The following program presents
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principles designed
to promote good health
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and is not
intended to take the place
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of personalized
professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are encouraged to draw
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their own conclusions
about the information presented.
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Hello, and welcome to
"Health for a Lifetime."
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I'm your host Don Mackintosh.
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And today we're
gonna talk about a serious,
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but important
subject, natural disasters
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and their impact on
us not just physically,
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but our mental health and
joining us in the sudid today
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we talked about
this is a psychiatrist,
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who has been
trained in both adult,
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and now doing a
fellowship in child
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and adolescent
psychiatry, Dr. Borge
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and you're from Pittsburg,
isn't that right? Yes.
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And you got
interested in psychiatry
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and helping
people in this way, how?
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Well, you know, after
recent natural disasters
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going on with our country
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and also overseas, I
was wondering a what kind of
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mental illnesses
one can, you know,
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expect and of
course, so I was wondering
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I would like to
know more about this
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and I was
thinking of what I can do--
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To help. To help.
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So I got interested.
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So this is, I mean,
this is a large group
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you're working with today,
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I mean, you're gonna
impact what the Lord's help.
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A lot of people and
hopefully give them,
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you know, some inside
and what, what's normal,
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what's not normal, and
what can really help them.
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Absolutely, I
mean, the goal is here
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to educate the people,
you know, I feel very sorry
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for what people and
families have gone through
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and are going through,
and what I'd like to do is,
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you know, see how I
can help by educating them.
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By telling them of information
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that can be helpful to
them, so that they can,
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you know, have better
lives and be able to deal
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wit the stressors
in a much better way.
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Now you and I have talked
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in another program
which of people interest
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in that they can
get it from 3ABN.
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On children and the
impact of natural disasters,
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but we want to talk about adults
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in this particular
segment, but first of all
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we want to
define what a traumatic
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or natural disaster
would be and then look at
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some normal reactions,
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and then look at
some risk factors.
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Before we then look more
specifically at some specifics
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so first of all,
what is a definition
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of the natural
disaster or traumatic event?
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Yeah, anybody who has
gone our experienced event
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or events after
a natural disaster
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is undergoes
through what is called
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a traumatic stress reaction.
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And a traumatic
stress reaction is the person
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who has eye
witnessed or experienced events
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in which the physical
and integrity of themselves
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or others has been threatened
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have experience what is called
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a traumatic
stress reaction, and--
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Lots of people
who go through that,
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I mean, like medical workers,
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emergency workers, fire workers.
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Absolutely, and those
people who are involved
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in those areas where
the stress and mortality
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is high have also experience
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what is we called trauma.
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According to the American
Psychological Association
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approximately 70% of
US adults have experienced
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at least one traumatic
event in their lifetime
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and one in five
gone to develop symptoms
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of what we called
posttraumatic stress disorder.
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Would you consider
seeing like I watched
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when the Twin
Towers felt, September 11,
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is that a traumatic event?
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Suppose to be me, it was if,
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I saw people physically
jumping out of windows
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was that a trauma
for the whole country?
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would that count as one event?
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Yes, absolutely, you know,
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if you have
witnessed or traumatic event
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to that magnitude
is definitely traumatic
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but I think it
depends on the individuals.
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Some people who have witness
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different types of
trauma in their lifetime before,
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maybe more
resistant to developing trauma
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after witnessing
something like that
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or as others who have not
and who felt like probably,
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you know, it is very
safe to be in America
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and safe to be in
that, probably, in that area
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and that nothing like this
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would happen to
them, to them it might be
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very, very traumatic
compare to someone else.
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So, but definitely
witnessing a traumatic event
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where the integrity
and a danger was involved
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to the person or others also is,
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a person can also go
through what is called
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a traumatic stress reaction.
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So, I mean, living in
Florida would be kind of
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traumatic at this time,
living in different places,
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these or seeing it on television
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all these things kind
of add up, absolutely.
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So this is very
important to talk about
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what are some normal reactions
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to these traumatic,
traumatic stressors.
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Yes, and I think
that's very important
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to keep in mind that
these are normal reactions.
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Because after experiencing
trauma to this extend
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that you are expected to undergo
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certain normal reactions.
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For example, we can talk
about emotional reactions
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where you can have shock denial,
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anger,
resentment, can feel abandoned
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or a strange from
people, you can feel betrayed,
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you can get, you can
feel depressed. Or patriotic.
