>> GOOD EVENING.

I'M PSYCHIATRY IS JAY FALL FOR LIFE FROM FORT WAYNE INDIANA.

WELCOME TO MATTERS OF THE MIND NOW IN ITS 22ND YEAR MATTERS.

THE MINE IS A LIVE CALL IN PROGRAM WHERE YOU HAVE THE CHANCE TO CHOOSE A TOPIC FOR DISCUSSION.

SO IF YOU HAVE ANY QUESTIONS CONCERNING MENTAL HEALTH ISSUES.

GIVE ME A CALL.

YOUR PBS FORT WAYNE BY DIALING IN THE FORT WAYNE AREA, 9, 6, 9, 2, 7, 2, 0 OR IF YOU'RE CALLING LONG DISTANCE COAST TO COAST.

YOU MAY DIAL 8, 6, 6, 9, 6, 9, 2, 7, TO 0.

NOW THE FAIRLY REGULAR BASIS WE ARE BROADCASTING LIVE EVERY MONDAY NIGHT FROM OUR SPECTACULAR PBS FORT WAYNE STUDIOS, WHICH LIE IN THE SHADOWS OF THE PURDUE FORT WAYNE CAMPUS IF YOU'D LIKE TO CONTACT WITH AN EMAIL QUESTION THAT I CAN ANSWER ON THE AIR.

YOU MAY WRITE YOU VIA THE INTERNET AT MATTERS OF THE MIND.

ALL ONE WORD AT W F DOT ORG.

THAT'S MATTERS OF THE MIND AT W F DOT ORG AND START TONIGHT'S PROGRAM WITH A QUESTION I RECENTLY RECEIVED IT REACHED YOUR DOCTOR FALL FOR ARE THERE ANY MEDICATIONS AVAILABLE FOR ANXIETY RELATED TO PUBLIC SPEAKING.

I'M BEING REQUIRED TO DO MORE PUBLIC PRESENTATION FROM MY WORK AND I'M TERRIFIED.

WELL, THERE ARE MEDICATIONS YOU CAN USE FOR PUBLIC SPEAKING.

I WOULD NOT RECOMMEND THE SO-CALLED BENZODIAZEPINE MEDICATIONS THEIR 70'S.

TYPE OF MEDICATION.

XANAX AND KLONOPIN AT IT.

I WOULDN'T RECOMMEND, THOUGH, SIMPLY BECAUSE THEY CAN MAKE YOU A LITTLE BIT FOGGY AND WE CALL IT COGNITIVELY IMPAIRED SO THEY CAN GIVE YOU DIFFICULTY WITH THINKING AND WHEN YOU'RE SPEAKING IN FRONT OF OTHER PEOPLE IN A PUBLIC PRESENTATION.

YOU NEED TO BE SHARP AND YOU NEED TO BE A LITTLE BIT ON YOUR GAME.

SO YOU SHOULD BE A LITTLE BIT ANXIOUS THAT WERE YOU GETTING IN TROUBLE WITH PUBLIC SPEAKING WILL BE WHEN YOU'RE TERRIFIED OR YOU EVEN AVOID THE PUBLIC SPEAKING YOU GET MAKE EXCUSES FOR NOT GOING IN FRONT OF AUDIENCES.

AND SO FORTH.

SO THE IDEA OF TAKING A MEDICATION FOR PUBLIC SPEAKING WOULD BE TOO DAMPENED DOWN THE EXCESSIVE ADRENALINE THAT'S CAUSING YOU TO HAVE SHAKINESS THE HEART PALPITATIONS WHERE YOUR HEART IS GOING.

A MILE A MINUTE DECREASE WEDDING DECREASE THE SHAKY VOICE THAT PEOPLE HAVE WHEN THEY HAVE PUBLIC SPEAKING.

SO YOU'RE TRYING TO DAMPEN THAT DOWN.

WHAT WOULD YOU USE.

WELL, IF YOU DON'T HAVE ASTHMA, YOU COULD USE A SO-CALLED BETA BLOCKER THAT ONE MORE COMMON ONES WILL WILL USE WILL BE ONE CALL PER PLAN.

ALL ALSO KNOWN AS IN DRAWL, SOME PEOPLE USE THE MEDICATION MORE SPECIFIC.

CALLED A MEDIC PRO LAW OR ATTEND A LOT OF THOSE TYPE OF MEDICATIONS.

THEY'RE UPPING THE BLOCKERS.

WHAT THEY DO IS THEY BLOCK THE ADRENALINE EFFECT OF.

THE EXCESSIVE ADRENALINE IS RELEASED WHEN SOMEBODY IS HAVING OVERWHELMING ANXIETY.

SO THE WHOLE POINT IS TO DIAL DOWN YOUR ANXIETY LEVEL BY BLOCKING THE PERIPHERAL EFFECT ON THE BODY'S EFFECT ON ADRENALINE TO A POINT WHERE YOU CAN BE CALMER AND YOU CAN PRESENT WITHOUT HAVING ALL THAT SHAKING THIS AND ALL THAT DRILLING LIKE EFFECT.

BUT WHAT YOU DO NOT WANT TO DO IS BE SO CALM THAT YOU CAN'T OTHER.

YOU'RE TIRED FOR THAT MATTER.

I CERTAINLY DON'T RECOMMEND PARTY GIVING A PRESENTATION.

I'VE KNOWN UP PEOPLE WHO HAVE DONE THAT.

