WEBVTT - How Panic Attacks Work 0:00:01.120 --> 0:00:04.280 Welcome to you Stuff you should Know from House Stuff 0:00:04.320 --> 0:00:12.799 Works dot com. Hey, and welcome to the podcast. I'm 0:00:12.880 --> 0:00:16.640 Josh Clark. There's Child's w Chuck Bryant, and Jerry Stuff 0:00:16.680 --> 0:00:22.000 you should know. Yep, Wide Spread Panic. Did you see 0:00:22.040 --> 0:00:25.079 that video which one there was a dude this was 0:00:25.120 --> 0:00:27.160 just like two days ago that went up on stage 0:00:27.160 --> 0:00:29.960 and attacked the band. Oh no, I didn't see that. Yeah, 0:00:30.000 --> 0:00:31.680 and they've got the whole thing and it was during 0:00:31.680 --> 0:00:34.920 one of the really repetitive droning parts of a song. 0:00:35.640 --> 0:00:38.680 And uh, I haven't seen an explanation but that there was. 0:00:38.800 --> 0:00:41.519 I went to the Widespread Panic Facebook thing because there 0:00:41.560 --> 0:00:43.280 was a big thread about people talking about it, and 0:00:43.320 --> 0:00:47.960 I just said, Hero, did you really hate people gang 0:00:48.000 --> 0:00:53.000 filing me? Going Hero, that's hilarious danger Stroll. I thought 0:00:53.040 --> 0:00:57.080 it was pretty funny. He attacked the members of the band, yeah, 0:00:57.280 --> 0:01:01.040 like physically, and I couldn't quite the drummer and he 0:01:01.120 --> 0:01:03.480 was upset, and I don't know if that part of 0:01:03.480 --> 0:01:06.840 the song made him snap, but it was definitely one 0:01:06.840 --> 0:01:12.800 of those repetitive thank thank you, it's like stop. But 0:01:12.880 --> 0:01:15.679 he was at the show, so that'd be weird unless 0:01:15.680 --> 0:01:18.319 he went there to attack them. Yeah, that's probably the 0:01:18.360 --> 0:01:22.360 bath salts maybe, so, so we're not talking about that 0:01:22.440 --> 0:01:25.840 kind of panic. That's more a psychotic break. And this 0:01:25.920 --> 0:01:29.000 is not widespread at all. It's very individualized panic, it is. 0:01:29.080 --> 0:01:32.679 But it turns out people suffering from this is kind 0:01:32.720 --> 0:01:36.160 of widespread. How about that? So it fits a little 0:01:36.200 --> 0:01:42.440 bit sure. Instead, Um, we're talking about panic attacks and 0:01:42.959 --> 0:01:46.640 the combination of panic attacks or the culmination of panic 0:01:46.640 --> 0:01:49.680 attacks that can lead to something called panic disorder, and 0:01:49.800 --> 0:01:56.160 it is a sucky mental condition that about two point 0:01:56.200 --> 0:01:59.920 eight percent of Americans, which is a pretty significant amount 0:01:59.920 --> 0:02:02.720 of people. Yeah, that's that's more than bipolar, which we've 0:02:02.720 --> 0:02:06.000 covered in schizophrenia, Yeah, and o c D, which we well, 0:02:06.040 --> 0:02:09.440 we've covered all three of this. Yeah. Um, so that's 0:02:09.480 --> 0:02:13.919 a pretty significant amount of people who suffer from panic disorder. Right, 0:02:14.480 --> 0:02:17.560 But that's different than just plain old panic attacks. Even 0:02:17.560 --> 0:02:21.080 though to have panic disorder you have to have panic attacks, 0:02:21.080 --> 0:02:23.360 but if you have panic attacks, you don't necessarily have 0:02:23.400 --> 0:02:27.200 panic disorder exactly. And I've had two experiences which I'll 0:02:27.200 --> 0:02:29.720 talk about at some point through the show, not personally, 0:02:29.760 --> 0:02:33.639 but Emily had a panic attack once and uh friend 0:02:33.680 --> 0:02:36.800 in college had a panic attack a roommate and neither 0:02:36.840 --> 0:02:38.720 one of them have panic disorders. It was just an 0:02:38.760 --> 0:02:42.000 isolated incident. Yeah, so apparently that's I don't know if 0:02:42.120 --> 0:02:46.200 commons the right word, but people do have panic attacks 0:02:46.760 --> 0:02:48.919 and they but they they that might be the only 0:02:48.960 --> 0:02:51.800 one they ever have for their entire lives, hope, which 0:02:51.840 --> 0:02:53.880 makes the whole thing kind of mysterious. And we should 0:02:53.919 --> 0:02:58.280 say like science does not know what exactly is going 0:02:58.320 --> 0:03:03.640 on here. That's