1 00:00:01,920 --> 00:00:04,320 Speaker 1: Welcome to brain Stuff, a production of I Heart Radio. 2 00:00:06,320 --> 00:00:08,880 Speaker 1: Hey brain Stuff. Lauren bog Obam here with a classic 3 00:00:08,880 --> 00:00:12,479 Speaker 1: episode from the Vault, hosted by my predecessor, Christian Sager. 4 00:00:13,320 --> 00:00:16,960 Speaker 1: These days, it's perfectly natural to be feeling anxious. Everyone 5 00:00:17,000 --> 00:00:19,960 Speaker 1: does sometimes, and there are plenty of things that anyone 6 00:00:20,040 --> 00:00:22,680 Speaker 1: can do to help combat it. Christian goes through a 7 00:00:22,680 --> 00:00:25,280 Speaker 1: few ideas at the end of the episode, but in 8 00:00:25,320 --> 00:00:27,760 Speaker 1: this one, we wanted to talk about what's going on 9 00:00:27,880 --> 00:00:32,200 Speaker 1: in the brain when anxiety becomes a disorder. Here's Christian, 10 00:00:34,640 --> 00:00:38,600 Speaker 1: Hey brain Stuff, It's Christian Sager here. Listen. I get anxious. 11 00:00:38,840 --> 00:00:42,120 Speaker 1: You do too, But hey, it is a totally normal 12 00:00:42,240 --> 00:00:45,239 Speaker 1: and healthy response that keeps us from doing things that 13 00:00:45,360 --> 00:00:48,760 Speaker 1: might actually be dangerous, like sticking your hand in a fire, 14 00:00:48,800 --> 00:00:52,199 Speaker 1: for instance. But when anxiety is so pervasive that it 15 00:00:52,240 --> 00:00:56,080 Speaker 1: interferes with your daily life, it becomes a disorder, and 16 00:00:56,200 --> 00:01:00,560 Speaker 1: most researchers believe that disorder begins in your or brain. 17 00:01:00,960 --> 00:01:04,920 Speaker 1: There's several types of anxiety disorders. Phobias, PTSD and o 18 00:01:05,080 --> 00:01:08,440 Speaker 1: c D are just a few, and some forty million 19 00:01:08,480 --> 00:01:12,080 Speaker 1: American adults suffer from an anxiety disorder, according to the 20 00:01:12,200 --> 00:01:16,320 Speaker 1: National Institute of Mental Health. But let's focus today on 21 00:01:16,560 --> 00:01:20,840 Speaker 1: general anxiety disorder, which affects close to seven million adults 22 00:01:20,880 --> 00:01:25,000 Speaker 1: and is twice as likely in women. You're constantly anticipating 23 00:01:25,040 --> 00:01:28,720 Speaker 1: a threat or disaster that isn't actually present. Maybe you're 24 00:01:28,760 --> 00:01:32,920 Speaker 1: worried about money, health, family, or work, and despite reality, 25 00:01:33,160 --> 00:01:40,400 Speaker 1: you'll expect the worst. The symptoms include restlessness, fatigue, difficulty concentrating, irritability, 26 00:01:40,480 --> 00:01:45,399 Speaker 1: muscle tension, and sleep disturbances. The symptoms officially become a 27 00:01:45,440 --> 00:01:48,840 Speaker 1: disorder when you can't control your worry for at least 28 00:01:49,000 --> 00:01:53,200 Speaker 1: six months. You may still be social or even employed, 29 00:01:53,240 --> 00:01:57,280 Speaker 1: but people with general anxiety disorder can have difficulty carrying 30 00:01:57,280 --> 00:02:01,520 Speaker 1: out even the simplest of daily activity. These experts believe 31 00:02:01,600 --> 00:02:05,920 Speaker 1: that general anxiety disorder is caused by both biological factors 32 00:02:06,080 --> 00:02:10,400 Speaker 1: and life experiences good old combination of nature and nurture. 33 00:02:10,760 --> 00:02:14,240 Speaker 1: But anxiety is also recognized by many as an emotional 34 00:02:14,280 --> 00:02:19,160 Speaker 1: response with neurobiological roots. Simply put, the neural pathways in 35 00:02:19,200 --> 00:02:24,399 Speaker 1: our brains sometimes lead to irrational anxiety, and stressful situations 36 00:02:24,480 --> 00:02:28,600 Speaker 1: encourage us to develop associations with those pathways by influencing 37 00:02:28,919 --> 00:02:32,359 Speaker 1: which neurochemicals passed through them. The same way you learn 38 00:02:32,440 --> 00:02:36,200 Speaker 1: to tie your shoe, you can also learn to be anxious. 