Anxiety and Icebergs

We are all aware, after being inundated for several years with the story and movie of the Titanic, of the dangers of icebergs. What is seen above the surface of the ocean is not what is dangerous. It is what cannot be seen that causes fear in sailors traversing the colder oceans.

Anxiety is often hard to understand, because what we see above the surface just doesn't make sense. The fears are unreasonable and come at random times. But anxiety is like an iceberg. The fears are based not on what can be seen and understood, but on what is under the surface.

Hi Dr. Judi, I have had a stressful few months and in that time I've had 3 anxiety attacks. I went to my PCP and he wants to put me on Paxil, but after reading all the negative information on the internet I don't want to do that. I have had only one prescription of xanax for the past 8 years and I've used it as needed. What should I do? Also, is anxiety associated with menopause? Thank you

Anxiety is very difficult to work with, but that doesn't mean impossible. Sadly, for the most part, it is treated mostly with medication. Medication may work for a while, but in many cases, over time, the anxiety cannot be completely suppressed by the medication and can possibly become very disabling.

General Anxiety Disorder (GAD)
GAD is characterized by excessive, exaggerated anxiety and worry about everyday life events. People with GAD tend to always expect disaster and can't stop worrying about health, money, family, work or school. In people with GAD, the worry often is unrealistic or out of proportion for the situation. Daily life becomes a constant state of worry, fear and dread. Eventually, the anxiety so dominates the person's thinking that it interferes with daily functioning, including work, school, social activities and relationships.

GAD affects the way a person thinks, but the anxiety can lead to physical symptoms, as well.

Symptoms of GAD may include:
· Excessive, ongoing worry and tension
· An unrealistic view of problems
· Restlessness or a feeling of being "edgy"
· Irritability
· Muscle tension
· Headaches
· Sweating
· Difficulty concentrating
· Nausea
· The need to go to the bathroom frequently
· Tiredness
· Trouble falling or staying asleep
· Trembling, especially the hands, and twitches, especially of the eyes
· Being easily startled
· Rapid or heavy heart beat and/or chest pain
· Stomach and/or abdominal pain
· Diarrhea

In addition, people with GAD often have other anxiety disorders (such as panic disorder, obsessive-compulsive disorder and phobias), suffer from depression, and/or abuse drugs or alcohol, or have other addictions.

Panic disorder is a subset of GAD. It is when the nervous system is flashing danger signals at inappropriate times. Without any provocation, they feel the same emotional and physical sensations they would if their lives were in jeopardy. The attacks seem to come out of thin air, in places where there is nothing to fear. Panic disorder typically begins in the late teen years or early-to-mid twenties, but it is now known to exist in children as well. It involves a discrete period of intense fear or discomfort, in which four (or more) of the following symptoms develop abruptly and reach a peak within 10 minutes:
· palpitations, pounding heart, or accelerated heart rate
· sweating
· trembling or shaking
· sensations of shortness of breath or smothering
· feeling of choking
· chest pain or discomfort
· nausea or abdominal distress
· feeling dizzy, unsteady, lightheaded, or faint
· derealization (feelings of unreality) or depersonalization (being detached from oneself)
· fear of losing control or going crazy
· fear of dying
· paresthesias (numbness or tingling sensations)
· chills or hot flushes

The anxiety and fear related to the possibility of having another attack can become debilitating and interfere with normal life.

Now, back to the iceberg. Let's compare the brain to an iceberg. The visible part is the conscious mind, and the invisible part is the subconscious mind, that we don't "see," or have conscious awareness of. The conscious mind is the place that deliberate thoughts and actions come from. The thoughts that we can't control tend to come from the subconscious mind.

When we are born and when we are very young we do not have a well-developed conscious mind. Our subconscious mind is like an open bowl, accepting everything that comes into it as truth: every thought, experience, teaching and belief that is poured into it is accepted as truth. Also, when there are traumatic events, such as abuse, illness, accidents, etc., often a piece of the subconscious mind holds onto that traumatic event as if it is the deciding force of our life.

As we grow and begin to develop our conscious mind, we can overcome some of the illogical beliefs of our childhood. We can see that just because a bully beat me up several times, that the world isn't necessarily full of bullies. We may even forget about the bullies, because they don't bother us anymore. But our subconscious mind still functions from its own truth that a bully could beat me up any time. This is where anxiety comes from. I will often refer to it as the child within, that is stuck in the belief system or trauma it experienced.

