wanted to a foreign planet in the 16th century, it meant being a captain and setting sail to discover a route, a race linked to military interests, a race linked to political and military, christy, but also linked to main financial, adventure full of hardships, dangers and death. my jillions journey around the world. starting september 7th on d. w. a lack of social contact, fear of becoming infected, financial worries or grief over 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. younger 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 to me as i 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 canada shows of nicholas nor i sat to my apartment or at work let's everything else was so stressful for me that i just avoided it far as this to and for, for meeting up. casting cool is not alone up to 70 percent of the world's population will develop zion 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, it also known as social phobia. it's a fear of interacting with other people. the most common phobia is a specific ones, like a fear of spiders or heights. most people can live with these phobias quite easily . said katia petoskey from mines university medical center, but she says it becomes more difficult with the less common non specific phobias. ready fighter, why fix that are 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 isn't. i'm a social anxieties that are very, very common on the,

the other people i, everyone can relate a 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 in their, their wifi at clayton by the start. the pandemic casting cool had just completed therapy and was ready to go back to work. then came the lock down this wash on. it was really difficult. my. i'd made good progress, but that suddenly stopped me in my tracks and sat me back a bit. i was took right off to work of awful. alice vargas lawson and everywhere, closer to certain i social interaction was very limited. which made sense it, but it was counterproductive. in my case, i spoke 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 the are on the one hand, i thought, oh thank god finally back to normal earth. but on the other,

i was once again no longer used to being with people. and so i had to keep forcing myself to get back into life to work together in slave. so how can these kinds of disorders be treated o, as i asked or who's in principle, anxiety disorders can generally be treated very effectively in mid from on and fast to 20. 5 sessions are enough with behavioral therapy. for example, you can do now there psychodynamic therapy, which takes a little longer of india. and if we find that the psychotherapeutic approach is not so effective, then we can give some extra help with medications in the form of antidepressant, sophomore over to the anti to receiver. and this in here, fish, dental life. after 3 courses, a therapy casting cool can once again live life without being ruled by fear on the spur stack may not hurt. and that inspires me of course to continue working on myself and on my fears on an on my non yeah. ng school. feeling afraid sometimes

is quite normal, but if fear 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 cause us to breathe faster. our hearts beat more rapidly. and more blood flows to our muscles. 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. thousands of years ago could well

of need 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 sybil of into is an expert on this phenomenon. she knows that in many children, negative feelings containing to pain, a thickness the food, any emotions arise in the brain and the brain doesn't always managed to interpret them correctly. bizarre said, the child doesn't managed to say, okay,

i got annoyed and i understand why. and i'm going to take the following steps. he's this interpretation doesn't really happen properly for some children and adolescents and is instead translated into physical symptoms of the brain sort of translates it directly into hormones that are released. i want to stress hormones and things like that. and his young children mostly suffer from stomach aches, while teenagers complain of head or backaches are the causes are often typical stress situations like a conflict in the family or a parental argument or school stress. like worries 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, would have that very big stress factors that doesn't. the ethic was a bilateral fucked one pediatricians nita tanks that there aren't any physical

causes for the pain. but if they can't find anything, they still shouldn't tell a child, there's nothing wrong that am zach. if you say there's nothing wrong with your failing or something, then there's more of your risk, the child will develop more symptoms. and as i said, 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 issues 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 thesis 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 can mag savage doesn't, didn't seem sion. a skin does the same. i noticed it when i was a child. goggan was trying her problem. i've always been very introspective and her to because i'm always kind of afraid of getting a disease if you like. oh, very afraid of being handy. county by a disease it indicates as i'm just would have done implant cb much lumina, i've gotten increasingly worse as i've gotten older, i would not to the point where i have become extremely preoccupied with the topic of the safety. had to be so googling it on, extensively researching all kinds of things. i've just picked up the survey grove just gotten from my acquaintances or my family circle, the congress,

him from healing throws emphasis over crum huddle, his fear of serious illness, such as cancer or a heart attack paralyzes him. he's convinced that symptoms such as heart palpitations or headaches or life threatening, which had targeted 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 know, some tomb is in what isn't him, is really the fair which is very pronounced locally which and then also reach the extent of honey contacts and severe anxiety and name can to fight of us. we're the 2nd thing we observe is that the person also frequently reports having physical symptoms, coma, british. and these are then also triggers if 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, they learn how to deal with their crippling fears. doesn't i mighty this old and sick of hadn't one goal is to reduce unhealthy behavior and christy this. 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 al. but 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 presence of good criteria. so they don't go to frequently and not running to the doctor every time they need reassure and physician to math. good. it's exactly what alexander was. learn in therapy, to stop the urge to google a symptoms every day is, i don't live with compulsions anymore. the urges that have negatively impacted my life so much. i'm not a restricted man, my thinking, i'm thinking so i always thought you start to think about, you have to do that. you have to take the tablet with you as well. so that's all got it. and we'll submit, so everything's easier now holistic and i approach things much more calmly and light heartedly than before. he lies dornbush repellant as foyer in sarah p for anxiety 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 ab, as 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 that to reality. because we're talking about social phobias, i not being misjudged. the more afraid of others criticizing us and agoraphobia that is the fear of being in the open that we're moving around on public

