Taking Charge of Your Health

Hi, everybody, Dr. Talia Marcheggiani here. I’m a naturopathic doctor who practices in
Bloor West Village, in Toronto and today I’m going to talk to you guys about the roots
of anxiety. Anxiety is the most common mental health condition. It affects about 18%of North Americans and
it encompasses a wide range of different diagnoses including generalized anxiety disorder, panic
disorder, OCD, phobias, PTSD and depression, and social anxiety. It’s a huge umbrella of different conditions. So the first thing I do when I meet my patients
is try to understand how anxiety manifests for them. The word anxiety means very little to me. What I care about is how the symptoms are
manifesting in my individual patient in front of me and how it affects their life. So, I’ll ask them what does it mean when you
tell me that you have anxiety? Walk me through a situation when your anxiety
gets triggered, tell me what it’s like to live inside your shoes, inside your head,
what kind of things do you worry about? What goes on in your body? And, how do you know that you have anxiety? Did you decide that you had that diagnosis
or did someone else give it to you and what do you feel or think about having that diagnosis? Do you agree with it? Do you disagree? Do you have any doubts? The symptoms of anxiety encompass the body
because it affects our nervous system, every single bodily organ is affected, potentially,
by anxiety and some people have some of the symptoms or all of them and sometimes very
few, just the mental and emotional symptoms, and many of us don’t even identify with having
chronic anxiety or anxiety disorders or anxiety symptoms. First of all, we have the mental symptoms. People with anxiety will commonly experience
worrisome thoughts, anticipatory anxiety, so, being worried about the immediate future
or the distant future. They might feel irritable or excited, they
may have depressed mood. A lot of the people I see with anxiety have
this kind of “chilled out” demeanour because it’s very common for someone who’s got a high
level of anxiety in their body to dissociate a little bit from those feelings and appear
very calm. They kind of describe it as a duck on a pond. On the surface, you see this calm animal,
just floating along, but when you look under the water you see the duck legs busily working
away and so that’s how a lot of people will describe their mind. They say, on the surface I’m really calm,
but once you look under the surface, you see that there’s a lot of mental activity and
a lot of worry that’s happening. There may be fears, such as specific fears,
such as phobias, or just general fears, like in the case of generalized anxiety disorder,
or fears may be triggered in certain situations like in the case of social anxiety. Insomnia is very common, an overactive and
busy mind is very common, fatigue is another common symptom as well as difficulty concentrating,
memory loss, brain fog. So all of these conditions that show that
the person who’s experiencing anxiety and who is dealing with anxiety is distracted
and focused on other things, rather than what’s right in front of them. So a lot of the time my patients will describe
an inability to feel present and feel connected and enjoy the moment. Their mind is always on something else. Sometimes the anxiety is based around specific
concerns and sometimes it’s just very general and it doesn’t really matter what’s going
on in someone’s life, there’s this sense of impending doom that they’re dealing with on
a daily basis. Anxiety and depression are very common, they’re
comorbid mental health conditions, and it’s very difficult to tell the difference a lot
of the time. There’s a hypothesis that they’re similar
conditions, or the same condition, but one is a more extraverted, so that would be anxiety,
version of depression, which is a more introverted and internalized manifestation of the same
disease process. This is still a hypothesis, but it makes some
sense and it resonates with a lot of people that I talk to. Then we have the bodily symptoms of anxiety. A lot of people will experience muscle tension,
aches and pains. This is typically in the shoulders where they
carry their worries or they’ll find themselves tensing their muscles without being aware
of it. They may experience twitching, and they experience
pain from the tight muscles. There’s also sensory symptoms, such as ear
ringing, hot and cold flushes, changes in vision, tingling, numbness, muscle cramps. It’s very common to have cardiovascular symptoms,
such as a racing heart or heart palpitations and this often occurs in people who have panic
