We all engage in deception occasionally, but a pathological liar enjoys compulsive lying for no apparent personal gain. Watch this. http://mental.healthguru.com/
It was the most peaceful, joyous, incredible,
life changing experience I've ever had in my life. There were scary parts, foreboding
parts … I always knew there was beautiful and joy and peace on the other side of it.
It was freeing, it was really freeing. This is Alana. She’s describing what she
felt after she took a dose of this stuff — psilocybin. It’s a naturally occurring psychedelic compound,
the kind you find in magic mushrooms. But she wasn’t tripping in a dorm room or
at Woodstock — it actually wasn’t recreational at all.
If anything became unreal or I was feeling nervous or not in touch with reality, I would
squeeze his hand and he would squeeze mine back just to reassure me that I was okay and
everything was alright. It was part of a controlled medical test to
see if psychedelics could be useful in helping people quit cigarettes. Alana had been smoking
for 37 years before her session with psilocybin, and she hasn’t had a cigarette since. Research on psychedelics for medical use is
preliminary. Most studies suffer from really small sample sizes.
That’s partly because the
federal government lists LSD and psilocybin as Schedule 1 drugs. So researchers face extra
red tape, and funding is really hard to come by. Vox writer German Lopez reviewed dozens of
studies that have been done. He found that psychedelics show promise for treating addiction,
OCD, anxiety, and in some cases, depression. One small study of 15 smokers found that 80
percent were able to abstain from smoking for six months after a psilocybin treatment.
In a pilot study of 12 advanced cancer patients suffering from end-of-life anxiety, participants
who took psilocybin generally showed lower scores on a test of depression.
And smaller study suggested psilocybin treatment could also help people with alcohol dependence
cut back on their drinking days.
We don’t have all the answers as to what
exactly these treatments are doing in the brain. But they seem to work by providing
a meaningful, even mystical experience that leads to lasting changes in a patient's life. The issues that I talked about, or thought about, or went into during my experience were transformative in the sense that I got to look at them through a different lens. I know this sounds weird, I feel like I have more connections in my brain that I couldn't
access before That feeling that Alana is describing is actually
pretty spot-on. When you take LSD your brain looks something
like this. You can actually see a higher degree of connectivity
between various parts of the brain, it’s not limited to the visual cortex.
This communication inside the brain helps explain visual hallucinations — and the researchers argue that it could
also explain why psychedelics can help people overcome serious mental issues.
They wrote that you can think of psychiatric disorders as the brain being “entrenched
in pathology.” Harmful patterns become automated and hard to change, and that’s what can make
things like anxiety, addiction and depression very hard to treat. That’s Albert Garcia-Romeu, he’s a Johns Hopkins researcher who worked on studies of
of psilocybin and smoking addiction, like the one that Alana's involved with. He says that when participants take psychedelics, One of the big remaining questions here is
how long these benefits actually last after just the one-time treatment.
A review of research on LSD-assisted psychotherapy and alcoholism found no statistically significant
benefits after 12 months. And a recent study on psilocybin and depression
found that benefits significantly dropped off after three months. And of course are some big risks to using
psychedelic drugs. It’s hard to predict a patient’s reaction
and some might actually endanger themselves.
Those predisposed to psychotic conditions
are especially at risk for having a traumatic experience while on the drug.
It’s difficult to draw solid conclusions from the existing studies.
But there’s more than enough promise here to merit further research and further funding
for that research. As Matthew Johnson of Johns Hopkins said,
"These are among the most debilitating and costly disorders known to humankind.” For
some people, no existing treatments help. But psychedelics might. One thing you might still be wondering is why so much of this research is so new, when we've known when we've known about psychedelics for thousands of years. Well since these drugs are so old, they can't be patented, which means that pharmaceutical companies don't really have any incentive to fund any research into them.
So that really leaves it up to governments and private contributors to fund all these studies. And there actually was a lot of research done into these drugs in the 50s and 60s, but there was a big enough backlash to the abuse of psychedelics in that period, especially around events like Woodstock, that funding really dried up, and research stopped. And that's why it's only now that we see this research happening, with private, not government contributions..
What do Emma Stone, John Mayer and Amanda Seyfried all have in common? They've all publicly admitted to suffering from panic attacks. Those who've experienced one will tell you it can feel crippling, life threatening. But, it doesn't have to be. Psychiatrist, Dr. Dominick Sportelli joins us now via Skype to give us three tips to help calm a panic attack. So, Dom. Hey guys. Dr. Sportelli, I love that we're going over this because obviously, there are medications that people will take if they're having a panic attack, but these are non-medicinal ways that you can potentially break the spell if you will of a panic attack, so talk us through what people can do. Yeah, you got it so, listen guys, four million people suffer from panic attacks, and most people don't even report it.
So, that number's probably so much higher than that and guess what you can add one name to your list and that's me, I have suffered from panic attacks. They're horrifying, they're incredibly scary, and psychiatrists are not immune. I'm glad you admitted that doc, because sometimes those people who seem the most cool, calm, and collected and who are can still have panic attacks, and it's not anything to be ashamed of. At all. So I am glad that you're personally someone who knows how to treat it, but also have experienced it, can you do us a favor.
