WEBVTT

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Hey everyone!

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This week's video topic comes to me

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from you and all of your requests.

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Anxiety disorders: What are they

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and what do we do?

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so stay tuned

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so like I said this week's

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topic is anxiety disorders

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and after getting that

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request from many of you

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and then looking through the dsm

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what actually falls under anxiety disorder

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what is that criteria

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there are a lot and

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a couple of them i've already touched on

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and a couple of them

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i will touch on in future videos

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but one is PTSD and

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that is in a video that i did

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probably about two months ago or so

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so check out my PTSD video for questions

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and you know comments about that

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but another one i've had requested is OCD

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which also falls under anxiety disorders

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and that's Obsessive Compulsive Disorder

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and I will do a video

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on that at a later time

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so don't forget to

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subscribe to my channel

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cause when i put it out

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you're gonna want to know

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so the first thing I want to

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touch on and I have my dsm here

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my handy dandy dsm

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and just to try to make

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this as clear as possible

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the first part of anxiety disorders

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that I want to talk about

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wow that was a mouthful anxiety disorders

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is generalized anxiety disorder

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or GAD which i will call it

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from now on cause

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that makes it so much easier

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so GAD is an excessive anxiety

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and worry occurring

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more days than not

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for a period of at least 6 months

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and I guess the best way that

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I can think of this presenting itself

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in my office is when I have a patient

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who all they do is worry about.. let's see

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what people think of them.

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and that happens a lot

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obviously this cannot otherwise be

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attributed to an eating disorder

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or something like that

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if someone just has anxiety

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over something else that

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can be accounted for in another diagnosis

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it's not GAD but

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when I have people who have GAD

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it's almost like they worry so much about

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everything in their life like

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I don't wanna be late for this

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and what if i don't get

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100% on that test

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and oh my gosh and

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my apartment isn't clean

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and my friends are coming over i mean

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everything is excessive worry

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and the way that I

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always think excessive is is that

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it's more intense of a worry

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than the actual situation warrants so

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i know that sounds like therapy talk

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and it's kind of annoying

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but what i mean is like for me

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if people are coming over to my house

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and my house isn't really clean

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i'd be like well when i get home

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i'll tidy up as quick as i can

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and let it be what it be, right?

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Cause they're my friends and

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they'll love me anyway

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so that would be a normal quote unquote

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normal relative worry

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where you're like ugh it's dirty

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but i need to clean it

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and then you're over it right

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oh i'll just do this

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but a person with GAD can't really do that

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they will excessively worry

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about it so much that

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it could ruin their day

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they might wanna try to leave work early

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and they may even like

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hurt other's feelings

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or do other things that are bad

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for them in order to

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alleviate this worry okay?

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so that's gad generalized anxiety disorder

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and as with all of the things that i talk about

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i mean anxiety disorders have at least like i don't know

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like 50 pages in the dsm so this is a very succinct version

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now the next thing i wanna talk about is social phobia

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now many of you talk about having social anxiety

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and from what i can read in the dsm

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social anxieyt isn't actually a diagnosis

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under the anxiety disorders it would be called social phobia

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and they say that the essential feature of social phobia

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is a marked and persistent fear of social or performance

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situations in which embarrassment may occur

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now i find this to be most prevalent with my teen clients

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and my young adult clients the ones in college and stuff

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because we're in social situations a lot and it can be very

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like we may be in a new high school and we're already

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nervous and so then we start to worry about what

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everybody thinks and we don't want to be embarrassed

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and we don't want to embarrass ourselves

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and oh that person's giggling uh they're giggling about me

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and that's kind of how this presents itself

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we think that a lot of times anybody that's giggling

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or looking or somebody is pointing we automatically

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think that they're talking about us we're doing something

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embarrassing and it's terrible so that's kind of what

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social phobia is and under social phobia it says

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social anxiety disorder so that's kind of

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where that falls and that is something that i honestly

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along with all the anxiety disorders it's really important

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that we go to therapy and we talk about this with someone

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and we kind of process it through and in my experience

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CBT cognitive behavioral therapy is the best with this

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because we'll do what we call downward i think it's actually

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technically downward arrow questioning where

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we try to logically talk ourselves out of these you know

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kind of anxiety provoking situations like okay well

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there are 700 people in the cafeteria today

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what are the chances of that person laughing

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is laughing about us, well 1 in 700, well is that really

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you know a high risk situation? is it most likely that they're

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thinking and laughing about me or is it less likely that they're

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thinking and laughing at me? well it's probably less likely

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and we kind of talk ourselves out of it

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so if you suffer from social anxiety or social phobia

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and you're wondering what to do about it

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i would look into seeing a CBT therapist okay?

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so that's just a little tip and then

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what is agoraphobia everybody talks about that too, right?

