The common cause & cure for chronic pain, dizziness & symptoms: interview with Dr. David Schechter
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- Опубліковано 2 лип 2024
- In this interview with leading mindbody physician Dr. David Schechter, MD, we discuss his nearly 30 (!) years of experience working with medically unexplained chronic symptoms like chronic neck, back, TMJ, pelvic and other pain, dizziness, digestive issues and other symptoms. We talk about what diagnosis and treatment of these conditions SHOULD look like (compare that to what you had done for your diagnosis and treatment!), when neck and TMJ pain related to dizziness are actually also mindbody disorders, why vestibular migraine and other symptom-based diagnoses are not particularly helpful, and how journaling can be so helpful in treating these conditions.
You can learn more about Dr. Schechter and his long and impactful career in mindbody medicine on his website, schechtermd.com, where you can also find more information about his practice, schedule an appointment if you are in the greater Los Angeles area, and learn more about mindbody conditions, his books and more.
To learn more about me, please visit my website at thesteadycoach.com. You can also take my course entirely for free by signing up at thesteadycoach.com/free-course
Dr. Schechter's new workbook, the Mindbody Workbook Vol 2.:
www.amazon.com/MindBody-Workb...
Dr. Schechter's book, Think Away Your Pain: www.amazon.com/Think-Away-You...
My workbook, which also includes 30 days of journaling prompts: www.amazon.com/Healing-Chroni...
00:00:00 Intro & about Dr. Schechter
00:03:27 How Dr. Schechter got involved in the mindbody world
00:05:50 Neural circuit disease includes dizziness and many other symptoms
00:09:37 Dizziness is common in his practice; people are often not aware it can be helped by mindbody methods
00:11:20 Vestibular migraine and other symptom-based dizziness diagnoses are “diagnosis fads” that just describe symptoms & often don’t help patients
00:16:35 Vicious cycles vs virtuous cycles
00:19:10 What a consultation with Dr. Schechter for chronic symptoms looks like (compare this to what YOU got)
00:27:42 Surprisingly, we get the best results from people who’ve seen many doctors and were not helped by other treatment methods
00:29:16 We are not saying your dizziness is in your head!
00:32:36 “Cervicogenic dizziness,” neck and TMJ issues are often also neural circuit symptoms - the root cause is stress and tension
00:34:15 How you can tell when neck or jaw issues are neural circuit problems
00:36:50 Imaging and other results are poorly correlated with symptoms; symptoms are often blamed on findings that don’t explain them
00:42:24 Approximately 70% or more of people over 30 have abnormal neck MRI results without symptoms
00:45:50 Cervicogenic or neck-associated dizziness often responds to neural circuit approaches & these approaches are benign
00:51:53 it’s ok to be skeptical & how Dr. Schechter works with skepticism
00:54:55 The hierarchy of treatment (when it’s appropriate to use acupuncture, massage, physical therapy, medication)
01:00:27 The benefits of expressive writing (journaling) and what you’re trying to accomplish
01:06:37 The three beneficial effects of journaling
01:09:24 Dr. Schechter’s optimism about the growth of neural circuit approaches for dizziness! DISCLAIMER: Please note that Yonit Arthur, The Steady Coach and any of our other guests are not acting as an audiologist nor offering audiology or medical services services or advice on any public videos or on any other content. This channel provides wellness education and personal opinion only, and are not meant to be a substitute for medical or mental health instruction or intervention. Use any tools discussed at your own risk. - Розваги
What a wonderful interview. This is both very clear and heartening. I wish Dr. Schechter could be cloned into every major medical center so that the cycle of ignorance about NCD could be stopped and so much unnecessary suffering could be prevented. He has the credentials to make his information believable, which is so essential for the growth and spread of his knowledge.
I'm trying to get as many of these experienced docs in the mindbody world on my channel as I can so people have the evidence they need to move forward with these techniques! I'm hopeful that these approaches will spread and more practitioners will use them.
The best interview so far. Thank you soooo much. ❤
This interview is so insightful.
I am from India and suffer from VM and PPPD.
I loved it when Dr Schechter called it out as a medical fad and there is a cure for it through mind body methods.
