– I pivot my line of questioning. I start asking the patient what’s going on their lives now. What was their childhood like? What were their parents like? And once you get this release valve, a lot of symptoms go away. (soulful keyboard and percussion music) Hey guys, welcome to another episode of the Wednesday check-up. Today I wanna talk about
mind-body disorders. And I know that sounds
like a froo-hoo topic, I promise it’s not. It’s something that’s
not talked about enough within the medical community. It’s under-researched. And it can be contributing
to millions of conditions all across the world without even us knowing about it. Mental health and physical health are truly one and the same. You can’t have very good physical health without very good mental health. To give you some examples
of how powerful the mind is in taking control over the body, let’s take into consideration
the placebo effect. Someone, let’s say having a lot of pain, someone gives them a sugar pill that has no active effect on pain, but they tell them that it’s gonna have an effect on their pain, voila, the person feels less pain and in general they think
that they feel better quicker. Reflexively most people think that if they are given a placebo,
it’s only a mental effect. In reality, it’s also an
effect on your physical health. Because when a person
has 10 out of 10 pain, as an example, their heart rate also goes up. That’s an objective
finding that we can use to gauge whether or not someone has pain. Once we give them a placebo, not only do they feel
that they have less pain, but their heart rate drops as if they’re actually experiencing less of that pain. This works also the same way on the other side of the spectrum. If you’re having, say a lot
of stressors in your life, you’re suffering with some sort
of mental health condition, your blood pressure can be high. I’ve realized that we
don’t put enough emphasis on this mind-body connection. And I’ll tell you what I mean. Very often, as a society, as a culture, we want to tie everything
back to a physical cause. If someone has elbow pain,
if someone has low back pain, even if someone has a condition like a chronic cough or acid reflux, we’re always ready to tie it
back to a physical condition. If it’s not there, we say, “Well then, we don’t
know what’s going on.” And we label it idiopathic, which is the medical term is we have no idea what’s going on. What I started doing,
after doing some research and reading some really
good books on the subject, is understanding that patients
can have physical symptoms as a result of what’s going
on in their mental state. What your own mind is doing is trying to figure out
how to best distract you from some of these horrible, what your mind labels as
life-threatening emotions, and distracts you with
some physical symptoms. Makes you repress these emotions. And the more you repress these emotions, the more that they can overflow and cause complicated symptoms. I have patients that come in
with horrible low back pain. And as we move through the process of understanding what anatomy is there, trying to rule out, is everything okay from a physical cause, getting a thorough history. Once we get to the point where I have a strong enough suspicion that I think that there’s a
mental aspect to this pain, I pivot my line of questioning. I start asking the patient what’s going on in their lives now. What was their childhood like? What were their parents like? What emotions are they feeling
very powerfully right now? And once you get this release valve, a lot of symptoms go away. Now I’m not saying this
is right for everybody or this should be your
first line approach, but I’m just saying this is
something that I’ve noticed work incredibly well within
my patient population. Being an osteopathic doctor, someone that has a sports medicine focus, I’ve been treating patients with pain, sports injuries, neck pain, shoulder pain for a very long period of time. Up until I started incorporating more mental health questions in my sports medical diagnoses, I wasn’t having a lot of success. There’s an important line of questioning that needs to be addressed
within the mental state that often goes overlooked. But we should not be
blaming doctors for this. Or at least solely blaming doctors. Nowadays, we have such
an influx of patients, and with decreasing amounts that we’re getting paid per patient, it’s very difficult
when you have 15 minutes or even 10 minutes with a patient, to think in this broad
scope of whole patient and give adequate care. That’s why I make sure that whenever I’m meeting a patient for the first time, or I know a patient is coming
in for a complex diagnosis, I spent more time with that patient. Because we need to take into consideration all of the things that could
be causing these symptoms before jumping and getting pigeonholed into a single diagnosis. A very common question, and maybe something you’re
even thinking about now is, how does my mind make my back
hurt or my shoulder hurt? Research has been tremendously underfunded when we’re talking about
mind-body disorders. A doctor who’s made tremendous
strides in this field by the name of Dr. Sarno. He talks about a condition called TMS, which is tension myositis syndrome, or tension myoneural syndrome, where basically the mind, in order to distract your conscious from focusing on these
repressed unconscious emotions, actually decreases a little
bit of blood flow to a muscle. And a muscle that
specifically in your mind you know you’re weaker
in, or that you use often, and when you have a
decrease in blood flow, just how if you have the air conditioner blowing on your neck and you
wake up with a stiff neck, that can cause a muscle to
spasm or to function poorly. He’s actually done some
really interesting trials in showing tremendous cure rates, not just treatment and
symptom-resolving rates, but cure rates in patients
who were having these problems like low back pain,
shoulder pain, neck pain. Now I understand how
hearing Dr. Sarno’s theory can feel like, it’s a little bit far out. Things to take into consideration: When I as a doctor spend extra time talking to my patients about mindfulness, it’s not a waste of time, ’cause it’s gonna help them in other ways, even if it doesn’t solve
their physical problem that they’re coming to see me for. Second, it doesn’t cost
them any more money. I’m not selling them anything. I’m not doing anything for any self-interest purposes of mine. And the most important
thing is it’s low-risk. I’m not sending them for a surgery that can go horribly wrong, and they can have a permanent
defect in their body. It’s just a little harmless conversation that can actually benefit them even if it doesn’t cure
their original problem. You’re probably wondering to yourself, well what’s my role in this? No doctor has ever asked
me about my mental health when I came in for my
chronic low back pain. First and foremost, have a primary doctor. There’s been articles coming out lately that young folks,
millennials specifically, don’t have primary care doctors and are resorting going
to urgent care centers and telemedicine sites. It’s not an optimal solution. You need to have a quality
family medicine doctor, or internal medicine doctor, who knows your history, who knows what’s going on in your life, who has the time to take
this line of questioning. And that can only happen if
you have a primary care doctor. But one who practices
with a holistic approach. The second part of this is it’s up to you to be very
honest with your doctor. If a doctor asks you questions
about your mental health, or asks you what’s going on in your life, don’t just brush off all
your worries and stresses and very powerful emotions
that you’re feeling and say “I’m okay.” That’s a very simple thing that you can do in order to get the best treatment. I know this was a little bit dense, but I think these are conversations that we really need to be having. And with mental health getting
so much publicity nowadays, I feel like this is what
we should be talking about. Because this way, we
can influence doctors. We can influence researchers. And most importantly, I can influence you to think about this yourself and to ask your doctor
the right questions. I’m gonna have some resources down below in the description box. If you’re comfortable
sharing your questions, drop ’em down below. I am active in the comments section and I do have my monthly
responding-to-comments video. And I am gonna be looking at this video’s comments specifically to answer and give you guys some guidance. As always, stay happy and om. (soulful keyboard and percussion music)