attacks, which often sends them into the emergency room, because it can be difficulty breathing,
racing heart, chest pains, sweating, all these kinds of autonomic symptoms that one might
experience if they were having a cardiovascular event, can occur in someone with anxiety or
panic disorder. It can be really frightening. Then there’s gastrointestinal symptoms, so
there’s definitely a connection between IBS and anxiety. And those of us who don’t necessarily suffer
from anxiety but have experienced nervousness, which I’m sure we all have, will notice that
our gut is definitely affected and we may have looser bowels, bloating, difficulty digesting,
or we might not have an appetite or want to eat. And this all common in people who have chronic
anxiety. Genitourinary symptoms, such as frequent urination,
or frequent thirst, often leading people to think that they have diabetes. Also, there might be a delay in urination,
so you feel like you have to go to the washroom, you go to the toilet and then there’s a moment
where you can’t really go, and you’re trying to wrestle with yourself, which is really
common. So urinary hesitancy, it’s called. And then we have the autonomic, so the symptoms
that are related to the autonomic, or automatic, nervous system, such as a dry mouth, dilated
pupils, sweating or flushing, and this also related to our GI symptoms. So, these are just a few of the anxiety symptoms. And, as you can see, they affect pretty much
every single system in the body. Our nervous system, which is what is affected
in anxiety, consists of our brain, our spinal cord and all of our nerves. Nerves that go to and from different body
organs and our nervous system is divided into the voluntary and the involuntary, or autonomic,
nervous system and our autonomic nervous system is divided into the sympathetic and parasympathetic
nervous systems. So our sympathetic nervous system is the “fight
or flight” nervous system. This gets turned on when we sense an immediate
danger and our body is primed to respond to that danger. The parasympathetic nervous system is turned
on when we’re sleeping and digesting, and when we’re a state of otherwise calm, when
there is no danger around. You can think of these two systems as a seesaw. One gets turned on while the other gets turned
off and our body should be able to toggle back and forth between these two arms of the
autonomic nervous system easily and without getting stuck in either one and depending
on the situation and what’s going on. So imagine that you’re walking through the
forest, and you’re feeling calm, and you’re feeling at peace, and then you look down at
what you think is a stick on the ground that starts to move, your autonomic nervous system
is going to kick you into the sympathetic, fight or flight, response. In this response your body will be primed
to either fight, flight, run away, or freeze. And these three responses are what will get
us away from the danger or meet that impending danger and this is what our body will respond
with in order to ensure our survival when there are dangerous situations that we’re
faced with. Once that danger’s gone, we’ve either fought,
flown, or frozen and the danger has forgotten about us and left, we’ll return to the parasympathetic
nervous system. We need the parasympathetic nervous system
turned on when we’re eating and when we’re sleeping. If we have problems, so if we get stuck in
that fight or flight response for too long, either because we perceive there to be danger,
or our body simply can’t switch back into the parasympathetic state, we’re going to
have problems with feeling relaxed, sleeping soundly, and digesting our food properly. Those of us who are experiencing chronic stress,
our nervous system is just taxed, and we’re in the sympathetic nervous response far longer
than we should be, because we’re constantly facing deadlines, or we have a lot more responsibility
and a lot less control, on our plate, we’re going to experience this feeling of chronic
stress. This will exacerbate someone who’s already
got a predisposition towards anxiety. There’s a hypothesis, or personality theorists
hypothesize that some of us are just born with a higher level of neuroticism as part
of our constitutional tendencies. So I see that a lot of anxiety will run in
families, especially in female patients, many of them will have grown up with a mother who
suffered from anxiety. So there’s definitely a nature component to
the nature-nurture debate in terms of what causes anxiety. So, while we can’t really affect our nature,
or our genetics, we can affect how those genes are expressed and we can look at the environmental
