ah, so much different culture between here and there. so challenging for everything. ah, and so miss, i think it was worth it for me to come to germany shop my got my license to work as a swimming instructor. so now i teach children adults with what's your story? take part, share it on info, migrant, dot net. ah ah, ah, lack of social contact, fear of becoming infected, financial worries or grief of a deceased to loved ones. more than 2 years of the coven 19 pandemic have had a tremendous impact on the mental health of people worldwide. according to the world health organization, anxiety and depression increased by 25 percent during that time. a massive jump.

young people and women have been hit particularly hard. how to deal with anxiety more on that in this week's in good shape. with ah, they're pulled on him. yes, there was a point where i slowly started realizing that this fair was bigger than a normal fit. i was no longer living my life. i couldn't join in with anything, any more. titanium condos, the shells of vehicle is. know. i know that my apartment are at work lots. everything else was so stressful for me that i just avoided it hard as this to. and fro from eden up. cast in cool is not alone. up to 70 percent of the world's population will develop an anxiety disorder. at some point in their life time.

many sufferers have physical symptoms like trembling, shortness of breath, rapid heartbeat, or sweating. cast in who has experienced these symptoms. doctors diagnosed her with social anxiety disorder, also known as social phobia. it's a fear of interacting with other people. the most common phobias, a specific ones, like a fear of spiders or heights. most people can live with these phobias quite easily, says katia petoskey from mines university medical center march. she says it becomes more difficult with the less common non specific phobias. ready fighter i fix that i. the 2nd most common anxiety disorder is panic attacks which are very sudden bouts of panic that come out of the blue yema. i'm attacking a can fighting it is and i made a social anxieties that a very, very common i'm the, the other people i, everyone can relate to little to that and the feeling of speaking in front of other

people and worrying about what others think about the fear of being judged is very common anthem is even their, their wifi for treatment. by the start. the pandemic casting cool had just completed therapy and was ready to go back to work. then came the lock down, the slash on it was really difficult. my now i'd made good progress, but that suddenly stopped me in my tracks and sat me back a bit. i was took my door to look of awful. alice vargas schwarzenegger. everywhere . closer to thornton, i social interaction was very limited. which made sense, but it was counterproductive, in my case, i'll talk to you for a long time. she wasn't even able to attend her self help group. once the restrictions were relaxed and meeting people was allowed, it was a bit like starting all over again. dines either that are on the one hand i thought, oh thank god finally back to normal. but on the other i was one again,

no longer used to being with people. and so i had to keep forcing myself to get back into life to work. so dear in slavery. so how can these kinds of disorders be treated? who as an astro who's in principle, anxiety disorders can generally be treated very effectively mid from one's and fast to 25 sessions are enough with behavioral therapy, for example. now they're psychodynamic therapy, which takes a little longer. and if we find that the psychotherapeutic approach is not so effective, then we can give some extra help with medication in the form of anti depressant, sophomore or whatever. and he did the cba, allison hill 1st and all life after 3 courses or therapy cast in call. come once again live life without being ruled by fear on the spot stacked me not to it. and that inspires me, of course, to continue acting on myself and on my fears zone and on my own. yeah, thanks. feeling afraid sometimes is quite normal,

but he fears start to determine the way we think and behave. then it could be an anxiety disorder. those who are affected shouldn't be afraid to seek professional help. regardless of whether we're actually in a threatening situation or just frightened. the same thing happens in the body. every child, when we're scared our body releases certain hormones like adrenalin. these hormones causes us to breathe faster, our hearts beat more rapidly, and more blood flows to our muscles and the brain receives the signal, watch out. fear puts our entire body on alert, so to speak. if it were necessary, for example, we'd have a lot of energy to flee, and it's a reflex that we've inherited from our ancestors from thousands of years ago could well have needed for survival. the body switches interfere mode incredibly quickly

in a fraction of a 2nd. and when you're no longer scared, it normally shuts down its alarm system quite quickly again. but if you stay in fear mode for a long time, it can create other symptoms, such as sleeping problems, especially in children and adolescents. having a sick child can be a big worry for parents. sometimes it's not something like an infection that's to blame for their physical pain. 2 but psychological stress, or anxiety spill of into is an expert on this phenomenon. she knows that in many children, negative feelings containing to pain sickness. the fool entity and emotions rise in the brain and the brain doesn't always managed to interpret them correctly. bizarre said, the child doesn't manage to say it. okay, i got annoyed and i understand why. and now i'm going to take the following steps.