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Yes, absolutely you can,
you can feel patriotic also,
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you can feel lot of
psychological distress
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you can have
flashbacks of the event,
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you can have nightmares,
you can feel, you know,
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have all these
stressing images or memories,
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you can have
memory loss of the event,
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you can have physical
reactions to the trauma,
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you can have chest
pain or discomfort,
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you can have
abdominal pain or distress,
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you can have
physical tension, fatigue,
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you can feel paresthesia
or numbness of the extremities
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you can have headaches.
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So these are some of the
physical symptoms for trauma.
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Interpersonal situations
or reactions that are normal.
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These are normal by the way
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what you're talking about.
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Absolutely,
interpersonal you can,
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people can get
more have difficulty
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with their relationships
with their spouses,
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with their
families, with their children,
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they can get more aggie,
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more irritable
with their relationships
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they can feel,
like I said, betrayed,
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they can feel abandoned,
sometimes they can feel
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like the responsibility
over them is overwhelming,
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especially for male figure,
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who is the head of the
household by feel that,
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okay, this is so
much that they have to
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take care of and deal
with, so they might feel
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more anxious and
more stressed out.
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Spiritually I imagine
some people angry with God
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and some people
would say, I don't know,
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I don't have anything
to do with God anymore
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and some people
get closer to God.
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Absolutely, some
people can look at this as,
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God, where were
You, where were You
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when I lost my child,
when I lost my spouse,
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where were You, I did
You let this happen to me
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and they can requisitioning
God over and over,
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they can get very
resentful with God,
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they can get very angry,
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they can lose
their faith in God.
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Whereas some people
can look at it as sign
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from God saying
that they need to change
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their lifestyle
that they were living
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and they might
become more closure to God.
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So those are normal reactions,
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but let's quickly go
through some of the risk factors
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in other words,
those are normal reactions
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and those as they play out
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are actually a healthy thing,
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they're coping mechanism,
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maybe you caught there,
but what about risk factors,
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what are some of the things
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that are very,
well, risk factors?
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Yeah, some of the
risk factors are like,
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if you lose
communication with your family,
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with your neighborhood,
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with the community
that is a risk factor,
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if there is
property loss that's really--
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That was really
digging these hurricanes.
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Absolutely, that's
another risk factor,
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if there is danger to yourself--
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Fear of safety. Absolutely.
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And if you see
lot of destruction
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or death around you,
that's another risk factor.
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If there is a
history of previous trauma,
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that's another risk factor.
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If someone has
medical condition that can,
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it can worsen, and so
you can have worsening
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of medical or
psychological conditions
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and giving you a risk
factor to get illnesses
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or you could--
Divorce, job loss.
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Absolutely, you can
divorce and job losses
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another stressor
for developing trauma.
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So all these are
risk factors and, I mean,
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they're devastating
in and of themselves,
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they're all made
your events to just huge,
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and I'm sure you
see a lot of people
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that are just dealing
with one of those things,
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but these are compound
in international disaster.
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Yes, absolutely.
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Okay, well we,
you know, we talked
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in the previous
program about children,
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but now, you know,
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we want to focus in
this program more on adults
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and there are
some of these things
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that adults were
experienced that you mentioned
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post-traumatic stress disorder,
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major depression, and
generalized anxiety disorder,
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and let's just
work through those.
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What are those
mean and then hopefully
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what can we do about them,
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post-traumatic
stress disorder for us?
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Yes,
post-traumatic stress disorder
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or what we call as
PTSD is also when someone
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has eye witnessed or
experienced situations
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or events in which
they were threatened,
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their life was
threatened or injured,
00:10:24.51\00:10:28.20
and their
reaction to that involved
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severe helplessness or horror
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is one of the thing
which constitutes PTSD.
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So helplessness or
horror, this is not you seen,
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it's actually
experiencing for sure
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Yes, yes. Okay.
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And the person
re-experiences these events
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in couple of different ways,
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they can have
flashbacks about it,
00:10:50.89\00:10:53.28
they can have
distress in thoughts or images,
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they can have
nightmares about this,
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they can actually experience it
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as if it were happening again,
00:11:02.24\00:11:04.33
so which we called reliving
the traumatic experience
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or they could
develop sleep disturbances
00:11:08.47\00:11:13.37
related to this trauma.
00:11:13.38\00:11:16.58
And so that's, that is
not a natural reaction,
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it's actually something
that they're gonna need
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to have help getting through.
