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Unlike your weight, cholesterol, or blood pressure, there’s no simple test to tell how you feel. Doctors are using a screening process called PHQ-2 to determine if patients are struggling with anxiety or depression. “It helps us to target who either has issues with depression or who has issues with anxiety, and then we can kind of go a little bit deeper with our interview process,” explained Dr. Juliana Odetunde, a family medicine physician with Lee Health.If a patient is showing signs of anxiety or depression, doctors can ask a psychologist can join their medical visit. “The Lee Health system has partnered with Florida State University College of Medicine in order to expand behavioral health integration to some of the clinical sites. We join the visits with the physicians whenever there is a concern of symptoms of depression, anxiety, stress management, or anything that could have an impact on a patient’s quality of life and treatment,” said Dr. Natalie Rivera, a psychologist with Lee Health.Doctors can then work together to teach patients coping skills and make sure they get the treatment they need. “I think it’s important that you know that this is a place for help,” said Dr. Odetunde.Leaving mental health issues unaddressed can lead to physical health concerns like high blood pressure, headaches, muscle pain, and insomnia. Offering patients full access to medical care to ensure they get the treatment they need.View More Health Matters video segments at LeeHealth.org/Healthmatters/Lee Health in Fort Myers, FL is the largest network of health care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For more than 100 years, we’ve been providing our community with personalized preventative health services and primary care to highly specialized care services and robotic assisted surgeries. Lee Health – Caring People. Inspiring Care.Visit LeeHealth.orgHey everybody. Happy Thursday! And when it's Thursday … what is it? I'm doing an FAQ video or things in the media. There are a lot of things in the media. Many of you have commented. Don't think that I have missed it. But I had a couple of good questions today that I wanted to address. And I've been doing some thinking about videos, and I think I'm going to do my journal topics as separate videos.
I find many of you have let me know that you really like those short, clip videos, where it's just something inspirational to kind of help get you through your day. So instead of doing two videos a week, now I'll do three. And I'll do a, you know, journal topic inspiration. So share your ideas! If there's anything that you've read about, heard about, saw on Pinterest or something tweet it to me, leave it in the comments below. And I shall make a video about that. So today I have two questions, and both of these are really good. So let's get going. First question says, "Hey Kati. First of all very nice video." This person's referring to the agoraphobia video I put out on Monday. If you haven't checked it out, you should check it out.
"I have a question. Describing the disorder you really focused on embarrassment connected to the possibility of getting out of a stressful situation. Does this feeling have anything in common with social anxiety? And if so, what are the main differences?" Because if you remember correctly in my video I talk about agoraphobia being an anxiety disorder. Now the really awesome thing about the DSM … cause I have to put a different book under my thing, because I had to use this to reference … is that it shares with you differential diagnoses, which is really the way of saying how is this different from the other disorders. Because a lot of them seem very similar. How do we differentiate between the two? And it says, I'm gonna read this to you, 'cause I tend to blab so sometimes it's good if I just read you what it says.
So with reference to social anxiety disorder, or social phobia, it says "agoraphobia should be differentiated from social anxiety disorder based primarily on the situational clusters that trigger the fear, anxiety or avoidance, and the cognitive ideation." So in social anxiety disorder the focus is on the fear of being negatively evaluated. If you remember when I've talked about this in other videos, social anxiety is when we fear what other people are thinking of us, what they might say to others about us, that we could be negatively evaluated by them. Agoraphobia is more about trying to get out, having a panic attack, being embarrassed about trying to leave. Now I see how these kind of go together, but you can also see how they're separated. The social anxiety is more about how we're perceived by others, where as agoraphobia is just the fear, like it says the fear or anxiety or avoidance because we worry about how we'll get out if we have a panic attack.
Or that it could be really embarrassing, because we might stumble, like try to get out really quickly. I hope that that makes it clear. If you need more clarification feel free to re-ask the question and I can blab some more. Okay. Question number two, "Hey Kati my therapist told me she'd like me to see a dietician." Uhh, she didn't! "Only I'm not sure I really need it." You never think you do. Sorry I'll stop with my commentary. "I do some eating disorder behaviors, but I still eat enough most days. And the behaviors are only there for a few days, and then I have other behaviors. Different behaviors that switch off and on. And I've only seen my therapist for two times now. And I've only really told her what went wrong. I don't want to waste peoples' time going to a dietician when I don't really need it." This got so much chatter on the website.