is this interpretation doesn't really happen properly for some children and adolescent them and is instead translated into physical symptoms of the brain sort of translates it directly into hormones that are released have want to stress hormones and things like that. one l. amethyst, young children mostly suffer from stomach aches, while teenagers complain of head or backaches. the causes are often typical stress situations, like a conflict in the family or a parental argument or school stress. like worried about homework problems with the teacher. all being bullied or excluded by classmates. all sure, thank being left out or insulted is something that's very stressful. if we know that from research them, when you feel excluded from a group, or if you face insults, whatever, they're very big stress factors that doesn't the ethic with a bilateral fucked one, pediatricians need to check that there aren't any physical causes for the pain. but if they can't find anything,

they still shouldn't tell the child there's nothing wrong. vitamin zach, if you say there's nothing wrong you're failing or something, then there's more of your risk that child will develop more symptoms. and as i said, think the child does have a problem opening despite the pain, the child should probably not just go to bed. sticking to a daily routine can be helpful for them, including going to school. there are experience shows that when a child goes to school, their symptoms tend to improve. the good news is that child centered psychotherapy can help the child can learn to understand what's behind their discomfort and how to deal with it better. but often the child doesn't get that support because the problem isn't recognized that increases the risk that health issue is, will continue into adulthood. a possible episode in adulthood constant fear of illness hypochondria over the past 3 decades. this condition has actually become more widespread. that's what one study shows,

but the study could not confirm the see says that increased internet use and googling symptoms were to blame. alexander is a hypochondriac and tells us his story. he wants to remain anonymous. the mag savage doesn't seem shun m. a skin. does the same, i noticed it when i was a child dragon was trying to hurry up. i've always been very introspective and had to because i'm always kind of afraid of getting a disease if i'm oh, very afraid of being handicapped by a disease indicates as i'm just would have done implant sepi much living. i've gotten increasingly worse as i've gotten older. so good not to the point where i have become extremely preoccupied with the topic i've shifted to google. so googling it and extensively researching all kinds of things. i've just picked up the server or i've just gotten from my acquaintances or my family circle because drives him from building clothes and also become hugged his fear of serious illness

such as cancer or a heart attack paralyzes him. these convinced that symptoms such as heart palpitations were headaches or life threatening, which had target go up to her of her days where i've listened to something in the morning. and then i haven't been able to stop thinking about it all day. even at work, in which wrangler and so i've been constantly listening in or googling was braden's . and that's when i knew that i needed to do something about it. he seeking help from psychologist colinas our. she knows how much people who have fears of illness really suffer. hypochondria is still a taboo subject. as i am, some tomb is in what is symptom is really the fear which is very pronounced locally which and then also reached the extent of honey katara and severe anxiety and name can to spite of us mute. the 2nd thing we observe is that the person also frequently reports having physical symptoms, palmer bush and these are, than also triggers of this fair and the highest. but as they perceive something in

themselves, some type of pain hasn't happened. and then they fair that this is a symptom of some kind of illness. while in distress, sufferers tell family or friends about their fears. their constant worrying can also place a heavy burden on those around them. people suffering from hypochondria also go to the doctor frequently. as a result of all the fears and worries type of contracts can become depressed. this makes it all the more important for those affected to seek help during psychotherapy that they learn how to deal with their crippling fears. jasmine, i mighty this organs to fight and one goal is to reduce unhealthy behavior and recklessness. so learning, for example, to stop monitoring your body constantly and it's on by when you get the edge to do that consciously switching behavior and doing something else instead or deferring it until later abba, our patients also learn to change their doctors visit. and then as deciding together with the therapist, what criteria need to be met to justify seeing

a doctor and fastens good criterion? and so they don't go to frequently and aren't running to the doctor every time they need reassure and physician. that's good. it's exactly what alexander has learned in therapy to stop the urge to google a symptoms every day. if you live with compulsions any more, the urges that have negatively impacted my life so much and that have restricted me in my thinking when things. and so i always thought you start to think about that you have to do that, you have to take the tablet with you as well. so that's all gone. it was submitted, so everything's easier. now. holistic and i approach things much more calmly and light heartedly than before. you lie stone, unbelievable. and as for her in sara p francs i, he exposure or facing your fears is a very important part of successful treatment. so if you have a fear of crowd, so confined space is the only way to overcome that. fear is to go right into that