100 thoughts on “Emotions Cause Physical Pain? | Mind Body Connection | Doctor Mike”

  1. Thank you so much for making this video! I believe that mental health is as important to physical. Thanks again for educating !!xoxo

  2. Question: What is your holistic approach for fibro? My doctor prescribed me duloxetine, but I am not a fan of meds so much. Thanks 🙂

  3. I actually got a checkup because I had symptoms of a heart attack. I doubted I would have this, so I just assumed it’s a panic attack due to my history is clinical depression and social isolation
    It turned out to be pneumothorax, because I weighed under 100 pounds and was 5’ 8
    Nothing critical, it was already healing, but it got me out of gym for a little bit in school.

  4. love how he says that being honest with your doctor is simple, it really not, like even tho my doctor knows I might have mental health issues im still not gonna be able to say that things aren't good, its not as simple as he claims

  5. the problem is in order to focus on a detailed part of a problem people have a tendency to separate systems in order to make it comprehensible for oneself to solve or understand and forgets that every system in body, society etc are all connected

  6. you haven't mentioned that how u cured that patience any meditation affirmations to release that pain?! please make a video on healing too.Thank you

  7. This sounds totally plausible, not farfetched at all. The mind is part of your body too. Stress is usually mental but can cause awful physical problems.

  8. Hi Doctor Mike
    I personally are having a bad time in my life. And been really down for a while and in this time my inheritable illness morbus bechterev broke lose and I had terrible back pains and my joints hurt. I know now that's because of this illness. But is it possible the illness did become so strong because off my mental stress? ….I'm 16 years old…

    I love your Videos.
    And I'm German I hope I wrote everything correct?

    Stay happy and healthy too.?

  9. What about Drs who say pain is all in your mind as soon as they see that you have a mental health issue and not properly look at a ct scan. It is also a problem. When in reality that there are orthopaedic issues.

