Anxiety Nausea Quotes

There are inner sufferings so subtle and so diffuse that we can’t tell whether they belong to the body or the soul, whether they’re an anxiety that comes from our feeling that life is futile or an indisposition originating in some organic abyss such as the stomach, liver or brain. How often my normal self-awareness becomes turbid with the stirred dregs of an anguished stagnation! How often it hurts me to exist, with a nausea so indefinite I’m not sure if it’s tedium or a warning that I’m about to vomit! How often…

The perturbations, anxieties, depravations, deaths, exceptions in the physical or moral order, spirit of negation, brutishness, hallucinations fostered by the will, torments, destruction, confusion, tears, insatiabilities, servitudes, delving imaginations, novels, the unexpected, the forbidden, the chemical singularities of the mysterious vulture which lies in wait for the carrion of some dead illusion, precocious & abortive experiences, the darkness of the mailed bug, the terrible monomania of pride, the inoculation of deep stupor, funeral orations, desires, betrayals, tyrannies, impieties, irritations, acrimonies, aggressive insults, madness, temper, reasoned terrors, strange inquietudes which the reader would prefer not to experience , cants, nervous disorders, bleeding ordeals that drive logic at bay, exaggerations, the absence of sincerity, bores, platitudes, the somber, the lugubrious, childbirths worse than murders, passions, romancers at the Courts of Assize, tragedies,-odes, melodramas, extremes forever presented, reason hissed at with impunity, odor of hens steeped in water, nausea, frogs, devilfish, sharks, simoon of the deserts, that which is somnambulistic, squint-eyed, nocturnal, somniferous, noctambulistic, viscous, equivocal, consumptive, spasmodic, aphrodisiac, anemic, one-eyed, hermaphroditic, bastard, albino, pederast, phenomena of the aquarium, & the bearded woman, hours surfeited with gloomy discouragement, fantasies, acrimonies, monsters, demoralizing syllogisms, ordure, that which does not think like a child, desolation, the intellectual manchineel trees, perfumed cankers, stalks of the camellias, the guilt of a writer rolling down the slope of nothingness & scorning himself with joyous cries, that grind one in their imperceptible gearing, the serious spittles on inviolate maxims, vermin & their insinuating titillations, stupid prefaces like those of Cromwell, Mademoiselle de Maupin & Dumas fils, decaying, helplessness, blasphemies, suffocation, stifling, mania,--before these unclean charnel houses, which I blush to name, it is at last time to react against whatever disgusts us & bows us down.

If something doesn’t feel right or if something feels ‘off,’ learn to trust your internal warning signals. They are alerting you to danger. Some physical signs are a racing heartbeat, shortness of breath, anxiety, perspiration, a migraine, nausea, or vertigo. Your body is screaming for you to pay attention. Do not dismiss it or deny your conscious reality. Instead, learn to trust your intuition.

Thus Aretaeus describes it, under the name of Heterocrania: And in certain cases the whole head is pained, and the pain is sometimes on the right, and sometimes on the left side, or the forehead, or the fontanelle; and such attacks shift their place during the same day … This is called Heterocrania, an illness by no means mild … It occasions unseemly and dreadful symptoms … nausea; vomiting of bilious matters; collapse of the patient … there is much torpor, heaviness of the head, anxiety; and life becomes a burden. For they flee the light; the darkness soothes their disease; nor can they bear readily to look upon or hear anything pleasant … The patients are weary of life and wish to die.

During the transition, you may experience any of the following symptoms: nausea, vomiting, diarrhea, constipation, anxiety, insomnia, exhaustion, weakness, wasting, coma, death, and erectile dysfunction.

I hate when a man feels I’m obligated to disclose my marital status to somebody I don’t even know. Even this bullshit about status itself as if married and spinster are the only two choices for defining myself. Or because I’m a woman I’m supposed to have a status at all. Hey big boy, here’s my status. Hi, before I tell you my name here’s my status. Maybe I should just say I’m a lesbian and throw the problem back in their faces for them to define it. Xanax for anxiety. Valium for sleep. Prozac for depression. Phenergan for nausea. Tylenol for headaches. Mylanta for bloating. Midol for cramps. I mean, Jesus Christ, menopause come already. Isn’t there some fast-track for a hot flash? It’s not like I’m ever going to breed, so why keep the damn store door open?

