1 00:00:01,120 --> 00:00:04,280 Speaker 1: Welcome to you Stuff you should Know from House Stuff 2 00:00:04,320 --> 00:00:12,799 Speaker 1: Works dot com. Hey, and welcome to the podcast. I'm 3 00:00:12,880 --> 00:00:16,640 Speaker 1: Josh Clark. There's Child's w Chuck Bryant, and Jerry Stuff 4 00:00:16,680 --> 00:00:22,000 Speaker 1: you should know. Yep, Wide Spread Panic. Did you see 5 00:00:22,040 --> 00:00:25,079 Speaker 1: that video which one there was a dude this was 6 00:00:25,120 --> 00:00:27,160 Speaker 1: just like two days ago that went up on stage 7 00:00:27,160 --> 00:00:29,960 Speaker 1: and attacked the band. Oh no, I didn't see that. Yeah, 8 00:00:30,000 --> 00:00:31,680 Speaker 1: and they've got the whole thing and it was during 9 00:00:31,680 --> 00:00:34,920 Speaker 1: one of the really repetitive droning parts of a song. 10 00:00:35,640 --> 00:00:38,680 Speaker 1: And uh, I haven't seen an explanation but that there was. 11 00:00:38,800 --> 00:00:41,519 Speaker 1: I went to the Widespread Panic Facebook thing because there 12 00:00:41,560 --> 00:00:43,280 Speaker 1: was a big thread about people talking about it, and 13 00:00:43,320 --> 00:00:47,960 Speaker 1: I just said, Hero, did you really hate people gang 14 00:00:48,000 --> 00:00:53,000 Speaker 1: filing me? Going Hero, that's hilarious danger Stroll. I thought 15 00:00:53,040 --> 00:00:57,080 Speaker 1: it was pretty funny. He attacked the members of the band, yeah, 16 00:00:57,280 --> 00:01:01,040 Speaker 1: like physically, and I couldn't quite the drummer and he 17 00:01:01,120 --> 00:01:03,480 Speaker 1: was upset, and I don't know if that part of 18 00:01:03,480 --> 00:01:06,840 Speaker 1: the song made him snap, but it was definitely one 19 00:01:06,840 --> 00:01:12,800 Speaker 1: of those repetitive thank thank you, it's like stop. But 20 00:01:12,880 --> 00:01:15,679 Speaker 1: he was at the show, so that'd be weird unless 21 00:01:15,680 --> 00:01:18,319 Speaker 1: he went there to attack them. Yeah, that's probably the 22 00:01:18,360 --> 00:01:22,360 Speaker 1: bath salts maybe, so, so we're not talking about that 23 00:01:22,440 --> 00:01:25,840 Speaker 1: kind of panic. That's more a psychotic break. And this 24 00:01:25,920 --> 00:01:29,000 Speaker 1: is not widespread at all. It's very individualized panic, it is. 25 00:01:29,080 --> 00:01:32,679 Speaker 1: But it turns out people suffering from this is kind 26 00:01:32,720 --> 00:01:36,160 Speaker 1: of widespread. How about that? So it fits a little 27 00:01:36,200 --> 00:01:42,440 Speaker 1: bit sure. Instead, Um, we're talking about panic attacks and 28 00:01:42,959 --> 00:01:46,640 Speaker 1: the combination of panic attacks or the culmination of panic 29 00:01:46,640 --> 00:01:49,680 Speaker 1: attacks that can lead to something called panic disorder, and 30 00:01:49,800 --> 00:01:56,160 Speaker 1: it is a sucky mental condition that about two point 31 00:01:56,200 --> 00:01:59,920 Speaker 1: eight percent of Americans, which is a pretty significant amount 32 00:01:59,920 --> 00:02:02,720 Speaker 1: of people. Yeah, that's that's more than bipolar, which we've 33 00:02:02,720 --> 00:02:06,000 Speaker 1: covered in schizophrenia, Yeah, and o c D, which we well, 34 00:02:06,040 --> 00:02:09,440 Speaker 1: we've covered all three of this. Yeah. Um, so that's 35 00:02:09,480 --> 00:02:13,919 Speaker 1: a pretty significant amount of people who suffer from panic disorder. Right, 36 00:02:14,480 --> 00:02:17,560 Speaker 1: But that's different than just plain old panic attacks. Even 37 00:02:17,560 --> 00:02:21,080 Speaker 1: though to have panic disorder you have to have panic attacks, 38 00:02:21,080 --> 00:02:23,360 Speaker 1: but if you have panic attacks, you don't necessarily have 39 00:02:23,400 --> 00:02:27,200 Speaker 1: panic disorder exactly. And I've had two experiences which I'll 40 00:02:27,200 --> 00:02:29,720 Speaker 1: talk about at some point through the show, not personally, 41 00:02:29,760 --> 00:02:33,639 Speaker 1: but Emily had a panic attack once and uh friend 42 00:02:33,680 --> 00:02:36,800 Speaker 1: in college had a panic attack a roommate and neither 43 00:02:36,840 --> 00:02:38,720 Speaker 1: one of them have panic disorders. It was just an 44 00:02:38,760 --> 00:02:42,000 Speaker 1: isolated incident. Yeah, so apparently that's I don't know if 45 00:02:42,120 --> 00:02:46,200 Speaker 1: commons the right word, but people do have panic attacks 46 00:02:46,760 --> 00:02:48,919 Speaker 1: and they but they they that might be the only 47 00:02:48,960 --> 00:02:51,800 Speaker 1: one they ever have for their entire lives, hope, which 48 00:02:51,840 --> 00:02:53,880 Speaker 1: makes the whole thing kind of mysterious. And we should 49 00:02:53,919 --> 00:02:58,280 Speaker 1: say like science does not know what exactly is going 50 00:02:58,320 --> 00:03:03,640 Speaker 1: on here. That's some theory, but there's there's no there's 51 00:03:03,639 --> 00:03:06,120 Speaker 1: no way to predict what's happening now even know if 52 00:03:06,120 --> 00:03:10,679 Speaker 1: it's genetic or what environmental. Well, they finally isolated a 53 00:03:10,760 --> 00:03:14,120 Speaker 1: gene last year, Uh, I guess and go and talk 54 00:03:14,120 --> 00:03:19,360 Speaker 1: about that. Now in December they isolated the gene and 55 00:03:19,360 --> 00:03:21,440 Speaker 1: you know, genes are always so boring with their names, 56 00:03:21,600 --> 00:03:24,880 Speaker 1: unless it's a Simmons. That's right. The n k r 57 00:03:25,000 --> 00:03:29,520 Speaker 1: T three uh they think may be responsible um because 58 00:03:29,560 --> 00:03:33,040 Speaker 1: its presence appears to cause an over estimation of fear 59 00:03:33,080 --> 00:03:37,559 Speaker 1: and danger in an overactivation of the hippocampus and amygdala. 60 00:03:37,760 --> 00:03:41,520 Speaker 1: So basically, if you have this gene, you're gonna exaggerate 61 00:03:41,520 --> 00:03:45,080 Speaker 1: your fear overall. But it's not like they're saying they 62 00:03:45,160 --> 00:03:47,760 Speaker 1: prove that's the cause. But that is a good step 63 00:03:47,800 --> 00:03:50,400 Speaker 1: in scientifically in the right direction. That's a huge step, 64 00:03:50,720 --> 00:03:52,800 Speaker 1: because I mean that does sound very much like what 65 00:03:52,840 --> 00:03:56,000 Speaker 1: a panic attack is. A panic attack is where you 66 00:03:56,200 --> 00:04:02,360 Speaker 1: experience a very pronounced sense of fear and basically your 67 00:04:02,480 --> 00:04:07,000 Speaker 1: fight or flight symptoms response and really, from what I 68 00:04:07,000 --> 00:04:10,760 Speaker 1: can understand, your flight response. Yeah, like you're not in 69 00:04:10,800 --> 00:04:13,960 Speaker 1: a position to fight or freeze because you know now 70 00:04:14,040 --> 00:04:17,600 Speaker 1: these days it's fight, flight or freeze. Really yeah, I 71 00:04:17,600 --> 00:04:19,520 Speaker 1: don't think I knew that. Yeah, there's a third option now, 72 00:04:20,120 --> 00:04:23,479 Speaker 1: um like kind of oh no, wait, those aren't options 73 00:04:23,520 --> 00:04:26,960 Speaker 1: sets a sequence, right, This is these are options. So 74 00:04:27,040 --> 00:04:30,600 Speaker 1: when you're confronted with danger. Nick Thune, our buddy, the comedian, dude, 75 00:04:30,600 --> 00:04:33,080 Speaker 1: have you seen his hand of fit ads? Yeah, those 76 00:04:33,120 --> 00:04:36,280 Speaker 1: are awesome. I was like, that's Nick Thune and he's 77 00:04:36,360 --> 00:04:39,200 Speaker 1: on like Miss America. Yeah. The first thing I always 78 00:04:39,240 --> 00:04:42,599 Speaker 1: think about is good for you cash those checks baby. 79 00:04:43,040 --> 00:04:45,559 Speaker 1: Uh yeah. He has that funny bit on stop dropping rolling, 80 00:04:45,600 --> 00:04:48,839 Speaker 1: like they they needed to continue that, like keep rolling. 