THEY HAVE A COUPLE DRINKS BEFORE GET UP IN FRONT OF PEOPLE.

IN SOME CASES THEY'VE ACTUALLY PASSED OUT BECAUSE ALCOHOL SOMETIMES CAUSE YOUR BLOOD PRESSURE.

DROP WHEN YOU GET MORE ANXIOUS AND THAT'S NOT A GOOD OUTCOME EITHER.

SO YOU CAN ALWAYS TALK TO YOUR CLINICIAN ABOUT THE POSSIBLY THE BETA BLOCKER, THE BEST WEEK OVER PUBLIC.

SPEAKING, THOUGH, IS TO DO IT AGAIN AND AGAIN AND AGAIN.

SO IF YOU'RE OFFERED OPPORTUNITIES TO SPEAK IN FRONT OF SMALL AUDIENCES FOR THE START.

THAT'S ALWAYS A GOOD WAY TO START BECAUSE THE MORE TIMES YOU DO IT.

IT'S LIKE ANY WITH THE SENSITIZATION.

YOU HAVE LESS ANXIETY DOING AS YOU DO IT OVER AND OVER AGAIN.

IT BECOMES EASIER OVER THE COURSE OF TIME.

THANKS FOR YOUR CALL LET'S GO TO OUR NEXT CALLER.

HELLO, JOE WALKING AMERICA MIGHT.

>> HI, I'M JOE.

YOU CAN.

HOW ARE YOU DOING FINE.

THANK YOU.

HOW ARE YOU?

GOOD.

THANKS.

>> YOU MENTIONED GENE THERAPY BEFORE I WAS WONDERING WHAT THAT ENTAILS AND WHAT IT'S USED FOR.

>> GENETIC TESTING WE'VE DONE IT ON ABOUT HALF THE PATIENTS IN MY PRACTICE OVER THE PAST 7 YEARS OR SO GENETIC TESTING HAS BEEN AVAILABLE SINCE ABOUT WHEN THEY XT WERE ABLE TO DECODE THE ENTIRE HUMAN GENOME.

SO OUR 23,000 GENES WE HAVE IN OUR BODIES ALL THEY'VE BEEN DECODED AND WE THE WHOLE LAYOUT NOW AND IT'S A BEAUTIFUL MOSAIC.

AND WHAT YOU HAVE WITH YOUR CHROMOSOMES WITH ALL THESE LITTLE GENES IN THEM.

THE CHROMOSOMES ARE IN OUR INDIVIDUAL SELVES.

OKAY.

IN THEIR OWN LITTLE BUNDLE AND HE LOOKED LIKE A LITTLE BALL OF YARN.

NOW, JOE, YOU'VE HEARD ABOUT 3 DIMENSIONAL WHERE YOU HAVE HEIGHT AND WIDTH AND DEPTH.

WELL WITH A LITTLE BALL OF BALLS OF YARN IN OUR LITTLE CELLS THAT IN OUR DNA.

THEY'RE FOUR-DIMENSIONAL BECAUSE NOT ONLY DO THEY HAVE HEIGHT AND WITH THE DEATH.

BUT THEY ALSO CAN SHAPE CHANGE THEIR SHAPE IN CERTAIN SITUATIONS.

SO WHAT WE DO WITH GENETIC TESTING JOE'S.

WE DON'T KNOW WHAT GENES YOU HAVE BECAUSE PEOPLE HAVE DIFFERENT GENETICS, DIFFERENT GENES FOR SPECIFIC TYPE OF COATING OF WELL, FOR THE BREAKDOWN OF DIFFERENT MEDICATIONS.

THEY THE JEANS WILL CODE FOR PROTEINS AND SAYS THE PROTEINS WILL CODE FOR ENZYMES THAT BREAK DOWN MEDICATIONS.

SOME PEOPLE WILL BREAK DOWN CERTAIN MEDICATIONS FAST.

OTHER PEOPLE WILL BREAK DOWN THOSE SAME MEDICATION SLOWLY.

SO IF YOU BREAK DOWN CERTAIN MEDICATIONS FAST.

THAT'S RIGHT.

MEDICATION FOR YOU.

WANT TO TAKE A HIGHER DOSES OF THAT MEDICATION.

IF YOU BREAK DOWN THE MEDICATION SLOWLY AND YOU GIVE THE USUAL DOSAGE FOR THAT MEDICATION.

ALL MORE SIDE EFFECTS BECAUSE YOU HAVE HIGHER BLOOD LEVELS.

SO FOR THOSE PEOPLE MIGHT GIVE A LORD AMOUNT OF MEDICATION.

SO GENETIC TESTING.

JOEL, TELL US WHETHER WE SHOULD GIVE MEDICATIONS AT HIGHER DOSES ARE LOWER DOSES OR CAN WE JUST GIVE MEDICATIONS THAT ARE UNAFFECTED BY THIS PARTICULAR INSIDES.

ALSO WE'RE GETTING SOME CLUES WITH GENETIC TESTING ON WHAT MEDICATIONS MIGHT WORK BEST FOR PARTICULAR PEOPLE BECAUSE THE GENETIC TESTING WILL ALSO INDICATE TO US WHETHER YOU WILL ABSORB MEDICATION QUICKLY SUCH AS THE ANTI-DEPRESSANTS, THE SO-CALLED AND I TICKS SOME PEOPLE ABSORB THE VERY, VERY QUICKLY AND THAT WILL CAUSE THEM TO HAVE A GREATER EFFECTS.

