New breathing Therapy reduces Panic And anxiety by reversing Hyperventilation

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Main Category: Anxiety / Stress
Also Included In: Psychology / Psychiatry;??Respiratory / Asthma
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A new treatment program teaches people who suffer from panic disorder how to reduce the terrorizing symptoms by normalizing their breathing.

The method has proved better than traditional cognitive therapy at reducing both symptoms of panic and hyperventilation, according to a new study.

The biological-behavioral treatment program is called Capnometry-Assisted Respiratory Training, or CART, said psychologist and panic disorder expert Alicia E. Meuret at Southern Methodist University in Dallas.

CART helps patients learn to breathe in such a way as to reverse hyperventilation, a highly uncomfortable state where the blood stream operates with abnormally low levels of carbon dioxide, said Meuret, one of the researchers conducting the study.

Hyperventilation, a state of excessive breathing, results from deep or rapid breathing and is common in patients with panic disorders.

"We found that with CART it's the therapeutic change in carbon dioxide that changes the panic symptoms - and not vice versa," Meuret said.

CART: Breathing exercises twice a day

During the treatment, patients undergo simple breathing exercises twice a day. A portable capnometer device supplies feedback during the exercises on a patient's CO2 levels. The goal of these exercises is to reduce chronic and acute hyperventilation and associated physical symptoms. This is achieved by breathing slower but most importantly more shallowly. Contrary to lay belief, taking deep breaths actually worsens hyperventilation and symptoms.

"Most panic-disorder patients report they are terrified of physical symptoms such as shortness of breath or dizziness," Meuret said. "In our study, cognitive therapy didn't change respiratory physiology, but CART did effectively reduce hyperventilation. CART was proved an effective and powerful treatment that reduces the panic by means of normalizing respiratory physiology."

The findings, "Respiratory and cognitive mediators of treatment change in panic disorder: Evidence for intervention specificity," appeared in the Journal of Consulting and Clinical Psychology. Meuret, who developed CART, is an assistant professor in the Department of Psychology at SMU and co-directs the department's Stress, Anxiety and Chronic Disease Research Program. The Beth & Russell Siegelman Foundation funded the research.

CART breathing a proven biological therapy

The study pitted CART against a conventional cognitive therapy treatment, or CT. Traditional CT teaches patients techniques aimed at helping them change and reverse catastrophic thoughts in order to reduce fear and panic.

In the CART-CT study, 41 patients were assigned to complete either a CART or CT treatment program for panic disorder and agoraphobia, a fear of being trapped with no means of escape or help.

Both treatment programs were equally effective in reducing symptoms, said Meuret. But CART was the only treatment to physiologically alter panic symptoms by actively reversing hyperventilation in the patients. Cognitive therapy didn't change the respiratory physiology, said Meuret.

Treatment helps patients address terror associated with panic

The study is the second randomized control trial to measure CART's effectiveness. By reversing hyperventilation, patients reported a new ability to reduce panic symptoms by means of changing their respiration.

With CT, Meuret said, if a patient reports shortness of breath, the therapist challenges the assumption by asking how often the person actually has suffocated during a panic attack, then hopes that will reverse the patient's thinking.

"I found that process very challenging for some of my patients because it acknowledges the symptom but says it's not a problem," Meuret said.

"CART, however, tells us a patient's CO2 is very low and is causing many of the symptoms feared, but it can also show how to change these symptoms through correct breathing. There has been an assumption that if people worry less about symptoms it will also normalize their physiology, but this study shows that this is not the case," she said. "Hyperventilation remains unchanged, which could be a risk factor for relapse down the road. Apart from hyperventilation being a symptom generator, it is an unhealthy biological state associated with negative health outcomes."

Broader study planned to measure CART

The researchers plan to branch out with their studies on CART by taking the program into the community, particularly to ethnic minorities. They believe CART is a more universally understood treatment due to its physical exercises - as opposed to cognitive therapy's more intellectual methods - and therefore more accessible to a broader range of people with varying levels of education and different cultural backgrounds. Ongoing studies will test the efficacy of CART in patients with asthma and fear of blood.

