High Functioning Anxiety Revealed Under Anesthesia
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- Опубліковано 8 лис 2022
- Have you struggled with high functioning anxiety? Learn what makes this anxiety different than other forms of anxiety, and how it can change under anesthesia.
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Today we will talk about high functioning anxiety and how it is revealed under anesthesia during surgery. We'll also talk about the symptoms of anxiety, both mental and physical, and how they can be detected under anesthesia, even when my patients don't tell me.
The fight or flight response plays a big role, particularly in differentiating patients suffering from generalized anxiety disorder from those struggling with high functioning anxiety. Characteristics like being proactive, outgoing, high achieving, etc. can make it challenging to tell if somebody has high functioning anxiety because they may not have the typical symptoms of anxiety that we see in patients with generalized anxiety disorder.
We will also talk about some some strategies to help reduce the burden in patients suffering from high functioning anxiety, ultimately coming down to compassion for each other, so we allow a safe space for people to share what they are suffering with.
They are so lucky to have you as an anesthesiologist.
Your kindness is palpable.
General anxiety disease is a very bad. It's hard to even wait in a store to buy groceries especially in Brite lights. A couple times I would run out of the store because the heart rate was up and feels like your gonna pass out. It's basically like a full time panic attack
"Like a freight train running through the middle of my head", yeah it's a line from a famous song but it's how I'd describe my high anxiety when it happens. Red hair and high anxiety, that sure got my attention. Appreciate the ideas you present in your videos.
I just found your channel and love it, I have severe anxiety and as soon as I hit the OR my fight or flight kicks in and my anxiety goes run now, then my breathing speeds up just as soon as I see the face mask, it's kind of embarrassing to be an adult and have a full blown panic attack in front of over 6 people, completely freaking out in the OR, however when they come to talk to me before surgery, I do tell the Anesthesia Dr. that they scare the living crap out of me...
I'm just catching up with comments, and I love all of the comments you've left 🙏 I'm sure so many more can learn from your experiences
Excellent explanation using the “Ski anxiety loop”.
Versed is like water to me. They gave me that and then injected a local into my hand for carpal tunnel surgery. I felt like my hand would burst, the doctor said nonsense, I was on Versed. I then went into shock and they had to put me on another bed under blankets and heat lights. I knew instinctive my hand was not going to burst but could not control shock.
You are such a good example for all of us when it comes to humility.
I can’t control my anxiety, even with meds. I also have hypertension.
Aww! I missed the notification that you were live. Maybe I will catch another one. Thanks for making these videos. You have helped me so much.
That's fantastic to hear! There will be more. You can join the discord to get notified earlier in advance!
I’m a third year student of counselling. I am constantly explaining to my clients through CBT how they can ‘hack a new track’ in their neural pathways - to be able to do this with drugs that help with neural pathway formation and degradation of unhelpful ones is amazing. Looked at your website - what exciting progress. Interesting that we are not taught anything about this in our text.
Thank you for your dedication to helping others like that! You're absolutely correct that we are not trained for this, but the effects can be so powerful when done ethically and under medical supervision
how does that work? I want to hack new tracks
I've done CBT as a patient, it's sooo hard... but worth it.
I’ve done years of CBT with two specialists as well as years of talk therapy and CBT only helped 20% not more. SSRI gavenot helped so far so I am planning psychodelics for CPTSD and years of depression.
Sport daily and a healthy wholefood and cold showers have not helped but I continue to stay as healthy as possible.
Hi, dear doctor. I’m your CFS/ME friend. The one who was rocking life. Marcie
Gonna share the heck outta Dr. Kaveh’s videos; amazing and such vital and balanced information. I am not facing surgeries at this time and i so wish I’d have watched his videos prior to my surgeries but they were long ago and who knows if the info he is sharing was available but either way so many levels that what he is sharing is not only fascinating but also useful. “Tapping in” to what we’ve “Had all along” regarding ability to heal assumes a good enough childhood. Social supports so vital for aftercare for ketamine or MDMA or whatever and not so far emphasized enough in this otherwise brilliant content…..Oh wait..watched a bit more and he does talk about having a “Guide”e.g. with exposure thereapy…that is awesome…too many think just “Facing fears” is enough and while for relatively mild fears that is true and for more severe trauma caused fears incremental is best and exposure is not always even a good therapy.
Have a nice day
@medical secrets do surgeons document episodes of ptsd revealed during surgery for the patients to perhaps review afterward to get help?
