CBDResource is proud to offer the highest quality, full spectrum CBD products on the market. Our first and most important priority is to give everyone access to the remarkable benefits of CBD with the widest selection of high quality, organically grown CBD products.
In this video, I got over if CBD oil can help treat severe insomnia or if medical marijuana would work better. Watch this video to find out!
If you are having trouble sleeping and your situation may not be severe we have a few CBD sleep bundles that are available for you!
Sleep CBD Bundle 300MG: https://docpatels.com/shop-all/cbd-bundles/
Bundle Includes:
- CBD Vegan Softgels 300 MG
- The CBD Oil Solution Book
- One on One Consultation with Dr. Rachna Patel + $25 credit towards your next purchase
Sleep CBD Bundle 750MG: https://docpatels.com/cbd-sleep-bundle-750-mg/
Bundle Includes:
- CBD Melatonin Softgels 750 MG
- The CBD Oil Solution Book
- One on One Consultation with Dr. Rachna Patel + $25 credit towards your next purchase
---
If you liked this video, please give it a thumbs up 👍 & share it with your friends.
Don't forget to SUBSCRIBE to learn more about CBD --- http://bit.ly/2tKpqpm
Connect With Doc Patels to get the latest info on CBD:
📲Instagram: https://www.instagram.com/docpatels/
📲Facebook: https://www.facebook.com/DocPatels/
📲Pinterest: https://www.pinterest.com/docpatels/
📲LinkedIn: https://www.linkedin.com/company/doc-patels/
---
DISCLAIMER: The information in this video and on the website (https://docpatels.com/) is for educational and informational purposes only. It should not take the place of seeing a physician and should not be used to diagnose or treat a health problem or disease. It also does not establish a physician-patient relationship between you and Dr. Patel. Individual results may vary. The information contained in this video and on the website (https://docpatels.com/) has not been evaluated by the FDA (Food and Drug Administration).
By: Expert CBD Doctor & CEO of Doc Patels - Dr. Rachna Patel Title: Does CBD Oil Help With Severe Insomnia? Sourced From: www.youtube.com/watch?v=qGMuPLwnweE
Will the quarantine ruin your marriage? Today’s video is about dealing with relationship problems in this period of quarantine and social distancing. This is based on a question from Claire.
Remember everyone is affected by this pandemic. We’re all hurting, so none of us are operating at our best right now and we all handle stress in different ways.
The stress of this pandemic makes us fall back to our native coping mechanisms whatever those are. These native coping mechanisms can create friction in your relationships as you spend more time together.
What do you do about this? First you pick your battles. You only want to deal the most pressing issues. Now is not the time to fix your relationship or your partner.
Next you want to create some personal time away. This can give you some sense of control of having your own time and space. If you have a small home or an apartment, find some part of your home or even outside as a place where you can go and be alone. Schedule that alone time so that people in your home can respect your space. If there’s nowhere to go without being around someone, wear headphones as a makeshift way to tune out.
Lastly you want to look at how you’re coping with this crisis. You can’t change other people, but you can work on yourself. Here are 4 common ways of thinking and coping. There’s active coping, surrender, passive coping and overcontrol. Active coping and surrender are adaptive or helpful and passive coping and overcontrol are maladaptive or unhelpful. Do some self-reflection to see what your coping style is and take steps to engage in adaptive coping.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: Will Your Relationship Survive COVID? Learn These Coping Styles Sourced From: www.youtube.com/watch?v=I44tmAYGcS0
In this video, I go over if CBD can help with post acute withdrawal symptoms. Watch this video to learn more!
What is post acute withdrawal?
Post acute withdrawal is when a person that is dependent on a substance stops using that substance they have many symptoms and can vary depending on the substance they are using. Some symptoms include hallucinations, seizures, psychosis and more.
---
Get even more answers to your questions about CBD & CBD Oil.
ORDER MY BOOK --- https://docpatels.com/the-cbd-oil-solution/
JOIN MY FACEBOOK GROUP --- https://www.facebook.com/groups/askthecbdexpert/
For a customized plan on how to use CBD Oil tailored for your specific needs, schedule an online consultation --- https://docpatels.com/book-a-consultation/
---
If you liked this video, please give it a thumbs up 👍 & share it with your friends.