SOME PEOPLE WILL AFFECTS WERE THEY WILL BREAK DOWN MEAN AN ORPHAN EFFORT FOR THAT MATTER VERY SLOWLY IN THE FRONT PART OF THE BRAIN.

SO FOR THOSE PEOPLE WE AVOID MEDICATIONS WILL TEND TO.

ENHANCE THAT EFFECT AND WILL PREFERENTIALLY GET PEOPLE MEDICATIONS THAT WILL INCREASE TO PUT ME IN NORTHEN EFRON'S AFFECTS THE FRONT FOR THE BRAND.

SO YOU CAN LOOK AT GENETIC TESTING IN 2 WAYS FROM A FROM A KINETIC STANDPOINT LOOKING AT HOW QUICKLY A BREAKDOWN MEDICATIONS.

AND YOU CAN ALSO LOOK AT GENETIC TESTING BASED ON HOW WELL MEDICATIONS MIGHT WORK FOR YOU.

INDIVIDUALLY.

SO IT'S VERY MUCH IN ITS INFANCY.

I THINK OVER THE NEXT 5 OR 10 YEARS.

WE'RE GOING TO HAVE SO MUCH MORE INFORMATION ABOUT GENETIC TESTING SETS THAT WE'LL BE ABLE TO MORE CLEARLY NOW HERE'S THE DEAL WITH GENETIC TESTING IT'S NOT GOING TO BE TREATMENT MAP FOR WHAT TYPE OF TREATMENT YOU GET BECAUSE YOU HAVE TO LOOK SOMEBODY SYMPTOMS.

SO WE HAVE TO LOOK AT SOME OF THE SYMPTOMS.

WE HAVE TO DETERMINE WHAT KIND OF DIAGNOSES THEY HAVE.

WE NEED TO LOOK AT THEIR OVERALL MEDICATIONS.

THEY'RE TAKING BECAUSE MEDICATIONS DO INTERACT WITH OTHER MEDICATIONS.

WE NEED THE NEXT MATCH THAT UP PROPERLY.

ONE OF THE KEY FACTORS IN DETERMINING WHAT MEDICATION ANYBODY SHOULD GET WOULD BE IF ANY FAMILY MEMBERS HAD SIMILAR SYMPTOMS THAT THEY RESPOND GOOD OR BAD LEE TOO PARTICULAR MEDICATIONS BECAUSE FAMILY MEMBER RESPONSES TO MEDICATION.

TREATMENTS WILL BE A HUGE PREDICTOR ON HOW SOMEBODY WILL DO.

WE'LL LOOK UNDERLYING MEDICAL CONDITIONS.

DO THEY HAVE ANY LIVER PROBLEMS.

KIDNEY PROBLEMS, HEART PROBLEMS THAT WILL DETERMINE WHICH MEDICATION YOU SEE, PUT ALL THAT TOGETHER JOE, THAT IF YOU ADD GENETIC TESTING ON TOP OF A GENETIC TESTING JUST GIVES US AN ADDED DIMENSION ON WHAT DIRECTION WE MIGHT WANT TO GO WITH MEDICATION BASED ON THE DOSES OF MEDICATION HIGH OR LOW WHICH MEDICATIONS TO USE.

BUT THE GENETIC TESTING IS NOT DEFENDING ITS JUST GIVES US A HIGHER PROBABILITY OF WHAT MIGHT WORK AT HIGH OR LOW DOSES.

AND THAT'S MAINLY HOW WE'RE USING IT RIGHT NOW.

JOE, THANK YOUR CALL.

LET'S GO TO THE NEXT CALLER.

HELLO, MARK WELCOME AREAS OF LIGHT.

MARK, YOU COVID SEEMS TO AFFECT TASTE AND SMELL AND YOU HAVE CONCERNS ABOUT HOW IT AFFECTS BRAIN CHEMICALS ANY LEGITIMACY TO THAT WILL.

MARK, YOU'RE RIGHT ON TRACK BECAUSE COVID DOES CROSS THE BLOOD BRAIN BARRIER, CERTAIN INFLAMMATORY PROTEINS OF COVID WILL CROSS THE BLOOD BRAIN BARRIER AND IT USED TO BE THOUGHT MY BY MYSELF INCLUDED THAT THE REASON PEOPLE HAD TROUBLE WITH STAY STUNNED SMELL AFTER THEY HAD A COVID INFECTION WAS BECAUSE THEY HAD SINUS PROBLEMS AND CONGESTION BECAUSE WE'VE ALL HAD COLDS WHO WE HAD SINUS PROBLEMS AND CONGESTION AND WE HAD DIFFICULTY WITH SMELL AND TASTE.

WELL, THAT'S NOT THE ENTIRE PROBLEM WITH COVID BECAUSE COVID WILL AFFECT PARTS OF THE BRAIN AND THE BRAIN STEM AND A GREAT APPEAR.

THE FRONT PART OF THE BRAIN THAT GOT THE FACTORY NERVES RIGHT THERE.

THAT'S THE NERVE OF SMELL.

AND IT'S THOUGHT THAT THE COVID VIRUS WILL AFFECT THAT LITTLE NERVE RIGHT THERE.

THE NERVE THERE'S THE BRAIN LOOKING AT YOU AND I'VE GOT IT SPLIT APART HERE THAT THE OLFACTORY NERVE RIGHT THERE.

SO THAT ALL FRONT-RUNNER IS DIRECTLY AFFECTED BY THE COVID VIRUS AND YOUR BODY WILL ATTACK THAT AND GIVEN 5 TORY EFFECT.

