1 00:00:00,000 --> 00:00:05,440 Hello! Hello. Oh no, we're changing it up! 2 00:00:05,440 --> 00:00:33,520 Welcome back to another episode of Diagnosing a Killer, The Mental Breakdown. I'm Kenna. 3 00:00:33,520 --> 00:00:39,600 And I'm RifRef. Oh my gosh, she doesn't sound like that! From Rocky Horror Picture. Oh, I'm thinking of 4 00:00:39,600 --> 00:00:48,520 The Rappers. It's amusing. I'm quelt. Special guest star today. Yeah. How's it going? Pretty good. 5 00:00:48,520 --> 00:00:55,480 Just a very stressful day. I was telling Kenna it took me about two hours to run two errands today. 6 00:00:55,480 --> 00:01:01,360 Traffic was insane and I immediately came home and decompressed. I don't know what's going on. 7 00:01:01,360 --> 00:01:05,520 People might be trying to get everything ready for the holiday. Yeah, that's true. 8 00:01:05,520 --> 00:01:12,480 We're running around. We are getting ready for a way better holiday, which is the True Crime and Paranormal 9 00:01:12,480 --> 00:01:18,080 Podcast Festival. We're going in like 10 days. And when you hear this, it'll be 10 days from now. 10 00:01:18,080 --> 00:01:24,080 And that is so exciting. Oh my gosh, I can't wait. And I think we're just as excited to find out where 11 00:01:24,080 --> 00:01:34,080 it's going to be held next year. Boston. We're hoping for Boston. Boston. Boston. Boston. Your cousin from Boston. 12 00:01:34,080 --> 00:01:40,080 Yeah, there you go. Well, I do have a mental breakdown today, but if you want to give everyone our handles before we start. 13 00:01:40,080 --> 00:01:46,080 Sure. You can check us out on social media anywhere at Diagnosing a Killer, other than X-Formally known as Twitter, 14 00:01:46,080 --> 00:01:52,080 which is at Killer Diagnosis. 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We just released a new bonus episode because they come out at the end of every month 22 00:02:42,080 --> 00:02:50,080 and we just tackled Robert Hansen and that one was really interesting, really gross, but interesting and a good suggestion over there. 23 00:02:50,080 --> 00:02:56,080 For sure. We were even talking about maybe updating some of our Merchie merch. 24 00:02:56,080 --> 00:02:59,080 Sometime by the end of the year. Sometime by the end of the year. 25 00:02:59,080 --> 00:03:02,080 Yeah, we've got some things in the works here. 26 00:03:02,080 --> 00:03:04,080 Okay, you ready for this one? I am. 27 00:03:04,080 --> 00:03:08,080 Today we are going to be talking about somatic symptom disorder. 28 00:03:08,080 --> 00:03:12,080 Oh. There's no content warning. Okay. 29 00:03:12,080 --> 00:03:19,080 Somatic symptom disorder is characterized by an extreme focus on physical symptoms such as pain and or fatigue. 30 00:03:19,080 --> 00:03:24,080 This extreme focus can cause major emotional distress and other problems with typical functioning. 31 00:03:24,080 --> 00:03:26,080 Is this like hypochondria? 32 00:03:26,080 --> 00:03:28,080 So I'll get there. Okay. 33 00:03:28,080 --> 00:03:37,080 Although some people do experience different types of physical pain due to true illness, people with a somatic symptom disorder will react to the symptoms in an abnormal way. 34 00:03:37,080 --> 00:03:39,080 It's somatic? 35 00:03:39,080 --> 00:03:41,080 Somatic. Okay. 36 00:03:41,080 --> 00:03:48,080 Furthermore, someone with somatic symptom disorder will usually seek out medical care for things that would seem like no big deal to the average person. 37 00:03:48,080 --> 00:03:49,080 Okay. 38 00:03:49,080 --> 00:03:57,080 So their chest might be hurting a little bit, but it's not like chest pains and they'll go say, I don't know, have like a weird feeling and then the doctor will check them out and it'll be fine. 39 00:03:57,080 --> 00:03:58,080 Okay. 40 00:03:58,080 --> 00:04:04,080 And since somatic symptom disorder is kind of difficult to say a billion times, I'm going to shorten it to SSD. 41 00:04:04,080 --> 00:04:05,080 Gotcha. 42 00:04:05,080 --> 00:04:14,080 Individuals struggling with SSD may have multiple visits to the emergency room and or urgent care for minor to no physical injuries. 43 00:04:14,080 --> 00:04:22,080 When these concerns about one's health take over the person's thoughts, it can become extremely debilitating and can trickle into other parts of their lives. 44 00:04:22,080 --> 00:04:32,080 Additionally, people with SSD often do not realize that they are struggling with this disorder, as their physical pain, thoughts, and emotions are typically very true to the brain. 45 00:04:32,080 --> 00:04:36,080 So it's like, I don't even think I have SSD. I don't even know what that is. I'm having a heart attack. 46 00:04:36,080 --> 00:04:37,080 Yeah. 47 00:04:37,080 --> 00:04:57,080 Yeah. It's a wholeheartedly believe it and we've definitely listened to, I'm sure listeners have also heard or seen true crime cases where people have had been manipulated in a certain way that they believe wholeheartedly that these are the things or acts that they may be committed out of a justification of some kind. 48 00:04:57,080 --> 00:05:01,080 And again, just a small example of what you're saying, which is it is very real to the person. 49 00:05:01,080 --> 00:05:13,080 Absolutely. And we said to hypochondria just a second ago. So that is actually a different type of disorder, which I'll explain and I'll also explain the difference because I thought somatic symptom disorder was the same thing as hypochondria. 50 00:05:13,080 --> 00:05:14,080 Yeah. 51 00:05:14,080 --> 00:05:15,080 But it's not. 52 00:05:15,080 --> 00:05:27,080 So the overwhelming over flood to the brain that says no, I'm actually like something's going on along with the symptoms, the physical symptoms that someone does have can truly convince the person that they are seriously ill. 53 00:05:27,080 --> 00:05:32,080 Does this also like flood into phantom pregnancy? 