Don't forget to SUBSCRIBE to learn more about CBD --- http://bit.ly/2tKpqpm
Connect With Doc Patels to get the latest info on CBD:
📲Instagram: https://www.instagram.com/docpatels/
📲Facebook: https://www.facebook.com/DocPatels/
📲Pinterest: https://www.pinterest.com/docpatels/
📲LinkedIn: https://www.linkedin.com/company/doc-patels/
---
DISCLAIMER: The information in this video and on the website (https://docpatels.com/) is for educational and informational purposes only. It should not take the place of seeing a physician and should not be used to diagnose or treat a health problem or disease. It also does not establish a physician-patient relationship between you and Dr. Patel. Individual results may vary. The information contained in this video and on the website (https://docpatels.com/) has not been evaluated by the FDA (Food and Drug Administration).
By: Expert CBD Doctor & CEO of Doc Patels - Dr. Rachna Patel Title: Does CBD Help With Post Acute Withdrawal Symptoms? Sourced From: www.youtube.com/watch?v=IUj9XArPoVc
Panic attacks are a sudden onset of intense anxiety. Sometimes when you get anxious, you can feel uptight or on edge. Or you may worry about things. Panic is different. You have a surge of intense fear or physical symptoms that come on suddenly and reach peak intensity within minutes.
With a panic attack you experience four of the following symptoms. This is as defined by the Diagnostic and statistical manual of mental disorders, 5th edition.
1. Palpitations or a pounding or racing heart.
2. Sweating.
3. Trembling or shaking.
4. Sensations of shortness of breath or smothering.
5. Feelings of choking.
6. Chest pain or discomfort.
7. Nausea or abdominal distress.
8. Feeling dizzy, unsteady, light-headed, or faint.
9. Chills or heat sensations.
10. Numbness or tingling sensations that we call parathesias
11. Derealization (feelings of unreality) or depersonalization
12. Fear of losing control or going crazy.
13. Fear of dying.
You can have other ways that you show anxiety like crying or screaming, but you would still need to have 4 of the other symptoms as well.
Panic DISORDER occurs when you have regular panic attacks and this is your main problem. You can get to where you dont want to leave the house or be around people because you fear having a panic attack and not being able to escape. But anyone can have panic attacks or attacks of anxiety without it being the full panic disorder.
Panic attacks can be expected or unexpected. Expected is when there is an obvious trigger like needing to speak in public or waiting for a scary procedure or experience to happen. Unexpected attacks happen when youre calm and cant attach the anxiety to anything specific. You can even wake up from sleep in a panic attack.
Panic attacks tend to last for a brief period like several minutes, but you can remain anxious and unsettled for much longer than that.
People who are more sensitive to anxiety and the way it feels, can be more vulnerable to having panic attacks. We call this body vigilance when you are hypersensitive to every body sensation and you worry that your physical symptoms are the sign of a serious physical problem. For example, if you feel your heart beat, you dont just think about it, you obsess that youre on the verge of a heart attack. Or if you feel heat on your face, youre convince youre getting ready to have seizure.
One of the approaches to addressing panic attacks is to look at how you think about them and what you do because of them. People with anxiety and panic tend to have three kinds of distorted thoughts: catastrophizing, fortune telling and jumping to conclusions.
Catastrophizing is when you blow a situation out of proportion and focus on the worst outcome to the exclusion of lesser outcomes.
Fortune telling is predicting what will happen in the future. And Jumping to conclusions is making assumptions about the final outcome without taking everything into consideration.
Typical behaviors seen with panic attacks:
Escaping the situation.
Avoidance
Safety behaviors
Safety behaviors can make you feel better temporarily, but they keep the panic response going because when you do the safety behavior, you dont get a chance to test how realistic your assumption is. And you dont learn to manage the situation because you avoid dealing with it.
These are some of the factors behind the scenes of panic. In another video Ill put this all together and talk about non-medication ways to address your panic.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you dont want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: What are Panic Attacks – Why You Get them? Sourced From: www.youtube.com/watch?v=_clCzEnTvAE
Histrionic personality disorder falls into the cluster B grouping of personality disorders. Cluster B refers to the group of personality disorders that share the characteristics of being dramatic, emotional or erratic. And the personality disorders that fit in this group are antisocial, borderline, histrionic and narcissistic.
Typically people don’t fit neatly into one personality disorder. It's more common for someone to have a mixture of traits from the different disorders particularly the ones that are within the same cluster.
Keep in mind personality disorders start in the late teen years to early adulthood. It’s not something that shows up for the first time at 30. Also, you can have some of these personality traits without having the full disorder. Personality disorders cause problems that manifest mostly through relationships. But it can also cause internal distress and unhappiness.
