a very individual situation. But please
don’t feel that since you have lived the traumatic background,
you can’t get better. That’s not true. That’s not fair. And I
understand why you might think that but it’s not true. You
can get better. It’s not easy. But there’s hope for you
too, I promise. So last few questions. This is a really
common one I’m accepting, why am I still anxious? So I might
argue that if you are asking why you’re still anxious, then
you’re not accepting. We can’t qualify for our acceptance.
I’m accepting. I’m accepting this, but I also want it gone.
Well, you can’t have both of those things. Think about that
for a second. I know it sounds a little bit glib and a little
silly.
But think about it. There’s truth in there. I’m
accepting this, but I also don’t want to accept it, and I’m not
accepting it. I know you want your anxiety to go away,
but accepting and doing all the things we talked about. It’s not
a recipe for banishing it, right? If that’s why you’re
doing this like you are hoping that if you do the Claire weeks
acceptance or the Dru surrender, or the Josh Fletcher willful
tolerance, if I do this, then it will stop. You’re trying to skip
the part where you have to experience the anxiety and use
it as a classroom.
It’s super important. So if you’re trying
to skip that, and you’re just hoping that okay, I except, wait
a minute, how come it hasn’t gone away? You’re missing the
whole process. And you’re going to wind up disappointed,
frustrated, and do and ask this question I don’t
understand. I’m accepting why isn’t gone away. So
expectations are important. Understanding the concepts of
recovery. Why are you accepting that is that the whole thing? Or is
it just part of it? That’s important, aiming at the right
target is important. So in this situation, I did episode 192 of
the podcast, which is linked in the show notes here, go listen
to that, that will probably help you. And this is related to
question number nine, which is, I’m doing my exposures.
But it’s
not working. This is what you think you’re doing. I’m doing
all the things I’m doing exposures but not working. Why?
And there are a couple of common explanations for this. Number
one would be we’ll ask you a couple of questions. And this is
right at the show notes. Are you trying to do exposures without
being too afraid? Are you trying to do your exposures without
triggering high anxiety or panic? Are you only doing
exposures now and then when you’re forced to or when you’re
having a good day? Are you doing exposures while also using all
of your soothing and coping tools to calm you down if it
gets uncomfortable? These are all red flags as to why exposure
might not be working.
So remember what I said a couple of
questions before the point of exposure are not doing the
task. The point of the exposure is experiencing the fear the
anxiety, the discomfort you want that you need that if you’re
trying to find ways to do your exposure tasks without feeling
that or minimizing it or soothing or calming it or making
it’s easier Don’t do the exposure, there’s no point in it. Because
you’re not, you’re not learning to drive again, you’re learning
how to get better at experiencing anxiety. So this is one of the
main reasons why people will say my exposures aren’t working
well, okay, but you’re not doing exposure, in some
cases, for a common mistake. The other thing would be that you
know, that you’re supposed to experience that experience,
panic, but you are still hanging on to those who escape
behaviors and those rituals.
So some people get close to like
real exposure, I would say real exposure, but most effective
exposure, but they still hang on to like, well, there’s a line
that I just can’t cross with anxiety and panic. And when I
get close to that line, I will break out all of my copings
skills. And I will break out my, safety skills and my make it
go away skills. And that’s the response prevention part. So
we’ve talked about exposure and response prevention, ERP, which
is very commonly used in the OCD community, you hear ERP in that
community all the time, but even for all of the
anxiety disorders. Exposure is always ERP. So doing the things,
you’re doing the things, you’re intentionally triggering this
comfort, and you’re doing that without using your old
responses, your safety responses, and soothing responses, you’re
preventing those responses.
So one of the reasons why
another key reason why exposure might not be working air quotes
for you is first of all, what does working mean? It doesn’t
mean to make it go away. Remember, it means teaching you how to get
better at being anxious. But why do you think it’s not working?
Well, one of the reasons is doing the exposure without doing
the response prevention. I’m out there driving on the highway,
but I’ve got my mints and my cold water and I got my radio
on, I’m calling and I’m talking to my friend or I bring my
husband or my girlfriend with me that that’s one good reason why
it might not be working. Right. So if you go to
anxious truth.com and just search for the word exposure,
you’ll see quite a few podcast episodes where we talked about
this in more detail. And then question 10 Final question for
the day. This is a big one. How do I deal with a setback? So
this is a such question I hear every single day and I the
word setback, I almost want to be stricken from the vocabulary.
