>>> HI, AND WELCOME TO "ASK THE SPECIALIST."

WE WELCOME THE DOCTORS HERE TONIGHT ON WCMU PUBLIC TELEVISION.

♪ >>> HELLO, AND WELCOME BACK TO TONIGHT'S PROGRAM.

WHERE TONIGHT I'M ASKING LOCAL PHYSICIANS YOUR HEALTH AND WELLNESSES QUESTIONS.

TONIGHT I'M JOINED BY DR. NUN AND DR. DOLLYWALL.

THANK YOU BOTH FOR BEING HERE THIS EVENING.

>> THANK YOU.

>> YOU BOTH COME TO US, HAVING DIFFERENT SPECIALTIES HERE.

BEFORE WE START GETTING INTO QUESTIONS, CAN YOU TELL OUR VIEWERS A LITTLE BIT ABOUT YOURSELVES AND YOUR AREA OF SPECIALTIES.

>> YES, I'M A PSYCHIATRIST.

I SPECIALIZE IN THE MEDICAL MANAGEMENT OF MENTAL HEALTH DISORDERS.

I CURRENTLY WORK AT CMU AT THE MAIN CAMPUS.

>> WELCOME.

>> AND DOCTOR?

>> YEAH, I'M THE PROGRAM DIRECTOR FOR THE DEPARTMENT OF FAMILY MEDICINE, AND WE' -- WE DEAL WITH A LITTLE BIT OF EVERYTHING.

>> AWESOME.

SO FOR OUR VIEWERS AT HOME, IF YOU HAVE QUESTIONS, YOU CAN CALL THE NUMBER YOU ARE SEEING ON YOUR SCREEN THERE.

WE HAVE PHONE OPERATORS RIGHT NOW READY TO TAKE YOUR CALLS.

YOU CAN ALSO POST YOUR QUESTION TO OUR FACEBOOK PAGE OR TWEET.

SO IF YOU HAVE QUESTIONS DON'T HESITATE TO PICK UP THE PHONE AND GIVE US A CALL.

DR. NUN THIS IS YOUR SECOND APPEARANCE ON OUR PROGRAM THIS YEAR, AND THERE IS A REASON FOR THAT.

MENTAL HEALTH, AS WE'RE HEARING MORE ABOUT IS A REALLY IMPORTANT TOPIC, AND A CONVERSATION, I THINK, THAT IS HAPPENING IN MORE HOMES ACROSS THE COUNTRY.

THIS PAST SUNDAY WAS WORLD MENTAL HEALTH DAY.

TAKE A LOOK AT THIS VIDEO.

♪ >> OUT OF A COUNTRY OF APPROXIMATELY 330 MILLION PEOPLE, I WOULD SAY PROBABLY A THIRD OF THE COUNTRY HAS SOME SORT OF MENTAL ILLNESS.

KIDS AND TEENAGERS SUFFER FROM MOST OF THE SAME MENTAL HEALTH DISORDERS THAT ADULTS DO.

YOUR STANDARD ANXIETY, DEPRESSION, ADHD ARE ALSO PRESENCE IN ADOLESCENCE AND ADULTS.

IF YOU ARE ABLE TO WAKE UP, KEEP YOUR HOUSE RELATIVELY IN ORDER, GO TO WORK, GO TO SCHOOL, MANAGE THAT REASONABLY, THAT'S PROBABLY GOOD MENTAL HEALTH.

IF YOU FIND IT HARD TO FUNCTION, HARD TO MANAGE THINGS ON A DAY-TO-DAY BASIS, THAT WOULD BE YOUR RED FLAG.

MENTAL HEALTH CAN HAVE SIGNIFICANT CONSEQUENCES.

ELEVATED ANXIETY IS LINKED TO THE DEVELOPMENT OF HIGH BLOOD PRESSURE PRESSURE OR ULCERS.