Suppose the bully was blond with full lips. There may be someone in our life that is blond with full lips. We may not even think about associating this person with the bully, but the "child" within, or the subconscious mind, will, and may trigger anxiety or a panic attack. Or when life is uncertain, when we don't know what is next for us, the "child" within may be triggered because he was daily terrified and uncertain what was going to happen on his way home from school. Or someone may use the same words the bully did, or have the same look or mannerism, and the anxiety is triggered.

Because our subconscious mind was mostly formed when we were young, our reactions to the unknown triggers are often childish. We get upset at ourselves because we "know better." Why would we be anxious about this? Or angry at that? Like a child, the anxious person often seems very selfish. Their mind loops over and over about their anxieties, and they don't have the capacity to be outward focused. Their fears may rule their minds, and they are unable to deal with the concerns of others. The anxiety is magnified because they see often see how selfish they are being, how they are constantly focusing on themselves, how they are so needy, how they are often difficult to live with, and yet they seem unable to change it.

Traditional treatment is generally a combination of medication and cognitive behavioral therapy. This may be adequate for some people, though not for all. Other therapies, less traditional, may be a combination of multiple therapies. Anxiety caused by post-traumatice stress disorder can often be helped with rapid eye movement therapy (Eye Movement Desensitization and Reprocessing, or EMDR). Phobias are often improved with Emotional Freedom Technique, which involves tapping certain acupuncture points while the person is focusing on their fears.

I use a therapy created by Detriech Klinghardt, M.D., called Applied Psychoneurobiology, to access the subconscious mind and discover where the fears are coming from. We also check for hypoglycemia, which can increase anxiety. We also often use neurofeedback to reduce excessive Beta waves, which are associated with anxiety.

We can't always avoid the icebergs, but when we are aware of what is underneath, we can begin to deal with them. Severe, long-term anxiety may take a year or more to work through, because the brain has established pathways over the years that take a lot of effort to break up and change, so it is important to be very patient with yourself or your loved one as treatment is progressing.

Is anxiety associated with menopause? I'll answer that one soon.

Until we meet again,

Dr. Judi

Answering Questions

I have not been faithful to my readers. My internet has been down for over 3 weeks because some workmen moved our satellite dish, and I haven't taken the effort to read the comments and questions to these blogs for a while through other sources. My internet is now working again! I was so excited last night to log on after the man came and fixed the satellite! And to think that 20 years ago I didn't even know what the internet was. It is quite amazing how quickly new technology becomes engrained in our culture so that what was once non-existant is now a necessity.


I have now resolved to write something, large or small, on this blog at least once a week. Now the world can see how well I am able to keep my resolutions! This there are many questions that deserve an answer. I will work on answering them to the best of my knowledge.





How would I find someone who provides the following therapies you suggested for CRPS/RSD? -- hydrogen peroxide intravenously, ultraviolet blood irradiation, specific frequency input, such as colored light, infrared therapy, low level laser therapy, magnetic therapy, and FMS (frequency specific microcurrent. My symptoms are getting worse and I would like to try some of these therapies.Thanks.


This is not an easy answer. I doubt there are very many physicians or other health practitioners who do all of these therapies. Physicians who utilize some of the practices often do not advertise them because they are not considered standard of care by the general medical community. The following are several sources for physicians who use treatments that are scientifically sound but "outside the box." Many of these organizations have been around a long time and base their treatments on scientific research, but are not necessarily accepted by mainstream medical physicians. Other physicians do not maintain long-term membership in these organizations and therefore may not be on their lists but still utilize the therapies according to protocol. However, be aware that there are also practitioners who use therapies that are not scientifically sound and, though rarely, harmful. It will take due diligence on your part to locate, call, question if they do the therapy and their training in it, to be able to find the practitioner or practitioners that will assist you the most.


The American College for Advancement in Medicine (ACAM); http://www.acam.org/
The American Academy of Environmental Medicine (AAEM); http://www.aaemonline.org/
American Holistic Medical Association (AHMA); http://www.holisticmedicine.org/
Cranial Academy; http://www.cranialacademy.com/
American Academy of Osteopathy (AAO); http://www.academyofosteopathy.org/
American Association of Naturopathic Physicians (AANP); http://www.naturopathic.org/
American Academy of Chiropractic Physicians (AACP); http://www.aacp.net/
International Hyperbaric Medical Association (IHMA); http://www.hyperbaricmedicalassociation.org/
International Oxidative Medicine Association; http://www.healthy.net/othersites/farr/ioma/about.htm
International Society for Neurofeedback and Research (ISNR); http://www.isnr.org/
Klinghardt Academy of Neurobiology; www.klinghardtneurobiology.com

You can also go to http://www.locateadoctor.com/ and put in the procedure you are looking for, with results such as for low level laser therapy: http://www.locateadoc.com/doctors/low-level-laser-therapy-cold-laser-therapy.html.


