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Speaker 1: Now here's a highlight from Coast to Coast AM on

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Speaker 1: iHeartRadio and welcome back to Coast to Coast. George Nori

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Speaker 1: with you along with doctor Lourie Nadel a psychotherapist, author

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Speaker 1: of course a couple of her books, The Five Gifts,

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Speaker 1: and doctor Laurie Nadell sixth cents and former CBS News

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Speaker 1: producer out of the area in New York, she's a

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Speaker 1: New York Times columnist. As one of the millions who

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Speaker 1: is at high risk for COVID nineteen, Laurie carries her

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Speaker 1: tools for stress control wherever she travels, a New York native,

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Speaker 1: taking her message virtually around the world, and here she

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Speaker 1: is back on Coast to Coast. Laurie, what a time.

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Speaker 1: Huh Hey, George is thank you so much for having

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Speaker 1: me back. A Chinese say, may you live in interesting times?

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Speaker 1: And my mother taught me when I was really young,

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Speaker 1: if you don't like the food, say it's interesting and

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Speaker 1: you won't offend anybody here. That's true, and I have

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Speaker 1: a feeling that Chinese have created an interesting time for us. Laurie,

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Speaker 1: what do you think? Yeah, there certainly are some questions

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Speaker 1: about that. One way or another. It does seem to

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Speaker 1: have drifted around the world from a strange little pocket

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Speaker 1: of China. Very odd. It is odd. I was talking

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Speaker 1: earlier April is Stress Awareness Month? Isn't that kind of strange? Well,

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Speaker 1: it's an interesting synchronicity, you know. Carl Jung called synchronicity

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Speaker 1: a meaningful coincidence, and I think this definitely qualifies. What

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Speaker 1: kind of stress are we talking about? Why are people

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Speaker 1: so stressed out? Is it because they're confined in the

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Speaker 1: home because they think it's a dangerous disease. What's causing

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Speaker 1: the stress? Well, I think that when we talk about stress,

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Speaker 1: I mean, first we always think that stress is negative,

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Speaker 1: like oh, I'm so stressed or I'm so stressed out.

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Speaker 1: But stress means how the body responds to change. So

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Speaker 1: if somebody calls and tells you, you know, you just

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Speaker 1: want the lottery, or you've just gotten the promotion that

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Speaker 1: you've been waiting for, that's what we call you stress.

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Speaker 1: Eu from the Greek, you know, as in euphoric, it

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Speaker 1: means positive or uplifting stress. But the other kind of

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Speaker 1: stress is called distress, meaning unpleasant or unhealthy stress or

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Speaker 1: unwanted stress. So when we're looking at distress, we have

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Speaker 1: everyday stress, and we have what we have now, which

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Speaker 1: is called acute stress. Sometimes it's called traumatic stress. And

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Speaker 1: trauma is not a bad hair day. I say that,

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Speaker 1: you know, people laugh, but we say, oh my god,

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Speaker 1: my hair looks terrible and I have to I have

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Speaker 1: to go for a job interview. It was so traumatic

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Speaker 1: for me. That's not traumatic. Traumatic means that you experienced

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Speaker 1: or witnessed, or were close to somebody who came very

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Speaker 1: close to unexpected death, or you witnessed a violent, disturbing scene,

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Speaker 1: or you are part of that kind of an event,

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Speaker 1: and it could be a near miss on the highway.

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Speaker 1: So we're now facing a plague in which it's random,

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Speaker 1: it's destructive, it could hit any one of us, whether

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Speaker 1: or not we're high risk for it. It's taking a

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Speaker 1: lot of young, healthy people, and it's bringing us face

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Speaker 1: to face with our mortality. Now on top of that,

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Speaker 1: for safety reasons, we've been told to quarantine and isolate,

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Speaker 1: and so our way of life has been ripped away,

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Speaker 1: our normal patterns, habits and routines, the things that we

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Speaker 1: did for comfort, even the social support that we got

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Speaker 1: by going to work every day or taking our kids

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Speaker 1: to school. All of that has been taken away, and

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Speaker 1: it's very disruptive to the body and to the mind,

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Speaker 1: and it produces a flood of stress hormones that are

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Speaker 1: very similar to what happens to first responders or soldiers

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Speaker 1: who have survived a tour of duty like PTSD and

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Speaker 1: stuff like that. There's similarities there exactly. You know, it's

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Speaker 1: actually in the same family as PTSD. PTSD sets in

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Speaker 1: six months or later after a traumatic event and acute stress,

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Speaker 1: which we'll talk about the symptoms in just a moment.