54 00:05:32,080 --> 00:05:37,080 No, I didn't actually talk about that at all, which is interesting. I actually don't know much about that. 55 00:05:37,080 --> 00:05:56,080 Yeah. Because with phantom pregnancy or you believing that you're pregnant in some cases actually give you pregnancy symptoms like morning sickness or, you know, the feeling of maybe like a bloated tummy or, you know, even physically taking on what some physical 56 00:05:56,080 --> 00:05:58,080 symptoms of being pregnant are. 57 00:05:58,080 --> 00:06:08,080 Yes. In that sense, yes, because I feel like a lot of these internal thoughts and emotions, like they can make that pain feel more than it is. 58 00:06:08,080 --> 00:06:16,080 For example, like, you know better than anybody when you're driving home the other day and I had a huge panic attack and I literally grabbed your shoulder. 59 00:06:16,080 --> 00:06:27,080 I said, oh my God, oh my God, oh my God. And you were like, what, what, what? And I was like, I don't know, something just happened. Like I was having such bad symptoms of anxiety that it made me like lose my vision and I got like a weird head rush. 60 00:06:27,080 --> 00:06:28,080 Yeah. 61 00:06:28,080 --> 00:06:29,080 Like it literally caused that to happen. 62 00:06:29,080 --> 00:06:30,080 Scared the shit out of me. 63 00:06:30,080 --> 00:06:33,080 Scared the shit out of me. It was going 80 miles down the road. 64 00:06:33,080 --> 00:06:39,080 Yeah, I thought maybe you had seen like an accident ahead or something like your reaction was so strong. 65 00:06:39,080 --> 00:06:40,080 Yeah. 66 00:06:40,080 --> 00:06:42,080 That it was just like, yeah, I was like, oh no. 67 00:06:42,080 --> 00:06:55,080 Not fun. So essentially my anxiety caused that physical symptom just like this. Like the feeling and thinking about, oh my God, I'm like something's really wrong could potentially make those feelings or sometimes stronger. 68 00:06:55,080 --> 00:06:56,080 It's mind over matter. 69 00:06:56,080 --> 00:06:58,080 Yeah, sometimes. Yeah. 70 00:06:58,080 --> 00:07:10,080 But again, if you don't understand that you're suffering with this disease or disorder, excuse me, you wouldn't know how to override those feelings because you wouldn't even know that there was something abnormal about what was happening. 71 00:07:10,080 --> 00:07:11,080 That's true. 72 00:07:11,080 --> 00:07:19,080 You just, you just believe in your whole heart that you are suffering from an ailment or a pain. 73 00:07:19,080 --> 00:07:32,080 So just going back a little bit of history about this disorder, the Egyptians and Sumerians were actually reported to have utilized the notions of melancholia and hysteria as early as the year 2600 BC. 74 00:07:32,080 --> 00:07:33,080 Hell yeah. 75 00:07:33,080 --> 00:07:34,080 We always hear hysteria. 76 00:07:34,080 --> 00:07:35,080 Yeah. 77 00:07:35,080 --> 00:07:46,080 During the 17th century, knowledge of the central nervous system grew and it became clear that numerous inexplainable illnesses could be linked to the brain rather than physical symptoms. 78 00:07:46,080 --> 00:07:48,080 The 17th century. 79 00:07:48,080 --> 00:07:52,080 They're like, oh, you might have something wrong with your brain, not your body. 80 00:07:52,080 --> 00:07:59,080 I mean, this sounds so ignorant, but do you think that's why they removed the brain from the body when they would mummify you? 81 00:07:59,080 --> 00:08:00,080 Yeah, probably. 82 00:08:00,080 --> 00:08:06,080 Because that is something that has been known to rot in order to preserve the body, you would remove that. 83 00:08:06,080 --> 00:08:09,080 Or to try to study it at the very least, you know. 84 00:08:09,080 --> 00:08:10,080 That's true. 85 00:08:10,080 --> 00:08:15,080 But also, yeah, if there's something wrong with your brain and it's not your body, take your brain out so that your soul can descend or ascend or whatever. 86 00:08:15,080 --> 00:08:16,080 Yeah. 87 00:08:16,080 --> 00:08:17,080 Descend and tell. 88 00:08:17,080 --> 00:08:19,080 Maybe the brain is the limitation, you know? 89 00:08:19,080 --> 00:08:24,080 That's what keeps you in your bodily, or your earthly being. 90 00:08:24,080 --> 00:08:25,080 Yeah. 91 00:08:25,080 --> 00:08:26,080 Your brain. 92 00:08:26,080 --> 00:08:27,080 Remove it. 93 00:08:27,080 --> 00:08:28,080 Get rid of it. 94 00:08:28,080 --> 00:08:29,080 Dang, Egyptians are so cool. 95 00:08:29,080 --> 00:08:39,080 So Thomas Willis, who is widely recognized as the father of neurology, recognized hysteria in women and hypochondria in men as brain disorders. 96 00:08:39,080 --> 00:08:41,080 Because only women can be hysterical, right? 97 00:08:41,080 --> 00:08:43,080 And only men can have hypochondria. 98 00:08:43,080 --> 00:08:44,080 Yeah. 99 00:08:44,080 --> 00:08:52,080 Thomas Sidenham, a different Thomas, would later contribute significantly to the belief that hysteria and hypochondria are mental rather than physical. 100 00:08:52,080 --> 00:09:05,080 Valheim Speichel, a German psychoanalyst, was actually first to introduce the term somatization, and when Paul Brichette was the first to characterize what is now known as somatic symptom disorder. 101 00:09:05,080 --> 00:09:07,080 I think it's, maybe it's Brichet. 102 00:09:07,080 --> 00:09:09,080 I think Paul might have been French. 103 00:09:09,080 --> 00:09:10,080 Yeah. 104 00:09:10,080 --> 00:09:11,080 Brichet. 105 00:09:11,080 --> 00:09:12,080 Brichet. 106 00:09:12,080 --> 00:09:20,080 Paul would do research on subjects who had been unwell for most of their lives and complained of a variety of symptoms from various areas of the body. 107 00:09:20,080 --> 00:09:25,080 Despite many tests, treatments, etc., the symptoms would continue. 