These interviews are like a ray of hope.
Any chances of getting Alan Gordon in here as well for an interview?
I have read his book, the way out and found it quite insightful.
And thanks again Dr Arthur, there is a lack of awareness about VM and PPPD in countries like India, your videos are like a ray of hope
I'd LOVE to have Alan Gordon on here! He's very busy but I'm hopeful I can find a way to get him on. I did just interview the executive director of his center. She is absolutely fabulous, stay tuned for both interviews with Vanessa Blackstone.
Thank you so much for this , I started with the neck/head pain first followed by the “Dizziness” . This definitely helped link everything together ❤
I loved this interview. Thank God for humans like you. I just started your healing chronic dizziness course. Not sure what else to do. It’s been over 1 year & I’m becoming frustrated. I clicked on the course instead of scheduling another doctor appt. to hear the same thing again.
Honestly, I had some fear and denial behind signing up for your course.
I’m pretty proud of myself right now.
Thank you for all you do.
Shalom 🫶🏼
I am proud of you, Caroline!
@@TheSteadyCoach thank you very much. I just received your workbook and very excited to start writing in it. I’m the person who usually skips the instructions and dives right in but I’m disciplining myself to actually take the time to read before doing. Thank you again. Shalom 🫶🏼🙏🏽
Excellent interview. This is the first time I’ve heard Dr. Schechter and I’ll be adding his book to my reading list. Thank you!
Thank you so much for sharing, this has given me so much more understanding
You're very welcome!
This was such a great interview ! I feel the neck questions were specifically for me to hear ❤. 😊Thank you , still working on saturation of belief. I’m sure others would agree that every hospitals needs more individuals like you .
Thank you Dr. Yo. I’m so glad you clarified “pain” to include dizziness. I have no pain but I have brain fog and dizziness. I’ve always wondered if TMS applied to me. Thank you.
Great interview.
Thank you, Tobie!
Thank you both. I was a patient of Dr sarno for 25 years. Initially went to him in 1991 for backpain. Had all the usual other symptoms over the years. I'd call sarno every couple of months w each new one. He'd say something reassuring & whatever the sensation, pain was would go away. But not till I found Nicole Sachs in Dec 2019, did it all click. Do appreciative of this community, all the doctors, therapist, coaches getting this message out there
You are a genius, it’s one of the best interview I have ever heard in my life, you spoke of so much disease, it’s amazing ,I wish you were in Trinidad.thank you so much.
❤❤❤
Wow 🤩 Two absolutely amazing people in one interview. Thank you!
I found Dr Schecter incredibly helpful early on in my journey.
The moment I’m watching and listening to you both, I had such a sense of calm that came over me.
It’s incredible the things I’ve learned about the link of everything, pain/dizziness/symptoms/ TMS etc. I just wish there were more people like both of you, especially in the UK!!
I made sure I wasn’t part of any ‘support’ groups and tried to not Google too much but that’s hard!! Googling 100% doesn’t help though!!
Thank you both for taking this time 😊
Gill!!! So good to see you here. I’m thrilled you liked the interview! SIRPA.org is a wonderful UK based organization if you haven’t already heard of them!
@@TheSteadyCoach Hi Dr Yo! Thank you for that, I hadn’t heard of them!
Lots of life changes for me at the mo, I am about to start a new job! Eeek!! Thanks again for all you do x
Ordered the books recommended and also want to recommend one I just read: Alan Gordon, The Way out. Great book about mind body approach to pain/dizziness/other symptoms 😊 and of course thanks for another great interview!
Yes! Great book!
Someone just recommended that book to me today! It's a sign.
@@jgoodygoods512 it must be! Good luck to you!