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Speaker 1: Acute stress is in the family and the PTSD family. Now,

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Speaker 1: if you remember, I think we spoke a few months ago,

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Speaker 1: the National Institutes of Health declared PTSD a national epidemic

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Speaker 1: six months ago in June. Are actually more like almost

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Speaker 1: a year ago in June, and they identified forty four

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Speaker 1: million Americans, of whom only six million are veterans, as

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Speaker 1: struggling with PTSD. And that's the tip of the iceberg,

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Speaker 1: because those were the people who actually showed up for

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Speaker 1: diagnosis and treatment. But just like now, we're flooded with

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Speaker 1: feelings of dread and waiting for the other shoe to drop,

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Speaker 1: and a tremendous feeling of like normal has just been

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Speaker 1: ripped away from underneath our feet, and the regular road

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Speaker 1: that we thought we were walking on from day to

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Speaker 1: day is just suddenly it's like it's been napomped, and

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Speaker 1: we're wandering around in a land or landscape that has

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Speaker 1: no familiar landmarks and we're filled with the sense of

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Speaker 1: helplessness and horror. Now that's understandable because we're facing this indiscriminate,

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Speaker 1: random disease that seems to be killing people of all

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Speaker 1: different ages, of all different health profiles. The people who

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Speaker 1: are high risk are not necessarily the people who are

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Speaker 1: getting hit. You see a lot of healthy people who

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Speaker 1: are getting very, very badly sick. I know several of myself.

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Speaker 1: Fortunately they're recovering. But it's like an invisible, random, silent stalker,

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Speaker 1: and we are bombarded with information and so it's permeating

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Speaker 1: our consciousness and that is creating our kind of mass

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Speaker 1: PTSD type of epidemic that is kind of layered over

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Speaker 1: what we would normally be experiencing this month. As everyday

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Speaker 1: stress doesn't acute stress weaken your immune system, Oh, absolutely

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Speaker 1: acute stress. You know, it floods us with all kinds

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Speaker 1: of hormones, our muscles tense up, and you know, it

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Speaker 1: actually can depress the immune system and the feeling of

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Speaker 1: dread and the feeling of excitability, like like you want

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Speaker 1: to jump out of your skin. That kind of severe

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Speaker 1: anxiety is actually resulting in a lot of unnecessary false

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Speaker 1: alarm calls to nine one one, which is further overloading

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Speaker 1: our healthcare system. So it's very dangerous. Knowing the signs,

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Speaker 1: which we can talk about and what we can do

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Speaker 1: is very important to protect ourselves and our families from

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Speaker 1: the stress getting out of control. What about being isolated.

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Speaker 1: Does that add to the stress for people, Laurie, It

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Speaker 1: does add to the stress for people. Isolation. You know,

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Speaker 1: it's kind of counterintuitive because very often when people are traumatized,

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Speaker 1: and I'm thinking about the work that I've done with

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Speaker 1: first responders after Parkland September eleventh, we have a tendency

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Speaker 1: when we're when we're traumatized, to kind of pull in

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Speaker 1: and pull away from people because we're in shock. And

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Speaker 1: one of the things that you know, the Red Cross

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Speaker 1: tells people and my organization tells people is try not

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Speaker 1: to isolate, spend time with people, don't eat alone, even

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Speaker 1: if you're even if you're you're having a virtual chat

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Speaker 1: or a virtual meal with other people. So the tendency

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Speaker 1: of shock is to kind of isolate. But when it's

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Speaker 1: forced on us, it really feels more like confinement or

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Speaker 1: house arrest. And so that adds a whole other layer.

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Speaker 1: Because we're used to and we are entitled to, and

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Speaker 1: we expect freedom of movement. It's almost like that's an

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Speaker 1: unwritten right in our Bill of Rights, is freedom of movement.