  10. Bueno,doctor,ya somos dos que no se llevan ,muy bien con las alturas y los escorpiones?yo soy capricornio,eres un ???

  11. Man I wish I could find someone like you as a primary care doctor. I got a ton of crap goin on, but going through cal-viva here in fresno it's suuuuper hard to find a quality doctor. I've tried many… Just an example, the one that was assigned by default only works at the office in question Wed and Fri, but EVERYTIME I've gone to try and see him there's always some excuse why he's not there. (sick, renovations, vacation, ect, this went on for months when I was actually having some serious problems.) Another one I tried on the first visit barely spoke English, took a very poor medical history and prescribed roughly 20 different medications ON THE FIRST VISIT before the blood panels she ordered even came back. Once they did, she threw on another 20 or so meds. I had to change doctors because that office was raided by the FBI… Last example is one that really got me. I've had my teeth removed due to infections and its rather embarrassing, but on the first visit this doctor was absolutely ADAMANT that I was on crystal meth. The hardest drug I've ever done was CCC's when I was a teen, I'm now in my 30s and haven't even touched pot in over a decade. But this woman was seriously not even moving onto any other questions until I was gonna admit I did something I never did in my life. I straight up walked out and told her to "go ** herself."

    Sorry for the long explanation, but I've got a ton wrong (heat/cold urticaria, pre-diabetic according to my A1C, arthritis, the list goes on, some unique stuff like the urticaria I've literally had doctors not believe me until I showed them with ice) and I NEED to find a quality doctor for primary care. What would you recommend to do in a region like this where the doctors just seem to not give a damn, accuse and accost their patients and being stuck on government aide?

  12. Thank you for making this video! I feel like i can better take care of myself, I know the questions to ask my doctor, and how important it is to have a PCP. Thank you Mike! This helped more than you know! I can't wait for more videos.

  13. This reminds me of a story of a girl who ended up a murderer her father raped her all her life and after a while she was unable to walk,they went to the doctor and her legs were fine she was capable of walking but her mental state made her unable to walk and she had to learn to walk again.It's interesting and completely true.

  14. Hello, did you read "One Simple Thing: A New Look at the Science of Yoga.." from Eddie Stern (yoga teacher based in New York) – interesting 11 chapter about nervous system. Thank you for all your work.

  15. it might just be me but it looks like his eyelids are a little yellow at first i thought he was wearing eyeshadow which there is nothing wrong with that but i still was like??

  16. I was diagnosed with an Anxiety disorder, specifically GAD, and I’ve learned all of the fun side effects of the disorder, including high blood pressure and early death. Having consistent therapy visits and mindfulness are just some of the ways I try to stay more healthy for both my mind and body. Also the celexa is a nice help but not the bee all end all treatment.

  17. Could you possibly do a video on extreme back pain and neck pain in teenagers? I think it could help me and a lot of people

  18. I have a question. so say there is a minor that has BPD, Have attempted suicide, though parents don’t want to treat their teen with medications, but instead with ‘essential oils’ what are your thoughts on that?

  19. I love learning about health and I love your approach to medicine. You’re incredibly gifted, Dr.Mike! Thank you for sharing your wonderful advice and perspectives❤️❤️

  20. i have agorpahobia and havemt left the houe , at all , in 8 months , ive had to leave college and my life s ruined , ive developed an an eating disorder , emetophobia and such sever anxiety and depression that eveything constantly hurts and such fear around food that i constantly feel as if im going to be sick , my stomach always hurts ive developed IBS , headaches , muscle pain , dizziness , isomnia , i even stopped being able to move my legs for a whole hour it was so terrifying and i have so many more chronic or acite symptoms its hard to list them all. i am in constant agony that ive resorted to suicide because doctors cant find any medical explanation so dont really care so i ont see them anymore. this is such an important video thankyou

  21. I wasn't aware how much your mental health effected you physically until I was diagnosed with fibro and it got worse over the years and I noticed the triggers for when I'm stressed and gets worse when I have have anxiety or ptsd, which is A lot harder to let go than just normal everyday stress

  22. Could you do a video on Acid Reflux and dietary aspects that can flare it up more that are not as thought about such as coffee and spicy food.