Holy schmollies, you guys really had opinions about this. So I thought, let's talk about it. Now seeing a dietician is good. It's something that we can all, all of us who have any kind of eating disorder behaviors. I know you're thinking but I don't really think I have an eating disorder. I only purge sometimes or I only restrict, but it comes off and on. I have a video from like I don't know … any of my OG's out there? It's like two years ago, my original FAQ video. I'm wearing like a teal sweater. It says FAQ on the thumbnail so just search. Well no you can't, because all of my videos would come up. But anyway it says FAQs. One of them is If You Think You Have an Eating Disorder You Probably Do.
Just let that wash over you for a second. Because I know it's hard, and we always think "But it's not that bad. I don't do it all the time. It comes and goes." Eating disorders are sneaky. They like come in, I feel like they're like ink in water, where all of a sudden the water is turned a whole different color. But we're like but it only just started this little. It's crazy. It can get in there, morph, change. As soon as you think you understand where it comes from and what it's doing, it's already changing to something else. And so even when we feel like "it's not bad enough to get more help" we still need to get more help. Because the sooner we get the help, the better. And seeing a dietician, whether we binge, whether we purge, whether we binge and purge, whether we restrict, whether we over exercise.
It doesn't matter. We're using any kind of eating disorder behavior, a dietician can really help. They're not going to make you get fat. They're not gonna make you eat too much food. That's part of their job. They're going to work with you to put together a plan, set goals with you, and they're going to check in with you. And they're going to challenge you, but it's all part of the process. Just like with the therapist, I'm not going to make you go all the way at once. Like we're gonna go through this, just, you know, get through all this shit and move on. That's not how it works. It's a process, and they're going to work with you. And I encourage all of you, when you're therapist says you know you should probably see a dietician, do it. They are really helpful. They are amazing. They will definitely help you manage those symptoms. They'll ask you the hard questions about food and what you think about food.
Because we know it's not about the food, but we're using food to cope. And so they will work on that spot with you so your therapist can help you better manage the emotional stuff. Together you get the best results, so don't think you have to be on death's doorstep to get help. Don't think that you have to be really thick in your eating disorder to get a dietitian to help you.
You can all benefit. If you're struggling with any eating disorder behavior please see a dietitian as well as a therapist. It gives you the best outcome. Promise. Okay. I love you all. I will see you, I'm not sure when I'll put out the journal topic video. You'll just have to subscribe, so you don't miss it. And then I will see you all on Monday. And some of you I'll see in New York. Yea! Okay, bye! Subtitles by the Amara.org community.
Hey everybody! Today we're gonna be talking about the five myths of panic attacks. So let's get into them. *intro music* Now the first myth is that they're caused by stress and anxiety. If you yourself have ever suffered with a panic attack you know that they come out of nowhere we don't even know what necessarily triggers us, something may not even trigger us. It's not necessarily something that environmental or something that's occurring right now. Panic attacks honestly happen because our system gets overwhelmed and overloaded and sends us into a fight or flight response, AKA, a panic! I also don't like this myth because it implies that we have control over it like we can stop our panic attacks if we just change our environment and the truth is the panic attacks will happen in a wide variety of places for a wide variety of reasons those of which we aren't even privy too.
We don't even know why they happen. And the second myth is that they're going to make us go crazy. Panic attacks, if they happen for too long we're just gonna go insane. I've heard a lot of my clients say this, that it feels like they're losing their mind and they wonder if it can cause other mental illnesses to occur and the truth is the panic attacks usually happen because we have some underlying mental illness, whether it be another anxiety disorder or depressive disorder, any kind of mood disorder can be a lot of different components that can lead us to having panic attacks and being more predisposed for panic.
The truth is that panic attacks in no way affect the functioning of our brain as a whole in the hormones, like dopamine, norepinephrine or any kind of neurotransmitter that could cause another mental illness or psychosis or quote, unquote, make us go crazy. The third myth about panic attacks is that having a severe one is going to cause us to go into cardiac arrest. I've heard from a lot of my clients that because a racing heart is one of the symptoms that they experience most with panic attacks, or even the build-up to a panic attack, they'll start feeling their heart race and they worry that if they're in a really extreme or intense panic attack for a sustained period of time, let's say for an hour, that they're going to go into cardiac arrest and this is going to be how they're going to die and it sends them into panic even more quickly and keeps them there longer.
