of a turbulent history ah, the cities, the mosaic of different people and languages o e. ron's mountains reveal unparalleled beauty. that it will. yeah, the scenery is magnificent, but people are warm enough with 0 exceptionally ah, a special look at a special country. iran from above. start september 16th on d. w. with 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, their current and him, his there was a point where i slowly started realizing that this fair was bigger than a normal fair. 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 as far as this to and for, for middle cast and 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 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 a very, very common m d. v of apple 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 in their, their wifi at theater. 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 had made good progress, but that suddenly stopped me in my tracks and sent me back a bit. i took my dog to look of waffle. alice vargas lawson, and everywhere. closer to thornton, i social interaction was very limited. tell it which made sense it, 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 the on the one hand i thought, oh thank god finally back to normal. for 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? oh, i asked always in principle, anxiety disorders can generally be treated very effectively mid for months and fast to 25 sessions are enough with behavioral therapy. for example, you can do now the psychodynamic therapy, which takes a little longer. ah, 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 anti depressant software over she wanted the cba anderson here for stand on life after 3 courses. a therapy casting cool can once again live life without being ruled by fear on the spur stack. me if not heard and that inspires me of course to continue working on myself and on my fears zone and my non yeah. angst, feeling afraid sometimes is quite normal,

but he 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 spill of into is an expert on this phenomenon. she knows that in many children, negative feelings containing to pain, a thickness the food entity and emotions rise in the brain. and the brain doesn't always managed to interpret them correctly. much bizarre said the child doesn't managed to say, okay, i got annoyed and i understand why. and now i'm going to take the following steps.

his interpretation doesn't really happen properly for some children and adolescents and, 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. one i am, yes, 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. what worries about homework problems with the teacher. all being bullied or excluded by classmates. aulshlag and 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 very big stress factors that doesn't, there, there was a belief from fucked. one, pediatricians need to check that there aren't any michael causes for the pain. but

if they can't find anything, they still shouldn't tell the child, there's nothing wrong that am zach. if you say there's nothing wrong you're 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, the 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 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 savish doesn't ruin cbre, sean m at skimmed does the same. i noticed that when i was a child dragon was trying to hurry up. i've always been very introspective, uncharitable corps, and always kind of afraid of getting a disease if you like. oh, very afraid of being handy county by a disease indicates as i'm just would have done implant cb muslim, i've gotten increasingly worse as i've gotten older. i would love to the point where i have become extremely preoccupied with the topic of the 53rd people. so googling it on, extensively researching all kinds of things. i've just picked up mr. butler, i've just gotten from my acquaintances or my family circle, become gross. a 1000000 close as a silver crumb had 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 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 buttons. 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 are fears of illness really suffer. hypochondria is still a taboo subject, as, as i know, some tomb as m y symptom is really the fair which is very pronounced locally which and then also reached the extent of honey contacts and severe anxiety and name can the fight of us. we're the 2nd thing we observe is that the person also frequently reports having physical symptoms, former 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 on going to go fight? and one goal is to reduce unhealthy behavior directly to 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 about all the patients also learn to change their doctors visit. and then as deciding to get with the therapist,

what criteria need to be met to justify seeing a doctor of us? it's a good criterion. so they don't go too frequently and not running to the doctor every time they need reassure and physician to mask it. it's exactly what alexander has learned in therapy to stop the urge to google a symptoms every day is, i don't live in compulsions anymore. the urge instead of negatively impacted my life so much, i got a restricted man, my thinking one thing i always thought you still had to think about about you have to do that. you have to take the tablet with you as well. so that's all god. the most to me, so everything's easier now holistic and i approach things much more calmly and light heartedly than before. he lies dornbush rather than as foil in therapy 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. fia 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 evans 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 phobias, i not being misjudged or afraid of others criticizing mansion and agoraphobia that is the fear of being in the open that we're moving around on public, on rotation,

a gl russell b as all the angst. these are the conditions we treat most often in our clinic. when people have serious problems and pig inhibition was he doesn't eat dinner with pets, it leads to serious interference in private life force. for example, if you can't use public transportation, then you can't get from going to be and maybe you can't get to work or visit friends from allah been uncanny flights are when people withdrawing. hendricks were looted from social. i've been oscar oscars. 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 for thinking situation commonly known as exposure. training exposure training is still used only now the situation can 1st be practiced virtually was better than what has gotten better. i save a lot of times when i have easier access with this therapy puts in the patients except until and as a said to me could knock of he's nasty,

that's pretty well proven that patients do very well. and they participate in exposure training more readily to demonstrate how virtual reality is east sebastian ever has asked a colleague to try it out. cast 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 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 nervous. 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. i don't smoke, sorry. as of the through there. the only i, sir is really very, very rare. as if i were talking to some are on the street quite normally with him. 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 gets deck to speaking in front of a crowd to using public transportation. initial experiences with this type of therapy have been positive by one patient. this darted here perspiring so much that his glasses fogged up, but when he was shaking,

they could sit at heart and will be in a way practice virtually for he sessions. and then he went outside, it was mainly a matter of moving along, busy roads as the farmers class on the phone. he finally did it by himself than i explained. little did i'm of mine. uh huh. 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 with years if there is an anxiety disorder. and even if you don't have an anxiety disorder at all, if you put the 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 the fuel system is 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 to ship anxiety and stress a directly related stressful situations can increase anxiety or even trigger. let's just take a deep breath and 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 seizes patience,

the autumn is 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 ativa and go over it. but then i started to delve into it a bit deeper. the society i saw that the gas we exhale up, got c o 2 is central to regulating the entire body. his unto cocoa, they couldn't have atom foolish bus. we were amazed at how many people display certain medical irregularities in testers. he looked 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 and 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. one

result is less free calcium available in the blood. possible symptoms include muscle spasms, cramps and nearer debility. mm. and there are other symptoms as trauma, as my suspicions tell, it seemed dog, awful feelings of anxiety, etc. i felt like an elephant was sitting on my chest, tick food, as my suddenly felt dizzy. hope. the sun had i got his ocean was not able to perform. 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 of message to the autonomic nervous system. women cause vicky to t bone if you want to influence the autonomic nervous system cause you have to use the language that's very close to the body and even animals can understand the in. so with ours, with he has with food and drink. it is to communicate to the autonomic nervous system that everything's fine. there's no need for an alarm response to increased c o 2 levels. patients also learn about the importance of breathing through the nose . pity, now as long as it goes through the nose. so we encourage people to breathe with their nose to ensure that patients brief from 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 that you've done over the last 23 plus years is a deep king off the suggestion or the recommendation and random person as panicked to take a deep breath. instead of telling mindfully for a long time, that will even stop a panic attack from turning into

a medical emergency. ha, tweed. we they wore bursting ventilation. well, when you send me for a dose rescue, last medications and rescue medications as in bug dilate, yours or? oh, nice plan . come tomorrow, come by and go. it won't cure a tumor, a broken leg or pneumonia tree, but it can help severe functional disorders in despite any claim, 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 in a short time, stiff in quote, so, i know it's your turn. try out some of these stretching exercises with al alia dumb on, 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 close 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 scratch 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 ah, with

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