00:11:21.64\00:11:23.61
Yes, actually, see sometimes
00:11:23.62\00:11:27.98
you can have
natural reactions, you know,
00:11:27.99\00:11:29.87
you can have nightmares,
you can have flashbacks,
00:11:29.88\00:11:32.56
you can have
images of the trauma again
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as if you're
re-experiencing them,
00:11:37.89\00:11:40.10
but when it
becomes to the point where
00:11:40.11\00:11:43.51
it is going on for a longtime
00:11:43.52\00:11:45.28
and it is
interfering with your social
00:11:45.29\00:11:48.64
and occupational
functioning that's when like
00:11:48.65\00:11:51.97
natural normal reactions
are not normal anymore,
00:11:51.98\00:11:56.07
that's when they
go beyond that state--
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For five years later they're
still doing that or even.
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Sure, some
studies have shown PTSD
00:12:01.44\00:12:03.52
according like yours even up to
00:12:03.53\00:12:05.09
like 14 years after the event.
00:12:05.10\00:12:07.39
So what do they do for
this? What would you do?
00:12:07.40\00:12:10.05
Someone comes in, how
we help someone that's,
00:12:10.06\00:12:12.28
most people watch and
they're going through them,
00:12:12.29\00:12:14.39
what do they do?
00:12:14.40\00:12:15.37
First of all, acknowledge
that this is what's happening
00:12:15.38\00:12:18.22
just by what
they've listen to now
00:12:18.23\00:12:19.99
and then what's the next step?
00:12:20.00\00:12:20.97
Absolutely, you know,
I think very important
00:12:20.98\00:12:23.71
is to protect
yourself, safety is first.
00:12:23.72\00:12:27.27
So, you know, get
away from the situation
00:12:27.28\00:12:29.90
which you are in,
which is unexpected
00:12:29.91\00:12:33.70
or you don't know
what's going to happen next,
00:12:33.71\00:12:36.29
you need to get
yourself or others
00:12:36.30\00:12:38.36
to a safe environment,
that is very important.
00:12:38.37\00:12:41.44
Okay. Absolutely.
00:12:41.45\00:12:42.65
And then you need
to protect yourself,
00:12:42.66\00:12:44.64
you need to protect yourself
00:12:44.65\00:12:45.81
from the natural,
you know, the cold,
00:12:45.82\00:12:49.41
the weather that
you're going through
00:12:49.42\00:12:52.33
get the proper
nutrition, the food,
00:12:52.34\00:12:54.83
the clean water
that you can have,
00:12:54.84\00:12:57.77
so you need to take care
00:12:57.78\00:12:59.58
of yourself in those aspects.
00:12:59.59\00:13:02.20
Basic ways and then what's next?
00:13:02.21\00:13:03.20
Absolutely, you
need to get find out
00:13:03.21\00:13:06.22
what is going
on in the community
00:13:06.23\00:13:07.81
with the resources around,
00:13:07.82\00:13:09.39
you need to find
out where there is help,
00:13:09.40\00:13:11.35
you need to
direct your families,
00:13:11.36\00:13:13.42
you need to tell,
tell your families where,
00:13:13.43\00:13:15.22
you know, where
you can meet or what,
00:13:15.23\00:13:17.02
what is the place
that you can get together,
00:13:17.03\00:13:19.58
if something again
happens, so you need to direct.
00:13:19.59\00:13:22.86
Put together plans.
Absolutely, absolutely.
00:13:22.87\00:13:25.54
And so directing
families and your loved ones
00:13:25.55\00:13:29.11
is important, so
that one would know
00:13:29.12\00:13:31.61
where to come and
where to meet up with,
00:13:31.62\00:13:33.91
in case, something happens again
00:13:33.92\00:13:35.72
or something is ongoing,
00:13:35.73\00:13:37.76
and then you'll need
to, you need to connect
00:13:37.77\00:13:40.66
with the
resources in the community
00:13:40.67\00:13:42.38
where they're
giving the supplies
00:13:42.39\00:13:44.46
or where they're giving
the food or the basic needs
00:13:44.47\00:13:46.62
or where there is
information about,
00:13:46.63\00:13:48.79
where your loved one could be,
00:13:48.80\00:13:51.00
you know, you need to go
and get involved with those
00:13:51.01\00:13:54.40
and inform the people,
so that they can help you.