some theory, but there's there's no there's 0:03:03.639 --> 0:03:06.120 no way to predict what's happening now even know if 0:03:06.120 --> 0:03:10.679 it's genetic or what environmental. Well, they finally isolated a 0:03:10.760 --> 0:03:14.120 gene last year, Uh, I guess and go and talk 0:03:14.120 --> 0:03:19.360 about that. Now in December they isolated the gene and 0:03:19.360 --> 0:03:21.440 you know, genes are always so boring with their names, 0:03:21.600 --> 0:03:24.880 unless it's a Simmons. That's right. The n k r 0:03:25.000 --> 0:03:29.520 T three uh they think may be responsible um because 0:03:29.560 --> 0:03:33.040 its presence appears to cause an over estimation of fear 0:03:33.080 --> 0:03:37.559 and danger in an overactivation of the hippocampus and amygdala. 0:03:37.760 --> 0:03:41.520 So basically, if you have this gene, you're gonna exaggerate 0:03:41.520 --> 0:03:45.080 your fear overall. But it's not like they're saying they 0:03:45.160 --> 0:03:47.760 prove that's the cause. But that is a good step 0:03:47.800 --> 0:03:50.400 in scientifically in the right direction. That's a huge step, 0:03:50.720 --> 0:03:52.800 because I mean that does sound very much like what 0:03:52.840 --> 0:03:56.000 a panic attack is. A panic attack is where you 0:03:56.200 --> 0:04:02.360 experience a very pronounced sense of fear and basically your 0:04:02.480 --> 0:04:07.000 fight or flight symptoms response and really, from what I 0:04:07.000 --> 0:04:10.760 can understand, your flight response. Yeah, like you're not in 0:04:10.800 --> 0:04:13.960 a position to fight or freeze because you know now 0:04:14.040 --> 0:04:17.600 these days it's fight, flight or freeze. Really yeah, I 0:04:17.600 --> 0:04:19.520 don't think I knew that. Yeah, there's a third option now, 0:04:20.120 --> 0:04:23.479 um like kind of oh no, wait, those aren't options 0:04:23.520 --> 0:04:26.960 sets a sequence, right, This is these are options. So 0:04:27.040 --> 0:04:30.600 when you're confronted with danger. Nick Thune, our buddy, the comedian, dude, 0:04:30.600 --> 0:04:33.080 have you seen his hand of fit ads? Yeah, those 0:04:33.120 --> 0:04:36.280 are awesome. I was like, that's Nick Thune and he's 0:04:36.360 --> 0:04:39.200 on like Miss America. Yeah. The first thing I always 0:04:39.240 --> 0:04:42.599 think about is good for you cash those checks baby. 0:04:43.040 --> 0:04:45.559 Uh yeah. He has that funny bit on stop dropping rolling, 0:04:45.600 --> 0:04:48.839 like they they needed to continue that, like keep rolling. 0:04:49.839 --> 0:04:52.000 He's like, that's kind of key. Don't stop dropping roll 0:04:52.040 --> 0:04:54.240 because you'll be consumed by fire. You need to keep rolling. 0:04:54.400 --> 0:04:56.680 Right until you get to a door. Yeah, it's very 0:04:56.680 --> 0:05:00.560 funny stuff. So this is a little different fight flight 0:05:01.040 --> 0:05:04.760 or freeze? Yeah? What what's freeze factor in? Like you 0:05:04.839 --> 0:05:08.880 just freeze up and toast? Yeah, at least beneficial of 0:05:08.920 --> 0:05:14.000 all of the these adaptations to danger. But basically, when 0:05:14.040 --> 0:05:17.360 you're when you're confronted with danger, you can either fight, fly, 0:05:17.600 --> 0:05:19.520 or freeze. That makes total sense. I don't know why 0:05:19.560 --> 0:05:21.599 freeze was never in there to begin with, because so 0:05:21.640 --> 0:05:24.200 many people freeze. They just added on the last couple 0:05:24.200 --> 0:05:27.080 of years. I think I'm a flyer or a freezer 0:05:27.120 --> 0:05:29.240 for sure. It depends. I don't know if do you 0:05:29.279 --> 0:05:32.559 think there's a personality type? Oh boy, I don't know. Um, 0:05:32.760 --> 0:05:34.920 you know, don't you think it's possibly like just what 0:05:35.000 --> 0:05:38.120 your body chemistry happens to be doing? Right then? No? 0:05:38.279 --> 0:05:41.279 I think some people are more inclined to fight for sure. Okay, Well, 0:05:41.279 --> 0:05:46.039 with panic attacks, you're flying like that's your only that's 0:05:46.040 --> 0:05:49.360 your jam right there. Um, and you're experiencing it in 0:05:49.560 --> 0:05:52.800 the