Here is the criteria for histrionic personality disorder:
Histrionic personality disorder is A pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
1. Is uncomfortable in situations in which he or she is not the center of attention.
2. Your interactions are often sexually seductive or provocative.
3. Displays rapidly shifting and shallow expression of emotions.
4. Consistently uses physical appearance to draw attention to yourself.
5. Has a style of speech that is excessively impressionistic and lacking in detail.
6. Shows self-dramatization, theatricality, and exaggerated expression of emotion.
7. Is suggestible or easily influenced by others or circumstances.
8. Consider relationships to be more intimate than they actually are.
Videos referenced
Are personality disorder mental illness? https://youtu.be/BuK9YT-NJzk
Health anxiety https://youtu.be/W4-hhWqi2rg
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: Understanding Histrionic personality- The Pain Behind the Drama Sourced From: www.youtube.com/watch?v=DQWaqpr4RwA
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: Is CBD The Answer? Not So Fast... Sourced From: www.youtube.com/watch?v=LrPQrcRx0F4
Major depression is an illness where you can have a depressed or irritable mood and a number of other symptoms that affect your sleep, appetite, energy level, outlook on life and so on. You can be mildly to moderately to severely depressed.
We usually look at the level of functioning to estimate the severity of the depression. How are you functioning in your personal, work and school life? Someone who is mildly depressed may have trouble getting out of bed and have a hard time finding joy in things, but they still go to work everyday and take care of things in the home. The severely depressed person may not be able to get out of bed despite the fact that there are babies in the house crying for food. Even having people or finances depend on you isn’t enough to get you going. Why? Because it’s not simply a choice. When depression hits that hard, it talks over your will.
Depression can also become so severe that you lose touch with reality and develop psychotic symptoms. These psychotic symptoms are delusions and hallucinations. However, delusions tend to be more common than hallucinations. And the delusions can take on a persecutory or nihilistic tone.
Persecutory is when you feel attacked in some way. You may feel like people are talking about you or trying to harm you. Nihilistic delusions are when you feel things are senseless or they've lost their value. Like what's the point in life? Nothing matters. And this can be some of the thought behind a person not wanting to live and making a suicide attempt. Sometimes suicide attempts are impulsive, but sometimes they’re born out of these nihilistic delusions that nothing matters so why does anyone exist? Even existence is senseless.
How do we treat psychotic depression?
Psychotic depression that occurs within unipolar depression would be treated with either antidepressants plus an antipsychotic medication or electroconvulsive therapy. Antidepressants would be medications like fluoxetine, escitalopram and venlafaxine. Antipsychotic medication examples are quetiapine and aripiprazole.
Psychosis that occurs inside of bipolar disorder whether it is the depressive phase or the manic phase is treated a little differently because you have to be careful about adding an antidepressant to someone with bipolar disorder. Antidepressants increase the risk of triggering a manic episode or making someone rapid cycle between phases. So for the person who has bipolar disorder and becomes psychotic. You could use electroconvulsive therapy the same as you would for psychotic unipolar depression. For the medication option you would add an anti-psychotic medication if the person is on nothing, but if the person is already on a mood stabilizer in you could add an antipsychotic medication to their current regimen.
Video about using antidepressants with bipolar disorder
https://youtu.be/DJU2vigqLwM
Video about Schizophrenia
https://youtu.be/QIYW9JjZ-Os
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: What is Psychotic Depression? Sourced From: www.youtube.com/watch?v=24Gn84mqX1M
Psilocybin is a compound found in mushrooms that has psychedelic properties. Psychedelic means it makes you hallucinate. Psilocybin works in the brain by activating the 5-HT2A receptor on the neuron to increase serotonin.
**Do you have your 2020 Self-Improvement Calendar? You can get it on Amazon here:
http://DrMarksCalendar.com
Psilocybin has been used recreationally for years and is known to broaden your thinking, relax you and amplify your emotions.
There have been studies that have shown that after only two doses of psilocybin, the person was more mentally flexible and less uptight about things. These attitude changes 7-12 months after the 1-2 doses.
There’s a real race to get this to market. The FDA granted breakthrough therapy designation in 2018 to Compass Pathways for treatment resistant depression using a range of doses. Then in November 2019, the FDA granted the designation to the company Usona Institute to treat regular depression (not treatment resistant) using a single dose.
Depression inside of bipolar disorder is different from unipolar depression. Psilocybin is being studied for the treatment of unipolar depression. We don't know what affect it will have on possibly triggering mania or psychosis. This doesn't mean that it can't help with the depression that comes with bipolar disorder, though. We’ll first have to see what side effects are associated with the drug once they have completed the trials to anticipate how it may affect bipolar disorder.
References
Erritzoe D, Roseman L, Nour MM, et al. Effects of psilocybin therapy on personality structure. Acta Psychiatr Scand. 2018;138(5):368–378.