00:13:54.41\00:13:57.81
Instead they see
someone like you?
00:13:57.82\00:14:01.19
Professional help
is an important aspect.
00:14:01.20\00:14:05.16
After one experiences trauma,
00:14:05.17\00:14:07.21
if they're not feeling
better after couple of weeks,
00:14:07.22\00:14:12.54
if they're not improving,
00:14:12.55\00:14:14.13
if their
symptoms are not improving
00:14:14.14\00:14:15.95
or if they feel that
they're not in control,
00:14:15.96\00:14:19.77
their things are
getting out of control,
00:14:19.78\00:14:21.60
if they feel that
it's important to speak
00:14:21.61\00:14:24.53
not necessarily a
professional or a psychiatrist,
00:14:24.54\00:14:27.60
but you can start with
maybe even your community,
00:14:27.61\00:14:30.72
you can start and
speak with your friends
00:14:30.73\00:14:32.36
and express
like what is going on
00:14:32.37\00:14:34.54
and see how others are feeling,
00:14:34.55\00:14:36.34
how they're reacting.
00:14:36.35\00:14:37.59
Sometimes it's helpful,
especially mass disasters
00:14:37.60\00:14:40.82
when someone, when
you speak to someone
00:14:40.83\00:14:43.34
and let them know how,
what you're going through?
00:14:43.35\00:14:45.61
They're able to,
you know, express
00:14:45.62\00:14:49.02
what they're
going through tools,
00:14:49.03\00:14:50.82
so sometimes that
might relieve your anxiety
00:14:50.83\00:14:53.12
or it might need
to things better,
00:14:53.13\00:14:54.36
so that might not
necessarily mean that
00:14:54.37\00:14:57.14
you and see a physiatrist.
00:14:57.15\00:14:59.00
So if you, if you
talk with your family,
00:14:59.01\00:15:01.88
if you talk with the community,
00:15:01.89\00:15:03.07
sometimes if you think
00:15:03.08\00:15:04.39
you need a
little bit more health,
00:15:04.40\00:15:06.01
if you talk to your clergy,
00:15:06.02\00:15:07.11
if you talk to some
teachers, and you know,
00:15:07.12\00:15:09.06
I think social
workers and people out there
00:15:09.07\00:15:11.53
are good at helping
people and recognizing
00:15:11.54\00:15:15.02
when one needs
more professional help.
00:15:15.03\00:15:18.45
So, for example, even talking
to your primary care physician,
00:15:18.46\00:15:21.76
your physician can
determine if you need
00:15:21.77\00:15:23.95
little bit more mental help
00:15:23.96\00:15:26.45
and then refer
you to a psychiatrist.
00:15:26.46\00:15:29.65
When we
comeback, we'll talk about
00:15:29.66\00:15:31.17
major
depression, we'll talk about
00:15:31.18\00:15:32.47
these other things and
how to relate to those.
00:15:32.48\00:15:35.65
Thank you for joining us.
00:15:35.66\00:15:36.68
We're talking
about natural disasters
00:15:36.69\00:15:38.86
and their impact
on mental health.
00:15:38.87\00:15:40.53
And join us when we comeback.
00:15:40.54\00:15:43.15
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Welcome back, we're
talking with Dr. Manjula Borge,
00:16:44.72\00:16:49.21
she is a
psychiatrist from Pittsburgh.
00:16:49.22\00:16:51.59
And she just has a real burden,
00:16:51.60\00:16:53.18
she's seeing the
natural disasters,
00:16:53.19\00:16:54.92
she's seeing the problems
that people are experiencing
00:16:54.93\00:16:56.65
and her heart has gone out.
00:16:56.66\00:16:57.94
She said, look, I want
to share some information
00:16:57.95\00:17:00.56
that can be of help
to those who are going
00:17:00.57\00:17:02.89
through natural disasters,
and we appreciate that.
00:17:02.90\00:17:05.64
We're talking about
the, you know, the adults
00:17:05.65\00:17:07.90
and we've talked
about how to diagnose
00:17:07.91\00:17:10.86
whether it's a traumatic events,
00:17:10.87\00:17:12.22
which sometimes is a no brainer.
00:17:12.23\00:17:14.34
And then what are
the normal responses,
00:17:14.35\00:17:16.52
what are some risk
factors, and we were talking
00:17:16.53\00:17:18.79
about post
traumatic stress disorder.