108 00:09:25,080 --> 00:09:34,080 Somatic symptom disorder was later dubbed Brichette syndrome in his honor because he was the one that decided, or not decided, but figured out like, oh, there's nothing physical wrong with you at all. 109 00:09:34,080 --> 00:09:35,080 Yeah. 110 00:09:35,080 --> 00:09:36,080 It's definitely a mental thing. 111 00:09:36,080 --> 00:09:37,080 I think it is Broquet. 112 00:09:37,080 --> 00:09:38,080 Broquet. 113 00:09:38,080 --> 00:09:39,080 Broquet. 114 00:09:39,080 --> 00:09:40,080 It's a B-R-I-Q-U-E-T. 115 00:09:40,080 --> 00:09:46,080 Yeah, but the E-T in French is E. 116 00:09:46,080 --> 00:09:47,080 E. 117 00:09:47,080 --> 00:09:48,080 E. 118 00:09:48,080 --> 00:09:49,080 E. 119 00:09:49,080 --> 00:09:50,080 E. 120 00:09:50,080 --> 00:09:51,080 E. 121 00:09:51,080 --> 00:09:52,080 Cresson. 122 00:09:52,080 --> 00:09:53,080 It's a Cresson. 123 00:09:53,080 --> 00:09:54,080 Oh, yeah, it's a Cresson. 124 00:09:54,080 --> 00:09:55,080 So that's a little bit about the history. 125 00:09:55,080 --> 00:10:02,080 SSD is a somewhat common disorder occurring in about 5 to 7% of the adult population. 126 00:10:02,080 --> 00:10:10,080 Women are actually 10 times more likely to develop SSD than men, and the onset of the disorder typically begins by age 30. 127 00:10:10,080 --> 00:10:13,080 However, it can more rarely occur at any age. 128 00:10:13,080 --> 00:10:18,080 And I say it like that because I'm like, I'm almost 30 and I'm like, this is me. 129 00:10:18,080 --> 00:10:24,080 And she just has a little tiny journal in her room of like, okay, this is the onset for specific disorders. 130 00:10:24,080 --> 00:10:26,080 And she's like, oh gosh, like 17. 131 00:10:26,080 --> 00:10:28,080 I don't have to worry about whatever. 132 00:10:28,080 --> 00:10:32,080 Actually, I was talking to one of my coworkers today if you're listening, hello. 133 00:10:32,080 --> 00:10:36,080 And I was telling her about the case that I'm doing, or this episode that I'm doing, and I was talking to her about it. 134 00:10:36,080 --> 00:10:38,080 She goes, I feel like I might have that. 135 00:10:38,080 --> 00:10:41,080 And she said, I have this other blah, blah, blah, that's comorbid with that. 136 00:10:41,080 --> 00:10:42,080 And I was like, yeah, but how old are you? 137 00:10:42,080 --> 00:10:43,080 And she told me her age. 138 00:10:43,080 --> 00:10:45,080 I was like, oh, you would have already gotten it. 139 00:10:45,080 --> 00:10:46,080 You would have been fine. 140 00:10:46,080 --> 00:10:47,080 Yeah, you're good. 141 00:10:47,080 --> 00:10:48,080 I was like, oh, okay, cool. 142 00:10:48,080 --> 00:10:50,080 It felt so cool. 143 00:10:50,080 --> 00:10:54,080 So like I said, it typically begins by age 30, but it can actually occur at any age. 144 00:10:54,080 --> 00:10:56,080 Of course, not every single individual is going to be the same. 145 00:10:56,080 --> 00:10:59,080 Why do you think it's 10 times more likely in women? 146 00:10:59,080 --> 00:11:02,080 I think because women have a lot more hormonal imbalances in their body, 147 00:11:02,080 --> 00:11:05,080 like especially if they try to have kids or with their puberty that happens. 148 00:11:05,080 --> 00:11:12,080 And I think that that could trigger the disorder, having all those new like symptoms of physical pain, not pain, but physical symptoms. 149 00:11:12,080 --> 00:11:15,080 I just think that's my, yeah, that's my reasoning. 150 00:11:15,080 --> 00:11:25,080 Do you think that maybe, I'm going to go societal here, societal standards of what gender is that women tend to feel, 151 00:11:25,080 --> 00:11:30,080 or young girls tend to feel like their position is to be weaker or meager. 152 00:11:30,080 --> 00:11:33,080 They're more, therefore more likely to be sick. 153 00:11:33,080 --> 00:11:38,080 Yeah, that on top of the fact that men are supposed to not tell you if they're in pain or they're feeling a certain way. 154 00:11:38,080 --> 00:11:39,080 Yeah. 155 00:11:39,080 --> 00:11:42,080 So tidally speaking, like, oh, just rope some dirt in it, you know, or whatever. 156 00:11:42,080 --> 00:11:46,080 Like, I feel like a lot of men, if they were experiencing these symptoms, may not speak out about it. 157 00:11:46,080 --> 00:11:47,080 Yeah. 158 00:11:47,080 --> 00:11:48,080 Yeah, interesting. 159 00:11:48,080 --> 00:11:50,080 We're both interesting. 160 00:11:50,080 --> 00:11:51,080 We are. 161 00:11:51,080 --> 00:11:57,080 When someone is experiencing somatic symptom disorder, it can come with a number of different physical symptoms. 162 00:11:57,080 --> 00:12:04,080 These include pain, which is the most commonly reported symptom, fatigue or overall weakness, shortness of breath, and many others. 163 00:12:04,080 --> 00:12:06,080 Again, not one person's the same. 164 00:12:06,080 --> 00:12:14,080 These physical symptoms may be mild to severe, and there may be one or more occurring at the same time, depending on the person. 165 00:12:14,080 --> 00:12:24,080 While most people experiencing SSD will report these physical symptoms, the main signs of SSD are how people think, feel, and behave in response to the symptoms. 166 00:12:24,080 --> 00:12:29,080 So it's like an overall, like, culmination of a few different variables in this disorder. 167 00:12:29,080 --> 00:12:30,080 Yeah. 168 00:12:30,080 --> 00:12:34,080 So, like, just having physical pain and, like, recognizing it is not SSD. 169 00:12:34,080 --> 00:12:41,080 It's the way that someone reacts and then overreacts to it or believes, you know, how, what it is versus what it could be or whatever. 170 00:12:41,080 --> 00:12:46,080 That's how they, like, analyze themselves, how they process that pain, what they choose to do with it, if anything. 