... an impression of inescapable noise or acute disorder, a rush of adrenalin, sensations of alarm, a sense of unbalance or chaos, residual feeling of nausea and anxiety. These are the forms of bodily distress that occur when one's ingrained, taken-for-granted sense of how certain things are - and thus presumably will be and in some sense should be - is suddenly or insistently confronted by something very much at odds with it.

I survived. Had I hit my head on the wall when Rutger had thrown me, I could’ve died today. Right now I could be dead instead of sitting here in my office, twenty feet from my home. My mom could be in the morgue, identifying me on a slab. My heart pounded in my chest. Nausea crept up, squeezing my throat. I leaned forward and concentrated on breathing. Deep, calm breaths. I just had to let myself work through it. In and out. In and out. Slowly the anxiety receded. In and out.

You lie there, not even thinking really, except to try to consider how to describe the hurt, as if finding the language for it might bring it up out of you. If you can make something real, if you can see it and smell it and touch it, then you can kill it. You think, it's like a brain fire. Like a rodent gnawing at you from the inside. A knife in your gut. A spiral. Whirlpool. Black hole. The words used to describe it - despair, fear, anxiety, obsession - do so little to communicate it. Maybe we needed to give shape to the opaque, deep-down pain that evades both sense and senses. For a moment, you think you're better. You've just had a successful train of thought, with an engine and a caboose and everything. Your thoughts. Authored by you. And then you feel a wave of nausea, a fist clenching from within your rib cage, cold sweat hot forehead

I wiped the blade against my jeans and walked into the bar. It was mid-afternoon, very hot and still. The bar was deserted. I ordered a whisky. The barman looked at the blood and asked: ‘God?’ ‘Yeah.’ ‘S’pose it’s time someone finished that hypocritical little punk, always bragging about his old man’s power…’ He smiled crookedly, insinuatingly, a slight nausea shuddered through me. I replied weakly: ‘It was kind of sick, he didn’t fight back or anything, just kept trying to touch me and shit, like one of those dogs that try to fuck your leg. Something in me snapped, the whingeing had ground me down too low. I really hated that sanctimonious little creep.’ ‘So you snuffed him?’ ‘Yeah, I’ve killed him, knifed the life out of him, once I started I got frenzied, it was an ecstasy, I never knew I could hate so much.’ I felt very calm, slightly light-headed. The whisky tasted good, vaporizing in my throat. We were silent for a few moments. The barman looked at me levelly, the edge of his eyes twitching slightly with anxiety: There’ll be trouble though, don’tcha think?’ ‘I don’t give a shit, the threats are all used up, I just don’t give a shit.’ ‘You know what they say about his old man? Ruthless bastard they say. Cruel…’ ‘I just hope I’ve hurt him, if he even exists.’ ‘Woulden wanna cross him merself,’ he muttered. I wanted to say ‘yeah, well that’s where we differ’, but the energy for it wasn’t there. The fan rotated languidly, casting spidery shadows across the room. We sat in silence a little longer. The barman broke first: ‘So God’s dead?’ ‘If that’s who he was. That fucking kid lied all the time. I just hope it’s true this time.’ The barman worked at one of his teeth with his tongue, uneasily: ‘It’s kindova big crime though, isn’t it? You know how it is, when one of the cops goes down and everything’s dropped ’til they find the guy who did it. I mean, you’re not just breaking a law, your breaking LAW.’ I scraped my finger along my jeans, and suspended it over the bar, so that a thick clot of blood fell down into my whisky, and dissolved. I smiled: ‘Maybe it’s a big crime,’ I mused vaguely ‘but maybe it’s nothing at all…’ ‘…and we have killed him’ writes Nietzsche, but—destituted of community—I crave a little time with him on my own. In perfect communion I lick the dagger foamed with God’s blood.