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Speaker 1: And part of our collective myth as Americans is the

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Speaker 1: great Frontier. It's pushing forward, it's going into the unknown.

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Speaker 1: It's being able to get in your suv and drive

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Speaker 1: up to the top of the mountain, even if you

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Speaker 1: don't like heights and you don't particularly care for mountains.

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Speaker 1: But it's our right to do that, and it's very

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Speaker 1: much embedded in our consciousness. And that right has been

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Speaker 1: taken away, and so we're all experiencing this as a

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Speaker 1: form of traumatic shock and traumatic grief. I've got what

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Speaker 1: I'm in Saint Louis as I am now Laurie a

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Speaker 1: favorite restaurant that I go to hours before the show starts,

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Speaker 1: and you know, I love the people who work there,

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Speaker 1: and it's just a great way to get my day

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Speaker 1: really going before the program, and you know, I spend

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Speaker 1: about an hour or there and then come back and

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Speaker 1: finish up the show and then I'm on the air.

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Speaker 1: But it's closed now because of everything that's going down.

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Speaker 1: Missouris in a lockdown like a lot of other states

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Speaker 1: are now. And I got to tell you, I missed

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Speaker 1: this place, and I missed the camaraderie, and I missed

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Speaker 1: the fact that you know, people would come and go

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Speaker 1: and say him, what's on the air tonight, what's your

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Speaker 1: show about? And I missed that. Oh of course you

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Speaker 1: missed it, because it's it's one of the kind of

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Speaker 1: rituals of social support. It's an anchor for you and

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Speaker 1: when you when you get to Saint Louis and you

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Speaker 1: know the restaurant is there and you know that you're

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Speaker 1: going to go in. It's one of the things that

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Speaker 1: gives you social support and an anchor that makes you

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Speaker 1: feel safe and at home. And a lot of those

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Speaker 1: anchors or as a cause of the landmarks, have been

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Speaker 1: taken away because we no longer have the restaurant, the

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Speaker 1: stores that we go to, the places where we make

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Speaker 1: eye contact. In New York, a lot of people would

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Speaker 1: stop at a news stand downstairs in their office building

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Speaker 1: and talk to the person at the newsstand and you know,

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Speaker 1: maybe get a cup of coffee or pick up. In

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Speaker 1: the old days, would get a newspaper and go back

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Speaker 1: up to our desk. And all of those little places

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Speaker 1: where we stop along the way to make eye contact

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Speaker 1: and say hello have been yanked away. And that adds

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Speaker 1: to the feeling of not feeling safe in our own skin.

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Speaker 1: Now with trauma, we really don't feel safe in our

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Speaker 1: own skin. And I can tell you for myself. I

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Speaker 1: was diagnosed with PTSD in my twenties because, as you know,

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Speaker 1: I was a I was a reporter for Newsweek and

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Speaker 1: United Press in Chile during the state of siege, after

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Speaker 1: the military came into power and overthrew and assassinated President

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Speaker 1: Salvador Allende, who had been elected through democratic process. And

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Speaker 1: I was interviewing somebody for Newsweek and he suddenly turned

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Speaker 1: hostile and he informed on me to the junta and

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Speaker 1: he said, you know, there's a reporter here from Newsweek,

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Speaker 1: and she's asking all these questions about the number have disappeared.

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Speaker 1: And my friends had to put me in hiding because

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Speaker 1: I was living with a family who had somebody was

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Speaker 1: a political prisoner in actually in a concentration camp because

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Speaker 1: he had been a government minister. And I wasn't hiding

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Speaker 1: for several days, and at one point before I left,

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Speaker 1: there was a knock at the door and I just

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Speaker 1: remember that the icy chills that went down my spine.

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Speaker 1: It wasn't until a year later that I woke up

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Speaker 1: one night and there there was a bang outside in

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Speaker 1: the street and I was curled up under my bed

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Speaker 1: like in a fetal position, and as I was waiting

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Speaker 1: for the Secret Police to come and take me away.

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Speaker 1: And this was in the seventies, we didn't know anything

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Speaker 1: about PTSD, but a truck had gone over a manhole cover, which,

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Speaker 1: as you know in New York, it makes a horrible

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Speaker 1: like freckling sound, almost like a little grenade going off.