@The Steady Coach this was really helpful and thank you for explaining how all these different terms can mean the same thing. And the stuff about VMs!! One thing I’d love to understand better is how ACES, and having a certain TypeT temperament creates the symptoms in the first place. I understand the fear of the symptom perpetuating more symptoms but how did my early trauma create chronic headaches which led to neck pain and trapezius tightness and pelvic floor burning and restless leg and PPPD, VM etc etc? How did the train get started and why have I been getting more types of symptoms??? Now THAT would be an interesting and helpful
Podcast for me! (Not that the other ones aren’t-But this is a burning question)
Great questions!!! I do have a couple already out that might partly address this, but I will definitely be talking about this more! ua-cam.com/video/GK6sg8F3FTU/v-deo.html with Mariclare Dasigenis and ua-cam.com/video/ZjPuec-XRUc/v-deo.html with Christie Uipi!
Thank you both, another great video. Dr Yo, could you tell me if it’s possible to work on both dizziness and pain simultaneously, or should the dominant symptom take priority? Thank you 😊
Yes, many of the same techniques apply to both dizziness and pain.
I've been watching your videos for a few months now after getting hit with dizziness a few months back. I am a huge hypochondriac and have spent longer then I can remember googling and being stuck on reddit all day. I'm working through getting better and have stopped googling. My first panic attack was when I was about 17 years old and I have had anxiety since (now 29) it all stopped when I was on sertraline but was really hard whilst my body got used to the medication and I stopped them a year later due to feeling better. I have had so many physical symptoms it would take me all day to write down and now I'm stuck with dizziness.. shortly after stopping the medication it all came rushing back but everytime ive tried different medication my body now over reacts and i get server side effecrs amplifying my mad symptoms..I've had blood tests done but no mri but I'm convinced it's what you disgus nothing more considering I've always had some sort of symptom going on. I'm hopeful your videos will cure me and will continue watching.. many thanks 🙏
Hi Emmey, there is hope! Please consider taking my free course on healing chronic dizziness. thesteadycoach.com/free-course You are not alone!
I definitely will and thanks for replying ❤
I have had vm for 23 years. Recently diagnosed by audiologist with PPPD after several tests. Did 2 months of VRT. Feel worse. 24/7 swaying since January. This makes a lot of sense and I'll have to read the book. I'm just not sure exactly were to start besides journaling and getting my feelings out.
Hi Mel, I would recommend taking my free course on healing chronic dizziness as a good starting place. It's 100% free and all of my recommendations and techniques are condensed within it thesteadycoach.com/free-course
Great interview, thank you so much. Curious about why the label "fibromyalgia" is damaging?
Great question, Tyler. I believe Dr. Schechter was relating to the very sad reality that once a patient gets that diagnosis, doctors often place the person in the categories of "cannot be helped," "difficult patient" and "lifelong disability." Talk about a nocebo. It's very sad.
I questioned IBS and fibro, and the doctor laughed. Little does she know….
I would love a therapist who understands mindbody work and cptsd who takes insurance. Would help when I am not working
I know, it's hard to find someone. You can check out ppdassociation.org and painreprocessingtherapy.com for some directories- there are some therapists who do take insurance.
Great interview! I would love to know more about the research behind the effectiveness of handwritten journaling versus typing versus voice memos. I ask because I've journaled by hand for about a year, but recently started doing some video journaling as well, and sometimes I find that video journaling offers me a fuller-body release of emotions and stress whereas handwritten journaling sometimes leaves me more physically tense than I was before, despite writing as honestly as possible about my feelings. I'm wondering if anyone else has thoughts on this or has noticed something similar!
It's probably different for different people! This is an interesting news article on the topic with a few different perspectives. www.theguardian.com/science/2014/dec/16/cognitive-benefits-handwriting-decline-typing
Thanks so much! @@TheSteadyCoach
The top neurologist in my state diagnosed me with MDDS and vestibular migranes but I strongly believe it's PPPD. and no one/nothing has been able to help except me trying to tell myself I'm fine and living my life. But my anxiety is still at an all time high and I'm occasionally dizzy when I get super anxious/stressed, I'm constantly exhausted, and just feel like a shell of my old self. I don't know what else to do.
Michelle, I am sorry that you are going through this. Have you taken my free course on healing chronic dizziness? thesteadycoach.com/free-course All of my recommendations and techniques are condensed within it.