81 00:04:49,839 --> 00:04:52,000 Speaker 1: He's like, that's kind of key. Don't stop dropping roll 82 00:04:52,040 --> 00:04:54,240 Speaker 1: because you'll be consumed by fire. You need to keep rolling. 83 00:04:54,400 --> 00:04:56,680 Speaker 1: Right until you get to a door. Yeah, it's very 84 00:04:56,680 --> 00:05:00,560 Speaker 1: funny stuff. So this is a little different fight flight 85 00:05:01,040 --> 00:05:04,760 Speaker 1: or freeze? Yeah? What what's freeze factor in? Like you 86 00:05:04,839 --> 00:05:08,880 Speaker 1: just freeze up and toast? Yeah, at least beneficial of 87 00:05:08,920 --> 00:05:14,000 Speaker 1: all of the these adaptations to danger. But basically, when 88 00:05:14,040 --> 00:05:17,360 Speaker 1: you're when you're confronted with danger, you can either fight, fly, 89 00:05:17,600 --> 00:05:19,520 Speaker 1: or freeze. That makes total sense. I don't know why 90 00:05:19,560 --> 00:05:21,599 Speaker 1: freeze was never in there to begin with, because so 91 00:05:21,640 --> 00:05:24,200 Speaker 1: many people freeze. They just added on the last couple 92 00:05:24,200 --> 00:05:27,080 Speaker 1: of years. I think I'm a flyer or a freezer 93 00:05:27,120 --> 00:05:29,240 Speaker 1: for sure. It depends. I don't know if do you 94 00:05:29,279 --> 00:05:32,559 Speaker 1: think there's a personality type? Oh boy, I don't know. Um, 95 00:05:32,760 --> 00:05:34,920 Speaker 1: you know, don't you think it's possibly like just what 96 00:05:35,000 --> 00:05:38,120 Speaker 1: your body chemistry happens to be doing? Right then? No? 97 00:05:38,279 --> 00:05:41,279 Speaker 1: I think some people are more inclined to fight for sure. Okay, Well, 98 00:05:41,279 --> 00:05:46,039 Speaker 1: with panic attacks, you're flying like that's your only that's 99 00:05:46,040 --> 00:05:49,360 Speaker 1: your jam right there. Um, and you're experiencing it in 100 00:05:49,560 --> 00:05:52,800 Speaker 1: the exact same way that somebody's coming to mug you 101 00:05:53,480 --> 00:05:55,719 Speaker 1: or has pulled a knife on you and you're running away, 102 00:05:55,800 --> 00:05:58,800 Speaker 1: or there's a lion chasing you. Accept This is the 103 00:05:58,920 --> 00:06:02,520 Speaker 1: key to panic attack. There is no lion, there is 104 00:06:02,560 --> 00:06:06,560 Speaker 1: no mugger, there's no knife, there's no discernible reason for 105 00:06:06,600 --> 00:06:12,920 Speaker 1: you to be experiencing this sudden onset of crippling fear. Um. 106 00:06:12,960 --> 00:06:17,200 Speaker 1: But you're experiencing it nonetheless, that's right. No, no tangible 107 00:06:17,240 --> 00:06:21,000 Speaker 1: thing happening right in that moment. So when you come 108 00:06:21,000 --> 00:06:23,840 Speaker 1: out of it, and these things can they peak within 109 00:06:23,880 --> 00:06:27,480 Speaker 1: about ten minutes, but these the symptoms can last for 110 00:06:28,120 --> 00:06:31,200 Speaker 1: an hour more. Um. When you come out of it, 111 00:06:31,279 --> 00:06:33,599 Speaker 1: you're like, I don't ever want that to happen again. 112 00:06:34,200 --> 00:06:37,080 Speaker 1: The place that this just happened to, say, the park, 113 00:06:37,680 --> 00:06:40,360 Speaker 1: I'm never going back to because now I associated with 114 00:06:40,360 --> 00:06:43,120 Speaker 1: this because what you're doing when you experience fear, you're 115 00:06:43,200 --> 00:06:46,960 Speaker 1: learning to stay away from something. So whether you want 116 00:06:47,000 --> 00:06:49,120 Speaker 1: to or not, you've just been conditioned to fear the 117 00:06:49,120 --> 00:06:52,880 Speaker 1: place that you just were because you had a panic attack. Um. 118 00:06:53,200 --> 00:06:57,440 Speaker 1: And then lastly, you think possibly you're crazy, yeah, or 119 00:06:57,480 --> 00:07:00,719 Speaker 1: having a heart attack. Yeah that's uh. Both both of 120 00:07:00,720 --> 00:07:04,280 Speaker 1: the my wife and my friend both thought they were 121 00:07:04,279 --> 00:07:07,160 Speaker 1: having heart attacks, which is super scary. And we'll get 122 00:07:07,200 --> 00:07:09,119 Speaker 1: the difference later on. But um, I guess we should 123 00:07:09,120 --> 00:07:11,480 Speaker 1: talk about just some of the initial symptoms of a 124 00:07:11,520 --> 00:07:15,920 Speaker 1: panic attack. The old d s M Diagnostic and Statistical 125 00:07:15,960 --> 00:07:20,640 Speaker 1: Manual Mental Disorders lists, Uh, it looks like about ten 126 00:07:20,840 --> 00:07:23,880 Speaker 1: symptoms and if you have at least four of these, 127 00:07:24,560 --> 00:07:29,400 Speaker 1: you may be having a panic attack, which is heart pounding, shaking, dizziness, sweating, choking, 128 00:07:29,440 --> 00:07:33,600 Speaker 1: feeling nausea, shallow or short breath, chest pain, numbness or 129 00:07:33,600 --> 00:07:37,960 Speaker 1: tingling chills, and hot flashes, feeling of unreality, feeling like 130 00:07:38,000 --> 00:07:40,680 Speaker 1: you're going crazy, or feeling like you're about to die. 131 00:07:41,520 --> 00:07:45,160 Speaker 1: You got four of those, you're having a panic attack, yes, Um. 132 00:07:45,200 --> 00:07:49,600 Speaker 1: And if you have four panic attacks within four weeks, 133 00:07:50,560 --> 00:07:55,360 Speaker 1: or you have one panic attack and then fear having 134 00:07:55,520 --> 00:07:58,760 Speaker 1: another panic attack for about a month or so, then 135 00:07:59,120 --> 00:08:03,239 Speaker 1: you can be die diagnosed with what's called panic disorder. So, uh, 136 00:08:03,280 --> 00:08:05,920 Speaker 1: if you listen to our fear podcast, which was a 137 00:08:05,960 --> 00:08:09,280 Speaker 1: really good one, UM, it's kind of the same as 138 00:08:09,280 --> 00:08:12,960 Speaker 1: a panic attack. UM. We covered your Your autonomic nervous 139 00:08:13,000 --> 00:08:16,440 Speaker 1: system is what maintains all the functions in your body, 140 00:08:16,440 --> 00:08:20,200 Speaker 1: the involuntary functions in your body, that is, and it's 141 00:08:20,200 --> 00:08:23,640 Speaker 1: gonna take signals from your central nervous system. It's gonna 142 00:08:23,680 --> 00:08:25,760 Speaker 1: regulate your organs. That's why you don't have to tell 143 00:08:25,800 --> 00:08:27,840 Speaker 1: your heart to beat or your kid needs to work. 144 00:08:28,600 --> 00:08:32,240 Speaker 1: It's all your