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Speaker 1: And this continued and so I was actually diagnosed with

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Speaker 1: post traumatic stress. And I was told, well, now that

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Speaker 1: you know what it is, it'll go away. And eventually

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Speaker 1: it did, but it returned after Hurricane Sandy, where I

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Speaker 1: lost my house in Hurricane Sandy in twenty twelve. So

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Speaker 1: the thing that I've come to learn and it became

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Speaker 1: my specialty after twenty years of working in the news business,

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Speaker 1: I wanted to be able to help people who were

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Speaker 1: dealing with trauma because it's very sneaky and it can

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Speaker 1: hit you years leisure when you're not expecting it. It's

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Speaker 1: like it lives it's itself, like a cute stress and

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Speaker 1: post traumatic stress. They live in your cellf It lives

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Speaker 1: in yourselves like a retrovirus that can come back years later,

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Speaker 1: kind of like if you've had chicken pox and years

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Speaker 1: later singles. It can affect your life in sudden, unexpected

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Speaker 1: and very disturbing ways. And so it's really important right

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Speaker 1: now when millions of us are genuinely traumatized because we

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Speaker 1: are facing our own mortality whether we like it or not,

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Speaker 1: and we're in shock, it's really important to know how

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Speaker 1: to recognize the sound, the signs of acute stress and

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Speaker 1: what we can do to find a place of inner

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Speaker 1: safety because we can't control what's going on outside, but

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Speaker 1: we can learn how to control our state or manage

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Speaker 1: our state so that the acute stress doesn't completely take

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Speaker 1: over and damage our immune system and cause us to

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Speaker 1: live in a state of panic. And what are some

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Speaker 1: of those signs of acute stress? Well, This is from

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Speaker 1: a handout that we give to first responders. Physically, we

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Speaker 1: can be feeling fatigue, nausea, twitching, you can vomit, you

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Speaker 1: can feel dizzy, weak, you can get headaches, chest pain.

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Speaker 1: Anxiety you can go up. And anxiety definitely, fear, guilt, grief, panic,

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Speaker 1: which is also an extreme form of anxiety, irritability. And

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Speaker 1: what's interesting I think is a Governor Cuomo in New

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Speaker 1: York State addressed as yesterday and he said that as

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Speaker 1: we're going into the second month of stay at home,

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Speaker 1: which I think of his confinement literally because you're you're

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Speaker 1: kind of forced to stay home, that the isolation is

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Speaker 1: leading to irritability, it's leading to severe anxiety, it's causing

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Speaker 1: people to have outbursts of anger. Domestic violence is up,

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Speaker 1: and and one of the other tragic dark sides is

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Speaker 1: that we have children who are being sexually or physically

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Speaker 1: or emotionally abused. Suicides are up to our suicide's up.

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Speaker 1: That's right, and it's going to include increase as long

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Speaker 1: as people feel. People feel overwhelmed with helplessness and horror.

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Speaker 1: And that's really when we're talking about trauma, we're talking

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Speaker 1: about acute stress, we're talking about an event that fills

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Speaker 1: us with helplessness and horror, and part of the anxiety

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Speaker 1: is living with this premonition, the sense of dread that

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Speaker 1: another shoe is going to drop, that something else that's

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Speaker 1: tragic or life threatening lurks just around the corner, and

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Speaker 1: that that that can become a pervasive fear, especially because

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Speaker 1: of the amount of news that we're exposed to on

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Speaker 1: our phones and on our devices and on our televisions.

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Speaker 1: So it's really important to take a news break. It's

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Speaker 1: really important to turn off your phone for at least

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Speaker 1: an hour, you know, eat lunch with somebody on zoom

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Speaker 1: and turn off your phone, or take a walk or

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Speaker 1: take a nap in the afternoon. But turn off your

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Speaker 1: phone for at least an hour a day so that

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Speaker 1: you're not being literally invaded by intrusive and disturbing information

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Speaker 1: and images. Listen to more Coast to Coast AM every

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Speaker 1: weeknight at one am Eastern and go to Coast to

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Speaker 1: Coast am dot com for more