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O programa “Checopsod” aborda a crescente ansiedade no Brasil, que é considerado o país mais ansioso do mundo, com mais de 18 milhões de brasileiros afetados por desordens de ansiedade, segundo a Organização Mundial da Saúde. Fatores como desemprego, violência urbana e pressão das mídias sociais contribuem para esse cenário. Especialistas, como a psiquiatra Natalia […]
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00:00Hello, good morning.
00:03Our health checkup is starting now,
00:05the program that puts you face to face with the greatest health experts in Espírito Santo.
00:13What makes you anxious?
00:16What makes me anxious is not knowing how long it will take me to get to the place.
00:20Traffic.
00:22Traffic is really heavy.
00:24The fear of not having enough money to pay the bills at the end of the month,
00:27the amount of information we have access to.
00:31Anxiety comes from the survival of the species.
00:36So, anxiety makes me have answers for a certain dangerous situation.
00:42The list of situations that can make a person anxious is huge.
00:50It is no wonder that anxiety was chosen as the word of the year in 2024.
00:54The researchers interviewed more than 15 Brazilians and among the five words selected,
01:00anxiety came in first place.
01:06This word really reflects the moment we are living as a society, right?
01:11It is not just an individual issue.
01:15So, as a society, we live under pressure from social media, climate pressure, time pressure, right?
01:23Pressure from artificial intelligence.
01:27So, we see this much more as an issue that needs to be understood, right?
01:31By governments, by companies, by society as a whole, not as an individual disorder.
01:40Anxiety defines Lara's year well.
01:43In the last few months, she has accumulated important functions,
01:48studied her last year of law school,
01:50did an internship and had to study a lot to pass the OAB exam.
01:56Many, many hours of study, a lot of stress and anxiety,
02:00many hours of sleepless nights worrying about all of this
02:03and also many sacrifices and giving up time with family,
02:06friends, physical exercise,
02:09because advising on everything is a real challenge.
02:14Anxiety can show physical signs.
02:17The most common are accelerated heartbeat,
02:20shortness of breath, sweaty hands and
02:24insomnia.
02:28This anxiety usually left me, you know,
02:31with butterflies in my stomach,
02:33that feeling of nervousness and even a feeling of paralysis at times
02:36and wow, so many things.
02:42Or when your mind seems to be going far away.
02:46Welcome to Checkup Saad.
02:49Did you know that Brazil is considered the most anxious country in the world?
02:54According to the World Health Organization,
02:57more than 18 million Brazilians suffer from anxiety disorders,
03:00representing more than 9% of the population.
03:05To make matters worse,
03:06a survey conducted by IBGE revealed that
03:0940% of Brazilians report high levels of daily stress.
03:13So, how do you deal with this?
03:16In today's health checkup,
03:18we spoke with psychiatrist Natalia Sobriño-Gurgel
03:21and psychologist Renata Bedrin.
03:23Let's talk about this topic, folks.
03:25Welcome.
03:26Thank you.
03:27It's a pleasure to be here.
03:28Thank you very much, doctor.
03:30We want to start by finding out
03:32what are the main factors that contribute to our country,
03:35Brazil,
03:36being the most anxious country in the world.
03:38Is that right?
03:40Are these figures surprising?
03:41Exactly.
03:42Well, anxiety is multifactorial,
03:45so there are several factors that contribute.
03:48In Brazil, specifically,
03:50we have the issue of high unemployment,
03:52right?
03:53Which has been increasing urban violence,
03:55right?
03:56So the instability of the economy,
03:58all of these factors can be associated,
04:00right?
04:01With the increase in anxiety here in Brazil,
04:04which are external factors,
04:05right?
04:05And then the person has to deal with this,
04:07the environment,
04:09the environment in which they live,
04:10work factors,
04:11right?
04:12There has been a lot of talk about the psychosocial risks of work now with the new law,
04:16right?
04:17On mental health.
04:18It is also the workers' obligation to do this type of control.
04:22You talk about unemployment,
04:23so it is this whole combination.
04:25Exactly.
04:26And there is also the issue of home office,
04:28right?
04:28With the advent of COVID.
04:30Well,
04:30we see that home office causes greater isolation,
04:33reduces social interaction,
04:34right?
04:35Increases isolation.
04:37So,
04:37we also see this factor in practice that it has contributed a lot to increasing anxiety,
04:42right?