SO IT'S A DIRECT BRAIN EFFECT.

WE'VE HAD COVID DOW AROUND FOR ALMOST A YEAR IN THE UNITED WORDS BEEN PROMINENT, I THINK OVER THE COURSE OF THE NEXT YOU'RE GOING TO START TO FIGURE OUT HOW IT'S AFFECTED PEOPLE.

FOR INSTANCE, YEARS AGO, WE DIDN'T KNOW HOW HEAD INJURIES AFFECTED PEOPLE.

BUT YEARS AGO IN THE 1970'S IN THE 1980'S.

IF YOU HAD A CONCUSSION AND A FOOTBALL GAME.

YOU.

GOT UP IF YOU COULD WALK AND TALK.

HE GOT BACK IN THE GAME AND WE REALIZE CONCUSSIONS HAVE LONG-TERM EFFECTS FOR PEOPLE'S OR MUCH MORE CAREFUL AND HOW WE ASSESS PEOPLE FOR CONCUSSIONS.

WE RECOMMEND THAT WHEN SOMEBODY HAS A CONCUSSION, THEY REST FOR SEVERAL DAYS IF NOT WEEKS.

THEREAFTER, THEY NOT GET INVOLVED IN CONTACT SPORTS FOR A WHILE.

I THINK THE SAME THING'S GOING TO HAPPEN WITH COVID MARK, WE'RE GOING TO SEE SOME PEOPLE HAVE RESIDUAL EFFECTS.

MOST PEOPLE WON'T THAT SOME PEOPLE WILL HAVE RESIDUAL EFFECTS ON THE BRAIN WHERE THEY MIGHT HAVE MOODINESS.

THEY MIGHT HAVE HEARD ABILITY TROUBLE CONCENTRATING MIGHT EVEN HAVE SOME DEPRESSION THEREAFTER.

IT WILL BE JUST REALLY THE POST TRAUMATIC STRESS, WHICH WE WE SEE DO HAPPENING WITH PEOPLE WHO HAVE SEVERE COVID.

THEY HAVE DIFFICULTY WITH BREATHING IN AN INTENSIVE CARE UNIT.

WE'RE GOING TO PROBABLY SEE PEOPLE THE AFTER EFFECTS OF COVID SIMILAR TO WHAT WE SEE WITH A TRAUMATIC BRAIN LIKE WHAT WE SEE WITH A CONCUSSION.

SO I THINK THAT TIME IS GOING TO COME.

BUT WHAT WE DO KNOW IS THAT COVID DOES GET TO THE BRAIN AND THAT APPARENTLY IS WHY IT'S AFFECTING THE SENSE OF TASTE AND SMELL BECAUSE IT AFFECTS THAT OLFACTORY NERVE, BUT ALSO TO SOME DEGREE IT'S AFFECTING THE BRAIN STEM AND THAT'S WHY PEOPLE DO HAVE SOME TROUBLE WAS SLEEPING WHEN THEY HAVE DIFFICULTY WITH COVID.

MARK, THANKS YOUR CALL.

LET'S GO TO OUR NEXT E-MAIL QUESTION.

I BELIEVE I HAVE ANOTHER E-MAIL QUESTION HERE.

AND YES, I DO.

YES, THERE IT IS DUE TO THE FATHER.

WHAT'S RELATIONSHIP BETWEEN EVENTS HAPPENING IN A PERSON'S LIFE AND THEIR JUST ONE IMPACT.

ANOTHER.

THIS KIND PLAYS OFF OF WHAT JOE JUST ASKED.

AND THAT MIGHT BE A RELATED QUESTION WHEN TO HAVE GENETIC TESTING THAT HAS HAS JUST DISCUSSING WITH JOE.

YOU'LL HAVE A GENETIC TESTING DONE FOR THE PURPOSE OF UNDERSTANDING HOW YOUR BODY IS HARD WIRED WITH GENETICS.

BUT TO YOUR ENVIRONMENT, WILL AFFECT YOUR GENETICS BY UNCOVERING AND REVEALING HOW THE GENETICS OR EXPRESS THAT'S CALLED EPIGENETICS PETA.

THAT X IS WHERE WE THINK ABOUT THAT LITTLE BALL OF YARD IN OUR CELLS AND THAT WILL BALL OF YARN CONTAINS ALL YOUR GENETICS AND ALL YOUR CHROMOSOMES.

WELL, WHEN YOU GO UNDER STRESS AND WHEN YOU HAVE A NEW EXPERIENCE OCCUR THAT BALL OF YARN OPENS UP IN SUCH A WAY THAT WILL EXPRESS THE GENES IN A DIFFERENT WAY THAN YOU MIGHT HAVE OTHER WORDS, WISE EXPERIENCE.

SO STRESSFUL ENVIRONMENTS YOUR ABILITY TO COPE WITH A STRESSFUL ENVIRONMENTS WILL AFFECT HOW YOUR GENETICS ARE REVEALED AND HOW OTHER EXPRESSED THAT'S WHY YOU'LL NOTICE THAT SOME PEOPLE CAN ENDURE HORRIFIC LEAST STRESSFUL SITUATION AND THEY COME OUT OF IT, OK. AND THE PEOPLE HAVE THE SAME TYPE OF STRESSFUL SITUATION AND THEY HAVE POST-TRAUMATIC STRESS SYMPTOMS SUCH AS NIGHTMARES, ANXIETY.