Lyons T, Carhart-Harris RL. Increased nature relatedness and decreased authoritarian political views after psilocybin for treatment-resistant depression. J Psychopharmacol. 2018;32(7):811–819.
Interested in the clinical trials?
Usona Institute for major depression
https://usonaclinicaltrials.org/major-depressive-disorder-psilocybin-clinical-trial-psil201
Compass Pathways for treatment resistant depression
https://compasspathways.com/research-clinical-trials/
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: Here's Why You Want To Know About Mushrooms and Depression Sourced From: www.youtube.com/watch?v=TknaM6okZM8
Here is how you can get the free guide from this video. Download from my website: Download your guide here http://markspsychiatry.com/nightmares
Anyone can have nightmares for any reason. But some things that can cause nightmares are anxiety, depression, medications, pain and even eating too soon before you go to bed.
Nightmares are common in people who have had a traumatic experience. In these cases, the nightmares tend to be recurring with either the same series of events happening each and every time or the same theme. When people have recurring nightmares multiple times a week, it can become so distressing that it can make you not want to go to sleep.
If you’ve experienced trauma and have distressing memories and nightmares, it’s best you see a therapist for trauma therapy. Trauma is best managed with specific therapy to help your brain reprocess the experience.
Here are the steps
Nevertheless, here is an exercise that you can do on your own. It’s called exposure, relaxation and rescripting therapy. It’s a type of cognitive behavior therapy and a technique that’s used in dialectical behavior therapy. Rescripting your nightmare is a way to retrain your brain on how to handle the traumatic experience that keeps re-visiting you in your dreams.
Step 1 Engage in relaxing activity
Step 2 Choose recurring nightmare
Step 3 Write out the script
Step 4 Identify the worst point
Step 5 Write desired emotion
Step 6 Change the worst moment
Step 7 Read Script aloud repeatedly
Step 8 Read or listen to script before bed, then repeat relaxing activity
References
Davis JL. Treating Post-Trauma Nightmares: A Cognitive Behavioral Approach. New York: Springer; 2009.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: Here's How To Stop Your Nightmares - Rewrite the Script Sourced From: www.youtube.com/watch?v=8SwEQEoyqXg
Researchers at Johns Hopkins published a study in December 2019 showing a link between e-cigarettes and depression. This isn’t the first study of it’s kind. There have been others. Depression and vaping are seen as having a bidirectional relationship. Depression leads to vaping and vaping increases depression symptoms over time. In the scientific community, study findings need to be replicated before the ideas presented in them are considered generally accepted. That means we need to see the same findings or conclusions from multiple studies with large sample sizes and randomized controls.
Vaping is another term for electronic cigarette. E-cigarettes are battery powered and they take liquids with nicotine or other substances like cannabis and vaporize it. You inhale the vapor instead of inhaling the smoke from a traditional cigarette. They were marketed as way to reduce your tobacco use. to stop smoking traditional cigarettes.
The liquid or e-juice is made by extracting nicotine from tobacco and mixing it with a base like propylene glycol. Then they add a flavor. All of these are being inhaled into your lungs, which is more than what you were inhaling with cigarettes. So even though you are not exposing yourself to burning leaves, the vaporized liquid exposes you to other toxins that are mixed into the liquid.
Why does this cause or worsen depression?
Even if we ignore the other toxins, prolonged nicotine exposure disrupts the dopamine pathways in your brain and increase your stress sensitivity. Also, nicotine increases oxidative stress and free radical formation in your cells. I talk about this in a video I did on how oxidative stress affects your brain and is linked several psychiatric illnesses.
Unfortunately, vaping has become very popular among teenagers. But there has been recent news about vaping related lung disorders. That’s pretty scary, but even if you don’t vape enough for it to cause lung disease, keep in mind that it can also affect you mentally by causing or worsening depression. Also, the effect may not be immediate. Some people in the studies had stopped vaping but then later on developed depression as a recurring illness. So vaping in the short-term can set you up for depression in the long term.
Oxidative Stress Video https://youtu.be/7sTJIH1Maxs
References
Obisesan OH, Mirbolouk M, Osei AD, et al. Association Between e-Cigarette Use and Depression in the Behavioral Risk Factor Surveillance System, 2016-2017. JAMA Netw Open. 2019;2(12):e1916800.
Lechner WV, Janssen T, Kahler CW, Audrain-McGovern J, Leventhal AM. Bi-directional associations of electronic and combustible cigarette use onset patterns with depressive symptoms in adolescents. Prev Med. 2017;96:73-78.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: Vaping Increases The Risk of Depression Sourced From: www.youtube.com/watch?v=t8x2oMOJj-Y
An essential feature of avoidant personality disorder is a pattern of being socially inhibited, feeling inadequate and hypersensitive to rejection or criticism starting by early adulthood.