  23. Do you have email where people don’t feel comfortable asking you questions about mental issues/depression?

  24. Hi Dr. Mike! 
    I really enjoyed this video. Do you have any recommendations about resources (books, podcasts, etc) that talk more about this topic? I have read some research about the BPS model or care, but I was wondering if you knew about any resources that talked more about how to incorporate this line of questioning in a clinic setting? Thank you so much for all your videos 🙂

  25. I'm 15 with PTSD, anxiety, social anxiety, and depression and I get major headaches and lots of back pain. Could it be stress causing pain despite being healthy?

  26. I’m just seeing this video now but I wanted to say, how nice it is to hear you speak about a mind-body connection. There is a huge connection between our mind and what we experience in the body. Thank you for starting this conversation, keep up the awesome work! I love your videos? ??

  27. I have somatic hypochondriac disorder and I would just like to say that it's seriously nice to hear a doctor not degrading people with this disorder since a lot of people tend to do that. From now on, every time i feel like the symptoms are overtaking me im gonna watch this video for reassurance. Thank you Dr. Mike!

  28. Having an anxiety disorder I LOOOOOOVE that you are raising awareness on this! The pain and physical symptoms are REAL

  29. My doctor in Canada is AMAZING (though not as hot as you lol) he sent me to an internist to find out what exactly is going on with my constant nausea,headaches, GI issues etc. I went through soooooo many tests and he said “I’m going to put your anxiety at the bottom of the list and if we can’t find anything THEN we know it’s caused by your anxiety”. Urgent care centres would always brush it off as anxiety as soon as they seen the “any medical conditions” box checked.

  30. Do you think Dr. Sardo's theory would work on chronic pain conditions? Like fibromyalgia or Elher's Danlos Syndrome?

  31. I’m convinced my chronic stomach pain is stress based, since there’s nothing physical that correlates to it, and it’s a bunch of different types of pain and locations. I also have chronic back and wrist pain which I’m now thinking could be related.

  32. Thank you thank you THANK YOU!

    I regularly come back to this video because it's so reassuring. I have horrible health anxiety, plus panic disorder, and I feel actual physical pain daily. I've been to urgent care and the ER more than I'd like to admit for these pains, and every doctor has told me the same thing: get your anxiety under control and these will probably go away. It's so hard to accept their words when you're in pain and there's no easy explanation for it. You feel like you'll just keep suffering until someone takes you seriously, and the pain creates a vicious cycle of anxiety leading to pain, leading to anxiety, leading to more pain, etc.

    I'm so happy to know that, despite how little it's talked about, doctors are aware of the mind-body connection and know how to spot it. This helps me believe that people like me really are being heard.

  33. im obsessed with someone who hates me, everytime i contact him he curses me out and says really mean things. i hate my obsession with him. everything he says matters to me, ive been attached with him for 2 years now, my heart hurts so much it feels like all never get over him, sometimes my heart starts beating slow and it skips beats because of him

  34. I have this!! I have multiple stomach aches and problems and it happens when stress and anxiety strikes.

    Thanks for the video Dr. Mike

  35. Wow I wish you were my primary doctor! I've been dealing with chronic shoulder and jaw pain for a couple of months. It's not easy to find a good & caring primary family doctor if your family never had one or can't afford the best ones. That's the issue we as millenials are facing. As far the mental health goes, I agree my anxiety increases the pain but the "doctors" immediatly discard me as an anxious person and don't even bother to touch my muscles or order and X-ray to actually see if something is wrong.

  36. Absolutely emotions can cause physical pain. I have generalized anxiety disorder and depression and for pretty much my whole entire life ive had somatic symptoms that come along with it. When I experience anxiety I get terrible gastrointestinal symptoms. Pain, nausea and especially diarrhea. When I would have anxiety attacks as a kid I would get so nauseous I would dry heave, shake, go pale and sometimes even get tingly lips. When I was in nursing school during my final semester I even got chest pain and heart palpitations because I was stressed around exams. My boyfriend has a gastric ulcer and cerebral palsy. His CP is very mild and you wouldnt even know he had it unless he told you. When he was working 60 hour work weeks in the summer and his work environment became toxic and caused him stress he got sick ALL the time. Fevers and when he gets a virus he gets weak from the CP. He also would throw up all the time from the ulcer, ever since he quit he has been so much better mentally and physically. So many more examples.