factors that might trigger those genes to be expressed. So that’s what I’m here for. My goal as a naturopathic doctor is to take
a full assessment, understand what someone’s symptoms of anxiety are, what the external
factors, the environment of their life is like, and look for potential causes that might
be exacerbating the anxiety, making it difficult for them to function and perform and live
the life that they know they can live. Living a life that’s full of abundant health. So, the first cause that I want to talk about
is chronic stress. when we’re stressed out, like I described
when we encounter that snake in the grass, our body will release hormones called norepinephrine
and epinephrine. Those are our fight or flight hormones. Those are short-lived, and when those run
out, our body starts to make cortisol. Cortisol is a more long-term stress hormone. However, when we’re stuck in that sympathetic
state our body becomes, well a theory is that our body becomes unable to produce as much
cortisol for long periods of time, that our adrenals get “fatigued”. Another theory is that our brain stops responding
to cortisol and we develop a kind of cortisol resistance. And this we’ll see with a lot of brain fog,
memory loss, difficulty concentrating, there’ll be a lot of weight gain, especially around
the abdomen, and people will experience a lot of inflammatory symptoms, so that’s when
we’ll see joint pain and muscle aches and, potentially, worsening of depression as cortisol
can kind of motivate us and get us going, because, if you think about it, when we’re
in a state of fight, flight or freeze, that’s an action-oriented state, once our body stops
responding to that, we enter this kind of burnout and exhaustive phase. What’s more, once our body stops responding
to cortisol, in order to maintain that sympathetic tone, to stay in that fight or flight state,
that for whatever reason our body is turned on to, we start to make those catecholamines,
norepinephrine and epinephrine again and that contributes to those symptoms of anxiety. So essentially what anxiety is is a high cortisol,
high norepinephrine state, where we have that racing heart, we have those tense muscles,
we’re looking for danger and our body, for one reason or another, expects that there’s
some kind of danger that it needs to defend itself against. So, not all stress is bad stress. You think of a new mom, she’s full of love
and all these feel-good hormones, but the lack of sleep, the added responsibility, all
of the things that having a new baby might mean to her and her life, are going to contribute
to more stress hormones going through her system. And so I’ll ask a lot of my patients if they’re
stressed and, even though I’m kind of getting a sense of high stress from them in terms
of their level of busyness, and their level of downtime and just the demands on them in
their day-to-day life, a lot of them will say that they don’t feel stressed, that they
love their job. So it’s not about whether you love your job,
or whether or not you love the things that are, basically, getting piled onto your plate,
it’s your body’s perception of those things. So, our body does well when it has enough
down time, it has enough restful sleep, and it gets enough breaks. So that keeps that toggle from the sympathetic
nervous system, to the parasympathetic nervous system, fluctuating in a healthy way, without
getting in one or the other. Another common cause of anxiety that I see,
or definitely a factor that exacerbates anxiety symptoms, is blood sugar imbalance. So, when we wake up in the —a lot of us
wake up in the morning and we have cereal, or we have those packaged oatmeals. So, in North America we eat high-carb, high-sugar
breakfasts, or we skip breakfast, or we just eat a lot of carbs and sugar in general throughout
the day. When you eat a food that’s high on the glycemic
index, that contains a lot of easily digestible carbs or refined flours and sugar, we get
this immediate spike in blood sugar, as those sugars are absorbed directly into our blood
stream. When we get this high level of sugar, we might
feel a lot of energy, we might feel really good, we get a lot of dopamine release, and
it feels pretty awesome, we get a lot of immediate energy that our body can use. But then, because our body wants to maintain
a certain level of blood sugar, what gets released next is a hormone called insulin. Insulin helps that glucose, that sugar, get
inside of our cells, where we can use it for energy. If our blood sugar shoots up too high our
body sends more insulin into the blood stream to lower that sugar. Sometimes it sends too much insulin and our