171 00:12:46,080 --> 00:12:48,080 Of course, yeah. 172 00:12:48,080 --> 00:12:58,080 People struggling with SSD may feel concerned that mild physical symptoms are a sign of a more serious health condition, may feel extreme anxiety about their physical sensations, 173 00:12:58,080 --> 00:13:05,080 they may feel that their healthcare provider, who they usually see frequently, is not taking their physical symptoms as seriously as they should. 174 00:13:05,080 --> 00:13:07,080 Those are just three, you know, examples. 175 00:13:07,080 --> 00:13:08,080 Yeah. 176 00:13:08,080 --> 00:13:09,080 I think I've seen this Scrubs episode. 177 00:13:09,080 --> 00:13:10,080 Yeah. 178 00:13:10,080 --> 00:13:11,080 And Grey's Anatomy. 179 00:13:11,080 --> 00:13:27,080 People with SSD may also be unusually sensitive to side effects of any medication they're prescribed, and they also may become dependent on others in terms of demanding emotional support for how they're feeling, or feeling upset or angry when they're not believed or their needs aren't met. 180 00:13:27,080 --> 00:13:31,080 So, this is really, I would say, intricate. 181 00:13:31,080 --> 00:13:32,080 Yeah, it really is. 182 00:13:32,080 --> 00:13:36,080 It's not just, again, like, it's not just like, oh, you have this physical pain and you think it might be something more serious. 183 00:13:36,080 --> 00:13:45,080 It's like, no, they have to go through all the stops, like, getting it checked out over and over, having recurring thoughts and, you know, obsessions about the symptoms. 184 00:13:45,080 --> 00:13:47,080 Reading, yeah, exactly. 185 00:13:47,080 --> 00:13:54,080 Reading the back of the label and seeing the side effects, like, oh, diarrhea, but it actually was the burrito you had for lunch. 186 00:13:54,080 --> 00:13:55,080 Right. 187 00:13:55,080 --> 00:14:04,080 Well, I'm not, I'm like, I pointed to me, like, off mic, you obviously don't, you all couldn't see that, but I say that because, like, you know, I have medication anxiety whenever I get prescribed a new medication. 188 00:14:04,080 --> 00:14:06,080 I'm not even exaggerating. 189 00:14:06,080 --> 00:14:13,080 All like, if I'm by myself, I'll text someone, like, okay, I'm taking the medication now, and I'll text them in 20 minutes and say I didn't have a reaction, like, because I'm so scared. 190 00:14:13,080 --> 00:14:18,080 And that whole 20 minutes, I'm freaking the fuck out, like, something's gonna happen, something's gonna happen, like, I'm gonna have a reaction. 191 00:14:18,080 --> 00:14:23,080 And then, of course, it never does, but I can definitely relate to this somewhat. 192 00:14:23,080 --> 00:14:25,080 I don't think I have it, but I can relate. 193 00:14:25,080 --> 00:14:29,080 I definitely feel like I've been difficult about medication. 194 00:14:29,080 --> 00:14:32,080 I feel like I hardly ever take a Tylenol, unless I need to. 195 00:14:32,080 --> 00:14:36,080 But, I'm afraid of it. 196 00:14:36,080 --> 00:14:38,080 She's a tortured soul. 197 00:14:38,080 --> 00:14:41,080 She doesn't believe in anything a doctor doesn't tell her. 198 00:14:46,080 --> 00:14:51,080 You're probably already aware that craft beers have exploded in popularity over the past decade. 199 00:14:51,080 --> 00:14:58,080 But what you might not know is that there are thousands of awesome craft beers being produced by these new microbreweries every day. 200 00:14:58,080 --> 00:15:07,080 With Craft Beer Club, each order will showcase two breweries from different regions in the US, and includes four beer styles with a brand new box with each shipment. 201 00:15:07,080 --> 00:15:14,080 You will also receive publications that detail the history about the featured breweries, tasting notes, pairing options, and maybe even a little trivia. 202 00:15:14,080 --> 00:15:23,080 Click on our link in the show notes and receive an exclusive offer today with Craft Beer Club. 203 00:15:23,080 --> 00:15:28,080 I would rather complain all day than take some fucking leave to get rid of my headache. 204 00:15:28,080 --> 00:15:33,080 She won't take a dayquil if it's a day expired. 205 00:15:33,080 --> 00:15:35,080 Oh yeah, no I definitely won't. 206 00:15:35,080 --> 00:15:39,080 Which, you know the expiration date is only there to let you know how potent it is. 207 00:15:39,080 --> 00:15:43,080 Yeah, I know. I'm well aware of the facts. 208 00:15:43,080 --> 00:15:46,080 I'm also like, no not risking it. I like life. 209 00:15:46,080 --> 00:15:49,080 I choose life. I appreciate it. 210 00:15:49,080 --> 00:15:52,080 Yeah, you just be more frustrated about the fact that it didn't do shit. 211 00:15:52,080 --> 00:15:54,080 Yeah, that's true. 212 00:15:54,080 --> 00:16:06,080 As far as comorbid disorders go, about 30 to 60% of people with SSD will also have generalizing anxiety disorder, major depressive disorder, many phobias, or others. 213 00:16:06,080 --> 00:16:20,080 Furthermore, SSD can be associated with true physical disorders such as IBS, fibromyalgia, and other chronic diseases, which can make it difficult because those do come with pain, and then that manifests into something else. 214 00:16:20,080 --> 00:16:30,080 While the cause of SSD is unknown, symptoms of the disorder may come to the surface when a heightened awareness of a specific physical sensation occurs. 215 00:16:30,080 --> 00:16:39,080 Personally, I believe that the onset of this disorder is at an older age because around 30 is when people start to truly become aware of themselves and how they would react in certain situations. 216 00:16:39,080 --> 00:16:41,080 That's my opinion. I don't know. 217 00:16:41,080 --> 00:16:48,080 Also because I'm close to 30, so I'm thinking from a personal perspective. Some people probably get that at different ages, but for me personally. 218 00:16:48,080 --> 00:16:51,080 I just feel like I'm on my way out. My back hurts. 