04:43In fact,
04:43we advise many patients.
04:46Those who can choose the hybrid regime today are much more interesting,
04:50because it is very important to have social interaction,
04:53to interact with people and not only through screens.
04:57So,
04:58folks,
04:58here is the message.
04:59For those of you who are afraid of going back to the classroom,
05:02here is a tip from our psychiatrist.
05:05It is good for the mind to interact with other people in the work environment.
05:09And we want to know from our psychologist Renata how daily stress,
05:13right?
05:14Daily in our lives impacts mental health in the long term,
05:17because every day we get stressed about something,
05:20right,
05:20Renata?
05:21Yes,
05:22it is stress.
05:25It goes like a bead,
05:26a dropper,
05:27little by little,
05:28filling the cup until it overflows.
05:32The problem is not having stress,
05:34because stress is part of life.
05:36The problem is when this stress is constant and we do not have time,
05:40our mind or body,
05:41to recover.
05:44And then we start to have changes in the quality of our sleep,
05:48difficulty concentrating,
05:50irritability,
05:50anxiety,
05:51and may even have depression.
05:54Oh my god,
05:56everyone is lost.
05:57So that's it.
05:58That's it.
06:00So we have to learn to do what she said,
06:02right?
06:09It's social contact,
06:10physical activity,
06:12breaks during the day so that our minds can get away from this rush,
06:15right?
06:16That we're in these days with social media,
06:18answering emails,
06:20WhatsApp,
06:21it overloads our minds so much that we forget to rest and relax.
06:28And you mentioned physical exercise and diet.
06:32Guys,
06:33does eating a little chocolate,
06:34eating something tasty improve our mood and really reduce stress?
06:38I'll tell you later today here at Checkup Sod.
06:41Now let's answer the questions people have on the streets.
06:44Let's look at the first question.
06:46My name is Nilcea.
06:49I would really like to know if excessive use of cell phones on social media increases anxiety,
06:54makes it
06:56worse.
06:59There are some studies that show that it does.
07:01but what we see in practice is that people use this a lot as an escape valve and often
07:05this activates our reward circuit.
07:11So people end up using social networks and games,
07:14which provide a rush of dopamine,
07:16right?
07:17Which generates a feeling of pleasure and this provides positive reinforcement
07:20and often leads people to develop an addiction,
07:23right?
07:25Today,
07:26the rate of addiction to social networks and online games has increased a lot because of
07:31this circuit.
07:32So,
07:33what I observe in my practice is that people use this to relieve anxiety,
07:37but often the spell backfires.
07:46It creates other problems and then it doesn't solve the anxiety because it's a solution right
07:51away,
07:52but the person keeps using it in an increasingly harmful way and often develops a dependency.
07:58So it ends up creating another problem.
08:01Be careful with games,
08:02okay people?
08:03There's a lot of stuff going on there.
08:04You have to be careful because your cell phone is available all the time.
08:08And this is the warning the doctor gives.
08:10Be careful with addiction.
08:11We want to know from our psychologist,
08:13Renata,
08:14what are the signs that daily stress is becoming a serious problem?
08:18Because,
08:19people,
08:19who isn't stressed,
08:20right?
08:20Now,
08:21when is it serious?
08:23When it goes beyond the limit,
08:24I have to be alert,
08:25especially when looking for a specialist,
08:28right?
08:28I can't manage it alone.
08:32Well,
08:33we realize when it's going too far when stress starts to affect other areas of our lives,
08:38right?
08:40So,
08:41what I said,
08:42the quality of sleep gets worse.
08:44Well,
08:45your appetite can change.
08:46You have anxiety attacks.
08:49So,
08:49imagine a person who is already tired.
08:52Then he works all day responding to 1,000 demands.
08:55Then he gets home,
08:57loses it and gets irritated with his children because he couldn't rest.
09:01Then he goes to sleep,
09:03but he can't,
09:04because of so much stress the tiredness doesn't go away with sleep,
09:07because the quality of sleep is bad.
09:10Then it turns into a snowball effect,
09:12and he loses the pleasure for the things that used to give him pleasure.
09:17So,
09:18when these things happen,
09:19it's time for you to think.
09:20No,
09:21I need to take care of myself.
09:23See a psychologist or try meditation,
09:26breathing.
09:30We have some techniques that help,
09:32but it's good to turn on this alert and start thinking.