THEY'RE JUMPING EITHER IRRITABLE.

THEY CAN'T CONCENTRATE KNOW.

DON'T WANT TO BE AROUND PEOPLE.

SO PEOPLE WILL EXPRESS THEIR GENETICS IN A DIFFERENT WAY BASED ON THEIR PAST EXPERIENCES.

I MEAN, IF YOU'VE BEEN ABLE TO COPE WITH PAST AWFUL EXPERIENCES BEFORE IT'S MORE LIKELY YOU'LL BE ABLE TO GET THROUGH FUTURE AWFUL EXPERIENCES.

THEY'VE DONE STUDIES ON PEOPLE WHO WERE IN THE MILITARY AND THEY WENT INTO COMBAT.

THE PEOPLE WHO ENDURED COMBAT THE BEST WERE OFTEN ONES WHO DID INDEED ENDURE SOME VERY STRESSFUL SITUATIONS EARLIER IN THEIR LIVES.

IF THEY DIDN'T ENJOY THOSE KIND STRESSFUL SITUATIONS EARLY NOISE.

WERE MORE PRONE TO HAVING PUSHED A MEDIC STRESS IN COMBAT.

SO THERE'S A LOT OF FACTORS IN OKAY IS KNOWING THE GENETICS ON SOMEBODY IS ONE THING, BUT THEN UNDERSTANDING HOW THESE GENETIC PLAY INTO THE ENVIRONMENT ARE VERY IMPORTANT AS A AS A SAID THE FIELD IS CALLED EPIGENETICS WERE EPIGENETICS.

LOOK AT THE IMPACT OF THE ENVIRONMENT OR INSULATION ACHES.

AND THAT'S WHERE WE'RE ALWAYS ASKING PEOPLE ABOUT ENVIRONMENTAL EXPERIENCES THEIR PAST HISTORY SIMILAR TYPE OF STRESSES AND HOW THEY DEALT WITH THOSE.

THANKS, YOUR CALL IS GOING NEXT.

CALLER.

HELLO, PAM WALK IN AMERICA MIGHT.

HELLO, PAM.

>> YES, I I HAVE A QUESTION.

DOCTOR FARMER.

YOU SEE A CORRELATION BETWEEN.

I THINK I JUST HAD A.

AND OCD AND ANXIETY IN CHILDREN.

AND I WAS WONDERING HOW YOU WOULD TREAT THAT.

I'VE GOT A TEENAGE GRANDDAUGHTER THAT IS.

REALLY STRUGGLING WITH OCD RIGHT NOW.

SO FAR NOTHING'S WORTH PAYING.

I'LL TAKE THIS OFFLINE.

>> OKAY.

SURE.

HERO.

PAM, YOU MAKE A VERY INTERESTING POINT BECAUSE WHEN SOMEBODY HAS OBSESSIVE COMPULSIVE DISORDER.

>> AND THAT'S BASICALLY WHERE THEY HAVE OBSESSIONS, WHERE THEY HAVE ROUND AND ROUND THOUGHTS.

THEY CAN'T GET THESE THOUGHTS AUTHOR, MIND.

THEY KNOW THEIR RIDICULOUS THOUGHTS.

THEY DON'T MAKE ANY SENSE TO THEM, BUT THEY CAN'T GET THE THOUGHTS.

AUTHOR MINES AND THAT WILL OFTEN LEAD TO COMPULSIONS WHERE THEY DO THINGS OR CHECK THINGS OVER AND OVER AGAIN REPEATEDLY SO THEY DO BEHAVIORS THAT DON'T LOT MAKE A LOT OF SENSE THEY MIGHT WASH THEIR HANDS OVER OVER AGAIN.

THEY DO THEM OVER AND OVER AGAIN IN A NONSENSICAL MATTER AND THEY KNOW IT DOESN'T MAKE ANY SENSE.

SO OBSESSIVE COMPULSIVE DISORDER WILL BE THE OBSESSIONS WHICH ARE THE THOUGHTS AND THE COUPLE SAYS WAS ARE THE BEHAVIORS.

THEY CREATE A LOT OF ANXIETY.

WHEN I DIAGNOSE SOMEBODY WITH OBSESSIVE COMPULSIVE DISORDER AS ADOPT HIM.

I OFTEN ASK HIM, DID YOU HAVE STREP THROAT AS A CHILD.

THAT'S WHY IT'S SO IMPORTANT FOR US TO TREAT STREP THROAT, OFTEN AN ANTI BACTERIAL MEDICATION BUT STREP THROAT CAN CAUSE THE RELEASE OF PROTEINS INTO THE FRONT PART OF THE BRAIN.

ALL RIGHT.

AND WHEN THE STREP THROAT RELEASES THESE PROTEINS IN THE FRONT PART OF THE BRAIN.

THE BODY WILL ATTACK THOSE PARTICULAR PROTEINS AND IT CAN CAUSE THAT HAS RUPTURED IN THE CIRCUITRY THAT WILL CAUSE OBSESSIVE COMPULSIVE DISORDER.

THIS IS PART OF THE BRAIN RIGHT OVER THE EYEBALL CALLED THE ORBITAL LATERAL PREFRONTAL CORTEX AND WHAT IT DOES, IT HELPS US KIND OF THINK THROUGH WHAT WE SHOULD OR SHOULDN'T DO.

IT'S KIND OF LIKE THE EXECUTIVE PART OF THE BRAIN WORDS OF THE DECISION-MAKING PART OF THE BRAIN.