And as always, you can Google the procedure along with physicians, and various sources will come up. Good luck!!






So can biofeedback release trauma? What has to happen in the brain or body for trauma release to be complete - or stop releasing?

"Trauma release" is a form of post-traumatic stress disorder (PTSD). The body is reacting to triggers that sub-consciously remind it of the trauma that was previously experienced. The brain gets stuck in that trauma, creating a loop that keeps the brain from working through and letting go of that trauma. It keeps re-living the trauma, either sub-consciously, which often creates physical symptoms, through dreams, or through "abreactions," which is a "release, or acting out, of repressed trauma." This is often in the form of a "waking dream," in which the person feels like they are actually in the middle of the trauma once again. A softer form is repetitive physical symptoms, such as tremors, ticks, pain in specific areas related to the trauma, etc.

Neurofeedback has been proven to improve symptoms due to post-traumatic stress disorder. See the video related to treatment of veterans with PTSD: http://www.youtube.com/watch?v=IavubNlq1as. For information on neurofeedback treatments along the Wasatch front in Utah go to http://www.vanguardbiofeedback.com/ or call 1-877-870-BRAIN. Also see www.isnr.org for further research.


More answers coming in the next blog.

Until we meet again,

Dr. Judi

The Story-teller in My Brain

When I was a child our family traveled a lot. My father was in the Air Force, and we moved every one to three years, so we would travel between homes. We always seemed to live far away from my grandparents, so during summers we would make the long trek back to California. When we lived in Spain, my parents were courageous enough to take seven children and my grandmother camping through Europe for a month each summer to connect with the history and culture of those countries.

We were normal children being given incredible opportunities. But as normal children we would often become bored and start bickering. My mother, at her wits end at times, turned to story-telling. She would tell the most magical and fantastic stories, with us kids as the heroes and heroines, of course. Her stories would spellbind us into a quiet, peaceful, cooperative state of mind. All of us children hold her stories as a very special part of our childhood.

Over the past year, as I've added the treatment of neurofeedback to my practice, I've been studying and learning about the anatomy, physiology, and overall processes of the brain. Research on the brain has exploded in the last 20 years as the discovery has been made that the brain has the capacity to change. For centuries the common scientific belief was that once damaged, the brain could never regain what it lost. Once the brain became emotionally ill it could never recover. However, now because of the knowledge that the brain is neuroplastic (meaning that the cells can change function) and that in some situations the brain cells can regrow, there is much greater hope for those with dysfunctional brains.

Today I would like to talk about the little story-teller in the left side of our brains. No bigger than the size of a peanut, we can allow this part of our brain to control our lives. Jill Bolte Taylor, Ph.D., described it in her book, "My Stroke of Insight: A Brain Scientist's Personal Journey."

Dr. Taylor is a neuroscientist, and was teaching neuroanatomy to medical students when she experienced a hemorrhagic stroke (bleeding into the brain), that damaged a good portion of the left side of her brain. She was able to experience first hand the progressive loss of function of parts of her brain that she had been teaching her students about. She feels that she was also blessed to have been aware of the latest research on the neuroplasticity of the brain, because that gave her hope of recovery. Even though it took eight years, with many major functions not returning for five or six years, she continually worked and practiced her brain and eventually regained all of her functions again; physically, cognitively, emotionally, and spiritually.

To many scientists still coming from the old view, this constituted a miracle, because once lost, the brain shouldn't be able to regain its function. But with the new research, the miracle was in her never-ending hope and her patient work and practice towards progress, not letting failure after failure get her down until the changes finally took place, and the incredible learning process she chose to experience as she re-gained her left-sided ego mind.

Dr. Taylor talks about one area that returned that she wasn't sure she was very fond of. This was the ability to weave stories. She relates, "This story-teller portion of our left mind's language center is specifically designed to make sense of the world outside of us, based upon minimal amounts of information. It...takes whatever details it has to work with, and then weaves them together in the form of a story....Our left brain is brilliant in its ability to make stuff up, and fill in the blanks when there are gaps in its factual data. In addition, during its process of generating a story line, our left mind is quite the genius in its ability to manufacture alternative scenarios....it's particularly effective at hooking into those circuits of emotion and exhausting all the 'what if' possibilities."