exact same way that somebody's coming to mug you 0:05:53.480 --> 0:05:55.719 or has pulled a knife on you and you're running away, 0:05:55.800 --> 0:05:58.800 or there's a lion chasing you. Accept This is the 0:05:58.920 --> 0:06:02.520 key to panic attack. There is no lion, there is 0:06:02.560 --> 0:06:06.560 no mugger, there's no knife, there's no discernible reason for 0:06:06.600 --> 0:06:12.920 you to be experiencing this sudden onset of crippling fear. Um. 0:06:12.960 --> 0:06:17.200 But you're experiencing it nonetheless, that's right. No, no tangible 0:06:17.240 --> 0:06:21.000 thing happening right in that moment. So when you come 0:06:21.000 --> 0:06:23.840 out of it, and these things can they peak within 0:06:23.880 --> 0:06:27.480 about ten minutes, but these the symptoms can last for 0:06:28.120 --> 0:06:31.200 an hour more. Um. When you come out of it, 0:06:31.279 --> 0:06:33.599 you're like, I don't ever want that to happen again. 0:06:34.200 --> 0:06:37.080 The place that this just happened to, say, the park, 0:06:37.680 --> 0:06:40.360 I'm never going back to because now I associated with 0:06:40.360 --> 0:06:43.120 this because what you're doing when you experience fear, you're 0:06:43.200 --> 0:06:46.960 learning to stay away from something. So whether you want 0:06:47.000 --> 0:06:49.120 to or not, you've just been conditioned to fear the 0:06:49.120 --> 0:06:52.880 place that you just were because you had a panic attack. Um. 0:06:53.200 --> 0:06:57.440 And then lastly, you think possibly you're crazy, yeah, or 0:06:57.480 --> 0:07:00.719 having a heart attack. Yeah that's uh. Both both of 0:07:00.720 --> 0:07:04.280 the my wife and my friend both thought they were 0:07:04.279 --> 0:07:07.160 having heart attacks, which is super scary. And we'll get 0:07:07.200 --> 0:07:09.119 the difference later on. But um, I guess we should 0:07:09.120 --> 0:07:11.480 talk about just some of the initial symptoms of a 0:07:11.520 --> 0:07:15.920 panic attack. The old d s M Diagnostic and Statistical 0:07:15.960 --> 0:07:20.640 Manual Mental Disorders lists, Uh, it looks like about ten 0:07:20.840 --> 0:07:23.880 symptoms and if you have at least four of these, 0:07:24.560 --> 0:07:29.400 you may be having a panic attack, which is heart pounding, shaking, dizziness, sweating, choking, 0:07:29.440 --> 0:07:33.600 feeling nausea, shallow or short breath, chest pain, numbness or 0:07:33.600 --> 0:07:37.960 tingling chills, and hot flashes, feeling of unreality, feeling like 0:07:38.000 --> 0:07:40.680 you're going crazy, or feeling like you're about to die. 0:07:41.520 --> 0:07:45.160 You got four of those, you're having a panic attack, yes, Um. 0:07:45.200 --> 0:07:49.600 And if you have four panic attacks within four weeks, 0:07:50.560 --> 0:07:55.360 or you have one panic attack and then fear having 0:07:55.520 --> 0:07:58.760 another panic attack for about a month or so, then 0:07:59.120 --> 0:08:03.239 you can be die diagnosed with what's called panic disorder. So, uh, 0:08:03.280 --> 0:08:05.920 if you listen to our fear podcast, which was a 0:08:05.960 --> 0:08:09.280 really good one, UM, it's kind of the same as 0:08:09.280 --> 0:08:12.960 a panic attack. UM. We covered your Your autonomic nervous 0:08:13.000 --> 0:08:16.440 system is what maintains all the functions in your body, 0:08:16.440 --> 0:08:20.200 the involuntary functions in your body, that is, and it's 0:08:20.200 --> 0:08:23.640 gonna take signals from your central nervous system. It's gonna 0:08:23.680 --> 0:08:25.760 regulate your organs. That's why you don't have to tell 0:08:25.800 --> 0:08:27.840 your heart to beat or your kid needs to work. 0:08:28.600 --> 0:08:32.240 It's all your pancreas to secrete stuff. That's right. It's 0:08:32.240 --> 0:08:35.280 your autonomic nervous system. And it has two parts, the 0:08:35.360 --> 0:08:40.880 sympathetic and parasympathetic. And your parasympathetic controls like I said, 0:08:40.880 --> 0:08:43.000 your your heart beat and stuff like that. You're the 0:08:43.160 --> 0:08:48.520 normal aspect. Yeah, it's just right. Yeah, that balance that 0:08:48.559 --> 0:08:51.520 we all seek that we