blood sugar plummets, we get hypoglycaemia symptoms: dizziness, “hangry”, irritability,
weakness, fatigue, you’d kill someone for a piece of toast kind of situation, and carb
cravings, and we respond by eating more carbs and the cycle begins again. That can exacerbate anxiety because our energy
levels are going to be rising really quickly and falling really quickly. Stress hormones are going to get triggered
everytime we enter a hypoglycaemic state. And, because cortisol also releases sugar
into the blood, so cortisol and insulin work together. Going through this eb and flow of blood sugar,
basically riding the blood sugar rollercoaster, is going to exacerbate and mimic a lot of
the anxiety symptoms that I described. So a lot of people I talk to, when they’re
experiencing anxiety, oftentimes, during the day when they’re experiencing anxiety, it’s
between meals, or it’s after a high carb, high sugar meal. And, so a big part of managing their anxiety,
or at least creating a terrain where their mental health can function optimally, and
their emotional wellness has a chance to function optimally, is to get their blood sugar nice
and level. And this means adding protein and fat to every
single meal, lowering those refined carbohydrates, beginning each day with a high-fat, and high-protein
breakfast. Nutrient deficiency is another really big
cause that I look for when it comes to anxiety. So, the happy hormone, serotonin, which is
implicated in both depression and anxiety, that’s what the antidepressant and anti-anxiety
drugs like cipralex or prozac act on, so those selective-serotonin re-uptake inhibitors. This is a hormone that gives us a feeling
of satisfaction, it gives us a feeling of uplift, it’s often what tanks when we crave
carbs, and so eating carbohydrates kind of perks our serotonin levels up. In order to make serotonin, we need an amino
acid called tryptophan, which we get from protein, and we need the vitamins B6, magnesium,
B12, and zinc, and iron. And those take tryptophan and turn it into
another amino acid called 5HTP, which then gets turned into serotonin. And then, once we have enough serotonin, that
gets turned into melatonin, which helps us sleep and regulates our circadian rhythms. So any break in either of those pathways is
going to result is us having lower levels of serotonin and melatonin available to our
nervous system for us to have proper mental and emotional regulation. When we’re stressed out, our demand for those
nutrients goes up, because our adrenal glands are also sucking in a lot of those nutrients
to make cortisol and the catecholamines. Protein is super important, not just for blood
sugar regulation, but to give us the amino acids that we need to make the proper neurotransmitters. So, I mentioned serotonin, I also mentioned
norepinephrine and epinephrine and other ones include dopamine, GABA, which is a nervous
system calming neurotransmitter, glycine, another nervous system calming neurotransmitter,
and a good source of glycine is collagen, or gelatin, which I’ve mentioned in other
videos. See the “8 Foods for Mental Health”, and tyrosine,
which makes dopamine and also makes the catecholamines. So we need tryptophan, which makes serotonin
and melatonin, we need GABA, which makes GABA, and that calms our nervous system down, we
need tyrosine, which makes dopamine, this is a feel-good hormone that helps us seek
rewards and feel motivated, and energized, also tyrosine gets made into thyroid hormones,
again, which helps us feel energized and keeps our energy levels stable and our metabolism
revved up, and the catecholamines, norephinephrine and epinephrine, which we need for that fight
or flight response and that we’re going to be burning through a lot more quickly when
we’re in that fight or flight response. And then glycine, another nervous system-calming
amino acid. And glycine also helps balance the nervous
system. Typically we don’t suffer from protein deficiency
in North America, but I see it more and more, especially low-quality sources of protein. So, chicken nuggets, yeah they have chicken
in them, but they only have about 10 grams of protein and a ton of trans fats and a lot
of processed carbohydrates. So, although we might be eating hamburgers
and chicken fingers and omelettes on waffle, we’re not necessarily getting enough good
sources of protein. So, ensuring protein from things like legumes,
nuts and seeds, clean animal products, fish, like salmon, and white fish, are all really
important and I often suggest people get 30 grams of protein per meal, so three times