00:17:18.80\00:17:22.64
And you said, there's
some other things are typical,
00:17:22.65\00:17:26.14
one of the things that
happens is that people,
00:17:26.15\00:17:28.10
if you're diagnosing or trying
to figure out if you have this,
00:17:28.72\00:17:32.31
is that you avoid family, you
avoid these different things,
00:17:32.32\00:17:35.93
talk to me a little
bit more about that.
00:17:35.94\00:17:37.33
And then tell us
a little bit more
00:17:37.34\00:17:39.11
what to do if none of
the things you've said
00:17:39.12\00:17:41.49
so far are working,
you've said so far, look,
00:17:41.50\00:17:44.35
get in touch with
your family and friends,
00:17:44.36\00:17:46.25
talk to those that
are significantly able to
00:17:46.26\00:17:48.71
perhaps listen like
social workers and others,
00:17:48.72\00:17:51.29
and your friends
in the community.
00:17:51.30\00:17:52.76
You've said also to, you know,
00:17:52.77\00:17:54.97
make a plan if
this happens again,
00:17:54.98\00:17:56.86
get out of the
situation if you can,
00:17:56.87\00:17:59.32
but you also mentioned
that there is avoidance
00:17:59.33\00:18:01.93
that goes on of
these very things,
00:18:01.94\00:18:03.86
family, friends,
and everything else.
00:18:03.87\00:18:05.26
So explain that to me and then
00:18:05.27\00:18:06.62
what do we do about it?
00:18:06.63\00:18:07.93
Well, in post traumatic
stress disorder or PTSD,
00:18:07.94\00:18:11.14
a person can also have
what is called avoidance,
00:18:11.15\00:18:14.20
where they avoid
people, places, conversations
00:18:14.21\00:18:18.95
anything that
reminds them of their trauma,
00:18:18.96\00:18:22.23
that is also one of the symptom,
00:18:22.24\00:18:24.62
so they're
avoiding places, they,
00:18:24.63\00:18:27.77
probably they
don't want to go to work,
00:18:27.78\00:18:29.70
maybe, sometimes
they don't want to
00:18:29.71\00:18:31.56
be involved in the activities
00:18:31.57\00:18:33.01
that they used to be
involved with or enjoy,
00:18:33.02\00:18:36.24
they try to avoid
their relationships
00:18:36.25\00:18:39.64
or their family and
this is the, this is the way
00:18:39.65\00:18:44.24
that they're, one
of the symptoms that
00:18:44.25\00:18:46.29
they're going
through with PTSD, okay.
00:18:46.30\00:18:50.06
Well, what one can do more than,
00:18:50.07\00:18:52.25
you know, connecting
with family and resources
00:18:52.26\00:18:56.12
around them is once they get
00:18:56.13\00:18:58.26
to their mental health facility
00:18:58.27\00:18:59.56
and speak to a
psychiatrist or a psychologist,
00:18:59.57\00:19:03.10
sometimes there are
centers also, what is called,
00:19:03.11\00:19:05.70
centers for traumatic
stress where they have treatment
00:19:05.71\00:19:11.28
for people who
have been through trauma
00:19:11.29\00:19:13.62
that can be group therapy.
00:19:13.63\00:19:15.95
Sometimes it's
important to, you know,
00:19:15.96\00:19:19.10
talk with people
who have been through
00:19:19.11\00:19:20.35
the similar types of trauma,
00:19:20.36\00:19:21.98
I think that's very
helpful for the person,
00:19:21.99\00:19:25.13
sometimes they can
have individual therapy
00:19:25.14\00:19:27.66
with
psychologist or psychiatrist
00:19:27.67\00:19:30.11
or some and depending
on what their mental health
00:19:30.12\00:19:34.10
professional decides,
sometimes they might need
00:19:34.11\00:19:36.78
also some medication
to help you get through
00:19:36.79\00:19:40.33
these traumatic symptoms
that you're going through,
00:19:40.34\00:19:44.22
these flashbacks, these
reliving the experience,
00:19:44.23\00:19:47.44
this anxiety, this fear,
this feeling of numbness.
00:19:47.45\00:19:50.65
So sometimes you
might need some medications
00:19:50.66\00:19:54.07
also and that, that depends
00:19:54.08\00:19:55.82
on the mental
health professional,
00:19:55.83\00:19:57.52
once they diagnose you.
