【疾病知多D】杞人會不會患上焦慮症呢？

《列子．天瑞》裡記載一個故事，內容是這樣的：
　　
杞國有人，憂天地崩墜，身亡所寄，廢寢食者。
　　
對，這便是「杞人憂天」的故事。
　　
其實杞人會不會患上焦慮症呢？
　　
常言道：「天跌落黎當被冚。」所以現在人們顯然不會「憂天地崩墜」，不過難免會有其他憂慮，以致「身亡所寄，廢寢食者。」
　　
無論如何……
　　
《聖經．馬太福音》說：
　　
所以不要為明天憂慮；因為明天自有明天的憂慮。（第6章34節）
　　
話雖如此，不過別忘記，這段經文其實還有下文……
　　
一天的難處一天當就夠了。（第6章34節）
　　
這就是說，今天的難處今天還是要當的！
　　
那憂慮來了，例如失意、失戀、失業，大家會怎麼辦？
　　
暴走？抓狂？打機？掃街？血拼？摔東西？還是……
　　
《黃帝內經．素問．陰陽應象大論》說：
　　
人有五臟，化五氣，以生喜怒悲憂恐。
　　
跟「喜」、「怒」、「悲」、「恐」一樣，「憂」本來是人其中一種與生俱來的情感，所以「憂」自身不是一種罪，更加不是一種病。
　　
不過《黃帝內經．素問．陰陽應象大論》還說：
　　
憂傷肺。
　　
所以過分憂慮既傷心，又傷身，更加可能會悶出病來。
　　
暫時姑且撇開中醫不說，在西醫上，過度憂慮便可能會悶出焦慮症。
　　
至於其中一種較常見的焦慮症主要是「廣泛性焦慮症(Generalized Anxiety Disorder, GAD)」。
　　
在用藥上，抗抑鬱藥(Antidepressant)一般是首選，主要是選擇性血清素再回收抑制劑(Selective Serotonin Re-uptake Inhibitors, SSRI)（例如Escitalopram、Paroxetine）、血清素與去甲腎上腺素再回收抑制劑(Serotonin–norepinephrine Reuptake Inhibitors, SNRI)（例如Duloxetine、Venlafaxine）。
　　
雖然暫時還是不太清楚具體的作用原理，不過有研究指出這些抗抑鬱藥可能會調節神經傳遞介質(Neurotransmitter)受體的活化，例如血清素(Serotonin)、多巴胺(Dopamine)、去甲腎上腺素(Norepinephrine / Noradrenaline)，理論上，便可能會紓緩廣泛性焦慮症的症狀。[1]
　　
至於不同的抗抑鬱藥各自有不同的副作用。
　　
舉例說，

Escitalopram的副作用主要是失眠、噁心、疲勞。
　　
Paroxetine的副作用主要是嗜眠(Somnolence)、噁心、口乾、無力(Asthenia)。

Venlafaxine的副作用主要是嗜眠、噁心、口乾。

除了選擇性血清素再回收抑制劑、血清素與去甲腎上腺素再回收抑制劑之外，其實還有三環類抗抑鬱藥(Tricyclic Antidepressant, TCA)，例如Imipramine。

不過相較而言，三環類抗抑鬱藥的副作用一般較多，例如嗜睡、直立性低血壓(Orthostatic Hypotension)，所以一般只會視為次選。
　　
最後說回「杞人憂天」的故事，其實只需要告訴杞人「天，積氣耳，亡處亡氣。若屈伸呼吸，終日在天中行止，奈何憂崩墜乎？（《列子．天瑞》）」並逐步釋除杞人隨之而來的憂慮，杞人便「舍然大喜。（《列子．天瑞》）」
　　
說到底，心病還須心藥醫，解鈴還須繫鈴人。簡單說，治標重要，治本更加重要。

（如欲了解更多用藥資訊，歡迎看看「小小藥罐子」網誌。）

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著作➡️藥事知多D、用藥知多D、藥房事件簿、家居用藥攻略（各大書店有售）

Reference:
1. Shelton RC, Brown LL. Mechanisms of action in the treatment of anxiety. J Clin Psychiatry. 2001;62(Suppl 12):10-15.