pancreas to secrete stuff. That's right. It's 145 00:08:32,240 --> 00:08:35,280 Speaker 1: your autonomic nervous system. And it has two parts, the 146 00:08:35,360 --> 00:08:40,880 Speaker 1: sympathetic and parasympathetic. And your parasympathetic controls like I said, 147 00:08:40,880 --> 00:08:43,000 Speaker 1: your your heart beat and stuff like that. You're the 148 00:08:43,160 --> 00:08:48,520 Speaker 1: normal aspect. Yeah, it's just right. Yeah, that balance that 149 00:08:48,559 --> 00:08:51,520 Speaker 1: we all seek that we don't know we're seeking. And 150 00:08:51,520 --> 00:08:54,960 Speaker 1: then the sympathetic is if you have that fight or flight, 151 00:08:55,040 --> 00:08:58,360 Speaker 1: if you become excited, uh in any way, really, that's 152 00:08:58,360 --> 00:09:00,319 Speaker 1: when that's gonna kick in. Yeah. It's like normal gear 153 00:09:00,360 --> 00:09:02,400 Speaker 1: and then high gear. Yeah, but it's not always fear, 154 00:09:02,440 --> 00:09:05,080 Speaker 1: you know, just any kind of excitement. Right, you could 155 00:09:05,080 --> 00:09:08,439 Speaker 1: be super happy, it could be sexual arousal. That's all 156 00:09:08,520 --> 00:09:11,280 Speaker 1: your sympathetic nervous system, right, And those two components make 157 00:09:11,320 --> 00:09:14,360 Speaker 1: up the autonomic nervous system, which it kind of switches 158 00:09:14,400 --> 00:09:17,240 Speaker 1: from one to the other depending on your state of arousal. Right, 159 00:09:17,440 --> 00:09:21,320 Speaker 1: that's right. Um, But when fear has aroused you, um, 160 00:09:22,160 --> 00:09:26,280 Speaker 1: your sympathetic nervous system kicks into high gear. Um. And 161 00:09:26,400 --> 00:09:30,160 Speaker 1: adrenaline is released, which is a huge factor in causing 162 00:09:30,160 --> 00:09:33,200 Speaker 1: the symptoms of a panic attack. Like you you start 163 00:09:33,240 --> 00:09:39,439 Speaker 1: breathing very heavily and shallowly, um, your pupils dilate you. Uh. 164 00:09:40,000 --> 00:09:42,880 Speaker 1: We always used to say if you're digesting food, you 165 00:09:42,960 --> 00:09:46,920 Speaker 1: stop doing that. Basically, all of your energy is transferred 166 00:09:46,960 --> 00:09:49,840 Speaker 1: over to either fighting or flying, and in the case 167 00:09:49,880 --> 00:09:52,719 Speaker 1: of a panic attack, is transferred over to get you 168 00:09:52,760 --> 00:09:55,800 Speaker 1: to be able to run away as fast as possible. Yeah, 169 00:09:55,880 --> 00:09:58,760 Speaker 1: which can be a little scary, but in a real 170 00:09:58,840 --> 00:10:02,640 Speaker 1: fear situation, if in danger, your parasympathetic nervous system is 171 00:10:02,640 --> 00:10:05,280 Speaker 1: going to kick in and calm you down. But that 172 00:10:05,400 --> 00:10:08,200 Speaker 1: is not what happens, uh, in the case of a 173 00:10:08,200 --> 00:10:11,199 Speaker 1: panic attack, which is really perplexing. So let's recap this. 174 00:10:11,320 --> 00:10:16,280 Speaker 1: A panic attack is when you experience this incredibly intense fear, 175 00:10:16,960 --> 00:10:19,760 Speaker 1: so much so that you run away but there's nothing 176 00:10:19,760 --> 00:10:23,160 Speaker 1: there to be afraid of. And then and then, to 177 00:10:23,280 --> 00:10:29,239 Speaker 1: make everything a million times worse, your parasympathetic nervous system 178 00:10:29,320 --> 00:10:32,160 Speaker 1: doesn't kick in and calm you down like it would 179 00:10:32,280 --> 00:10:35,600 Speaker 1: under normal circumstances, so you get to experience this horrible 180 00:10:35,640 --> 00:10:39,840 Speaker 1: thing even longer. That's right, and after this break, we 181 00:10:39,880 --> 00:10:42,199 Speaker 1: are going to get into some of the potential causes 182 00:10:42,200 --> 00:10:48,199 Speaker 1: of panic attacks. All right, So, like I said before, 183 00:10:48,280 --> 00:10:51,520 Speaker 1: breaking news from December last year, they think they've isolated 184 00:10:51,520 --> 00:10:56,440 Speaker 1: a gene. Previous to that, they've some research has said 185 00:10:56,480 --> 00:11:00,240 Speaker 1: it could be genetic because identical twins experience it more 186 00:11:00,280 --> 00:11:04,000 Speaker 1: than fraternal twins. But it's always been sort of up 187 00:11:04,000 --> 00:11:07,319 Speaker 1: in the air. They's been contradictions as well the genetic basis. 188 00:11:07,600 --> 00:11:12,200 Speaker 1: They think it's also possibly epigenetic or environmental like um. 189 00:11:12,240 --> 00:11:14,800 Speaker 1: Apparently one study found that a lot of people who 190 00:11:14,840 --> 00:11:19,280 Speaker 1: have panic disorder had some sort of traumatic incident happened 191 00:11:19,320 --> 00:11:22,400 Speaker 1: in their childhood. My friend from college did, Is that right? 192 00:11:22,920 --> 00:11:25,320 Speaker 1: So they're thinking like possibly it had some sort of 193 00:11:25,320 --> 00:11:28,080 Speaker 1: effect and set up like a time bomb for later 194 00:11:28,080 --> 00:11:32,600 Speaker 1: on in life. Yeah, the stored uh feelings that maybe 195 00:11:32,640 --> 00:11:35,760 Speaker 1: you've never dealt with about some traumatic event are gonna 196 00:11:36,160 --> 00:11:37,760 Speaker 1: they're gonna rear their head at some point in your 197 00:11:37,800 --> 00:11:40,439 Speaker 1: life in some way. Yeah, Or it just rearranged the 198 00:11:41,480 --> 00:11:44,960 Speaker 1: neural output in your brain so that one day you're 199 00:11:45,040 --> 00:11:49,760 Speaker 1: just set up when everything is just right, that chemistry 200 00:11:49,840 --> 00:11:52,400 Speaker 1: is flooding your brain in a certain way, and then Bam, 201 00:11:52,400 --> 00:11:55,319 Speaker 1: it comes out of nowhere, you have a panic attack. Yeah. 202 00:11:55,360 --> 00:11:59,199 Speaker 1: Another theory is that they think if you have an 203 00:11:59,240 --> 00:12:05,360 Speaker 1: over active fear system, like you've basically have been scared 204 00:12:05,400 --> 00:12:08,320 Speaker 1: too much in life, or you're a scared person, then 205 00:12:08,440 --> 00:12:10,640 Speaker 1: it's just gonna make it a hair trigger for something 206 00:12:10,679 --> 00:12:13,640 Speaker 1: to set it off, which makes a lot of sense. 207 00:12:13,960 --> 00:12:15,360 Speaker 1: I think it could be a combo with a lot 208 00:12:15,360 --> 00:12:18,959 Speaker 1: of things as usual. Yeah. I wonder though, what what 209 00:12:19,000 --> 00:12:21,040 Speaker 1: it will end up being that if we'll find that 210 00:12:21,080 --> 00:12:24,679 Speaker 1: there is one thing that that leads to this predictably 211 00:12:25,120 --> 00:12:28,960 Speaker 1: like built up, but then there's the actual trigger. Yeah, 212 00:12:29,320 --> 00:12:31,080 Speaker 1: and that's another thing too. So they don't know what 213 00:12:31,240 --> 00:12:34,439 Speaker 1: triggers these things. They do know that a panic attack. 