  37. I found a good internist here where I live in Poland. The first time I saw her she did something similar to what you do. Asking about when I developed Hashimoto’s, she asked what was happening in my life around that time. I told her my husband has died of cancer a few years before and that I was living with my elderly dad as his caregiver, because he had become legally blind. In telling her this, out of nowhere I began to tear up. Even though it had been 6 years since my father’s death and 16 years since my husband’s. She asked if I had spoken to a psychologist or mental health professional about these things. I told her no, She suggested I should. I probably won’t. But I truly appreciate her genuine concern and treating me holistically. Thank you for being this kind of doctor too. I wish we could clone doctors like her and you!

  38. This video reminded me of when I had Hypochondria. It's been decades since, but I still remember. I'm sure it was the result of being bullied at school.

  39. I have illness anxiety disorder that making my life so hard I've been experiencing this physical symptoms for a month now neck pain, arm, back etc everything that i feel i will search it on the internet as a symptom of a serious illness always thinking that im gonna die im always crying at night always thinking that i have lung cancer cause of my chronic cough but the doctors says my lung is just fine I won't believe it i feel like they miss something or it's just in early stage to detect it it all started when i thought i have diabetes and the lukemia and up until now i suffer from anxiety that makes me depressed everytime i wake up i feel empty i feel like my days are going to end i just wanted to share my feelings and information on what and hows the everyday life of a person like me who suffers from this type of anxiety it's been very hard for me to cope shortness of breath back pain, neck pain, arm pain, leg pain my anxiety is dragging me down just want to share im only 17 btw

  40. I have anxiety. When it's high, I feel nauseous, got stomach pain/diarrhoea, vomiting, acid reflux, headaches etc.
    Sucks balls :v

  41. I feel like doctors in Germany always assume it's the psyche unless its proven it isnt.
    How many times have I been in pain after doctors sent me home bc its just in my head when I actually had gastritis or other shit

  42. You make me want to be a GP, Dr Mike. A specialty I've never really considered before. But it seems so varied and interesting.

  43. Hay doc i have tow have back Surgery as well as a Spinal tap and in the Recovery time for the back surgery i have a Knee surgery my doc for the knee sugery sead it would be fin but i Want a second opinion.

  44. Im on beta blockers and in alot of pain.so mosst doctoes dont believe im in painbcause my heart rate stays low from meds

  45. Does costochondritis count as tms? I'm in treatment, but this all came on when I lost my mom and baby a month apart. Anytime I meditate I can get the pain down a bit… I just never hear that rib inflammation can be caused from my emotions? Help!

  46. Well this video is great,thank you for good words and knowledge ,I m spiritual guider,who working on chakra but i want to ask you,isn't it our mental health ,related to thoughts & emotions ,many times emotionally pain make me physically sick on very very low level,,what to do

  47. Hi Sir, I have texted related questions to this topic on Facebook messenger.. with id
    "Apurva Hitaishi" please help me out Sir.
    Eagerly waiting for your response.

    Huge Thanks in advance.

  48. Finally ! A young smart doctor who’s caught on! Thank you. You can be the next Dr. John Sarno! And I’m sure you’ve read the book The Great Pain Deception… this is so crucial. TMS. It proves that structural issues do not cause pain. I am a living example. I have 4 huge emotional issues going on and I have multiple physical symptoms. People deny Sarno’s facts because they assume it’s saying they are emotionally weak. Not true. You are awesome. I will subscribe and share.

  49. My insurance has finally realized this connection and will be encouraging primary care and mental health providers to integrate care for their members receiving mental health services.

  50. I will start off by saying I agree, but there are some problems. What about doctors using it as an excuse or if they say “oh well it’s probably just stress or the fact that you had a bad childhood.

    I was sexually abused as a child and when the medical world found out they would not take me seriously. Every time I went to an emergency room or my own doctor I heard this “oh it’s just her heard or she’s just trying to get attention.

    For 4 months I was telling my doctor that something was wrong down under, she did a vaginal exam and tested for std’s. When it came back negative she told me that my symptoms where in my head. After a while i got a another doctor to look at it and she sent me the a gynecologist. After some testing it turn out that I had stage 1 cervical cancer. (I have been cancer free for almost 6 years now)
    How can one avoid doctors dismissing when you have mental issues and you have a psychological problem?

    Sorry for the long comment ?
    I live in Denmark so this didn’t happen in USA, but I think that it’s important all over the world to know how your mental health can affect you.

    On a side note I have the highest respect for doctors and nurses. Your job must be hard sometimes both with the people and the economic aspect.

    Keep up the good job you guys rock ??

