1 00:00:00,000 --> 00:00:09,080 Hello. Hello. Welcome back to Diagnosing a Killer, the mental breakdown. Mental breakdown. 2 00:00:09,080 --> 00:00:37,560 This is...Kenna speaking. I didn't even say hi. Hi, I'm Ken. I'm Ken. I'm Ken. I'm Ken. 3 00:00:37,560 --> 00:00:47,240 Hi, I'm Koelle. Oh my goodness. Welcome back to mental breakdown. I am going to be talking about, in general, 4 00:00:47,240 --> 00:00:53,800 general anxiety disorder. However, I'm going to be specifically pinpointing anxiety sensitivity. 5 00:00:53,800 --> 00:00:58,440 Before we begin, I just like to quickly point out that I am not feeling great. So if I sound sick, 6 00:00:58,440 --> 00:01:03,560 that's probably because I am sick. But we'll try to get through this as quickly and easily as possible. 7 00:01:03,560 --> 00:01:11,080 Now, anxiety sensitivity isn't a diagnosis in and itself, but it's actually an indicator that 8 00:01:11,080 --> 00:01:17,600 somebody is going to develop a very complex anxiety disorder or even a panic disorder. So you can 9 00:01:17,600 --> 00:01:22,080 really tell a lot about somebody's future and their mental health based on their symptoms of 10 00:01:22,080 --> 00:01:27,560 anxiety. So anxiety sensitivity, which is great for me because I'm pretty sure I have this. So 11 00:01:27,560 --> 00:01:33,160 that's why I wanted to talk about it because it's something that I didn't even know was a thing until 12 00:01:33,160 --> 00:01:38,280 this semester in abnormal psychology. And I was like, I read it and it was like the heavens opened 13 00:01:38,280 --> 00:01:43,160 up. I was like, that is me. Yeah. And nobody knows that. I don't talk to people about that. That's, 14 00:01:43,160 --> 00:01:47,080 you know, it's not something that's common. It's not something I'm sure it's much more common than 15 00:01:47,720 --> 00:01:53,720 I think it is. But still, you know, now anxiety sensitivity refers to fear of anxiety symptoms, 16 00:01:53,720 --> 00:01:58,520 including bodily sensations, which results from beliefs about the harmful social, psychological, 17 00:01:58,520 --> 00:02:04,280 or physiological consequences of such symptoms. Anxiety sensitivity has consistently been identified 18 00:02:04,280 --> 00:02:08,760 as a risk factor for the onset of panic attacks, panic disorder, and other anxiety disorders in 19 00:02:08,760 --> 00:02:13,160 prospective studies of adults. It has increasingly emerged as a risk factor for the development 20 00:02:13,160 --> 00:02:18,840 of anxiety among children and adolescents. Specifically, anxiety sensitivity has been found 21 00:02:18,840 --> 00:02:22,600 to predict the development of panic attacks among adolescents and has been linked to panic like 22 00:02:22,600 --> 00:02:27,400 symptoms, trait anxiety, fears and anxiety disorders across a range of community and clinical 23 00:02:27,400 --> 00:02:34,840 samples of children and adults. So what is anxiety sensitivity? Anxiety sensitivity is a tendency to 24 00:02:34,840 --> 00:02:39,800 misinterpret the sensations that accompany anxiety, a regular breathing, heart palpitations, 25 00:02:39,800 --> 00:02:44,440 trembling, flushing, sweating, stomach rumbling, things like that. You misinterpret that as 26 00:02:44,440 --> 00:02:51,880 indicators of imminent physical danger or serious illness. I literally just got anxious saying that. 27 00:02:51,880 --> 00:02:58,600 Yeah. So one example, I'm going to have a heart attack or I'm going to faint, loss of control, 28 00:02:58,600 --> 00:03:03,320 can't concentrate, therefore I'm going crazy or humiliating social rejection like everyone 29 00:03:03,320 --> 00:03:07,640 will notice that I'm nervous or that I'm trembling. I'm getting nervous. I'm not even kidding. 30 00:03:07,640 --> 00:03:13,640 No, I was just you. You're making me nervous. So now standard questionnaires have been developed 31 00:03:13,640 --> 00:03:17,720 to measure the phenomenon and I'll go through that in a little bit. But the most widely used is the 32 00:03:17,720 --> 00:03:22,760 Anxiety Sensitivity Index which asks people to affirm or deny statements like unusual body 33 00:03:22,760 --> 00:03:29,800 sensations scare me. Now this term wasn't coined until 1985, but when the concept was defined, 34 00:03:29,800 --> 00:03:33,960 it was a big deal. So again, like I said, it's the belief that the physiological experience of 35 00:03:33,960 --> 00:03:37,640 anxiety itself like a racing heartbeat, sweating or shaking is dangerous and it could lead to 36 00:03:37,640 --> 00:03:43,160 devastating outcomes. In other words, it's a tendency to interpret anxious sensations as 37 00:03:43,160 --> 00:03:50,600 catastrophic. So it's fear of fear. Yeah. And literally that is what it feels though. Like 38 00:03:51,960 --> 00:03:55,640 when you realize that you're getting anxious and you're like, oh my gosh, I'm getting anxious. 