イーロン・マスク現実を知る「自動運転は難しいね」 https://www.gizmodo.jp/2021/07/generalized-self-driving-is-a-hard-problem.html?utm_source=facebook&utm_medium=feed&utm_campaign=d28974a84099c43c78e276e46c18e406

Be Who You Are, Not What Others Want You To Be!❤

Why are you single? When are you going to get married? When are you having kids? Why you don't have kids? Why is she/he divorced? What happened to them? Why are they like that? Why and why and why people like to ask these insensitive questions, being prejudice, stereotyping, speculates, gossips, and make inappropriate judgments.

How can you ask something that someone can't 100% control, just like death? Some things are unknown, it's like asking, when are you going to die? It's common sense. If you don't know this answer, means you won't know the exact why for such questions.

When someone is single by choice or it's not just the right time for them, let it be. So what if that person wants to be or will be single forever? It may be better for the person than being with the wrong partner for the rest of the person's life. You don't meddle with God's plan or even someone's choices. You can't force people to get into relationships, what's more marriage. If it is forced, how can a marriage be happy and whole? Love is a huge topic. Again it's not just about relationships and marriage.

People should not pretend to be stupid, play dumb, needy, spoiled, or fake just to attract/be with a life partner. Women and men should have their own intelligence, personality, independence, and truthfulness in life. We want to be real and genuine, and if someone wants us to be part of their life, it's better for them to know the real us from the get-go. Not presenting a false front.

A healthy relationship should be two individuals who love and care for each other, support, motivate, respect, be kind, honest, loyal, help, guide, communicate well, listen and give the very best to each other, by also being the best version of themselves. Not one person should be superior to the other or vice versa. If you feel forced and put yourself down for another person, you are probably in the wrong relationship.

Put aside status, education level, salary, or position in career, a partner and a healthy relationship should be side by side, be supportive, help each other, understand each other strengths and weaknesses, able to give and take/compromise, and open to learning from each other when it comes to marriage or any relationship.

A woman's or man's characteristics for example being soft or strong, and men prefer soft/more feminine women, and women who are less intelligent/educated than them, should not be generalized. Some men admire women who are intelligent/educated, strong, and independent and women have their preferences too. Different people are attracted to different traits. No one size fits all.

No one should pretend to be less than she/he is for the opposite partner to feel desirable or dominant. If a person desperately and constantly trying to boost their ego, be dominant or prove power especially in a relationship, this may lead to negative behavioral patterns and impacts such as emotional instability, harassment, abuse, bullying, verbal and physical violence, unhappiness, and depression.

We are all individuals in the end and have our differences. As a human being, one of the goals in life is trying to be better than we were yesterday. Trying to change ourselves for the sake of pleasing someone and pretending just to make someone feel happy or superior is not healthy and can jeopardize our own mental health and also the relationship in the long run.

If we want to change something, for example, I want to be more fitter, healthier, happier, smarter, financially independent, and so forth, it is for ourselves (without being selfish or self-absorbed). If we take care of ourselves first then we can take care of others better. Do for yourself and the motivation will be sustainable than doing for other people.

Respect and love yourself. Respect the people around you. Then we should not be degrading or intimidate anyone. This will make you a better person. We attract what we are.

Life is unique, so does human beings. Life itself is bigger than getting married, having kids, make tons of money, and so forth. This is the typical life cycles, stages and goals we all have learned in our life. The strong pressures in society dictate what is better and not just because that's what it is for the past generations have been. The pressure to fit in with society's standards and expectations is also there.

As a society and individual, let's understand deeper that not everyone will have the same life cycles and even life goals. There are things we can control and can't control. Not everything that is good for you is going to be good for other people. Having or not having something can be a blessing and sometimes only God knows why.

In life, some may walk their path of life and make choices completely different from us and that's perfectly fine. We all have our own unique journey and that makes us different, and we can use that differences to make life better for ourselves and the life of others.

Let this sink in.

#sfartography #rainbowpegasus #life #lifeadvice #motivation #relationships #marriage #begenuine #bereal #beyou

"Girls always say they are fine even when they are not!" "Girls are sooooo indecisive!" "Girls always expect the guy to pay the bill"
Do you agree or disagree with these?

When it comes to the behavior of girls in relationships,
almost everyone has an opinion, and usually, there are a lot of misunderstandings.
Some people have the tendency to make assumptions about the girls in a relationship, do girls still know who they are anymore? ?
Although some of the assumptions may be true, doesn't mean they should be applied to all.

