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the first feeling that I had was just an
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overwhelming wave that goes through my
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body I feel very hot my heart and start
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to race and I feel like I'm going to
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pass out or possibly sometimes you think
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I'm going to die you know
it's just such
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an overwhelming feeling
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I then thought I won't sit down I've got
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to sit down because I'm going to
fall
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down if I don't in trying to walk from
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where I was to the chair my legs
just go
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like jelly and it's it's very difficult
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even just to make a simple walk
happen
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[Music]
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when I sat down basically it's
like I'm
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in a daze I can see everything
happening
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around me I can see other people
walking
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past me oftentimes noises are
amplified
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if you hear this a lot louder
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I just felt why are these people
in
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control and I'm not what what's wrong
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with me and basically I just sat for
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5-10 minutes it keeps coming
back in
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little waves you seem to feel
that
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you're getting a little bit more control
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and then it hits again
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basically I just sat there until my
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husband was finished with the lady at
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the checkout oh no
you okay
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you think your new name villains want me
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to get one what's happening in a
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situation like this where pure panic
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takes over we all panic sometimes but
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for some of us it's a frightening and
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confusing occurrence which doesn't match
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what's going on in our lives
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hello I'm Karina Kelly and in
this video
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we're going to take a look at panic when
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panic gets out of control
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it's called panic disorder you might
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feel that it's all in your mind
that
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you're going crazy
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or you might feel that it's purely
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physical and you're having a heart
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attack neither is true but panic
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disorder is a genuine medical condition
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which in most cases can be
treated
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[Music]
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you may wish to watch this program more
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than once
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or show it to your partner
family
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members or friends in fact
later on
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we'll have some tips for family members
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on how best to help the sufferer of
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panic disorder the information in this
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video is intended to help you understand
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this problem its symptoms and the
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treatments available there are
easily
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identified chapter headings on the
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screen designed to help you rewind or
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fast-forward to particular sections you
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may wish to watch again with
your video
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remote it's a good idea to jot down any
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questions that occur to you
which you
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might like to ask your doctor
during
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your next visit the information
we will
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be covering includes what is panic
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disorder and what are the symptoms what
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are the causes of panic disorder
what
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are the treatments available
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what can family members do to help and
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what happens when panic disorder goes
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untreated and I kept thinking I'm gonna
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pass out I'm going to end up on the
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floor and somebody's gonna have
to come
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pick me up I thought I was going
to die
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and I thought I was going
mad as well at
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the same time we'll meet Donna and
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Andrew later on we'll also talk
to dr.
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Frank barber gallo a general
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practitioner with an interest in panic
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disorder it affects around two
in every
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hundred Australians although some
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experts believe that many more sufferers
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go undiagnosed panic attacks
are
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disturbing and threatening events that
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leave the sufferer exhausted and anxious
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[Music]
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panic disorder is a condition where a
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person suffers four or more panic
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attacks in one month but people with
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fewer attacks than this can also be
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seriously disabled the symptoms of panic
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attacks vary from patient to
patient but
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they include at least some of
the
