{"id":72645,"date":"2020-06-17T16:45:11","date_gmt":"2020-06-17T16:45:11","guid":{"rendered":"https:\/\/effectsofanxiety.net\/archives\/72645"},"modified":"2020-06-17T16:45:11","modified_gmt":"2020-06-17T16:45:11","slug":"depression-anxiety-and-parkinsons-season-2-episode-1-2","status":"publish","type":"post","link":"https:\/\/effectsofanxiety.net\/archives\/72645","title":{"rendered":"Depression, Anxiety, and Parkinson’s: Season 2, Episode 1"},"content":{"rendered":"– Hi, and welcome to ParkinsonTV. An educational series that brings you diverse perspectives of Parkinson's, and its many possible symptoms. Season one focused on the basics\nof living with Parkinson's. In season two, we're\nexploring an important topic that's not discussed often enough: mental health. In this, our first episode of season two, we'll discuss two frequent\ncompanions to Parkinson's: depression and anxiety. (violin music) Joining us is series\ncreator and neurologist Dr. Bas Bloem, from the Netherlands. Bas and his team started\nParkinsonTV in Dutch, and they've now released\nclose to 40 episodes that have reached hundreds\nof thousands of viewers. Bas, it is so nice to have you today. – And it's a pleasure to be here, Patrice. – Thank you. We are also delighted\nto introduce our guests, Dr. Roseanne Dobkin, and Bob Pearson. Roseanne is a clinical psychologist and associate professor of psychiatry at the Robert Wood Johnson Medical School at Rutger's University in New Jersey.

Welcome. – Thank you, Patrice. I am honored to be part\nof this important work. – Thank you so much. And we're also joined by Bob Pearson. Bob has Parkinson's, and\nhe's experienced anxiety and participated in\nseveral research studies investigating new treatments. Thank you all for joining us today. It's such a pleasure to see\nyou, and to learn from you, and to share this with our viewers. And I guess, to you, Bas, first of all, tell us a little bit about your research, and just these very important first symptoms that we're discussing, depression and anxiety. – Yeah, I think this is a critical season, for ParkinsonTV. We long thought that Parkinson's\nwas just a motor disease.

It's maybe good for the viewers to know that James Parkinson described the disease based on people he literally\nsaw walking on the street. And if you start to\nspeak to people like Bob, you will hear that there are\nlots of non-motor symptoms, including depression and anxiety, which are actually very common\nin patients with Parkinson's. And I know that you have\nexperience this firsthand. – Yes I have, Patrice. I think I've had Parkinson's\nfor maybe 20, 25 years, but my first clinical treatment was for general anxiety,\nnot for Parkinson's. That was about eight years ago. I was misdiagnosed, I think.

And the anxiety was pretty severe, I was put on medication for it, and now I'm getting the proper treatment, and it's made a world of difference to me. – And I know, Roseanne,\nyou treat patients, you see how these symptoms\nmanifest themselves. And it's not always the same. – Everybody is different. And just like Bob said,\noftentimes we will see depression or anxiety present, 5 years, 10 years, 20 years before the onset of the physical symptoms of Parkinson disease. Which means that people with\nParkinson's have been living with these very distressing\nnon-motor symptoms for quite some time, and they can be very impairing.

You know, there isn't\nthat much of a difference in the specific mood or\nanxiety symptoms per se, that people with Parkinson's present with compared to the general population, but the way in which\nthey present fluctuates, it varies. Sometimes the presentation is chronic, sometimes it's intermittent, sometimes it's both, so it looks very different\nperson to person. And oftentimes, these\nmood symptoms get missed because they overlap with some of the physical symptoms\nof the disease process, and doctors, the healthcare team, people living with Parkinson's,\nand their family members, might not recognize, you know, there are two\nseparate phenomena at play that really require\nattention and treatment. – And I know that just\nin talking to people, the first thing they usually say is, oh, I remember, like you said, 30 years ago I had this\ndepression, this anxiety. Never, in their mind, realizing that it could be Parkinson's.

Because maybe they didn't have\nany of the motor symptoms. And that's exactly what happened to you. – Sure was, yeah. It's kind of a baffling disease. And that's why I'm so glad we have these experts with us today to help explain this to everybody. Because it is treatable. That's the important\nmessage, it's treatable. – It is. And people need to know, Bas, that these are normal symptoms. I think sometimes people\nthink that it's just them, but, quite common. – It's quite common. And, so, two things.

