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HOPE

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12 classes
I do pretty well.
0id
You're okay with that.
5yq
Yeah,
7ack
you know find yourself wandering off.
5yq
No.
9on
Did you ever feel like, again internally there's a motor running and you can't shut it off.
5yq
No, no.
9on
How about being talkative Do you find yourself
1irq
I am very talkative, very talkative, very talkative. Sometimes I end up being rude and I interrupt people. Cuz I just I gotta get it out.
0id
Right. So you feel like you'd talk a lot? And that you interrupt.
5yq
Yes.
7ack
People in a situation where it would be traditional to like, wait, in line or wait your turn. Do you find that's difficult for you?
5yq
ack
9on
no. Do you ever find yourself like, for example in class, just saying something? Like blurting something out without giving it much thought?
5yq
No, not really. No? Okay.
9on
Okay,
7ack
That's great. Thank you.
7ack
Yeah, I appreciate you taking this time with me. This information has been helpful.
2gt
Thank you very much.
2gt
Thanks, .
2gt
Hello, Judy Thomas.
2gt
Yes. Hi.
2gt
Yes, he is. Yeah.
0id
First of all, what would you like me to call you?
2gt
Oh, Julie os fine.
2gt
Well, it's the same thing that I see Dr. Jones about as my heart.
0id
Yeah, I understand that you've been in to see him a few times over the last few months. Would you mind if I asked you to go over again what the problem is perhaps in your own words, so that I get an understanding of it.
1irq
I just I keep getting these situations where my heart starts to really, really race like, boom, boom, boom, boom, boom, boom, boom, boom, boom. I get chest pains. I can't catch my breath and it's making me feel funny talking to you about And so my heart starts to race. I can't get my breath and I get chest pain. I get very afraid. I'm gonna have to die
0id
and you're feeling a little bit anxious just here with me.
4crq
Yeah I am just talking about it. I can feel it starting to come up.
6cd
Take your time. Okay. So your heart starts to race really beats really fast and you feel like you can't catch your breath.
4crq
How long has all this been going on for Julie?
1irq
I think it's probably about six months, basically.
0id
Okay. And can you remember what happened to start it all off?
1irq
Well, I think we have had some problems at work. And I felt more stressed about work than I normally do. And basically, I was just trying to get into town one day on a day off and it was very hot, very funny, hot days and it just happened. My heart just started. to race and race and race and I couldn't get my breath, I was just like gasping for breath. Then I start to get chest pains and it was just awful. And I managed to sit down and call my husband and he, he came out, he actually left work to come and get me.
0id
Right. So that sounds like quite an unpleasant experience.
4crq
Its was awful It frightenining, yeah
6cd
and when that was happening to Julie, when you're in the middle of town, what was it that you thought was going on?
1irq
I thought I was having a heart attack I'm so afraid that that's is what's happening.
0id
Right Okay.
7ack
So you know, start to try to avoid situations where I might get like that they see ya.
3gc
So what kind of things are you finding yourself avoiding?
1irq
I can't get into town now without my husband taking me My husband has to take me to from work. And then I also thought I shouldn't do anything to put any strain on my heart at all. So I don't do much exercise or anything at the moment or other things as well
0id
and other things, what sort of things you are not doing?
1irq
personal things, personal things.
0id
Okay. I guess I'm wondering if you're talking about your sex life there.
4crq
Right.
7ack
Now I just feel, you know that I shouldn't do anything like that, because it just might put too much strain on me.
10od
So you're avoiding sex in case that puts your heart rate up.
4crq
Okay, How's that affecting things between you and your husband?
1irq
My husband's getting really fed up with it to be honest. He's been really, really kind and really supportive. But I think it's starting to affect his life quite a lot now. So he wanted me to go to the pub last week and absolutely promised that I would, because I've begun to stop wanting to go out because I'm so afraid it's gonna happen. I promised and promised him I go to the pub. And then when it came to it, I just couldn't. I just sat on the sofa and it started happening again. And then I was worried that if I went to the pub, I'd actually like get ill in the pub. And then it's really embarrassing for everybody. So just that I couldn't go in, and I think he's getting a bit To the end of his tetanus because it just seems to come out of the blue. And I've never suffered from anything like this before.
0id
It sounds like he's getting to the end of his tether because it also sounds like you're pretty fed up with the whole thing as well. Julie
4crq
So just so that I've got the story straight. This all began about six months ago. Before that, had you had anything like this?
4crq
So just to make sure I've got the right the right way around. It began six months ago, pressure at work went to town you had the first of these attacks. And then since then you've had some more and now it's kind of got to the point that you don't want to go out to don't get to town by yourself.