09:35No,
09:35this is getting in the way of my life.
09:37It's getting in the way of my family life.
09:40It's getting in the way of my free time.
09:43And doctor,
09:44she said,
09:45right?
09:46Time to see a psychologist.
09:48We brought here a psychiatrist.
09:50Who is a doctor and a psychologist?
09:52And we're talking about the same subject,
09:55managing stress,
09:56anxiety.
09:57What is the psychologist's field?
10:00What is the psychiatrist's field?
10:02I think that many people at home still don't make the difference between these two specialties.
10:07Yes.
10:08Well,
10:08what does psychiatry treat?
10:10A mental disorder.
10:13Anxiety,
10:13stress is not a mental disorder,
10:15but it can trigger a mental disorder.
10:18From the moment a person has anxiety,
10:21they start to have physical and mental symptoms,
10:23such as irritability,
10:25anxiety,
10:26loss of concentration,
10:28a lot,
10:29a lot of irritability.
10:31This is a very common trait.
10:33The person starts to lose their pleasure in life.
10:36They start to have many changes in sleep,
10:38appetite,
10:40hair loss,
10:40etc.
10:41It's a series of factors.
10:45Often,
10:46the patient first seeks out a psychologist,
10:48and the psychologist will help them create strategies to deal with stress,
10:52often preventing this stress from developing into anxiety.
10:56If it is identified that the individual does in fact have anxiety,
11:01they will also need treatment with a psychiatrist.
11:04Because anxiety treatment has to be medication in most cases, right?
11:08Not 100%,
11:09but in most cases,
11:11yes.
11:11Broadly speaking,
11:12the psychologist is the one who treats with therapy,
11:15and the psychiatrist is the one who will prescribe medication if the person is unable to self-regulate.
11:21Exactly,
11:22because it is important for us to know that anxiety involves the entire chemical system of the brain,
11:27including serotonin,
11:29noradrenaline,
11:30dopamine,
11:31etc.
11:32Well,
11:33there is a chemical dysregulation and this chemical dysregulation is treated with medication,
11:38which is antidepressants that will regulate this chemistry again and make the patient return to normal.
11:44So,
11:44that's basically it.
11:46And it is important to remember that the psychiatrist is also there to listen,
11:50right?
11:50Because many times the patient says,
11:52ah,
11:53I don't know whether to tell this to the psychologist or the psychiatrist.
11:56And the psychiatrist needs to have time to listen,
11:59because many of the demands that led that individual to the anxiety condition are related to work factors,
12:04social factors,
12:06relationships.
12:08So I need to listen in order to understand what caused that anxiety and be able to treat it with
12:13medication,
12:14but also by listening,
12:15right?
12:16Also proposing strategies for changing life,
12:19improving quality of life,
12:20because it does a lot.
12:22It is very important for the psychiatrist to also listen,
12:25right?
12:25I say this because many people have the idea that psychiatrists only prescribe medication,
12:29but psychiatrists also need to listen.
12:30Now,
12:31I think you mentioned medication for depression,
12:34right?
12:34Well,
12:35we need to differentiate between what anxiety is and what depression is.
12:40And I see many people who are diagnosed with anxiety and have to take medication for depression,
12:45are afraid to take this medication and don't adhere to it.
12:50Hey,
12:50I don't have depression,
12:52I'm not going to take this medication.
12:55How can we reassure patients so that they really believe that anxiety is something that can lead to the need
13:00for medication?
13:03What do I explain to my patients?
13:05Well,
13:06both anxiety and depression are caused by the same changes,
13:10which are in the system that I call serotonergic,
13:12which involves serotonin,
13:14neurodrenaline,
13:15and dopamine.
13:17Today,
13:18there is no medication that is anxiolytic to treat anxiety.
13:23What treats this whole range of hormones are antidepressants.
13:29So antidepressants are just a class of medication that treats serotonin and other symptoms.
13:34And they are the ones that will treat your anxiety,
13:37because 70% of people who have anxiety have some degree of depressive symptoms,
13:41even if mild.
13:43Sometimes it's fatigue,
13:45sometimes it's a loss of energy,
13:47it's something very subtle,
13:48but if we investigate,
13:50more than 70% of people have associated depression,
13:53even if mild.
13:55So today,
13:56what treats anxiety is antidepressants,
13:59because they are the ones that act on the cause of the illness.