One is, many patients who\nhave the disease today can become depressed, or have anxiety. Bob's example is one where patients have the non-motor symptom,\nin his case, anxiety, but also frequently depression, as the very first symptom of what later becomes full-blown Parkinson's. You can't turn things around; not everybody with depression will later get Parkinson's. But in hindsight, we\nnow know that depression can be the very first manifestation of what later becomes Parkinson's. – And it's so important for people to ask questions, isn't it? – You have to ask questions. And as Roseanne was already alerting to, in order to identify\ndepression and anxiety, you have to speak to people.

So that's why James\nParkinson missed the boat when he was just observing\npeople walking on the street. You have to speak to people. And what I always say is, you\nhave to look behind the mask. Patients with Parkinson's have the mask face, or the poker\nface, as it's sometimes called. This is a core motor\nsymptom of the disease. And it complicates matters in two ways. One is, sometimes the mask face\nis mistaken for depression.

So people feel cheerful, but\npeople think they are depressed because they have this\nlack of facial expression. But in other cases, the\ndepression is missed because you literally have\nto dig behind the mask, and to listen to patients\nand find their depression. – And I know people will learn\nso much from these episodes. What do you hope comes out of this one, the depression and anxiety? Because I know you've\nexplored so many topics, and you were just telling me\nthat there's so many more. It's such a complex disease. – Yeah, as we were saying when we were preparing the episodes, the fact that we've done\n40 episodes in Dutch says everything about Parkinson's, and what a complex disease it is.

And we still keep finding new topics. What I hope that today will achieve is, first and foremost, recognition. Recognition that Parkinson's\nis not just a motor disease. It's a disease with lots\nof mental health issues, including depression and anxiety. And the second thing\nis, the moment people, listeners, viewers, see and hear this, don't just sit it out. But it's a treatable condition. I'm sure Roseanne will\nsay a lot more about that. It's a treatable condition. – I was just gonna ask you, I know that you specialize in this, in recognizing this. What are the treatment options? – So, there are several treatment options. And I always like to share that there's no cookie-cutter approach, there's no one-size-fits-all, everybody with Parkinson's\nis a unique individual.

In general, as first-line therapies for depression and anxiety, we may look to anti-depressant medications or anti-anxiety medications. I do a type of psychotherapy called cognitive behavioral therapy, which really focuses on coping skills, what people are doing or not doing in response to the symptoms and life stressors they're experiencing, how they're thinking about themselves, their life, their future, their ability to handle the challenges in front of them, and this type of therapy,\ncognitive behavioral therapy, has a growing evidence base suggesting that it can be very helpful for people with Parkinson's,\nwith depression and anxiety, not just in terms of alleviating some of those non-motor symptoms, but enhancing their\noverall quality of life, and in some cases, enhancing\ntheir physical functioning.

– And I know, 50% of\npeople with Parkinson's have some form of depression? – That's a rough estimate, but it's probably close to target. And I think one of the interesting issues with both depression and anxiety is that, in Parkinson's especially,\nit doesn't always look like the type of mood disorder\nor anxiety disorder that's portrayed on a TV commercial. So there are a lot of people out there that have very distressing symptoms, but maybe they don't\nsay anything about it, or those symptoms don't get detected, because they're not on the\nsuper-severe end of the spectrum, but they're still very impactful. So I think we always have\nto be on the lookout, not only for severe symptoms, but even symptoms that come and go, but are very distressing, bother us, and really change the\nlandscape of the day. – So, one thing, if I may,\njust to add to the treatment. One thing that I always\nfind very effective is simple dopaminergic therapy.

So, the depression in\nParkinson's is sometimes a reaction to just having an illness. You could lose a leg and become depressed. In Parkinson's, it's more complex, because the lack of dopamine in the brain can also be, itself, responsible for both the depression and the anxiety. And treating Parkinson's symptoms with dopaminergic treatment, levodopa or a dopamine agonist, works in both ways. It corrects the dopamine deficiency and thereby treats the\ndepression and anxiety directly, and people feel better, they can move, they can achieve things again, and thereby feel more cheerful. – And I'm really glad\nthat you brought this up. We want to make sure that the Parkinson's treatment\nregimen is optimized. That there aren't any\nbig misses in that area. Get that under control first, and then layer on additional\ninterventions as needed.