IF YOUR DEPRESSION IS VERY BAD, WE SEE SUICIDES, AND SOME VERY CONCERNING THINGS HAPPENING TO PEOPLE THAT DON'T MANAGE IT OR TAKE IT SERIOUSLY.

MY FIRST ADVICE WOULD BE TO SEE YOUR PRIMARY CARE DOCTOR.

IF YOU DON'T HAVE A PRIMARY CARE DOCTOR, COMMUNITY HEALTH IS ALSO VERY GOOD.

THEY HAVE A LOT OF RESOURCES AS WELL.

THE FIRST OPTION IS PSYCHO PSYCHOTHERAPY WHICH IS VERY GOOD FOR ANXIETY OR DEPRESSION.

PEOPLE TRYING TO WORK THROUGH STRESSORS OR GOING TO WEEKLY OR BI-WEEKLY PSYCHOTHERAPY.

A THERAPIST WILL WORK WITH THE PATIENT TO LEARN HOW TO MANAGE STRESS BETTER, AND THEN IF THAT DOESN'T WORK, CONSIDERING MEDICATIONS TO HELP AT THAT POINT WOULD BE APPROPRIATE.

AS A PROFESSION, AND AS A SOCIETY, WE ARE A LOT MORE ACCEPTING OF MENTAL HEALTH, AND REALIZE THAT IT IS NOT NECESSARILY A PROBLEM, OR SOMETHING THAT YOU DID TO YOURSELF OR A WEAKNESS, SO I THINK THERE'S A LOT MORE ACCEPTNESS FOR A WEAKNESS.

AND WE HAVE A VARIETY OF EFFECTIVE AND EASY TREATMENTS THAT PEOPLE CAN DO.

♪ >> ALL RIGHT.

AND DOCTOR, AGAIN, THANK YOU FOR TAKING THE TIME TO RECORD THAT WITH US.

AND I WANT TO START WITH YOU, DOCTOR, AS A PRIMARY CARE PHYSICIAN OR FAMILY CARE PROVIDER, YOU ARE OFTEN FIRST IN LINE WHEN IT COMES TO SOMEBODY LOOKING FOR HELP.

WHAT HAPPENS WHEN A PATIENT COMES TO YOU LOOKING FOR HELP?

>> YEAH, WE DO TEND TO BE THAT GATE KEEPER.

SO OUR MAIN GOAL IS TO REALLY TRIAGE TO SEE IF THIS IS SOMETHING WE CAN TAKE CARE OF, AND IF WE CAN'T, WE COULD GET SOMEBODY IN TOUCH WITH SOMEONE MORE IN TUNE WITH THEIR ISSUE, OR WE CAN FIND THE SERVICE.

>> WE HAVE A SOCIAL MEDIA QUESTION COMING IN.

AT WHAT AGE SHOULD A PARENT WORRY ABOUT THEIR CHILD'S MENTAL HEALTH.

>> THE ANSWER TO THAT IS ALL AGES.

MENTAL HEALTH ILLNESS CAN APPEAR AT ANYTIME.

THERE ARE SOME ILLNESSES THAT ARE LINKED TO HOW A YOUNG CHILD IS GROWING AND DEVELOPING AND INTERACTING WITH PEOPLE AROUND THEM, ALL THE WAY UP TO THE ELDERLY.

SO PARENTS SHOULD ALWAYS BE CHECKING ON THEIR KIDS AND MAKING SURE THEY ARE DOING WELL.

>> SURE, ABSOLUTELY.

AND MAYBE YOU CAN EXPAND A LITTLE BIT ABOUT THE DIFFERENT TYPES OF TREATMENT AND CARE OPTIONS THAT YOU SEE AVAILABLE FOR PEOPLE WITH MENTAL HEALTH ISSUES?

>> YEAH, OFTENTIMES WHEN PEOPLE COME TO SEE ME, THEY KNOW SOMETHING IS NOT RIGHT.