In addiction, this means that because being addicted escalates wanting more than liking, the drug experience gets deeply carved into your memory. Anything you can associate with achieving a drug high, you will. As a result, when you try to quit, everything from a spoon (you could use it to prepare drugs) to a street (this is where the dealer lives!) to stress (when I feel like this, I need drugs) can come to drive craving. Desire fuels learning, whether it is normal learning or the pathological “overlearning” that occurs in addiction. You learn what interests you with ease because desire motivates. In contrast, it’s far more difficult to learn something you don’t want to understand or care to comprehend. Berridge and Robinson’s research also helps resolve another paradox: If dopamine signifies pleasure, then the brain should become less and less responsive to it as tolerance to a drug develops. But while tolerance clearly does occur, the opposite result is also seen in the brain. As I took cocaine, paranoia began to set in at lower and lower doses—not higher ones. The summer of 1988, it also took increasingly less drug to achieve the state of heart-pounding anxiety and mortal dread that I experienced so frequently. Neuroscientist Marc Lewis described his experience of this effect in his addiction memoir this way: “I kept pumping [cocaine] into my vein, this non-sterile solution, until my reeling consciousness, nausea, racing heart, and bloated capillaries told me that death was near. Later that night, I begged myself to stop.… But the urge would not relent.

Ultimately then, as one gets ready for kundalini awakening, the goal is to help those chakras clear, open, and align. Kundalini will respond with the greatest ease of motion accomplished and will demonstrate how well it knows what to do. As you begin to work through these chakras blockages or energetic reversals, you may find that those struggles look something like this. Blockages for the root chakra may look like low energy, general fear, persistent exhaustion, identity crisis, feeling isolated from the environment, eating disorders, general lack or erratic appetite, blatant materialism, difficulty saving money, or overall constant health problems. For the sacral chakra, blockages or reversals may look like lack of creativity, lack of inspiration, low or no motivation, low or no sexual appetite, feelings of insignificance, feelings of being unloved, feelings of being unaccepted, feelings of being outcasted, inability to care for oneself or persistent and recurrent problems of relationship with one's intimate partners. Blockages may look like identity crises or deficits for the solar plexus chakra, low self-esteem, low or no self-esteem, digestive problems, food intolerance, poor motivation, persistent weakness, constant nausea, anxiety disorders, liver disorder or disease, repeated illnesses, loss of core strength, lack of overall energy, recurrent depression with little relief, feelings of betrayal, For the chakra of the heart, reversals and blockages may seem like the inability to love oneself or others, the inability to put others first, the inability to put oneself first, the inability to overcome a problem ex, constant grudges, confidence issues, social anxiety or intense shyness, the failure to express emotions in a healthy way, problems of commitment, constant procrastination, intense anxiety For the throat chakra, blockages might seem like oversharing, inability to speak truthfully, failure to communicate with others, severe laryngitis, sore throats, respiratory or airway constraints, asthma, anemia, excessive exhaustion, inability to find the right words, paralyzing fear of confusion, nervousness in public situations, sometimes extreme dizziness, physical submissiveness, verba. For the third eye chakra, blockages or reversals might seem like a lack of direction in life, increasingly intense feelings of boredom or stagnation, migraines, insomnia, eye or vision problems, depression, high blood pressure, inability to remember one's dreams, constant and jarring flashbacks, closed-mindedness, fear, history of mental disorders, and history of addiction. For the crown chakra, blockages may look like feelings of envy, extreme sadness, need for superiority over others, self-destructive behaviors, history of addiction, generally harmful habits, dissociations from the physical plane, inability to make even the easiest decisions, persistent exhaustion, terrible migraines, hair loss, anemia, cerebral confusion, poor mental control, lack of intellect.