  51. Dr. Mike,

    I'm a 22 female diagnosed with anxiety, bipolar type 1 and BPD. For many years now everytime I get anxiety I get these really bad stomach aches. I get anxiety almost on the daily at work due to the pressure of being in a leadership position. I have anxiety pills (lorazepam) that I take only when I get anxiety attacks. I feel like I need it almost everytime I work but I hate taking medication and I don't want to look to my doctor that I'm taking them for a kick (my mother was addicted to pills). Is there something I can do to help this? I'm getting really tired of it. Would a daily anxiety pill instead of situational pill help?

  52. Dr. Mike I heard you mention mindfulness! Which has became an important focal point in my life! If you havent read this book already I suggest The Art of Power by Thich Nhat Hanh. Great book about finding peace and joy in life. It has helped me deepen my since of peace. And I think it has potential to maybe certain patients were you see fit. I reccomend to anyone reading 10/10 book

  53. Hi, doctor Mike, what you say in this video is pretty familiar to me. I have a chronic headache in the lower part of backside of the head. Actually there is no reason for it and no solution according to many doctors i have visited for the past 5 years. Do you think it's based on emotions as when I feel stressed or disappointed I usually get it.If so what should I do to avoid it or what should I do when I get it? Any solutions? I value your comments in your next video

  54. Morning, Mike!
    I have a question about just some kind of mind-body-connection: Eating disorders. Do you have any helpful ideas how to cure binge eating on a longtimebasis on your own? I actually don't have any more ideas…. I would be really glad for advise

  55. I think this 'Mind-Body-Connection'-thing just happened to me.

    Four days ago at around 2 am I woke up with an awful lower back pain (came out of nowhere). Suddenly I couldn't lay down. I could barely sit and I could only stand in one position without being in pain and after a while that started to hurt too.

    – I had just watched another video of yours where you mentioned something with lower back pain and inactivity. And that sunday I had been overly inactive – basically a super lazy Sunday 😉
    I thought that could be the reason.

    But now that I'm watching this video
    – What also happened that sunday in the evening was that my mum told us that my grandad has cancer. She was crying and I couldn't do anything but hold her and try to comfort her. I didn't cry (normally I would cry. I do cry if I'm sad. But this was not just sadness. I think we might be in grief).
    In stead of crying I think I might have pushed my grief to my lower back which suddenly took all my attention by giving be extreme back pain.
    Also my breathing. I'm feeling oddly out of breath and I find myself forgetting to breathe.
    Then I have to take a really deep and big breath with my whole body to feel that I can get enough air. (Am I having mild panic attacks?)

    It's either one days laziness and horrific grief or I'm really physically sick.

    (Just to mention that I did call the night doctor and she said to take painkillers and call my doctor in the morning if I was still in pain. Long night. I was still in pain and called my doctor the next morning and his assistant told me to take painkillers throughout the day and see if the pain decreased and otherwise call again the next day.) It's been a few days now and I'm stil in a little bit of pain. I didn't call back because the pain has decreased quite a lot. I still have to force some deep heavy breathing but as of today maybe that is also getting a bit better. So, I'm just waiting to see if it will go away by itself.

    I don't even know why I writing this. I think I just need to get it out.

  56. I feel like more doctors need to understand this

    I was having REALLY bad heart palpitations/tachycardia type shit going on in 12th grade I thought I was bleeding out inside my chest I thought I was gonna die. I didn’t understand why. I went to 3 or 4 cardiologists. Got “you’re fine. This is normal. You have a ‘‘ normal irregular heart rate’”

    No it ain’t. I feel like I’m internally bleeding because my heart is going too fast when all I’m doing is sitting here.

    Go to a therapist for depression.

    “Yea that’s a panic attack. Here’s what you do for that”

    3 doctors told me I was fine. Did not help me. 3 heart monitors. But no I’m fine you can’t tell me what’s wrong with me.

    MENTAL ISSUES CAUSE PHYSICAL AILMENTS PLEASE UNDERSTAND THIS. If something is wrong with you and a doctor tells you you’re fine but you know clearly something isn’t okay then it can actually make your mental issue worse thus making your physical issue worse.

  57. Can you talk about the stigmatization of physicians with mental health conditions and the “invisible curriculum” of invincibility within medical training?

  58. Yes I developed "vulvodynia"due to rape. I began therapy and later pelvic floor physical therapy and have made significant improvements in my health. It's a very difficult thing to begin due to humiliation. Fear, etc but I am happy I started. Before realizing this I had seen 6 doctors who put me on meds, lidocaine, and even suggested therapy. I had nothing physically wrong with my anatomy. It was all in my mind. Heal the mind heal the body!!