219 00:16:51,080 --> 00:16:53,080 She eat ibuprofen every day. 220 00:16:53,080 --> 00:16:55,080 Not ibuprofen. 221 00:16:55,080 --> 00:16:56,080 Not me. I can't do that. 222 00:16:56,080 --> 00:16:57,080 Neither. 223 00:16:57,080 --> 00:16:58,080 Oh you can either? 224 00:16:58,080 --> 00:16:59,080 No. 225 00:16:59,080 --> 00:17:01,080 I'm not trying to get some swelling lips. 226 00:17:01,080 --> 00:17:05,080 I know. Swelling lips and swelling things. 227 00:17:05,080 --> 00:17:06,080 Swelling beans. 228 00:17:06,080 --> 00:17:08,080 We have problems. 229 00:17:08,080 --> 00:17:11,080 So many allergens that we've developed. 230 00:17:11,080 --> 00:17:13,080 I'm allergic to Texas. 231 00:17:13,080 --> 00:17:14,080 Yeah. 232 00:17:14,080 --> 00:17:15,080 I figured it out. 233 00:17:15,080 --> 00:17:17,080 I'm allergic to California. Kind of scared to go. 234 00:17:17,080 --> 00:17:18,080 Yeah. 235 00:17:18,080 --> 00:17:25,080 Anytime that I used to work at a grocery store and every time we would get their floral stuff in from California, I just hated it. 236 00:17:25,080 --> 00:17:29,080 I just would avoid half of the store for an entire day. 237 00:17:29,080 --> 00:17:30,080 Interesting. 238 00:17:30,080 --> 00:17:31,080 It was really bad. 239 00:17:31,080 --> 00:17:32,080 Well we don't need to go. 240 00:17:32,080 --> 00:17:33,080 It's the sulfates. 241 00:17:33,080 --> 00:17:35,080 I won't drink wine from there either. 242 00:17:35,080 --> 00:17:36,080 Neither. 243 00:17:36,080 --> 00:17:38,080 Okay well we're getting back to the story. 244 00:17:38,080 --> 00:17:40,080 Not the story. Back to the information. 245 00:17:40,080 --> 00:17:53,080 When it comes to people with SSD, it is common that they will be more likely to abuse drugs or alcohol as this may be a way to help them forget or numb the pain they're feeling and or mask the emotions that arise from the pain. 246 00:17:53,080 --> 00:17:54,080 Oh that's rough. 247 00:17:54,080 --> 00:17:59,080 So it's like, I don't like this pain. I'm going to try to get rid of it by drinking or smoking or doing whatever. 248 00:17:59,080 --> 00:18:00,080 Self medicating. 249 00:18:00,080 --> 00:18:03,080 Or I don't like how I'm reacting to the pain so I'm going to numb it with alcohol. 250 00:18:03,080 --> 00:18:04,080 That's awful. 251 00:18:04,080 --> 00:18:10,080 It's just, it's awful that someone has to resort to self medicating like that. 252 00:18:10,080 --> 00:18:11,080 Right. 253 00:18:11,080 --> 00:18:13,080 It's just, I mean, but it's a fact. It's a fact of life. 254 00:18:13,080 --> 00:18:23,080 And personally, I think this is one of those like icky disorders. Not in like the disorder kind of way, but I mean like it's harsh because it tricks the person into not even recognizing that they might need help. 255 00:18:23,080 --> 00:18:24,080 Yeah. 256 00:18:24,080 --> 00:18:33,080 Like other disorders like depression and stuff like that. I feel like it's kind of like, okay, maybe I need to get a little help or it's really recognizable in a friend or a family member. 257 00:18:33,080 --> 00:18:34,080 Yeah. 258 00:18:34,080 --> 00:18:35,080 This one I feel like it's kind of sneaky. 259 00:18:35,080 --> 00:18:43,080 It sounds like there's like a pretty, like there's tall tail signs like you're saying essentially about things like depression or schizophrenia. 260 00:18:43,080 --> 00:18:51,080 But you're right. Something like this. There's one part of your life, two parts of your life, three parts of your life and you don't realize they're connected. 261 00:18:51,080 --> 00:18:52,080 Yeah, exactly. 262 00:18:52,080 --> 00:18:54,080 That is scary. 263 00:18:54,080 --> 00:19:01,080 And not for nothing, but like the average person that doesn't do what we do and doesn't listen to our podcast, like our listeners are great. 264 00:19:01,080 --> 00:19:03,080 Like they wouldn't know this unless they researched it. 265 00:19:03,080 --> 00:19:04,080 Yeah. 266 00:19:04,080 --> 00:19:09,080 I mean, I didn't know this until I researched it, you know. Yeah, it's really, it's really a shitty. 267 00:19:09,080 --> 00:19:18,080 Other complications of the disorder include problem with relationships, unemployment or trouble keeping a job due to absences or other reasons and financial stress. 268 00:19:18,080 --> 00:19:25,080 Obviously, because if you're going to the doctor a lot to get unnecessary testing, you know, over and over, you're going to have to spend some money. 269 00:19:25,080 --> 00:19:26,080 Right. 270 00:19:26,080 --> 00:19:32,080 Some studies suggest that people who experience certain life traumas can be more likely to develop SSD in their adulthood. 271 00:19:32,080 --> 00:19:38,080 These include early childhood trauma, insecure attachment, poor self-esteem and others. 272 00:19:38,080 --> 00:19:46,080 Do you think, do you think, I don't know if our family members, second wife might have had this? 273 00:19:46,080 --> 00:19:53,080 That's a good point. I think it may have started out like this, but it developed into Munchausen. 274 00:19:53,080 --> 00:19:54,080 Yeah. 275 00:19:54,080 --> 00:19:57,080 Because I think she definitely had Munchausen towards the end. 276 00:19:57,080 --> 00:19:58,080 Yeah. 277 00:19:58,080 --> 00:20:00,080 But that's a good point. It might have started out like this. 278 00:20:00,080 --> 00:20:07,080 And that's a good reason to be aware of these things and get the treatment when you recognize symptoms before it can turn into something else, you know. 279 00:20:07,080 --> 00:20:10,080 This person came into our life much later in her life. 280 00:20:10,080 --> 00:20:15,080 So I'm wondering if it didn't start out in her 30s as something like this. 281 00:20:15,080 --> 00:20:23,080 Because then by the time our family member met her, you know, she was much older, the disorder developed into Munchausen. 