Now, with all seven of these chakras revolving in the right direction with no blockages whatsoever, your kundalini would not be able to help itself from rising into that state of bliss, which it perceives above. Ultimately then, as one gets ready for kundalini awakening, the goal is to help those chakras clear, open, and align. Kundalini will respond with the greatest ease of motion accomplished and will demonstrate how well it knows what to do. As you begin to work through these chakras blockages or energetic reversals, you may find that those struggles look something like this. Blockages for the root chakra may look like low energy, general fear, persistent exhaustion, identity crisis, feeling isolated from the environment, eating disorders, general lack or erratic appetite, blatant materialism, difficulty saving money, or overall constant health problems. For the sacral chakra, blockages or reversals may look like lack of creativity, lack of inspiration, low or no motivation, low or no sexual appetite, feelings of insignificance, feelings of being unloved, feelings of being unaccepted, feelings of being outcasted, inability to care for oneself or persistent and recurrent problems of relationship with one's intimate partners. Blockages may look like identity crises or deficits for the solar plexus chakra, low self-esteem, low or no self-esteem, digestive problems, food intolerance, poor motivation, persistent weakness, constant nausea, anxiety disorders, liver disorder or disease, repeated illnesses, loss of core strength, lack of overall energy, recurrent depression with little relief, feelings of betrayal, For the chakra of the heart, reversals and blockages may seem like the inability to love oneself or others, the inability to put others first, the inability to put oneself first, the inability to overcome a problem ex, constant grudges, confidence issues, social anxiety or intense shyness, the failure to express emotions in a healthy way, problems of commitment, constant procrastination, intense anxiety For the throat chakra, blockages might seem like oversharing, inability to speak truthfully, failure to communicate with others, severe laryngitis, sore throats, respiratory or airway constraints, asthma, anemia, excessive exhaustion, inability to find the right words, paralyzing fear of confusion, nervousness in public situations, sometimes extreme dizziness, physical submissiveness, verba. For the third eye chakra, blockages or reversals might seem like a lack of direction in life, increasingly intense feelings of boredom or stagnation, migraines, insomnia, eye or vision problems, depression, high blood pressure, inability to remember one's dreams, constant and jarring flashbacks, closed-mindedness, fear, history of mental disorders, and history of addiction. For the crown chakra, blockages may look like feelings of envy, extreme sadness, need for superiority over others, self-destructive behaviors, history of addiction, generally harmful habits, dissociations from the physical plane, inability to make even the easiest decisions, persistent exhaustion, terrible migraines, hair loss, anemia, cerebral confusion, poor mental control, lack of intellect.

anxiety, nervousness, and abnormal dreams on a single night, it magically teams. weakness, drowsiness, and fatigue these things, even the doctors cannot critique. insomnia, tremor, and nausea all come with this excessive euphoria. also, decreased libido and weight gain are just part of its long-term reign. current findings suggest they are anti-suicidal pills but more effective it seems, are the daffodils. and to anyone who wants to withdraw would find themselves back in the devil's claw.

Physical effects, both long and short term, include: Racing heart, headache, nausea, muscle tension, fatigue, dry mouth, dizzy feelings, increase in breathing rate, aching muscles, trembling and twitching, sweating, disturbed digestion, immune system suppression and memory issues. Your body was designed to endure brief moments of acute stress, but chronic stress (stress that is ongoing) can start to cause chronic health conditions, like cardiovascular disease, insomnia, hormonal dysregulation and so on. If the ordinary physical experience of stress is prolonged, the physical effects can have consequences in the rest of your life… Mental and psychological effects include: Exhaustion and fatigue, feeling on edge, nervousness, irritability, inability to concentrate, lack of motivation, changes to libido and appetite, nightmares, depression, feeling out of control, apathy and so on. Stress can reinforce negative thinking patterns and harmful self-talk, lower our confidence, and kill our motivation. More alarming than this, overthinking can completely warp your perception of events in time, shaping your personality in ways that mean you are more risk averse, more negatively focused and less resilient. When you’re constantly tuned into Stress FM you are not actually consciously aware and available in the present moment to experience life as it is. You miss out on countless potential feelings of joy, gratitude, connection and creativity because of your relentless focus on what could go wrong, or what has gone wrong. This means you’re less likely to recognize creative solutions to problems, see new opportunities and capitalize on them, or truly appreciate all the things that are going right for you. If you are constantly in a low-level state of fear and worry, every new encounter is going to be interpreted through that filter, and interpreted not for what it is, but for what you’re worried it could be.  Broader social and environmental effects include: Damage to close relationships, poor performance at work, impatience and irritability with others, retreating socially, and engaging in addictive or harmful behaviors. A person who is constantly stressed and anxious starts to lose all meaning and joy in life, stops making plans, cannot act with charity or compassion to others, and loses their passion for life. There is very little spontaneity, humor or irreverence when someone’s mind is too busy catastrophizing, right? As you can imagine, the physical, mental and environmental aspects all interact to create one, unified experience of overthinking and anxiety. For example, if you overthink consistently, your body will be flooded with cortisol and other stress hormones. This can leave you on edge, and in fact cause you to overthink even more, adding to the stress, changing the way you feel about yourself and your life. You might then make bad choices for yourself (staying up late, eating bad food, shutting people out) which reinforce the stress cycle you’re in. You may perform worse at work, procrastinating and inevitably giving yourself more to worry about, and so on…