Many times when people are in the recovery process, they
feel like they’re doing great because they’re not experiencing
anxiety or panic.
Like they’re feeling good. That’s, that’s
awesome. We want everybody to feel good. I want you to feel
good to write, I want you to have good days. We all want to
have good days. Everybody deserves a good day. So when you
start to string good days together, and you’re feeling
pretty good. And it’s been a while since you had a panic
attack, or it’s been a while since you had those scary
thoughts or it’s been a while since you’ve had an
anxious day and then you have an anxious day or the thoughts come
back or you have a big panic attack one night. A lot of
people will say up, it’s a setback. That’s not a setback.
That’s not a setback, right? If the core principle of
recovery, is to learn that anxiety and panic are not
emergencies, then how is feeling that a setback, it’s no longer
an emergency, you are trying to learn that it’s not an
emergency, we do not declare it a special event.
We don’t
retreat from it. So setback is usually a red flag word and it
indicates that you’re still insisting that the only
successful recovery is one year where you will never feel
anxious or panicky ever again. And if you’re trying to recover
to that degree, where you never you can guarantee that you never
panic or ever have another scary thought in your life.
You’re going to be disappointed and frustrated. So
setback is not feeling things. If you haven’t felt anxious for
two weeks, and then today you feel anxious. Well, your job
today is to move through those feelings and practice being
better at being anxious. That’s not a setback. That’s just life
happening. And that’s an opportunity to get even better.
Like we want it we get to the end of the road to recovery
when we don’t care if we’re anxious or not. And I know that
if you’re in the thick of it right now you are thinking that
is an insane statement.
But that is truly where you are headed
with this. That is when the war is over. So if every time you
experience anxiety, you yell setback and want to know what to do
I do with a setback? You’re kind of missing the point and you’re
not being fair to yourself. Okay, so the only true thing
that I might call setback is setback is also really what
happens when we say up all bets are off and I’m going to return
to my old rituals.
I’m gonna go back to my figuring it out
trying to fight it trying to resist it hiding from it. Going
back to my compulsive. My compulsions, like that, might be
setbacks. Yes, if you start to revert to those old habits, I’ll
call that a setback with you. But how you feel and what you
think is not the setback. But even if you do start to revert
to those old habits as soon as you waive the setback flag and
one piece of advice just remember, oh wait, I have to start doing what I was
doing before. No problem that happens to everybody move
forward again. So if anxiety returns after some time, right
at the show notes here your job is not to wring your hands
and try to figure out why and how to stop it and declare
a disaster.
Your job is to surf through it, move through it
like you presumably did as part of the progress that you said
you had made. So I did do an episode on this early on in 2015
of the podcast, episode 14 talks about the nonlinear nature
of recovery and goes over setbacks. But I know setback is
a thing that we talk about all the time in this community.
Hopefully, this helps. And that is it. Those are our second 10
frequently asked questions about anxiety and anxiety recovery. We
are done with episode 217. If you have not heard to 16 go
ahead and listen, because those are the first 10 questions you
know, we’re done because he told me that music. Anyway, I will
pay you out as usual. Afterglow by Ben Drake, you can
find Ben and his music ed Ben Drake music.com Go check them
out and tell him I said hi, I will ask you a favor. If you’re
listening to the podcast on iTunes on Apple podcasts or
Spotify or some platform that lets you rate and review.
Please
leave a five-star rating and maybe take a second to write a
review because it helps other people find the podcast. If
you’re listening on YouTube. Sorry, there’s no video this
week. But if you’re listening on YouTube, Like the video,
subscribe to the channel, and leave a comment. You know the deal. I
appreciate you guys coming by all the time spending time with
me giving me your attention. Hopefully, I’m able to help you.
I’m doing the best I can. I’m hoping it’s working out for you.
I’ll be back next week. We’re gonna do it again. I don’t know
what I’m gonna be talking about. But I will be here. And as
always remember, this is the way Unknown: this is where your
story begins. You got the feeling that you go yeah, you’re
doing fine. Now in the city, you live fast. No looking back on
the past. Never get another chance.
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