AND IT IS IMPORTANT FOR PEOPLE TO KNOW THAT MENTAL HEALTH AND PSYCHIATRY IS NOT JUST ABOUT POPPING PILLS.

SO IF SOMEBODY WHO IS WATCHING IS HESITANT ABOUT MEDS AND THAT SORT OF THING, THAT'S OKAY.

WE HAVE VERY GOOD THERAPY PROTOCOLS THAT PEOPLE CAN DO FIRST, OR IN ADDITION TO MEDICATIONS IF THEY ARE NEEDED, DEPENDING ON THE SITUATION.

WE ALSO -- FOR THERAPY SPECIFICALLY, THERE IS INDIVIDUAL THERAPY, WHERE IT IS YOU AND THERAPIST OR PSYCHIATRIST, THERE IS GROUP THERAPY, AND THERE'S SUPPORT NETWORKS, AND INTENSIVE SERVICES WHERE SOMEBODY GOES FOR A SEVERAL-WEEK PROGRAM.

SO IT IS NOT JUST MEDS AND THOSE SORTS OF THINGS.

>> AND WE'LL MOVE ON TO ANOTHER TOPIC HERE IN JUST A SECOND, BUT ONE OF THE TOPICS I FOUND VERY INTERESTING IS HOW IF LEFT UNTREATED, MENTAL HEALTH CAN LEAD TO OTHER DISEASES.

WHY DOES IT HAVE SUCH AN IMPACT?

>> I WENT INTO PSYCHIATRY BECAUSE I VIEWED THE MIND OF THOUGH CONTROLLER OF EVERYTHING.

SO IF YOU ARE NOT MENTALLY WELL, EVERYTHING ELSE, TO ME, IS SECONDARY TO THAT.

SO I'M BIASED ON THAT VIEW.

I ADMIT THAT.

BUT TO ME THE MIND IS WHERE IT ALL STARTS.

>> YEAH, ABSOLUTELY.

AND DOCTOR, DO YOU SEE ANY OF THAT TOO?

PEOPLE WHO HAVE COME TO YOU FOR OTHER CONDITIONS?

SOMETHING THAT IS KIND OF -- THAT HAS LEAD THEM THERE, RIGHT?

>> ABSOLUTELY.

ALL THE TIME.

JUST LIKE SHE SAID, WE DO SEE PEOPLE COMING IN FOR A MULTITUDE OF ISSUES, ANYTHING FROM WEIGHT LOSS TO HAIR LOSS, AND WE GO THROUGH THE OTHER GAMBIT OF INVESTIGATION, AND AT THE END OF THE DAY, A LOT OF TIMES WE DO END UP WITH A SITUATION WHERE WE HAVE TO TALK TO THAT PERSON, AND SAY, I DON'T THINK THIS AN ORGANIC ISSUE I CAN TREAT WITH A PILL.

MAYBE THIS IS SOMETHING YOU NEED TO TALK TO A MENTAL HEALTH PROVIDER ABOUT.

>> SURE.

ABSOLUTELY.

WE HAVE A CALLER FROM -- THAT WANTS TO KNOW WHERE SKIN TAGS COME FROM?

>> ABSOLUTELY.

THERE IS NO SPECIFIC REASON WHY THEY DEVELOP.

IT COULD BE SOMETHING SPECIFIC THAT TRIGGERED YOUR SKIN TO GROW IN ONE SPOT.

IF YOU HAVE JUST DOZENS OF SKIN TAGS PRESENT ON YOUR BODY, ONE THING WE LOOK FOR IS DIABETES, BECAUSE THERE HAS BEEN AN ASSOCIATION SHOWN THERE.

SO THAT IS UP WITH THING WE LOOK FOR.

UNFORTUNATELY THERE IS NO CURE.

THERE ARE A LOT OF EASY SOLUTIONS, BUT NO CURE WE KNOW OF SO FAR.

>> ALL RIGHT.