Notes:

Co-authors of the study at SMU were David Rosenfield, associate psychology professor, and psychology graduate students Anke Seidel and Lavanya Bhaskara. Stefan G. Hofmann, psychology professor at Boston University, was also an author on the paper.

Source: Southern Methodist University

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Causes of anxiety in age little

Posted by writer on 18 August 2010 in cause anxiety |

Usually people are not aware with the concept of anxiety attacks. In simple words we can say that anxiety is a kind of fear or stress in some minds. People with minds more sensitive and behavior are often the victims of anxiety attacks. Usually children have more sensitive minds and attitude. If you feel bad for something or afraid of something then keep it in their mind and may fear for life.

Excessive anxiety attacks are Mainly seen in children and adults. Although mature people feel anxiety, but also have more ways to overcome this situation. In some situation such attacks are so strong that you will find in any way. It all depends on the causes of anxiety. Events that cause anxiety attacks are root treatment for this disease. One thing that must be kept in mind is that every time when you feel the anxiety, is not an attack of anxiety. Is normal and healthy to feel anxiety for some jobs. But if you feel so much anxiety, which is also cannot concentrate on your work and entire routine and life is disturbed then you need to consult a specialist who will be able to diagnose the causes of anxiety and let you know what you should do to get out of this problem.

Results of various research has shown that children are victims of anxiety very easily. They have not seen this world and have no idea how to bring things so that when they experience something new and difficult then develop a feeling of fear in their mind. It is very important to understand the anxiety causes so that the disease can be treated successfully. Several common causes of anxiety are described later in this article.

Change in the environment:

It is said that man is a social animal. Children feel safe when they see their friends around them. So when you live somewhere, and your child grows in the same place, he makes friends with the passage of time. If you suddenly decide to move elsewhere with your family, then the child just lost all his old friends. This is a feeling of fear established in children. This type of situation is one of the largest causes anxiety. You must develop the habit of adaptation in your child. This will help you get settled in new atmosphere and new people easily.

Some unknown reasons:

Sometimes anxiety causes are unknown. In some cases, a child develops anxiety in him without any reason. This is basically due to weak mental health of the child. Human brain requires a sufficient amount of energy to work and operate properly and if it is not always the sufficient amount of energy then chances are there that you will get forward attacked or you can get depressed with no reason. It is important to maintain the good baby's diet to ensure that he does not get any attack of anxiety in its infancy due to lack of energy. Chemical imbalance is the main reason for this type of attack of anxiety.

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Sure-fire patches for Zumba anxiety, quiet casings and blue sweat

BY Dr. Michael ROIZEN and Dr. MEHMET OZ, the document

We love you document to help readers manage high cholesterol and belly fat, but sometimes it's the quirky questions really stretch our minds and imagination. (Keep them coming.) These three issues that took the prize for the most challenged us in 2010.

Q: When you have tried Zumba--a sizzling-fun type of Latin dance/drill--injured knee in two days. I have arthritis and certain joint degeneration. This is only a short-term response, or should I not do Zumba classes? --Cathy, via email

A: Are not resign Zumba yet. Some people with arthritis to say this spicy, thrilling mixture of aerobics, salsa and basic dance moves have them move when nothing else has. Zumba show boring exercise classes to a party (without chips and DIP). It is also estimated that you can burn the 400 to 1000 calories an hour to Zumba's Latin beat. But if the effects are too much for your knees, talk with your instructor on the way to still get the benefits but reduce the bounce and dramatic knee is moved. If you are embarrassed about not keeping pace with the warm, just slide into the back of the room. You're likely to find other people's similar adjustments. cooling it together. Also talk to your doc as an Anti-inflammatory one hour before and perhaps after class. Finally starting to do some exercises which leg lifts and stair angle step ups three times a week (start slowly). This will strengthen the muscles around your knees, which helps to support and protect these joints.