I’ve frozen, mortifyingly, onstage at public lectures and presentations, and on several occasions I have been compelled to run offstage. I’ve abandoned dates, walked out of exams, and had breakdowns during job interviews, on plane flights, train trips, and car rides, and simply walking down the street. On ordinary days, doing ordinary things—reading a book, lying in bed, talking on the phone, sitting in a meeting, playing tennis—I have thousands of times been stricken by a pervasive sense of existential dread and been beset by nausea, vertigo, shaking, and a panoply of other physical symptoms. In these instances, I have sometimes been convinced that death, or something somehow worse, was imminent.

Although every person experiences GAD differently, some of the most common symptoms are: Palpitations, accelerated heart rate, shaking, sweating, dry mouth Difficulty breathing, feeling of choking, chest pain or discomfort, nausea Feeling dizzy or lightheaded, fear of losing control, fear of dying, feeling that objects are not real or that one’s self is distant Hot flushes, cold chills, numbness or tingling sensations Muscle tension, inability to relax, feeling on edge, difficulty swallowing Difficulty concentrating, irritability, difficulty falling asleep

Finally, it was our turn and my stomach churned with anxiety and nerves. As we raced out onto the stage to form our positions before the curtain went up, Sara turned to me and said, “Break a leg, Julia!” “What?” I frowned. “That’s for good luck,” she smirked and then faced the audience whose applause was deafening once again. We lunged into our routine, with Sara in the front row, doing the somersaults that she was so good at and as usual, her precision and timing were excellent. The applause erupted again and with a flick of her long ponytail, she executed a very tricky interchange with Alex and then moved to the back. Alex attacked his moves with his usual gusto and the sharp, expressive movements which made him the stand out hip-hop dancer that he was. I felt a rush of pride at being a part of such a cool routine but just as I moved to the front position, I felt my leg give way under me. It was a completely involuntary reaction and one I was powerless to prevent. I was supposed to kneel down and support the weight of one of the smaller girls on my bent knee but unfortunately, it was the leg that I had injured that morning. There was no way I could bear her weight and the sharp pain caused my knee to drop just as Abbie pressed down on it to raise herself into the air. With a gasp from the audience, she went tumbling to the ground. Bright red with embarrassment, she glared at me in horror and all I could do was help her up and try to resume the timing and movements of the routine going on around us. Fortunately, Abbie had no trouble getting back into rhythm, but I just seemed to lose my place and was not able to recover. As if in slow motion, I felt myself limping around the stage after the others and then looking down, I realized that blood was oozing from my leg and onto the floor. I tried to ignore it and focus on the moves that I knew so well, but I was simply unable to get it together. Gratefully, Millie took over my spot and I moved once again to the back row, trying to camouflage myself amongst the others. The scene around me was almost surreal and I felt as though I were a spectator watching the event unfold from afar. The swirling, twisting and turning of the dancers in front of me, along with the steady thumping beat of the latest hip-hop song that everyone knew so well, all seemed to mesh together into a whirlpool of crazy colors and sounds. Then, feeling a slight nudge in my lower back, I was pushed towards the front of the stage. An instant flash of recall had me leaping into the air. Everyone still considered this moment the highlight of our routine. It was the grand finale and my chance to relinquish my status as actually being a decent dancer and choreographer. Flinging my arms and legs forward, I came down onto the stage, one foot at a time. Then reminiscent of that morning’s episode in the school driveway, rather than gripping onto the stage in a final dramatic stomp, my foot slid forward and just kept on going until my whole body landed horizontally on the floor with a loud bang. In a blur of dizziness, I sat up and looked around then saw that I had slipped on a pool of blood; blood that had oozed from the gash in my knee and onto the stage. At that very moment, I was overcome with a sudden rush of nausea and unable to stop the sudden convulsion, I vomited all over the floor in front of me. Too terrified to open my eyes, I wished I could turn back the clock. Back to the day of our dress rehearsal when everything had gone so smoothly. My final leap had been the high point of the day, where even Miss Sheldon and also Alex our expert hip hop dancer, had congratulated me on my performance. I dared to glance fearfully out into the audience. Everyone appeared aghast and I could see the shocked expressions of my mom and dad. Then, realizing I was surrounded by worried faces peering down at me, everything suddenly went black.