Of course, these statements are not generalized but most of the girls face these misconceptions in their relationship. It's really not fair to make those assumptions when you don't even know what's REALLY going on. If we cannot be 100% sure about something, communicate with our partner, don't make assumptions.
If we live our relationship like that, our happiness will be sabotaged because assumptions damage our connection with our partner, leaving no room for change, growth or negotiation for both of us.

Here are some of the misconceptions about girls. Comment below if you see any of them seem familiar to you.

Ps: Guys, share this video with your friends to know about these misconceptions, so you guys can know if you have fallen for these assumptions too!


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＃焦慮症 ＃症狀 ＃治療

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各節重點：
01:06 「焦慮症」是什麼？
03:03 「焦慮」究竟是什麼？
04:40 有焦慮的症狀，該怎麼辦才好？
07:10 如何與「焦慮」相處？
09:05 我們的觀點
10:48 提問
11:08 掰比

【 認識焦慮 with Nicky Case 】
⚠️🐺 網頁小遊戲｜與焦慮一起冒險（Adventure with Anxiety）：https://bit.ly/3bFnfJa
⚠️🐺 心得資源｜心理健康小秘訣 feat. 焦慮狼狼：https://bit.ly/3by0pDq

【 製作團隊 】

｜企劃：歡歡
｜腳本：歡歡
｜編輯：土龍
｜剪輯後製：鎮宇
｜剪輯助理：歆雅、范范
｜演出：志祺

——

【 本集參考資料 】

→ 維基百科｜廣泛性焦慮症：https://bit.ly/3bvmYIK
→ 維基百科｜焦慮症：https://bit.ly/2zdhi83
→ 康健｜罹患「廣泛性焦慮症」卻不自知！出現這些症狀可能是警訊：https://bit.ly/3apPdr3
→ MedPartner｜焦慮症的症狀有哪些？如何預防與治療？醫師圖文完整說明：https://bit.ly/2RZGDsJ
→ PTT｜[閒聊] 救救焦慮症患者，什麼事情做了療癒又放鬆：https://bit.ly/3atA7AI
→ Osmosis｜Generalized anxiety disorder (GAD) - causes, symptoms & treatment：https://bit.ly/2RYjqqM
→ 廣泛性焦慮症 - 台灣家庭醫學醫學會：https://bit.ly/3cDVJvO
→ ALLY｜我回來了（談焦慮症＋服食血清素的最新經驗）：https://bit.ly/3bsqrI5
→ Rethinking anxiety: Learning to face fear | Dawn Huebner | TEDxAmoskeagMillyardWomen：https://bit.ly/2XWufNS
→ Dawn Huebner on Rethinking Anxiety: Learning to Face Fear (Transcript)：https://bit.ly/2Klc4tg

【 延伸閱讀 】

→ A Brief Measure for Assessing Generalized Anxiety DisorderThe GAD-7：https://bit.ly/3avUI7A
→ ADAA｜Generalized Anxiety Disorder (GAD)：https://bit.ly/2XQJU1k
→ TED｜Anxiety: Hibernate, Adapt, or Migrate: Summer Beretsky at TEDxWilliamsport：https://bit.ly/2XTt7dR
→ MedPartner｜恐慌症的症狀有哪些？如何預防與治療？醫師圖文完整解說：https://bit.ly/3cyxoHG
→ Andrea Petersen《抓狂邊緣——焦慮症患者的人生自白》：https://bit.ly/3cB2rCS
→ udn｜一位焦慮症記者的人生自白「焦慮讓我的生命更豐富」：https://bit.ly/3eFavEs
→ CrashCourse｜OCD and Anxiety Disorders: Crash Course Psychology #29：https://bit.ly/2XV1ykA


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ส่งออกปี 62 ติดลบ 1%! อ้าว! ปีที่แล้วไม่ได้บอกแบบนี้นิ!?
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โธ่! ไม่เซ็นสนธิสัญญาสากล เพราะกลัวคนเท่ากัน!
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ถ้าบอกว่าเศรษฐกิจโตจนโดนตัด GSP?! แล้วแจกบัตรคนจนทำไม!?
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