214 00:12:35,000 --> 00:12:38,480 Speaker 1: Being worried about having a panic attack can actually trigger 215 00:12:38,559 --> 00:12:41,880 Speaker 1: a panic attack. Absolutely. I feel so bad for people 216 00:12:41,960 --> 00:12:45,520 Speaker 1: a panic disorder. This is like a terrible affliction because 217 00:12:46,000 --> 00:12:49,000 Speaker 1: you do become very much afraid that you're going to 218 00:12:49,040 --> 00:12:51,680 Speaker 1: have another panic attack. So that can set off a 219 00:12:51,720 --> 00:12:54,600 Speaker 1: panic attack, but it also can set off a code 220 00:12:54,600 --> 00:12:59,280 Speaker 1: morbidity called agoraphobia, where you are afraid to leave your house, 221 00:12:59,840 --> 00:13:02,880 Speaker 1: but you're also afraid to be alone. And I read this, 222 00:13:03,040 --> 00:13:06,440 Speaker 1: um this article that was from the eighties seven, and 223 00:13:06,480 --> 00:13:14,079 Speaker 1: they were saying, like, the the freudis the Freudists, followers 224 00:13:14,080 --> 00:13:18,240 Speaker 1: of Sigmund Freud. We're saying, um, oh, well, clearly, if 225 00:13:18,280 --> 00:13:20,600 Speaker 1: you're in a gooraphobic you don't want to go outside 226 00:13:20,600 --> 00:13:23,439 Speaker 1: because that's where sexual desire is, and you don't want 227 00:13:23,440 --> 00:13:25,440 Speaker 1: to be alone because you're worried that you will like 228 00:13:25,520 --> 00:13:31,560 Speaker 1: abuse yourself, So agoraphobia. And everybody went boom, sit down 229 00:13:31,600 --> 00:13:36,040 Speaker 1: and shut up. Yeah, and um, so nowadays they have 230 00:13:36,120 --> 00:13:41,880 Speaker 1: realized that agoraphobia is almost almost exclusively the result of 231 00:13:42,000 --> 00:13:48,240 Speaker 1: panic disorder. Yeah, and it's because you you fear the 232 00:13:48,280 --> 00:13:50,360 Speaker 1: place that you had a panic attack, so you don't 233 00:13:50,360 --> 00:13:52,960 Speaker 1: want to go there again. And then maybe it happened 234 00:13:52,960 --> 00:13:54,520 Speaker 1: again at the grocery store, so you don't want to 235 00:13:54,520 --> 00:13:57,880 Speaker 1: go there, and it happened. You don't want to be alone, 236 00:13:58,120 --> 00:13:59,720 Speaker 1: but you don't want to be around strangers, so you 237 00:14:00,000 --> 00:14:02,400 Speaker 1: into your family members and now all of a sudden, 238 00:14:02,440 --> 00:14:05,839 Speaker 1: you're not living your life anymore. Yeah, you're developing phobias 239 00:14:05,880 --> 00:14:08,439 Speaker 1: because of your panic attacks in your association with them. 240 00:14:08,440 --> 00:14:09,960 Speaker 1: Like if you're on an elevator and you have a 241 00:14:09,960 --> 00:14:13,160 Speaker 1: panic attack, you're not getting on an elevator again, you've 242 00:14:13,200 --> 00:14:16,120 Speaker 1: just developed a phobia for elevators, and so all of 243 00:14:16,160 --> 00:14:18,280 Speaker 1: a sudden, you're not going to be working at a 244 00:14:18,320 --> 00:14:20,760 Speaker 1: place where you might normally work because you have to 245 00:14:20,760 --> 00:14:23,000 Speaker 1: take the elevator to to get there. Or do you 246 00:14:23,040 --> 00:14:26,520 Speaker 1: develop a love of stairs? Right? But then what if 247 00:14:26,560 --> 00:14:28,880 Speaker 1: you're you don't like confined spaces at all, like a 248 00:14:28,920 --> 00:14:31,800 Speaker 1: stairwell either. Yeah you ever been locked in the stairwell 249 00:14:31,840 --> 00:14:33,880 Speaker 1: here at the building? Yeah? I mean you just walk 250 00:14:33,960 --> 00:14:38,280 Speaker 1: down however many flights until you're at the lobby. Oh, 251 00:14:38,320 --> 00:14:41,040 Speaker 1: you can get out down there? Yes, okay, yeah, yeah, 252 00:14:41,280 --> 00:14:43,240 Speaker 1: you're not actually locked in, you just have to walk 253 00:14:43,280 --> 00:14:45,880 Speaker 1: all the way down to Usually just call you and 254 00:14:45,920 --> 00:14:50,200 Speaker 1: say lee. Another theory is that when you're super tired, 255 00:14:50,920 --> 00:14:53,920 Speaker 1: um and overworked was when a lot of times when 256 00:14:53,960 --> 00:14:57,640 Speaker 1: these are set off, your brain is producing sodium lactate 257 00:14:57,840 --> 00:15:01,040 Speaker 1: or c O two and when those increase, your brain 258 00:15:01,440 --> 00:15:04,680 Speaker 1: uh says you know what, I think you're suffocating, and 259 00:15:04,720 --> 00:15:07,120 Speaker 1: so I'm going to send a signal to get you 260 00:15:07,160 --> 00:15:11,400 Speaker 1: a lot more oxygen. And I found this uh really 261 00:15:11,400 --> 00:15:15,600 Speaker 1: sad case of this woman, a university student who died 262 00:15:16,200 --> 00:15:21,000 Speaker 1: from a severe asthma attack like three days ago. Uh, 263 00:15:21,000 --> 00:15:24,240 Speaker 1: and she had had a history of asthma, and then 264 00:15:24,320 --> 00:15:27,960 Speaker 1: told the medics that she was going through like final 265 00:15:28,000 --> 00:15:31,320 Speaker 1: exams and she had been having panic attacks uh for 266 00:15:31,400 --> 00:15:35,360 Speaker 1: in the weeks like proceeding. So breathing is a huge 267 00:15:35,440 --> 00:15:39,040 Speaker 1: part of panic attacks. And as evidenced by her, if 268 00:15:39,040 --> 00:15:41,880 Speaker 1: you have asthma, it's can be deadly, which is super 269 00:15:41,920 --> 00:15:47,360 Speaker 1: super scary and sad. Yeah. Um. Then one other I 270 00:15:47,400 --> 00:15:50,320 Speaker 1: guess there's a neurological basis they believe for people who 271 00:15:50,320 --> 00:15:54,160 Speaker 1: have panic attacks. People who suffer from panic disorder tend 272 00:15:54,200 --> 00:15:59,560 Speaker 1: to have fewer serotonin receptors and apparently also UM gabba 273 00:15:59,720 --> 00:16:03,240 Speaker 1: which helps us get to sleep. It's called a gamma 274 00:16:03,600 --> 00:16:10,800 Speaker 1: immuno beautyic acid. Let's call it gabba gabba. Um. Those 275 00:16:10,840 --> 00:16:15,320 Speaker 1: two have some sort of role in UM panic disorder. 276 00:16:15,600 --> 00:16:18,160 Speaker 1: Like you don't have enough serotonin and your body is 277 00:16:18,160 --> 00:16:22,200 Speaker 1: not producing enough gabba, you may be prone to panic disorder. Uh. 278 00:16:22,240 --> 00:16:24,800 Speaker 1: They you know, there isn't like a specific type of 279 00:16:24,800 --> 00:16:27,400 Speaker 1: person that necessarily gets a panic attack. It can happen 280 00:16:27,400 --> 00:16:31,840 Speaker 1: to anyone, but um, usually it happens if you're you're 281 00:16:31,880 --> 00:16:34,560 Speaker 1: in your twenties. Although they say kids can get it 282 00:16:34,600 --> 00:16:37,200 Speaker 1: as well have a panic attack or a disorder. Um, 283 00:16:37,240 --> 00:16:40,520 Speaker 1: twice as many women have a panic disorder developed one 284 00:16:40,520 --> 00:16:45,200 Speaker 1: as men, which is pretty interesting. Um. And like you said, 285 00:16:45,320 --> 00:16:48,000 Speaker 1: just the fear like having had one before, that fear 286 00:16:48,040 --> 00:16:51,800 Speaker 1: can lead to more. So it's very cyclical, yes. And 287 00:16:51,880 --> 00:16:55,640 Speaker 1: you know, um that one paper from seven. I can't 288 00:16:55,640 --> 00:16:59,160 Speaker 1: tell if it was