DrRic Lecture -Anxiety

Anxiety and Panic

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Enrique Saguil, M.D.

The First Health Approach

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

Your Community of Care

Ric Saguil, MDJason Gruss, MDTom Jordan, RD

Katrina Christie, LCPCJennifer Green, NDJoe Musolino, DC

Emery Paredes, PTAimee Weber, EPYu Zhu, MD China

You

Thinkin

g

Eating

Activty

DrRic

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

First Health Associates

2010 S. Arlington Heights RdLL Suites

Arlington Heights, IL

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

• 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)

• 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

• 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

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

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

• Anxious about what hasn’t happened yet

• Now

• Depressed about what already occurred

Practical Past Present Future

Takes A lot of “Re Training”

Common Office Complaints

• Poor sleep• Hypertension• Gastritis• Palpitations • Fatigue • Nail biting • Panic attacks

Can emotions transform body?

• Heal

• Destroy

• Extract/ store energy

• Waste energy

• Age/ screen

• Age/ allow

• Reproduce

• Effect ADL

Emotion and Health

• Emotions make us sick• Belief makes us well

Ester Sternberg: Healing Spaces/The Balance Within/The Science of Healing

To treat or not to treat

• Bandaids work

• How many can you wear?

Rx

Rescue Rx

• Benzo’s

Maintenance Rx

• SSRI’s

Side Fx

Flat

Dependant

Sleepy, constipated, fat, slow, suicidal

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

Great for headaches!

Great for sleep!

Great for ADHD!

Thinking Rx

• Counseling • Relaxation response• Visualizations/guided imagery• Meditation

The hormonal cascadeAdrenalineCortisolILGF1

SerotoninOxytocin

Eating Rx

• No caffeine• No stimulants/alcohol• No sugar (high GI)• Go green!

Effects of Processing Food

AdrenalineCortisolILGF1

SerotoninOxytocin

• Whole grains • Legumes• Vegetable• Nuts • Seeds• Walnuts • Salmon• Freshly ground flax seed• More frequent smaller meals• Water

Activity Rx

• Sleep • Screens OFF (volume, timing, content, Halo)• Right lane driving• Career • Tai Chi/Yoga/Shin Ryn Yoku

Thinkin

g

Eating

Activty

DrRic

We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.

First Health Associates

2010 S. Arlington Heights RdLL Suites

Arlington Heights, IL

QUESTIONS?

COMMENTS?CONCERNS?

Thank You for staying calm!!!

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