39 00:03:55,640 --> 00:03:59,560 Oh my gosh, I'm getting anxious. Literally. Yeah. Driving to work yesterday, I had, 40 00:04:00,600 --> 00:04:04,280 it's driving is such a hard thing for me because I get motion sick really easily, 41 00:04:04,280 --> 00:04:08,280 even sometimes when I'm driving and then traffic and then I'm getting late. I'm going to be late 42 00:04:08,280 --> 00:04:12,280 to work and all these different things like yesterday, I almost pulled over and I was like 43 00:04:12,280 --> 00:04:16,600 15 minutes late to work and I almost pulled over anyways because I was so anxious. I was like, 44 00:04:16,600 --> 00:04:20,840 I'm not going to make it there. Like I'm not my heart's racing. Like it's going to explode. My, 45 00:04:20,840 --> 00:04:24,040 you know, my head hurts and then you get that headband headache that like you can't shake and 46 00:04:24,040 --> 00:04:28,360 that's literally due to stress and the only way to get rid of it is to not be anxious or not be 47 00:04:28,360 --> 00:04:33,720 stressed within it. But then you obsess over it. Yeah. So it's hard to calm yourself down for sure. 48 00:04:34,520 --> 00:04:39,400 So for example, somebody with high anxiety sensitivity, aka me, might fear the dizziness 49 00:04:39,400 --> 00:04:42,760 that comes with being anxious, thinking that it means they're going to snap and have a mental 50 00:04:42,760 --> 00:04:49,000 breakdown. Mental breakdown. We said it. Got her. She's another might fear the pounding heart that 51 00:04:49,000 --> 00:04:52,760 comes from walking into a room of strangers, thinking a heart attack is right around the corner 52 00:04:52,760 --> 00:04:56,280 while another might interpret their nervous trembling as a sign that they're losing control 53 00:04:56,280 --> 00:05:03,400 of their faculties. So I think that this is not only something that I really relate to and I 54 00:05:03,400 --> 00:05:07,480 really genuinely, I'm going to therapy tomorrow. I'm super excited. I got the therapy appointment 55 00:05:07,480 --> 00:05:13,320 for the first time in probably four years or five years and I'm really excited to get back into it. 56 00:05:13,320 --> 00:05:17,480 I'm anxious to go, but I know why I think it's because all of this stuff's going to come out. 57 00:05:19,400 --> 00:05:23,560 And I'm trying not to go into my therapy appointment like expecting a diagnosis or trying 58 00:05:23,560 --> 00:05:28,600 to get a diagnosis. All right, maybe better. Right. But it does kind of help to have that 59 00:05:28,600 --> 00:05:32,840 professional understanding. And I do think that this is something that a lot of people 60 00:05:32,840 --> 00:05:40,520 can relate to and interpret. So I was trying to find any kind of criminal or killer with this. 61 00:05:41,160 --> 00:05:46,040 And it's kind of like OCD. There's a lot of comorbidity with it. There's a lot of diagnoses 62 00:05:46,040 --> 00:05:52,280 that outweigh this. And so I didn't see anything specifically like, I think a person with anxiety 63 00:05:52,280 --> 00:05:56,840 is like the least likely to kill like a diagnosis because they're like, so what happens if I fuck 64 00:05:56,840 --> 00:06:03,720 up or like, that sounds terrible. But it's not linked directly to murder or killers, of course. 65 00:06:03,720 --> 00:06:09,720 No diagnosis is linked directly. It's not prevalent among that community. Because there are other 66 00:06:09,720 --> 00:06:17,160 diagnoses that outshine, for lack of a better term. But I did look up some celebrities because I like 67 00:06:17,160 --> 00:06:24,040 to do that. And I like to kind of interpret. And I did actually get like their take on it. So 68 00:06:24,040 --> 00:06:27,800 the first person that struggles with anxiety, and this is generalized anxiety, this is not 69 00:06:27,800 --> 00:06:33,400 anxiety sensitivity, this is just generalized anxiety, Oprah Winfrey. Now Oprah said in a 2013 70 00:06:33,400 --> 00:06:37,000 interview that anxiety nearly caused her to have a nervous breakdown. She said, quote, 71 00:06:37,000 --> 00:06:41,480 in the beginning, it was just sort of speeding and a kind of numbness and going from one thing to 72 00:06:41,480 --> 00:06:45,800 the next thing to the next thing. I'll tell you when I realize that I thought, all right, if I 73 00:06:45,800 --> 00:06:51,560 don't calm down, I'm going to be in serious trouble. It's just like, I get anxiety. Everybody 74 00:06:51,560 --> 00:06:57,400 gets anxiety. Literally, though. And it's like, it's just somebody that's that on all the time, 75 00:06:57,400 --> 00:07:02,200 you know, is still struggling with these things. Stephen Colbert, same thing. Oh, wow. Of course, 76 00:07:02,200 --> 00:07:07,160 he's the star of the late show. He said he started having panic attacks in his late 20s. He even 77 00:07:07,160 --> 00:07:12,200 realized eventually for him that performing was the key to controlling his anxiety. Interesting. 