Amxity major panic attacks and PTSD are, NO FUN to live with on a daily basis and full body pain,i do not take any pain meds!! I use ice packs only ...its has destroy my life ,i spent 2 years indide of my condo, i couldn't even stand in the hallway, never had this happened to me ,scary 2 long years, finally i made myself get outside but with someone at the first few weeks ,now im outside daily ,by the grace of god / our Great Creator ❤thank u for this video!
I’m so proud of you for finding the courage. As the doctor said, loneliness is not good for people and not having a purpose. Do you do crafts or anything purposeful when you’re home? Have you ever watched Shameless on Netflix? There’s a lady who is afraid to leave her house. She tied a rope to the doorknob and would walk out further and further. Maybe you could do volunteer phone calls? Also make sure you take lots of Vitamin D3 with any kind of oil for absorption since you’re missing out on the sunshine. I wonder where you live? Having a pet can be very therapeutic as well. I hope you’re able to reach out further and further. Marcie Myers
Why no pain meds if pain is preventing you from living a full life? Or is it just tight muscles? M
Thank you so much for another amazing video 🙏
I am glad knowing you are in the world, cheers from New Zealand 😊
Thank you! 🙏
Thank you for sharing ✌️💞🤟
I feel like a hamster on a wheel when I get that loop. I'm excited to hear the progress with neuroplasticity. I've been doing the same stuff(Cognitive Therapy, SSRIs and the like) since 1986...I'm ready for something new. My Dr is not too keen on ketamine, psychedelics. I say why not? How did you get into anesthesiology and psych stuff? Was it seeing favorable mental health results during/after surgery? My psych Dr of 11 years...well we broke up 3 years ago. Out of 47 psychiatric practices in my area...all except for 1 either didn't take my insurance, weren't taking new patients, had no openings for 3+ months, had no real psychiatrists on staff or i already had them as a dr.The best I could do was finding a "provider." I feel left in the lurch...I'm not very confident in the event of an "emergency." Lol😂 are ketamine/psychedelics indicated for bipolar 1 patients? I know I shouldn't post like this on social media. I'm so far out of the mental health closet it's ridiculous.I'm asking for my best friend...happy mental wealth month! X
I’ve been getting ketamine infusions here in NY to treat my PTSD. I don’t have to words to describe how much better I am doing since I started the treatments. My doc has saved my life.
That's so powerful to hear. That's why I've started my own clinic here in San Francisco, too. How did you find that clinic?
@@MedicalSecrets I’d done so much research and found several clinics near me (Long Island) and in NYC where I work. The clinic I use has been operating since 2012 and the anesthesiologist who owns and runs in is very experienced. I can give you the name of the clinic if you want it as an FYI. I noticed one of the comments during the video was someone from New Jersey. The clinic I use has two locations, one in NYC and one on LI. That may work for them.
Wow what a great guy you are Thankyou for this podcast so professional and you are great at explaining things thankyou😊
I have copd and I started smoking cause I am scared of going under and not coming back I’m going to have trapezoid removed and carpal tunnel surgery may 25th
I have bad anxiety as well. When I was going through the pain of kidney disease, stage 5, my anxiety went into orbit. Everything I had any kind of procedure I would be given a mild sedative. Whatever it was they gave me would always make me feel so calm. After about an hour I go right back to normal, for me, anxiety. I wonder what is they give me that makes me feel that great calm?
I think clinics that offer a short general anaesthesia experience to deal with anxiety would be great!
That's exactly what we do in my clinic!
@@MedicalSecrets Really?! Where are you based?
@@MedicalSecrets Just found it! I'll be in San fran soon. I may book a session.
@@MedicalSecrets do you know of any clinics in North Carolina?
@@MrsEyes512 That's fantastic that you're looking for these powerful treatment options, but unfortunately, I don't know of any in North Carolina
There is a summit on this subject with Deepak Chopra, and many more
Been watching :)
I learned so much! You’re a great anesthesiologist,did you get over your cold? Did you hock loogies? I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy! Anesthesiologist is the best job! You rock man, I’m 32 from Memphis
Went to a psychologist to stop smoking. Was given grad phones that beeped back and forth between ears. Was asked once about when I started, age, what I recalled… once, maybe twice after had the beep, beep…
Came to the realization in order to stop smoking, all it took was to stop. I guess it is used for PTSD also and was just starting to be used for nonsmoking???? Just a steady… beep…beep… beep…. Other than a drag once maybe twice and hating it… haven’t smoked since. If it worked for PTSD and etc… imagine it would work with anxiety as well.