situation. and notice how the fear gradually goes away. virtual reality technology has been used for some time. now, as a way to do this in the safest space possible, sebastian evers preparations for a therapy session look like he's about to start playing a computer game. and that's not entirely far fetched for several months now. he's used the technique familia from the gaming world. in the treatment of mental illness, he provides therapy to people with anxiety disorders using the actual reality. i'm talking about social phobia, not being misjudged or afraid of others criticizing guns and agoraphobia. that is the fear of being in the open when we're moving around on public transportation. a golf will be as will the youngster liza,

the conditions we treat most often in our clinic. when people have serious problems and can be inhibitions, as he doesn't dia over puts, it leads to serious interference in private life force. for example, if you can't use public transportation, then you can't get from bound to be and maybe you can't get to work or visit friends from allah bid on conflict. it's hard when people withdrawing and are excluded from social life. it's been oscar, oscar lawson, austin's ultimately want to light on so forth. so far, phobias have been treated with classical therapy and then later with confrontation of the anxiety provoking situation commonly known as exposure. training. exposure training is still used only now the situation confers the practice virtually was better than what else gotten better? i save a lot, i honest, and i have easier answers with this therapy, but, and the patients except you until a certain you could knock of, you know,

that's pretty well proven that pigeons do very well. and they participate in exposure training more readily to demonstrate hell, virtual reality is used, sebastian ever has asked a colleague to try it out. test inch tass, burger doesn't suffer from an anxiety disorder. so she's completely unprejudiced when it comes to the virtual situation. yeah, are you okay? yes. we're looking at a big square now. take a look around 1st and see what it looks like. okay. then keep walking in our police officer's coming. they have questions for you to good afternoon. good afternoon. we are conducting a systematic id check here to day. we would like to check your id very briefly for why you don't have to be novice. this is just a routine check. okay. the doctor and our camera only see the situations in 2

dimensions. the coast, in strasburg, the scene is much more real. she's much deeper in the virtual world through the 3 d glasses i have a cigarette. if i don't smoke, sorry. as of the story seriously, i sir is really very, very rare. as if i were talking to some are on the street quite normally within the you just have to do it a bit emphatically like the person who wanted the cigarette. and i told him that i don't smoke, it's amber. i can happen in real life. oh. and yes, it's definitely very realistic. so far, sebastian ever can use 6 different virtual situations. the therapy purposes, from elevators which get stick to speaking in front of a crowd to using public transportation. initial experiences with this type of therapy have and positive by one patient. this darted here perspiring so much that his glasses fogged up, but when he was shaking, they could sit up and we'll be in

a way that is virtually for he session switched and then he went outside. it was mainly a matter of moving along busy roads at the pharmacy last on the phone. he finally did it by himself than i explained, little they're done with my motto. it was after a while he came back into the room. it was the same situation as at the beginning, but you clearly saw less sweating and less anxiety, lena, amongst a liam, if you're thinking that most video games have much better graphics quality, you're right. but the therapy scenarios don't have to be any more real than these graphics was our rational selves recognized that it's not very real, but the fuel system is not interested in that in the fuel system is very archaic. even a worse graphic would be enough to activate certain movie years if there is an anxiety disorder. and even if you don't have an anxiety disorder at all, if you put a glasses on and i subject, you'd have stressed with these situations, not the police interested in you in being in a hurry, it's out of your system as

a very primitive sister, it's easy to activate and so that's also a problem with anxiety disorder, pain lester, life activity m does this off as probably now still further research is being conducted to determine whether the therapy can be used to treat other types of anxiety, temp, anxiety, and stress a directly related stressful situations can increase anxiety or even trigger. let's just take a deep breath, a well intentioned piece of advice many are aware of and it's true. breathing exercises can be an effective tool against stress. but the how is also important, and it seems that many people have forgotten how to breathe correctly. or every day physician to must, mice spends time consciously exhaling and relaxing. before he sees his patience or