78 00:07:12,200 --> 00:07:16,200 Right. And that works. That's what works for him. He said, creating something is what helped me just 79 00:07:16,200 --> 00:07:21,480 from spinning apart like an unweighted flywheel. And I haven't stopped since. So some people being 80 00:07:21,480 --> 00:07:27,560 in the spotlight is anxiety inducing and others like Stephen Colbert is helping for him. Courtney 81 00:07:27,560 --> 00:07:34,040 Kardashian, Courtney and Kim both say the base. Court's my favorite. I love court. So for Courtney, 82 00:07:34,040 --> 00:07:39,160 she said that nausea comes when her anxiety strikes. She said, quote, when my anxiety is extreme, 83 00:07:39,160 --> 00:07:43,160 it feels like my body is constantly burning calories all day long. On these kinds of days, 84 00:07:43,160 --> 00:07:47,560 I try to avoid caffeine, alcohol and too much sugar, basically anything that could make it worse. 85 00:07:47,560 --> 00:07:54,840 Wow. So me, that's a great helpful tip, honestly. Because caffeine and alcohol and sugar, all those 86 00:07:54,840 --> 00:08:00,520 things can increase your heart rate and it can make you kind of feel off balance. And I avoid caffeine 87 00:08:00,520 --> 00:08:06,680 too when I'm not. See, I don't avoid alcohol, but I feel the same way. Like the opposite. I feel like 88 00:08:06,680 --> 00:08:12,680 when I feel anxious, caffeine helps me because it feels like I'm catching up. Like I'm catching up 89 00:08:12,680 --> 00:08:16,600 in some way that my heart feels. Yeah, I think that it's freaking me out. Like if I have caffeine, 90 00:08:16,600 --> 00:08:20,280 I think Lindsey, shout out Lindsey, love you. She had to tell me one time when I drank like a sweet 91 00:08:20,280 --> 00:08:24,840 tea and I was like, I'm having like a racing heart. And she goes, you just need to lean into it. Just 92 00:08:24,840 --> 00:08:27,960 tell yourself like it's the caffeine that's making you feel that way. It's not anything else. Like 93 00:08:27,960 --> 00:08:31,240 you know what you put in your body. So you need to know how you're going to react to that. And it 94 00:08:31,240 --> 00:08:37,880 kind of helps you. I think maybe that's what it is. That's why. Yeah. Busy Phillips. I love Busy 95 00:08:37,880 --> 00:08:45,000 Phillips. So co-star of Cougar Town. She says that she wears an anxiety necklace and she is quoted 96 00:08:45,000 --> 00:08:49,160 as saying, I'm proud to wear my anxiety or my neck for everyone else to see. I worked very hard 97 00:08:49,160 --> 00:08:53,400 daily to push through it and not let it get the best of my day. Good for her. I love Busy Phillips. 98 00:08:53,400 --> 00:08:59,400 Freaks and Geeks is like amazing. She's so good in it. Kristen Stewart, of course, the star of 99 00:08:59,400 --> 00:09:03,880 Twilight. In 2016, she had an interview with Elle and she said that she's been able to keep her 100 00:09:03,880 --> 00:09:07,880 anxiety at bay. She said, quote, I obviously hope everything going on right now will work out, 101 00:09:07,880 --> 00:09:12,680 but I'm confident that life is good and I'll be okay, whatever happens. Yeah. I just, I like to 102 00:09:12,680 --> 00:09:19,480 talk about these little celebrities. Adele also is noted as performing anxiety. She has 103 00:09:19,480 --> 00:09:25,800 performance anxiety. She said, I'm scared of audiences, but she's a pop star. I know. She 104 00:09:25,800 --> 00:09:30,680 said one show on Amsterdam. I was so nervous. I escaped out the fire exit. I just got a barret, 105 00:09:30,680 --> 00:09:35,960 but I don't like touring. I have anxiety attacks a lot. I saw her on, what is it, 106 00:09:35,960 --> 00:09:43,880 Cab, with James Corden? Oh, was it Carpool Karaoke? Okay. I saw her on Carpool Karaoke 107 00:09:43,880 --> 00:09:50,520 and she was like almost nervous to sing along to her own song in a car with just her. She's beautiful 108 00:09:50,520 --> 00:09:54,280 and she's perfect. She is so sweet. And it was like, you could tell she was really nervous at 109 00:09:54,280 --> 00:09:58,600 the beginning and then she got into it. But like, oh my gosh, she was so nervous at the beginning. 110 00:09:58,600 --> 00:10:01,960 Missy Elliott is also in here. I love Missy Elliott. You have a really good list. 111 00:10:01,960 --> 00:10:07,320 Right. So the evening before her Super Bowl halftime in 2015, she said that she had an extreme panic 112 00:10:07,320 --> 00:10:13,640 attack, which actually required medical assistance. She said, just before she came out, she gave herself 113 00:10:13,640 --> 00:10:17,800 a pep talk and said, quote, if I can get over this step, then I know all my dance steps will be on 114 00:10:17,800 --> 00:10:21,080 point. I knew it was nothing but the grace of God that lifted me up and took me through that 115 00:10:21,080 --> 00:10:28,040 performance. Wow. Like, we see the Super Bowl is one of the biggest audiences in the world on live 116 00:10:28,040 --> 00:10:32,440 TV. The Super Bowl halftime show is one of the most watched things in the world ever. Yeah. 117 00:10:33,080 --> 00:10:36,600 And she had anxiety before that and you have never known. Yeah. Unless she, unless she heard 118 00:10:36,600 --> 00:10:41,320 a saying. I fucking would. But you know what I mean? But like, you don't think, you don't think 119 00:10:41,320 --> 00:10:47,880 people that constantly sell out stadiums, they get nervous still. Exactly. I mean, I feel like I 120 00:10:47,880 --> 00:10:52,760 would for sure. Yeah. So I mentioned Kim Kardashian. It said that her anxiety is actually