a day, but it depends on your weight, it depends on your energy demands and it depends on your
lifestyle and how stressed out your are, because our demands for protein definitely go up during
stress. It also depends on how level your blood sugar
is and if you’re getting those hypoglycaemic symptoms, sometimes those people need to increase
their protein, while decreasing some of the carbohydrates, especially those refined carbohydrates,
and give their body more fibre-rich carbohydrates that the body has to work harder to extract
and release into the bloodstream. Another really common cause, or contribution,
or exacerbation to anxiety is iron deficiency. So I see this a lot in menstruating women. It’s not super common in young men to have
iron deficiency, but women who are menstruating every month, especially women with heavy periods,
and who are experiencing fatigue, definitely need to get their ferritin levels tested. So, ferritin, in our blood, will tell us what
our iron stores are like. So, how much iron we have available to our
tissues. Iron is useful for participating in lots of
different chemical reactions in the body, as part of normal metabolism, but it’s also
important for caring oxygen to our tissues and oxygen is what we need in a process called
oxidative phosphorylation, which gives us energy. So, no oxygen, no energy. And what will happen is, if we lower levels
of iron in our blood and lower levels of oxygen, our heart starts to beat faster in order to
send more volumes of blood to our tissue. So, it figures, if, with each heartbeat, i’m
not sending as much oxygen, if I just double up my heartbeats, I might send double the
amount of oxygen and try to meet the demands of the tissues that I’m sending oxygen to. You can kind of figure out, then that quick
heartbeat mimics those heart palpitation symptoms of anxiety and can trigger some anxiety symptoms. Iron’s also go this grounding affect. It gives us this nice, level energy. And there’s a very specific feeling to iron
deficiency fatigue that a lot of women may have experienced. It’s not quite like a sleepiness, or a lethargy,
it’s a very specific feeling of just depletion. So it’s important to get ferritin checked
and then find a kind of iron that you can take every day to build your levels up, at
least for a few months, and one that’s easily absorbed. So, another reason why iron might be low is
in the case of leaky gut, or malabsorption syndrome, so this can occur in somebody with
inflammatory bowel disease, or celiac disease, where the intestinal cells are just not able
to absorb as many nutrients, or somebody with IBS, so, just generally sluggish digestion,
inefficient digestion, perhaps a lack of stomach acid, or a lack of those digestive enzymes
that help us absorb our food. IBS and leaky gut are other common symptoms
and causes of anxiety. So it’s kind of a chicken or an egg situation. Our gut bacteria produces serotonin, dopamine. We’ve got about 5 trillion in our gut, and
that’s about 10x more cells than we have in our bodies. For the most part, when it comes to a cell-to-cell
basis, we have 10x more gut bacteria than we have cells. So we’re more gut bacteria than us. Our gut bacteria, there’s good ones, there’s
bad ones, we haven’t been able to isolate all of them, there’s very little, relatively,
that we know about the microbiome, but a lot more research is coming out, especially in
the area of mental health. We know that these gut bacteria can make their
own neurotransmitters. They can even specifically ask for food, so
a lot of people with sugar cravings have a dysbiosis going on where the gut bacteria
need those refined carbohydrates and that sugar, in order for them to grow. And so they’re sending out ghrelin, or hunger-stimulating
signals to try and get us to eat more sugary foods. Our gut bacteria also make most of the serotonin
in the body and our gut cells also make most of the serotonin in the body. So if we have unhealthy gut cells, they’re
not going to be able to regulate our nervous system. And if we have an imbalance in gut bacteria,
again we won’t be able to regulate our nervous system, because we won’t be producing those
neurotransmitters that we need to balance and to be able to toggle seamlessly between
the parasympathetic and sympathetic nervous systems. The gut is also where a lot of our immunity
lies. And our immune system is going to be the cause
of low-levels of inflammation, especially if there’s a little bit of autoimmunity or
food sensitivities, or allergies going on. Low levels of inflammation are going to affect
our brain. So there is a hypothesis that depression is
caused by low-grade inflammation in the brain. We don’t have pain receptors in our brains,