And for some people, just getting the Parkinson's medication\nright can make a big difference. Other times, more is needed, and it's not so straightforward. – And we're going to be talking\na lot more about this as we continue, but so\ninsightful, thank you all. We had a chance to\nspeak with Rocco Romano, who also has Parkinson's. We talked to him about his experience, and strategies for coping with depression. Let's take a look at that now. (violin music) – [Patrice, voiceover] Rocco Romano lost his sense of smell\nwhen he was in his 30s. And he also suffered deep depression.

But he was shocked to\nlearn, a decade later, he had Parkinson disease. – When I heard it from the first doctor, I just, I felt like … I felt like my heart just\ndropped to the floor. It was awful. It's like a sudden loss. You're like, "oh my God, what's\ngonna happen to my life?" Well, I found out when I was 43 years old, so that was five years ago. And I had these symptoms, probably, like I said,\n15 years beforehand. – [Patrice, voiceover]\nHe also had trouble turning his phone in his hand. – For me, my symptoms are extreme fatigue at times, stiffness of joints and\nmuscles, and slow movement. – [Patrice, voiceover]\nHe says the depression is the worst symptom. – Depression is such a\nshaming symptom, or condition.

And of recent, I've been going through quite a bit of depression. You just kind of withdraw into yourself, and, you know, worst thing I\ncan do is start to withdraw. – [Patrice, voiceover]\nRocco was afraid of his diagnosis at first, but now has no fear. He focuses on slowing the\nprogression of the disease. Medication helps. So does mountain biking. Rocco has always been active; he loves getting on his bike and hitting the trails near his house. He believes the high-intensity workout helps relive symptoms of Parkinson's, and restores the chemical dopamine, which diminishes in Parkinson's.

That's a chemical that gives\nus a sense of well-being, and a good feeling. – I mean, it's almost\nlike medicine itself. It really is. And it just helps out so much. I would say, the biggest effect, right after I'm done with exercising, is the depression is\nalmost immediately gone. And it doesn't resurface until\nthree or four days later. It's the exercise. Really, that blood flowing to the brain, it is so crucial. – [Patrice, voiceover]\nBut sometimes he's so drained, he can't ride. And the cold weather makes\nhis muscles stiffen up. But he got back on that bike recently, and he realizes it's\nsomething he has to do to feel better. – Yeah. Sometimes I don't wanna do it. – [Patrice, voiceover]\nDoctors have also changed medicines to help lessen\nthe symptoms of depression, and improve his sleep at night.

Rocco says the toughest part was explaining the diagnosis\nto his three young children. But he laughs when\nrecalling their reaction. – Once I was diagnosed, we pretty much immediately told them. Their reaction was,\n"Are you going to die?" I said, no, I'm not going to die. And then they said, okay, and then they just went\nabout what they were doing. – [Patrice, voiceover] Rocco says one of the hardest\nparts about this disease is having to retire early from his job as a technology\nteacher, a job he loves.

– It takes a lot of energy out of you, and at the end of the day, I am completely exhausted. I'll have to come home and\nsleep for two to three hours. – [Patrice, voiceover]\nAfter he retires in June, he'll still teach, but\nin a more personal way. – I wanna be there to help people, and show them a path of being positive, or maybe even exercise,\nor whatever it might be, that it isn't the end.

– So let's talk about Rocco's experience, in what ways his symptoms are typical of someone with Parkinson's and\ndepression, as well as anxiety. I know, Bob, you have\nexperienced more anxiety, but also bouts of depression. Tell us what you went through\nand still are going through. – Well, before I was\ndiagnosed, I mentioned that I was already in\ntreatment for anxiety. A that time, I thought I\nwas worried about stuff. You know, my family, my situation. I had no idea I had Parkinson's. So, when I got Parkinson's, the good news for me was, well, now I know what it is, but then I started learning a little bit, and that it could be bad.