This pattern occurs pervasively which means it spreads across all areas of your life. So it’s not something you only noticed after being a bad relationship with someone who sucked your soul and tore you down emotionally. After a relationship like that, you will have some battle wounds that can look like feeling inadequate.
Most of the personality disorders including this one really start to manifest around late adolescence and early adulthood. And with avoidant personality disorder, you can get hints of social awkwardness and insecurity that seem a excessive that the child doesn’t seem to grow out of.
Here’s the criteria. You need 4 or more of the 7.
1. Avoids occupational activities that involve significant interpersonal contact because of fears of criticism, disapproval, or rejection.
2. Is unwilling to get involved with people unless certain of being liked.
3. Shows restraint within intimate relationships because of the fear of being shamed or ridiculed.
4. Is preoccupied with being criticized or rejected in social situations.
5. Is inhibited in new interpersonal situations because of feelings of inadequacy.
6. Views self as socially inept, personally unappealing, or inferior to others.
7. Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing.
There is a lot of overlap between social anxiety disorder and avoidant personality disorder. However, with social anxiety, the fear and anxiety is limited to social interactions. And you realize your fears are unreasonable at some level but you’re still anxious about it. And you can still have close personal relationships.
With avoidant personality, there’s a deep belief that there’s something wrong with you and because of that, you hyperfocus on subtle cues that people are rejecting or criticizing you. The threshold for seeing something as critical is very low. Meaning it doesn’t take much for you to feel insulted or hurt by someone’s remarks. Your reaction to this is to stay away and avoid dealing with people in any way you can.
The treatment for this is cognitive therapy. There may be some behavioral exercises that a therapist can help set up for you, but generally the approach is addressing your distorted beliefs about yourself.
Videos mentioned
Social Anxiety video https://youtu.be/QJuSm4R8N4E
Cognitive distortions video https://youtu.be/QlDXDLA4qpc
Challenge thoughts video https://youtu.be/hT3c4VDTLLo
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: Understanding Avoidant Personality Disorder Sourced From: www.youtube.com/watch?v=0mHm1seHKkE
In a previous video I talk about the Mediterranean diet and how it has been shown in studies to improve depression. In this video I discuss why healthy food helps your brain. It has to do with oxidative stress.
There’s different types of stress. Mental Stress comes from external pressures like deadlines, expectations, demands. You can also be stressed physically from things like infections or surgery. These processes weaken your body’s defenses. But there is another type of stress that occurs at a cellular level, and it’s called oxidative stress.
Oxidative stress occurs when you get free radical formation that causes tissue damage. Think of it as your body’s rusting process. You see this on a macro level when the paint on your car starts to fade over time from exposure to the oxygen in the air.
Well a similar thing happens in your body at a cellular level. We see the effects of oxidation with aging, cancer, heart disease and many other diseases. It’s also been linked to psychiatric illnesses like autism, ADHD, bipolar disorder, depression and schizophrenia. Oxidative stress affects all of the cells in your body, but the brain is particularly sensitive to oxidative stress.
Your body organs are made up a trillions of cells. Inside each cell you have the cell components called organelles. The mitochondria is one of these organelles that generates energy.The mitochondria take nutrients from the food we eat and convert it to energy. This chemical reaction uses oxygen and produces free radicals as a byproduct. Think of it as a manufacturing plant putting out harsh chemicals into the atmosphere.
Inside the mitochondria, these free radicals damage the DNA, and proteins that are inside of the cell. Certain nutrients neutralize the free radicals and these are called antioxidants. So if the food you eat contains enough antioxidants, then the mitochondria factory doesn’t produces as much toxic waste.
Here are some of antioxidants that are extracted from the food.
Vitamin A which you can get from Dairy, eggs, and liver
Vitamin C which comes from most fruits and vegetables, especially berries, oranges, and bell peppers
Vitamin E which you can get from nuts and seeds, and green, leafy vegetables
Beta-carotene: you get this with Brightly colored fruits and vegetables, like carrots, peas, spinach, and mangoes
Lycopene which comes from Pink and red fruits and vegetables, including tomatoes and watermelon
Lutein and selenium. Selenium comes from rice, corn and grains as well as nuts eggs, cheese and legumes
There is debate as to whether or not vitamin supplements really make in impact on changing the course of disease. This may have something to do with bioavailability. The supplement form may not be processed the same by the mitochondria as it is when it comes from food. Also high doses of some supplements like vitamin E and betacatorene are linked to increased risk of tumor growth.