so we ‘re not able to detect inflammation in the way you would with an inflamed knee. If you injured your knee or had arthritis
in your knee, and you would notice that your knee was red, and swollen and it would hurt
to touch and you wouldn’t be able to walk on it. We don’t get those symptoms in our brain because
of the lack of pain receptors and so how brain inflammation might manifest is brain fog,
difficulty concentrating, depression, anxiety, mental chatter, negative self-talk, negative
thoughts, those symptoms that are really common, mental symptoms, in something like depression
and anxiety. There’s a lot more we need to research about
this, but there’s something called LPS, lipopolysaccharide, that’s produced by some of the “bad” gut bacteria. When rats were injected with lipopolysaccharide,
or when human volunteers were injected with lipopolysaccharide, we mimic the symptoms
of depression. When those same patients and rats were given
EPA, which is a very anti-inflammatory fatty acid that’s from fish, marine sources like
salmon and sardines, the depression symptoms went away. There’s also some studies in depression with
prednisone and corticosteroids, which lower inflammation really rapidly. They come with a host of side effects, so
that they’re not that great of a remedy for depression, but they actually lowered depressive
symptoms. There’s a lot of a connection, that we’re
noticing, between inflammation and depression and anxiety and we’re just not sure to the
extent that inflammation causes depression. I tend to think that, probably most cases
of depression and anxiety have some kind of inflammation present, especially when we consider
that just chronic, turned on, sympathetic nervous system and high levels of cortisol
is going to contribute to a cortisol resistance in the brain and increase neuroinflammation,
especially in the hypothalamus. We also know, as I mentioned before that symptoms
of anxiety and symptoms of IBS often go hand in hand. And so, a lot of the anxiety symptoms that
people will get are looser bowels, bloating, loss of appetite, just difficulty digesting
their food. And a lot of symptoms that people with IBS
will get are anxiety. And one of the treatments for IBS are selective-serotonin
re-uptake inhibitors, which, you guessed it, are also drugs that treat anxiety. So another common cause that fits really well
into my practice, my focus is on mental health and hormones, and these two areas overlap,
probably more than they don’t overlap, it hormonal imbalance. So, especially in women, men have their own
host of issues when it comes to hormonal imbalance, but women, because our hormones are cycling
and going through different phases all month long, we’re more susceptible to problems with
proper hormone regulation, especially in the face of female endocrine disorders such as
PMS, PMDD, PCOS, all of the acronyms, endometriosis, fibrocystic breasts, and just dysmenorrhea,
so painful and heavy menstruation, or irregular cycles. So all of these point to symptoms of hormonal
imbalance. Estrogen and progesterone are the two female
hormones and they do have effects, yes on the ovaries, and they control ovulation, they
control building up of our uterine lining and shedding of the uterine lining, when those
two hormones fall away, and that causes our period to occur, so they definitely control
our fertility, but they also have affects on other tissues in the body. One of those tissues, one of those organs,
is our brain, our nervous system, so estrogen can work a little bit like serotonin and,
so what you might notice, right before your period when your estrogen levels drop, or
women that are going through menopause and have a drop in estrogen levels, is you’ll
get irritable, you’ll get depressed, and you’ll crave carbs like crazy. And a lot of women get something called premenstrual
dysphoric disorder, where they have fluctuations in their estrogen levels. So, lowering of estrogen, or insufficient
estrogen, may cause some of those more depressive anxiety symptoms, progesterone acts like a
GABA agonist, which, I mentioned before, is a calming neurotransmitter. So, lower levels of progesterone, and I see
this in a lot with women who have something called “estrogen dominance”, I have another
video on this, and women with PCOS as well, and women who have high estrogen symptoms,
or conditions such as endometriosis and fibroids, and fibrocystic breasts, and those kind of
symptoms, or conditions where estrogen levels tend to be high, and progesterone levels tend
to be low or deficient, they’ll often have anxiety with these symptoms. And lower levels of progesterone, especially