Maybe in place of
The guided tour… ?
There are many powerful methods to heal, you nailed one of them. That's terrific to hear!
Where in Florida can I get anesthetic infusions for anxiety and PTSD?
This is so fascinating. I be out cold during anesthesia so I must not have much anxiety😀
When you kept looking down at the bed & poking it I thought there was a patient there & you were finally being unmasked as crazy!
wow very intersting!
What causes Red Man after anesthesia?
I have anxiety issues beyond my control from medical issues. How does anesthesia address this?
I have really bad anxiety
How fast can you wake someone up if something goes wrong… like heart rate to high and meds won’t bring rate down etc?
Vercet does absolutely nothing for me anymore! I was reminded of that when i had my 1st cataract removed. When u cane back, they had proponal (sp). I do t eemember anything but ul8 know i s/w my Dr.
If we all did 30 minutes meditation a day, I bet we would all improve massively with reducing stress and anxiety
Agreed, and probably staying with just 15min :)
I'm not sure if this is related: when i stress out, my pulse goes up and my blood pressure drops really low, and i start to shake. Unfortunately, for some reason, I seem to bleed heavily in surgery in surgery. My hematocrit is always really good. A few times, they had trouble getting the bleeding to stop, and i had to be in the icu. I am having spinal fusion soon. Could the stress response be related to the bleeding? I'm really concerned. My daughter is scared that something will happen. I'd love to find out what the issue is ahead of time.
Wish you were my anesthesiologist. I am Pediatric Dentist (Retired). Long term anxiety but definitely high functioning. Trained also as a Mental Health Counselor and so cognitively understand process of anxiety/depression continuum, but in retirement getting worse gradually since I am not forced to behave opposite to my internal feelings. I see a psychiatrist. Am on 2.5mg klonazepam and 200 mg sertraline daily.
I feel like I’m losing my ability to remain high functioning.
What could you do to help me?
Thanks, Robert Wade
Thank you for sharing your story. I can't recommend anything over social media, of course, but your experience is common, given that cognitive rigidities become more pronounced with age. Of course, that is just a generalization, but one worth considering in your case
Never had surgery before. 25 years old. I'm terrified of the dentist (I'm talking full tears over a small cavity fill if it was needed) This roots from my being a redhead (so hard to get numb when I was a kid and felt a lot of pain when they would fix decay. Scared me mentally)
Wisdom teeth surgery is in 3 weeks and I'm absolutely petrified. (I have nightly panic attacks over it) I'm scared of waking mid surgery, potential nerve damage OR being able to feel it due to the redheadness/not being fully under...any advice at all? I'm genuinely having a hard time functioning until this surgery is over. Terrified. Thanks :(
I'm wishing you the best 🙏 have you seen my other videos on waking up in surgery?
Yes, as a natural redhead, I can totally relate~Epidurals never worked on me as would absolutely NOT numb...Plus, dental procedures often take multiple injections to get through the appt:(
Thankfully, I do knock out pretty well under General Anethesia, which was used for wisdom teeth removal so I sure HOPE you went under well and did not feel anything♡☆♡!!
Blessings from the Southwest Desert from Holly:)
It’s OK if I smoke before Surgery or after?
I see that one of my induction meds was ketamine IM, so is this usually used and given IM in the OR? Or is that algorithm a hospital choice?
Ketamine IM is given if there is no IV available... Like in the ER
@@MedicalSecrets I had an IJ TLC and 2 peripheral sites and a swan ganz. I read that IM ketamine has less delirium with emergenc. But that was cardiac surgery and you had mentioned that you do other surgical procedures with nerve blocks, not cardiac.
Dr K do you ever go to florida?
Beautiful state! But I only go to visit :/ not for medicine
I have suffered from PTSD related to a medical procedure in 1960. It causes me extreme anxiety regarding any doctor/facility/procedure situations still today. I have even chosen the possibility of death (hole in my lung for one) rather than seeking medical treatment. And I find myself with many comorbid issues now. I’m scheduled for L3-5 interlaminar decompression on 3/29 from an injury I had 11/2020. I have found a fabulous neurosurgeon who I trust. Every day im trying to convince myself to have the surgery because my pain has reached a nearly intolerable level. Do you have any recommendations for me to help myself have this surgery that I need? I love all the information that you share.
