This forum is for questions and support pertaining to mental health issues such as: Anger, Dementia, Depression, Family Problems, Memory Problems, Personality Disorders, Phobias, Schizophrenia, Transitions and Work Problems.
Its a long story but to put it somewhat breifly, all this started when my mother was diagnosed with colon cancer. One day I was sitting at my desk and it hit me. This horrible fear and panic, I thought I was dying. I made my husband take me to the er where they said I was having a panic attack. They gave me Xanax .5 mg 3 times a day. I went to internest and she put me on Paxil 20 mg daily and took me off Xanax. I did not eat or sleep for a week and had to go back on Xanax. That was a year ago. My mother has since died and even though I have improved slightly it is still a daily battle. I have weaned myself to 10mg Paxil daily and .75 total daily of Xanax. I simply can not afford the Paxil and any cut helps. But today for instance I was working in the yard and was bending over alot and I got a little lightheaded. I immediatly sarted panicking which made it worse and I could think of was running out and screaming for help. I made myself sit down and it went away. It is soooooo hard living with this. Always thinking something is going to happen to you. I have dreamed up every problem in the world that could be wrong with me and it is not. I became obsessed with my heart and had several heart test done just to be told that be heart is completely normal. I have had blood test, exrays, and spent thousands of dollars and still paying. I can not get these obsessive thoughts out of my head. I pray daily for it all just to go away! What ignites all this and why do I create problems that do not exsists? Any insight would be greatly appreciated! Danielle
I wrote a book on this subject,but it is out of print. The issue is the protective layer of what I call the illusion of safety. There are many layers that allow us to feel safe even while knowing that eventually we will die. We shed those layers gradually over the life span and learn how to live consciously with the fact of death without being terrified.
In your case, one of the most potent layers was not gradually removed, but torn to piece suddenly, when your mother was diagnosed with cancer. YOur mother was a protector of life in that part of your child-like mind that started when she was the real protector of you when you were a small child.
A little counseling will go a long way to helping you master this...even better than the medications.
you really sound like you have an anxiety disorder. i also think up problems that never happend and i worry constantly and jump from one thought to another and i always get this overwhelming fear. i have generalized anxiety disorder. its hard to find the right meds and youll have to go through a lot of crappy feelings and side affects but there is a med out there that will help your chemical imbalance. inderal is inexpensive and maybe it will help some. i am trying lexapro. it hasnt been a month yet so i cant say anything about it yet. i too have spent a lot of money because anxiety will make you feel like you have a lot of strange problems. good luck.
I recognize what happened to me so well from your story. I also had the severe anxiety and obsessions about something being very wrong about my health and getting many useless medical tests. This happened 10 years ago. I also was severely depressed.I have been on Anafranil (Clomipramine)since then and it has worked very well for the anxiety and obsessive feelings, although a bit less well for my depression. Anafranil is an older antidepressant from the tricyclic group. Good luck.
PSYCHOTHERAPY. It works with anxiety disorders and control of panic attacks. Go to your local community mental health centers for help. You will learn to "reframe" Your thinking and cope. Yoiu will learn ways to address the physical effects of anxiety and stress. Go
Like many of the comments posted we can all relate to your problems of over thinking.I to think that there is always something wrong with my health, the only thing is I have health care here in canada to pay for the test which I think if I had to pay for them I might then convince myself that there is nothing wrong like I do when I think there is.I have tried paxil and did not find it very helpful >made me feel nervous more than I had been and I could not eat nor sleep. I am now reading a book called Feeling Good by David Burns and with a little self direction it is staring to work.The base of the book is on cognitive therapy, a drug free way to deal with depression as well as anxiety. Hope you feel better and good luck.
If you get lightheaded or anxious and you don't eat well it maybe hypoglycemia which can lead to phobias and fear because of fasting or reactive hypoglycemia.
Your Guide to the World of
Alternative Mental Health
Safe Harbor ,
a Nonprofit Corporation.
Conquering Anxiety, Depression and Fatigue Without Drugs - the Role of Hypoglycemia
by Professor Joel H. Levitt
The Anxiety & Hypoglycemia Relief Institute
(For questions regarding anxiety & hypoglycemia and New York City
classes, contact Prof. Joel H. Levitt ***@****)
Stress is often blamed as the root cause for anxiety, depression and fatigue, but, although stress can make any problem worse, the source of such problems is often physical in nature. And hypoglycemia is one of the major physical causes.