There are external factors that increase free radical production inside the mitochondria. These are things like pollution, UV exposure, and cigarette smoke. Another thing you can do to reduce oxidative stress is reduce your exposure to UV light by wearing clothes that protect your skin and sun block. You should also minimizing your exposure to cigarette smoke. Inflammation is an internal source of free radical production. Your diet choices also effect inflammation. Things like fried foods, high sugar and processed food increase inflammation.
Links from the video
Video on the Depression Diet https://youtu.be/Y1HI1aZ58RY
Handout on How to Eat Your Veggies http://markspsychiatry.com/stress-brain
References
Smaga I. et al. Oxidative stress as an etiological factor and a potential treatment target of psychiatric disorders. Part 2. Depression, anxiety, schizophrenia and autism. Pharmacol Rep. 2015 Jun; 67(3):569-80. Epub 2015 Jan 5.
Zhang XY, Yao JK.Oxidative stress and therapeutic implications in psychiatric disorders. Prog Neuropsychopharmacol Biol Psychiatry. 2013 Oct 1; 46:197-9. Epub 2013 Mar 21.
Joseph N, Zhang-James Y, Perl A, Faraone SV. Oxidative Stress and ADHD: A Meta-Analysis. J Atten Disord. 2015;19(11):915–924.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: How Stress Affects Your Brain - A Deep Dive Sourced From: www.youtube.com/watch?v=7sTJIH1Maxs
Short 20 – 30 minute naps can give you a boost in mental energy and cognitive abilities as long as they are in the early afternoon and not too close to bedtime. These are what we call power naps.
Here’s why they should be short. When you sleep, you go through 4 stages: the light stages 1 and 2, a deep stage and then REM sleep. This is one cycle and called your sleep architecture. It takes about 90 minutes to go through one cycle. How long you spend in each stage varies from person to person, but on average it takes about 20 – 30 minutes to go from stage 1 down to stage 3 where you have deep sleep. So if you wake up from the light stage of sleep, you can more quickly spring back into action. If you wake up from a deeper stage of sleep, you can feel groggy and tired, like you need more sleep.
So you may say, if sleeping 40 minutes makes you feel worse, then just try to push it to 2 hours then you get more sleep and you can still wake up feeling rested. Not necessarily. Sleeping too long depletes your homeostatic sleep drive.
Homeostatic sleep drive defined
During the day when you’re awake and thinking, your brain creates energy byproducts. These byproducts buildup over the course of the day until it reaches a tipping point to push you over into sleep. This is called your sleep drive. Some people will call it a sleep debt. So at your usual bedtime you have a number of factors that help you fall asleep. Your body clock telling you it’s bedtime, your body temperature
and your sleep drive.
If you think of the drive as money in a bank, when you take a nap, you spend money from the bank. With a long nap you may fall below the threshold of what you need to be driven to fall asleep. This is why when you sleep makes a big difference with how easy or hard it is to fall asleep at your usual bedtime.
If you take a long nap, early in the day, you still have several hours to build your sleep drive back up. But if it’s too close to bedtime, you may need to be awake for longer to get sleepy again. Most people have experienced this and it makes sense, but this is the explanation for it. Sleeping takes away from your sleep drive.
The best time to take it is in the early afternoon around 2-3pm. This gives you a chance to recover your sleep drive and it also helps you with the natural dip in alertness you may feel in the afternoon.
The usual pattern with your body clock is that you have a dip in energy and alertness in the early afternoon. We associate this with eating a heavy lunch and that may make it worse, but even aside from what you eat, you can still feel slowed down or even a little drowsy in the early afternoon. You can address this by overriding the trigger to sleep by taking a walk or doing some other form of brief exercise. Or you could take a power nap. You may need to set an alarm to keep yourself from sleeping too long.
If you take a thirty minute nap in the evening, it may not be enough to keep you from going to bed at your regular time, but it may alter your sleep architecture for the rest of the night.
I mentioned that you go through these different stages in 90-minute cycles and have about 4 -6 of these cycles.
The normal sleep architecture is to spend more time in deep sleep in the first couple of cycles, then as the night progresses you spend more time in the lighter stages and REM, also known as dream sleep. So what this looks like is you spend the first half of your night sleeping deeper and the second half of the night sleeping lighter and getting more and more ready to wake up.
So if you nap in the evening, even if you’re still able to go back to sleep, you can change this normal sleep pattern in a way that results in less deep sleep OR deep sleep that’s extends too long into your allotted sleep time and then you have a hard time waking up.