heightened 121 00:10:52,760 --> 00:10:56,840 when she's driving. Therapy and other strategies like breathing exercises have helped her. She 122 00:10:56,840 --> 00:11:01,080 said, quote, I just want to get past my anxiety and live life. I never had anxiety and I want to 123 00:11:01,080 --> 00:11:08,120 take back my life. So that's, I mean, the thing is that that kind of resonated with me because 124 00:11:08,840 --> 00:11:14,200 I and I'm not going into it, but we had a personal trauma six years ago and that's when my anxiety 125 00:11:14,200 --> 00:11:18,280 developed. Same to me. And I'd never thought that I had it before then. And if I if I felt 126 00:11:18,280 --> 00:11:22,680 anything symptom wise that felt like that, I didn't know what it was. With our experience, 127 00:11:22,680 --> 00:11:28,120 I was able to understand where it was coming from and what it was. And it's only gotten in my mind 128 00:11:28,120 --> 00:11:34,040 worse as I've gotten older. Yeah. So I think like early 20s and then into your 20s and 30s, 129 00:11:34,040 --> 00:11:38,360 especially for women, it really starts to show itself. And that's a very hard time because 130 00:11:39,000 --> 00:11:42,680 you think, okay, I've gone through life this whole time perfectly fine. Like what happened, 131 00:11:42,680 --> 00:11:46,600 you know, to and sometimes it doesn't take a trauma. Sometimes it just presents itself because of 132 00:11:46,600 --> 00:11:52,200 your age and your development of your brain. I think that for me, I do feel like it has gotten 133 00:11:52,200 --> 00:11:57,640 worse in the last six years. But I also feel like it's almost like I feel like if I didn't know 134 00:11:57,640 --> 00:12:03,400 that's what was happening, then I wouldn't freak out so much. But it also allows me the tools to 135 00:12:03,400 --> 00:12:08,520 be like, no, I need to calm myself down because I'm only hurting my body and my brain by continuing 136 00:12:08,520 --> 00:12:12,520 to feed it. Right. So like if I didn't know what was going on, then I don't think that I'd be able 137 00:12:12,520 --> 00:12:19,240 to talk myself down as easily. But I also am like, I wonder if I didn't know what it was, would I be 138 00:12:19,240 --> 00:12:26,360 able to get over it? Yeah, exactly. Like it's hard to, I mean, now knowing what it is, I take a 139 00:12:26,360 --> 00:12:31,400 number of approaches. I sometimes I try to ignore it, which is not ever a good thing for me personally. 140 00:12:31,400 --> 00:12:36,440 It works for some people, might not work for everyone. Personally, what sometimes works for me 141 00:12:36,440 --> 00:12:41,640 is I confront it. I literally say out loud, I'm like, what do you want? Like what's going on? Why 142 00:12:41,640 --> 00:12:46,360 am I anxious? Why am I feeling this way? Sometimes that helps and sometimes it doesn't. I had an 143 00:12:46,360 --> 00:12:51,080 hour and a half long anxiety attack at work the other night and I had to wait tables and not let 144 00:12:51,080 --> 00:12:54,360 anyone know. My manager's new, of course, say I want to let them know what's going on and my 145 00:12:54,360 --> 00:13:00,520 co-worker's new. I couldn't let that show to my tables. And I was really struggling internally 146 00:13:00,520 --> 00:13:05,880 and all the things that I normally try to help to stop it weren't working. Well, you saw me before 147 00:13:05,880 --> 00:13:10,680 we went to El Merizal and I was like laying on the couch and mom's like, okay, I was like, 148 00:13:10,680 --> 00:13:15,720 like I'm having an anxiety attack. And it's just, I was like, I can't get a deep breath. And the more 149 00:13:15,720 --> 00:13:20,040 I think that, I'm like, I can't get a deep breath. I can't get a deep breath. And then I feel 150 00:13:20,040 --> 00:13:26,120 claustrophobic. God, it just feels like being in like a, like spelunking and being like in a 151 00:13:26,120 --> 00:13:32,040 cavern. You can't like expand your lungs. And it's terrifying. And so I was laying on the couch and 152 00:13:32,040 --> 00:13:37,800 dad was like, blah, blah, blah. And mom's like, could you pause the TV and be quiet for a second 153 00:13:37,800 --> 00:13:41,880 so that she can get over this? Sometimes that does help though. Sometimes changing the subject 154 00:13:41,880 --> 00:13:45,960 helps her trying to focus on other things. The focus was on me. And then I was like, no. And 155 00:13:45,960 --> 00:13:49,160 then that's what I told myself. I was like, I got to get off of the couch so that we can go to 156 00:13:49,160 --> 00:13:52,760 this restaurant. Yeah. Because the only thing is to like, for me is just to push through it. 157 00:13:52,760 --> 00:13:59,080 Of course. And again, what works for us may not work for you or anybody else. I've noticed that 158 00:13:59,080 --> 00:14:05,240 the only thing that 100% works all the time is time. It will eventually stop. Yeah. And I have 159 00:14:05,240 --> 00:14:09,480 to remind myself about that. This is not forever. It's like a bad trip. It is. It really is. And 160 00:14:09,480 --> 00:14:14,680 it's, I think that is something else that