The suffering that accompanies nausea, vomiting, diarrhea, cough, fever, fatigue, pain, anxiety, and low mood motivates escape from a current bad situation and avoidance of future similar situations. Individuals who do not experience physical pain accumulate injuries and usually die by early adulthood. People who don’t feel bad when pursuing unreachable goals spend their lives in contented useless efforts. More low mood might help their genes, but a clinic to boost low mood would be about as popular as a clinic to help people feel more anxious.

Her muscles might seem more stiff, taut, or rigid. Her breathing might speed up or become more shallow. Some children will tremble when they are anxious, or they may feel sensations such as lightheadedness or nausea. Their stomachs can feel different, for example, they may feel crampy, achy, or upset. Some children will notice that they are sweating more because of anxiety, or that their mouths are dry. They may complain of various other physical sensations, such as just feeling weird or strange or as though their hearts are pounding. There also can be changes in the body that your child does not notice. You may notice some of these, such

The cumulative, profound loss that we have collectively experienced would cause any sentient being to become depressed, anxious, and isolated. Yet, instead of rejecting this paradigm to make time for the things that connect us to each other and fill our lives with significance, inertia often wins. It is simply too easy to opt for handy, addictive, second-rate experiences that leave us feeling hollow and hopeless. We are like children with a comforting, nourishing meal within our grasp, yet we gorge ourselves on the candy pile dumped directly in front of us, even as our souls feel increasing nausea with each bite. The saccharine stupor disorients us, so we can no longer even intuit what we need. We just know we feel adrift, with a voracious hunger for something that we cannot name.

The pain and nausea started to ebb, which was good. Those things needed to get out of the friggin’ way so her rising anxiety could take over and settle in.

Stirling, Scotland, October 1619 "Kristina, wake up and ready yourself for a journey!" In her bedchamber, Kristina MacQueen jolted awake. Had she just heard her mother's voice? 'Twas impossible. Her mother had passed many years ago. The voice had been inside her dream. What had Ma meant about a journey? Kristina had not left the vicinity of her aunt and uncle's manor house in many months. Hearing the faint hoofbeats of many horses galloping in the distance, she sat up and listened. As each moment passed, the horses' hooves pounded closer and closer until they echoed off the cobblestones just outside the window. Her heart thumping and an eerie feeling prickling along her skin, she swung her feet toward the floor and sat on the edge of the bed. A fist battered violently at the home's entrance door below. "Saints. Who could that be?" she whispered. It had to be the middle of the night or the wee hours of the morn, for she heard no one moving about the house and her room was chilly. The visitor couldn't be the physician calling to treat Uncle Gilbert, who suffered from gout, rheumatism and various other ailments. Nay, he wouldn't bring that many horses with him on a house call. Maybe 'twas the creditors, come to expel them from their home. When her uncle's health had declined, so had his funds. Could it be news of her older sister? She had not heard from Anna in many months. Ready yourself for a journey, her mother had said in the dream. Good heavens! Had someone come for her, to take her to Anna? Heart hammering, Kristina leapt from the warm bed. Though she couldn't see, she knew the placement of the furniture in her room and could easily navigate the space without bumping into anything. After tiptoeing across the cold wooden floor in her stockings, she approached the door and turned the knob to open it a crack, then listened. The maids were in an uproar on the ground floor below. "What's the racket?" Aunt Matilda yelled as she tromped by Kristina's chamber and down the stairs. "Who is it?" she demanded near the front door. "Chief Blackburn MacCromar!" The snarled response was bellowed from outside, just below her window. A chill of terror and revulsion flashed through Kristina. "Saints, preserve us." She shut the door and barred it, her fingers trembling. She had not been near the malicious bastard in two years. He had finally come for her. Anxiety and nausea froze her to the spot. What would he do? Would he kill her for a certainty this time?

Breaking any had habit is hard to do, but breaking apart a pleasure-trap cycle can he the most difficult challenge of a lifetime. The change of even a single factor, such as removing morning caffeine, will often result in a person temporarily feeling worse, as they experience unwelcome fatigue as well as the headaches, nausea, and anxiety characteristic of drug withdrawal.