00:19:57.53\00:19:59.07
But, you know, it's
very important to go ahead
00:19:59.08\00:20:02.15
and get involved with
00:20:02.16\00:20:04.48
the different
resources out there.
00:20:04.49\00:20:07.81
Now there is other
things that you've said
00:20:07.82\00:20:09.20
can happen in a
natural disasters,
00:20:09.21\00:20:11.00
you've said major
depression is another thing
00:20:11.01\00:20:12.94
and a generalized anxiety
disorder, panic disorders,
00:20:12.95\00:20:17.57
and specific
phobias, let's go through
00:20:17.58\00:20:21.01
those rather rapidly
because I want to then see
00:20:21.02\00:20:23.63
what you would do, I think
there's probably common ways
00:20:23.64\00:20:26.56
to treat all of those.
00:20:26.57\00:20:28.44
So let's go through
them very rapidly to define
00:20:28.45\00:20:31.23
what they are and then
we have about seven minutes,
00:20:31.24\00:20:33.41
we want to use at
least five of those
00:20:33.42\00:20:35.07
to talk about what to do.
00:20:35.08\00:20:36.28
So let's go quickly through the,
00:20:36.29\00:20:38.19
first of all, major depression.
00:20:38.20\00:20:39.56
Yeah, a person
who has been through
00:20:39.57\00:20:41.81
or going through what
is called major depression
00:20:41.82\00:20:43.75
is experiencing symptoms
for a period of two weeks
00:20:43.76\00:20:47.02
or more where they
experience depressed mood,
00:20:47.03\00:20:50.72
difficulty with
sleeping, that is falling asleep
00:20:50.73\00:20:54.17
or staying asleep.
00:20:54.18\00:20:56.14
They have, they
lose interest in things
00:20:56.15\00:21:00.22
that they used to do before,
00:21:00.23\00:21:01.73
they also have
problems concentrating,
00:21:01.74\00:21:04.21
their energy is low,
and they feel sluggish,
00:21:04.22\00:21:08.95
their appetite maybe decreased
00:21:09.94\00:21:12.14
or maybe sometimes increased.
00:21:12.15\00:21:13.98
Some people have
increased appetite,
00:21:13.99\00:21:16.60
they feel guilty
about what has happened
00:21:16.61\00:21:20.56
and what is going
on or their reactions
00:21:20.57\00:21:22.78
to what has happened.
00:21:22.79\00:21:24.95
Sometimes there is
psychomotor retardation
00:21:24.96\00:21:27.81
or agitation what
we call is a person
00:21:27.82\00:21:30.51
is a little bit more irritable
00:21:30.52\00:21:31.81
when they're
psychomotor agitated,
00:21:31.82\00:21:33.52
and retardation is
where they're kind of more...
00:21:33.53\00:21:35.80
Sluggish. Exactly, sluggish.
00:21:35.81\00:21:37.12
And then sometimes they can have
00:21:37.13\00:21:40.54
suicidal
thoughts. Okay. That's--
00:21:40.55\00:21:43.38
So this would be of all
those things are happening
00:21:43.39\00:21:45.57
like you think maybe
this is a major depression.
00:21:45.58\00:21:48.55
What about generalized anxiety?
00:21:48.56\00:21:50.61
Generalized
anxiety is when, you know,
00:21:50.62\00:21:53.85
there's typical what we
talked about normal anxiety,
00:21:53.86\00:21:57.26
certain amount of anxiety
after a natural disaster,
00:21:57.27\00:22:00.35
whereas generalized
anxiety disorder is kind of
00:22:00.36\00:22:03.80
more in areas of not
just necessarily in areas
00:22:03.81\00:22:09.61
that you know you
get feel stressed out
00:22:09.62\00:22:12.59
or traumatized about,
it is even in other areas
00:22:12.60\00:22:16.72
where probably you were
doing functioning normally,
00:22:16.73\00:22:19.35
okay, that you
have excessive anxiety
00:22:19.36\00:22:22.42
where it is, where
the person recognizes that
00:22:22.43\00:22:25.45
this is excessive and this is,
00:22:25.46\00:22:28.04
this is
unreasonable amount of anxiety.
00:22:28.05\00:22:31.98
They were never like this,
sort of like the Bible says,
00:22:31.99\00:22:32.96
"Men's hearts
failing them for fear."
00:22:32.97\00:22:34.76
Yes, and then they find
it also difficult to control
00:22:34.77\00:22:38.42
this worry or anxiety
that they're experiencing.