arguing in favor of panic disorder 289 00:16:59,240 --> 00:17:04,520 Speaker 1: being like an evolutionary adaptation and like possibly beneficial, or 290 00:17:04,560 --> 00:17:06,600 Speaker 1: if they were saying, like some people think this, can 291 00:17:06,640 --> 00:17:09,760 Speaker 1: you believe this? But they were. One of the points 292 00:17:09,800 --> 00:17:12,960 Speaker 1: that this guy made was well, twice as many women 293 00:17:13,040 --> 00:17:17,280 Speaker 1: have panic disorders as men, So clearly it's an evolutionary 294 00:17:17,280 --> 00:17:21,080 Speaker 1: adaptation because women wouldn't have had to have gone as 295 00:17:21,119 --> 00:17:24,760 Speaker 1: far away from camp while they were gathering food as men. 296 00:17:25,280 --> 00:17:27,800 Speaker 1: For men couldn't stand to have a panic attack, or 297 00:17:27,800 --> 00:17:30,920 Speaker 1: they couldn't, it wouldn't be an adaptation for men, it 298 00:17:30,960 --> 00:17:33,600 Speaker 1: would be for women. Plus women can't run as fast 299 00:17:33,880 --> 00:17:36,159 Speaker 1: when they have kids to carry, so they need to 300 00:17:36,160 --> 00:17:39,600 Speaker 1: be on alert a little more. It's just smelled like 301 00:17:39,760 --> 00:17:46,040 Speaker 1: bunk bunk. That was a big year for bunk. Yeah. Um, 302 00:17:46,080 --> 00:17:48,800 Speaker 1: if you do have a panic disorder. You may have 303 00:17:48,880 --> 00:17:53,119 Speaker 1: a hard time getting your family to understand it. UM. 304 00:17:53,200 --> 00:17:56,479 Speaker 1: Sometimes they overreact and think it's like way more severe 305 00:17:56,560 --> 00:18:01,080 Speaker 1: than it is. UM. Sometimes they underreact and say, uh, 306 00:18:01,119 --> 00:18:05,760 Speaker 1: you know, it's all in your head, like just calm down. UM. 307 00:18:05,800 --> 00:18:08,840 Speaker 1: But either way it's saying, boy, you're nuts or you 308 00:18:08,920 --> 00:18:10,760 Speaker 1: just need to relax. Neither one of those is going 309 00:18:10,800 --> 00:18:14,000 Speaker 1: to help out the loved one. Chill out, there's no lion. 310 00:18:15,880 --> 00:18:19,000 Speaker 1: One thing I've learned in arguments and fights with my 311 00:18:19,040 --> 00:18:22,960 Speaker 1: wife is and I'm boilerning this early on is saying 312 00:18:23,040 --> 00:18:27,440 Speaker 1: telling someone to relax never causes someone to relax. It's 313 00:18:27,480 --> 00:18:30,520 Speaker 1: like the worst thing you can do if something's heated 314 00:18:30,600 --> 00:18:33,760 Speaker 1: is to say just relax. That's just gonna ramp it up. 315 00:18:35,080 --> 00:18:38,360 Speaker 1: So that's my advice for couples out there in any relationship. 316 00:18:38,400 --> 00:18:42,919 Speaker 1: Really good, Thank you. UM. There is a silverlying to 317 00:18:42,960 --> 00:18:47,359 Speaker 1: all this in that panic disorder is actually highly treatable. 318 00:18:47,520 --> 00:18:51,320 Speaker 1: It's the treatments that they've come up with are pretty successful, 319 00:18:51,720 --> 00:18:54,320 Speaker 1: and we will talk about those treatments right after this. 320 00:19:03,640 --> 00:19:06,480 Speaker 1: All right, So you mentioned that they are treatable. They 321 00:19:06,480 --> 00:19:10,800 Speaker 1: have found success rates through medication and therapy, which seemed 322 00:19:10,800 --> 00:19:12,960 Speaker 1: to be about the same as far as how affective 323 00:19:12,960 --> 00:19:16,560 Speaker 1: they are between sixty and of the time. That's pretty good. Yeah, 324 00:19:16,600 --> 00:19:19,040 Speaker 1: that's not bad at all. So that's the good news. 325 00:19:19,320 --> 00:19:24,080 Speaker 1: So there's three. There's three UM typical methods of treatment 326 00:19:24,359 --> 00:19:30,080 Speaker 1: UM antidepressants, anti anxiety, pills, and therapy. And you might 327 00:19:30,200 --> 00:19:33,119 Speaker 1: use them, you know, independent of what another in conjunction 328 00:19:33,119 --> 00:19:35,600 Speaker 1: with one another. I also saw beta blockers. Some people 329 00:19:35,760 --> 00:19:37,800 Speaker 1: use beta blockers to treat them, but they're not quite 330 00:19:37,800 --> 00:19:41,679 Speaker 1: sure what's going on with that. I've used those before 331 00:19:41,720 --> 00:19:44,359 Speaker 1: live performances. Those are the ones I read about that UM, 332 00:19:44,720 --> 00:19:48,240 Speaker 1: you gave me one, and I was like a useless worm. Yeah, 333 00:19:48,400 --> 00:19:50,879 Speaker 1: it didn't affect me like that. I I was, I 334 00:19:51,000 --> 00:19:53,679 Speaker 1: just like totally lost my personality. I wasn't nervous, but 335 00:19:53,720 --> 00:19:57,119 Speaker 1: I didn't do anything. Well, I've gotten used to live 336 00:19:57,160 --> 00:19:59,280 Speaker 1: performing now, so I don't need them anymore. But I 337 00:19:59,320 --> 00:20:04,239 Speaker 1: got that to from apparently a bunch of musicians, like 338 00:20:04,320 --> 00:20:06,480 Speaker 1: in symphonies and stuff use And I was like, well, 339 00:20:06,520 --> 00:20:09,520 Speaker 1: if first chair of Violinist, if it's good for them 340 00:20:09,560 --> 00:20:12,600 Speaker 1: to give me some beta blockers. But it worked for me. 341 00:20:12,680 --> 00:20:14,760 Speaker 1: But like I said, I'm over all that. I enjoy 342 00:20:14,840 --> 00:20:18,600 Speaker 1: being on stage. Now. So with s SR eyes, which 343 00:20:18,640 --> 00:20:21,440 Speaker 1: is what you moved on too from beta blockers, right, No, 344 00:20:21,560 --> 00:20:25,280 Speaker 1: I'm not on it. So with SSR eyes, UM, those 345 00:20:25,280 --> 00:20:29,359 Speaker 1: are selective serotonin reuptake inhibitors, and they do exactly what 346 00:20:29,400 --> 00:20:32,600 Speaker 1: they sound like. You've got a bunch of serotonin receptors 347 00:20:32,600 --> 00:20:35,399 Speaker 1: in your brain. If you have panic disorder, you may 348 00:20:35,440 --> 00:20:39,199 Speaker 1: have fewer serotonin receptors in your brain. Serotonin is a 349 00:20:39,240 --> 00:20:44,160 Speaker 1: neurotransmitter that helps basically stabilize your mood by either causing 350 00:20:44,160 --> 00:20:46,920 Speaker 1: a neuron to fire or inhibiting a neuron to fire 351 00:20:47,160 --> 00:20:53,080 Speaker 1: in this really beautiful, perfectly balanced chemical reaction. Right, So 352 00:20:53,119 --> 00:20:55,840 Speaker 1: if you have a few of these receptors the normal, 353 00:20:56,160 --> 00:20:59,400 Speaker 1: you're going to be comparatively out of balanced. What an 354 00:20:59,440 --> 00:21:03,880 Speaker 1: SSR I, an antidepressant, does is it allows the serotonin 355 00:21:04,320 --> 00:21:06,680 Speaker 1: to kind of stay in your synaps is a little 356 00:21:06,720 --> 00:21:10,159 Speaker 1: longer than as normal, so that you are releasing a 357 00:21:10,160 --> 00:21:14,080 Speaker 1: little more serotonin than you would under normal circumstances. And 358 00:21:14,160 --> 00:21:18,640 Speaker 1: it's proven pretty effective for UM for panic disorder. Yeah, 359 00:21:18,680 --> 00:21:20,359 Speaker 1: I mean, they'd work wonders for a lot of people 360 00:21:20,440 --> 