don't know we're seeking. And 0:08:51.520 --> 0:08:54.960 then the sympathetic is if you have that fight or flight, 0:08:55.040 --> 0:08:58.360 if you become excited, uh in any way, really, that's 0:08:58.360 --> 0:09:00.319 when that's gonna kick in. Yeah. It's like normal gear 0:09:00.360 --> 0:09:02.400 and then high gear. Yeah, but it's not always fear, 0:09:02.440 --> 0:09:05.080 you know, just any kind of excitement. Right, you could 0:09:05.080 --> 0:09:08.439 be super happy, it could be sexual arousal. That's all 0:09:08.520 --> 0:09:11.280 your sympathetic nervous system, right, And those two components make 0:09:11.320 --> 0:09:14.360 up the autonomic nervous system, which it kind of switches 0:09:14.400 --> 0:09:17.240 from one to the other depending on your state of arousal. Right, 0:09:17.440 --> 0:09:21.320 that's right. Um, But when fear has aroused you, um, 0:09:22.160 --> 0:09:26.280 your sympathetic nervous system kicks into high gear. Um. And 0:09:26.400 --> 0:09:30.160 adrenaline is released, which is a huge factor in causing 0:09:30.160 --> 0:09:33.200 the symptoms of a panic attack. Like you you start 0:09:33.240 --> 0:09:39.439 breathing very heavily and shallowly, um, your pupils dilate you. Uh. 0:09:40.000 --> 0:09:42.880 We always used to say if you're digesting food, you 0:09:42.960 --> 0:09:46.920 stop doing that. Basically, all of your energy is transferred 0:09:46.960 --> 0:09:49.840 over to either fighting or flying, and in the case 0:09:49.880 --> 0:09:52.719 of a panic attack, is transferred over to get you 0:09:52.760 --> 0:09:55.800 to be able to run away as fast as possible. Yeah, 0:09:55.880 --> 0:09:58.760 which can be a little scary, but in a real 0:09:58.840 --> 0:10:02.640 fear situation, if in danger, your parasympathetic nervous system is 0:10:02.640 --> 0:10:05.280 going to kick in and calm you down. But that 0:10:05.400 --> 0:10:08.200 is not what happens, uh, in the case of a 0:10:08.200 --> 0:10:11.199 panic attack, which is really perplexing. So let's recap this. 0:10:11.320 --> 0:10:16.280 A panic attack is when you experience this incredibly intense fear, 0:10:16.960 --> 0:10:19.760 so much so that you run away but there's nothing 0:10:19.760 --> 0:10:23.160 there to be afraid of. And then and then, to 0:10:23.280 --> 0:10:29.239 make everything a million times worse, your parasympathetic nervous system 0:10:29.320 --> 0:10:32.160 doesn't kick in and calm you down like it would 0:10:32.280 --> 0:10:35.600 under normal circumstances, so you get to experience this horrible 0:10:35.640 --> 0:10:39.840 thing even longer. That's right, and after this break, we 0:10:39.880 --> 0:10:42.199 are going to get into some of the potential causes 0:10:42.200 --> 0:10:48.199 of panic attacks. All right, So, like I said before, 0:10:48.280 --> 0:10:51.520 breaking news from December last year, they think they've isolated 0:10:51.520 --> 0:10:56.440 a gene. Previous to that, they've some research has said 0:10:56.480 --> 0:11:00.240 it could be genetic because identical twins experience it more 0:11:00.280 --> 0:11:04.000 than fraternal twins. But it's always been sort of up 0:11:04.000 --> 0:11:07.319 in the air. They's been contradictions as well the genetic basis. 0:11:07.600 --> 0:11:12.200 They think it's also possibly epigenetic or environmental like um. 0:11:12.240 --> 0:11:14.800 Apparently one study found that a lot of people who 0:11:14.840 --> 0:11:19.280 have panic disorder had some sort of traumatic incident happened 0:11:19.320 --> 0:11:22.400 in their childhood. My friend from college did, Is that right? 