speedlimits65
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speedlimits658 karma
psych rn here with anxiety disorders. there are a few options, but first its important to understand what anxiety is and what realistic expectations of treatment are.
first and foremost, its important to follow up with a licensed medical professional. i say this because your anxiety could be psychological, or it could be caused by something physical such as hyperthyroidism, excessive caffeine intake, etc. also remember that meds and therapy cant resolve systemic issues. we cant prescribe money or stable housing or a strong friend group.
in its simplest form, anxiety is future thinking. your brain's amygdala is hyper-alert and may treat things that may be relatively small as the same as a gun to your head. logical thought occurs near the opposite side of the brain, the prefrontal cortex. this makes it difficult to logic yourself out of anxiety; its like trying to talk a baby out of crying. its important to remember that you have no control over the initial reaction, what you CAN control is everything after you notice your reaction. you may ruminate and get in thought loops, but 100% of the time this will at best not work and at most make it worse. those with OCD have a LOT of trouble with rumination.
one form if treatment is mindfulness. remember how i said anxiety is future thinking? mindfulness is all about training your brain to be in the present. whats happening right now? where are your feet? which nostril are you exhaling from? theres all sorts of mindfulness and meditation exercises. it wont work the first time, its like a muscle you need to exercise.
diet and exercise is an obvious answer that can be quite helpful. we've learned so much recently about how diet affects our normal gut flora which affects our mental health. most scientists agree the Mediterranean diet is considered the healthiest.
therapy-wise, CBT and ERP are considered the gold standard. in a nutshell, im assuming you have anxiety and that its so bad you avoid doing things youre fearful of. youve essentially trained your brain that its future thinking is correct. exposure therapy is about getting you into that state of distress in a safe and controlled way, retraining your brain to not treat every small thing as if a gun is to your head.
i would STRONGLY recommend medications only as an absolute last resort, and to start with safer, non-controlled medications. for example, propranolol is a beta blocker that helps with anxiety a lot. benzos can be helpful, but they are incredibly addictive, very difficult to ween off, and withdrawal can be miserable and also fatal. they can be used safely and are very beneficial to people, but they are meant only to be used for a very short time, not something you should take daily for months.
i hope this minimal amount of info helps. i highly encourage you to reach out to a therapist that specializes in anxiety. explore why you have your anxiety, understand you do not control the initial action but can control everything after you notice the anxiety, it just takes some time and work. i believe in you
speedlimits651 karma
im in my last semester of nursing school and am extremely interested in becoming a psych nurse. my biggest fear, though, is that i'll be pidgeon-holed as a psych nurse and would have a difficult time finding work in the hospital setting, since the skill set is very different (not a lot of catheters or IVs in psych, different common meds to know, etc). do you find that it's easy or difficult to transition from a psych setting to a hospital setting?
speedlimits6530 karma
every producer does things to make "their sound". what would you say is your sound or signature mark, and what do you do to make it?
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