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and that falls under this as well now agoraphobia

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differs from social anxiety or social phobia in that

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it doesn't have to do with social situations

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it's not relational it's not like well that girl is pointing at me

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and she's being really mean or that guy was whispering

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and i know he was whispering about me it's not relational

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with those kinds of people it is all to do with us getting into

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a situation which usually is social or is just out of our house

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out of our comfort zone so we may be safe at home

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we may be safe at work anything else not safe

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and our main concern is that we'll get somewhere and

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we can't leave either we can't leave easily

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or without embarrassment and that's our biggest worry

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it's like i'm gonna get somewhere and i'm gonna start to

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feel overwhelmed and then i won't be able to leave

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or i'll have to embarrass myself in front of people to leave

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because i'll be stuck you know like i'm in the middle seat

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in this opera and i'm gonna have to get up and disturb

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all these people it's gonna be really embarrassing for me

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so that's kind of more what agoraphobia is versus

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social anxiety so social anxiety is more relational

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agoraphobia is just like situational if that makes sense

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that's kind of in my mind how if i had my white board

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i would draw a line and i would break them down like that

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so that is that then there are panic attacks and panic disorder

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now panic attacks i know many of you have said that

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you've had them and that you have them a lot

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and they're really overwhelming and that's the truth

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they really suck and they're terrible and they not only

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come on quickly but once we have them

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then we always worry that we're going to

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have more of them and the symptoms of panic attacks

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can be they say somatic or cognitive in nature so it can be

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like heart palpitations i can be sweating i can be trembling

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i can be shaking the most common thing i hear

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in my practice is i feel like i'm drowning and i think that's

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because we have those heart palpitations and we

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don't breathe very well and we feel like we're drowning

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and so these will happen usually in ten minutes or less

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and you can have a panic attack but only if

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and i want to make sure i say this correctly

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only if we have recurrent and unexpected panic attacks

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followed by at least a month of worry that we're going to

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have another do we have panic disorder okay?

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so that's how those differentiate because

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panic attacks can happen and some of us with

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generalized anxiety disorder may have a panic attack

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every once in a while when we're put in a really

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stressful situation but unless we have them recurrent

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and we worry about them all the time we don't have

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panic disorder we would have generalized anxiety disorder

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or agoraphobia with panic attacks okay? so that's how

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those are differentiated and just to give you an idea

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of how many other things are included under anxiety

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disorders we have panic disorder without agoraphobia

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panic disorder with agoraphobia so you can see how

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all of these can be attached on to one another

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with or without so that's why i just gave you you know

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those most common and what i hear most from you and

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what you wanted me to talk about so that is

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an umbrella view in the most common panic related

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and anxiety related disorders and different attacks

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that we can have okay? so now what the heck do we do?

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well the first thing is i would definitely see a therapist

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and i would also look into seeing your doctor your gp or

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your psychiatrist because of the physical things that can

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come up when we have anxiety and we want to make sure

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that not only that our physical health is under control

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and managed but we also want to make sure that

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our anxiety isn't causing any damage to anything

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i mean i've had a client who had a little heart valve issue

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because of all the panic attacks and the breathing

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and i mean she had a predisposition to that before

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but you just want to make sure that everything is okay

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and that these aren't being caused by a medical condition

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and that's really important that's something that i don't think

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i mention enough is when we think we have a certain

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mental disorder that's why we need to go to our

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primary care doctor always because we want to make sure

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that it can't be attributed to something else because a lot

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of people will diagnose us and they'll be wrong

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and it's not because they're not good clinicians

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there's just a lot to factor in and i want to make sure that

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we know that this is not being caused by something else

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and if we cannot get these things under control

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and our panic attacks potentially are making school

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really hard or we could potentially lose our job

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and things like that we want to make sure that if

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we need medication they can give us that and

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they can help us out and a CBT therapist

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or just a regular talk therapist can really really help

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as we figure out where this came from why we're doing it

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and we can kind of talk ourselves out like i talked

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that downward arrow questioning and it can sometimes

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help us out of that so make sure to take a look at that

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don't forget to subscribe to my channel cuz i will do a video

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on OCD that will be coming up really soon so stay tuned

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for that and like i said i already did a video on PTSD

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and i've done some videos on anxiety 101 and

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breathing techniques cus those can help sometimes

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when we feel our anxiety building and so i would take a look

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at those and check those out and don't forget to leave

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your comments below i know many of you so many of you

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struggle with this and you've asked me to do this video

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so please leave your comments if there are other things

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you want me to talk about if you have tips and tricks

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and things that work for you please share them

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oru community is amazing and it's growing and you're all

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helping each other and i love to watch it to be honest

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it's very exciting so keep working with me

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keep helping one another

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as we work towards a healthy mind and a healthy body

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okay good yeah i'm overheating

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overheating

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if i was like a little thermometer i'd be like {boop}

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the little steam would be coming out and the little

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red light would be flashing okay time to get outside

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do something fun yeah yeah

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maybe get a tan because i am like a ghost yeah