This article covers the following:
What is Hypoglycemia? - the cause of hypoglycemia and its effects.
Typical Hypoglycemia Symptoms - the wide range of mental, emotional and physical symptoms.
Testing for Hypoglycemia - standard medical testing and why it is often unreliable.
The Solution to Hypoglycemia - a list of dietary and nutrient recommendations, with special notes and cautions.
Recommended Reading - books and other references that will give you a more complete understanding.
What is Hypoglycemia?
First of all, let's be clear on one major point - hypoglycemia is not a "disease" in that you either have it or don't, it is a condition, and, in most cases, it is fully reversible.
Some types of hypoglycemia are caused by a tumor or other physical damage to a gland. However, that is rare, and not the focus of this article. The more common type of hypoglycemia - called "functional," "reactive," or "fasting" - is your body's reaction to what you put in it.
Hypoglycemia is the body's inability to properly regulate blood sugar levels, causing the level of sugar in the blood to be too low or to fall too rapidly.
Blood sugar, in the form of glucose, is the basic fuel for all brain operation and physical activity, including muscular. If the available fuel is too inadequate, any marginal physical or mental system may start to shut down. In addition, the glandular imbalances that result, as the glands struggle to regulate the sugar level, cause their own symptoms - especially high adrenaline, which is usually perceived as anxiety or panic, but, in some cases, can lead to violence. (Am I saying this has something to do with domestic violence and street crime? YES! And there is expert congressional testimony to back this up.)
Here is a typical pattern:
1. You eat or drink excess sugar (the average American consumes well over 100 lbs/yr.).
2. The body releases insulin to put sugar into storage, but the insulin response is excessive (due to ADAPTATION and/or chromium deficiency).
3. About 2 hours later so much sugar has been put into storage that there is not enough left in the blood, and you get a low-blood-sugar emergency.
Symptoms such as weakness and mental fog begin.
4. The body responds to the emergency by dumping adrenaline into the system.
More symptoms follow from the high adrenaline, such as racing heart, anxiety, etc., etc., etc..
5. The roller coaster rises and falls in critical hormones, causing an unbalance in all the hormones and often resulting in ongoing symptoms.
Many Americans have hypoglycemia to a greater or less degree. The symptoms comprise a remarkably long list and range from mild discomfort to being completely incapacitated.
Typical Hypoglycemia Symptoms
Following is a list of symptoms I've drawn from multiple sources, plus my own observations. The list is long because symptoms result not only directly from low blood glucose but also from the glandular imbalances that result, especially high adrenaline. Only one or two symptoms may be present, but most often, you will find several.
Note that although I've listed mental and physical symptoms separately, they often overlap.
Anxiety - ranging from constant worry to panic attacks.
Phobias - claustrophobia, agoraphobia, acrophobia, and so on. This is anxiety tied to a particular issue.
Depression - especially with females
Violent outbursts - especially with males
Obsessive Compulsive Behavior
Forgetfulness - this may just be choline/inositol deficiency.
Inability to concentrate
Unsocial, Asocial, Anti-Social behavior
Nightmares & night terrors - terror can continue after you wake up. It is especially indicative of hypoglycemia if you wake in a cold sweat, if the terror continues, if there is pressure on the chest, or if you are unable to breathe.
Headaches - especially if a meal is missed.
Tachycardia - racing pulse due to high adrenaline.
Fatigue, weakness, "rubbery" legs.
Tremor or trembling of arm, leg, or whole body (outside or inside)
Twitching, jerking, or cramping of a leg muscle - cramping may be just calcium or magnesium deficiency or food allergy response.
Waking after 2-3 hrs sleep
Tinnitus - ringing in the ear, due to high insulin in about 70 % of tinnitus cases.
Abnormal weight - too high or too low.
Compulsive craving for sweets, colas, coffee, alcohol
Lack of appetite
A diagnosis of "mitral valve prolapse"
Crawling sensations on skin
Smothering spells - gasping for breath
Red blotches on skin or circular arcs of red skin
Lack of sexual drive
Chest pain - severe, but EKG normal.
Can't tolerate bright light or loud sounds
Another clue is that the symptoms are usually worse in the early morning after waking, and get better after being up and around a full day.
It's a remarkably long list and for very good reasons!
Many of the above symptoms can be found in the standard PDR
(Physician's Desk Reference) as the typical expected side effects
for a NORMAL HEALTHY person given an injection of adrenaline
(alternate name epinephrine).
