MENtal Health Monday - Living with anxiety, asking for help, and the center for Anxiety Disorders.

Monday, July 2nd

There's stress - then there's ANXIETY.  We sit down with Chief Clinical Officer of Rogers Behavioral Health, Dr. Bradley Riemann, to discuss all things anxiety.  What's it like to have a panic attack?  How can I determine if I have anxiety?  How can I get it under control?  Who suffers from anxiety more - Men or women?  Why is there such a stigma around mental health? You'll find out all of this and more.  Plus - did you know there's a center for anxiety disorders?  It was founded by Dr. Riemann!  If you've ever wondered about anxiety or even if you struggle with it, you'll definitely learn something in this week's episode of MENtal Health Monday.    

Transcript - Not for consumer use. Robot overlords only. Will not be accurate.

Mental health Monday as an information on podcasts and should not be used to replace the specialized training and professional judgment of healthcare or mental health care professionals until Monday can't be a responsible for the use of the information provided please always consult a trained mental health professional before making any decision regarding treatment of yourself or others self help information and podcasts and information on the Internet is useful but it's not always a substitute for professional assistance unless otherwise noted guests of mental Monday or not doctors are licensed and anyway our hopes to make the connection with you and be more open and honest about everyone's mental health. Into the podcast. Welcome to another mental health Monday of podcasts or result openly and honestly about mental health. Specifically men and that's why the amendment and mental health has capitalized. Because it is such as talking about their feelings and that's got to change tell me I'm wrong tell me I'm wrong. Now with that being said anyone man woman old young any size shape color of human being can get something and we'll definitely learned something on any given mental health Monday but it Israelis from one of three point seven kiss FM in Milwaukee and the rigs off the radio podcast. Yup last week we talked to doctor Bradley re menus the chief clinical officer for Rogers behavioral health he specializes in o.s CD and anxiety disorders so last week we broke down. Obsessive compulsive disorder living with that dealing with it breaking down the definition of mental health statements this week. We jumping into anxiety. Anxiety disorders are real illnesses that are based on extreme fear and they affect three things they affect the body. They affect your thoughts may affect your behaviors. Will discuss some of the common types of anxiety disorders because of a 21% of adults between the ages of eighteen and 64 will have a diagnosis will anxiety disorder any given year. That's over 42 million people which I looked up. Is more than the amount of people who subscribe to Netflix. In 2015 Hayward you can't children follow mental health America dot net that's where we'll also talk about determining the difference between just being stressed out and having an actual anxiety disorder anyone can suffer from anxiety doesn't discriminate it's not just a chick thing. Guys can have anxiety too and there's nothing wrong with asking for help reaching out to somebody get now doing some exercise distracting yourself or listening to a mental health Monday podcast all saving the time of asking a doctor what anxiety actually is because I went and talked once for yes a lot of times for mental health Monday were not doctors bridges dudes talking about mental health have a lot of guys on that podcast talking about their struggles with. Addiction in our anxiety depression maybe they've struggled with suicides. Just to do its talking as we need to have open honest conversations about mental health but this week. We're actually talking knew it and there doctor Bradley Raymond please sir give us your current. Angels well I did my undergraduate worked at Carroll university and Waukesha Wisconsin and then I did my master's and Ph.D. work clinical psychology at Chicago medical school. Wonderful you've been with Rodgers forge. How long and 21 years last month wonderful and you know which talking about. I hope so that they chipping and against against her and it's a little Hamlin and anxiety as well we're gonna kind of discussed today in tackling citing. And I think before we get into it too much you brought up something which is a great point the difference between anxiety. And just general stress so can you you wouldn't panic of that explanation of the quick and the moral of the story is that of course everyone has stress in their lives short and some people are fortunate enough to have lower levels and some people have a lot of stress in their lives and and stress can come and in different ways it can come and you know kind of a classic negative packages that we all think about like. You lose your job you use your voice again and have not tested and break it exactly but then sometimes stress can come in positive packages like a promotion. And getting married having a child you know all of these positive things in life that make life worth living but also. Our changes and by definition can create a lot of stress. And so again you know stresses is kind of a normal part of life. I do think though that in society today in the and the lifestyles that we. In doer I think we're under more stress than we've ever been I mean if I look at you know semi. My kid's life styles and their calendars compared to when I was their age and it's there's a lot of stress in our society is no question. And then differentiate that that from say anxiety disorders. You know things well where where someone is is suffering so much anxiety that again it begins to really disrupt their lives. And and that's certainly aware what I'm assuming we're gonna want to assure you more about today so when distress turn into anxiety is that what happens basically is does it start with stress and and it turns into anxiety or does it is anxiety kind of always there yet that's the million dollar question I mean I I think you know again stress is kind of unavoidable him. In fact going back