  59. This is a really great topic, I know i found it a little late, but Thank You! I agree that it is important to be honest with our primary care docs. I have a great relationship with my PC , but he has never asked me mental health questions. There is a question on the patient form, but that has been my experience. How can we get more docs to take a larger view of the patient as a whole, thus generating naturally to the personal questions that are necessary to get to the emotional problems?

  60. So, you're gonna be angry with me, but I don't have a primary doctor. My personal interaction with most doctors when I have a health issue is being told "You're young. It will heal." and when I go back in later, with it not being better, I get the same line. There is very little in the way of "Let's work to figure this out." that has ever come from a doctor for me. So, now I go to urgent care. I'm currently needing to go back in for my checkup (the first one I'll keep to) over a lower back issue that has spanned years of my life at this point. I can't stress enough how important a good, and genuine doctor is to having us "millennials" actually want to return. Being told time and time again that my back will just get better because I'm young, and being brushed off when I say it isn't, is exactly why I don't trust I'll get the care I'll need when I go in to see a doctor. I don't pretend to know what it takes to be a doctor, and I can imagine that having younger patients (<30) can lead to hearing all kinds of lies and question dodging. That shouldn't then translate into treating that age group like they are lying or negatively when they come in. I have mental health issues (a HUGE taboo when I was growing up), so maybe it's causing further health issues, but i find that I just get the mental eye roll (and sometime the actual thing) when I mention that to doctors. So, to bring this to the video topic, If doctors want there patients (especially their younger ones) to be open and honest, they should do the same for the patient, and actually work to find the issue. Because if my issue is mental, I want that to be the focus of my recovery and not have eyes rolled at me.

  61. There 100 percent is a connection between physical and mental health. I feel anxiety in my stomach and my forehead. depression feels physically heavy on my shoulders and upper back. It's hard to describe.

  62. Mike, 2 questions.

    Most of my current illnesses are endocrine related and I love my endocrinologist. The last time I saw a pcp, they told me that aside from vaccines, they felt like I had a really good doctor already who was acting as a pcp and endocrinologist for me, and suggested that I just stick with him. Is this ok?

    Second question, I had a horrible reaction to a flu vaccine, and it was suggested after another reaction to a different vaccine that I'm allergic to vaccines grown on egg medium. How can a patient know what vaccines are grown on egg medium in advance and are there alternative vaccines that aren't grown on that medium?

  63. I have a central prolapsed disc and I've had it for almost 15yrs. I'm constantly in pain and I've had 2 rhizotomies but the last one didn't do anything. What's your opinion in surgery to help and relieve the pain?

  64. For what it's worth, I have a LOT of physical issues that cause a ton of pain. To the point where I take high levels of nsaids and a TID dosing of Gabapentin with the occasional dose of kratom for super bad days. Once I was able to get treatment for my mental health, a lot of my pain eased up. I have severe anxiety in multiple forms(including panic disorder) and once I found a med that actually helped that a good bit of my back pain eased up. Obviously not all of my pain is gone and my pcp and I are still figuring out what is going on, but having even that relief had been drastically beneficial.

    I've also noticed that high stress increases my pain levels. Its a whole adventure!

  65. Thank you this really help me alot thought I was loosing it.hahaha this is what up.doctor yuh keep you keep it 100%

  66. Thank you so much for advocating for the importance of seeking medical care. Because of your videos I stopped putting off my health and just had my first appointment with my new PCP a few days ago. I was having chronic lower thoracic back pain and was also diagnosed with postpartum depression (again ?) so I feel the two could be related. I love seeing doctors like yourself so open to talking about mental health since it’s been such a taboo subject and I feel like that needs to change. I hope you’re doing well and I can’t thank you enough for your videos giving me that extra push to establish care and get help?

  67. This is exactly what my yoga instructor was going on about! You can exercise and practice yoga all you want but it’s not going to always help take pain or tension away like a relaxed mind condition will do.

  68. My therapist is always on his phone texting , or has to leave early so our session is only like 30 mins. Instead of a full hour! I have a new therapist which doesn’t talk about any of the things that need to be discussed and it’s so frustrating because I want to get better and they are just no help… I’m getting fed up!