DOCTOR, FOR MEDICATION FOR MENTAL HEALTH IS THAT TEMPORARY OR PERMANENT?

>> THAT'S A GREAT QUESTION, THAT IS A VERY COMMON QUESTION I RECEIVE.

THE ANSWER LIKE EVERYTHING IN PSYCHIATRY IS IT DEPENDS.

GENERALLY SPEAKING, RUN OF THE MILL MENTAL HEALTH CONDITIONS, ANXIETY, DEPRESSION, THOSE SORTS OF THINGS, OFTENTIMES THOSE MEDICATIONS ARE NOT LIFELONG.

WE CERTAINLY WANT A PATIENT ON THINK MEDICATION PROBABLY FOR SIX TO 12 MONTHS AT LEAST AFTER THEY START TO FEEL BETTER, AND AFTER THAT, WE COULD TRY A TRIAL OFF OF THE MEDICATION AND SEE HOW THEY DO.

THERE IS ABOUT HALF OF THE PEOPLE WHO COME OFF OF THE MEDICATIONS WILL BE ABLE TO STAY OFF, AND THE OTHER 50 MAY NEED TO GO BACK ON.

SO YOU SHOULD STILL CONTINUE TO BE FOLLOWED AND CHECK IN AND MAKE SURE YOU ARE DOING OKAY.

THAT IS PROBABLY THE CASE MOST OF THE TIME.

>> OKAY.

>> THERE ARE SOME CONDITIONS LIKE SCHIZOPHRENIA, AND BIPOLAR, AND THOSE WE RECOMMEND YOU STAY ON MEDICATIONS CONTINUALLY.

>> IS THERE ANY MEDICATION TO TREAT GASTROPARESIS?

>> NO.

THAT IS A CONDITION WHERE YOUR STOMACH IS UNABLE TO PUSH THE FORWARD INTO THE SMALL INTESTINE.

IT IS USUALLY DO TO NERVE DAMAGE, SO YOU HAVE THE SENSE OF FULLNESS AND YOU THROW UP A LOT OF TIMES.

THERE ARE A COUPLE OF INVESTIGATIONAL MEDICINES OUT THERE AS WELL.

>> ALL RIGHT.

WE HAVE ABOUT 15 MORE MINUTES LEFT IN THIS PROGRAM, FOR YOU WATCHING AT HOME.

AGAIN, YOU CAN CALL THE NUMBER ON YOUR SCREEN RIGHT THERE, YOU CAN ALSO POST YOUR QUESTION TO OUR FACEBOOK PAGE OR SEND US A MESSAGE OR A TWEET, SO THERE ARE A LOT OF WAYS TO BE INVOLVED IN THIS PROGRAM.

SO PLEASE GIVE US A CALL.

WE HAVE GOT -- WE ARE -- I'M GOING TO GO TO A COVID UPDATE, SINCE OBVIOUSLY WE ARE STILL VERY MUCH IN OUR PANDEMIC.

WE'RE GOING TO PUT UP A GRAPHIC TO TALK ABOUT THE LATEST NUMBERS WE GOT FROM THE STATE YESTERDAY.

HERE ARE THE CURRENT NUMBERS FOR MICHIGAN: THE PERCENTAGE OF POSITIVE CASES IS TICKING UP A LITTLE BIT.

THE NUMBER OF PEOPLE VACCINATED IN MICHIGAN IS ABOUT 63.1%, AND THAT VARIES COUNTY TO COUNTY.

AND DOCTORS, I THINK A LOT OF PEOPLE ARE WONDERING IS WILL I BE ABLE TO GET THE NEXT VACCINATION SHOT WHEN I GET MY FLU SHOT.

OR MAYBE WE BREAK THAT UP A LITTLE BIT.

WHY DON'T WE TALK ABOUT THE AVAILABILITY FOR THE BOOSTER SHOT FIRST, WHO CAN GET IT, AND THEN TALK ABOUT FLU SHOTS TOO.