00:22:38.43\00:22:40.69
And they can go again through
physical symptoms involved
00:22:40.70\00:22:44.48
with this
generalized anxiety disorder
00:22:44.49\00:22:46.80
or psychological
symptoms, you know,
00:22:46.81\00:22:49.86
a lot of symptoms
and then this has to be
00:22:49.87\00:22:52.31
for a period of, you
know, longer period of time.
00:22:52.32\00:22:55.48
Okay, panic
disorders and specific phobias
00:22:55.49\00:22:59.34
and we're already
to our five minutes,
00:22:59.35\00:23:01.61
so very briefly
on this and then,
00:23:01.62\00:23:02.72
let's spend at
least four minutes talking
00:23:02.73\00:23:05.29
about the treatment.
00:23:05.30\00:23:06.27
Sure, panic
disorders is to discuss
00:23:06.28\00:23:11.08
what are panic
disorders, we have to discuss
00:23:11.09\00:23:12.52
what panic attack is and
very briefly panic attack
00:23:12.53\00:23:15.87
is a discreet amount
of period of intense fear
00:23:15.88\00:23:20.69
or anxiety, in which
symptoms are expressed
00:23:20.70\00:23:25.20
in a period of
10 minutes or less.
00:23:25.21\00:23:27.93
And some of the
symptoms you can have
00:23:28.16\00:23:30.22
in panic and attack
is where you feel like
00:23:30.23\00:23:33.20
you're getting
chest pains or you know,
00:23:33.21\00:23:35.84
heart throbbing or
feel of choking or feel
00:23:35.85\00:23:38.37
of the sensation of nausea,
you get probably headaches
00:23:38.38\00:23:42.28
and like I said
again, paresthesias
00:23:42.29\00:23:44.69
or a lot of physical
complaints and panic attack.
00:23:44.70\00:23:49.06
So now panic disorder is
00:23:49.07\00:23:51.28
recurrent
episodes of panic attacks.
00:23:51.29\00:23:54.23
Those 10 minute
episodes. Yes. Okay.
00:23:54.24\00:23:56.12
And then this
can, in panic disorder
00:23:56.13\00:23:59.19
you can also have
excessive concern of getting
00:23:59.20\00:24:03.77
this panic
attacks and you also worry
00:24:03.78\00:24:07.28
of the implications of this--
00:24:07.29\00:24:08.70
You panic about being
panicked, it's like really bad.
00:24:08.71\00:24:11.53
You worry of, you
know, what's gonna happen,
00:24:11.54\00:24:13.65
related to your job or
related to your relationship
00:24:13.66\00:24:17.73
because of this panic attacks.
00:24:17.74\00:24:19.58
And then the person also
makes major lifestyle changes
00:24:19.59\00:24:23.50
because of this panic attacks.
00:24:23.51\00:24:26.07
And for example, a
person who is going to,
00:24:26.08\00:24:29.38
you know, work,
they might decided
00:24:29.39\00:24:30.95
that they can't work
in that type of a job
00:24:30.96\00:24:32.78
anymore because
they're gonna get come up
00:24:32.79\00:24:34.66
with the panic attack
and might decide to change
00:24:34.67\00:24:37.36
their job and go
for something else.
00:24:37.37\00:24:39.95
Okay, then we've
got three minutes
00:24:39.96\00:24:42.31
and let's talk about, you
have about five or six points
00:24:42.32\00:24:46.51
and what do you do about these?
00:24:46.52\00:24:47.73
What is the
hope? What can we do to
00:24:47.74\00:24:49.13
manage the affects on
us from natural disasters?
00:24:49.14\00:24:53.23
All the things
we have mentioned.
00:24:53.24\00:24:54.21
Absolutely, very
important, safety first,
00:24:54.22\00:24:57.37
protect
yourself. Protect yourself,
00:24:57.38\00:24:59.60
protect the people around you,
00:24:59.61\00:25:01.47
protect your family direct.
00:25:01.48\00:25:04.12
Get, you know, explain to
them where you want to meet,
00:25:04.13\00:25:07.45
how you want to in
case someone gets lost
00:25:07.46\00:25:10.79
or communication is
lost, how are you going to get
00:25:10.80\00:25:13.02
back together? Okay.