comes along with it. Moving on with the celebrities, 161 00:14:14,680 --> 00:14:20,120 Kristen Bell. Okay. Yes, I love her so much. I used to not like Kristen Bell. Then I realized 162 00:14:20,120 --> 00:14:25,960 she's in almost every Disney, different Disney film. Yeah. Yeah. So she said that she's taken 163 00:14:25,960 --> 00:14:30,440 medication for depression and anxiety since she was a child. She spoke out about it in a 2016 164 00:14:30,440 --> 00:14:34,200 interview and said, quote, I still take it today and I have no shame in that because my mom has 165 00:14:34,200 --> 00:14:38,280 said to me, if you start to feel this way, talk to your doctor, talk to a psychologist and see 166 00:14:38,280 --> 00:14:44,360 how you want to help yourself, which is exactly what I'm doing. Ellie Goulding. Who's that? She's 167 00:14:44,360 --> 00:14:50,680 a singer. Yeah. Okay. She said that when her panic attack started, she would cover her face with a 168 00:14:50,680 --> 00:14:55,480 pillow to avoid being seen in public. She said, quote, I think part of what sparked my panic 169 00:14:55,480 --> 00:15:00,120 attacks was not feeling confident enough to believe in myself. I was scared I wasn't as good of a 170 00:15:00,120 --> 00:15:04,120 singer as everyone thought I was. And as the stakes grew, I was afraid I was letting everyone, 171 00:15:04,120 --> 00:15:09,640 including myself down. That's so right. I sure to put on yourself. Oh my gosh. I have a couple 172 00:15:09,640 --> 00:15:14,760 more again, because this is just super interesting to me. Emma Stone. Okay. She said her panic attacks 173 00:15:14,760 --> 00:15:19,240 were so intense as a child that she actually wrote a book about it. She wrote a book called I Am Bigger 174 00:15:19,240 --> 00:15:24,040 Than My Anxiety to deal with it. She said, quote, when I was about seven, I was convinced the house 175 00:15:24,040 --> 00:15:28,920 was burning down. I could sense it, not just a hallucination, just a tightening in my chest, 176 00:15:28,920 --> 00:15:32,680 feeling I couldn't breathe, like the world was going to end. There were some flare ups like 177 00:15:32,680 --> 00:15:38,760 that, but my anxiety was constant. I just can't imagine living like that. I mean, I feel like 178 00:15:38,760 --> 00:15:42,200 I have the, you know, when it does happen to me, I feel like it's the worst thing in the world, 179 00:15:42,200 --> 00:15:45,880 but then you hear things like that and you're like, oh my gosh, like every day of that, I couldn't. 180 00:15:45,880 --> 00:15:52,520 Yeah, I know. I mean, I feel some sort of anxiety every day, but it's not a giant, constant cloud 181 00:15:52,520 --> 00:15:56,360 over my head every second of the day. You know, sometimes it feels like it is, but when you 182 00:15:56,360 --> 00:16:03,560 think about it, it's not. Now, one of my favorite celebrities, Miley Cyrus, I love her very much, 183 00:16:04,680 --> 00:16:09,560 she said that her performance anxiety began early in her career, it caused her to cancel 184 00:16:09,560 --> 00:16:15,240 several shows actually, and she was a child star. She said, quote, then the anxiety started coming 185 00:16:15,240 --> 00:16:19,400 from anxiety. I would be with my friends thinking I should be having so much fun. You get in this 186 00:16:19,400 --> 00:16:23,800 hole that seems like you're never going to be able to get out of. That's me, literally. Joey Vado, 187 00:16:23,800 --> 00:16:29,000 he's a baseball player for the Cubs. His dad actually died in 2008, and he said this is when 188 00:16:29,000 --> 00:16:33,640 he began starting having panic attacks so severe that he wound up being admitted twice to hospitals 189 00:16:34,280 --> 00:16:38,600 during the following season of baseball. He said, quote, it's difficult to explain what it's like 190 00:16:38,600 --> 00:16:42,520 to go through it. If you've gone through it, anxiety or panic attacks being depressed, I couldn't 191 00:16:42,520 --> 00:16:50,120 do my job. You can't. It literally is so stunting. I had the least work because of it. Lena Dunham, 192 00:16:50,120 --> 00:16:55,480 so she said that therapy and exercise are the best ways to combat her disorder. She says, quote, 193 00:16:55,480 --> 00:17:00,040 to those struggling with anxiety, OCD, depression, I know it's mad annoying when people tell you 194 00:17:00,040 --> 00:17:05,480 to exercise, and it took me 16 medicated years to listen. I'm glad I did. And then it gets true. 195 00:17:05,480 --> 00:17:10,440 That's the accelerated heart rate. Yes. Again, yeah. So when I'm anxious, I don't want to exercise, 196 00:17:10,440 --> 00:17:14,600 so I'm like, no, my heart's already racing out of my chest. I don't want to, you know what I mean, 197 00:17:14,600 --> 00:17:18,280 but increase it, but it helps because your endorphin's going and you can literally feel the 198 00:17:18,280 --> 00:17:24,200 anxiety coming off of you. This is a work for me and my now work for everybody. So Dan Harris, 199 00:17:24,200 --> 00:17:30,840 the co-anchor of ABC's Nightline, he actually had a panic attack on air in 2004 and wrote a best