0:11:22.920 --> 0:11:25.320 So they're thinking like possibly it had some sort of 0:11:25.320 --> 0:11:28.080 effect and set up like a time bomb for later 0:11:28.080 --> 0:11:32.600 on in life. Yeah, the stored uh feelings that maybe 0:11:32.640 --> 0:11:35.760 you've never dealt with about some traumatic event are gonna 0:11:36.160 --> 0:11:37.760 they're gonna rear their head at some point in your 0:11:37.800 --> 0:11:40.439 life in some way. Yeah, Or it just rearranged the 0:11:41.480 --> 0:11:44.960 neural output in your brain so that one day you're 0:11:45.040 --> 0:11:49.760 just set up when everything is just right, that chemistry 0:11:49.840 --> 0:11:52.400 is flooding your brain in a certain way, and then Bam, 0:11:52.400 --> 0:11:55.319 it comes out of nowhere, you have a panic attack. Yeah. 0:11:55.360 --> 0:11:59.199 Another theory is that they think if you have an 0:11:59.240 --> 0:12:05.360 over active fear system, like you've basically have been scared 0:12:05.400 --> 0:12:08.320 too much in life, or you're a scared person, then 0:12:08.440 --> 0:12:10.640 it's just gonna make it a hair trigger for something 0:12:10.679 --> 0:12:13.640 to set it off, which makes a lot of sense. 0:12:13.960 --> 0:12:15.360 I think it could be a combo with a lot 0:12:15.360 --> 0:12:18.959 of things as usual. Yeah. I wonder though, what what 0:12:19.000 --> 0:12:21.040 it will end up being that if we'll find that 0:12:21.080 --> 0:12:24.679 there is one thing that that leads to this predictably 0:12:25.120 --> 0:12:28.960 like built up, but then there's the actual trigger. Yeah, 0:12:29.320 --> 0:12:31.080 and that's another thing too. So they don't know what 0:12:31.240 --> 0:12:34.439 triggers these things. They do know that a panic attack. 0:12:35.000 --> 0:12:38.480 Being worried about having a panic attack can actually trigger 0:12:38.559 --> 0:12:41.880 a panic attack. Absolutely. I feel so bad for people 0:12:41.960 --> 0:12:45.520 a panic disorder. This is like a terrible affliction because 0:12:46.000 --> 0:12:49.000 you do become very much afraid that you're going to 0:12:49.040 --> 0:12:51.680 have another panic attack. So that can set off a 0:12:51.720 --> 0:12:54.600 panic attack, but it also can set off a code 0:12:54.600 --> 0:12:59.280 morbidity called agoraphobia, where you are afraid to leave your house, 0:12:59.840 --> 0:13:02.880 but you're also afraid to be alone. And I read this, 0:13:03.040 --> 0:13:06.440 um this article that was from the eighties seven, and 0:13:06.480 --> 0:13:14.079 they were saying, like, the the freudis the Freudists, followers 0:13:14.080 --> 0:13:18.240 of Sigmund Freud. We're saying, um, oh, well, clearly, if 0:13:18.280 --> 0:13:20.600 you're in a gooraphobic you don't want to go outside 0:13:20.600 --> 0:13:23.439 because that's where sexual desire is, and you don't want 0:13:23.440 --> 0:13:25.440 to be alone because you're worried that you will like 0:13:25.520 --> 0:13:31.560 abuse yourself, So agoraphobia. And everybody went boom, sit down 0:13:31.600 --> 0:13:36.040 and shut up. Yeah, and um, so nowadays they have 0:13:36.120 --> 0:13:41.880 realized that agoraphobia is almost almost exclusively the result of 0:13:42.000 --> 0:13:48.240 panic disorder. Yeah, and it's because you you fear the 0:13:48.280 --> 0:13:50.360 place that you had a panic attack, so you don't 0:13:50.360 --> 0:13:52.960 want to go there again. And then maybe it happened 0:13:52.960 --> 0:13:54.520 again at the grocery store, so you don't want to 0:13:54.520 --> 0:13:57.880 go there, and it happened. You don't want to be alone, 0:13:58.120 --> 0:13:59.720 but you don't want to be around strangers, so you 0:14:00.000 --> 0:14:02.400 into your family members and now all of a sudden, 0:14:02.440 --> 0:14:05.839 you're not living your life anymore. Yeah, you're developing phobias 0:14:05.880 --> 0:14:08.439 because of your panic attacks in your association with them. 0:14:08.440 --> 0:14:09.960 Like if you're on an elevator and you have a 0:14:09.960 --> 0:14:13.160 panic attack, you're not getting on an elevator again, you've 0:14:13.200 --> 0:14:16.120 just developed a phobia for elevators, and so all of 0:14:16.160 --> 0:14:18.280 a sudden, you're not going to be working at a 0:14:18.320 --> 0:14:20.760 place where you might normally work because you have to 0:14:20.760 --> 0:14:23.000 take the elevator to to get there. Or do you 0:14:23.040 --> 0:14:26.520 develop a love of stairs? Right? But then what if 0:14:26.560 --> 0:14:28.880 you're you don't like confined spaces at all, like a 0:14:28.920 --> 0:14:31.800 stairwell either. Yeah you ever been locked in the stairwell 0:14:31.840 --> 0:14:33.880 here at the building? Yeah? I mean you just walk 