00:25:13.03\00:25:14.40
You know, and then connect,
00:25:14.41\00:25:15.76
connect with agencies different,
00:25:15.77\00:25:17.47
you know, Red Cross, FEMA,
whatever different agencies
00:25:17.48\00:25:20.75
that are involved with
helping your community,
00:25:20.76\00:25:23.25
you know, you connect with them.
00:25:23.26\00:25:24.77
And then important to
get into your routine,
00:25:24.78\00:25:28.09
take care of yourself,
you know, get plenty of rest,
00:25:28.10\00:25:32.80
get enough
exercise, so that you form
00:25:32.81\00:25:35.23
some kind of a
routine in your life. Okay.
00:25:35.24\00:25:38.56
Also helping
others is very important.
00:25:38.57\00:25:41.63
It gives you a self control.
00:25:41.64\00:25:43.70
So if you can help others who
are in the similar situations.
00:25:43.71\00:25:47.19
Absolutely, that will
give you some sense of
00:25:47.20\00:25:49.75
control and support.
00:25:49.76\00:25:51.43
And you know, you
can't forget prayer,
00:25:51.44\00:25:54.10
that is very, very important.
00:25:54.11\00:25:56.11
Pray that for the
safety of yourself and others,
00:25:56.12\00:25:59.75
and pray for
strength and courage to deal
00:25:59.76\00:26:02.70
with the issues that
you're going through.
00:26:02.71\00:26:04.21
Okay, and then coming
to that spiritual again,
00:26:04.22\00:26:08.04
what if you're
just having problems
00:26:08.05\00:26:10.66
getting your mind around,
00:26:10.67\00:26:11.99
why God would
allow us or what not.
00:26:12.00\00:26:14.18
Have you helped
people through that?
00:26:14.19\00:26:16.26
Yes, well, you know,
it's natural sometimes for us
00:26:16.27\00:26:20.67
to question God,
when we are going through
00:26:20.68\00:26:23.13
difficult situations or
when we have lost our loved one
00:26:23.14\00:26:26.97
or we see our loved one dead.
00:26:26.98\00:26:29.75
It is, it is natural
sometimes to feel angry
00:26:29.76\00:26:33.54
and feel resentful and hateful.
00:26:33.55\00:26:35.43
Work through that.
00:26:35.44\00:26:36.42
Yes, but you also
have to keep in mind
00:26:36.43\00:26:38.85
that our God is
greater than any problem
00:26:38.86\00:26:41.99
that you can go through. Amen.
00:26:42.00\00:26:43.80
And He has the
reasons, why things happen?
00:26:43.81\00:26:47.68
And when we go to
heaven to meet Him,
00:26:47.69\00:26:50.04
we'll get an
opportunity to ask Him,
00:26:50.05\00:26:51.89
why this has happen.
00:26:51.90\00:26:53.49
But while you're
going through it,
00:26:53.50\00:26:54.99
you need to say
that He is in controlled
00:26:55.00\00:26:58.18
and practiced that, also
it's important to have faith.
00:26:58.19\00:27:02.44
That God is
watching over you through
00:27:02.45\00:27:04.61
what you're going through
and even though you've lost
00:27:04.62\00:27:08.06
your property or your loved one,
00:27:08.07\00:27:10.39
that He's in
control and He will help you
00:27:10.40\00:27:13.27
and he-- you know, He is
in charge, no matter what.
00:27:13.28\00:27:16.48
So keeping that in mind,
00:27:16.49\00:27:18.00
keeping in mind
that these worldly things
00:27:18.01\00:27:21.39
and the possessions are
not the focus of our mind,
00:27:21.40\00:27:25.93
we have to keep God as the focus
00:27:25.94\00:27:28.54
and then whatever happens,
you know, He's in control.
00:27:28.55\00:27:31.91
Amen. And we do our best.
00:27:31.92\00:27:34.51
Thank you so much,
Dr. Borge for joining us.
00:27:34.52\00:27:36.89
This has been very
helpful and I hope as it,
00:27:36.90\00:27:40.00
it is aired again and
again, it will help people
00:27:40.01\00:27:42.28
with the very thing as
your heart's desire to help,
00:27:42.29\00:27:45.13
those that are
experiencing natural disasters
00:27:45.14\00:27:47.55
knowing that God is
there and having you know,
00:27:47.56\00:27:49.76
the specifics to help them.
00:27:49.77\00:27:51.93
Thank you for joining us
on "Health for a Lifetime."
00:27:51.94\00:27:54.34
May God bless you today.
00:27:54.35\00:27:56.23