what secrets lie behind these walls. discover new adventures in 360 degree. and explore fascinating world heritage sites. t.w. world heritage 360 get me out now. hello and welcome to in good shape on today's show can sense help manage illnesses . sleeping and fear what's behind a recurring nightmares. and panic attacks and phobias what can be done about anxiety disorders. we all feel frightened or worried sometimes but sometimes fears can get out of hand when spiders injections or crowds trigger panic for

example everyday life can become extremely difficult to navigate. but often victims and the way to the station i already felt that something wasn't right but not in that superstar i got on the train and then inside i could relax absolute gods but waiting until i noticed i was starting to shake that i felt hot and nervous i couldn't focus on what we could to be sure of god and then i thought why not i got my phone i made an instagram story it's a story. by the last public up i had my 1st panic attack here i was on the trial going to be guy i remember i was sitting up front. suddenly i felt really hot. i didn't know what was happening i began to shake the sweat fits after a few stops i had to get off at 1st i wanted to walk but couldn't someone have to pick me up. halfway there my friend arrived to get me in her car and drove me home

where i stayed for a while on the whole of the farm. believe. discovery. i could relax a tall but i was always in a panic i always felt tense and bad i couldn't go outside i couldn't go shopping it was going to call other people have to shop for me when i couldn't leave the house for weeks at a time or to. use a gun sometimes even intense phase when i got panic attacks at home lasted around 2 months so i'm bored but i still get panic attacks and episodes of anxiety because artist storms and there were times when it stopped for 3 weeks each year i went to northern israel to take care of children and teenagers because before you could not have you when i was there the panic attacks would start i just didn't get the author i think. so last year was a disaster i got to italy and the anxiety didn't go away.

i married because i thought this isn't how i want to live my life for the next few years that's what was in my head until one day at the end of last november i felt motivated enough to think ok to hell with there's today's the day that i have to do something. i grabbed my phone and tried almost every mental health clinic in castle just standing up to the top of the fakeer the parks it's hard to find a therapy appointment. finally i found someone thank god i got an appointment super quickly i'd say it saved my life. my lips. and it up you have is it so my therapist and i were able to develop solutions for acute situations as well as tips and tricks for coping with panic attacks. and i learned how to get outside again and that was the most important thing. you can talk i had to take the tram to the train station each day for a week then i had to take the same route each day from the train station into the

suburbs and then back again to talk i had to keep a diary of my tension a kind of log then as much as i hated it by confronting as i realized ok actually nothing bad happened to the. stream is a sea of my anxiety level actually decreased day by day before talks the talk by told i think that was one of the most important parts of my therapy because i then realized ok wow i really can go shopping now if i was able to ride the train for an hour yesterday when i called to convince yourself that michigan looks. good to the c.d.c. a core group of people who suffer from mental illness don't just have to cope with their mental illnesses but also with the top at their completely sidelined by the rest of society. so i say about 25 percent of my problem was the anxiety and depression and about 75 percent was worrying about what other people. you know i thought to myself nonsense this is ridiculous i know for a fact that

a lot of people on. aren't doing so well it's not just me dr who didn't just want to keep it to myself so i decided to make an instagram post. post. most often type i posted on instagram the fact that i have an anxiety disorder. i noticed that so many people even more than i'd realized the same or similar problems so i've never regretted posting it for a 2nd. to describe it's now open with people who know me and say hey i can do this but i'm not well because of my anxiety disorder and they'll say ok if. i wanted to be clear that there's no reason to be ashamed of mental illness there's a lot everybody understands it's an illness like on the other. and there's no reason to hide us.

in today's interview d.w. reporter talks to psycho therapist from s. a movie she works with people who suffer from panic attacks. the fear of other people are wide open spaces. what sort of treatment options are available to them. fear is not necessarily nice feeling but it can also protect us potentially from dangerous this fear have a worse reputation than that deserves i say fear as experience as a very uncomfortable feeling on the physical well and the same time socially feel is not really accept but yet let's imagine what would happen if we didn't experience any fear let me explain through an example what would you do if i put a tiger here in front of us on the table

a wild wild. without any chain my initial reaction would be to run away yeah exactly you would run away because we know that the tiger is a potential danger for us the fear that appears together with the idea or makes then we. start acting then we start running away so i would say yes. fear has a wrongly a bad reputation because it saves us from danger at what point would you classify ixion t. as an x. 80 disorder. anxiety disorder or means actually a group of friends psychological disorder. where the person experience anxiety where there is no tiger on the table where there is no danger or you have a pending us all to where the person suffers again and again from panic attacks are

coming out of the blue the person is not interested to ation doesn't see any danger but appears like a tornado or. arises from 0 to hundreds of personally completely overwhelmed helpless. the heartbeat gets very very fast the breathing as fast superficial so. the person can get the feeling that there is not enough air to breathe. one can have the impression to to experience a heart attack the person is afraid of dying it can take one hour but normally after 30 minutes it's over do you have some practical advice on how to cope with exciting or be able to reduce it yet it can have already.