When an experience is an unusually powerful emotional event, there may be a series of reactions. These are both common and normal. Signs and symptoms of critical-incident stress include the following: 1. Physical—enduring fatigue, sleep dysfunction (either needing too much or insomnia), change of appetite (eating too much or too little), gastrointestinal upset, headache, backache, chills, nausea, muscular twitches or tremors, shock-like symptoms (especially in acute stress), hyperactivity, or its opposite, underactivity. 2. Emotional—anger, irritability, fear, grief, anxiety, guilt, depression, feeling overwhelmed, identification with the patient(s) in a rescue, emotional numbness, feelings of helplessness or hopelessness. 3. Cognitive—memory loss, especially anomia (the inability to remember names); inability to attach importance to things other than the incident; concentration problems; loss of attention span; difficulties with calculations, decision-making, and problem-solving; flashbacks; nightmares (especially recurrent ones), amnesia for the event; violent fantasies; confusing the importance of trivial and major tasks.

I feel uncomfortable and experience building tension or discomfort that seems to come out of the blue when I think about a particular situation. ____ 2. I avoid specific situations that make me feel uncomfortable. ____ 3. I have at least four of the following symptoms at the same time: shortness of breath or feeling smothered; heart palpitations (rapid or irregular heartbeat); trembling or shaking; choking; dizziness or unsteadiness; nausea or abdominal distress; numbness, feeling detached or out of touch with myself; fear of dying; fear of going crazy or out of control; hot flashes or chills; sweating without exertion. ____ 4. I worry excessively, and so I feel restless, keyed up or on edge, irritable, easily fatigued, have trouble falling or staying asleep or I wake up tired, have tense and tight muscles, have difficulty concentrating, and/or find my mind going blank. ____ 5. I have recurring intrusive thoughts such as hurting or harming a close relative, being contaminated by dirt or a toxic substance, fearing I forgot to lock my door or turn off an appliance, and/or have unpleasant fantasies of catastrophe. ____ 6. I perform ritualistic actions such as washing my hands or counting to relieve my discomfort because I have fears that keep entering my mind. ____ 7. I have witnessed or been subjected to a life-threatening experience and have persistent symptoms that have lasted for at least a month, including repetitive and distressing thoughts, nightmares, flashbacks, attempts to reenact the situation, emotional numbness (out of touch with your emotions—feeling no anger, sadness, guilt, or relief), feeling detached from other people, losing interest in activities that once gave me pleasure, sleep or concentration problems, startling easily, irritability and/or have outbursts of anger.

And then there’s physical dependence. As defined in medical terms, physical dependence is manifested when a person stops taking a substance and, due to changes in the brain and body, she experiences withdrawal symptoms. Those temporary, drug-induced changes form the basis of physical dependence. Although a feature of drug addiction, a person’s physical dependence on a substance does not necessarily imply that he is addicted to it. The withdrawal syndrome is different for each class of drug — in the case of opiates such as morphine or heroin it includes nausea, diarrhea, sweats, aches and pains and weakness, as well as severe anxiety, agitation and depressed mood. But you don’t have to be addicted to experience withdrawal — you just have to have been taking a medication for an extended period of time. As many people have discovered to their chagrin, with abrupt cessation it’s quite possible to suffer highly unpleasant withdrawal symptoms from drugs that are not addictive: the antidepressants paroxetine (Paxil) and venlafaxine (Effexor) are but two examples. Withdrawal does not mean you were addicted; for addiction, there also needs to be craving and relapse. In fact, in the case of narcotics, it turns out that the addictive, “feel good” effect of these drugs seems to act in a different part of the brain than the effects that lead to physical dependence. When morphine is infused only into the “reward” circuits of a rat’s brain, addiction-like behaviour results, but there’s no physical dependence and no withdrawal. “Dependence” can also be understood as a powerful attachment to harmful substances or behaviours, and this definition gives us a clearer picture of addiction. The addict comes to depend on the substance or behaviour in order to make himself feel momentarily calmer or more excited or less dissatisfied with his life.