to the conversation about positive things we wouldn't wanna avoid that stress on me right that's that's again what makes life worth living. And so it's it's inevitable it's everywhere. We we all experience it in in the million dollar question is as you know. Did someone have to have some sort of seemed biological predisposition to having an anxiety disorder. For that happened over time and anxieties are we not talking about this is something like social anxiety disorder work. Someone is very afraid. That they are gonna say or do something. That would be embarrassing and if you that they would be rejected. Or generalized anxiety disorder where people you know you kind of re warts and more people worry so much of consumed with this kind of unrealistic and excessive worry about. Multiple life here so they're very worried about finances even though there actually quite comfortable financially so it's against excessive. And I'm realistic. Give it to someone have to have kind of a biological predisposition or or the way I can describe kind of almost like this biological gasoline. That then maybe environmental matches kind of struck on fire yeah. Or can someone have so much stress and anxiety in their lives that even without seeing this kind of biological predisposition can kind of turned into. And anxiety disorder and it really is kind of a million dollar question I mean it's tennis the similar thing is. Some people say well no matter how bad your cold gets its never gonna turn into cancer right. And so some people believe will no matter how much stress you have if you don't have that biological gasoline it's not gonna develop into an anxiety disorder and of course other people. Feel that. That that that's not necessary in in the know honestly greased the truth is usually somewhere in between right I mean an end and I think that. Inevitably if there's enough on manage stress and someone's life it's probably gonna begin to interfere with their life functioning so when she realized it is an affair with delight that's when you would probably say. It's time to talk to somebody to see if it desist order yet that's kind of the tipping point right in and and you know keep in mind. You know clearly if if someone say for example has so much social anxiety that. They're skipping class because you're trying to avoid a presentation in history class sort someone's turning down promotions because. They're gonna have to do some public speaking or are these are things. You know clearly that would be the time you know you wanna get help but he can't even people who were under tremendous amount of stress. Probably need to be thinking about taking better care of themselves and whether that's just even pop culture you know popped it in there general practitioners office and and in just becoming healthier person eating better sleeping better. Exercising more I mean you know these you can never underestimate the power just Google's general health so people to have a general anxiety disorder or like you said down the social anxiety disorder. What are some things that kind of trigger those some of our patients will say that you know they kind of remember an incident in their life to kind of got things rolling but many of them don't you know it just it it in the end and for some of our patience it's like this enduring tendencies that they'll say I've always been like this and other people say. It's like up to college. But the thing about social anxiety it is it is definitely more of pediatric concept kind of problem child about satin. A lot of the anxiety disorders you know kind of the most common age amounts that is maybe late teens early twenties. But for social anxiety it definitely seems to be morally you know 101112 years old. Really if you think about it that's kind of when the lightbulb kind of goes on and young kids' heads that we should be kind of aware of what we're saying and doing I mean as little kids if you go to a first grade classroom. Everything's perfect because. It just kind of their own people don't really necessarily care about what other people think Danica I think. And I'll listen you know around when you get 101112 you start worrying about how you address what you're saying what your hair looks like what kind of music you listen to. And so right around that time that light switch kits are. And that's of course for someone who let's just say maybe biologically predisposed to having social anxiety sort of that's the time those concerns and fears kick it. Right and people talk sometimes about having anxiety attacks as you heard some people with. Anxiety attack what is slowing down how does that happen here what is that like me now we'll keep in mind 50% of the US population we'll have a panic attack in the next year really. So panic attack is this kind of sudden rush. Of fear Scioscia a lot of physical symptoms increases heart pretty hot sweaty. Heart palpitations baby dizzy shaky and it just. Did you just kind of comes upon people rush like fashion. And so again Kenny getting back to our lifestyle also mean we were creating a lifestyle stress and half of us we'll have a panic attack in the next. In the next year now. Most people who have a panic attacks however can kind of just put that aside for a while you know I've been burning me you know candle at both fans and I'm just gonna go home and watch the upper hand tonight relax. And they kind of feel better. But then there's also this condition known as panic disorder which is another anxiety disorder which is for current panic attacks on mine where these things kind of keep hitting people over and over again. And unfortunately they begin to kind of misinterpret what's happening. Remember him nationals physical symptoms of others received. The certainties went for some wrong my cards right Aurora one from a pass out or lose control over. And federal crazy so they can misinterpret these were current panic takes something really bad happening and it kind of just fuels itself so. Panic attacks are common they're either. Pretty alarming kinds of things but it's also coming your body saying you know what maybe need to take better yourself is that something there's have been somebody could do in that instance the kind of