Can you, before you go into the three tips, can you talk about even in your own, personal experience, what happens when you're having a panic attack? It's a physiologic response, it's actually an evolutionary response to save our lives believe it or not. Here's the thing your body thinks that it's running from a Saber tooth tiger. So, your heart rate increases, you get short of breath, you start to sweat, your muscles tense up, blood goes to different places in your body so your G.I. system gets crampy and you get nauseous. So, the thing is that you're not running from a tiger you're probably just at a business meeting or you know on the stage of The Doctor's or on Skype right. So, here's the important thing, it's an over reaction to a perceived threat, people become afraid of being afraid, so if you understand what causes the panic attack and you understand how to deal with it, it's less scary so what we want to do is put the brakes on the sympathetic nervous system and activate what's called the vagus nerve.
And the vagus nerve is the parasympathetic nervous system. But its basically, slows down all of those symptoms. The racing heart, the shortness of breath, the nausea, the shaky, the sweaty feeling, and we have ways to activate that vagus nerve and calm your body down without medications. So, what's tip number one Dr. Sportelli? All right, this is literally, when I say literally ground yourself, I mean it. I mean take off your shoes, get comfortable, put your feet on the ground, make sure you're in a safe place if you're driving, pull over for example. But if you're in your house or in your office, take your shoes off, put your feet on the ground. Feel the ground, and at that point you're gonna take slow deep breathes. Taking slow deep breathes activates that vagus nerve, that we were talking about. So, you're gonna take a deep breath in for five seconds, you're gonna hold for two and you're gonna go out for five.
Just that act is gonna slow your heart rate down, and prevent that snowball that we're feeling. And I love your second tip, because this is something that we can use sometimes in the ER, something, sometimes we all do for fun after a hot run, but what is your tip number two? So tip number two, if you have the availability, guys fill up your sink with a really, really cold sink full of water, ice cold, as cold as you can make it. And dunk you head directly into the water. That will, or has been shown to slow your heart rate, down by up to 25%, and that can break a panic attack in and of itself. And talk to us about this last tip that involves, whether it be caressing or self massaging, what is that? Yeah, I love this one, so this one's great, and I rolled up my sleeves, for you guys.
So, this is called the wrist-forearm technique. And what you're gonna do, is again keep in mind grounding, feet on the floor, comfortable, the breathing techniques that we talked about, and at the same time, grab your elbows and drag your hands along your forearms, down to your wrists, and then just repeat. Do that again, it's just a little self massage, nice and easy, it's very, very soothing at the same time breathing, and before you know it you're gonna be super calm, super chill. Focus on that act, on that exercise, it does have a calming effect.
Yeah. Exactly, 'cause a part of it is just distracting your mind from thinking something horrible's gonna happen.
[Music] let's go on to a case a 38 year old woman comes to see you complaining of insomnia frequent stools anxiety hair loss and muscle weakness in her upper and lower extremities on exam her heart rate is 110 beats per minutes and you note that her eyes appear to bulge with visible sclera above and below her iris what would her thyroid labs show so clinically this patient is manifesting significant symptoms and signs of thyroid hormone excess firstly the frequent stools the anxiety and the hair loss muscle weakness when put together really suggests that she has an excess of thyroid hormone when you examine the patient she is tachycardic she has an elevated heart rate and her eyes appear to bulge with sclera visible above the iris this is a whole mark of what we call dis thyroid eye disease where the effect of the excessive thyroid hormone on the eyes most prominent patients have proptosis which is the appearance where the eye appears to bulge in the orbit and the lid of the eye is retracted such a such that you're able to see the sclera above the iris the conclusion of this case is that the patient's clinical presentation is significant for most likely Graves disease we can confirm this diagnosis by checking some labs her TSH will be low and t4 and/or t3 will be elevated which is the classic hallmark or pattern in hyperthyroidism [Music] you
Dr. Heidi Combs talks about a rise in anxiety symptoms. When people have distress in their life, it often comes out in a physical way, Combs says.For more stories from the UW Medicine Newsroom, please visit https://newsroom.uw.edu/.
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Dr. John J. Medina, a developmental molecular biologist and an affiliate Professor of Bioengineering at the University of Washington School of Medicine, has a lifelong fascination with how the mind reacts to and organizes information. He is the author of the New York Times bestseller “Brain Rules: 12 Principles for Surviving and Thriving at Work, Home, and School” — a provocative book that takes on the way our schools and work environments are designed. Medina’s book on brain development is a must-read for parents and early-childhood educators: “Brain Rules for Baby: How to Raise a Smart and Happy Child from Zero to Five.” His latest book in the series is “Brain Rules for Aging Well: 10 Principles for Staying Vital, Happy, and Sharp.”Dr. Medina joins us in our Google Seattle office to talk about what we all can do for our future selves to Age Well, and why it’s never too early to start. Using clever anecdotes and captivating speaking style, he shares insights on how friendship and the power of reminiscence can have visible and reproducible effects on aging.Get the book here: https://goo.gl/8JHHX4