So the moral of the story here is that napping can be thought of as plugging in your brain for a quick recharge in the middle of the day when you have a natural dip in your energy and mental functioning. If you decide to use naps to give yourself an afternoon boost, make sure to limit them to 20 – 30 minutes AND early in the afternoon.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: How and When to Nap and Not Nap Sourced From: www.youtube.com/watch?v=Nnm_fyZHjFU
Lithium is the first recommended treatment for bipolar disorder, but only when you have classic bipolar disorder. Classic bipolar disorder is when you have a clean separation between depressive episodes and manic episodes. I’ve defined depression and mania in several videos that are grouped into my bipolar disorder playlist.
A clean separation means that when one episode is over, you return to your baseline until the next episode comes. You don’t have lingering depression with anxiety mixed in.
Lithium is not a good choice when you have a mixture of mania and depression symptoms happening at the same time. We call this bipolar disorder with mixed features. So you have the hyperarousal of mania where you are sped up, you may be impulsive, using poor judgment, irritable or angry while also having at least 3 depressive symptoms with your mania. I describe this in more detail in my mixed mania video.
In the case of mixed features, the recommended first choice is an antipsychotic medication like quetiapine. We use the second generation antipsychotic medications as mood stabilizers in bipolar disorder.
One thing that lithium does that the other medication don’t do as well is it reduces suicidal thinking. The only other medication that addresses this at the same level is ketamine, which we use for treatment resistant unipolar depression.
Side effects of lithium
Lithium can cause weight gain, tiredness, and fuzzy thinking similar to some of the other mood stabilizers. But Lithium also has some side effects that can come with long-term use. Lithium can cause your thyroid to malfunction such that you start to produce inadequate amounts of thyroid hormone.
The second long-term side effects is to your kidneys. Everyone has some decline in kidney function as you get older. But long-term lithium use can accelerate this process. You can also get a condition called diabetes insipidus. This is different from diabetes mellitus where you get elevated blood sugar levels. With insipidus, your kidney loses its ability to concentrate your urine. You get frequent urination and excessive thirst.
Diabetes insipidus can happen even within the first weeks to months of taking lithium. In usually resolves on its own, but it can persist in about 25% of people. Sometimes this problem can be helped by taking your lithium all at once at bedtime. If the problem doesn’t go away, then it’s probably best to switch to a different mood stabilizer. If you catch it early, it’s reversible usually within weeks.
Another way lithium can damage your kidneys is if it gets too concentrated in your blood. It can reach toxic levels and damage your kidneys. That’s why it’s important to have your lithium levels checked on a regular basis and you have to make sure you stay hydrated. If you loose a lot of fluid from excessive sweating, diarrhea or vomiting, watch carefully for signs of lithium toxicity.
Early signs of lithium toxicity are tremor, slurred speech, feeling tired and weak. You can also get diarrhea and vomiting from the toxicity. If you started feeling this way, you should get yourself to an emergency room or urgent care to be evaluated.
If you are on lithium, make sure all of your doctors know so they can check for any drug interactions from medications they prescribe. Also, if you have pain problems, watch your consumption of non-steroidal anti-inflammatory medications like Advil or Aleve. This class of medication can increase lithium levels.
What about lithium orotate?
This is a version of lithium that is available over the counter. It’s a much lower dose of lithium than what you get with prescription lithium. The prescription versions are lithium carbonate and lithium citrate. Because you are still taking lithium, you are still susceptible to the risks that you have with prescription lithium.
Links to videos
Bipolar Playlist https://www.youtube.com/watch?v=AM7vf5HJxaQ&list=PLazcP3-djRZ0IoYFWgkl0_tFtBVqA3bu-
Mixed mania https://youtu.be/Nw-1NEwarUg
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: Bipolar Disorder - When we use Lithium Sourced From: www.youtube.com/watch?v=csZbVs0Hj48
This video is based on Schema Therapy. Schema is a framework for how you see yourself. This framework is built by your early life experiences, but it also adjusts over time as you have new experiences. There are 18 schemas or core beliefs that have been identified, but this video covers 3 that have been identified to be common in adults who have ADHD, even if you were never diagnosed as a child.
Schema 1- Feeling defective
You feel inadequate at all levels. This can make you hypersensitive to criticism and rejection. You can also feel insecure around people and always be in a state of comparing yourself to others.
Schema 2 - A basic sense of failure.
Essentially you feel you haven’t met your potential. With this schema people often feel inept, stupid, lacking talent or just doomed to be less successful than everyone else. This can cause you to give up easily on things or not even try something because after all, you’re not going to be good at it.