Why should anyone not injected with adrenaline have such symptoms? To understand what is going on, we have to understand how humans have been designed to survive emergencies. Suppose you meet a tiger on the road. What happens? Immediately an emergency situation is detected and the adrenal gland dumps adrenaline. The adrenaline prepares you for vigorous
muscular activity. It brings sugar out of storage for muscular action. It raises the heart rate so your blood circulates faster and turns off digestion. You are now prepared for FIGHT or FLIGHT.
Some people will fight, their adrenaline response will be ANGER, most people will run, their adrenaline response is felt as FEAR.
In most cases, the simplest WORKING DEFINITION OF ANXIETY is the way you perceive HIGH ADRENALINE. If adrenaline is moderately high for too long a time, people feel anxious and wonder why. This is called "free-floating " anxiety.
If, on the other hand, adrenaline shoots up to a very high value rapidly, and
then decreases rapidly, the anxiety is brief but intense. This is called a "panic attack." If you regularly pick a particular thing to tie the anxiety to, such as high places, that's called a "phobia." What's the problem? What's wrong with the life-saving response to a tiger on the road?
The human body, because it's a wonderful self-adjusting system has a mechanism called ADAPTATION. If you repeatedly have emergencies the body learns to dump larger and larger amounts of adrenaline at the slightest hint of an emergency. The adrenal gland puts out about 60 different hormones- repeated requests for adrenaline dumps will affect all the others.
A hair-trigger adrenaline response is not what you want in modern life. What happens in modern life is that several times a day many people have low-blood-sugar emergencies. This leads to adrenaline dumping and ANXIETY, it also leads to hormonal imbalances.
NORMAL SUGAR PROCESSING: Eat food including sugar; pancreas
releases insulin; insulin puts excess sugar into storage for use later.
"REACTIVE HYPOGLYCEMIC" PROCESSING: Consume excessive sugar food
or beverage; pancreas dumps excess insulin (remember ADAPTION);
About two hours later blood sugar crashes to emergency level; adrenal
gland dumps excess adrenaline (remember ADAPTION); RESULT=ANXIETY
and HORMONAL IMBALANCE
The saving grace is that hypoglycemia, even early-stage diabetes when the pancreas starts to give up, is fully reversible with diet and nutritional supplements.
Testing for Hypoglycemia
Standard medical testing for hypoglycemia is the Glucose Tolerance Test (GTT). The person being tested is required to fast for 12 hours, then have a drink with a super-high sugar content - a disaster plan for someone with hypoglycemia. The blood is then tested every 30 minutes, for 6 hours. Unfortunately, the test is unreliable as it is frequently done in an inadequate way or is misinterpreted.
The most frequent problems with the GTT are:
The test is run for less than 6 hours - a 3 -hour test certainly can't catch a drop at the 5.5 hour point).
The test measures glucose level but fails to measure insulin and adrenaline - your blood sugar may be holding up because your adrenal gland is dumping huge amounts of adrenaline. Glucose alone can't tell the full story.
The symptoms are not carefully observed during the test - the classic story is of a man who went for his test, drank the sugar solution, became violent, and smashed the furniture in the waiting room. Upon leaving, he was given a bill for the furniture, and a test stamped "normal!" His glucose level didn't go below the level that lab used as an absolute criterion! If you become violent during the test, or faint, or break out in a cold sweat and start shaking you have FAILED the test REGARDLESS of the NUMBERS!
The rate of drop in blood sugar is ignored - the lowest glucose level is important, but the rate of drop is just as important. Falling too rapidly from high-normal to low-normal represents poor regulation and will give symptoms.
Because of the above testing problems, hypoglycemia is best diagnosed by its symptoms.
The Solution to Hypoglycemia
To reverse the condition, the glands must be allowed to recover. This is done by eliminating all foods and beverages that deliver sugar rapidly. Thus the cure for "low blood sugar" is to AVOID sugar and simple carbohydrates, like white wheat flour, that convert rapidly into sugar.
Stress, of course, makes all problems worse. And if you can eliminate all stress - fine. But, realistically, it is much easier to simply control what you consume.
My recommendations for handling hypoglycemia consist of diet, and nutritional supplements. There are also excellent full-length books available in the Recommended Books list at the end of this article. I especially recommend books 1 and 2.