Like Rocco, I identified\nwith that feeling of, wow, now what have I got? And that's where you have to get the intervention of treatment. – And I know we heard Rocco say that, how down he gets, and that\nsometimes he feels alone even surrounded by people. It's not uncommon, is it? – It's not uncommon at all. And a complicating factor is, for me, sleep problems. I was having fragmented sleep,\nwaking up every 90 minutes, having trouble getting back to sleep. When you don't have sleep,\nyou can rapidly feel bad. And sleeping pills were not the answer, alcohol is not the answer. But there are good treatments\navailable for this, that we can get into, but you have to realize\nthat it's the disease. It's not caused by external\nfactors, like your environment. – Right. And I know that Rocco had expressed, too, his sleeping is horrible,\nwhich makes him more depressed, more fatigued.

And I know, Roseanne,\nthis is not uncommon. – No, it's not uncommon at all. And like we were saying\nearlier on in the episode, we always try to optimize\nthe Parkinson's medication as a starting point to treating\ndepression and anxiety. Sleep is another area where\nwe really want to optimize when we're embarking on\nother treatment approaches. If somebody isn't getting\na good night's sleep, it's going to make effective\ndaytime coping that much harder. And we don't want this to be\nany harder than it needs to be. – Bas, what about you? What did you learn from Rocco? – A lot of things. First of all, I have seen thousands and thousands of patients, and when I see Rocco, it touches me. The impact on his life, a young man, a young family, beautiful children, devastated by Parkinson's. The same thing, and it\nalways gives me goosebumps when I see the film, is, he doesn't sit down, he's proactive, he starts to exercise. And you beautifully see\nhow it's not just drugs, but how exercise is a treatment, helps him to regain confidence\nand to treat his symptoms.

I think it's a very compelling movie. – And I know, sometimes,\nthe medications can cause other symptoms, correct? And I know that happened in Rocco's case. They were adjusting medications because they were causing\nworse things for him. – Right. In some of the other\nepisodes of ParkinsonTV, we'll talk about side-effects, like impulse control disorders. Most patients tolerate\nParkinson's pills relatively well, because it corrects something that is missing from their brain. But obviously there can be side effects, which you have to be aware of. – Roseanne, any advice\nto people who are, maybe, seeing the symptoms,\nsuch as Bob and Rocco, and just the general need\nfor awareness, correct? – Absolutely. And one of the things that I\ntake away from hearing Rocco, and learning about his story, is that one of the very powerful\ntools that he used to cope was taking on this proactive\napproach in his own self-care, and I want everyone who's\nlistening and watching right now to recognize that we have power.

We have control. There are skills, there are\ntechniques, there are tools that you can start using today to manage depression and anxiety, and to live a better\nlife with Parkinson's. And for Rocco, some of\nthose tools were exercise, really trying to prioritize his social connections with his family. And the other thing that\nI heard him allude to, which is so important, there were times when he just\ndidn't feel like exercising. He didn't have the motivation, he didn't have the get up and go, but he did it anyway,\nbecause he set a goal. And he knew why it would be important to actually get on that\nmountain bike and go. – Bob, what do you do? What kind of physical exercise? – Well, I used to be a runner. And I felt really good, at\nthat time, when I was running. I have problems, now, with my feet, so I get on my spin cycle at home, and I go to the gym. But I love being outside, so walking is very important for me. Set goals and don't\nlisten to your feelings.

That's a good part of therapy. Cognitive behavioral therapy. I also have joined support groups. And that's the socialization,\nmy care partner. We talk about everything. You need that social\ncapital, that safety net. Also, meditation is very important for me. One of my worst symptoms of all is fear. There's a way out of that. Because fear is a thought. And the average thought\nlasts for maybe 20 seconds. So if I can identify what's bothering me, a fearful thought, for example, I can accept that, that\nI'm having a thought, and I can put it in perspective. – Thank you. Thank you all. We're looking at hope for the future, Bas. What do you see out there for folks, in terms of treatments and hope\nand new things coming along? – Well, like we said\nearlier, recognition is key. So everybody who senses depression, or feelings of anxiety, should go see their\nphysician and be treated. We talked about some of the treatments that are out there today,\noptimizing dopaminergic treatment, antidepressants, talking\nto a psychologist, cognitive behavioral therapy, there's new treatments on the horizon, there's very fascinating work on light therapy for\ntreatment-resistant depression, there's electroconvulsive therapy.