THEY MIGHT THINK, WELL, GEE, IF THAT PART OF THE BRAIN GETS FIRED THAT'S A GOOD THING, RIGHT?

WE'RE MORE DECISIVE.

WELL, IT CAN ALSO IF FIRED-UP EXCESSIVELY WILL CAUSE YOU TO DOUBT AND PEOPLE SOMETIMES WITH DEPRESSION AND BROODING WILL HAVE AN INCREASED ACTIVITY RIGHT HERE IN THE ORBITAL.

OR OVER THE LATERAL PREFRONTAL CORTEX READ ABOUT THE BRAIN, RIGHT.

THE WRITER BY THE EYEBALLS RIGHT THERE.

SO IF THAT PART OF THE BRAIN IS FIRING UP EXCESSIVELY.

YOU TEND TO OVERTHINK THINGS.

AND THAT'S THOUGHT TO BE PART OF THE PROBLEM WITH OBSESSIONS AND OBSESSIVE COMPULSIVE DISORDER IS WHERE THE CIRCUITRY IN THE BRAIN HERE.

IT'S CALLED THE LIMBIC SYSTEM.

IT GOES ROUND AND ROUND AND ROUND HOW YOU TREATED.

WELL, NUMBER ONE, YOU YOU TRY TO TREAT THE STREP THROAT.

IF SOMEBODY HAS STRIPPED STRIPPED ROAD SO THEY DON'T HAVE THIS AFTER OF OBSESSIVE COMPULSIVE DISORDER.

BUT IF YOU HAVE THAT AFTER EFFECT OF THE STREP THROAT AND YOU END UP HAVING OBSESSIVE COMPULSIVE DISORDER.

THE FIRST THING WE TYPICALLY WILL DO WILL USE MEDICATIONS ENHANCE SEROTONIN IN A PARTICULAR WAY.

SUCH AS ZOLOFT.

LOU VOX PROZAC HIGH DOSES OF SELECTS OR LOOK OR LEXAPRO BEEN USED OVER THE COURSE OF TIME, BUT WE'LL USE THOSE KIND MEDICATIONS TO TRY TO DEED AN UP AND DOWN THAT EXCESSIVE ROUND AND CIRCUITRY THAT IS OCCURRING BACK IN THE OLD DAYS WE USED TO HAVE RECORD PLAYERS AND THE NEEDLE GET STUCK AND THE NEEDLE WE GET STUCK IN AND JUST STAY IN THE SAME SPOT.

THAT'S WHAT HAPPENS WHEN SOMEBODY HAS OBSESSIVE COMPULSIVE DISORDER, THEIR THOUGHTS AND THEIR NEEDLE GET STUCK IN TERMS OF THINKING ABOUT SOMETHING WE ALL WILL HAVE THESE IRRATIONAL.

RIDICULOUS THOUGHTS THAT WILL COME TO THE MIND OCCASIONALLY.

BUT THOSE SHOULD BE LIKE A PUFF OF SMOKE.

THERE THERE BRIEFLY AND THEY GO AWAY.

THAT'S NOT OBSESSIVE.

COMPULSIVE DISORDER OCD OR OBSESSIVE COMPULSIVE DISORDERS WITHOUT THOUGHT STAYS.

THERE AND YOU CAN'T GET OFF YOUR MIGHT AND MANY TIMES YOU WANT TO DO SOMETHING TO TRY TO RELIEVE THE ANXIETY RELATED TO THAT THOUGHT.

THAT'S WHERE YOU CHECK THINGS REPEATEDLY.

YOU COUNT YOU CLEAN.

YOU RE DO THINGS OVER AND OVER AGAIN TO TRY TO RELIEVE ANXIETY RELATED TO THAT PARTICULAR THOUGHT.

THE IDEA THERE IS TO TRY TO RELIEVE SOME OF THAT.

SO THERE'S TYPE OF CHEMICALS THAT CAN BE AFFECTED WITH THESE WITH TYPE OF CERTAIN MEDICATIONS, LOOT BOXES FAIRLY UNIQUE AND WHAT IT WILL AFFECT SOMETIMES.

AND FOR MANY PEOPLE WORKS EVEN BETTER.

WE WILL SOMETIMES USE OF MEDICATION, ESPECIALLY IF WE KNOW SOMEBODY HAS HAD A.

IF FERTILE LOEB INJURY, WHETHER IT BE FROM A CONCUSSION, WHETHER IT BE FROM US AS HE COMPULSIVE DISORDER.

WE USE THE MEDICATION CALLED THE MOTOR IQBAL A TYPE ONE DIABETES WILL HAVE THAT SAME KIND OF PHENOMENA WORKING CAUSE DEPRESSION BECAUSE IT WILL AFFECT THE FRONT PART OF THE BRAIN.

SO LIMIT THE LIMO TO JEANNE WILL STABILIZE THIS CHEMICAL CALLED GLUTAMATE OF THE BRAIN.

LITTLE MATE IS IS AN ACCIDENT OR A CHEMICAL IN US THOUGHT THAT THAT MIGHT BE A FACTOR WITH SOME PEOPLE HAVING THIS ANXIETY IN THESE AROUND AROUND THOUGHTS.

AND IF WE CAN DAMPENED DOWN THE EFFECT OF GLUTAMATE AND STABILIZE GLUTAMATE FOR PEOPLE WE CAN SOMETIMES DECREASE ANXIETY, ESPECIALLY IF THESE EGGS AT IS RELATED TO SOME KIND OF MEDICAL OR BRAIN INJURY.