282 00:20:23,080 --> 00:20:28,080 And you know she wasn't getting treatment if there was any diagnosis or anything. 283 00:20:28,080 --> 00:20:29,080 Yeah. 284 00:20:29,080 --> 00:20:31,080 Well, there probably wasn't even a diagnosis. 285 00:20:31,080 --> 00:20:40,080 Well, she did enjoy the shopping, so I'm wondering if that was her vice, instead of the drinking for self-medication, maybe the shopping was. 286 00:20:40,080 --> 00:20:41,080 That's a good point, yeah. 287 00:20:41,080 --> 00:20:48,080 Just lastly, psychosocial factors such as unemployment or reduced job performance may also be the developing factor for SSD. 288 00:20:48,080 --> 00:20:54,080 So that's a good, yeah, certain things can happen in your life and it's just like, well, now I'm going to worry about everything. 289 00:20:54,080 --> 00:21:00,080 And then as I worry, you know, gets manifesting, gets bigger and bigger and it can turn into this. 290 00:21:00,080 --> 00:21:01,080 Hmm. 291 00:21:01,080 --> 00:21:06,080 Researchers also believe that there may be a genetic component when it comes to SSD as well. 292 00:21:06,080 --> 00:21:14,080 One study found that genetic components contributed 7 to 21% of somatic symptoms, with the remainder being left to environmental factors. 293 00:21:14,080 --> 00:21:21,080 So 21% is not that much as opposed to 80% environmental or 79% environmental. 294 00:21:21,080 --> 00:21:25,080 So it seems like environmental is like the kicker here. 295 00:21:25,080 --> 00:21:26,080 Yeah. 296 00:21:26,080 --> 00:21:35,080 Those who experience negative psychological characteristics are also at higher risk for developing somatic symptoms and having them last for a longer time after appearance as well. 297 00:21:35,080 --> 00:21:36,080 Hmm. 298 00:21:36,080 --> 00:21:44,080 Furthermore, individuals raised in high risk environments where expressing emotion is considered a negative thing, maybe at increased risk for developing SSD. 299 00:21:44,080 --> 00:21:45,080 That makes sense. 300 00:21:45,080 --> 00:21:47,080 Because you weren't allowed to and now you have all the freedom to. 301 00:21:47,080 --> 00:21:48,080 Yeah. 302 00:21:48,080 --> 00:21:50,080 It's going to be overabundant. 303 00:21:50,080 --> 00:21:57,080 If someone believes that themselves or a loved one are experiencing symptoms of SSD, it's important to seek health care advice. 304 00:21:57,080 --> 00:22:06,080 A primary care physician can do a basic physical to rule out anything physical and will also take a health history in order to determine if anything else could be going on. 305 00:22:06,080 --> 00:22:16,080 If the test suggests that there is nothing physical happening, the doctor will be able to provide a referral to a psychiatric professional who can determine further what the cause of symptoms is. 306 00:22:16,080 --> 00:22:25,080 In order to be diagnosed with SSD, a person must have one or more symptoms that cause distress or disrupt daily life for at least six months. 307 00:22:25,080 --> 00:22:33,080 They must also have excessive thoughts, feelings or behaviors in response to the symptoms that meet at least one of the following criterion. 308 00:22:33,080 --> 00:22:34,080 Oh. 309 00:22:34,080 --> 00:22:48,080 Overly excessive and long lasting thoughts about the seriousness of the physical symptoms, continuously high levels of anxiety about health or physical symptoms, an extreme amount of time and energy focused on physical symptoms and health concerns. 310 00:22:48,080 --> 00:22:58,080 If someone is diagnosed with SSD, the goal of treatment will be to manage the physical symptoms in order to try to lessen the somatic response to them, which I thought was interesting. 311 00:22:58,080 --> 00:23:04,080 Yeah, you would think that you wouldn't treat it because it's not as quote unquote, severe as you would think. 312 00:23:04,080 --> 00:23:06,080 But we're not going to treat how you're reacting. 313 00:23:06,080 --> 00:23:07,080 Yeah, we're going to get to the base. 314 00:23:07,080 --> 00:23:14,080 Like maybe Kenesalinas takes some fucking leave every once in a while and you won't have those pains that will turn into anxieties about those pains. 315 00:23:14,080 --> 00:23:17,080 Yeah, there's literally people that take Tylenol every day. 316 00:23:17,080 --> 00:23:18,080 I know. 317 00:23:18,080 --> 00:23:19,080 And it's fine. 318 00:23:19,080 --> 00:23:20,080 It's fine. 319 00:23:20,080 --> 00:23:33,080 On top of this, general psychotherapy is usually recommended for individuals with SSD, specifically cognitive behavioral therapy, which honestly, CBT is the fucking goat because it can treat so many disorders. 320 00:23:33,080 --> 00:23:34,080 Yeah. 321 00:23:34,080 --> 00:24:03,080 If you have SSD, CBT can be helpful in evaluating your feelings and beliefs about your physical symptoms and health in general, finding ways to reduce stress and anxiety about your symptoms, stopping the focus as much on your physical symptoms, recognizing what seems to make the physical symptoms worse, finding ways to stay active and social, and overall function better in your daily life, which finding, recognizing what seems to make the physical symptoms worse is like so true. 322 00:24:03,080 --> 00:24:04,080 Yeah. 323 00:24:04,080 --> 00:24:12,080 Because it's like, you're causing that, again, using myself as an example, when you drink the next day, you're probably going to be anxious. 324 00:24:12,080 --> 00:24:14,080 You might have a headache because you drank the night before. 325 00:24:14,080 --> 00:24:15,080 Yeah. 326 00:24:15,080 --> 00:24:17,080 But now I'm like, I'm dying. 327 00:24:17,080 --> 00:24:19,080 I know what the next morning is. 328 00:24:19,080 --> 00:24:20,080 Why? 329 00:24:20,080 --> 00:24:21,080 Why is this happening to me? 330 00:24:21,080 --> 00:24:22,080 Why do I have a headache? 