seller 200 00:17:30,840 --> 00:17:35,720 at the New York Times about his battle with anxiety 10 years later. He said he's a huge fan of medication, 201 00:17:35,720 --> 00:17:40,600 quote, medication is a doable, realistic, scientifically researched way to get scientifically 202 00:17:40,600 --> 00:17:47,400 happier, calmer, and nicer. And the last one, who has been making news a lot lately for their 203 00:17:47,400 --> 00:17:54,280 outreach to the LGBTQ community and gender identity is Demi Lovato. Oh. Now they said that 204 00:17:54,280 --> 00:17:58,200 performance anxiety isn't just limited to being on stage, just being in a crowd of people can trigger 205 00:17:58,200 --> 00:18:02,600 a panic attack. The only thing that sucks about being in the public eye is doing some appearances. 206 00:18:02,600 --> 00:18:06,520 I don't like award shows. Sometimes a fan will come up and automatically put their arms around me 207 00:18:06,520 --> 00:18:10,600 and I just shut down and start hyperventilating. Like I couldn't do that. Don't go up to random 208 00:18:10,600 --> 00:18:13,880 people, not random people, but people that don't know you, but you know who they are. Yeah, just 209 00:18:13,880 --> 00:18:18,440 don't touch them. Don't just don't touch people just in general. If they're not, if I mean, 210 00:18:18,440 --> 00:18:23,560 yeah, somebody doesn't know you, don't be grabbing people. Seriously. That's so awkward. Seriously. 211 00:18:23,560 --> 00:18:28,040 I'm gonna ask me, I have a hug and then they'll give you a swift no. Yeah. And then that's fine. There 212 00:18:28,040 --> 00:18:33,800 you go. Yeah. I'd like to go back just a little bit and talk about how the term came to be coined 213 00:18:33,800 --> 00:18:39,560 anxiety sensitivity. Now in 1970s and 1980s, the fear of fear was considered as an important 214 00:18:39,560 --> 00:18:44,520 consequence of panic attacks. It was assumed that after a first panic attack, people learned to 215 00:18:44,520 --> 00:18:50,360 fear recurrence and thus developed agoraphobia. Without the physical aspects of agoraphobia, 216 00:18:50,360 --> 00:18:56,040 where you can't leave your home or you can't go certain places. Now in 1985, Reese and McNally 217 00:18:56,040 --> 00:19:00,360 reinterpreted the fear of fear as anxiety sensitivity. Instead of viewing it as the 218 00:19:00,360 --> 00:19:04,520 anticipation of recurrent panic attacks, they suggested that it arises from beliefs that 219 00:19:04,520 --> 00:19:09,320 the experience of anxiety is itself harmful. A person who believes that a pounding heart 220 00:19:09,320 --> 00:19:13,800 is a sign of impending cardiac trouble, for example, might show fear of fear rooted in cognitive 221 00:19:13,800 --> 00:19:19,400 beliefs rather than in associative learning. So it's literally just fearing the fact that you 222 00:19:19,400 --> 00:19:25,080 are fearful. The concept of anxiety sensitivity expressed two ideas. First, it implied that the 223 00:19:25,080 --> 00:19:29,960 fear of fear is at least sometimes rooted in cognition or beliefs, not Pavlovian associations 224 00:19:29,960 --> 00:19:35,240 with prior panic experiences. Second, it implied that the fear of fear could precede panic experiences 225 00:19:35,240 --> 00:19:39,880 and even predict panic attacks, post-traumatic stress, phobias, and other anxiety conditions. 226 00:19:40,840 --> 00:19:46,200 In 1984, Stephen Rice wrote the 16 items on the brief questionnaire and he called and copyrighted 227 00:19:46,200 --> 00:19:51,960 as the Anxiety Sensitivity Index. So I did mention that that is a way of researching and seeing 228 00:19:51,960 --> 00:19:58,840 people's anxiety scales. So I'd like to talk about that. So just items that you would do, 229 00:19:58,840 --> 00:20:03,800 I think it's on a scale of relates to me and doesn't relate. It's almost like a strongly agree, 230 00:20:03,800 --> 00:20:09,080 strongly disagree in the spectrum. So just a couple here, it scares me when I feel faint. 231 00:20:09,720 --> 00:20:14,280 Actually, let me do it to you on air. Is that okay? Okay. Yeah. So it scares me when I feel 232 00:20:14,280 --> 00:20:18,200 faint. That literally happened to me this morning. I was laying in bed and I woke up and I was like, 233 00:20:18,200 --> 00:20:21,960 oh my gosh, I'm nauseous. I'm nauseous because I'm hungry. I'm gonna faint because I'm hungry. 