THAT'S AFFECTED.

THAT FRONT PART OF THE BRAIN.

SO FOR THE MEDICATION STANDPOINT, THAT'S WHAT WILL OFTEN USE HIGH DOSE OF CERTAIN MEDICATIONS, MAYBE AN ANTI EPILEPTIC LIKELY MAKE DON'T.

AND OBVIOUSLY TALK THERAPY CAN HELP PEOPLE THERE'S A SIMPLE TECHNIQUE.

SOME PEOPLE WILL YOU SOMEWHAT SUCCESSFULLY WHERE THEY HAVE THE STARTS GOING AROUND AND AROUND AND THEY VERBALLY OUT LOUD SOFTLY ENOUGH SO NOBODY ELSE WILL HEAR IT.

WE'LL SAY STOP.

AND THEY SIMPLY SAY STOP AND YOU THINK, WELL, THAT'S RIDICULOUS.

A TYPE A SUGGESTION TO GIVE SOMEBODY WILL IT CAN WORK BECAUSE IF YOU HEAR YOURSELF SAY STOP THIS SOMETIMES REDIRECT THOSE THOUGHTS THAT ARE GOING AROUND AND AROUND IN THE BRAIN IS A VERY SIMPLE TECHNIQUE THAT SOME PEOPLE FIND A DEFECT AFFECT IT.

YOU STILL WANT TO DO IT TOO LOUDLY IN PUBLIC.

THANKS YOUR CALL.

LET'S GO NEXT.

CALLER.

HELLO, THOMAS.

WALKING AMERICA MIGHT.

WE'LL TOSS.

YOU ASKED ABOUT A LAB RATING ON THE LEARNING PROCESS IN IN REGARDS TO CHEMICAL IMPRINTS LIKE A RECORD NEEDLE, CREATING GROUPS IN THE BRAIN.

HOW IN THAT LEARNING PROCESS.

I THINK WHAT YOU'RE REFERRING TO THOMAS WILL BE THE PHENOMENON WHERE WHEN YOU LEARN SOMETHING AUTOMATICALLY, YOU DO INDEED TO START BUILDING BRAIN TISSUE THAT HELPS YOU REMEMBER TO DO THAT AUTOMATICALLY THOMAS, THIS IS A PHENOMENON THAT I FOUND VERY INTERESTING YEARS AGO BECAUSE I I HEARD A LOT OF ATHLETES WOULD JUST GET INTO THE GROOVE AND THEY COULD JUST MICHAEL JORDAN BE AN EXAMPLE.

HE DOES GET THE ZONE AND HE'D GO DOWN THE COURT AND JUST HIT ONE THREE-POINTER AFTER ANOTHER AND HE WOULD HAVE LIKE 6 SHOTS IN A ROW AND HE JUST SAY I CAN FEEL IT AND YOU OFTEN HEAR ATHLETES SAY THAT I CAN JUST FEEL IT.

WHAT THEY'RE SAYING.

AND YOU HEAR ABOUT THIS WITH GO FIRST.

YOU HEAR ABOUT THIS FOOTBALL PLAYER SOMETIMES THEY GET IN THE ZONE WHERE.

EVERYTHING IS AUTOMATIC FOR THEM.

AND THE KEY FOR THEM IS TO NOT OVERTHINK WHAT THEY'RE DOING.

THIS IS ESPECIALLY TRUE WITH PEOPLE WHO ARE PUTTING ON THE GOLF COURSE OR PEOPLE WHO SHOOTING FREE THROWS AND FOR MANY PEOPLE.

ALSO JUST WHEN YOU'RE SHOOTING FREE THROWS OR WHEN YOU'RE PUTTING THAT RIGHT NOW.

DISTRACT YOURSELF FROM THINKING ABOUT IT.

IF IT'S AUTOMATIC FOR YOU, WHAT WOULD YOU THINK ABOUT IT.

YOU START USING YOUR FRONT PARTY, YOUR BRAIN IN THE CAN THROW OFF YOUR MOTOR ABILITIES.

YOU'VE ALREADY BUILT MOTOR ABILITIES TO AUTOMATICALLY PUT SHOOT A FREE, THROW AND DO THESE THINGS AUTOMATICALLY AND THESE MOTOR ABILITIES ARE IN THE SIDE PART OF THE BRAIN.

WHAT YOU DON'T WANT TO DO IS THINK ABOUT WHAT YOU'RE DOING AND HIJACKING THAT SIDE PART OF THE BRAIN RESTART USING YOUR FRONT.

BRING.

WE OVERTHINKING SO THE REASON WHY PEOPLE WILL SO-CALLED CHOKE ON THE FREE THROW LINE DURING AN IMPORTANT GAME IS THERE THINKING TOO HARD ABOUT WHAT MIGHT HAPPEN IF THEY MISS THEY'RE THINKING ABOUT THEIR EYE HAND COORDINATION.

TO IT.

WHAT YOU WANT TO DO IS SOMETHING QUITE SIMPLY LIKE SINGING A LITTLE SONG SINGING HAPPY BIRTHDAY SINGING THE STAR-SPANGLED BANNER SINGING A SONG TO GET YOUR MIND OFF OF YOUR THINKING ABOUT WHAT YOU'RE DOING.

AND I'VE HAD A LOT OF PEOPLE IN.