331 00:24:22,080 --> 00:24:23,080 Oh no. 332 00:24:23,080 --> 00:24:24,080 Silly. 333 00:24:24,080 --> 00:24:29,080 If necessary, a psychiatrist can also prescribe it antidepressant, but this is not in all cases. 334 00:24:29,080 --> 00:24:34,080 When SSD is left untreated, it can lead to negative episodes that can get worse. 335 00:24:34,080 --> 00:24:45,080 These include limited daily function, unemployment or poor work performance, psychological disability, decreased quality of life, and again, alcohol and substance use disorders. 336 00:24:45,080 --> 00:24:51,080 However, SSD is very treatable, and many people see extreme improvement after beginning treatment. 337 00:24:51,080 --> 00:24:57,080 There are other types of disorders that are similar to SSD, but can also be the cause behind some of these symptoms. 338 00:24:57,080 --> 00:25:01,080 The first is illness anxiety disorder, aka, hypochondria. 339 00:25:01,080 --> 00:25:03,080 So it's a little different. 340 00:25:03,080 --> 00:25:05,080 Illness anxiety disorder. 341 00:25:05,080 --> 00:25:06,080 Yes. 342 00:25:06,080 --> 00:25:13,080 This is a mental health condition in which a person is preoccupied and excessively worried about having an illness or getting an illness. 343 00:25:13,080 --> 00:25:20,080 Unlike SSD, a person experiencing illness anxiety disorder typically does not experience physical symptoms. 344 00:25:20,080 --> 00:25:23,080 So it's not called hypochondria anymore? 345 00:25:23,080 --> 00:25:25,080 Well, it's kind of interchangeable. 346 00:25:25,080 --> 00:25:26,080 Okay. 347 00:25:26,080 --> 00:25:29,080 So, this is a mental anxiety disorder, aka, hypochondria. 348 00:25:29,080 --> 00:25:35,080 They have all of the thoughts and feelings about getting sick or being sick, but they don't experience the pain that leads them to those thoughts. 349 00:25:35,080 --> 00:25:37,080 They just have the thoughts. 350 00:25:37,080 --> 00:25:42,080 The other one is called conversion disorder or functional neurological symptom disorder. 351 00:25:42,080 --> 00:25:49,080 This is a condition involving the function of your nervous system with no evidence of physical or neurological causes. 352 00:25:49,080 --> 00:25:55,080 This disorder can cause symptoms that affects one's perception, sensation, or mobility. 353 00:25:55,080 --> 00:26:03,080 While people with conversion disorder frequently experience depression or anxiety, excessive worrying and distress are not part of the disorder. 354 00:26:03,080 --> 00:26:04,080 So it's the opposite. 355 00:26:04,080 --> 00:26:07,080 They have all the physical symptoms, but not the aftermath. 356 00:26:07,080 --> 00:26:14,080 And lastly, if you find yourself with a diagnosis of SSD, taking the following steps may be beneficial in your treatment. 357 00:26:14,080 --> 00:26:19,080 Developing a supportive relationship with your PCP or primary care provider. 358 00:26:19,080 --> 00:26:26,080 Only keeping one primary care provider as having many can be confusing and can waste money with unnecessary procedures. 359 00:26:26,080 --> 00:26:30,080 And seeing your health care and mental health care providers regularly. 360 00:26:30,080 --> 00:26:32,080 That's all I have. 361 00:26:32,080 --> 00:26:33,080 Interesting. 362 00:26:33,080 --> 00:26:36,080 I said that I was going to keep going and that I didn't. 363 00:26:36,080 --> 00:26:38,080 And that's it. 364 00:26:38,080 --> 00:26:42,080 Yeah, so that's a manic symptom disorder with a little peppering in of hypochondria. 365 00:26:42,080 --> 00:26:48,080 And yeah, so I thought that was really interesting because again, when I looked up the disorder, I was like, oh, hypochondria through and through. 366 00:26:48,080 --> 00:26:49,080 I know the difference. 367 00:26:49,080 --> 00:26:50,080 So yeah, it's not. 368 00:26:50,080 --> 00:26:51,080 It's not. 369 00:26:51,080 --> 00:26:52,080 Wow. 370 00:26:52,080 --> 00:26:57,080 But like I said, you know, this disorder is seemingly pretty difficult to recognize, especially in yourself. 371 00:26:57,080 --> 00:27:06,080 So if you notice any loved ones or yourself having, now that you have this knowledge, you know, having any of these symptoms, like the best thing you can do, reach out to your health care provider. 372 00:27:06,080 --> 00:27:08,080 Get, I mean, do your own research. 373 00:27:08,080 --> 00:27:17,080 We always suggest people to do their own research and get that second opinion because honestly, the first step to feeling better is knowing that there's nothing physically wrong with you. 374 00:27:17,080 --> 00:27:18,080 Yeah. 375 00:27:18,080 --> 00:27:24,080 If I had all of the resources and money in the world, I swear to God, I would get a full body exam and a brain scan. 376 00:27:24,080 --> 00:27:25,080 I feel like I'm going to want to. 377 00:27:25,080 --> 00:27:26,080 Because I literally have this disorder. 378 00:27:26,080 --> 00:27:30,080 I feel like people all, I feel like every person would. 379 00:27:30,080 --> 00:27:31,080 I've been saying all episode. 380 00:27:31,080 --> 00:27:32,080 I definitely don't have this. 381 00:27:32,080 --> 00:27:36,080 I definitely don't have this, but I wish I had a full body scan. 382 00:27:36,080 --> 00:27:37,080 She says. 383 00:27:37,080 --> 00:27:40,080 No, I don't mean to make light of it, but I'm serious. 384 00:27:40,080 --> 00:27:42,080 Like I really do feel like I resonate with this. 385 00:27:42,080 --> 00:27:48,080 I don't know if I meet like the full criteria for the disorder, but I hope I educated someone with this info. 386 00:27:48,080 --> 00:27:59,080 I think I'd be interested to look into the cultural differences between different countries because at least like here in America, we don't have free health care. 387 00:27:59,080 --> 00:28:04,080 So things like it's not just having anxiety about not feeling well. 388 00:28:04,080 --> 00:28:06,080 It's having anxiety about the financial cost. 389 00:28:06,080 --> 00:28:12,080 It's having the anxiety about which health care provider is this the right person. 