00:21:23,560 Speaker 1: for a lot of reasons, UM, but not everyone. And 361 00:21:23,600 --> 00:21:27,440 Speaker 1: they can cause a lot of negative side effects. Uh. 362 00:21:27,600 --> 00:21:31,440 Speaker 1: So obviously, you know, work with your doctor on a program, 363 00:21:31,440 --> 00:21:33,359 Speaker 1: and it takes them a little while, like two to 364 00:21:33,440 --> 00:21:37,399 Speaker 1: four weeks to begin working. Uh for a panic attack. Um, 365 00:21:37,480 --> 00:21:40,560 Speaker 1: an anti anxiety drug like xan x might be a 366 00:21:40,560 --> 00:21:44,760 Speaker 1: little more effective because that is immediately hits you. It 367 00:21:44,840 --> 00:21:49,719 Speaker 1: is a tranquilizer benzodiazepine, right yeah, and it's um, you know, 368 00:21:50,480 --> 00:21:53,280 Speaker 1: the zanex is going to help chill you out immediately, 369 00:21:53,320 --> 00:21:56,800 Speaker 1: but you can get hooked on those things pretty quick. Yeah, 370 00:21:56,840 --> 00:22:02,320 Speaker 1: and they're dangerous to quit cold turkey and um, yeah, 371 00:22:02,400 --> 00:22:04,800 Speaker 1: it's it's not the best thing to go to xanex 372 00:22:04,960 --> 00:22:08,640 Speaker 1: a lot. Well, yeah, they say that you should, um 373 00:22:08,640 --> 00:22:12,120 Speaker 1: basically if you if you undertake an ssr I regimen, 374 00:22:12,680 --> 00:22:16,239 Speaker 1: you can conceivably stay on it for years. If you 375 00:22:16,480 --> 00:22:21,200 Speaker 1: undertake anti anxiety or benzo diazepine regimen, like it shouldn't 376 00:22:21,240 --> 00:22:23,399 Speaker 1: last for more than a couple of weeks or month 377 00:22:24,240 --> 00:22:28,040 Speaker 1: from what I understand, because of the dependency. And again, 378 00:22:28,240 --> 00:22:30,320 Speaker 1: you want to like really do all of this with 379 00:22:30,400 --> 00:22:37,240 Speaker 1: like a um qualified competent doctor's assistants, not a doctor's assistant, 380 00:22:37,960 --> 00:22:41,960 Speaker 1: doctor's assistant. It depends if it's a qualified competent doctor's 381 00:22:41,960 --> 00:22:45,399 Speaker 1: assistant who can write prescriptions, who trust go for it, 382 00:22:45,480 --> 00:22:47,840 Speaker 1: that's true. Uh. And then there's therapy of course, the 383 00:22:47,880 --> 00:22:51,680 Speaker 1: old CBT cognitive behavioral therapy, which we've talked about a bunch, 384 00:22:52,160 --> 00:22:56,560 Speaker 1: but um, that is Uh, they're gonna sort of the 385 00:22:56,560 --> 00:22:59,119 Speaker 1: processes is gonna play out like this. They're gonna teach 386 00:22:59,160 --> 00:23:03,080 Speaker 1: you out your panic disorder, which is a big step. 387 00:23:03,119 --> 00:23:06,520 Speaker 1: If you understand something, uh, you can overcome it more easily. 388 00:23:06,520 --> 00:23:09,320 Speaker 1: I think they're gonna monitor you and you're gonna self 389 00:23:09,359 --> 00:23:13,000 Speaker 1: monitor and record your symptoms and when they happen and 390 00:23:13,000 --> 00:23:16,879 Speaker 1: why they happen, what the circumstance was. Breathing, like we mentioned, 391 00:23:16,920 --> 00:23:20,200 Speaker 1: is a huge part of it. Um, anything from meditation 392 00:23:20,240 --> 00:23:22,919 Speaker 1: to just regular breathing exercises which will give you some 393 00:23:22,960 --> 00:23:25,080 Speaker 1: tips on that in a minute too, are going to 394 00:23:25,160 --> 00:23:31,600 Speaker 1: help you out. And then the old exposure two uh situations. 395 00:23:31,680 --> 00:23:34,239 Speaker 1: Then this is once you've rethought, like your what your 396 00:23:34,240 --> 00:23:36,320 Speaker 1: approach is going to be, Like here's your new outlook 397 00:23:36,600 --> 00:23:38,639 Speaker 1: and now here's a situation that might give you a 398 00:23:38,640 --> 00:23:41,640 Speaker 1: panic attack. How do you feel? Yeah, or like if 399 00:23:41,640 --> 00:23:43,880 Speaker 1: you had a panic attack and an elevator, like they 400 00:23:43,960 --> 00:23:46,920 Speaker 1: may tell you to imagine you're in an elevator. Your 401 00:23:46,960 --> 00:23:50,000 Speaker 1: therapy might progress until you're actually in an elevator and 402 00:23:50,040 --> 00:23:53,160 Speaker 1: you're chilling out. And the hope is that if if 403 00:23:53,240 --> 00:23:57,120 Speaker 1: you can undergo exposure therapy to that degree, it will 404 00:23:57,119 --> 00:24:01,320 Speaker 1: get you over your panic attacks in general. Another aspect 405 00:24:01,359 --> 00:24:05,320 Speaker 1: of it, Chuck, is rethinking, uh, and that is basically 406 00:24:05,880 --> 00:24:09,560 Speaker 1: accepting the fact that you have panic attacks. Apparently if 407 00:24:09,640 --> 00:24:12,600 Speaker 1: you can say I'm having a panic attack or I 408 00:24:12,640 --> 00:24:14,960 Speaker 1: have panic attacks and you acknowledge it to yourself and 409 00:24:15,000 --> 00:24:18,840 Speaker 1: to other people, it immediately turns down the volume on 410 00:24:18,920 --> 00:24:22,480 Speaker 1: the whole thing. Yeah, I noticed some similarities and uh, 411 00:24:22,520 --> 00:24:26,679 Speaker 1: someone guiding through someone through an LSD trip and guiding 412 00:24:26,720 --> 00:24:29,320 Speaker 1: someone through a panic attack. It's interesting. A lot of 413 00:24:29,320 --> 00:24:33,280 Speaker 1: it is like understanding, like I am having an acid trip, 414 00:24:33,680 --> 00:24:35,600 Speaker 1: I am not having a good time. It's the same 415 00:24:35,640 --> 00:24:37,720 Speaker 1: thing as I'm having a panic attack and this is 416 00:24:37,760 --> 00:24:40,800 Speaker 1: no good And if I understand that, then I can 417 00:24:41,640 --> 00:24:44,240 Speaker 1: calm down more easily and keeping it in just lead 418 00:24:44,280 --> 00:24:48,400 Speaker 1: you to freak out more exactly. Um, So that's CBT 419 00:24:48,760 --> 00:24:54,560 Speaker 1: cognitive behavioral therapy and um, if you if you undergo 420 00:24:54,680 --> 00:24:58,560 Speaker 1: therapy and you're still suffering from panic attacks. The apparently 421 00:24:58,840 --> 00:25:02,080 Speaker 1: being discouraged as a a real problem with people with 422 00:25:02,160 --> 00:25:05,520 Speaker 1: panic disorder because you can still suffer them even if 423 00:25:05,520 --> 00:25:08,600 Speaker 1: you're doing everything right. Um, and so a lot of 424 00:25:08,640 --> 00:25:11,200 Speaker 1: people have learned to cope, and there's some pretty common 425 00:25:11,240 --> 00:25:14,680 Speaker 1: coping techniques for a panic disorder. And like you said, 426 00:25:15,640 --> 00:25:18,320 Speaker 1: the heart of the whole thing is breathing. Like when 427 00:25:18,359 --> 00:25:22,320 Speaker 1: you suffer a panic attack, you start breathing shallowly and quickly, 428 00:25:22,840 --> 00:25:26,440 Speaker 1: and um, you can hyperventilate. What you want to do 429 00:25:26,480 --> 00:25:30,320 Speaker 1: is breathe from your diaphragm and that you can actually 430 00:25:30,359 --> 00:25:32,439 Speaker 1: practice this in the times when you're not having a 431 00:25:32,480 --> 00:25:34,720 Speaker 1: panic attack. Yeah, if you're