transportation. a golf will be as of the youngster visa, the conditions we treat most often in our clinic. when people have serious problems and compete inhibition, whizzing doesn't the dinner will be putting it leads to serious interference in private life. also, for example, if you can't use public transportation, then you can't get from having to be and maybe you can't get to work or visit friends from allah been and kind of flatter when people withdrawing and are excluded from social life. it's been oscar of squished lawson, austin's ultimately want to light on so forth. so farm fe beers have been treated with classical therapy and then later with confrontation of the anxiety, politely, situation, commonly known as exposure, training exposure training is still used only. now the situation can 1st be practiced virtually was best otherwise gotten better. i save a lot of time when i have easier access with this therapy puts in the patients

except in to a said to me could knock of, you know, that's pretty well proven that patients do very well. and they participate in exposure training more readily to demonstrate hell. virtual reality is yeast. sebastian ever has asked a colleague to try it out. test in strasburg 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. ok, then keep walking. either police officers come. 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. why you don't have to be nervous. this is just a routine check. ok. 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. i don't smoke, sorry. as of who is there the only i, sir is really very, very rare. as if i were talking to someone on the street quite normally within the you just have to do it a bit emphatically like the person who wanted a cigarette. and i told him that i don't smoke, it's amber. i can happen in real life. 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 in positive mind for 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 website is virtually for he sessions. and then he went outside, it was mainly a matter of moving along, busy roads at the farmers class and on the fan, he finally did it by himself though i explained little did. i'm not my enough. 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 recognize that it's not very real, but the fear system is not interested in that in the fear system is very archaic. even a worse graphic would be another to activate certain of yours if there is an anxiety disorder. even if you don't have an anxiety disorder at all, if you put the glasses on and i subject you to stretch with these situations,

but not the police interested in you in being in a hurry, it's out of your system is a very primitive system. it's easy to activate and so that's also a problem with anxiety disorder, pain lester, life activity in this office probably now still further research is being conducted to determine whether the therapy can be used to treat other types of anxiety to ship anxiety and stress a directly related stressful situations can increase anxiety or even trigger it. 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 mass mice spends time consciously exhaling and relaxing. before he

sees his patience the autumn, his move, your glow. i used to find the idea of mindful breathing intensely annoying cuz i thought it was just easier to read nonsense to you. i of it. but then i started to delve into it a bit deeper. decided i saw that the gas we exile up got c o 2 is central to regulating the entire body. his am to koko, frequency of atom foolish bus. we were amazed at how many people display certain medical irregularities, intestines. he left the no apparent reason. so in the see, we're not sure exactly resistance, but it's somewhere between 10 and 30 percent of the population local. and it's probably a result of prolonged stress or from unholy contemptuous stress. affects 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 hyperventilation. this process is automatic and largely unconscious. mm

hm. the brain stem and sensors in the carotid artery regulate breathing rate and deaf with at rest, the average adult takes between $12.18 brothers 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. one

result is less free calcium available in the blood. possible symptoms include muscle spasms, cramps and here it ability. ah, and there are other symptoms as tomas vices, patients tell him seamless dog hall feelings of anxiety tuffy i felt like an elephant was sitting on my chest, take food as my suddenly felt dizzy. the sun had a loose ocean was not able to perform. its 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 in breathing using are 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 sends a message to the autonomic nervous system. remember 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 fi and so we work with moustache with heat hush, with food and drink b 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 through the nose, fitting isaac lol, as 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 breathing, the nose is still possible. thomas, vice is committed 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 findings from study is the last 20 and 3 plus years. is the king off the suggestion or the recommendation? and when a person feels as panicked to take a deep breath, instead i tell mindfully, for a long time, that will even stop

a panic attack from turning into a medical emergency. pre leaving, or bursting ventilation. well, when you send me or dose rescue less medications and rescue medications, as in bob dilates, or bens the dies plan can tomorrow come by and go. it was your a tumor, a broken leg or pneumonia tree, but it can help severe functional disorders in this. but any command we see a marked improvement in migraines, fibromyalgia, irritable bowel syndrome, functional dizziness, ship on very much in fatigue syndrome. here in some cases,

a drastic improvement and a short time stiff quote. so now it's your turn. try out some of these stretching exercises with al alia dam on, and pay attention to your breath with hello life to have you here. we're 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 opposite leg. and the stakes of 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. just 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 on in good shape. so ah, with

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