to yourself that anxiety is a feeling that comes after while also goals and even the most intense of farm like the panic comes and goals and that it's over after a while. it can also help to talk openly about anxiety to other people. next to that i mean there. are things you can change in your everyday life like reduce cigarette or reduce coffee. you can integrate in your everyday life like regular spores regular physical activities like running hours cycling or swimming. you can learn how to brief correctly which is normally through the nose. barely. 5 seconds inhaling 5 seconds exhaling.

you can learn relaxation exercises like training muscle relaxation and reactive. are mindful on the exercises like meditation yoga are breathing techniques that can relax the body it's important to do them regularly to do to do them only when you have a panic attack doesn't help you have to train your body it's like training a loss for and if i maybe know someone who suffers from excites he can i support them somehow i would consider someone comes to you and talks openly about his anxieties to you to value that one has done that the person says that it's really in 10. really painful and she feels like

a. every day maybe supported the person to get professional help because a professional person has enough distance to the concern person. could really try. and do what not to get. too much into the other person's problem so we conclude that fear is not always a bad thing the best thing to cope with exiled to better is to practice breathing thanks so much for this interesting talk thank you. tossing and turning heart racing by tirumala you sleep nightmares are mysterious and fascinating but if they happen all the time you might need help. many people suffer from recurring nightmares this young woman is among them one night has been torturing her for years they are talking about mark. i'm looking for

my mom i'm standing on the street dark and rainy there's a manhole in front of me. then the light comes from inside i look in it sounds weird but i pull my mom out by her hair. and she's not alive anymore michael. before she had that night for the 1st time she had a happy childhood. that was how we used to live in a house with grandma and grandpa that was lovely because grandpa always picked me up from kindergarten someone was always home and i love that i was a daddy's girl and then it was all gone. her parents separated the 5 year old then lived with her mother she was often afraid at night and she was often left alone the staff. being alone at night. and looking for my mom was horrible.

for a long time she feared separation and loss then at $25.00 she started having nightmares each night and could hardly sleep she kept to herself and had panic attacks she was afraid of getting ill but also of taking meds she was even afraid of taking out the trash. could the cure after no one could relate to it i felt all alone and then some started saying pull yourself together i get nightmares to war i don't have any idea why they go. after repeated attempts at getting professional help she made psychologist carlene mark stick. they've met once a week for the past year now she understands where the nightmares came from. thomas and. nightmares are dreams characterized by strong negative emotions and in nightmares we process feelings that we can't cope with in our daily lives simply because they're too intense and one treatment for night with is called i movement

integration o.e.m. i could i'm no longer alone i'm no longer alone. the patient watches the pen while hearing certain words. the entire surface of the patient's brain is activated by targeted by movements that means all memory node experiences get activated so that you can then link the traumatic event to those memories and then the brain can find solutions all by itself. in. writing down her daily experiences has also helped her deal with her nightmares. more for what i write down 5 positive and 5 negative things how they made me feel and what i did in response then i've written them out of my head for. the 32 year old has finally come to grips with her past so what are her dreams like now i was very good very nice tree.

if you have a fear of flying a virtual reality trip with a therapist might help you get over it you stay on the ground but it feels like you're in the air it's cold confrontation there are. everyday activities that can be stressful such as shopping walking in a crowd or using public transport bearable for millions with anxiety disorders often getting therapy is the only way to cope with the distress they experience but what can they do if even getting to the therapist presents an insurmountable psychological hurdle a question that brother's union and christian along with their business partner benedict have long thought about. being a lot of business to few people realize that anxiety disorders are germany's top mental illness affecting about $10000000.00 people each year. and about 5000000

people in this category have a primary diagnosis such as agrah phobia social phobia or panic disorder out of politics. with a start up same patient they've developed a form of digital psychotherapy it's tools a smartphone and factual reality goggles if some patient and the idea for sim patients and for inverts of therapy came from a clinical pilot study with very promising results the idea developed that we could make this easily accessible by using virtual reality via smartphones instead of relying on large scale systems. patients won't be left to fend for themselves they're assigned their own certified psycho therapist companies them throughout the entire paradigm what is on the top of the university medical center. and is the clinical partner for that the art therapy here to the digital therapy is seen as promising. ep. the 1st of many on xyzzy i. it's

conduct exposure therapy that is exposing the patient to the trigger situation with the a differential reality which. we know from experience and from many experiments at these virtual situations work almost as well as when the patient is exposed to a real life situation. that is the situation may not be real but the experience is real and that's what matters. for many sufferers virtual therapy is one possible path towards an anxiety free life. the phone rang and the obvious thing is to answer it but more young people are showing away from talking on the phone they say they prefer texting but for some it's an anxiety telephone or phobia. smartphones have completely changed how we communicate with each other but in the

past teenagers would have called their friends now they prefer to message them. if thank a telephone that phone call is so so immediate that when you get confronted with a question and you have to want to straight away. whereas with e-mail you have time to think things through and you can make changes to what you've written something you can't do you want to call them. then see if it's just a question or if i just want to brief exchange with someone i tend to write because then they can answer me when they have time. if the conversation is one that could become a bit unpleasant messaging helps avoid that. the. player merits are not alone according to a study into media use among young people just one 5th of those aged between 12 and 19 use their mobile phones to make calls. instead they sent text messages.