Adam: Adam was a young man whose anxiety turned into a monster. Where Shelly had a very mild case of social anxiety, Adam’s case could only be called severe. Over a period of several years, his underlying social fears developed into a full-blown school phobia. A quiet, unassuming person, Adam had never stood out in the classroom. Through elementary school and on into high school, he neither excelled nor failed his subjects. By no means a discipline problem, the “shy” Adam kept to himself and seldom talked in class, whether to answer a teacher’s question or chat with his buddies. In fact, he really had no friends, and the only peers he socialized with were his cousins, whom he saw at weekly family gatherings. Though he watched the other kids working together on projects or playing sports together, Adam never approached them to join in. Maybe they wouldn’t let him, he thought. Maybe he wasn’t good enough. Being rejected was not a chance he was willing to take. Adam never tried hard in school either. If he didn’t understand something, he kept quiet, fearful that raising his hand would bring ridicule. When he did poorly on an exam or paper, it only confirmed to him what he was sure was true: He didn’t measure up. He became so apprehensive about his tests that he began to feel physically ill at the thought of each approaching reminder of his inadequacy. Even though he had studied hard for a math test, for example, he could barely bring himself to get out of bed on the morning it was to take place. His parents, who thought of their child as a reserved but obedient boy who would eventually grow out of this awkward adolescent stage, did not pressure him. Adam was defensive and withdrawn, overwrought by the looming possibility that he would fail. For the two class periods preceding the math test, Adam’s mind was awash with geometry theorems, and his stomach churning. As waves of nausea washed over him, he began to salivate and swallowed hard. His eyes burned and he closed them, wishing he could block the test from his mind. When his head started to feel heavy and he became short of breath, he asked for a hall pass and headed for the bathroom. Alone, he let his anxiety overtake him as he stared into the mirror, letting the cool water flow from the faucet and onto his sweaty palms. He would feel better, he thought, if he could just throw up. But even when he forced his finger down his throat, there was no relief. His dry heaves made him feel even weaker. He slumped to the cold tile and began to cry. Adam never went back to math class that day; instead, he got a pass from the nurse and went straight home. Of course, the pressure Adam was feeling was not just related to the math test. The roots of his anxiety went much deeper. Still, the physical symptoms of anxiety became so debilitating that he eventually quit going to school altogether. Naturally, his parents were extremely concerned but also uncertain what to do. It took almost a year before Adam was sufficiently in control of his symptoms to return to school.

Like placebos, nocebos can be induced in the laboratory through deception. And like placebos, they tend to track alongside dopamine and opioid systems, affecting conditions like pain, nausea, depression, and anxiety. Except nocebos make those conditions worse, not better.

Many scientists have noted that people who suffer from pain and certain other afflictions—depression, anxiety, irritable bowels, nausea, and addiction—seem more likely than others to experience placebo effects.

By now you should be noticing a pattern in the drugs that seem most connected with the placebo effect: opioids, cannabinoids, serotonin. These are all needed for the treatment of pain, depression, anxiety, irritable bowels, nausea, and addiction—the conditions that are unusually responsive to placebos.

By now you should be noticing a pattern in the drugs that seem most connected with the placebo effect: opioids, cannabinoids, serotonin. These are all needed for the treatment of pain, depression, anxiety, irritable bowels, nausea, and addiction—the conditions that are unusually responsive to placebos. But there is one more to add to the pile, and it’s perhaps the most important chemical in your inner pharmacy: dopamine.

Blue Jay Way This rare strain is 50% indica and 50% sativa, and a cross between the True Blueberry and OG Kush. The Blue Jay Way has a CBD-to-THC ratio of 2:1, with THC levels at about 6%-8%, and CBD levels reaching 12%-16%. This medicinal strain is used for the treatment of headaches, chronic pain, migraines, nausea, anxiety, or restlessness. It causes feelings of happiness, increases energy and focus, and improves the mood.

Finally, as we prepare to shift focus from ordinary low mood to mood disorders, it is worth asking why low mood feels so awful. Why doesn’t the system respond to failing efforts by assessing the alternatives objectively and shifting to the next best one at the right time, without self-doubt, rumination, and psychic pain? Multiple explanations contribute, but I think the main one is the same as the explanation for why physical pain hurts. The suffering that accompanies nausea, vomiting, diarrhea, cough, fever, fatigue, pain, anxiety, and low mood motivates escape from a current bad situation and avoidance of future similar situations. Individuals who do not experience physical pain accumulate injuries and usually die by early adulthood. People who don’t feel bad when pursuing unreachable goals spend their lives in contented useless efforts.