234 00:20:21,960 --> 00:20:29,240 I'm gonna drink some water. It scares me when I feel my heart beat rapidly. Yes. It embarrasses me 235 00:20:29,240 --> 00:20:36,600 when my stomach growls. No, I wouldn't say embarrassed. What do you mean like loud enough 236 00:20:36,600 --> 00:20:43,080 for people to hear? Yeah. Yeah. It scares me when I'm nauseous or I have a sick stomach. Yes. When I 237 00:20:43,080 --> 00:20:49,000 notice my heart beating rapidly, I worry that it might be a heart attack. Not necessarily. It scares 238 00:20:49,000 --> 00:20:53,720 me when I become short of breath. Yes. When my stomach is upset, I worry that I might be seriously 239 00:20:53,720 --> 00:21:01,160 ill. Yes. Unusual body sensations scare me. Body sensations. Like pain, small pain, pain, 240 00:21:01,160 --> 00:21:08,680 un-knead feelings. Yes. It's important not to appear nervous. Yeah. It's important to, 241 00:21:08,680 --> 00:21:13,000 it's important for me to stay in control of my emotions. Yes. When I cannot keep my mind on 242 00:21:13,000 --> 00:21:19,880 task, I worry that I might be going crazy. Sometimes. It scares me when I feel shaky. Yes. 243 00:21:19,880 --> 00:21:24,680 It scares me when I'm unable to keep my mind on track. Yes. Or on a task. Other people notice 244 00:21:24,680 --> 00:21:31,240 when I feel shaky. Yes. When I'm nervous, I worry that I may be mentally ill. I mean, I know it's 245 00:21:31,240 --> 00:21:37,720 anxiety now, but I mean, it scares me when I'm nervous. Yes. If you answered yes to most or all 246 00:21:37,720 --> 00:21:43,800 of those like I did and you just did, you may have anxiety. You may have. If it's none of these 247 00:21:43,800 --> 00:21:51,000 other things, you may have. I actually read through this earlier and I was like, yes, yes, yes. 248 00:21:51,000 --> 00:21:57,480 Like no brainer. Yes. To all of them. Like I think I've gotten over a lot of like my public stuff 249 00:21:57,480 --> 00:22:01,720 and that's something that I think has just grew with my age is that like I'm like, I don't really 250 00:22:01,720 --> 00:22:07,960 care what people think. To a certain extent, of course, I feel like everybody should. But I also, 251 00:22:07,960 --> 00:22:15,800 I privatize myself so much that I've and maybe maybe that's why maybe because I don't want to 252 00:22:15,800 --> 00:22:21,400 feel nervous around people. Yeah. So I don't know. That's very interesting. Yeah. So lastly, I just, 253 00:22:21,400 --> 00:22:26,040 I know that I wanted to do this episode on general anxiety disorders. So we've been talking a lot 254 00:22:26,040 --> 00:22:30,840 about anxiety sensitivity disorder, but I wanted to shed some light on other anxiety disorders. 255 00:22:30,840 --> 00:22:37,080 So I have social anxiety disorder. I don't have that, but I have it on my list. So the DSM-5 256 00:22:37,080 --> 00:22:41,880 criteria explains that as excessive fear being watched or judged by others, extreme self-consciousness 257 00:22:41,880 --> 00:22:47,000 in a social situation, fear that anxiety symptoms will be humiliating or offend others and social 258 00:22:47,000 --> 00:22:51,160 situations are avoided or endured with intense fear and anxiety. See that. I don't think that's me 259 00:22:51,160 --> 00:22:55,560 and I think that's why that's some of those other questions I didn't really. Yeah. Now another one 260 00:22:55,560 --> 00:23:00,120 is called a specific phobia, which a lot of people obviously know about that. We have, you know, 261 00:23:00,120 --> 00:23:05,000 arachnophobia, fear of spiders or things like that, excessive fear of specific objects or 262 00:23:05,000 --> 00:23:11,560 situations, intense fear or panic attacks produced by exposure or, and object or situation avoided 263 00:23:11,560 --> 00:23:15,240 or endured with great anxiety. We also have- We also have- Yeah. 264 00:23:15,240 --> 00:23:19,560 Pretty much the only thing that gives me great anxiety. We also have agoraphobia, like I mentioned 265 00:23:19,560 --> 00:23:25,000 earlier. So this includes anxiety or panic and situations where escape is difficult or embarrassing 266 00:23:25,000 --> 00:23:30,120 and situations nearly always produce panic and are avoided. See, and I feel like, again, like, 267 00:23:30,120 --> 00:23:34,920 I don't have that socially because I like to be social, but I'm definitely one of those people 268 00:23:34,920 --> 00:23:41,800 that sits in specific places and restaurants and when I'm out at the bar, I'm usually always outside. 269 00:23:41,800 --> 00:23:46,520 Yeah. I think- Like, I never can be inside. To me, it's just, it's not comfortable to me. 270 00:23:46,520 --> 00:23:51,400 I would- And I never sit. I always stand. I would say that wouldn't necessarily be as 271 00:23:52,440 --> 00:23:56,440 aggressive as agoraphobia because agoraphobia is when you literally just don't put yourself 272 00:23:56,440 --> 00:24:00,600 in those situations because, like, you don't go on a plane because you don't want to have to be 273 00:24:00,600 --> 00:24:04,360 in a situation where you can't escape, you know? I get nervous on planes, but I would not- 274 00:24:04,360 --> 00:24:10,520 I get nervous on airplanes. But I would never probably not get on a plane unless I thought 275 00:24:10,520 --> 00:24:16,280 there was real reason, like, not to, you know. Yeah. Now, we have panic disorder, which includes 276 00:24:16,280 --> 00:24:21,080 recurrent and unexpected intense attacks of fear or terror, worry about future panic attacks, 277 00:24:21,080 --> 00:24:26,440 and can occur with or without agoraphobia. I don't- So the anxiety sensitivity- 278 00:24:26,440 --> 00:24:31,480 the anxiety sensitivity indicates that you may develop a panic disorder. I hope that 279 00:24:31,480 --> 00:24:37,480 doesn't happen, but I don't- I think that I kind of relate to panic disorder with