Tuesday, February 27, 2024

Anxiety in Armageddon

Of all the diseases and disorders we’ll encounter when things fall apart, anxiety will top the list.  For those who are caught unawares, the stress of off-grid living and loss of electronic pacifiers, loss of communication with distant friends and family, and not knowing what’s happening will be incapacitating.  Even those who have prepared long and well may experience difficulty adjusting.  Because the pharmaceuticals used to treat these conditions are daily maintenance meds, they’ll be the first meds to be exhausted without any hope of re-supply.  Those diagnosed with anxiety before the collapse will have the opportunity to acquire a store of medication in advance, but even those will run out eventually.  Fortunately there is a whole lot we can do to prepare, and the most important “meds” are free.

Anxiety is marked by any number of the following emotional and physical symptoms:

Acute anxiety attacks or panic attacks are distinguished by intense feelings of fear and impending doom as, you know, people might experience when we totally collapse.  They usually occur without warning and are short-lived.  (Which I would define as less than 10 minutes, but according to doctors they may last an hour or more.)  Those most at risk for panic attacks are young adults.  Complaints include hyperventilating[31] [32], feeling faint[33], chest pain, choking sensation, claustrophobia, nausea, and hot flashes.[34]

Risk Factors

Eliminate all alcohol, caffeine, and tobacco use to reduce anxiety.[35] [36]  Researchers have found that individuals deficient in magnesium are much more likely to develop anxiety.[37]

Common anti-anxiety medications are available by prescription only and as all have the potential for serious side effects and require close monitoring by a physician, they’re a bit impractical for building up a supply.  Doctors recommend the following pharmaceuticals for treating an acute anxiety attack.

Treatment Options

  • Pharmaceuticals
    • Doxylamine succinate[42]
    • Meclizine[43]
      • 50-100 mg daily in divided doses[44]

Fortunately, we have a wide array of herbal treatment options.

Herbs

I’m convinced that a significant number of the mental health issues in American society today arise from the fact that individuals are less connected to family and friends than even before in history, particularly younger people.  They haven’t developed solid social skills, and it’s those social interactions that help reduce anxiety.  The medical industry makes their profits with pills and expensive therapist appointments.  The following “intangibles” which have proven benefits are rarely recommended.  Fortunately, they are free and we can prepare to use them well

Intangibles

When things fall apart, individuals suffering from anxiety will be everywhere, even in our own families, and we may even be the ones afflicted.  Recognize it as normal.  We need to take time to write down concerns, talk with others, and then focus on what we have control over.  We can raise food and exercise, and make sure we eat and sleep well.  Show gratitude, pray, help another person, and laugh a lot. 



[1] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[2] https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

[3] https://www.nimh.nih.gov/health/topics/anxiety-disorders

[4] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[5] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[6] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[7] Survival and Austere Medicine, 3rd Edition, 2017, 387.

[8] https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

[9] https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

[10] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[11] https://www.nimh.nih.gov/health/topics/anxiety-disorders

[12] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[13] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[14] Survival and Austere Medicine, 3rd Edition, 2017, 387.

[15] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[16] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[17] https://www.nimh.nih.gov/health/topics/anxiety-disorders

[18] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[19] https://www.nimh.nih.gov/health/topics/anxiety-disorders

[20] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[21] https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

[22] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[23] https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

[24] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[25] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[26] https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

[27] https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

[28] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[29] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[30] https://www.nimh.nih.gov/health/topics/anxiety-disorders

[31] Cynthia Koelker, Armageddon Medicine, 2012, 506.

[32] https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

[33] https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

[34] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[35] Survival and Austere Medicine, 3rd Edition, 2017, 387.

[36] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[37] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3198864/

[38] Cynthia Koelker, Armageddon Medicine, 2012, 71.

[39] Cynthia Koelker, Armageddon Medicine, 2012, 71, 557.

[40] Survival and Austere Medicine, 3rd Edition, 2017, 388.

[41] Joseph Alton, The Survival Medicine Handbook, 4th Edition, 2021, 617.

[42] Cynthia Koelker, Armageddon Medicine, 2012, 71.

[43] Cynthia Koelker, Armageddon Medicine, 2012, 71, 445, 559.

[44] Joseph Alton, The Survival Medicine Handbook, 4th Edition, 2021, 617.

[45] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[46] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[47] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9611340/

[48] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488203/

[49] Joseph Alton, The Survival Medicine Handbook, 4th Edition, 2021, 76.