Q: My 70-year-old mother has a very odd problems. When she eats a few portions of fish, sweats she blue under their arms. I know it sounds strange, but it is true. Should I be worried about this? --Susan, Buckeye, Ariz.

A: Probably not. It sounds like your MOM has a rare but harmless condition called chromhidrosis, or coloured sweat. Even if the diet is usually not a cause, it is an easy way to test this: she can stop eating fish for a few weeks and see if that stop her from going all Smurfy. (She could take 900 mg of algae-based omega-3s to make up for the fish she exists, see above.) If it is not clear up her "blues", a DERMATOLOGIST to find out if she has a surplus of a yellow pigment called brunaktigt lipofuscin, a by-product of blood cell division. Lipofuscin also known as "wear" or "ageing" pigments because it causes ranging from Brown stains when it accumulates under the skin. Curiously, when lipofuscin apocrine sweat glands will oxidize in--the kind that SECRETE gonads fluid--can sweat activate as many colors as a little Crayola-pack. There is no cure, but a capsaicin cream or aluminum chloride hexahydrate solution (Drysol)--an antiperspirant used for excessive sweating--can help to use. Some docs use even Botox for this if it is a problem that it is her spirit and blue. (Apologies for that, but we want you to know that there is help if this problem affects her quality of life.)

Q: I have a problem that I wonder if others have. I can't poop in all bathrooms as well as my own. My big concern: I have been asked to stay on my in-laws this Thanksgiving. The last time I visited them, go I do not "" until I got home the next afternoon. What can I do? --Yvette, Philadelphia

A: In the United Kingdom called the "loo phobia." In North America we call it "silent intestines." Fear of using a toilet outside the home is a form of social anxiety disorder, anxiety disorder. It can make you avoid leaving the House or drastically change your diet and take strict diarrhea medicine you constipated so you can go out.

There is no quick fix to visit your relatives, but most of the anxiety disorders respond to Desensitization therapy: a Therapist will help you to understand and adapt to the situation that rattles you until it is no longer afraid. Cognitive behaviour therapy is another option, where you challenge your thoughts (no, no, I cannot go) and learn more rational (whaddayah know, yes I can).

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How to detect symptoms of anxiety

Posted by writer on 9 October 2010 under the symptoms of anxiety |

Anxiety mental condition is such that everyone faces in this world. If you are a human being and they say you never feel anxious and then the statement is completely false. There is no human being in this world without anxiety however the level of anxiety is different in different people. Some people have the extraordinary control in their mind and whenever you feel anxiety or depression can overcome this situation over time well, but some people are mentally the week. It is as if a person is physically strong and more physically sick. A person who is physically strong has more power to fight any physical illness and a person with less physical health has less energy to combat any physical illness. Same goes with the mind.

If you are mentally strong then you can be still in front of anxiety and never let it get completely in your brain but if mentally aren't that good then you won't be able to fight against anxiety and depression to enter in your brain. However if you get an anxiety attack, then there are many symptoms of anxiety for anxiety attacks. These symptoms of anxiety specify what kind of anxiety attack that exist at this time. It is very important to understand anxiety symptom of right, if you want to obtain adequate treatment. Only a specialist can better understand, what is your mental status and that anxiety attack type that exist at this time.

If we speak only the symptoms of anxiety, then there are the symptoms of anxiety so many human beings. If you feel like you have trouble nebulis exhalation breath then this may be a symptom of anxiety if you have just experienced some depressive condition or has had a bad accident recently in life. If you'd like to think though lots and all or most of the negative thoughts are is a symptom of strong anxiety. If you feel sad all the time and fear from people, whenever any of your friend gets to ask to get out and do not want to leave because you're afraid, and this is a fear unknown in your mind then should know that this is another symptom of anxiety.