I get anxious when I see you swinging into the camera. Is this for exposure therapy? I love your videos but sometimes do close my eyes to not distracted.
Swinging? Sorry if it's too much movement. Showing the OR is for exposure therapy, but not necessarily the swinging!
Off topic.. fentanyl is being used in the drug world and it's killing drug addicts is it because of amount used in cutting the drugs and how does it relate to being used by you in operations ? and can the same thing happen to your patients??
Great question, have you seen my video on opioids in San Francisco? I discuss the doses there
@@MedicalSecrets I will now 🤣
So how exactly are you supposed to cure yourself of depression and or anxiety if you got crappy life and a broken body
That's difficult to do alone. We can all benefit from compassionate and caring healers
These are some basic things that have worked from someone who's been there, and IS there. Sometimes all we can do is look for one thing to be grateful for in a day, or do a small kindness for ourself or another. The energy from these small things gives more than it takes away and becomes easier, building up as you do them more. Gratitude especially, looking for ANY small thing, such as a 2 minute break in pain. Also, it's not just a cliché, learning to meditate and/or pray for even a minute a day to start helps. Close your eyes, if comfortable to do so, and concentrate on your natural breath outside your nose. I hope something here helps, you are never alone when you're truly hurting, much of the world is, too. Being there for others in any way takes us away from the pain of life. Very best to you. ❤️🙏💞
Difficult hole to climb out of and as you years go by the hole gets deeper.
Only choice is to find a retreat in a beautiful forest and meditate and fast or disassociate from current state with meds.
I was yelling after surgery. I apparently woke up and was yelling or screaming that my neck hurt ACDF c5&6 and I do remember this but I am rather embarased hearing and remembering this. I feel like my surgeon thinks Im crazy now. im 6 weeks post op and still have to see him for followups. But I dont know how to address what I feel is the elephant in the room now . I was super scared and untrusting of the whole process going into the surgery. Ive been anxiety and depressed for many many years. What do you suggest I say to my surgeon ? or do I bring it up and apologize for how I acted after surgery I feel like everyone knows and is talking about how I acted. Or not I guess Im not finding my reasons why I wouldve acted this way
Would love to see this question answered, but often asking the hard questions makes things better. Prepare what you want to say.
You weren’t even fully aware yet, right? So it’s not your fault and I’d bet they’ve seen/heard worse
When I have an anesthetic they need to be careful not to give me any anti emetic that contains phenothiazines or dopamine antagonists. Are you aware of this?
Do you have Parkinson's?
@@MedicalSecrets No not at all. When ever I am prescribed an anti nausea medication that contains penothiazines I become totally disoriented and incredibly anxious as well as sweating excessively. So this is for me a problem. I have had a whole array effects because phenothiazines are in a antidepressant I used. Anti psychotic medication where I could could not talk my speech was blocked. So I now wear a Medic Alert Braceket on my arm to Alert Medics of my situation
Hello. I am new to your videos and am learning so much. I have PTSD, panic disorder, anxiety and fear of going outside at times. I will be having my gallbladder removed in 10 days and In January I am having shoulder replacement surgery. I am very concerned about the anesthesia. I get very chatty to help hide my anxiety will this manifest while under anesthesia?
Thank you for your vulnerability in sharing that. Those concerns are totally natural. Chattiness certainly can be intensified under sedation, but it is rarely ever a problem. I always recommend that patients reach out to their providers before surgery so they can share their concerns and be given the optimal treatment plan. If you have other questions, feel free to hop on to the next live stream!
10 days ago I had surgery and I woke up having the worse panic attack and crying uncontrollably .. unfortunately while being in complete panic I heard the doctor saying I was faking it even tho I couldn’t stop until he gave me something to calm me down.
I've been reading Dr. Christopher M. Palmer's book, a Harvard psychiatrist and researcher, and I went on the keto diet to try to repair the metabolic issues an mitochondria in the cells. Food makes a huge difference and I noticed pretty quickly that my anxiety got much better. I stayed on it for a few months and felt better over all and dropped a lot of weight. The problem was the mental struggle for me to eat the animal protein. I've been a vegetarian for yrs because of my love for animals and mentally I was suffering and just couldn't eat it anymore. I've stayed off the gluten and carbs for the most part. I really see a difference when I do falter and eat some chocolate. Anxiety comes right back.
I thought I would find this video helpful,...instead concerning and distressing.
He has lots of other videos that cover anxiety, in it out of the medical setting, look around his channel. Best to you.
Goody bag. Lol.