@@TheSteadyCoach Yes I have, I went through it months ago but I was starting to feel better so I kind of tried to just ignore my symptoms and pretend I was living a normal life when I should have revisited it and practiced the techniques. :(
Great Video- thanks for that . But the question is: is it enough to work on CND (from your course) to stop the pain or should we work on the pain thing parallel? (I have pain and PPPD)
They are both symptoms of exactly the same disorder, so you address the root disorder and all symptoms will respond. There's no separate approach.
I feel like another fad is PPPD...oh...you have PPPD...no...I have anxiety.
Does chronic fatigue syndrome fall in this condition? Thank you for your video.
Absolutely yes.
Thank you for this great interview. I would like to ask about something I've been struggling with - chronic dizziness for nearly 6 months. However, for the past 8 months, I've also been dealing with DPDR (Depersonalization and Derealization Disorder). Initially, I thought my DPDR was a type of dizziness due to experiencing occasional issues throughout my life that I attributed to dizziness. After having a panic attack 8 months ago, I visited the doctor's office. Both my test results and MRI came back normal. Consequently, they suggested that I seek psychological help. As a result, I began therapy and was subsequently diagnosed with DPDR and anxiety . Since chronic dizziness could be caused by anxiety, I've been wondering if all of these issues are connected ? Thank you
Yes, these can all be connected. I discuss more about these dissociation symptoms in this video ua-cam.com/video/YRAe_VeCA3w/v-deo.htmlsi=5g96B2pNT4i9m3mn
Thank you so much for your reply I will definitely check the linked video and also thank you for all the content you share your channel is such a lifesaver ❤❤
Thank u . I am so depressed from dizziness no one will help me
Hi Fran, I know that this is awful! Please check out my free course thesteadycoach.com/free-course
Just found u and tms.
Could something like effects of a stroke, even years later, be TMS (knowing this person also has had cfs before this)? (Extremely rare type, to which they found no cause for) Ty
Could be. There are also “hybrid” conditions in which it is mostly TMS but some biological/tissue damage related symptoms.
Dr Yo, can structural ear problems exist with dizziness where maybe it is a life long thing in some cases? Or are all structural ear problems compensated where dizziness can go away? Can all ear dizziness be healed/cured?
You may find your answers in this video ua-cam.com/video/y6UQmNSnVFo/v-deo.htmlsi=4yMmz8Z-PwJFjVVo
Please...
I just cant place my reaction it seems...i try 1 more time...
Dr Yonit, i am.wondering..do you see/ hear many people who suffer from pppd, that they also report eye teaming issues? (visual skills like divergence/ convergence etc). I am really curious. Because it seems that when optomologist measure delay in visual skills the cause can be brain/ tissue damage, or since childhood issues with eyes, OR burnout issues. If burnout is the cause, They say it is the brain that is not processing the information well to send and control signals from brain to eye musles. Now, i have these issues as well as pppd. And now i am so so much wondering: when you speak of people who feel delay issues, processing issues, trouble with busy visual stimuli, is the cause than also: visual skills that are not properly processed in the brain? And so i mean, when these people would visit the optometrist...would he than also measure a delay issue when looking at the different visual skills of this person?
I dont know if you understand my question...
But it is not that i want to know if it affects my pppd
I just would like to know if my visual skills delay that is measured by the optometrist, is the "same" as what you speak of, when you are explaining us (in this video) about processing problem of the eyes!
So, long story short...is this than ALL because of a brain that is not working as normal, due to anxiety, stress, fatigue because of all the pppd stress for years...
REALLY hope you can answer this one...it is a BIG stumbling block for me to get over my fear for the eye stuff.
🙏🙏🙏🙏b
People sometimes have demonstrable functional issues in their vision when they have these disorders. But even when they are "fixed" via vision therapy they often continue to have symptoms.
Mam.. where can i get the work book?
Hi! All of the links for the workbooks mentioned are in the details of this video.
I can’t find any excercise video maaam
I am not sure which video you are looking for, but I would recommend checking out my free course. My techniques and recommendations are condensed within this course thesteadycoach.com/free-course
If you go into Nicole Sachs community- chronic dizziness is one of the biggest mind body symptoms
Good to know. It makes me so frustrated to know it's so often poorly managed and treated.