[50] Sa-Ik Hong, et al., Anxiolytic effects of Chrysanthemum indicum aqueous extract in mice:  possible involvement of GABA receptors and 5-HT1A receptors, Biomolecules and Therapeutics, July 2012, Vol 20 No 4, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3762266/ (accessed 27 September 2021)

[51] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[52] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[53] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[54] Joseph Alton, The Survival Medicine Handbook, 4th Edition, 2021, 77.

[55] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[56] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[57] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[58] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[59] Cynthia Koelker, Armageddon Medicine, 2012, 75.

[60] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7353338/

[61] Joseph Alton, The Survival Medicine Handbook, 4th Edition, 2021, 77.

[62] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998931/

[63] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998931/

[64] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[65] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392516/

[66] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[67] Survival and Austere Medicine, 3rd Edition, 2017, 388.

[68] Sam Coffman, Herbal Medic, 2014, 276.

[69] Rebecca L. Johnson, Guide to Medicinal Herbs, 2010, 39.

[70] Alexandre Fonseca, et al., Purple passion fruit (Passiflora edulis f. edulis): A comprehensive review on the nutritional value, phytochemical profile and associated health effects, Food Research International, Vol 160, 2022, https://www.sciencedirect.com/science/article/pii/S0963996922007232?via%3Dihub (accessed 15 May 2023).

[71] Ronald Ross Watson, , et al., Oral administration of the purple passion fruit peel extract reduces wheeze and cough and improves shortness of breath in adults with asthma, Nutrition Research, Vol 28 No 3, 2008, https://www.sciencedirect.com/science/article/abs/pii/S0271531708000183 (accessed 15 May 2023).

[72] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[73] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[74] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

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[79] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[80] Joseph Alton, The Survival Medicine Handbook, 4th Edition, 2021, 73.

[81] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[82] Cynthia Koelker, Armageddon Medicine, 2012, 75.

[83] Survival and Austere Medicine, 3rd Edition, 2017, 388.

[84] https://pubmed.ncbi.nlm.nih.gov/14742369/

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[86] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

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[91] Survival and Austere Medicine, 3rd Edition, 2017, 387.

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[93] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

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[95] Friedberg JP, Suchday S, Srinivas VS. Relationship between forgiveness and psychological and physiological indices in cardiac patients. Int J Behav Med. 2009;16(3):205-11.

[96] Catherine Paddock, Soil bacteria work in similar way to antidepressants, Medical News Today, 2 April 2007, https://www.medicalnewstoday.com/articles/66840#2 (accessed 24 January 2022).

[97] Dominik Langgartner, et al.,  Old Friends, immunoregulation, and stress resilience.” Pflugers Archiv : European journal of physiology, Vol 471 No 2, 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334733/ (accessed 24 January 2022).

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[99] JY Lee, et al., The association of gratitude with perceived stress among nurses in Korea during COVID-19 outbreak, Archives Psychiatric Nursing, December 2021, Vol 35 No 6, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8530766/ (accessed 14 June 2022).

[100] K Tolcher, et al., Evaluating the effects of gratitude interventions on college student well-being. J Am Coll Health. 27 May 2022, https://pubmed.ncbi.nlm.nih.gov/35623017/ (accessed 14 June 2022).

[101] A Si̇s Çeli̇k, et al., The effect of laughter yoga on perceived stress, burnout, and life satisfaction in nurses during the pandemic: A randomized controlled trial, Complementary Therapies in Clinical Practice, Vol 49, 2022, https://www.sciencedirect.com/science/article/pii/S1744388122001050?via%3Dihub (accessed 11 January 2024).

[102] Michelle Graff-Radford, Laughter is the best medicine, Mayo Clinic, 23 April 2019,  https://connect.mayoclinic.org/blog/living-with-mild-cognitive-impairment-mci/newsfeed-post/laughter-is-the-best-medicine-1/ (accessed 11 January 2024).

[103] Joseph Alton, The Survival Medicine Handbook, 4th Edition, 2021, 608.

[104] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[105] Wachholtz AB, Pargament KI, Is spirituality a critical ingredient of meditation? Comparing the effects of spiritual meditation, secular meditation, and relaxation on spiritual, psychological, cardiac, and pain outcomes, Journal of Behavioral Medicine, August 2005, Vol 28 No 4, https://pubmed.ncbi.nlm.nih.gov/16049627/ (accessed 16 January 2024).