  69. Hearing about this mind-body relationship (and especially how your mind can create symptoms to distract from the unconscious stresses) reminds me of how a person with dissociative identity disorder can have incredible changes between identities including a change in eye colour or gaining or losing a severe allergy

    I've been really enjoying watching these videos and learning so much interesting stuff, thanks for putting all of this information out there in such an accessible way!

  70. I feel like in Germany we have a problem in the opposite direction. In know several people who had actual neurological problems or gastritis etc. where the doctors didn't believe them or tried telling them they are just stressed. I had terrible pain in both legs for three years, but because of my history with depression barely anyone believed me or wanted to only work on a mental level. Just recently I found out that the tissue in my lower back was hardened which had very negative impact on the nerves in my legs. I am now treating it. Also: sometimes if you have both mental and physical illnesses, maybe the physical problems caused your mental ones. Like if you are in bad pain for a longer time, it's possible to have depression as a result.

  71. I have an elbow pain that's been going on for 6 months and when I checked it on ultrasound about 5 months ago, it wasn't there. Whenever I straighten my elbow it makes that clicking noise and it often hurts. I have been diagnosed with anxiety and depression 2 years ago and it has gotten worse since the injury happened (at least for depression). I can't tell if it's the mind playing tricks on me or if it's still there. The injury happened when I was practicing on basketball and it was basically an overuse on the wrist and elbow which may have caused an elbow injury. It was probably caused by the lack of wrist or shoulder strength too.

  72. I have anxiety and I have learned to notice when my body starts reacting before the racing thoughts even surface. My jaw clenches, my heart/chest area feels tight and tingly, sometimes my palms sweat.

    I used to have very tight shoulders. It was annoying when people used to tell me to "relax your shoulders!!" because to me, they were relaxed! I just carried a lot of my stress and anxiety in my shoulders so they looked like they were always tense even when I was at rest. I've been able to loosen them up with Barre exercise. It's just crazy how much I have recently been noticing how my body reacts to my mental state.

  73. Hi Mike, I was curious to know if there was any science behind the reason we procrastinate when we know there’s no benefit and the only consequences are bad. By the way, I love your videos, they’re very informative and so interesting so thank you for doing what you’re doing ?

  74. hey doctor mike Im 15 and i was wondering I get back pain (mostly lower)sometimes Imostly when im idle like standing in one spot for too long and not doing much and when I lie down I can feel all the pressure release from my back even if I didn't notice the pain earlier (my dads side of the family has a history of back pain and back issues) now I also struggle with anxiety and get stressed alot could there be a connection between the two or is it just genes and posture.(sorry if this is a dumb question)

  75. Switching my children to a family doctor from a pediatrician was the best decision we ever made. It helps due to our doctor knows the whole family and can take the fact that I have a child with special needs into account. She spot my anxiety from a mile away after getting to know our whole story.

  76. I appreciate this video. It can also work the other way – body-mind connection. I had low grade physical symptoms for years that I assumed must be mental or emotional in some way. Eventually I got really, really sick. Most docs assumed I must be anxious or depressed (I wasn't at the time, but I didn't have a better reason either). One doctor realized I got really sick when I moved. It turns out I was living in a house with mold from water damage, and I'm really reactive to mold and allergic to some strains. It's easy to confuse subtle physical feelings for mental/emotional ones and vice versa, because physical sensation and feeling (mentally/emotionally) are wrapped up together. All the "feelings" I'd dismissed for years were largely physical symptoms when I was reacting to a moldy environment (for instance, exposure triggers the sympathetic nervous system/causes dysautonomia – my heart rate shoots up, feel sweaty, sometimes vision changes – which feels an awful lot like "anxiety outta nowhere"). Treating the physical symptoms cleared up the mental/cognitive component – it was physiological, not psychological. I couldn't believe it after struggling so hard for so long and truly believing it was all in my head.

    I feel lucky to have had a doctor take the time to talk to me and catch a problem that no one – including me – caught for years. (3 cheers for good doctors!)

  77. Do you have a list of colleagues or people outside the new York/New Jersey area that you would recommend that share your passion in providing a holistic and encompassing approach for their patients?

  78. Dr. Mike you took me back when I was taking psychology class in college. I remember learning about ghost pain known as phantom pain. Which is a person who is having pain in a limb that is no longer there. I believe that like you said, it has to do with your mind. Great video and as always lots of blessings to you and your family. Hugs for Roxy and Bear.

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