the 280 00:24:37,480 --> 00:24:41,640 recurrent and unexpected intense attacks, but I don't worry about future panic attacks. I only 281 00:24:41,640 --> 00:24:46,280 worry about it when it's happening, you know? Yeah, I've never really been able to pinpoint why I get 282 00:24:47,000 --> 00:24:53,640 like that, like, and I- I don't know if it's the onset of having to do something- like, 283 00:24:53,640 --> 00:24:59,480 be expected to do something or- Mine happens so randomly. I'll be laying in bed, 284 00:24:59,480 --> 00:25:04,520 trying to go to sleep, and all of a sudden, dying will pop in my head, and I will jump out of bed 285 00:25:04,520 --> 00:25:09,640 and pace around in the living room for a few seconds to calm myself down. It's not fun. Yeah. 286 00:25:09,640 --> 00:25:14,040 And lastly, we have generalized anxiety disorder, which is what I was talking about earlier. So 287 00:25:14,040 --> 00:25:18,840 this is excessive anxiety and worry over life circumstances, an example, money, family, or 288 00:25:18,840 --> 00:25:25,560 school, difficulty controlling worry, and vigilant muscle tension, restlessness, edginess, 289 00:25:25,560 --> 00:25:35,000 and difficulty concentrating. I think that's really me. Yeah. So I wanted to take this episode to 290 00:25:35,000 --> 00:25:39,560 not only shed light on anxiety disorders, but also kind of give you guys a little bit of insight 291 00:25:39,560 --> 00:25:46,440 into who me and Coel are, because I think both of us relate really well to the- to generalize 292 00:25:46,440 --> 00:25:51,000 anxiety disorder, you know, anxiety and general- And something that runs in our family and always has, 293 00:25:51,000 --> 00:25:58,440 and I think it's- I'm just grateful that now, because of the way that the mental health 294 00:26:00,360 --> 00:26:07,880 dialogue is progressing now as far as, you know, the states and stuff, that we can talk about it 295 00:26:07,880 --> 00:26:11,480 a little bit more, and I'm thankful that I'm growing up in this generation. Yeah, absolutely. I like 296 00:26:12,680 --> 00:26:16,760 the openness about it, you know, and I told- when I booked my therapy appointment, I told my friend, 297 00:26:16,760 --> 00:26:21,400 my best friend, that I was like, you know what, I really appreciate utilizing my free resources, 298 00:26:21,400 --> 00:26:27,160 like you, my family, you know, my best friends, my boyfriend. However, it's not their- I don't want 299 00:26:27,160 --> 00:26:33,880 to say job, but it's not anyone else's responsibility to diagnose you or help treat your symptoms, 300 00:26:33,880 --> 00:26:37,720 if you have the opportunity to talk to a professional. Yeah. Of course, like we said, 301 00:26:37,720 --> 00:26:41,800 like in the last episode, utilize your free resources, talk to people, vent if you want, however, 302 00:26:41,800 --> 00:26:47,000 if you're really interested in getting a diagnosis and starting to make progress and starting to 303 00:26:47,000 --> 00:26:50,680 feel better, the only way to go about that, in my opinion, if you have the resources, is to talk 304 00:26:50,680 --> 00:26:54,920 to a professional. Yeah, there's actually like a lot of other free resources. I know that there 305 00:26:54,920 --> 00:27:00,520 are some free counseling- There is free professional resources. Yeah, exactly. Well, 306 00:27:00,520 --> 00:27:05,560 I'm glad that we got to talk about that one. I was like, I know, my anxiety is like so heightened 307 00:27:05,560 --> 00:27:11,000 right now. I need a break. Well, thank you guys for joining us for another mental breakdown. We 308 00:27:11,000 --> 00:27:18,040 will see part two of Brandy Kraft coming out in the next couple of days. Yes. And then we will see 309 00:27:18,040 --> 00:27:23,400 you next week for Brandy Case. Woo-hoo. All right. In the meantime, you can follow us on Instagram 310 00:27:23,400 --> 00:27:28,200 at Diagnosing a Killer. We also do have Twitter set up at KillerDiagnosis. You can email us 311 00:27:28,200 --> 00:27:33,240 at diagnosingakiller at gmail.com. We also have a Patreon set up, so if you like what we're doing 312 00:27:33,240 --> 00:27:38,120 and you want us to keep doing it, you can feel free to make a monetary donation to the Patreon. 313 00:27:38,120 --> 00:27:44,120 And yeah, we hope you keep listening to us. Yeah, email us, pay us, talk to us. Yes. Tell us 314 00:27:44,120 --> 00:27:48,840 all about your problems or your great stuff or everything. Tell us about great stuff too. Yeah. 315 00:27:48,840 --> 00:27:52,760 And give us some suggestions on cases. Yeah. Kind of going up and down with our- What do 316 00:27:52,760 --> 00:27:58,440 you guys want to hear? Suggestions, exactly. What kind of DSM-5 diagnosis would you like us to 317 00:27:58,440 --> 00:28:02,920 discuss on mental breakdown? Yeah. What do you want to know more about? All right. Even if you just 318 00:28:02,920 --> 00:28:06,200 want a list of celebrities that have that disorder, we can do that too. Seriously, that's an interesting 319 00:28:06,200 --> 00:28:10,200 part for me. All right. Love you. All right. Love you. Bye.