>> YEAH.

THE BOOSTER SHOT IS AVAILABLE MAINLY FOR THE ELDERLY, PEOPLE WHO HAVE COMPROMISED IMMUNE SYSTEM, WHETHER THAT'S SECONDARY TO AN INNATED ISSUE, OR FIGHTING ANOTHER ILLNESS, AND THEY SHOULD GET SIGNED UP FOR THE BOOSTER SHOT.

AND WHETHER YOU CAN -- I THINK THE SECOND PART IS WHETHER YOU CAN GOOD IT?

>> I THINK THEY WERE WONDERING WHEN THEY CAN GET A FLU SHOT?

>> I THINK THERE'S NO REASON WHY YOU CAN'T GET BOTH ON THE SAME DAY, BUT MAYBE SPACE IT OUT BECAUSE OF THE PAIN THAT COMES WITH US.

>> THE VIRUS, WE ARE STILL STRUGGLING, WHAT IS THE BEST WAY WE CAN FINALLY BEAT THIS?

>> I THINK ONGOING USE OF MASKS, AND JUST SOCIAL DISTANCING, KEEPING THAT SAFE DISTANCE, STAYING AWAY FROM PEOPLE THAT MAY BE AT A HIGHER CHANCE OF ACQUIRING AN ILLNESS.

MAINTAIN YOUR DISTANCE.

>> SURE.

>> WHAT ADVICE TO YOU HAVE FOR SOMEONE WHO MIGHT BE A LITTLE BIT NERVOUS ABOUT GETTING THE COVID-19 VACCINE?

>> I THINK IT REALLY DEPENDS ON THE ROOT CAUSE.

SOME PEOPLE ARE MORE CONCERNED ABOUT SIDE EFFECTS, AND WE HAVE KNOWN THE EFFECTS OF THE VACCINATION IS JUST LIKE THE EFFECTS OF THE FLU SHOT.

THE MILD ACHES AND PAINS, AND THAT'S ABOUT IT.

IF THE NERVENESS IS MORE ABOUT IF THIS IS GOING TO CAUSE MORE PERMANENT DAMAGE, THAT IS VERY UNLIKELY.

SO THAT'S SOMETHING WE ALWAYS TRY TO GET ACROSS.

>> ABSOLUTELY.

SO WINTER IS COMING.

IT DOESN'T FEEL LIKE THAT RECENTLY, BECAUSE WE HAVE HAD SUCH WARM WEATHER.

SO ALONG WITH COVID, THE FLU, AND A COLD, HOW CAN SOMEBODY TELL THE DIFFERENCE?

>> YOU CAN'T, UNFORTUNATELY.

YOU ABSOLUTELY CANNOT.

WHICH IS WHY IT'S GREAT TO TALK TO YOUR PRIMARY CARE DOCTOR.

YOU MAY HAVE A SNIFFLE OR SORE THROAT, HEADACHE, NAUSEA, BUT WE'LL NEVER REALLY KNOW.

BUT I THINK THE BEST THING IS TO GET TESTED FOR COVID, AND IF IT IS NEGATIVE, GREAT, IF IT IS POSITIVE, WE SHOULD TAKE IS MEASURES TO TREAT IT.

>> ABSOLUTELY.

THIS PERSON SAYS THEY KNOW THEY SUFFER FROM THE WINTER BLUES.

IS THERE SOMETHING THEY CAN DO TO PREPARE FOR THAT?

>> YEAH, ABSOLUTELY.

COMMON PROBLEM FOR THOSE OF US WHO LIVE UP NORTH.

AND A VERY COMMON PROBLEM IN PSYCHOLOGIST.

THE FIRST THING I ALWAYS RECOMMEND TO PEOPLE IS THAT PART OF THE REASON THE MOOD GOES DOWN IN WINTER IS BECAUSE THERE IS A LOT LESS SUN.