calm themselves down is that where that kind of breathing would come and you think oh there's no question yeah I mean breeding is a bit of of the tail that wags the dog when it comes to panic attacks in the end you know one of the little tricks of the human body is. It when you're really really anxious it feels like you're not getting enough fear when in fact you're actually get a little too much and so you tend mechanical parent just have. Makes the problem worse that. You know slowing down your breathing and just had taken a step back and and and just realizing that your body's not actually broken it's doing what it's supposed to be doing tour which is kind of talent yet. Hey something's going on here you gotta take. Editors yeah let's take a break on that the stigma surroundings ID again kind of like we talked about OCD a couple weeks ago. How do you feel that the statements about anxiety do you feel they're negative on the because people confuse anxiety with stress he had maybe patients coming in thinking they had anxiety disorder. When they just need to take them particularly easy like he said. Yeah yeah you know honestly reeks most people don't come in for treatment. You know. Prematurely I mean most people probably are coming in when they don't really need to detect there's probably lots of people want coming and that should mean that I think if there's an error. The Iran not coming and then overcoming and so speaker Tom. It would stick my thinking in particular is like with social exactly all there to show. You know. Or rather just got to kind of picked themselves up by the bootstraps it has got to toughen up they just got to get their way through and it's it's really profound level of fear. And and fear that many of us baby can't really relate to. In and so it's it's not that easy I knew who was that easy he would do it. You don't think. It's just that that somehow it's like a complete. This were flawed personality. When in fact certain path no matter at all so it's always better to air on the side is talking to someone and seeking out help absolutely. Amended and ultimately memento of the worst men of the worst and it comes to anxiety because again Canon it's a weakness thing in the hands and there's a the macho kind of thing and and in manner mend tends to not wanna talk about it. And unfortunately men also tend to medicate their their anxiety with drugs and alcohol out at a higher rate because. Their anxiety still there they're not talking to anybody about it and try to mask it. You know live it in in in women are so much smarter about that they are and we aren't in and better at talking through things any talks with each other about these things and explore each other. And one of the things I think everybody finds when they do talk about it. He is everybody can relate to it they've either. Sponsors some problems themselves or they've had a close family friend north of family members who had similar problems. I would. I would think you'd be very very unlikely that you could talk to somebody about anxiety in the would really not have any idea which cock. Now how do you think men can help. It's easy to get men helping other men getting better there is it a generational thing do you think we'll go away if that's a good question I mean you know certainly. You know there's a there's a great benefit talking about these things and then again I don't necessarily even mean informal therapy which is kind of you know talking about things. Guys do things together guys don't talk about things right now we go golfing which you don't really talk with each other reach talk about the birth he wherever it might be. But there's a great benefit to talking about things and and it's and it's tough and generational leaves it'll be very interesting because I think kids today. Are are definitely more open. About things and intense sometimes that openness may start off on social media where this child that little bit of that veil of privacy and it's not like you're you're you're sitting across the table from someone disclosing something like this that. Kids today seemed to be much more open about things in and I think that's gonna be a good thing helping to know. Great mover on discussion tonight which is consumes exactly so someone having maybe thinking of bad news and anxiety disorder. Reaching out to somebody Rogers a gorgeous somebody in general just talk about it they're ready to do something absolutely. In a previous episode I talk to doctor Freeman about obsessive compulsive disorder this week we discussed anxiety and doctor Rima actually founded the center for anxiety disorders and Brookfield Wisconsin it's a place for treatment and research and training in placing people can go and help get their anxiety disorders under control fascinating ranked. Being that it's mental health Monday am talking to mostly men I was curious. Does he seem more women than men come in her treatment and. No I think like men do have kind of unique. Stresses in their lives and pressures in their lives. And are not as likely to disclose this as we've mentioned in previous conversations with united hadn't. As a result sadly are not as likely to seek treatment. And and for the most part depending on which of the anxiety disorder you're talking about there's they're equally as prevalent in men and women so it's not like manner immune to these things. They are less likely to talk about it as a result are less likely to seek treatment. The good news is is they do seek treatment they're just as likely to get better sure as as women. And you know it's this it's just one of these things where. You know I think. Getting the word out about these things it is such a benefit to so many people. And in particular she said you're getting more men to to realize that it's it's not a weakness there's nothing to be ashamed of and then and there's a lot of very very helpful treatment. Not that it was support group itself for survivors of suicide and every time there's maybe fifteen or twenty people. Three men may before and I'm like. We need more we need more and there. So for your idea of the center for anxiety disorders and now what kind of mental illnesses which you kind of help manage their because it's