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following racing heart beat and
chest
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pains or pressure in the chest making
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the sufferer fear they are
having a
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heart attack
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dizziness and lightheadedness nausea or
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indigestion flushes or
chills shortness
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of breath or smothering sensations
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tingling or numbness trembling or
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shaking sweating
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choking apart from these physical
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manifestations a panic attack can also
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bring on a series of most unpleasant
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feelings a sense of terror a
fear of
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dying feeling as though you haven't got
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a grip on reality worries about
losing
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control or doing something
embarrassing
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a panic attack can make a
person feel
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that they are dying or going mad the
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attacks are so unpleasant that the
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sufferer will often go to great lengths
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to avoid the place or
situation where
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the panic attack occurred that might
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mean refusing to drive or go to the
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supermarket this is
how a panic disorder
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can really interfere with a person's
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day-to-day life I didn't want to drive
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at all
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I basically avoided it my poor husband
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got to drive everywhere I had the kids
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in the car once and I just wanted out I
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want it out of that car
and you can't do
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that so it's it's the fear that it could
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happen to you in the car
Donna first
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started suffering from panic
attacks
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about seven years ago as the
mother of
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four boys she has her hands full and the
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panic attacks were making her life a
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misery how long does a panic attack last
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and how does it leave you feeling
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depending on the intensity of it it can
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last all of two seconds it can be
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lasting over a couple of hours intensity
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in
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creasing and decreasing over that period
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of time the more anxious the
more your
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thoughts return to how you're
going to
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feel it can come on again afterwards I
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just feel very drained and very
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exhausted really and I just want to be
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away from everyone I want to be on my
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own
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Donna how would you describe a panic
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attack both physically and
mentally what
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happens to you definitely it's a mental
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thing it's what your fear of the unknown
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fear of what could be going to
happen
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but then the physical symptoms
are very
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real to you can't believe that
your mind
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can control your body so much to
make
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physical symptoms happen your heart
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races you feel sick in the stomach you
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get a headache you basically get
this
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wave come through you're a hot wave so
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the physical sides there but it's the
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mental side that sets it off what did
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you think when this first happened to
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you that there was something desperately
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wrong with me that I I actually went to
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my doctor and said that I think
I need
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to have a brain scan because
there must
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be something wrong with me
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[Music]
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so what causes panic disorder the short
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answer is that we don't know we
know
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that it runs in families that you have a
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higher chance of being a
sufferer if
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someone in your family is a sufferer we
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know that the average age when people
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start to suffer is from the mid 20s to
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the early 40s people with a
history of
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depression or anxiety are also
more
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likely to suffer panic attacks
andrew
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has been suffering from
panic attacks
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for 15 years he believes his condition
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has cost him a marriage and a promising
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career I was geology student at
uni and
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was also doing some computers
and I had
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a panic attack trying to go underground
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into the mining area and they needed 00:08:51,000
be fairly brave and pretty courageous
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they needed five places and I couldn't
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do that anymore was it difficult to get
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diagnosed very very odd people didn't
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know what was going on and I was
called
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sensitive labeled just to get it out of