But the truth is and this is something important to kind of note and to tell yourself, maybe when you're, you feel those symptoms happening is that our heart is extremely strong it can beat at over 200 beats per minute for days, if not weeks especially if we're young, it can be four weeks at that rate without sustaining any damage. I just want to take a second to let that sink in. We can essentially be in panic for a really really long period of time without our heart ever being hurt or even potentially considering it going into cardiac arrest or having any kind of malfunction.
Therefore on average, panic attacks last from three to ten minutes so a three to ten minute panic attack is not in any way going to harm your heart or cause a heart attack. The fourth myth is that they're used as a way to get out of something we just don't want to do. Uh, if we hear that one more time. Am I right? For those of you who don't understand what a panic attack is or what can cause a panic attack, like I stated earlier, they come out of nowhere. They are not triggered by our environment, it's not due to an over reaction by up if usually a result of another underlying mental illness and these feel like they come out of nowhere, happen quickly and can stay and they're extremely uncomfortable, so if you found yourself having these attacks anytime you went into the grocery store, then you would start to not want to go to the grocery store or whenever you're in a crowded place, like I've had a lot of clients are like, "If I'm ever in a busy thing like a club or a concert or even like a really busy day at the mall," they've had panic attacks, we don't really know why but they're then attaching busyness and a lot of people with panic attacks therefore if someone's going to call you, if a friends going to ask you to go out to a party, and you think it's going to be a small group you're like sure, then later you find out there's going to be like 50 people there, you're like I'm gonna have to say no.
But we need to understand that panic attacks and panic disorder is a real diagnosable mental illness and because we don't know what triggers them and they come out of nowhere we fear the next one may be just around the corner. So of course we're going to limit the amount of things that we do until we can get them more under control. And the fifth and final myth about panic attacks is that there is nothing that we can do to treat them. Meeh. That's wrong, there are a lot of things we can do to treat them. Yay! Number one, and something that I've been reading because if any of you follow me or have been on the live streams or follow me on snapchat or Instagram, I have been working very hard at your anxiety workbook and I'm super excited for it to come out, but the thing that I learned through all the research I've been doing, is that progressive relaxation, you know like clench your feet, relax your feet, clench your calves, relax your calves, that type of exercise, doing that 20 to 30 minutes a day can calm our system down to such an amount that those who struggle with panic disorder may rarely, if never again, if they continue to do the progressive relaxation each day, they may never have the symptoms again.
They're still doing more studies on it but progressive relaxation is, surprising to me, but it's so amazing and been so helpful and beneficial. And the other is that CBT, so cognitive behavioral therapy, is also helpful with panic disorder and those of us who struggle with panic attacks because a lot of times we build up the panic and our system's fight-or-flight response by worrying about all of those things like it's going to cause a heart attack, I'm going to be super embarrassed, I'm going to go crazy, I may fall over or faint, all those worries and kind of falsely held beliefs that we have, CBT can really help us challenge those.
Also medications have been shown to be extremely beneficial SSRIs, SNRIs, and benzodiazepine have been shown to be extremely helpful for those of us who struggle with panic disorder and I know that not all of you are interested in taking medication this is another option that's available and if you're out there and you're struggling with panic attacks and you feel like they're happening with more frequency, it's controlling the way you live your life please reach out, please talk to someone. There are different professionals and a ton of help available, we just have to ask for it and we just have to reach out and I know it's scary to do the first reach out, but know that we're used to managing it we can handle it. We are kind, calm, wonderful people and maybe bring an extra supportive person with you to that first appointment or maybe they make the call and set up the appointment for you.
Find ways, use your resources to get the support and help that you need. Please share this video, I think a lot of people talk poorly about panic attacks or don't understand and I also put some in here, if you didn't notice for those of us who struggle and the myths that we tell ourselves about panic attack because I think both are really important to note, and leave in the comments what are some myths that you've heard. What is the way that you talk back to that, so that we have as a community are raising the stigma associated with mental health. I love you all and I will see you next time. Bye!.