I ALWAYS RECOMMEND IN PEOPLE THAT KNOW THAT THEY ARE LIKELY TO HAVE A DROP IN MOOD IS TO GET A LIGHT LAMP.

THEY ARE 40 TO $50 APPROXIMATELY ON AMAZON.

THEY FASTEN TO YOUR HEAD, AND SHINE SPECIFIC LUMENS ON TO YOUR HEAD.

AND WE RECOMMEND THAT FOR 30 TO 60-MINUTES A DAY.

AND THAT HAS BEEN SHOWN TO IMPROVE MOOD.

ANOTHER THING WE RECOMMEND -- REALLY, ALL OF THE TIME, BUT ESPECIALLY IN WINTER IS HAVE IT -- VITAMIN D SUPPLEMENT SUPPLEMENTS, AND IF THAT DOESN'T WORK -- AND IF THE PERSON IS EXPERIENCING -- YOU KNOW, THEY ARE NOT FUNCTIONING WELL, THERE ARE MEDICATIONS WE COULD ALSO USE THAT ARE FOR -- FOR LOW MOOD IN THE WINTER.

>> GOT IT.

ALL RIGHT.

WE'RE GOING TO STICK -- SORRY, WE HAVE GOT A FLY HERE -- ALL RIGHT.

TRYING TO STEAL THE SPOTLIGHT.

SO STICKING WITH MENTAL HEALTH, THE QUESTION IS, WHAT IS A PANIC ATTACK?

WHAT DOES THAT FEEL LIKE?

>> A PANIC ATTACK IS A VERY DISTINCT THING.

A LOT OF PEOPLE ARE ANXIOUS AT BASELINE.

THEY KIND OF HAVE WORRIES, THEY MIGHT PHYSICALLY UNCOMFORTABLE.

BUT A PANIC ATTACK IS A STRONG RUSH OF ANXIETY, ACCOMPANIED BY PHYSICAL SYMPTOMS AT THE SOMETIME TIME.

SHORTNESSES OF BREATH, INCREASED HEART BEAT, SHAKING, SWEATING, NUMBNESS IN YOUR ARMS AND LEGS, CRYING SPELLS.

RACES THOUGHTS THAT YOU CAN'T CONTROL.

USUALLY LASTS JUST A FEW MINUTES -- >> OKAY.

>> AND UNFORTUNATELY CAN HAPPEN OUT OF THE BLUE WITHOUT WARNING.

>> OKAY.

>> SO SOMETHING THAT PSYCHIATRISTS CAN HELP YOU WITH.

>> OKAY.

NEXT QUESTION, CALLER FROM THE PIER, WHERE DO ALZHEIMER'S AND DIMENSION FIT INTO MENTAL HEALTH TREATMENT?

>> THEY ABSOLUTELY DO.

DEMENTIA IS A NEUROLOGICAL ILLNESS OF BRAIN DEGENERATION, BUT WITH THAT THERE ARE A LOT OF CO-MORBIDITIES THAT OCCUR.

PEOPLE WILL HAVE CONCENTRATION PROBLEMS, THEY MAY BE ACCESSIVE AND ACTING OUT, AND THAT'S WHERE REALLY PSYCHIATRY COMES IN TO HELP GIVE THE PERSON A SENSE OF NORMAL ACTIVITIES AND BEHAVIORS >> OKAY.

DOCTOR DO YOU RECOMMEND INTERMITTENT FASTING FOR THE AVERAGE ADULT?

>> BY AVERAGE ADULT, I'M GOING TO ASSUME IT IS SOMEBODY THAT DOESN'T NEED TO LOSE WEIGHT, BUT INTERMITTENT FASTING THERE ARE SOME STUDIES THAT HAVE SHOWN THAT HISTORICALLY PEOPLE HAVE USED IT.

IT HAS BEEN SHOWN TO HELP WITH WEIGHT LOSS AS WELL.