0:14:33.960 --> 0:14:38.280 down however many flights until you're at the lobby. Oh, 0:14:38.320 --> 0:14:41.040 you can get out down there? Yes, okay, yeah, yeah, 0:14:41.280 --> 0:14:43.240 you're not actually locked in, you just have to walk 0:14:43.280 --> 0:14:45.880 all the way down to Usually just call you and 0:14:45.920 --> 0:14:50.200 say lee. Another theory is that when you're super tired, 0:14:50.920 --> 0:14:53.920 um and overworked was when a lot of times when 0:14:53.960 --> 0:14:57.640 these are set off, your brain is producing sodium lactate 0:14:57.840 --> 0:15:01.040 or c O two and when those increase, your brain 0:15:01.440 --> 0:15:04.680 uh says you know what, I think you're suffocating, and 0:15:04.720 --> 0:15:07.120 so I'm going to send a signal to get you 0:15:07.160 --> 0:15:11.400 a lot more oxygen. And I found this uh really 0:15:11.400 --> 0:15:15.600 sad case of this woman, a university student who died 0:15:16.200 --> 0:15:21.000 from a severe asthma attack like three days ago. Uh, 0:15:21.000 --> 0:15:24.240 and she had had a history of asthma, and then 0:15:24.320 --> 0:15:27.960 told the medics that she was going through like final 0:15:28.000 --> 0:15:31.320 exams and she had been having panic attacks uh for 0:15:31.400 --> 0:15:35.360 in the weeks like proceeding. So breathing is a huge 0:15:35.440 --> 0:15:39.040 part of panic attacks. And as evidenced by her, if 0:15:39.040 --> 0:15:41.880 you have asthma, it's can be deadly, which is super 0:15:41.920 --> 0:15:47.360 super scary and sad. Yeah. Um. Then one other I 0:15:47.400 --> 0:15:50.320 guess there's a neurological basis they believe for people who 0:15:50.320 --> 0:15:54.160 have panic attacks. People who suffer from panic disorder tend 0:15:54.200 --> 0:15:59.560 to have fewer serotonin receptors and apparently also UM gabba 0:15:59.720 --> 0:16:03.240 which helps us get to sleep. It's called a gamma 0:16:03.600 --> 0:16:10.800 immuno beautyic acid. Let's call it gabba gabba. Um. Those 0:16:10.840 --> 0:16:15.320 two have some sort of role in UM panic disorder. 0:16:15.600 --> 0:16:18.160 Like you don't have enough serotonin and your body is 0:16:18.160 --> 0:16:22.200 not producing enough gabba, you may be prone to panic disorder. Uh. 0:16:22.240 --> 0:16:24.800 They you know, there isn't like a specific type of 0:16:24.800 --> 0:16:27.400 person that necessarily gets a panic attack. It can happen 0:16:27.400 --> 0:16:31.840 to anyone, but um, usually it happens if you're you're 0:16:31.880 --> 0:16:34.560 in your twenties. Although they say kids can get it 0:16:34.600 --> 0:16:37.200 as well have a panic attack or a disorder. Um, 0:16:37.240 --> 0:16:40.520 twice as many women have a panic disorder developed one 0:16:40.520 --> 0:16:45.200 as men, which is pretty interesting. Um. And like you said, 0:16:45.320 --> 0:16:48.000 just the fear like having had one before, that fear 0:16:48.040 --> 0:16:51.800 can lead to more. So it's very cyclical, yes. And 0:16:51.880 --> 0:16:55.640 you know, um that one paper from seven. I can't 0:16:55.640 --> 0:16:59.160 tell if it was arguing in favor of panic disorder 0:16:59.240 --> 0:17:04.520 being like an evolutionary adaptation and like possibly beneficial, or 0:17:04.560 --> 0:17:06.600 if they were saying, like some people think this, can 0:17:06.640 --> 0:17:09.760 you believe this? But they were. One of the points 0:17:09.800 --> 0:17:12.960 that this guy made was well, twice as many women 0:17:13.040 --> 0:17:17.280 have panic disorders as men, So clearly it's an evolutionary 0:17:17.280 --> 0:17:21.080 adaptation because women wouldn't have had to have gone as 0:17:21.119 --> 0:17:24.760 far away from camp while they were gathering food as men. 0:17:25.280 --> 0:17:27.800 For men couldn't stand to have a panic attack, or 0:17:27.800 --> 0:17:30.920 they couldn't, it wouldn't be an adaptation for men, it 0:17:30.960 --> 0:17:33.600 would be for women. Plus women can't run as fast 0:17:33.880 --> 0:17:36.159 when they have kids to carry, so they need to 0:17:36.160 --> 0:17:39.600 be on alert a little more. It's just smelled like 0:17:39.760 --> 0:17:46.040 bunk bunk. That