SAY THAT THEY IMPROVE THEIR GOLF GAMES THIS WAY BECAUSE WITH PUTTING IT'S SOMETHING YOU NEED TO DO JUST AUTOMATICALLY AND USE YOUR AUTOMATIC MOTOR SKILLS TO BE ABLE TO CARRY THAT THROUGH.

AND WITH YOUR AUTOMATIC MOVE, MOTOR SKILLS.

THEY'RE BACK HERE.

THEY'VE ACTUALLY DONE STUDIES ON PEOPLE WHO WERE QUILTERS AND THEY HAVE INCREASES IN BRAIN TISSUE ASSOCIATED WITH THE EYE HAND COORDINATION IN THE SIDE.

PART OF THE BRAIN.

THE SAME IS TRUE WITH ATHLETES AND THE SAME IS TRUE FOR CHILDREN WHO ARE THERE'S A LOT OF CONTROVERSY RIGHT NOW ABOUT GEE, ARE WE.

ARE WE HAVING COVID LEARNED TOO MUCH ON COMPUTER GAMES AND WITH SCREEN TIME SHOULDN'T THEY LEARN IN A DIFFERENT WAY BY READING BECAUSE WITH DOES BUILD A DIFFERENT PART OF THE BRAIN.

WE'VE HEARD FOR A LONG TIME THAT IF WE GET OVER RELY ON GPS.

WELL, THIS PART OF HER BRAIN RIGHT OVER HERE CALLED THE HIPPOCAMPUS WON'T NECESSARILY BUILD ADEQUATELY.

4 OR LOCATION OR GEOGRAPHICAL ORIENTATION.

THEY DID A HUGE STUDY ABOUT 20 YEARS AGO ON THE LONDON CAB DRIVERS AND CAB DRIVERS TO GET THEIR LICENSES HAVE TO PASS A TEST TO BE ABLE TO TO DEMONSTRATE THAT THEY CAN NAVIGATE THIS EXTREMELY COMPLEX ST SYSTEM OF LONDON.

WELL, THE LONDON CAB DRIVERS HAVE AN ENORMOUS AREA OF THE BRAIN RIGHT HERE BACK IN THE HIPPOCAMPUS.

THIS ASSOCIATED WITH GEOGRAPHICAL ORIENTATION.

SO THEY HAVE A BUILT IN GPS RIGHT THERE AND IT SHOWS ON THEIR BRAIN TISSUE.

SO AS YOU HAD MENTIONED, THE LEARNING PROCESS IN CHILDREN.

CHILDREN ARE SO RECEPTIVE TO LEARNING BECAUSE THEIR BRAIN IS BRAINS ARE STILL GROWING.

ALWAYS IN VIEW HOW QUICKLY CHILDREN CAN LEARN BECAUSE.

AS YOU'RE GETTING OLDER UP UNTIL 24 YEARS OF AGE OR FRONT FOR YOUR BRAIN, ESPECIALLY IS GROWING AND GROWING AND GROWING.

SO THAT'S WHY YOU CAN ROUTINE SO MUCH INFORMATION WHEN YOU'RE YOUNG CHILD AND THAT'S AN EXCEPTIONALLY IMPORTANT TIME FOR THEM TO BE ABLE TO TO LEARN NEW THINGS TO BE ABLE TO STUDY TO BE ABLE TO TO READ AND UNDERSTAND.

NEW DIMENSIONS OF THEIR LIVES BECAUSE THEIR BRAIN WILL BE SO RECEPTIVE TO LEARNING NEW INFORMATION.

THERE'S A LOT OF DIFFERENT WAYS THAT WE CAN.

WE CAN HELP THEM LEARN TRYING TO HELP HAVE THEM LEARN NEW SKILLS AND NEW HOBBIES.

NEW INTERESTS WILL BE VERY IMPORTANT.

WE'VE SEEN THIS AT THE OTHER END OF THE SPECTRUM FOR OLDER ADULTS BECAUSE ONE OF THE KEY MEANS OF PREVENTING DEMENTIA WILL BE TO STAY SOCIALLY INTELLECTUALLY AND PHYSICALLY ACTIVE STAYING SOCIALLY ACTIVE IN YOUR STOCKING.

FIRST THING WITH PEOPLE YOU'RE STILL INTERACT WITH PEOPLE STAYING IN A LACK INTELLECTUALLY ACTIVE MEANS THAT YOU'RE STILL LEARNING NEW THINGS.

LEARNING NEW HOBBIES, LEARNING NEW SKILLS.

AND IN STAYING PHYSICALLY ACTIVE IS SOMETHING IS VERY IMPORTANT.

WITHIN YOUR CAPABILITIES STAYING PHYSICALLY ACTIVE CAN ACTUALLY DECREASE THE LIKELIHOOD OF ALZHEIMER'S DEMENTIA FOR OLDER ADULTS.

THANK YOU FOR CALLING FOR SOME TIME TO TIME FOR THIS EVENING.

IF YOU HAVE A QUESTION I CAN ANSWER ON THE AIR.

YOU MAY WRITE THE OF THE THE INTERNET TO ACT MATTERS OF THE MIND W F DOT ORG.

I'M PSYCHIATRIST JAY FARBER AND YOU'VE BEEN WATCHING MATTERS OF THE MIND HERE ON PBS FORT WAYNE.

GOD WILLING AND PBS WILLING ON BACK AGAIN NEXT WEEK.

THANKS FOR WATCHING.

GOOD EVENING.

TONIGHT.