Anxiety

"Chronic anxiety can lead to depression"
Signs and Symptoms

Symptoms of anxiety are the result of chemical changes in the brain causing an increase in autonomic drive.  Anxiety patients often suffer from symptoms include loss of pleasure, hopelessness, and concentration difficulty.  Other symptoms commonly reported by anxiety patients include abnormal laughing and crying, aggression, impulsivity, irritability, fatigue, anger, depression, loneliness, nausea, loss of appetite and persistent headache.
 

What is Anxiety

Traditionally anxiety has been viewed from a neurochemical perspective. A mental health disorder, characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities. Treatment has been mainly directed at improving the levels of serotonin as well as norepinephrine.  We know that this is not the only mechanism involved as many patients do not respond to a variety of different medications. While it is normal to feel anxious, it is not normal for this response to last, re-occur, or get worse.  Anxiety has the ability to impact your daily life, including work, friends, family, relationships, and sleep. Chronic anxiety can lead to depression and you may cycle between depression and anxiety.

It is important to understand that anxiety can occur following concussions, traumatic brain injuries, stroke, and neurodegenerative diseases. It is critical to understand this because treatment for anxiety will be different for each one of these as there is a different root cause. There are many more potential causes, but this highlights the importance of identifying the cause.  While many know the source of their anxiety, many more live a life full of additional anxiety and stress because they do not know why it started.  
 


Our Approach to Diagnostics and Testing
 
Revive utilizes research-based diagnostics to evaluate function in specific areas of the brain. Looking at eye movements, motor function, sensory function, cranial nerves, cognitive function, balance, and gait. This information allows us to better understand what areas are affected so we can develop a treatment plan that targets those regions and networks to make them stronger and more efficient. These tests include eye movements, motor function analysis, physical exam, cognitive ability and balance.  
 

  • The VGN or testing of eye movement gives us a representation of the function of eye muscles, cranial nerves, brainstem nuclei, cerebellum and cortical regions. By measuring things like gaze stabilization,  smooth pursuits, saccades, and optogenetics it helps us to differentiate the areas of weakness.

  • Motor function analysis enables us to see the strength, tone, and coordination of the movement of muscle groups so we can better understand the regions and networks of involvement. Networks that are utilized in a movement are the coordination of movement involve the frontal lobes, parietal lobes, and the cerebellum.    

  • In our office, the physical examination is focused on not only finding definitive signs of functional deficits but also catching the subtle changes which give us greater insight into the physiology and function (these findings are often considered irrelevant or ‘within normal limits’ in most conventional clinical settings).  

  • Cognitive testing is utilized as a baseline marker to measure and monitor patient outcomes. These quantifiable tests validate results in many different avenues. Our testing encompasses depression screening, anxiety screening, verbal memory, psychomotor speed, processing speed, simple attention, and motor speed.  

  • Balance test or vestibular testing gives us an insight into the function of networks that are needed for standing, walking, even riding in a car. We look at the three main factors of balance (Vestibular, proprioception, and vision) both together and individually to isolate the areas of involvement.   
 
 
Our Approach to Care
 

At Revive we specialize in providing treatment to the neurological regions affected by anxiety. Your treatment can include balance, gait, and eye training; as well as hand-eye coordination, repetitive transcranial magnetic stimulation (rTMS), hyperbaric oxygen, diet, and supplements.

We offer a unique process that is built to maximize time and results. To reach your personal healthcare goals, it is imperative that your physicians and care providers precisely know your individual story and desires. Your individual goals are the focal point of the comprehensive treatment plan which is based off your exam, diagnostics, and lab results.  

Beyond the neurological system, there are many factors that can impact the presentation of anxiety: the immune system, diet, sleep, and stress (to list a few). By integrating knowledge of the brain and influence of these factors, we are able to be very specific with targeted therapies which create lasting neurological changes. Your treatment plan is designed specifically for you and is not a protocol.

This plan is executed over 5-10 days. Patients see measurable improvement during their time in our office and continue to make gains once they leave. To help ensure success on your journey of healing, we create and define a plan for you when you go home. This plan may include sourcing local specialist for a safe and effective continuum of care. Our goal is to see each patient continue to build upon the initial results they achieved in our office. 





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