Viewers may remember One\nFlew Over the Cuckoo's Nest film, those treatments have now been made much, much more friendly for us. So, for severe depression,\nthere are treatments. I think, overall, the\nprognosis, if you have a depression and anxiety,\nand you don't treat it, you make your prognosis,\nunnecessarily, much, much worse. And conversely, if you treat\nit, it's a treatable condition. You improve your future,\nnot just for yourself, but for your whole environment. Your spouse, your family, for everyone. – Roseanne, how about you? There's so much out there,\nand so much hope for people. – Absolutely. And I echo everything that Bas just said. Nobody watching had any\ncontrol over the diagnosis. Everybody has every ounce of control over the coping response. And I just wanna encourage\npeople, it's a call to action. Go out there, learn new\nskills, mobilize your supports, talk to your friends, talk\nto your family members, talk to your healthcare team. Figure out how you can think\noutside the box a little bit, in terms of what new strategies, new approaches you can try, in terms of how you're\nstructuring your day, how much you're exercising, how much you're exposed to\nthe people, places, and things that enable you to feel\ngood about yourself.

And let's get really creative about how we engage with our day, how we engage with our support system, so we can really feel that\ntremendous sense of satisfaction that's so healthy for us. And everybody can do this. Everybody can make really targeted changes to optimize their mood. – And I know, Bob, you've already done a lot of these things. And you're a hopeful person. What is your hope for the future? – My hope for the future, number one, is that there's gonna be\na cure for Parkinson's.

It's out there, as Dr. Bloem has said. We just have to find it. By getting engaged in all\nthese different treatments, and advocacy, looking out for yourself, being your own advocate, but helping others in the\nParkinson's community, and your care partners. It's a very strong message. And you'll get a dopamine\nrelease out of it, I guarantee you. – And you know, you brought that up, and it is important to be involved, and I know some of our other panelists in our episodes to come have said the exact same thing. I could sit home and\nwallow, but I would rather be out meeting people,\nsharing a message of hope, finding support, giving support. Correct? – That's 100% true,\nbecause the more we give, the more we get. And you have to take care of yourself. Get your priorities in order. You've got a condition. You have to take care of yourself. Once you start doing that,\nyou can give back to others, and lead a very satisfying\nand worthwhile life.

– And so much of a good message, for so many people to learn from. And, you know, for each of our episodes, we ask our viewers beforehand what questions they have about a topic. And we also pick a selection of questions that are the most often asked. And we wanna share some of\nthose with you right now. Again, these are questions\nabout depression and anxiety from our viewers. "Do the majority of\npeople with Parkinson's "suffer from depression,\nanxiety, or both?" and I know, Roseanne, we\ntalked a little bit about this. The percentage could be as high as 50%. Do most people have some form\nof depression and anxiety? – At some point, you know,\nthe answer is most likely yes.

And, again, the type\nof symptoms they have, how long they last, the way\nin which they impact them, is going to vary greatly\nfrom person to person. But I think it's so important\nfor everybody to know that if you're feeling any\nsymptom that you don't like, that makes you uncomfortable, you know, maybe you're worried well, maybe you're what-if-ing every decision that you're considering, you're finding yourself\navoiding activities in your life rather than embracing them,\nyou're becoming more isolated, you're always predicting\nworst-case scenarios, those are really good red flags that suggest maybe I should\ntalk to somebody about this.

– Okay. And our next question, "How do you know if "your partner suffers from\ndepression and anxiety, "or one or the other?" Bas? – It can be difficult, even for a spouse, because it kicks on very gradually. But some of the symptoms that\nRoseanne was referring to, always seeing the dark\nscenario, loss of appetite, problems sleeping, always being worrisome, and not being the same person\nyou were once married to, can be signals that something's going on. And I would always\nrecommend a low threshold, a low bar, to immediately seek advice and expert opinion. – And that support from\nthe spouse is so important. "Can Parkinson's medications\ncause depression and anxiety?" – No.

