August Lecture at Whole Foods Market Schaumburg

1. Anxiety and Panic
We didn’t invent the practice of medicine….
we’re just changing the way it’s provided.
Enrique Saguil, M.D.

2. The First Health Approach
We didn’t invent the practice of medicine….
we’re just changing the way it’s provided.

3. Your Community
of Care
Ric Saguil, MD
Jason Gruss, MD
Tom Jordan, RD
Katrina Christie, LCPC
Jennifer Green, ND
Joe Musolino, DC
Emery Paredes, PT
Aimee Weber, EP
Yu Zhu, MD China
You

4. We didn’t invent the practice of medicine….
we’re just changing the way it’s provided.

5. What is anxiety?
• Excessive anxiety worry (apprehensive
expectation), occurring more days than not for
6 months, about a number of events or
activities (such as work or school
performance)
• The person finds it difficult to control the
worry

6. • The anxiety and worry are associated with 3 (or
more) of the following 6 symptoms (with at least
some symptoms present for more days than not
for the past 6 months) Note: only 1 item required
in children.
• Restlessness or feeling keyed up or on the edge
• Being easily fatigued
• Difficulty concentrating or mind going blank
• Irritability
• Muscle tension
• Sleep disturbance (difficulty falling or staying
asleep, or restless unsatisfying sleep)

7. • The focus of anxiety and worry is not confined to
features of an Axis 1 disorder, eg the anxiety is
not about having a Panic Attack (as in Panic
Disorder) , being embarrassed in public (as in
Social Phobia), being contaminated (as in
Obsessive-Compulsive Disorder), being away
from home or close relatives (as in Separation
Anxiety Disorder), gaining weight (as in Anorexia
Nervosa), having multiple physical complaints (as
in Somatization Disorder), or having a serious
illness (as in Hypochondriasis) and the anxiety
and worry do not exclusively occur during Post
Traumatic Stress Disorder

8. • The anxiety worry or physical symptoms cause
clinically significant distress or impairment in
social, occupational or other important areas
of dysfunction.
• The disturbance is not due to the direct
physiologic effects of a substance (eg a drug
abuse, a medication) or a general medical
condition (eg hyperthyroidism) and does not
occur exclusively during a mood disorder, a
Psychotic Disorder or a Pervasive
Developmental Disorder

9. Under the Microscope
• Molecules called neuropeptides
• Neuropeptide receptors accumulate at
5 senses (nodal points)
• Information from environment (5 senses)
influences feelings
• Same information influences bodily function

10. Nodal points prioritize messages
• Emotions don’t originate from the brain?
• Information is not just passed by synapse (2%)
• Information is release in the body, the nodal
points (“hot spots”) effects emotion/body
New Age Brain

11. • Anxious about what hasn’t happened yet
• Now
• Depressed about what already occurred
Practical Past Present Future
Takes A lot of “Re Training”

12. Common Office Complaints
• Poor sleep
• Hypertension
• Gastritis
• Palpitations
• Fatigue
• Nail biting
• Panic attacks

13. Can emotions transform body?
• Heal
• Destroy
• Extract/
store
energy
• Waste
energy
• Age/
screen
• Age/
allow
• Reproduce
• Effect ADL

14. Emotion and Health
• Emotions make us sick
• Belief makes us well
Ester Sternberg: Healing Spaces/The Balance Within/The Science of Healing

15. To treat or not to treat
• Bandaids work
• How many can you wear?
Rx

16. Rescue Rx
• Benzo’s

17. Maintenance Rx
• SSRI’s

18. Side Fx
Flat
Dependant
Sleepy, constipated, fat, slow, suicidal

19. Herbal Rx
• St Johns Wort 600mg 3xd
• 5 HTP 150 2xd
• Valerian Lemon Balm 300-600 2-3xd
• Magnesium glycinate/aspartate 400mg 2xd
• Skull Cap 30drops 3-5xd
• Ashwaganda extract 500mg 3xd
• Passionflower extract 1dropperful 3-5xd
• Omega 3 fatty acid 2-4g/d
• B6/Zinc
• Inositol 12-18g/d
• KavaKava

21. Thinking Rx
• Counseling
• Relaxation response
• Visualizations/guided imagery
• Meditation

22. The hormonal cascadeAdrenaline
Cortisol
ILGF1
Serotonin
Oxytocin

23. Eating Rx
• No caffeine
• No stimulants/alcohol
• No sugar (high GI)
• Go green!

24. Effects of Processing Food
Adrenaline
Cortisol
ILGF1
Serotonin
Oxytocin

25. • Whole grains
• Legumes
• Vegetable
• Nuts
• Seeds
• Walnuts
• Salmon
• Freshly ground flax seed
• More frequent smaller meals
• Water

26. Activity Rx
• Sleep
• Screens OFF (volume, timing, content, Halo)
• Right lane driving
• Career
• Tai Chi/Yoga/Shin Ryn Yoku

27. We didn’t invent the practice of medicine….
we’re just changing the way it’s provided.

28. Thank You for staying calm!!!
www.youtube.com/herbal411
for DrRic Tutorials