the autumn, his move your globe are used to find the idea of mindful breathing, intensely annoying coaches before i thought it was just easier to read nonsense that he got angry about it. but then i started to delve into it a bit deeper pieces. i to the i saw that the gas we exhale up, got c o 2 is central to regulating the entire body, his unto cocoa frequency of atom foolish bus. we were amazed at how many people display certain medical irregularities and testers he left for no apparent reason. so in the see, we're not sure exactly christenson, but it's somewhere between 10 and 30 percent of the population. and it's probably a result of prolonged stress or from unholy contemptuous stress affects the age old structures in the brain designed to prepare us for fight or flight. if we're permanently under pressure, the body reacts with barely visible short and rapid breathing. this is called chronic. hypo ventilation. this process is automatic and largely unconscious. mm

hm. the brain stem and sensors in the carotid artery regulate breathing rate and depth. with at rest, the average adult takes between $12.18 gravity per minute. oxygen is inhaled carbon dioxide exhaled. what many people don't know is that our breathing is not controlled by oxygen, but by carbon dioxide levels in the blood. if we breathe faster under stress, the c o 2 content drops and this has far reaching consequences to little c o 2, for example, leads to reduced blood flow to the vessels and the brain that can increase pressure in the brain. we feel unwell and can't think clearly. another consequence, the ph value of the blood changes here, even the smallest shifts disrupt the biochemical regulation of the cells. won,

result is less free calcium available in the blood. possible symptoms include muscle spasms, cramps and urine ability. mm hm. and there are other symptoms as thomas my suspicions tell, it seemed dog how awful feelings of anxiety, etc. i felt like an elephant was sitting on my chest food as my suddenly felt dizzy . the sun had a notice, ocean was not able to form. it's not all been scientifically proven as yet, but thomas, vice is convinced that certain ailments are linked to incorrect breathing. as is the case with this patient. she suffers from dizziness. in addition to comprehensive diagnostics, patients receive special training and breathing, using a so called captain ometer, which displays c o 2 levels. they learn to observe and consciously regulate their breathing. with

the therapists also work to ensure the patient is able to completely relax this sense or message to the autonomic nervous system. women this vicki to t bone if you want to influence the autonomic nervous system call, you have to use the language that's very close to the body. and even animals can understand the and so we work with large, with heat, hot with food and drink beat as to communicate to the autonomic nervous system that everything's fine. there's no need for an alarm response to increase c o 2 levels. patients also learn about the importance of breathing for the nose 15 hours unless it goes through the nose. so we encourage people to breathe with their nose to ensure that patients brief of their noses and not their mouths even during physical exertion, they exercise on a special treadmill. a vacuum bag supports their body weight. gravity and speed can

be adjusted and are set to the limit where breeding the nose is still possible. thomas vice is committed to the scientific nature of his work. so far, there has been relatively little research on breathing. around 50 scientific articles on panic attacks. asthma and other related subjects have been published by alicia puritan, a psychologist from texas. one of the most essential finding from the studies done with the last 20 plus years is a deep king off the suggestion or the recommendation that when a person feels anxious, panicked to take a deep breath. instead of telling mindfully for a long time, that would even stop a panic attack from turning into

a medical emergency of pre reading or bursting ventilation. 0 when use to me or dos, rescue less medications and rescue medications. s in dilates or oh, that is a nice place to come tomorrow. come by and go. it won't cure a tumor, a broken leg or pneumonia, true, but it can help severe functional disorders. in despite any command, we see a marked improvement in migraines, fibromyalgia, irritable bowel syndrome, functional dizziness, a ship, and very much in fatigue syndrome. we ship in some cases, a drastic improvement and

a short time in court. so now it's your turn. try out some of these stretching exercises without alia, dumber and pay attention to your breath with hello life to have it. here, we are all the there. and because of that, i show you the perfect stretching exercise, which you can do everywhere and all the time. now i show you the exercise. grab your ankle, bring it to the proceed leg. and they say this life if you want to, you can bring your hand on your knee and press a little bit. to have a little bit of more stretching. only press as hard as it feels comfortable for you. and one thing, it's also important that you have

a straight back with this exercise is perfect to stretch your whole last us off your back end because we're sitting all day long. it's really important. have fun and see you next time and in good shape, with a with

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