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the way and a lot of people in society
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tend to say die push through it don't be
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silly just go for it just do it
and one
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of the worst things that people with
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panic disorder can do is to do a task
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which is very high in their fear
level
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too early because that all that doesn't
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sends them into a panic and then they
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believe if they can't cope with
it dr.
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Frank barber Gallow sees many
patients
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with panic disorder his approach to
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combating the condition involves
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recognizing that there is no simple
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quick fix or magic remedy there's no
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quick fix or magic bullet as
some
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patients go looking for it involves
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looking at the patient in their total
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environment looking at the individual
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factors and environmental factors that
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are contributing to their disorder and
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in a global sense assessing
what
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combination of various therapies will
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help them most what are the different
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methods you can use to treat panic
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disorder with panic disorder there's no
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one method that that can be used on its
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own you really have to use a
combination
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of treatments initially I'd like to talk
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to patients about their own lifestyle
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management and looking at aspects like
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cutting out caffeine
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you know Kathleen can hype this
happen
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which is a really design looking at
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things like having adequate rest and
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ensuring that you do some
regular
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exercise they're really important for
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just general psychological well-being
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and relaxation furthermore we really
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look at trying to train our patients
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specifically in the area of relaxation
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management and that can involve to some
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simple techniques that can allow
the
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patient to just distress periodically
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during the day and also at the time of
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any symptom development getting more
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specifically into treatments we'd like
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to talk about psychotherapy or
talking
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therapy as it's
commonly known and there
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are a range of different
types of
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therapy that are really useful
in
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helping patients combat this disorder on
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top of all that medication is now being
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shown to be increasingly
important the
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reason is that new evidence is
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suggesting that panic disorder
does have
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an underlying biological basis which
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means that it is related to a
chemical
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imbalance in as much as other physical
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diseases like diabetes are for instance
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and the role of medication is becoming
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very important as a result there are two
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types of medications that primarily
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would be useful the newer types of
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antidepressants such as the SSRIs or the
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selective serotonin reuptake inhibitors
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being shown to be the most favored but
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there are also the older types of
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benzodiazepine drugs which have been
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quite useful for symptom control
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personally I've suffered probably seven
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years plus but increasingly got worse as
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time went past and thank goodness I got
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help early stages so that I
understood
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what was going on did you know that
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treatment was
available not initially
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not even because I didn't understand
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what they were myself and it's sort of
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thing that you sort of think I'm
not
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going to tell anybody that this is
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happening to me because they're
going to
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think I'm crazy but you're
not and yeah
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I was just very lucky that I
did click
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on to a doctor that could help me
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upfront what are you doing now
to combat
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your panic attacks I am on medication at
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00:12:07,920 --> 00:12:09,780
the moment I take a tablet each day and
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00:12:09,780 --> 00:12:13,440
I also have learnt to when I do feel
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00:12:13,440 --> 00:12:15,270
that this comes on how to relax
how to
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00:12:15,270 --> 00:12:17,310
combat it upfront before it gets hold of
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00:12:17,310 --> 00:12:18,750
me what do you do
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00:12:18,750 --> 00:12:22,140
I just tense my whole body and then