premenstrually, often are related to low mood and anxiety, and cravings. So, looking at hormones, especially when the
patient sitting across from me has a lot of menstrual issues, and irregular cycles and
all of the other things I mentioned, I’ll definitely look into hormones and promote
proper estrogen detoxification and building up of progesterone. A common cause of low progesterone is being
in that fight or flight state. So, now I’m starting to reveal how this web
interconnects, how everything is tangled together and how cortisol and blood sugar all relate
to everything. So, cortisol, it uses the same precursor to
make progesterone, and, when our body needs more cortisol, it will steal progesterone
from the system to make cortisol. Because our body has to prioritize sometimes,
and getting away from that snake in the grass, and saving our life is more important than
making babies to our body in the short-term. So, we suffer in the long-term if that snake
in the grass never goes away and we’re always kind of worried about juggling all the things
in our lives. But a lot of women who are chronically stressed,
or are in that sympathetic nervous state, will have lower levels of progesterone, so
doing a lot of adrenal support is one of the ways that we help their bodies build up some
progesterone. And then, finally, I think I mentioned before,
there’s a reason that we have anxiety, it’s not an irrational fear. A lot of the time when I sit across from patients,
the things that they’re worried about are legit things to worry about. Maybe they’re out of work, or there’s financial
worries, maybe there’s just so much on their plate that it’s difficult to find any time
for themselves, or make ends meet, maybe they’re unhappy with their career, they’re relationship
is in jeopardy. There’s all kinds of things that people deal
with on a daily basis. And then, that being said, there’s also people
who are just primed to be more neurotic than others, based on that spectrum of neuroticism
in terms of personality and constitutional predisposition. And I think we know this, there’s some people
who are just a little bit more anxious than others and that diversity in human personality
probably helped us evolutionarily and so I think there was obviously an evolutionary
advantage for someone who’s nervous system was a bit more responsive. Those people could get away from danger, they
were expecting danger more often, and they probably ended up surviving and passing their
genes on to their ancestors more readily than those who were way too laid back and didn’t
think about danger and got themselves into risky situations. So, those who are a little bit more neurotic
may be predisposed to negative thinking, over-estimating the negative outcomes of certain events or
maybe engaging in critical self-talk. Especially in the case of post-traumatic stress
disorder, PTSD, there’s definitely a connection between early childhood trauma, or just trauma
in adulthood, some of these experiences can teach us to turn our nervous system on, or
to get triggered more easily as a way of surviving in the future. There’s different areas of psychotherapy that
deal with these phenomena, and they term them different ways, but they can be called core
beliefs, or certain mental schemas, so when our brain experiences very strong emotions,
the amygdala wires those emotions down in implicit memories. They’re really tightly wired and those memories
get triggered again whenever there’s a situation that reminds us of the situation that wired
down those responses. It might be a certain smell, or a certain
sound, or a certain song, something that activates those memories, that may not be conscious,
because the amygdala is pre-verbal, will trigger those feelings of fear and prime our body
to respond. And the problem is that we’re surrounded by
potential stimuli all the time that can trigger that. And so, really understanding what triggers
anxiety symptoms, where those triggers may have come from, and bringing those memories
up to the cognitive, cerebral cortex and rational mind, so that we can help dissolve those memories,
is a big part of psychotherapy and how we manage anxiety with psychotherapy. Especially if we think the cause of anxiety
may be related back to some sort of childhood trauma or implicit memory that was consolidated. Those are some root causes of anxiety that
I would look for as a naturopathic doctor, among many others. What an intake will look like is a 90-minute
conversation with the person in front of me where I get to know them, and understand the