kind of what is it a branch of Rodgers had a one misstatement yet technically it's two different entities so it sold before. And to Rogers 21 years ago I had my practice some friends I'd be disorders and and and I've been able to colonel. Continues. Direction of that time full time at Roger so I don't see patients there anymore but we have a team of clinicians are highly trained. Are providing that kind of traditional one or two hours of treatment we can so. By the name of it we treat anxiety disorders are primarily a lot of obsessive compulsive disorder or social anxiety disorder. On generalized anxiety disorder panic disorder. So he's kids and adults. Candidate typical dolce using. Cock in the beavers therapy teaching techniques training techniques to to overcome these conditions and and and when I was practicing in this clinics many years ago. One of the things that was frustrating is that you know some of our patients needed more than one or two hours a week in other words we think it still most commonly when we're talking about medication. But we generally don't think about those we're looking at but we've call kind of psychotherapy or psychosocial treatment sheriff but it's it's just as relevant. You know the more severe complicated the anxiety condition is the more effective treatment the more pocket that he's there right. And so we were you know dude threw really well a lot of our patients were two hours we can there was a subset that we use. Humble we couldn't really provide and it is in our clinic so we began to partner with Rogers. In developing more intensive treatments that the the treatments that again only a subset of people anxiety require but sadly lacking here in southeastern Wisconsin and so it's been great. Combination of life and I've been here Rogers full time and we've developed what we call intensive outpatient treatment is twelve to fifteen hours of treatment a week. They treatment which is six hours a day five days we can even residential. Here for the very very impaired people that we get people from all over the country that come in for those programs. Where people actually coming listless for 45 to sixty days. Outsiders they're different is like a Ronald McDonald house no Tony they cover and stay right Roger song in and so we have childhood programs the only one of its kind in the country we have an adolescent program which is one of two in the country. And an adult program which is a 12 countries so they're very unique programs. Setup in an NF despite we've got all the bases covered. We treat all ages we can treat all levels of severity complexity and and it's it's a nice combination because of course. If people are local in May need more intensive treatment that you can underwriters to step back down into the center for anxiety disorders can finish the. I was curious with so many sub sets of anxiety disorders is it difficult to sit down with somebody who comes in seeking help to. Pinpoints and understand exactly what it is they're dealing with I would think that would be really lengthy process yes so the assessment piece is is is actually maybe not a scout. It is you might think especially and especially for. You know a team of people who have been doing a long time and so. You know for the most part. In a face to face meetings 45 to sixty minutes we can really pretty well sort all of that out and in the sport getting back to the Rogers peace. Again many of our patients come from. Literally all over the world and so and that's an over the phone. Haas we don't ask someone flying from California to be assessed and that trust is a bouncer we can't help you turn we do that over the phone. No we can we can actually pinpoint it pretty quickly it's. You know sometimes it's a little more complicated and requires some follow up but now for the most part is. To get through experienced. We can we can identify pretty quickly chairman of the some things people can do on their own kind of like almost self helping you manage it triggers things are reacting to troubleshoot at a time I usually I don't know if an online quiz or something like that have you seen those before absolutely. Yet another some really great online resources. And there's two web sites in particular I would encourage people go to there's. Some call the anxiety and depression association of America PGA aids. Got working believes a web site. And they have all sorts of great information on the website about the different anxiety disorders. And resources in terms of self help books etc. There's also the international OCV foundation. And their web site has a lot of information about obsessive compulsive disorder related disorders. How those would be the two website certainly in the end you know you can go on to a bookstore I mean there's there's a lot of good self help books that. Again if nothing else like he said they can help kind of people connect some dots and and may be kind of realise that young man visited me this is a problem that I need to go see somebody shorts. And then you mentioned is and so suicide support group. Sport which can really help people you know again there's strength in numbers. There's there's something to be said for being able. Speak to people who can relate with whatever now in a problem someone's having in the end never. Never underestimate the impact of most of the things to do as well as sought out as a core group and I work better and a group setting I think in something like that it is like you said everybody's a commonality. Everybody's experience and I think and different levels but still yet to comment. Knowing all that together now what do you think there's such a horrible stigma around mental health you know that's a great question I mean I just think. You. You know the research and mental health is has lagged behind traditional medicine. For some reason. Human beings of always try to separate don't mind from Bobby they've they've they've seen that. You know. Illnesses of the mind are somehow different to you know then then there and then illnesses of the body so to speak diabetes is different than bipolar disorder whatever my feet. And I think the the more we do research the more we find that psychiatric problems are medical problems