some of even developed a telephone phobia psychologist barbara schmidt. you know is that if you think of embarrassment. yes when there's an silence or if i don't know the answer to a question. it's some presence. barbara smith researches anxieties and hypnosis at the university of vienna she believes that simple hypnosis techniques can help with telephone call anxiety. you take the telephone in your hand in the number hold it up to you hear. all these actions can trigger a feeling that can be anchored through transfer example. i can say that everything will go smoothly and this feeling then becomes connected to every single one of those actions and those actions then trigger the feeling that things will go well it works brilliantly and it's so simple and restrict. lay on merit like the idea

and hope it'll help them choose to make telephone calls more often in future you know. i was. in good shape your weekly health show on t.w. covers many aspects of health care we look at what's new in medical treatment nutrition fitness and beauty. we talk about these topics in depth with experts and give you the chance to pose your own question so do get in touch. there are various approaches to treating fears anxiety and being and success is not always guaranteed researchers are currently exploring whether sniffing sense can prove beneficial their findings are intriguing. sense otis smells a company our everyday lives we can't see hear or touch them but they are very

present and they influence how we feel. being is even more to smell is a deeply emotional sense that's what fascinates me smell operates in the background and all of it but. that's what allows for a long time it wasn't properly appreciated many patients say you when you notice how important the sense of smell is once you lose it because. thomas homer is a physician and special in smell. and his research has found that science can help in the management of certain diseases because of the direct link between nose and brain. the census reached the all factory cells a very short distance from the our factory baldwin which is part of the brain from there information is passed to brain areas that have a lot to do with memory and emotion. dr and she haina is also a specialist in smell she and thomas homer conducted

a study of scent and memory with 100 elderly patients the question they wanted to answer was does regular smell training enhance cognitive capacities. and had managed when we compared small training and playing sudoku smell training did much better with respect to commission for example in these patients their speech became more fluent of them. enter the know where they were up to 30000000 off the tree cell. if they register a scent molecules vanilla pine or lavender they pass on the information to the brain to the limbic system which is associated with emotion. and to the hippocampus which is associated with memory. there is a direct path from the nose to the brain that's why the sense of smell is like a key that opens up votes of memory and emotion. the scent of

a person get dumped into triggers a flood of memories. one sniff of a certain detergent and one is transported back to childhood. sense can engender a feeling of contentment that power can be harnessed to help people with mental issues studies suggest that smell training helps some deal with nightmares and sleep disorders. we have now. we conducted a study with patients suffering from post-traumatic stress disorder they had horrible nightmares and slept poorly we exposed some to scents during the night it turned out they slept better and had fewer nightmares than those who just breathed regular air. brainwave patterns indicate that smell is registered by the brain

that is true of pain as well could smell training help treat pain. we see how scents affect the moods and emotions and how they affect cognition specifically attention and concentration these things all play a role in pain as well. manson almost since link could nation and emotion thinking and feeling the 2 sense scientists contacted good on gas hog a pain expert so they could explore possible connections between the sense of smell and perception of pain a woman's need does the only factory pathways are directly connected to neural nodes in the brain that are important for the perception undervaluation of pain. consider how intense you feel or pain to be about can you perhaps influence that perception by means of sense. of this migraine patients lives the scent of cloves peach orange and lavender containing these files every morning and evening

as part of a study. another study already completed with back pain patients yielded interesting results. i want to end on that one thing we investigated was how intense the pain feels a tiny particular moment we gave the test subjects an electrical stimulus and asked them to evaluate how painful it was what we found was that after small training pain felt less intense than before patients tolerated more pain and. sniffing pleasant sense as a way to combat pain dr gosnell's says her patients seem to appreciate this gentle therapeutic approach. massage and i was somewhat surprised by our findings the pilot study looked at quite a small number of patients but the results were none the less clear i was also surprised that patients wanted to carry on after the study was completed by tomorrow what sense are it turns out more influential than one might think and

a walk in the woods is also an aromatic adventure that is good for body and soul. that's all for today's edition of in good shape good bye for now and see you next week. coming. up the atlantic to.

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this is day to be news live from baghdad more deadly conflict between israel and hamas militants tanks call on targets in gaza after hamas launches a wave of overnight rockets and an israeli airstrike kills at least 10 palestinians including children also coming up it's a lesson in be careful what you wish told before the pandemic dentist wanted.