was a big year for bunk. Yeah. Um, 0:17:46.080 --> 0:17:48.800 if you do have a panic disorder. You may have 0:17:48.880 --> 0:17:53.119 a hard time getting your family to understand it. UM. 0:17:53.200 --> 0:17:56.479 Sometimes they overreact and think it's like way more severe 0:17:56.560 --> 0:18:01.080 than it is. UM. Sometimes they underreact and say, uh, 0:18:01.119 --> 0:18:05.760 you know, it's all in your head, like just calm down. UM. 0:18:05.800 --> 0:18:08.840 But either way it's saying, boy, you're nuts or you 0:18:08.920 --> 0:18:10.760 just need to relax. Neither one of those is going 0:18:10.800 --> 0:18:14.000 to help out the loved one. Chill out, there's no lion. 0:18:15.880 --> 0:18:19.000 One thing I've learned in arguments and fights with my 0:18:19.040 --> 0:18:22.960 wife is and I'm boilerning this early on is saying 0:18:23.040 --> 0:18:27.440 telling someone to relax never causes someone to relax. It's 0:18:27.480 --> 0:18:30.520 like the worst thing you can do if something's heated 0:18:30.600 --> 0:18:33.760 is to say just relax. That's just gonna ramp it up. 0:18:35.080 --> 0:18:38.360 So that's my advice for couples out there in any relationship. 0:18:38.400 --> 0:18:42.919 Really good, Thank you. UM. There is a silverlying to 0:18:42.960 --> 0:18:47.359 all this in that panic disorder is actually highly treatable. 0:18:47.520 --> 0:18:51.320 It's the treatments that they've come up with are pretty successful, 0:18:51.720 --> 0:18:54.320 and we will talk about those treatments right after this. 0:19:03.640 --> 0:19:06.480 All right, So you mentioned that they are treatable. They 0:19:06.480 --> 0:19:10.800 have found success rates through medication and therapy, which seemed 0:19:10.800 --> 0:19:12.960 to be about the same as far as how affective 0:19:12.960 --> 0:19:16.560 they are between sixty and of the time. That's pretty good. Yeah, 0:19:16.600 --> 0:19:19.040 that's not bad at all. So that's the good news. 0:19:19.320 --> 0:19:24.080 So there's three. There's three UM typical methods of treatment 0:19:24.359 --> 0:19:30.080 UM antidepressants, anti anxiety, pills, and therapy. And you might 0:19:30.200 --> 0:19:33.119 use them, you know, independent of what another in conjunction 0:19:33.119 --> 0:19:35.600 with one another. I also saw beta blockers. Some people 0:19:35.760 --> 0:19:37.800 use beta blockers to treat them, but they're not quite 0:19:37.800 --> 0:19:41.679 sure what's going on with that. I've used those before 0:19:41.720 --> 0:19:44.359 live performances. Those are the ones I read about that UM, 0:19:44.720 --> 0:19:48.240 you gave me one, and I was like a useless worm. Yeah, 0:19:48.400 --> 0:19:50.879 it didn't affect me like that. I I was, I 0:19:51.000 --> 0:19:53.679 just like totally lost my personality. I wasn't nervous, but 0:19:53.720 --> 0:19:57.119 I didn't do anything. Well, I've gotten used to live 0:19:57.160 --> 0:19:59.280 performing now, so I don't need them anymore. But I 0:19:59.320 --> 0:20:04.239 got that to from apparently a bunch of musicians, like 0:20:04.320 --> 0:20:06.480 in symphonies and stuff use And I was like, well, 0:20:06.520 --> 0:20:09.520 if first chair of Violinist, if it's good for them 0:20:09.560 --> 0:20:12.600 to give me some beta blockers. But it worked for me. 0:20:12.680 --> 0:20:14.760 But like I said, I'm over all that. I enjoy 0:20:14.840 --> 0:20:18.600 being on stage. Now. So with s SR eyes, which 0:20:18.640 --> 0:20:21.440 is what you moved on too from beta blockers, right, No, 0:20:21.560 --> 0:20:25.280 I'm not on it. So with SSR eyes, UM, those 0:20:25.280 --> 0:20:29.359 are selective serotonin reuptake inhibitors, and they do exactly what 0:20:29.400 --> 0:20:32.600 they sound like. You've got a bunch of serotonin receptors 0:20:32.600 --> 0:20:35.399 in your brain. If you have panic disorder, you may 0:20:35.440 --> 0:20:39.199 have fewer serotonin receptors in your brain. Serotonin is a 0:20:39.240 --> 0:20:44.160 neurotransmitter that helps basically stabilize your mood by either causing 0:20:44.160 --> 0:20:46.920 a neuron to fire or inhibiting a neuron to fire 0:20:47.160 --> 0:20:53.080 in this