Because she had lost this part of her brain function for a time, as it returned she was able to observe how often her story-teller would come to conclusions with only a very little information. Because her right brain had become so developed because of the loss of her left brain, she was able to observe with humor all the stories that her left brain would come up with that allowed it to read things into the actions and words of other people that weren't actually there. She realized that her story-teller actually expected the rest of her brain to believe and act on all of the stories that it was making up. She realized that her left brain was doing the best job it could with the information it had so that it could survive in the world, but she also had to remember that "there are enormous gaps between what I know and what I think I know. I learned that I need to be very wary of my story-teller's potential for stirring up drama and trauma."

Dr. Taylor also realized that as her left brain manufactured stories that it promoted as truth, it would also repeat those stories over and over again, creating loops of thought that didn't want to quit. She realized that before her stroke these loops of thought often ran rampant and she found herself habitually imagining devastating possibilities. She realized that we "need to tend carefully the garden of [our] minds. Without structure, censorship, or discipline, our thoughts run rampant on automatic. Because we have not learned how to more carefully manage what goes on inside our brains, we remain vulnerable to not only what other people think about us, but also to advertising and/or political manipulation."

Dr. Taylor said that this story-teller part of our brain has the potential to be mean, worry incessantly, or be verbally abusive to self and others. It could be stubborn, arrogant, sarcastic, and/or jealous. It held the capacity to be a sore loser, hold a grudge, tell lies, and even seek revenge. This small piece of her brain could bring her into a downward spiral, that caused her chest to feel tight, her blood pressure rise, and increase the tension in her brow which gave her a headache.

She found that it was a choice whether to believe these stories and allow them to play their loop or not. She found that at times it was a constant effort to tend to the thoughts that would come and latch hold upon her, to "step to the right," (use the right hemisphere to see the situation with compassion towards herself and others), and to change her mind. But in making that constant effort, she was able to control her thoughts and keep herself in a more peaceful place than she had been before her stroke. "I wanted to leave behind any of my old emotional circuits that automatically stimulated the instant replay of painful memories. I have found life to be too short to be preoccupied with pain from the past."

Studies show that emotions, when they are not held onto, enter, affect the body, and leave in 90 seconds. She realized that she had no control over this thought/emotion for 90 seconds. So she consciously chose to feel that emotion, let it wash over her, internalize it for 90 seconds, but not act on it or lash out because of it. Then, if it lasted more than 90 seconds, it had become her choice to allow it to continue. This is when the story-teller would take over. So, at this point, she would thank it for expressing itself, and tell it to move on and out of her body, that she no longer needed it.

She began to treat her thoughts as children, teaching them what is appropriate and not appropriate. When they would latch onto painful or fearful thoughts and not let go, she would tell them that their time was up and they would have to leave. If there was a loop that was hard to break, she would give that loop a time limit when it could fully express itself and feel all it wanted, but then it would have to stop. She would set a time daily, like from 9:00 to 9:30 p.m., where that story-teller could tell all it's stories and get everything out, and then it would have to stop.

Again, this took constant effort and attention to the thoughts that were coming and emotions she was feeling. The effort to change the mind takes observation and practice. Otherwise the story-teller will take control and rule the mind and body, and the peace we seek will be impossible to find. But the rewards of such effort are tremendous. Every little bit of change and practice has a positive effect. Every bit of patience at repeated failure makes changes. Every thought of love and compassion works towards quieting our out-of-control story-teller. The story-teller has a purpose, to assist us in surviving when we don't have all of the data, but when it takes control, it can remove love from our existance.

Dr. Taylor concludes, "Nowadays, I spend a whole lot of time thinking about thinking just because I find my brain so fascinating. As Socrates said, 'The unexamined life is not worth living.' There has been nothing more empowering than the realization that I don't have to think thoughts that bring me pain. Of course there is nothing wrog with thinking about things that bring me pain as long as I am aware than I am choosing to engage in that emotional circuitry. At the same time, it is freeing to know that I have the conscious power to stop thinking those thoughts when I am satiated. It is liberating to know that I have the ability to choose a peaceful and loving mind (my right mind), whatever my physical or mental circumstances, by deciding to step to the right and bring my thoughts back to the present moment."

This concept has been a major part of my work as a physician: to assist people in changing their minds by changing their thoughts and emotions. It is possible to be different than we have always been, once we start doing the work, dealing with the pain of the past and letting it go, realizing we have no control over the future and letting it go, trusting that as we stop believing our story-teller that more compassion, peace and love will come into our hearts and we will be more open to doing what is for the highest good.

