this is absolutely spot on. I loved how you explained needing something to replace the addiction. when I was in my active addiction of cutting, it got deeper and more brutal as time went in because I built up a tolerance. there's not just one alternative coping mechanism that's going to replace that. for me, it's a huge variety of things that I donevery day in order to keep myself from falling back into the habit. the way you communicate this concept makes me feel heard and understood. well done. love from Ohio.

@MedicalSecrets

Жыл бұрын

I'm so sorry to hear about your past, but it's SO inspiring to hear how you've overcome that

@95mudshovel

Жыл бұрын

@@MedicalSecrets oh thanks :) as I move into the next phase of life, I'm struggling with how to explain the scars to my future kids.

@rebeccayoung6344

11 ай бұрын

@@95mudshovel. Just be honest.

I hate feeling anxious and stressed. Never once has feeling like that made me high or feel good. Never. Cannot imagine being addicted to that feeling. For me it would be like being addicted to a migraine headache.

@rebeccayoung6344

11 ай бұрын

I agree 100%. I just cannot understand being addicted to anxiety and panic attacks.

@thatdudeghosty6817

6 ай бұрын

for me I kinda dislike going on breaks from my uni work currently it feels like I have no outlet for my anxiety and stress while at the same time when I do have uni going on it still ramps up but in a way I kinda enjoy it getting better at my work, getting better grades, studying, being sleep deprived I find myself missing it cause all I can think about is "this is the grade I wanna get next", "I want this to be better", "I want to finish this the best way I can"

@PandaPanda-ud4ne

Ай бұрын

@@rebeccayoung6344 There is something missing in his analysis. He is partly right, but one has to explain further. Thatdude below gives part of an explanation: Anxiety and panic attacks CAN be rewarding or addictive when it is tied to something that also gives you reward at the end. That also gives you a means to DEAL WITH IT. What you both describe are more likely panic or anxiety that has no reward at the end or has no means of dealing with it in the sense of doing a test or getting grades. The reason why the analysis in the video above is incmplete is that it ventures into disputed areas of psychology and psychiatry, where our host is not in his special area. That happens often to all of us. I dived into all this stuff when i studied how people could love horror movies. The sheer amount of psychological theories that are out there is stunning.

@rusticitas

5 күн бұрын

It’s not a choice. One thing about having a psychological or neurological issue and getting treatment usually (hopefully) results in the understanding that we’re nowhere nearly as consciously in control of our brains as we would like to assume. There’s a *lot* of subtlety, complexity, interconnectedness… add in some ND for extra spice in that burrito too.

I’d give anything to have you as my sons anesthesiologist! Even I live w/chronic pain. It’s frustrating there aren’t more doctors like you! Thank you for all your information.

@MedicalSecrets

Жыл бұрын

Thank you for the kind words 🙏

Honestly I love the way you explain complicated concepts in plain simple language. You are truly amazing and I look forward to watching more videos

Thank you for explaining this so easy to comprehend

Great video man! I learned a lot!!! You rock man

Thank you for such valuable content!

Dr. K you explained it very well 🙏🙏👍

Thank you Dr. Kaveh 🙏🙏

Some people in my life my see me as a "surgery addict" because I have had at least 40 surgery/in office procedures under sedation. But those people are in my chronically ill body. When you deal with chronic pain and chronic mental health challenges like depression, anxiety, suicide ideation and have no way to get relief. But even though I know I will wake up with more pain, I look forward for anesthesia and sedation so much because it is the ONLY time I finally get a break. I get sleep. I get to be pain free. And I dont have to feel the mental pain going on constantly. But if you ask almost any chronically Ill patient they will understand this and agree.

What? I have extreme anxiety with panic attacks starting at age 20. I have phobias that are crippling and I am benzodiazepine dependent which is scary as Hell. I’ve psychoanalysied myself and I understand where, when and why all of this started. I’m basically a recluse but I do work full time and it’s the only reason I ever leave my house.

If only more people knew this!!