really beautiful, perfectly balanced chemical reaction. Right, So 0:20:53.119 --> 0:20:55.840 if you have a few of these receptors the normal, 0:20:56.160 --> 0:20:59.400 you're going to be comparatively out of balanced. What an 0:20:59.440 --> 0:21:03.880 SSR I, an antidepressant, does is it allows the serotonin 0:21:04.320 --> 0:21:06.680 to kind of stay in your synaps is a little 0:21:06.720 --> 0:21:10.159 longer than as normal, so that you are releasing a 0:21:10.160 --> 0:21:14.080 little more serotonin than you would under normal circumstances. And 0:21:14.160 --> 0:21:18.640 it's proven pretty effective for UM for panic disorder. Yeah, 0:21:18.680 --> 0:21:20.359 I mean, they'd work wonders for a lot of people 0:21:20.440 --> 0:21:23.560 for a lot of reasons, UM, but not everyone. And 0:21:23.600 --> 0:21:27.440 they can cause a lot of negative side effects. Uh. 0:21:27.600 --> 0:21:31.440 So obviously, you know, work with your doctor on a program, 0:21:31.440 --> 0:21:33.359 and it takes them a little while, like two to 0:21:33.440 --> 0:21:37.399 four weeks to begin working. Uh for a panic attack. Um, 0:21:37.480 --> 0:21:40.560 an anti anxiety drug like xan x might be a 0:21:40.560 --> 0:21:44.760 little more effective because that is immediately hits you. It 0:21:44.840 --> 0:21:49.719 is a tranquilizer benzodiazepine, right yeah, and it's um, you know, 0:21:50.480 --> 0:21:53.280 the zanex is going to help chill you out immediately, 0:21:53.320 --> 0:21:56.800 but you can get hooked on those things pretty quick. Yeah, 0:21:56.840 --> 0:22:02.320 and they're dangerous to quit cold turkey and um, yeah, 0:22:02.400 --> 0:22:04.800 it's it's not the best thing to go to xanex 0:22:04.960 --> 0:22:08.640 a lot. Well, yeah, they say that you should, um 0:22:08.640 --> 0:22:12.120 basically if you if you undertake an ssr I regimen, 0:22:12.680 --> 0:22:16.239 you can conceivably stay on it for years. If you 0:22:16.480 --> 0:22:21.200 undertake anti anxiety or benzo diazepine regimen, like it shouldn't 0:22:21.240 --> 0:22:23.399 last for more than a couple of weeks or month 0:22:24.240 --> 0:22:28.040 from what I understand, because of the dependency. And again, 0:22:28.240 --> 0:22:30.320 you want to like really do all of this with 0:22:30.400 --> 0:22:37.240 like a um qualified competent doctor's assistants, not a doctor's assistant, 0:22:37.960 --> 0:22:41.960 doctor's assistant. It depends if it's a qualified competent doctor's 0:22:41.960 --> 0:22:45.399 assistant who can write prescriptions, who trust go for it, 0:22:45.480 --> 0:22:47.840 that's true. Uh. And then there's therapy of course, the 0:22:47.880 --> 0:22:51.680 old CBT cognitive behavioral therapy, which we've talked about a bunch, 0:22:52.160 --> 0:22:56.560 but um, that is Uh, they're gonna sort of the 0:22:56.560 --> 0:22:59.119 processes is gonna play out like this. They're gonna teach 0:22:59.160 --> 0:23:03.080 you out your panic disorder, which is a big step. 0:23:03.119 --> 0:23:06.520 If you understand something, uh, you can overcome it more easily. 0:23:06.520 --> 0:23:09.320 I think they're gonna monitor you and you're gonna self 0:23:09.359 --> 0:23:13.000 monitor and record your symptoms and when they happen and 0:23:13.000 --> 0:23:16.879 why they happen, what the circumstance was. Breathing, like we mentioned, 0:23:16.920 --> 0:23:20.200 is a huge part of it. Um, anything from meditation 0:23:20.240 --> 0:23:22.919 to just regular breathing exercises which will give you some 0:23:22.960 --> 0:23:25.080 tips on that in a minute too, are going to 0:23:25.160 --> 0:23:31.600 help you out. And then the old exposure two uh situations. 0:23:31.680 --> 0:23:34.239 Then this is once you've rethought, like your what your 0:23:34.240 --> 0:23:36.320 approach is going to be, Like here's your new outlook 0:23:36.600 --> 0:23:38.639 and now here's a situation that might give you a 0:23:38.640 --> 0:23:41.640 panic attack. How do you feel? Yeah, or like if 0:23:41.640 --> 0:23:43.880 you had a panic attack and an elevator, like they 0:23:43.960 --> 0:23:46.920 may tell you to imagine you're in an elevator. Your 0:23:46.960 --> 0:23:50.000