To me, this work is the purpose of our lives. We are here to learn to be like God, who is Love. As we change our minds, with patience and practice, those changes can become permanent and our own lives more peaceful and loving. And each one of us that changes allows others to change, and our personal ripple effect changes the energy of the world. This is the work of a lifetime, so we can afford to be patient with ourselves.

Until we meet again,
Dr. Judi

Trauma and the Brain

True love is often carved into a tree because the scar created in the bark will last forever. A couple can return years later and still find their proclaimed love visible for all to see.

Many of us have scars in our skin from childhood cuts and scrapes, or more serious burns or trauma.

But severe trauma, both emotional and physical, can create deeper scars that change the brain and can create chronic physical and/or emotional problems.

For a long time, scientists considered the brain unchanging after a certain age. However, newer research shows that the brain can create new brain cells and change nerve cell connections up until death. The changes are slower with age, but with the right stimulation changes can take place. This is called neuroplasticity.

When we experience physical or emotional trauma, the neural connections in the brain can change so there is a "brain scar," meaning that trauma becomes imprinted in the brain connections and the emotions and/or body keeps reacting as if it is in that trauma.

Consider the millions of inputs into your high-tech computer called the brain. If any of the imputs are flawed through "scarring" of the nervous system, then some of the output may also be flawed. The output may feel very real, and may even cause physical changes, but it is simply a result of the flawed neural input and output.

With emotional trauma, such as abuse, an accident that causes an acute fear of dying, war experiences, sudden death of a loved one, etc., the brain can go into a pattern that keeps reliving that trauma. Sometimes the reliving can be subconscious, resulting in panic attacks. Other times the person is conscious of constantly experiencing the trauma through thoughts, dreams, or "abreactions," which is a flashback of the trauma that actually feels like the person is experiencing it again. This is called post-traumatic stress disorder, or PTSD.

With physical trauma, such as a painful accident, surgery, or even dental procedures, a very low level pathologic impulse can affect the nervous system, and may reflex out at the same or a different level through the brain and autonomic nervous system. This can result in chronic pain, organ dysfunction, or at times an extreme dysfunction of the sympathetic nervous system called Reflex Sympathetic Dystrophy (RSD) or Complex Regional Pain Syndrome (CRPS).

"I sprained my ankle Dec. 14, 2007 and was diagnosed with RSD/CRPS. I am now 7 1/2 months post-injury and am dealing with the terrible pain of this condition. I would like to know what you know about this condition. "

RSD/CRPS is a chronic, painful and progressive neurological syndrome characterized by severe burning pain, pathologic changes in the skin, muscle and possibly bone, excessive sweating in the area of problem, tissue swelling and extreme sensitivity to touch. The syndrome usually develops in an injured limb, such as a broken leg, or following surgery. However, many cases of RSD involve only a minor injury, such as a sprain. And in some cases, no precipitating event can be identified. The pain becomes disproportionate to the inciting event. There may or may not be evidence of actual nerve injury. Pain may begin in one area or limb and then spread to other limbs.

Millions of people in the United States may suffer from this chronic pain syndrome. RSD/CRPS affects both men and women, and also occurs in children. It can occur at any age, but usually affects people between the ages of 40 and 60 years. RSD/CRPS appears to involve the complex interaction of the sensory, motor, and autonomic nervous systems, and the immune system. It is thought that brain and spinal cord (central nervous system) control over these various processes is somehow changed as a result of an injury.

Traditional western medical treatment often combines physical therapy to maintain mobility, medications to control pain, nerve blocks to block faulty neurological input, and psychosocial support to learn how to live with chronic pain. There is no belief that RSD/CRPS can be cured, though at times there are spontaneous remissions.

There are many alternative treatments that have been shown to have affect on RSD/CRPS. The most common are oxygenation therapies, such as hyperbaric oxygen treatment, hydrogen peroxide intravenously, and ultraviolet blood irradiation. These therapies seem to calm the nervous system and begin to heal the "scar."

Other treatments include specific frequency input, such as colored light, infrared therapy, low level laser therapy, magnetic therapy, and FMS (frequency specific microcurrent). There are studies that show that these therapies increase healing and often, over time, may even cure the problem.

We also use neurofeedback, which is a form of biofeedback that changes brain wave patterns. We perform a test called a Quantitative EEG (QEEG) which showes where brain wave patterns are abnormal, and use that information to create a neurofeedback protocol to change those patterns, which helps to "remove the scar." For more information go to www.vanguardbiofeedback.com.

If you are interested in learning more about healing emotional scars, click on "comments" below and Ask Dr. Judi!

Until we meet again,
Dr. Judi