Many people do not understand what are the symptoms of anxiety and ignore all these symptoms, thinking that someday will begin to feel better, but the reality is different. If you experience symptoms of anxiety in you then must take the matter seriously, and even if you do not want to see a doctor then tell about your thoughts and ideas for your best friend. It's good to share your thoughts as you will be better able to assess if your thoughts are positive or negative. If your friend says that you are having thoughts more negative than positive, then you must take this seriously and consult with some psychotherapist who can suggest an appropriate treatment for the disorder and prescribe some good medicine to you as well.

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You must know the common anxiety treatments

Posted by writer on 5 November 2010 under anxiety treatment |

Anxiety is said to be the most common problem in today's world. Many medical specialists say it is due to the excessive workload in today's society. Professional say that if you do not want to be scared of something, then go into that job, experience the excitement and you do not fear still from that job. However, not everyone has the ability to take risks and this is because they are afraid of taking risks.

Patients anxiety are usually afraid of things and the risks of recruitment. Don't feel safe to take new initiatives and new experiences in life. Some are due to social conditions, some are due to have some bad experience in life, some anxiety disorders are defined as general anxiety disorders and underlying these disorders are usually unknown.

Each individual experience anxiety in his life and to some extent is quite normal and healthy thing have anxiety. But if you feel that this condition is not going away easily and you experience much mental stress and fear then you have to consult with some medical specialists. You should consult with a professional who can diagnose the disease and suggest a treatment for this disease as well. Some counsel also suggest medications to disorders that are very good for immediate results, but if you go for the use of these drugs for a long time then your body will develop the habit of those medications and may need to use the dose for a life time.

Following are some of the treatments well studied anxiety:

First thing you should do when you're feeling anxiety is that should consult with a good consultant and discover the real cause of anxiety. This is the first part of the treatment of anxiety. If you can discover the real cause then you can cure the disease as well. You must know what the real problem? If you are into nervous while speaking in front of the public, then you should consult with someone who can teach the practice as public speaking. Once you found the problem then you can also find a solution to this problem.

Once you have understood the actual problem, then you can decide how to get rid of this problem. You need to go step by step, so that the problem can be cured in a good way. If you experience anxiety attack with something, then you should avoid what. You see that it is so easy to get rid of anxiety. She can't stay away from what all the time, therefore, once you feel well try to experience what gradually.

If you still feel anxiety and then don't go that close. Over time, that you will feel less anxiety and one day you don't hear any kind of anxiety. So, with time and practice against your anxiety you will exceed finally anxiety.

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University of Alberta researcher uncovers a trigger for anxiety

EDMONTON – Ground-breaking research by the University of Alberta neuroscientist keeps the promise of new treatment of anxiety disorders, Canada's most common mental health problems.

The research published in The Journal of Neuroscience, last week a previously undiscovered localizes mechanism in the brain that controls the anxiety. This mechanism affects nerve cells in the peas and medium-sized portion of the brain that assess the risk and reward, which makes these neurons more or less excitable and therefore more or less likely to send urgent messages.

"So far, no one uses (mechanism) as a medicinal product," said William Colmers Sunday. -It is hoped that we can use this new knowledge to develop new medicines.

Colmers began his research for five years ago in cooperation with Janice Urban, associate professor in the Department of Physiology and Biophysics at the Chicago Medical School at Rosalind Franklin University of medicine and science.

The couple knew what chemical messengers in the brain were connected to increase and reduce anxiety. But through their research, they discovered how these chemicals work--they regulate an "ion channel," part of a cell that allows nerve cells are more likely to fire, causing anxiety, or less likely to fire, prevents anxiety.

"Ion channels are usually quite good drug target," said Colmers, Professor of Pharmacology at the University's Faculty of medicine and dentistry.

That means new medicines can be created to block the brain's anxiety producing messages, "he says.

Some common anxiety treatments are now benzodiazepines such as Valium and serotonin re-uptake inhibitors such as Prozac, said Colmers. These drugs have unwanted side-effects because they do not target parts of the brain responsible for anxiety very well. Benzodiazepines, such as the use of sleeping pills and is addictive, says Colmers. So while they work to reduce anxiety, they also cause drowsiness and withdrawal.