4crq
No, I don't want to risk it to be honest.
6cd
You know, you don't go to the pub, not socializing like you used to and you avoiding things like exercise and things like sex and having a bit of a taking its toll on your relationship.
3gc
Yeah yeah yeah.
7ack
Okay. Okay. And looking at your I know, you've had an ECG, Dr. Jones, organized for you a couple of months ago.
5yq
Yeah
7ack
What have you been told about the results of that?
1irq
Well Dr. Jones said that it was okay. And there were no problems. And, you know, I did feel relief, you know, because, obviously, there's been events in my family, my dad died of one, you know, 72. So I'm thinking it must be my heart. There must be something wrong with it right now. It did feel pleased when Dr. Jones said that. But on the other hand, nothing's changed. You know, I'm still getting exactly the same problems. Nothing, you know, not getting any help with it. I just feel a bit like well, so I haven't got a bad heart according to the experts, but I'm still getting all the same symptoms you kow worse and worse.
0id
So even though the your GP told you there's no, there's nothing to worry about with your heart. Do you still worry that There might be something wrong with your heart?
4crq
Right.
7ack
I think I've been thinking more recently, it could be because my friend has like panic attacks. I've discussed it with her and she said, to be honest, it just sounds like that. I've always thought it was my heart. And what I can't understand is how my brain is making my heart start racing like it is.
0id
It's right. Okay. Has anyone explained to about anxiety and panic attacks?
1irq
Okay, well, perhaps it would be helpful to sort of hear a little bit more about that. What we have on top of our kidneys is two little glands and they called our adrenal glands.
0id
Right.
7ack
And they produce a hormone called adrenalin. Have you heard of that?
5yq
Yes, I have heard of that
7ack
okay. And what adrenalin does is it prepares us for situations of fight or flight? Is that a term you perhaps remember from biology at school?
5yq
I do. I do. Yeah. I Do
7ack
you remember what we mean by fight or flies?
1irq
I think like, if you're in a scary situation, you fight or you run away, basically your body sort of triggers that.
0id
Yeah
7ack
to do it.
3gc
Right.
7ack
So it does things like it puts your heart rate up, it makes your breathing speed up, you're ready to run. It can sometimes make people feel as though their mouth is dry. It can sometimes make people feel a bit lightheaded. But those are the kinds of symptoms that you can get.
3gc
What often happens with people with panic is that the first time that happens the first adrenaline release Out of the blue, perhaps at times of stress, and you mentioned that there was stuff going on at work, and you're feeling a bit stressed out and you're in town, it was a bit hot. So that may have been what was behind that very first panic attack. What happens to people is that once they've had one panic attack, they go on to have more.
3gc
Hmm.
7ack
And the reason for that is that once you've had something like that happen to you, you're kind of there thinking, Oh, will this happen again?
3gc
Is that something that you are Absolutely sure. I have started to really monitor my heart And when it starts to race, I start to get worried. And then it starts getting faster and faster So it does feel that's
3gc
Right.
7ack
But because you've had a panic attack you they're thinking, What's my heart doing?
4crq
And then the minute it starts to change, you clock it You notice it, and then you start to get anxious thoughts, you might worry And
3gc
I really start worrying, thinking thinking, is it going to be now? You know, is my heart gonna stop beating
3gc
Right, So you get those kinds of anxious and they're very frightening, because you're thinking, Oh, my goodness me could my heart's on that makes you even more anxious, and that causes even more adrenalin to be released.
3gc
Right
7ack
It does make sense doctor
7ack
One of the things that you have been doing, which is something that a lot of people with anxiety do is that you've started to, to avoid doing things that trigger it off.
10od
Yeah, like not walking to town or anything like that anymore.
4crq
Right yeah.
7ack
Does that make sense?
5yq
It Does. it just makes sense
7ack
Well, if we all started to tackle this as if it was an anxiety problem, there are a number of approaches, we can think about tablets. And we're gonna think about other kind of talking approaches. There are pros and cons to those and side effects and things that we need to discuss. So I'm just slightly watchful of the time, we seem to be coming to the end of today's session for the appointment, but all right, well, I wonder is whether we should meet again, perhaps next week, and look again, more carefully at some of the treatment options and think together about which might suit you best.
0id
Okay
7ack
how would that sound?
5yq
You know, that's fine. That's fine.
7ack
Any other questions before we end this session
5yq
No, I will make an appointment to see you next week
7ack
I'll see you next week.
3gc