Friday, March 4, 2016

Let’s Nip Mental Illness in the Bud

           You’re up on stage, papers in hand. The lights are so bright, but all you can see is darkness. Your heart starts to beat faster, you start to sweat, and you can feel the crowd growing confused. They start to murmur, and you start to panic. Suddenly, you can’t breathe. Your eyes go black. Next thing you know you’re backstage, a sea of concerned faces staring back at you, fanning you like just fainted. Wait, did you faint? You can’t remember. All you know is that you had another panic attack, probably your worst one yet.
Now imagine a world in which you could prevent those panic attacks from ever happening in the first place. No more worrying about public speaking. No more stress. No more anxiety. Psychiatrist Hasan Asif is attempting to do just that.
Dr. Asif has dealt with many patients who suffer from anxiety and panic disorder, which causes intense panic attacks that can make an individual feel almost paralyzed. Dr. Asif’s main goal is to prevent his patients’ conditions to even get to such an extreme level of suffering. Mental illness has been a topic of discussion that is usually ignored in the medical world. Other illnesses that are medical in nature seem to be at the forefront of research. However, doctors like Asif have been working on changing that. Mental illness is unfortunately common in today’s society, and most people who have one illness are likely to have another.
This comorbidity can be seen in research conducted by Shankman et al. (2013). They noticed the comorbidity between panic disorder (PD) and major depressive disorder (MDD), and thus explored the neural connections that might be involved in both illnesses. They found that heightened sensitivity to threat is characteristic of PD, and reduced sensitivity to reward is characteristic MDD. They were able to find specific areas on the brain and neural pathways responsible for these characteristics, which suggests that they could track these areas for patients with PD, specifically, and possibly prevent potential panic attacks from happening.
In the article “The Mind’s Biology” by Amy Ellis Nutt, she explains the use of biomarkers, which are concrete measurements of mental illness. Dr. Asif hopes that these biomarkers will help researchers find biological clues in a patient’s blood, saliva, or brain image that represent symptoms of certain mental illnesses. The idea is that these biomarkers will track the symptoms of panic disorder, for example, by manually activating those areas of the brain and recording the patient’s responses (such as heart rate, blood pressure, breathing rate, etc.).
Dr. Asif analyzes a patient's brain-wave activity using an EEG
method (The Washington Post).
This innovative approach to treating mental illnesses could be the answer to problems. By being able to tell where certain symptoms occur in the brain, psychiatrists can treat them before they develop into something as severe as panic disorder. Such as in the study with Shankman et al. (2013), Dr. Asif is trying to pinpoint areas of the brain, and the neural systems involved, that are active while these symptoms are occurring. Pretty soon, we’ll be able to stop mental illness in its tracks.

Now, imagine yourself back on that stage. Your heart begins to beat fast again, and your breathing becomes shallow. “Uh oh”, you think, “it’s going to happen again.” But, you open your mouth and words actually come out, words that make sense. You are giving your speech, still nervous nonetheless, but the point is that you are doing it.


Works Cited:


Study: Shankman, S. A., Nelson, B. D., Sarapas, C., Robison-Andrew, E. J., Campbell, M. L., Altman, S. E., Gorka, S. M. (2013). A psychophysiological investigation of threat and reward sensitivity in individuals with panic disorder and/or major depressive disorder. Journal of Abnormal Psychology, 122(2), 322-338.




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