When I had my 1st Colonoscopy, aliot came out

Thanks 😊

So well explained. I am always on the flight or fight mode, but, thankfully I have no addiction’s. Well the only addiction I have is my Ativan, but I am trying to slowly get off from it with the help of my healthcare team. It has taken over a year just to go down 1mg. Slowly but surely. 🤷‍♀️ I think without having any addictions can be a bad thing also? It probably makes the anxiety ten times worse without that satisfaction of “shopping ect”. Thank you for explaining things so well and continuing to help the world.

@BabyChili1

Жыл бұрын

Hi Heidi! I worked with my dr to get off 15 yrs of Klonopin use. It took about a year. Then I only had 2 months off of it and “Bam” big old panic attack and ER visit. It’s very hard to get off of. I got put on more meds after that because, I then had depression and some mania. I just know it was because I got off of the benzos. So I will try again but do it in even smaller increments spread out longer. 2 years weaning if I can. Good luck to you and being free of that Ativan. Im on Klonopin. We just have to be patient .

@heidi5462

Жыл бұрын

@BabyChill1 thank you so very much! I am definitely going day by day. We have this!! Thank you for the encouragement!

@rebeccayoung6344

11 ай бұрын

@@BabyChili1. I’ve been taking Xanax for 15 years. Xanax is the monster of benzos and the withdrawal is lethal. Good luck!

thank you

I’ll be there

Why do I feel constant anxiety every day from the second I wake up. I sweat, my heart races, and I feel awful most of the day just about every day

@MedicalSecrets

Жыл бұрын

I'm sorry to hear that Have you sought help from a medical professional?

@jenaaaay3150

Жыл бұрын

Vokon I am the exact same!

@BabyChili1

Жыл бұрын

Most everyday here too! I’m even on meds and still dealing with anxiety.

@muuuumipappa

Жыл бұрын

You might want to go to a professional to get checked out for generalized anxiety disorder and/or other possible causes. If the cause is indeed GAD, there are treatments that can make life a lot more bearable. I've seen the most benefits (and the least side effects) from meds like vortioxetine and gabapentinoids. Vitamin D and supplements like curcumin, ashwaganda, L-theanine also help. Exercise, hanging out in nature, music and taking care of animals will help most times. I'd recommend trying meditating with binaural beats too. It may be useful to research ketamine and psychedelics as a form of therapy also.

@vokon708

Жыл бұрын

@@muuuumipappa okay, thank you so much for your response. Since writing this I have honestly tried everything in my power to eliminate my anxiety, I still to this day, workout everyday, eat healthily, take vitamins, and sometimes meditate. So honestly I think at this point I’m going to seek professional help.

So Doctor, do you need to take into consideration potential issues or mutations with CYP450 enzymes and the drugs you give patients? And considering benzodiazepines and antidepressants or antipsychotics are dependency forming drugs how do you combat the potential of adverse events when administering drugs for patients especially if they have reached tolerance and had to change meds as that is a fair indication of receptor dow regulation and who knows what else? What if someone has just recovered from withdrawal ( or discontinuation syndrome) from taking meds as prescribed (which can last months to years) does all your sleep juice work on GABA?

@MedicalSecrets

Жыл бұрын

Great question, the VAST majority of our dosing decisions are based on the patient's empiric drug response

You would think that your Dr would want to share all the information you do here on your posts . Mine has shared 0 .....why ?

are there ways to manage stress with adrenal insufficiency and lifetime steroid replacement? its so hard

The idea that someone stressed because of surgery somehow gives a window into their soul seems like a bit of a logical fallacy. What monitor should we watch in the OR to tell whether a patient's anxiety is caused by the loss of a loved one to surgical complications or their QVC addiction?

@MedicalSecrets

Жыл бұрын

It's an association and heuristic that impacts clinical care. You're absolutely correct that it's not 100% sensitive or specific in determining any causality. Few things are!

Does anxiety impact on surgery I mean does it create any trouble for me for undergoing general anesthesia?

@MedicalSecrets

Жыл бұрын

Yes, it can. However, most patients are able able to handle it well! See my other videos on it!

What are the odds that syringe is going in his vien after the video? 70/30.

Him holding that syringe gives me anxiety