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Mar 5, 2018 03:51AM
Mar 5, 2018 03:53AM
I am going to share with a rather unusual but true anecdote.
A strong and beautiful clinician I know, was going through a particularly rough time - ( nah not me), and she became so stressed by the situation she was in that she used to have two recurrent thought processes:
- one was that her two children would fall from a balcony - a problem since they lived on the ninth floor
- the other that as she walked down the street a fence wall would crumble on top of her
She saw an old prof of psychiatry and requested anti-anxiety meds. He said after listening to her - here they are but first I want to try this - read cheap travel romance or detective stories. " What do you mean ?" was her answer for she mixed in a world where Russian literature was the norm. I mean give yourself a chance to escape and heal, read some trash, spend some time in a world of no problems, where all ends well. "But I hate cheap trashy novels - Hmmm, you also hate taking tablets"
The crazy thing is that for her it worked - three months later she had started to learn a little about lightness. and the walls stopped moving. Her outside stress situation remained the same for about 4-5 years after which she found/more like dug a way out.
There is no question that dopamine modulates brain pathways involved in fear and anxiety.
There is a huge body of work in this area.
And certainly there are biological genetic factors that cause depression. BUT in those who have anxiety as a result of a major life stress - the pathways were essentially intact to begin with - and they need SPECIAL nurturing to try and stay healthy. So whether it's a crazy book, a walk, a precious hour doing bugger all - think of all pampering as you would of essential medication. Your daily dopamine fix if you like.
Quite happy to going into the nitty gritty of the neurophysiology - unfortunately a lot of anti anxiety meds have potential interactions with anaesthetics - so full bottle on it...
Liz let us know how your knee is - when you can.
8/5/2016, DCIS/IDC, Left, 4cm, Stage IIB, Grade 2, 1/13 nodes, ER+/PR+, HER2-
8/11/2016 Lymph node removal: Underarm/Axillary; Mastectomy: Left; Prophylactic ovary removal
9/11/2016 AC + T (Taxol)
2/20/2017 External: Lymph nodes, Chest wall