a singer, you know how 432 00:25:34,760 --> 00:25:38,040 Speaker 1: to breathe with your diaphragm. But if you're not, what 433 00:25:38,080 --> 00:25:40,160 Speaker 1: you can do is lie down on your back, put 434 00:25:40,200 --> 00:25:43,920 Speaker 1: some pillows on your head and knees, and um, put 435 00:25:43,920 --> 00:25:45,680 Speaker 1: a hand on your stomach and a hand on your chest, 436 00:25:46,200 --> 00:25:49,240 Speaker 1: and then practice breathing, uh, and making your hand on 437 00:25:49,280 --> 00:25:51,680 Speaker 1: your stomach move without the hand on your chest moving 438 00:25:52,160 --> 00:25:56,040 Speaker 1: and then tap the hand on your stomach while you 439 00:25:56,080 --> 00:25:58,880 Speaker 1: make a circle with a hand on your chest. When 440 00:25:58,880 --> 00:26:03,880 Speaker 1: you're really advanced. Wow, it's pretty impressive. Uh. And then 441 00:26:03,920 --> 00:26:06,000 Speaker 1: another thing you can do is just literally like put 442 00:26:06,040 --> 00:26:09,680 Speaker 1: a weight on your stomach and make sure to heavy 443 00:26:10,480 --> 00:26:14,439 Speaker 1: like a book. Yeah, like a nice something that you 444 00:26:14,480 --> 00:26:16,560 Speaker 1: can see going up and down when you're breathing with 445 00:26:16,600 --> 00:26:19,480 Speaker 1: your diaphragm, that's right. Um, And you want to just 446 00:26:19,560 --> 00:26:23,280 Speaker 1: kind of breathe in the good exhale the bad. Yeah, 447 00:26:23,280 --> 00:26:25,840 Speaker 1: Like I'm having a panic attack. This will pass, you know, 448 00:26:25,920 --> 00:26:29,639 Speaker 1: this will subside. This is a temporary feeling. That's what 449 00:26:29,680 --> 00:26:31,280 Speaker 1: you should be saying to yourself. And if you're a 450 00:26:31,320 --> 00:26:33,439 Speaker 1: person who's like out in public and you see somebody 451 00:26:33,480 --> 00:26:36,720 Speaker 1: having a panic attack, you basically want to do the 452 00:26:36,760 --> 00:26:38,520 Speaker 1: same thing that they're trying to do for themselves. You 453 00:26:38,560 --> 00:26:40,600 Speaker 1: want to remain calm. You want to tell them that 454 00:26:40,640 --> 00:26:44,440 Speaker 1: it's going to be over with pretty soon, that everything's okay, 455 00:26:44,480 --> 00:26:48,520 Speaker 1: they have nothing to fear. Um. Yeah, you don't want 456 00:26:48,520 --> 00:26:53,280 Speaker 1: to tell them to chill out, though. Uh. Guiding someone 457 00:26:53,320 --> 00:26:56,400 Speaker 1: through relaxation is different than saying chill out, by the way, right, 458 00:26:56,600 --> 00:27:00,280 Speaker 1: very different. Uh. They do recommend that you, um, if 459 00:27:00,359 --> 00:27:03,879 Speaker 1: you have a problem with with attacks in general, or 460 00:27:03,920 --> 00:27:06,040 Speaker 1: if you have a disorder, you should exercise a lot. 461 00:27:06,960 --> 00:27:09,720 Speaker 1: You should practice Um, they don't call it meditation, but 462 00:27:09,760 --> 00:27:12,679 Speaker 1: that's really what it is, is deep breathing and relaxation. 463 00:27:12,800 --> 00:27:15,600 Speaker 1: It's called mindfulness these days, isn't it. I don't know. 464 00:27:15,680 --> 00:27:17,960 Speaker 1: I think that's what they call it, because meditation turns 465 00:27:18,000 --> 00:27:22,439 Speaker 1: people off, right, guess interesting? Uh cut cut out the 466 00:27:22,440 --> 00:27:25,680 Speaker 1: caffeine and sugar and nicotine. Yeah, that's not gonna help 467 00:27:25,680 --> 00:27:29,080 Speaker 1: you at all, Uh doing all those things. Uh. And 468 00:27:29,160 --> 00:27:31,000 Speaker 1: you know, if this stuff is stuff that's building up 469 00:27:31,000 --> 00:27:33,119 Speaker 1: inside of you, which it often is, learn how to 470 00:27:33,359 --> 00:27:37,600 Speaker 1: express yourself a little more and um and talk about 471 00:27:37,640 --> 00:27:41,679 Speaker 1: your issues. Um. I know that in both of my cases. 472 00:27:41,760 --> 00:27:45,320 Speaker 1: My buddy in college, it was during finals week and 473 00:27:45,600 --> 00:27:47,840 Speaker 1: I had gone to bed and my roommate and another 474 00:27:47,920 --> 00:27:50,800 Speaker 1: dude had were out in the living room staying up, 475 00:27:51,280 --> 00:27:52,680 Speaker 1: and one of them came and woke me up and 476 00:27:52,680 --> 00:27:54,280 Speaker 1: he's like, dude, he's having a heart attack. He's having 477 00:27:54,320 --> 00:27:57,600 Speaker 1: a heart attack. And um, I didn't know anything about 478 00:27:57,600 --> 00:27:59,480 Speaker 1: panic attacks. So we took him the hospital, of course, 479 00:28:00,080 --> 00:28:01,800 Speaker 1: and that's all it was. It was a panic attack. 480 00:28:01,800 --> 00:28:05,160 Speaker 1: He calmed down. I think, um, I think it might 481 00:28:05,160 --> 00:28:08,159 Speaker 1: have given him something there. I met some sort of 482 00:28:08,160 --> 00:28:11,320 Speaker 1: medication to calm him down. Probably Benzo. Yeah, probably like 483 00:28:11,359 --> 00:28:13,560 Speaker 1: a good shot in the arm of that stuff. And 484 00:28:13,600 --> 00:28:17,399 Speaker 1: he was like, I'm fine. Right With Emily's case, she 485 00:28:17,760 --> 00:28:20,639 Speaker 1: had been under a lot of stress and was and 486 00:28:21,000 --> 00:28:25,000 Speaker 1: driving back from Akron, Ohio to Atlanta. I think she 487 00:28:25,040 --> 00:28:27,399 Speaker 1: went to get I think she had to get some 488 00:28:27,440 --> 00:28:30,040 Speaker 1: furniture or something. So she was in a truck, like 489 00:28:30,080 --> 00:28:34,679 Speaker 1: a moving truck, had been drinking caffeine like crazy, like 490 00:28:34,800 --> 00:28:39,960 Speaker 1: she does, and um, basically, uh started to have trouble 491 00:28:40,000 --> 00:28:41,800 Speaker 1: breathing on the highway going like e d down the 492 00:28:41,840 --> 00:28:45,200 Speaker 1: highway and had to pull over. Called me, and you know, 493 00:28:45,240 --> 00:28:46,840 Speaker 1: I calmed her down. I was like, all right, now, 494 00:28:47,080 --> 00:28:48,560 Speaker 1: let's get back on the road. See how you do. 495 00:28:48,720 --> 00:28:51,760 Speaker 1: She got back on the highway and immediately freaked out again. 