just like all those others. And to them that the less we separate our mind from body to better. One of the really fascinating things about sticking around unfortunately. Is. You know it's kind of the fears the end known. And you know people then trying to avoid people with mental illness so they never really get to know them in any kind of perpetuates itself. And then sadly. There's actually interestingly quite a bit of stigma about mental illness even within mental health practitioners really. The and it's really done some research and that it that is kind of Thomas bizarre thing intend. And and that necessarily always in the the traditional ways that you might think but but in ways that are very helpful patients very tolerant to it. That's fascinating in itself I mean we're trying to break the stigma with mental health and society. They're trying to break the stigma with mental health within the mental health professionals that going back to the men wanted to ask you as a doctor. What is something that men can do to help men talk about their feelings. And getting help. The idea is is we just talked about state. My end you know that as a sufferer than me they can't perpetuate this they may either meaning they'd have to stop separating outline for body. If if you know there. They've developed tennis sellable because they're playing tennis and they've got to go to a doctor they do it immediately because they wanna get back out on the tennis court if you. You develop. Behavioral health problem when there's anxiety or depression or wherever need be you know I don't know why anyone would look at it any differently and and part of it too though I think Craig's is that. Com. I think most people think for high tennis level I know my doctor to help I know liking getting their due to manage and plan. Tories in mile ovals coming back to normal a couple of weeks I'll be back out there playing tennis I think there's this this. Fear belief that that we can't see the same amount behavioral health conditions. When in fact you know psychiatry and psychology have advanced so much in the last fifty years we have very. Disorder specific treatments. That have been found be very effective through research and and so again knowing that there's help and hope. I think home will also drive more people win but it's it's just kind of let our guard down as man and just realize it's OK to say you have problems with the mood or anxiety. When you see high profile. Like suicide saying anti morning cain's name for two big ones and a week. Do you notice and you may not know the answer but it may be an influx of people started to reach out for health has there been kind of a little bit of shifts to people reaching out more and saying. I may have an issue with my anxiety in my depression. He Enola first of all I would say the one thing that was very obvious that there seemed to be a lot more kind of public outcry now that we've got to do something and so. You know hopefully something positive can come out of those tragedies but but so there's definitely a public outcry. You know have we seen necessarily an uptick in in phone calls to say Rogers. Yeah. Not that I'm aware of Brad doesn't mean it hasn't happened but there's definite public outcry and came with public outcry you can get movement and I know that certainly. You know one of the things that we spent a great deal of time talking about in beginning to attend investigate. Is suicide risk. Unfortunately the most. The state of the art suicide risk assessments. That we have today. It's it is we can only predict about 52% so it's basically point tossed them pass we've got to get a lot better at it in and we're actually partnering with. With some. With some different agencies and and and organizations to trying to improve. That you're basically saying no way to predict spore may be hopefully some day to prevent suicides yeah exactly. End in murder we're looking to use data from we're looking to use big data social media data. And in to try to build algorithms actually took to kind of help better predict this because. It is. A serious problem. In many sectors of our world. The youth in the military marine military especially. Policy veterans today and as numbers go up there. It's just terrible assignment and so you know we can better predict. Engage people currently and help them. That would then that would be pretty even in the case of one of the things the world we're trying to do is is. You know Rogers he's like 20000. Massive data sets. That weekend. Use research to kind of crunch that data and partner with these these companies it crunching data can't write. And I think I think we can maybe move the needle here and that's one of one hopes and hopefully we can clear rules. Better assist us. Thank you Ian a doctor Raymond and everybody at Rogers behavioral health they've been very supportive of mental health Monday and thank edu if you feel like you need help reach out to somebody talk to somebody. If you feel like you're in crisis is only the suicide prevention lifeline 1802738255. Or you're not comfortable talking you can always taxed hello to 741741. Someone's always listening don't be in the dark you're not alone it's not cool to suck it up anymore it's time to talk about your problems talk about your feelings doesn't make you any less of a person in fact it makes you stronger to reach out for help. There's no weakness and reaching out for a helping hand saying hey somebody talk me about this MIA OK are you okay. Thank you for listening to and other mental health Monday. Next week we're talking to Greg Washington. He's a pastor Emmanuel church he's also a board member for mental health America Wisconsin we'll talk to Greg about his struggle with anxiety this stigma behind mental health and the African American community and how he deals with mental health with this church that's all next week and a brand new episode of mental health Monday. Enjoy the rest of your day afternoon morning shower work out whatever you do and really appreciate you listening. I'm rating has me weekday mornings with rakes and Alley and one entry point seven kiss FM in Milwaukee the podcast is rigs off the radio dot com. Always remember. Make your life decisions.