39 00:02:36,520 --> 00:02:39,480 Speaker 1: The neurons in your brain fire, and over time they 40 00:02:39,480 --> 00:02:43,760 Speaker 1: get wired together. One stressful thing like being stuck in traffic, 41 00:02:43,960 --> 00:02:46,960 Speaker 1: leads you to think of another stressful thing, like a 42 00:02:46,960 --> 00:02:50,520 Speaker 1: car crash you once survived, and this activates a part 43 00:02:50,560 --> 00:02:54,720 Speaker 1: of the brain stem called the locus ceruleus. This triggers 44 00:02:54,760 --> 00:02:58,400 Speaker 1: the symptoms of anxiety by releasing neuro epinephrin into your 45 00:02:58,440 --> 00:03:01,680 Speaker 1: spinal cord and parts of your brain, while hormones like 46 00:03:01,720 --> 00:03:05,920 Speaker 1: adrenaline and cortisol spread through your body. It's supposed to 47 00:03:05,960 --> 00:03:10,639 Speaker 1: initiate an analgesic response to suppress pain and initiate defense 48 00:03:10,680 --> 00:03:14,000 Speaker 1: when you're under threat, like if you were actually in 49 00:03:14,160 --> 00:03:18,000 Speaker 1: a car crash and injured. But when there isn't any 50 00:03:18,040 --> 00:03:21,920 Speaker 1: actual threat, all we're left with is the jitters of anxiety. 51 00:03:22,480 --> 00:03:25,480 Speaker 1: A couple other things about the brain contribute to anxiety. 52 00:03:25,800 --> 00:03:29,400 Speaker 1: Researchers at Massachusetts General Hospital have found that people with 53 00:03:29,520 --> 00:03:34,200 Speaker 1: a thicker ventro medial prefuntal cortex are less likely to 54 00:03:34,240 --> 00:03:39,520 Speaker 1: get anxiety. Basically, some brains have more armor against anxiety 55 00:03:39,600 --> 00:03:43,520 Speaker 1: inducing situations than others. We don't have enough time in 56 00:03:43,560 --> 00:03:46,920 Speaker 1: this episode for a full accounting of the treatments available 57 00:03:46,960 --> 00:03:50,480 Speaker 1: for anxiety disorders, but you should know that only one 58 00:03:50,560 --> 00:03:54,240 Speaker 1: third of the people suffering from anxiety are actually getting help, 59 00:03:54,600 --> 00:03:59,240 Speaker 1: even though it's highly manageable. Treatment usually involves a combination 60 00:03:59,320 --> 00:04:02,800 Speaker 1: of cognitive of behavioral therapy a k a. Talking to 61 00:04:02,840 --> 00:04:07,640 Speaker 1: a therapist, and medications to relieve the symptoms. Other treatments 62 00:04:07,640 --> 00:04:14,320 Speaker 1: include relaxation techniques like meditation, improve nutrition, exercise, and adequate sleep. 63 00:04:14,920 --> 00:04:19,400 Speaker 1: Medications will change your brain chemistry temporarily, and some even 64 00:04:19,440 --> 00:04:22,840 Speaker 1: dispute that, but they are not a cure for anxiety. 65 00:04:23,160 --> 00:04:26,880 Speaker 1: For that, you'll need to change your neural pathways associations 66 00:04:27,160 --> 00:04:31,640 Speaker 1: by learning new behaviors through therapy. This method of learning 67 00:04:31,760 --> 00:04:36,159 Speaker 1: new everyday strategies can be slow going and repetitious, but 68 00:04:36,360 --> 00:04:40,039 Speaker 1: scan show that you can literally change your brain with 69 00:04:40,240 --> 00:04:47,279 Speaker 1: enough practice. Today's episode was written by Christian and produced 70 00:04:47,279 --> 00:04:49,320 Speaker 1: by Tyler Clang. For more on this and lots of 71 00:04:49,320 --> 00:04:51,760 Speaker 1: other brainy topics, is it how stuff works dot com. 72 00:04:51,839 --> 00:04:54,240 Speaker 1: Brain Stuff is production of I Heart Radio. For more 73 00:04:54,240 --> 00:04:56,680 Speaker 1: podcasts for my heart Radio, because the heart Radio app, 74 00:04:56,720 --> 00:05:08,360 Speaker 1: Apple Podcasts, or wherever you listen to your favorite shows,