496 00:28:52,520 --> 00:28:57,080 Speaker 1: And Uh, I flew to Cincinnati and went to a 497 00:28:57,160 --> 00:28:59,640 Speaker 1: hotel and drove her home. Yeah, I mean there was 498 00:28:59,680 --> 00:29:01,959 Speaker 1: really no choice at that point. Uh. You know, when 499 00:29:01,960 --> 00:29:04,800 Speaker 1: it's your wife, you Plus, it was a good opportunity 500 00:29:04,800 --> 00:29:07,360 Speaker 1: to get on the white horse, you know, and right 501 00:29:07,440 --> 00:29:12,360 Speaker 1: in and save the day. I think everyone loves those opportunities, 502 00:29:12,360 --> 00:29:15,480 Speaker 1: you know. And it's and I've always also wanted to 503 00:29:15,560 --> 00:29:17,840 Speaker 1: run to the airport, like give me a one way 504 00:29:17,840 --> 00:29:22,240 Speaker 1: ticket this somewhere I have time for your body scan. 505 00:29:22,400 --> 00:29:24,640 Speaker 1: Pretty much. That's how it happened. So she checked herself 506 00:29:24,640 --> 00:29:26,960 Speaker 1: into a hotel and I went there and had some 507 00:29:27,040 --> 00:29:30,560 Speaker 1: nice Cincinnati Skyline chili, and then the next morning we 508 00:29:30,640 --> 00:29:34,000 Speaker 1: hit the road. Yeah, that was good, and she hasn't 509 00:29:34,040 --> 00:29:38,360 Speaker 1: had one since then, despite like, uh, you know, she 510 00:29:38,360 --> 00:29:40,360 Speaker 1: she has a lot of anxiety just as a human, 511 00:29:41,000 --> 00:29:44,480 Speaker 1: but um, no panic attacks. So I definitely have seen 512 00:29:44,560 --> 00:29:47,400 Speaker 1: the things I saw in this article and both of them, 513 00:29:47,440 --> 00:29:50,280 Speaker 1: whether it was during finals, like the things going on 514 00:29:50,320 --> 00:29:52,760 Speaker 1: in her life at the time, we're super stressful. I 515 00:29:52,800 --> 00:29:55,720 Speaker 1: think the trigger was she doesn't like see great at 516 00:29:55,840 --> 00:29:57,960 Speaker 1: night or in the rain when she's driving, and I 517 00:29:57,960 --> 00:30:01,400 Speaker 1: think all these things compounded, um and just played out 518 00:30:01,400 --> 00:30:03,280 Speaker 1: to where she felt like she's having a heart attack, 519 00:30:03,880 --> 00:30:06,880 Speaker 1: and so did my friend. But I guess we should 520 00:30:06,880 --> 00:30:10,720 Speaker 1: mention that there are some tailtale signs of a heart attack. Yeah, 521 00:30:10,800 --> 00:30:14,640 Speaker 1: that's a big yeah, that you can recognize the difference, 522 00:30:15,040 --> 00:30:17,600 Speaker 1: because you don't want to actually be having a heart 523 00:30:17,640 --> 00:30:21,000 Speaker 1: attack and be like it's just a panic. Just breathe, 524 00:30:21,040 --> 00:30:25,360 Speaker 1: just breathe while you're dying. Um. Here are a few 525 00:30:25,360 --> 00:30:29,280 Speaker 1: tips from the American heart association. Pressure in the center 526 00:30:29,320 --> 00:30:32,000 Speaker 1: of your chest that persists longer than a couple of minutes, 527 00:30:32,080 --> 00:30:35,440 Speaker 1: or goes away then returns, shortness of breath, pain in 528 00:30:35,520 --> 00:30:39,160 Speaker 1: the arm or upper body. You might feel nauseous or faint. 529 00:30:39,840 --> 00:30:43,800 Speaker 1: And of course, if you're ever in doubt, call because, 530 00:30:44,040 --> 00:30:45,360 Speaker 1: like you said, you don't want to be having a 531 00:30:45,360 --> 00:30:48,840 Speaker 1: heart attack thinking it's will subside, there will be a 532 00:30:48,880 --> 00:30:53,960 Speaker 1: guy in your face. Well to say the last exactly, Uh, 533 00:30:54,000 --> 00:30:56,760 Speaker 1: If you want to know more about panic attacks and 534 00:30:56,800 --> 00:31:00,000 Speaker 1: panic disorder, type either one of those sets of words 535 00:31:00,040 --> 00:31:02,880 Speaker 1: into the search part how stuff works and it'll bring 536 00:31:02,960 --> 00:31:06,000 Speaker 1: up this article. And since I said that it's time 537 00:31:06,040 --> 00:31:12,760 Speaker 1: for a listener mail, I call this basement fear. Hey, guys, 538 00:31:12,800 --> 00:31:14,960 Speaker 1: I know most listeners know your podcasts great for learning 539 00:31:14,960 --> 00:31:18,240 Speaker 1: and entertainment, but I found another purpose distraction from stress 540 00:31:18,280 --> 00:31:23,360 Speaker 1: induced irrational fears. This sounds familiar. We were just talking 541 00:31:23,360 --> 00:31:25,440 Speaker 1: about this kind of thing. Oh yeah, And I didn't 542 00:31:25,440 --> 00:31:27,040 Speaker 1: even realize that when I picked this out. How about 543 00:31:27,040 --> 00:31:30,840 Speaker 1: that serendipity. Um, I grew up in a house with 544 00:31:30,840 --> 00:31:32,920 Speaker 1: a creepy, gross basement where we did laundry, and it 545 00:31:32,960 --> 00:31:35,960 Speaker 1: never bothered me. My fiance James, and I recently moved 546 00:31:35,960 --> 00:31:38,960 Speaker 1: into a house with a non creepy and non gross basement. 547 00:31:39,440 --> 00:31:41,120 Speaker 1: But I think the stress of planning a wedding is 548 00:31:41,120 --> 00:31:43,360 Speaker 1: getting to me because when I need to go down 549 00:31:43,440 --> 00:31:45,240 Speaker 1: into the basement to do laundry, I nearly have a 550 00:31:45,240 --> 00:31:49,400 Speaker 1: panic attack imagining a person lurking in the basement. I've 551 00:31:49,400 --> 00:31:52,160 Speaker 1: started playing an episode of Stuff You Should Know on 552 00:31:52,200 --> 00:31:54,320 Speaker 1: my iPhone and carrying it in my pocket when I 553 00:31:54,360 --> 00:31:58,000 Speaker 1: need to go down to the basement, stay back Spirit exactly, 554 00:31:58,280 --> 00:32:00,680 Speaker 1: so we literally accompanied her into the basementch I think 555 00:32:00,760 --> 00:32:04,160 Speaker 1: is hysterical. I am busy enough enjoying your humor and 556 00:32:04,280 --> 00:32:07,760 Speaker 1: information that I don't get us overwhelmed by this irrational fear. 557 00:32:08,040 --> 00:32:10,200 Speaker 1: I think it may even be waning now, so I 558 00:32:10,240 --> 00:32:12,800 Speaker 1: continue to make myself go down into the basement and 559 00:32:12,840 --> 00:32:14,680 Speaker 1: see that my fear is not really based in any 560 00:32:14,720 --> 00:32:21,240 Speaker 1: reality at all. Uh. That's CBT, that's exposure therapy boom. 561 00:32:21,560 --> 00:32:23,520 Speaker 1: Also before this weird basement, if you're popped up, I 562 00:32:23,560 --> 00:32:26,080 Speaker 1: long called you guys my cleaning crew because I listened 563 00:32:26,080 --> 00:32:28,840 Speaker 1: to episodes while doing my chores. And that is from 564 00:32:28,920 --> 00:32:33,640 Speaker 1: Kelsey in Kansas City, Kansas, not Kansas City, Missouri, Missouri. 565 00:32:34,400 --> 00:32:38,000 Speaker 1: And uh, Kelsey, good luck with that, and just don't 566 00:32:38,040 --> 00:32:42,560 Speaker 1: look behind that door over near the washing machine. That's 567 00:32:42,640 --> 00:32:45,640 Speaker 1: very helpful. Just getting Kelsey, there's nothing down there, and 568 00:32:45,920 --> 00:32:47,760 Speaker 1: just take us with you. Well, we will protect you 569 00:32:48,200 --> 00:32:52,640 Speaker 1: because spirits don't like us. The podcast is coming from 570 00:32:52,640 --> 00:32:56,520 Speaker 1: inside the house. If you want to get in touch 571 00:32:56,560 --> 00:32:58,480 Speaker 1: with Chuck or me, you can tweet to us at 572 00:32:58,640 --> 00:33:00,960 Speaker 1: s y s K podcast. You can join us on 573 00:33:00,960 --> 00:33:04,120 Speaker 1: Facebook dot com, slash stuff you Should Know. You can 574 00:33:04,160 --> 00:33:07,000 Speaker 1: send us an email to Stuff Podcast at how stuff 575 00:33:07,040 --> 00:33:09,520 Speaker 1: Works dot com and has always joined us at our 576 00:33:09,520 --> 00:33:17,280 Speaker 1: home on the web, Stuff you Should Know dot com. 577 00:33:17,320 --> 00:33:19,720 Speaker 1: For more on this and thousands of other topics, is 578 00:33:19,760 --> 00:33:28,440 Speaker 1: it how stuff Works dot com.