390 00:28:12,080 --> 00:28:15,080 Is this person enacting fraudulently? 391 00:28:15,080 --> 00:28:17,080 Just things like that. 392 00:28:17,080 --> 00:28:19,080 Who's going to accept my insurance? 393 00:28:19,080 --> 00:28:20,080 Yeah, exactly. 394 00:28:20,080 --> 00:28:22,080 How much is this going to cost me? 395 00:28:22,080 --> 00:28:27,080 Co-pay or God forbid you don't have insurance. 396 00:28:27,080 --> 00:28:29,080 A lot of people don't have insurance. 397 00:28:29,080 --> 00:28:32,080 So I'm wanting to know and I want to look it up. 398 00:28:32,080 --> 00:28:34,080 Look difference. 399 00:28:34,080 --> 00:28:39,080 I know for a fact there's been studies done on the cultural effects of this disorder and like the differences. 400 00:28:39,080 --> 00:28:45,080 However, I wasn't comfortable writing down what I read because I wasn't 100% sure it was accurate. 401 00:28:45,080 --> 00:28:47,080 But there is stuff out there on there. 402 00:28:47,080 --> 00:28:48,080 On that. 403 00:28:48,080 --> 00:28:51,080 So yeah, we can definitely look more into that for sure. 404 00:28:51,080 --> 00:29:02,080 Yeah, again, like just the anxiety of not again just having not just the disorder, but the concern and the money and all the time and patience that it takes to do all that. 405 00:29:02,080 --> 00:29:04,080 Right. 406 00:29:04,080 --> 00:29:08,080 Is alone, you know, can be an issue and a contributing factor to that anxiety. 407 00:29:08,080 --> 00:29:13,080 Yeah, and like we said earlier, environmental is like 80% of the root cause of this disorder as they think. 408 00:29:13,080 --> 00:29:18,080 So environmental obviously different cultures and different regions and areas are going to affect that. 409 00:29:18,080 --> 00:29:19,080 Yeah. 410 00:29:19,080 --> 00:29:21,080 Well, yeah, that's my mental breakdown. 411 00:29:21,080 --> 00:29:22,080 Interesting. 412 00:29:22,080 --> 00:29:23,080 Can you read it? 413 00:29:23,080 --> 00:29:25,080 You think they made my point. 414 00:29:25,080 --> 00:29:28,080 I think I made my point. 415 00:29:28,080 --> 00:29:37,080 Anyway, we are so excited to see everyone at the true crime and parol on my back as possible. 416 00:29:37,080 --> 00:29:40,080 Don't forget it's my birthday on Sunday. 417 00:29:40,080 --> 00:29:44,080 You guys come and you mention us and be like, I know you already. 418 00:29:44,080 --> 00:29:45,080 Yes. 419 00:29:45,080 --> 00:29:46,080 Free Koozie just telling you. 420 00:29:46,080 --> 00:29:47,080 Oh, fuck yes. 421 00:29:47,080 --> 00:29:52,080 Free Koozie exclusive free self free free self free free. 422 00:29:52,080 --> 00:29:54,080 We weren't going to charge anyway, but free. 423 00:29:54,080 --> 00:29:56,080 We're not in a position to. 424 00:29:56,080 --> 00:29:57,080 Yeah. 425 00:29:57,080 --> 00:29:59,080 But yes, free Koozie. 426 00:29:59,080 --> 00:30:01,080 I'm done with that. 427 00:30:01,080 --> 00:30:06,080 Again, these are exclusive merch items that you can only get at TCEPF. 428 00:30:06,080 --> 00:30:07,080 That's very true. 429 00:30:07,080 --> 00:30:12,080 And also don't forget we're going to start to change our merch look like throughout the end of the year. 430 00:30:12,080 --> 00:30:16,080 We're definitely going to have some new designs in the work and some just just different. 431 00:30:16,080 --> 00:30:22,080 Like I think we're going to revamp our merch and just just get some new shit going because we're excited. 432 00:30:22,080 --> 00:30:24,080 We're getting, oh my God, we're getting this. 433 00:30:24,080 --> 00:30:25,080 We're getting this. 434 00:30:25,080 --> 00:30:27,080 She's really excited. 435 00:30:27,080 --> 00:30:28,080 Really excited. 436 00:30:28,080 --> 00:30:30,080 Really excited for the merch. 437 00:30:30,080 --> 00:30:31,080 Oh God, I'm going to cry. 438 00:30:31,080 --> 00:30:33,080 Anyway, and I'm going to be old. 439 00:30:33,080 --> 00:30:36,080 I think that's like my mind trying to trick me that I'm going to be old. 440 00:30:36,080 --> 00:30:37,080 You're going to be 30. 441 00:30:37,080 --> 00:30:38,080 I'm going to be 29. 442 00:30:38,080 --> 00:30:39,080 You're going to be 29. 443 00:30:39,080 --> 00:30:40,080 Yeah, you're fine. 444 00:30:40,080 --> 00:30:41,080 Okay, I got a year. 445 00:30:41,080 --> 00:30:42,080 Don't get me that look yet. 446 00:30:42,080 --> 00:30:43,080 You got a year. 447 00:30:43,080 --> 00:30:44,080 You're fine. 448 00:30:44,080 --> 00:30:46,080 You find your birth certificate tomorrow and it's a year later. 449 00:30:46,080 --> 00:30:48,080 That would mean I was 28. 450 00:30:48,080 --> 00:30:49,080 You're already 30. 451 00:30:49,080 --> 00:30:50,080 No. 452 00:30:50,080 --> 00:30:51,080 No, you're earlier. 453 00:30:51,080 --> 00:30:52,080 No, you're earlier would be. 454 00:30:52,080 --> 00:30:56,080 If that was born a year earlier, I would be 30 this year. 455 00:30:56,080 --> 00:30:58,080 That was born a year later. 456 00:30:58,080 --> 00:31:00,080 All right, we got to go. 457 00:31:00,080 --> 00:31:01,080 Love you. 458 00:31:01,080 --> 00:31:02,080 Bye. 459 00:31:02,080 --> 00:31:11,080 Looking for a new perfume or cologne to match your style, Centbird has got you covered. 460 00:31:11,080 --> 00:31:16,080 With over 600 cents to fall in love with, Centbird is a fragrance subscription box that 461 00:31:16,080 --> 00:31:18,080 will give you plenty of choices. 462 00:31:18,080 --> 00:31:22,080 Just 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