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DrRic Lecture -Anxiety


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August Lecture at Whole Foods Market Schaumburg

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DrRic Lecture -Anxiety

  1. 1. Anxiety and Panic We didn’t invent the practice of medicine…. we’re just changing the way it’s provided. Enrique Saguil, M.D.
  2. 2. The First Health Approach We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  3. 3. Your Community of Care Ric Saguil, MD Jason Gruss, MD Tom Jordan, RD Katrina Christie, LCPC Jennifer Green, ND Joe Musolino, DC Emery Paredes, PT Aimee Weber, EP Yu Zhu, MD China You
  4. 4. We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  5. 5. What is anxiety? • Excessive anxiety worry (apprehensive expectation), occurring more days than not for 6 months, about a number of events or activities (such as work or school performance) • The person finds it difficult to control the worry
  6. 6. • The anxiety and worry are associated with 3 (or more) of the following 6 symptoms (with at least some symptoms present for more days than not for the past 6 months) Note: only 1 item required in children. • Restlessness or feeling keyed up or on the edge • Being easily fatigued • Difficulty concentrating or mind going blank • Irritability • Muscle tension • Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
  7. 7. • The focus of anxiety and worry is not confined to features of an Axis 1 disorder, eg the anxiety is not about having a Panic Attack (as in Panic Disorder) , being embarrassed in public (as in Social Phobia), being contaminated (as in Obsessive-Compulsive Disorder), being away from home or close relatives (as in Separation Anxiety Disorder), gaining weight (as in Anorexia Nervosa), having multiple physical complaints (as in Somatization Disorder), or having a serious illness (as in Hypochondriasis) and the anxiety and worry do not exclusively occur during Post Traumatic Stress Disorder
  8. 8. • The anxiety worry or physical symptoms cause clinically significant distress or impairment in social, occupational or other important areas of dysfunction. • The disturbance is not due to the direct physiologic effects of a substance (eg a drug abuse, a medication) or a general medical condition (eg hyperthyroidism) and does not occur exclusively during a mood disorder, a Psychotic Disorder or a Pervasive Developmental Disorder
  9. 9. Under the Microscope • Molecules called neuropeptides • Neuropeptide receptors accumulate at 5 senses (nodal points) • Information from environment (5 senses) influences feelings • Same information influences bodily function
  10. 10. Nodal points prioritize messages • Emotions don’t originate from the brain? • Information is not just passed by synapse (2%) • Information is release in the body, the nodal points (“hot spots”) effects emotion/body New Age Brain
  11. 11. • Anxious about what hasn’t happened yet • Now • Depressed about what already occurred Practical Past Present Future Takes A lot of “Re Training”
  12. 12. Common Office Complaints • Poor sleep • Hypertension • Gastritis • Palpitations • Fatigue • Nail biting • Panic attacks
  13. 13. Can emotions transform body? • Heal • Destroy • Extract/ store energy • Waste energy • Age/ screen • Age/ allow • Reproduce • Effect ADL
  14. 14. Emotion and Health • Emotions make us sick • Belief makes us well Ester Sternberg: Healing Spaces/The Balance Within/The Science of Healing
  15. 15. To treat or not to treat • Bandaids work • How many can you wear? Rx
  16. 16. Rescue Rx • Benzo’s
  17. 17. Maintenance Rx • SSRI’s
  18. 18. Side Fx Flat Dependant Sleepy, constipated, fat, slow, suicidal
  19. 19. Herbal Rx • St Johns Wort 600mg 3xd • 5 HTP 150 2xd • Valerian Lemon Balm 300-600 2-3xd • Magnesium glycinate/aspartate 400mg 2xd • Skull Cap 30drops 3-5xd • Ashwaganda extract 500mg 3xd • Passionflower extract 1dropperful 3-5xd • Omega 3 fatty acid 2-4g/d • B6/Zinc • Inositol 12-18g/d • KavaKava
  20. 20. Thinking Rx • Counseling • Relaxation response • Visualizations/guided imagery • Meditation
  21. 21. The hormonal cascadeAdrenaline Cortisol ILGF1 Serotonin Oxytocin
  22. 22. Eating Rx • No caffeine • No stimulants/alcohol • No sugar (high GI) • Go green!
  23. 23. Effects of Processing Food Adrenaline Cortisol ILGF1 Serotonin Oxytocin
  24. 24. • Whole grains • Legumes • Vegetable • Nuts • Seeds • Walnuts • Salmon • Freshly ground flax seed • More frequent smaller meals • Water
  25. 25. Activity Rx • Sleep • Screens OFF (volume, timing, content, Halo) • Right lane driving • Career • Tai Chi/Yoga/Shin Ryn Yoku
  26. 26. We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
  27. 27. Thank You for staying calm!!! for DrRic Tutorials