If anything, as we talked about earlier, the lack of dopamine in the brain can cause depression,\nand it can cause anxiety. In fact, we know from\npeople who are treated with dopaminergic medication, and where they experience fluctuations in response to the treatment, not only is, in an off phase, when the medication isn't working well, are the motor symptoms worse, slower walking, more tremor, but they can coincide with more\ndepression and more anxiety, which then immediately improves after intake of medication. So, medication doesn't cause the problems, it's a treatment. (soft violin music) – And that wraps up this\nepisode of Parkinson TV, on depression and anxiety. We wanna thank our panelists, Bas, Roseanne, and Bob, for joining us, and\nsharing their knowledge, experience, and their stories about what is important, and\nwhy it is so necessary, to get the support you need. A big thank you to all of you. We also wanna thank Rocco for sharing his\nperspective and his advice. Any last thoughts, to wrap this up? Bob? – My advice to anybody that's got a Parkinson's diagnosis is, get going. Get up. If you have felt like you've taken a fall, get up quickly, and get\ncontrol of your future.

– Roseanne? – If you feel something, say something. There's no need to suffer in silence. There are effective treatments out there. Share with your loved ones,\nwith your healthcare team, what you're noticing,\nwhat you're experiencing, and let's talk about it. Let's get the conversation started. Because only good things will follow. – Bas? – Depression is a part of Parkinson's. Anxiety is a part of Parkinson's. You're not to blame. It's not your fault. But if you sense the symptoms,\nseek help and get treated, so you can lead a better life. – Thank you, Bas. We hope these episodes are\nboth engaging and informative for you and your loved ones. And if you have questions or comments, we'd love to hear your feedback in the public comment section, or by private message.

Our goal is to bring\noutstanding care and education to anyone, anywhere,\nwith Parkinson disease. And ParkinsonTV is a very\nimportant way to do that. To close, let's hear an\noverview of the whole episode in 60 seconds, from Bas, in our very first Parkinson's Minute. (music concludes) – I believe this has been a\nparticularly important episode of Parkinson TV. I was personally impressed by\nBob's story, Rocco's story, and I think we all now realize, depression and anxiety are a real, core part of Parkinson disease. They're often hidden,\nhidden behind a mask face, hidden behind simple symptoms such as seeing things always on the negative side, or worrying all the time. We've heard today that those symptoms can be signs of depression or anxiety. And they are treatable by optimizing the Parkinson's medication, by speaking to a psychologist, by other types of treatment. I think, for me, this has\nbeen an episode of hope, and I hope that the viewers\nwill share that view, that depression and anxiety,\ncumbersome as they may be, are treatable symptoms,\nand when you do it, you will lead a happier\nand more meaningful life.

\u266a Take a moment, feel the rhythm of life \u266a \u266a It keeps beating, it\nkeeps keeping time \u266a \u266a Every minute, it's yours\nand mine, mine, mine \u266a \u266a Be the reason, I'll be the rhyme \u266a \u266a Listen to the sound and\nhear the laughter in the air \u266a \u266a Open up your heart, feel the\nlove, love, love, love, love \u266a \u266a 'Cause the world is beautiful \u266a \u266a The world is beautiful \u266a \u266a The world is beautiful \u266a.","protected":false},"excerpt":{"rendered":"

– Hi, and welcome to ParkinsonTV. An educational series that brings you diverse perspectives of Parkinson's, and its many possible symptoms. Season one focused on the basics of living with Parkinson's. In season two, we're exploring an important topic that's not discussed often enough: mental health. In this, our first episode of season two, we'll … Continue reading Depression, Anxiety, and Parkinson’s: Season 2, Episode 1<\/span><\/a><\/p>\n","protected":false},"author":0,"featured_media":72648,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[1,5,781,4771,409],"tags":[43522,696,953,5005,43517,43516],"class_list":["post-72645","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anxiety","category-causes-and-prevention","category-crime-justice","category-disasters-accidents","category-health","tag-alistair-glidden","tag-anxiety","tag-depression","tag-parkinsons-disease","tag-parkinsontv","tag-telemedicine"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/effectsofanxiety.net\/wp-content\/uploads\/2020\/06\/72645_maxresdefault.jpg","_links":{"self":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts\/72645"}],"collection":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/comments?post=72645"}],"version-history":[{"count":0,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts\/72645\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/media\/72648"}],"wp:attachment":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/media?parent=72645"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/categories?post=72645"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/tags?post=72645"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}