environment surrounding the phenomena of their symptoms, the symptoms themselves, and all
of the other different factors that might be contributing to the anxiety that they’re
displaying. So, I’ll ask about period health, I’ll ask
about sleep, I’ll ask about their energy levels, I’ll ask about any other physical symptoms
they might be experiencing, their digestion, what their stress levels are like. We’ll go through a review of systems, looking
at every single organ system and trying to create a tabulation of how anxiety might be
manifesting for them, and we may even explore what their core beliefs are, or implicit memories
are in future visits. And we’ll talk about diet. And then I’ll make some recommendations as
I begin to understand what those root causes of anxiety might be. So we’ll look at whether they may be experiencing
nutrient deficiencies, leading to an imbalance in proper neuroendocrine production, if there
might be some inflammation going on, if they may be experiencing some digestive issues,
or some hormonal imbalances, or if there’s chronic stress going on in their life. And so what we’ll do is, once we find out
the causes, we’ll engage in some psycho-education, so I really believe in empowering my patients
to understand their bodies, to be able to notice when things are triggering them, to
notice what exacerbates their anxiety, what makes it better, and to develop a self-care
plan where we’re eating right, we’re thinking right, we’re exercising right and we’re getting
enough rest, if possible. So that’s the gist of it, that’s Root Causes
of Anxiety, my name is Dr. Talia Marcheggiani, I work in Bloor West Village in Toronto.

32 thoughts on “Roots Causes of Anxiety

  1. Great video. I'm having an Anxiety Exacerbations. I feel like crying, feelings of guilt….. 🙁 I hope it subsides

  2. My problem iron deficiency
    Was taken off Lorazepam cold turkey been off 3weeks haven't slept. Maybe 1 hr in the morning I can't work in broke I need help don't want to go back on sleeping pills I've tried vitamins you name it have racing mind. Please help.

  3. Great video thank you as regards to psycotherapy Reflective Repatterning a way of using all 14 meridians at once and working to balance opposites is by far the best emotional trauma fear treatment, I have helped many with amin acids too so great info thank you

  4. I wish I could find a doctor like this in my area (mental health naturopath), they don't seem to exist. There's a lot of naturopaths out there who are frankly, shysters. They claim to be able to heal everything under the sun (as long as you fork over the big bucks). This doctor seems very sincere and extremely competent.

  5. Instead of Dr's giving meds and sending someone too a Psychologist or Pschyatrist for anxiety they should send to a Naturopath Dr. I'm so glad I've become my own advocate for my health these past two months.

  6. I have a question. I can't afford a naturopathic doctor visit. Of course my insurance won't cover it. I'm in the process of having all of the tests done that naturopaths recommend for mental health. Which doctor is the closest to a naturopath, without being a naturopath? For instance DO? Or Internist? Because my MD is an idiot. I'm putting these results together and it explains a lot but my doctor thinks I just have anxiety. Would love your feedback and thanks for the amazing videos.

  7. It's a very good presentation but such a shame that the presenter uses that Kardashian vocal fry at the end of every sentence or pause, croaking away like a dead frog. I'll be glad when the trend dies off.

  8. So what you're not saying 250 mg twice a day and a vitamin B will take anxiety away so that's all bulshit cuz I take it I've had it and it works for me you don't have to take drugs

  9. So basically the cause of anxiety are the neurotransmitters imbalance and stomach disbiosis , bad diet, stress that influence the brain and body works. Probiotics help aid the digestion. So the solution would be : magnesium+ b-complex. Then Avogel avena oats for nervous system+ GABA herbs (passion flower or lemon balm). The fastest relief would be rhodiola that can increase the neurotransmitters fast and anshwagandha to balance it .The avogel Vitex chasteberry and schisandra and ginger are good for PMS:) For racing mind I find out the best thing is to exercise and , reishi mushrooms, and passion flower/lemon balm. Ideas.Great video. (ツ)

  10. Your video has really good graphics on it I like the way you did the letters what program did you use to put in your letters over your self in the beginning of your video

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