[106] Joseph Alton, The Survival Medicine Handbook, 3rd Edition 2013, 458.

[107] Cynthia Koelker, Armageddon Medicine, 2012, 77.

[108] Survival and Austere Medicine, 3rd Edition, 2017, 387.

 

6 comments:

  1. “I must not fear. Fear is the mind-killer. Fear is the little-death that brings total obliteration. I will face my fear. I will permit it to pass over me and through me. And when it has gone past I will turn the inner eye to see its path. Where the fear has gone there will be nothing. Only I will remain.”
    ― Frank Herbert, Dune

    You are correct the lack of social skills and interaction beyond the "txt me" has created a multi-generational disconnect with real people (you know the ones with unacceptable opinions, BO and social warts) for the perfect cloud people of the internet.

    You did mention the electronic pacifier's aka cell phones-computers.

    But the real problem is dopamine addiction FROM them. And the withdrawal afterwards. If your COPING Mechanism is to flee the ugly Real world into a more perfect electronic world of emojis it's going to be HARD.

    Working in a MASH in the sandbox I had one serious talk down of an armed soldier in mental distress. Soldier was confused, wanting to kill himself, or kill the Arabs in our sickbay (yes, we treated enemy soldiers) and or kill those ordering him around all the time.

    I talked him down and had coffee with him as we slowly got him back to earth. Longest hour of my life. I had detailed two of my best shooters to kill him if he had gone ballistic. No, we never mentioned that to him, ever.

    I still hope when they flew him to Germany that he got treated with respect. Military does poorly with threatening people inside the ranks.

    But back to post collapse stress. Faith like I started off with Dune quote is important.

    Some folks will NEVER resolve their stress due to lack of basic coping skills.

    Those are DANGEROUS to the survival of the group. Demoralizing the weaker members and if armed very dangerous to all that might try to command the situation.

    Folks currently on coping dugs for "The STRESS of Normal Life" today will be very ill suited to a lack of medication AND even More and serious real-world stressors. KEEP an EYE on them, I'd not let them be armed for days maybe weeks after they got over their lack of meds.

    Calm leadership and getting even simple things done with praise will help a lot. Might not be a lot of time available for hours of non-productive "Struggle Sessions" to build them a post Cellphone Identity.

    ReplyDelete
  2. Will someone comment on distinguishing between an impending medical emergency and anxiety?
    Also, you’re writing about anxiety, will you be covering schizophrenia, catatonia, or unstable bipolar? Too many people have family members only functional ON meds.
    What do you do when a teenage child starts hearing God in a way that threatens everyone else’s wellbeing?

    ReplyDelete
    Replies
    1. I am afraid schizophrenia, catatonia, and bipolar are poorly covered in my resources. If I had a family member with any of these issues, I'd be praying hard and making sure to listen well.

      Delete
  3. When it truly hits the fan those who don't succumb in the first couple of weeks will be far too busy trying to stay alive to have anxiety issues. When you aren't busting ass trying to make up for the loss of modern amenities you have will be sleeping. Most "psychological disorders" will vanish in a TEOTWAWKI situation.

    ReplyDelete
  4. You said a mouthful Dan. The first few weeks will be hades on earth as many of our medically dependent friends and family suffer and die off.

    A good leader will know about his-her groups medical issues and required meds as so to prepare for troubles. Getting extra medicines even if you have to buy them from overseas sources is something important as to give your group TIME to deal with the OUTSIDE DANGERS before internal group Psych issues show up.

    Psych issues CAN BE HANDLED in many cases. But carefully especially if weapons are available.

    A fair bit of internal group trouble will be from psychological disorders both from lack of meds and general stress beyond what most of us ever met up with. A GOOD SLEEP discipline is mandatory as even the most stable of us becomes LESS STABLE with serious sleep loss.

    An armed crazy that once was deemed a friend is going to be traumatic. I know of a fellow prepper group that has 3 people using antidepressants and they are Gunbunny level armed. Not a good thought to ponder as you head off to sleep.

    Losing folks with useful knowledge is going to make the rest of us a harder job to keep things going. One of my best people skilled in healing plants is a very kind and gentle elderly lady.

    Those facts are why I'm so busy doing what I can today to preserve knowledge and cross train my friends. If it's important you need hard copy SOP and manuals.

    ReplyDelete
  5. I really appreciate that you specify limiting access to weapons when appropriate and getting enough sleep as the big ways to ride out psych issues.

    ReplyDelete

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