"It helps--stop the panic disorder--but it is not very targeted."There are very specific because it works pretty much everywhere in the brain, "he says.

-There are disadvantages to existing medicines. Let's face it, no medicine, especially one that works on the brain, is perfect. But there is hope that there might be more targeted pharmaceutical compounds or treatment approaches that can help treat these disorders. "

The research also found that when researchers blocked repeatedly the urgent messages in lab rats during five days, rats became resistant to stress in months. "So there is a large and long-term change," said Colmers.

That may be important in the treatment of anxiety disorders and panic attacks and post-traumatic stress, which can be triggered by a traumatic event.

"By blocking these ion channels, it is our investment, however, that we might be able to reverse this whole process ... If someone has been, let's say, a soldier in a firefight, perhaps they could come back and get a treatment that prevents ion channel in the cells and prevents ... condition comes first."

New drugs for the treatment of anxiety, which is based on this research is still probably about 10 years away.

Mental health advocates, however, said Austin Mardon research is still great news for people who manage anxiety. "I have taken the anti-anxiety medicines and they are very comprehensive in their attacks. They make you very fuzzy-headed, "said Mardon, who has been on Prozac to treat depression in the past six years.

"I am confident that the pharmaceutical companies will invite (Colmers). We are at the beginning of a new horizon in psychiatric medications ... I think this is fantastic. "

The holiday season

Another longtime mental health advocates said the research results are particularly welcome during the holiday season when the turmoil may become more pronounced.

"We meet times where images of perfect families and relationships in abundance, and many of us are not yet a part of, so it leads, partly at least to diseases such as depression and anxiety disorders," said Dennis Anderson.

"Verily, medicinal products has been a key for many people in the trade or even recover from mental illness over the years."

Psychiatrist Pratap Chokka specializes in treating anxiety and said it is the most frequent diagnosis of mental disorders. "Probably about 20-25% of the us during our lifetime can be an anxiety disorder."

These include phobias, Post-traumatic stress disorder, generalized anxiety disorder, obsessive-compulsive disorder and panic disorder.

-They are very common and quite debilitating, "says Chokka, recently established Chokka Center for integrative Health in South-East of Edmonton. -The existing treatments, but effective, is far from sufficient. The reset does not often people to quality of life as a worthy. "

Most people are treated with a combination of medication and talk therapies such as consultancy, said Chokka. He advocates also other efforts to deal with stress that exercise, a nutritious diet and calming techniques such as meditation.

asands@edmontonjournal.com

c Copyright (c) The Edmonton Journal

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New breathing therapy reduces panic and anxiety

Washington, dec 21: researchers have shown that a new breathing therapy reduces panic and anxiety by repealing hyperventilation.New treatment program teaches people who suffer from panic disorder how to reduce their symptoms by normalizing the terrorizing breathing.

A new study, the method has proven to be better than traditional Cognitive therapy to reduce both the symptom of panic and hyperventilation.

The biological treatment program called-beteendeprofiler Capnometry-Assisted respiratory training or Cards, "said Alicia e. Meuret, one of the researchers at Southern Methodist University in Dallas.

Cards helps patients learn to breathe in such a way as to turn the hyperventilation, a very uncomfortable State where blood stream works abnormally low levels of carbon dioxide, said Meuret.

Cards-CT study, was 41 patients assigned to complete a Counseling or CT treatment program for panic disorder and agoraphobia, a fear of being trapped by any escape or help.

Traditional CT teaches patients technologies aiming to help them change and reverse the catastrophic thoughts to reduce fear and panic.

Both treatment programmes was as effective in reducing symptoms, "said Meuret.

But the cards were the only treatment that physiological changes the panic symptoms through active backtrack hyperventilation in patients. Cognitive therapy '' t change the respiratory Physiology, said Meuret.

What was in the journal of Consulting and clinical psychology.

--ANI

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