Schema 3 - Insufficient self-control
You can’t rely on yourself to accomplish the things you need to. You can’t tolerate the frustration that comes with waiting for a desired outcome. Also through this schema you avoid certain responsibilities or duties that are uncomfortable even if it means missing out on something that could advance you.
Over the years you can develop a cycle of negative experiences that lead to a negative appraisal of yourself. This leads to maladaptive coping strategies like procrastinating, or avoiding things altogether. This creates negative emotions like depression, anxiety, guilt, anger and frustration.
Then these coping strategies and negative emotions confirm your core beliefs that you’re defective, you're a failure and you have insufficient self-control.
What can you do about it?
One goal is to change your core beliefs about yourself because those beliefs perpetuate the dysfunctional behavior like avoidance and procrastination which creates more problems for you. This is best done with the help of a therapist who is trained in Schema Therapy.
A second goal is to change your coping strategies in a way that modifies your schema or core beliefs. The new feedback that you get from others and yourself becomes more positive. Your schema is formed from your experiences and how you respond to input you get externally. Therefore, consistent positive feedback helps to change your schema.
Stay tuned for more information on how to change some of the dysfunctional behavior’s that perpetuate the negative core beliefs.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: 3 Ways ADHD Makes You Think About Yourself Sourced From: www.youtube.com/watch?v=FF8gpsffwh0
This video is based on a viewer question from Rena. It’s a long question that I’ve shortened.
Here’s the gist: Rena feels she can’t do the things she used to do because of her bipolar illness. Essentially, she feels held back because she fears going hard the way she usually does will trigger a manic episode.
Here are timestamps for the video if you want to skip the question and go to my answer.
0:31 Start of question
3:49 Start of my answer
This question brings out some important points when it comes to managing your ambitions and also addresses a fear that's unique to an illness that changes your perception and make you lose touch with reality.
Some people grapple with the idea that the mania allowed you to do things that you otherwise wouldn’t be able to do because of the super energy and amped up outlook you have that lets you achieve all these things. Once you crash and burn, you’re left thinking about what happened and the kind of person you became when you were on fire and rising to the top.
You may ask yourself, what that really you or was it a fake you, that you need to say goodbye to because it's a dangerous state to be in?
Severe mania can be so destructive and disruptive that it can be devastating for people when they come down from it. First of all because there's often a big mess to clean up of things did or neglected while you were manic. But secondly if you get to the point of being delusional, it’s devastating to feel like you lost your mind and you couldn’t control your thoughts.
My thoughts on this:
You can't produce mania simply by being ambitious. You can have grand ambitions as part of your baseline personality.
Mania is an emotional state that increases your energy and impairs your judgment and impulse control. And that's the state of mind that takes your baseline ambitions and grows it to a grandiose and unrealistic level.
As for returning to media work, having bipolar disorder should not mean you can't pursue your interests. But it does mean you have to set limits on how much you work and you have to prioritize your self-care. With bipolar disorder it’s important to stay on your treatment regimen and make sure you have good sleep hygiene so that you can get consistent sleep.
These limitations may make it harder to do certain types of work. For example, it would not be in your best interest to work in a job that required you to be awake for 24 to 36 hours at a time. Also you wouldn’t want to take a job that would not allow you to be able to take medication or see your doctor because you have to travel out of the country for six months at a time. These are just examples of how your disorder create some limitations on the kind of work you do.
So if the only way that you can work in media is to do you things that make you not sleep for days, not take your medication, not follow up with your doctor’s appointments and not eat healthy, then I’d say that’s not the best kind of work for you.
Building a business is demanding, but maybe it doesn’t require you to fry your brain to be successful. The brain frying comes from the shortcuts you take to get where you want to go - maybe faster than you need to go. If you step it back to accommodate your need for self-care, then maybe the outcome is that you grow slower. But slow growth is still growth.
Also being excited about your work and having lots of ideas doesn’t mean you're manic or will become manic because you're just so excited. The over-the-top grandiose ideas come from the mania that descends upon you and takes what you're already doing or thinking to another level.
If you're afraid that will happen, the workaround to that is to stay in treatment and also be aware of your early signs that you're becoming manic.
Here’s a video on the manic prodrome where I talk about recognizing early signs of mania so that you and your doctor can make an intervention to keep it from escalating and becoming mania. https://youtu.be/1l3Yg5Bt1t8
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
By: Dr. Tracey Marks Title: Can Too Much Hustle Make You Manic? Sourced From: www.youtube.com/watch?v=aZ2SHLsnlAY