Best foods to eat
raw mixed salad greens
seeds and nuts (not peanuts)
cooked greens (Collard greens, Mustard greens, Spinach etc.)
organic eggs (hardboiled for safety)
whole grains (one at a time)
carry seeds & nuts.
Freshly made vegetable juices. Most hypoglycemics should probably limit carrots in juice form to about 1/day or less, as a sweetener for other veggies.
Spring or filtered water.
Herbal tea - from one or two herbs, not "naturally flavored" blends.
Worst food ingredients
The packaging for some foods can be misleading. For example, many packages will say "Sugar Free." However, if you read the ingredients, you will find types of sweeteners just as harmful. Therefore, it is important to read all labels carefully.
Hypoglycemics should avoid the following:
Sugar - this includes sucrose, fructose, raw sugar (sugar + dirt), brown sugar (sugar, dyed brown), corn syrup, "dried cane juice", "raisin juice" etc., molasses, malt, malted barley, even maple syrup and honey.
Hydrogenated and partially hydrogenated oils - including vegetable shortening and margarine. These are hormone imbalancers.
White wheat flour and white rice - nutrients that prevent heart disease & cancer are removed from these products to give longer shelf life. Fiber is also removed, therefore the starch rapidly converts to sugar.
Peanuts & Corn - high mold sources which tax the immune system.
Special Notes and Cautions About Diet
The above list represents my personal current opinion, and is periodically modified. Consideration was given both to the influence on sugar metabolism, and on general health. Many foods not listed above as best or worst can be eaten in moderation, assuming of course that you are not allergic to them. Additionally, the following factors need to be observed
If you can't get "organic" foods, use non-organic foods less often.
If you are a vegetarian, of course eliminate animal foods. The vegetarian route requires more knowledge and more work; but I currently believe that, in the long run, it gives the best health in most cases - for hypoglycemics as well as "normals."
Food allergy and reactive hypoglycemia frequently go hand in hand. If you are allergic to one or more of the best foods, then they are not acceptable for you.
Individual food allergies must be carefully considered with any restrictive diet. For example, a grain-based diet can be a disaster for someone with grain allergies, even if the carbohydrate level can be tolerated. Another example is eggs, which are a common allergen.
To find out what you are allergic to is a gradual process of learning which involves primarily selective elimination, for at least 5 days, with careful observation of symptoms.
Likes and Dislikes
I also believe that you must be reasonably comfortable with your food choices to assimilate the food properly, i.e. foods you hate won't make a good diet for you.
Beware of Liquids Containing Sugar
Liquids containing sugar deliver sugar to the body too rapidly. In addition to obvious disasters such as sodas, colas, sweetened coffee (a double whammy if caffeine is present), and alcohol (behaves like liquid sugar), you should also AVOID FRUIT JUICES (an exception is grapefruit which can usually be tolerated in moderation, perhaps 4 oz./day)
AVOID SKIM MILK. Milk would be O.K. for hypoglycemics, but a harmful enzyme, Xanthine Oxidase, makes it a bad choice for all. Consider instead organic yogurt, from whole milk, NOT skim or low-fat. The harmful enzyme Xanthine Oxidase is de-activated when yogurt and cheeses are made.
Avoid Artificial Sweeteners
Artificial sweeteners have been a major American health disaster, especially aspartame, and should not even be considered as a substitute for sugar. They make recovery for hypoglycemics much more difficult and are a major health hazard.
The most important of the supplements are high level vitamin C - which is the primary support for the adrenal gland - and a good multiple formula containing chromium.
The best type of vitamin C, and the easiest to take in my opinion, is POWDERED Vitamin C (Ascorbic Acid).
I recommend Allergy Research (Willner stock # 10004), or Freeda (C PWD "Dull"- Willner stock # 14267, 4 oz & # 14268 16 oz).
Solgar Vitamin C Crystals do not dissolve as well but are still effective, and widely available.
The dosage depends on how serious your symptoms are. A general guideline for most people having uncomfortable symptoms would be 10 grams (10,000 milligrams) per day. A level teaspoon of powder or crystals gives about 4 grams, a heaping teaspoon 5 grams. Therefore two heaping teaspoons per day would give 10 grams. This should be split into two or more servings at different times during the day, preferably with meals. If you are not used to these levels, start with less and work up over a few days. An extra teaspoon can always be taken if you start to feel bad - indigestion, a headache, dizzy, a panic attack starting, etc.
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