THERE IS A SENSE OF WELL-BEING THAT COMES WITH IT, BUT IN THIS CASE, AGAIN, TO ANSWER THISES AND CALLER'S QUESTION, IF THEY ARE TRYING TO LOSE WEIGHT, IT CAN BE USED FOR WEIGHT LOSS, BUT IT HAS TO BE COUPLED WITH OTHER THERAPIES AS WELL.

SO IMPROVE YOUR RELATIONSHIP WITH FOOD AND EXERCISE, AND HAVING PEOPLE AROUND YOU THAT HAVE THE SAME COMMON GOALS IN MIND.

>> YEAH, I GUESS IT DEPENDS ON WHAT THE GOAL IS, RIGHT?

>> ABSOLUTELY.

>> ALL RIGHT.

CALLER FROM KINGSLEY, HOW DOES THE FLU SHOT LAST, AND DO THEY NEED MULTIPLE FLU SHOTS IN ONE FLU SEASON.

I DON'T THINK YOU CAN GET MULTIPLE ONES IN ONE SEASON, RIGHT?

>> CORRECT.

WE USUALLY MAKE IT AVAILABLE TOWARDS THE END OF SEPTEMBER, AND FIRST WEEK OF OCTOBER, BECAUSE THE FLU SEASON USUALLY RUNS THROUGH MARCH, AND IT WILL LAST YOU FOR AROUND SIX MONTHS.

>> OKAY.

QUESTION FROM SOCIAL MEDIA, ARE AUTISM AND GASTROINTESTINAL ISSUES RELATED?

>> YES.

>> YES.

THIS IS A NEW, EMERGING SCIENCE, THOUGH, SO WE ARE STILL LOOKING FOR DATA, BUT THERE IS DEFINITELY WHAT IS CALLED A GUT-BRAIN ACCESS, WHERE THERE IS EVIDENCE ABOUT DIET IN TERMS OF AUTISM.

>> INTERESTING.

OKAY.

DID YOU WANT TO ADD ANYTHING?

>> NO.

BUT THERE ARE ALSO FOOD TRIGGERS AS WELL.

OR PEOPLE WHO ARE MORE SENSITIVE TO FOOD TYPES AS WELL.

>> ALL RIGHT.

A CALLER SAYS THEY HAVE HAD A LOT OF BENEFITS FROM USING SAN SAN -- ZANEX?

>> IT IS EFFECTIVE, BUT IT IS BEST TO USE OCCASIONALLY TO HELP STOP A PANIC ATTACK.

IF YOU USE IT EVERY DAY, THERE IS A PHENOMENON CALLED RE-BOUND ANXIETY.

WHERE YOUR ANXIETY WILL SPIKE AND IT WILL BE HIGHER, AND THEN THEY TO TAKE MORE, AND IT DOES THIS THROUGHOUT THE DAY.

SO IF YOU ARE GOING TO TREAT ANXIETY THAT IS DAILY AND CHRONIC, IT IS PROBABLY NOT BE THE BEST CHOICE.

>> A PERSON WHO IS TIRED ALL THE TIME, IS THIS A SIGN OF DEPRESSION?

>> IT COULD BE.

THYROID ABNORMALITIES ARE VERY COMMON, AND CERTAINLY BEING TIRED IN THE ABSENCE OF NORMAL BLOOD WORK COULD BE A SIGN OF DEPRESSION AS WELL.

>> ALL RIGHT.

THANK YOU BOTH FOR BEING HERE.

FOR TAKING THE TIME.

FOR TRAVELING OVER.

THIS CONCLUDES OUR SHOW FOR THIS EVENING.

THANK YOU ALL FOR WATCHING.

WE HOPE YOU CAN JOIN US AGAIN NEXT WEEK, WHEN WE PUT THE FOCUS ON REAL ESTATE.

THANKS FOR JOINING US.

HAVE A GOOD NIGHT.

♪