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00:12:22,140 --> 00:12:24,339
relax just totally relax
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00:12:24,339 --> 00:12:26,379
put pleasant thoughts into my
mind and
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whatever is worrying me personally I put
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it in a pink balloon
and let it fly
away
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for me I've been
catching the train down
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00:12:34,300 --> 00:12:36,879
and I through tunnels and I have a lot
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00:12:36,879 --> 00:12:38,829
of panic with that and through this
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relaxation technique I can start to
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extend my relaxation
291
00:12:43,449 --> 00:12:45,519
well my stress those and hence not going
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to panic one of the greatest
joys in
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00:12:48,009 --> 00:12:49,689
having his panic attack was when I went
294
00:12:49,689 --> 00:12:51,879
and met a group of people who had Bank
295
00:12:51,879 --> 00:12:54,100
disorder there was six of us and I
296
00:12:54,100 --> 00:12:55,809
actually felt understood for the first
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00:12:55,809 --> 00:12:59,740
time in 14 years
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[Music]
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if you're watching this video as a
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friend or family member of a sufferer
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you need to remember that the patient is
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not putting it on and they can't just
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00:13:20,450 --> 00:13:22,520
snap out of it because you tell them to
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00:13:22,520 --> 00:13:25,190
what they have is a genuine medical
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00:13:25,190 --> 00:13:26,990
condition and there are positive things
306
00:13:26,990 --> 00:13:30,740
you can do to help let the
sufferer set
307
00:13:30,740 --> 00:13:33,770
the pace for recovery be
predictable and
308
00:13:33,770 --> 00:13:36,470
encouraging but don't help the sufferer
309
00:13:36,470 --> 00:13:39,710
avoid things don't panic when the person
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00:13:39,710 --> 00:13:43,190
with the disorder panics be patient but
311
00:13:43,190 --> 00:13:44,990
don't accept that your friend or family
312
00:13:44,990 --> 00:13:48,470
member will be permanently disabled for
313
00:13:48,470 --> 00:13:50,510
most people with panic disorder
once
314
00:13:50,510 --> 00:13:52,610
they've been diagnosed the future looks
315
00:13:52,610 --> 00:13:55,550
good the most important thing is to find
316
00:13:55,550 --> 00:13:58,010
the right help those who suffer in
317
00:13:58,010 --> 00:14:00,800
silence often become worse as time goes
318
00:14:00,800 --> 00:14:03,590
on being undiagnosed is really a problem
319
00:14:03,590 --> 00:14:05,390
because it can cause a considerable
320
00:14:05,390 --> 00:14:06,980
amount of disability in one's life the
321
00:14:06,980 --> 00:14:09,170
impact on the family and on other social
322
00:14:09,170 --> 00:14:11,840
structures can be profound a lot
of
323
00:14:11,840 --> 00:14:13,550
patients with panic disorder
actually
324
00:14:13,550 --> 00:14:15,170
end up developing other psychological
325
00:14:15,170 --> 00:14:17,300
problems by the time they come
to being
326
00:14:17,300 --> 00:14:20,090
diagnosed up to 50 or 60 percent
may
327
00:14:20,090 --> 00:14:22,490
have concomitant depression at the same
328
00:14:22,490 --> 00:14:24,010
time there's also a lot of overlap with
329
00:14:24,010 --> 00:14:26,420
disorder such as obsessive-compulsive
330
00:14:26,420 --> 00:14:28,610
disorder and even developing phobic
331
00:14:28,610 --> 00:14:30,350
disorders like agoraphobic is
not
332
00:14:30,350 --> 00:14:31,820
uncommon these are the kind
of
333
00:14:31,820 --> 00:14:34,580
complications that can really combine
334
00:14:34,580 --> 00:14:36,680
together and cause a lot of disability
335
00:14:36,680 --> 00:14:39,560
in any one person's life how important
336
00:14:39,560 --> 00:14:41,450
is it to stick to the
program it's
337
00:14:41,450 --> 00:14:43,760
exceedingly important the management
338
00:14:43,760 --> 00:14:45,530
plan that you've arrived at with your
339
00:14:45,530 --> 00:14:47,720
doctor is really going to
dictate how
340
00:14:47,720 --> 00:14:49,070
you get better and how you stay better
341
00:14:49,070 --> 00:14:53,000
if the temptation arises to cease
342
00:14:53,000 --> 00:14:55,160
medication or to cease using the
343
00:14:55,160 --> 00:14:57,110
therapies that you've been taught what
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00:14:57,110 --> 00:14:58,670
will happen is that the condition will
345
00:14:58,670 --> 00:15:01,550
recur your suffer a relapse and then
346
00:15:01,550 --> 00:15:03,230
you'll find it increasingly important 00:15:06,020
overcome that in the future your doctor
348
00:15:06,020 --> 00:15:08,510
has a very important role as
your guide
349
00:15:08,510 --> 00:15:11,750
so take their advice remember even elite
350
00:15:11,750 --> 00:15:14,240
athletes listen to their coaches winning
351
00:15:14,240 --> 00:15:17,030
the game is up to you as you follow the
352
00:15:17,030 --> 00:15:19,040
treatment program that both you and your
353
00:15:19,040 --> 00:15:21,350
doctor have chosen you'll find yourself
354
00:15:21,350 --> 00:15:22,130
on the road to
355
00:15:22,130 --> 00:15:24,710
coveri and better health which
is good
356
00:15:24,710 --> 00:15:27,680
news for you your family and
friends if
357
00:15:27,680 --> 00:15:30,680
you take only one message away from this
358
00:15:30,680 --> 00:15:33,710
video it should be this if you think
359
00:15:33,710 --> 00:15:34,970
that you're suffering from panic
360
00:15:34,970 --> 00:15:38,060
disorder get help and get well the
361
00:15:38,060 --> 00:15:40,910
future is positive it's a very
treatable
362
00:15:40,910 --> 00:15:43,340
condition karina and with
adequate
363
00:15:43,340 --> 00:15:45,440
treatment the person can really get
364
00:15:45,440 --> 00:15:47,840
their life back they can really
get
365
00:15:47,840 --> 00:15:49,100
their lifestyle back to where it was
366
00:15:49,100 --> 00:15:51,650
before and start to function at the
367
00:15:51,650 --> 00:15:53,810
highest level they can really
maximize
368
00:15:53,810 --> 00:15:55,370
and reach their potential as an
369
00:15:55,370 --> 00:15:57,590
individual I felt great about it
I feel
370
00:15:57,590 --> 00:15:58,640
very positive about it
371
00:15:58,640 --> 00:16:01,190
I feel very off about it because
I am
372
00:16:01,190 --> 00:16:03,590
saying to get control of the
paints or
373
00:16:03,590 --> 00:16:05,090
don't the Pennington sort of
controlling
374
00:16:05,090 --> 00:16:07,250
me and for the last 15 years I've been
375
00:16:07,250 --> 00:16:09,530
in the wilderness not knowing
what it's
376
00:16:09,530 --> 00:16:12,440
all about and now I can actually find
377
00:16:12,440 --> 00:16:13,880
out what it's about and do
something
378
00:16:13,880 --> 00:16:14,420
about it
379
00:16:14,420 --> 00:16:16,760
I'm not fearful of any situation now
380
00:16:16,760 --> 00:16:19,460
instead of the for thinking no I'm not I
381
00:16:19,460 --> 00:16:21,740
can't handle that I can't do
that I just
382
00:16:21,740 --> 00:16:23,150
think okay I'm gonna feel a little
383
00:16:23,150 --> 00:16:25,070
uneasy about that situation but
I can do
384
00:16:25,070 --> 00:16:27,200
it absolutely fantastic
385
00:16:27,200 --> 00:16:34,220
[Music]
386
00:16:38,129 --> 00:16:41,079
this patient educational video has been
387
00:16:41,079 --> 00:16:43,629
produced for better health by rowing a
388
00:16:43,629 --> 00:16:46,480
division of Pfizer manufacturers
of
389
00:16:46,480 --> 00:16:49,050
Zoloft
390
00:17:02,740 --> 00:17:03,690
you
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00:17:03,690 --> 00:00:00,000
[Music]

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