14:02For the first time in history,
14:04the records of anxiety among children and young people exceed those of adults.
14:08The data are from the Seuss Psychosocial Care Network.
14:12Check out the report by Gabriel Cavallini and Diego Cimel.
14:20The diagnosis of generalized anxiety disorder for Marceline came in the worst possible way.
14:27While I was getting ready for her party,
14:29she started having an arrhythmia, right?
14:31Her heart started racing really fast and she started saying that her heart was hurting.
14:36Then I got desperate, right?
14:38An electrocephalogram was done.
14:41Her electrocephalogram,
14:43uh,
14:43showed that she had had a heart attack.
14:46However,
14:47as the pediatric cardiologist who treated her,
14:50he told me to disregard the fact that she was actually having an anxiety attack,
14:54since the machine that performed the exam was not configured for a child her age,
14:58which was 5 years old.
15:01Today Vittoria is being monitored and is doing well,
15:04but there are still some challenges for the family.
15:06In addition to anxiety,
15:08Vittoria also has other diagnosed disorders, such as ADHD.
15:12This means that the family has to adapt.
15:15In order to convince her to come sleep in her own room,
15:17for example, it was necessary to make some concessions.
15:21For example,
15:23she demanded that there be a television here so she could watch,
15:26a mirror so she could put on her makeup.
15:30And even this sheet here,
15:31look,
15:32is a demand of hers,
15:33because she uses the sheet to make a kind of little hut when she wants to be alone.
15:37Here we see two backpacks on top of this bed and there is also a third one,
15:42which is exactly the backpack that Vittoria is using at school right now.
15:46This is a way that the family found to encourage her, so to speak, to go to school every day.
15:53In total,
15:54Vittoria has four diagnosed disorders,
15:57generalized anxiety disorder,
15:59TAD,
15:59oppositional defiant disorder,
16:01known as TAD,
16:02autism spectrum disorder and ADHD,
16:05which is attention deficit hyperactivity disorder.
16:09To make matters worse,
16:10her hyper-focus,
16:12accentuated by ADHD,
16:14is on her own mother,
16:15who also suffers from anxiety.
16:16She gets out of control,
16:18and ends up getting out of control,
16:20but I am the adult,
16:21so I have to have the support to regulate her.
16:23But it is not easy.
16:25Data from the Ministry of Health makes it clear that cases of anxiety and stress among children and
16:30adolescents have increased in recent years.
16:33For Michelle,
16:34who is a specialist in behavioral psychotherapy,
16:37this increase has a few explanations.
16:40A very conflictive environment with no routine,
16:42no schedules,
16:43right?
16:44For sleeping,
16:44as I said,
16:45for sleep,
16:46it's important to have a meal schedule,
16:48right?
16:49A schedule for exercising,
16:50doing physical activities,
16:52playing outside,
16:53whatever,
16:54right?
16:56So all of this helps,
16:58right?
16:58So that a child can be calmer or a little more anxious,
17:01right?
17:03There's
17:04no denying that disorders require a certain capacity for adaptation on the part of the family,
17:09but with love and affection,
17:11it's possible to ensure healthy growth for young people.
17:19Renata,
17:20what influence does the environment and life experiences have on the development of anxiety?
17:26So,
17:27yeah,
17:27it's one.
17:28Anxiety comes from a set of things.
17:30It comes from genetics,
17:32the environment and life experiences.
17:34And the environment plays a crucial role in this.
17:39So,
17:40a child who lives in a dangerous,
17:42unstable environment,
17:43with a lot of pressure,
17:44whether academic or performance related,
17:47learns that the world is a dangerous place.
17:52And then the brain turns on the warning signal,
17:54which we say is the most primitive part of the brain that we use when we need to survive,
17:59which comes from our ancestors,
18:00when we lived in the jungles,
18:02when we had to run away from a lion.
18:07So when this warning signal turns on,
18:09we go into fight or flight mode.
18:13So,
18:14our heart rate accelerates,
18:15our breathing becomes labored,
18:17some people sweat,
18:18we have a feeling of loss of control.
18:22So,
18:23the child who lives in this environment,
18:25he starts to think that the world is dangerous.
18:28But the good thing about all this is that our brain is plastic,
18:32yes,
18:33there is neuroplasticity.
18:38So,
18:38when we give emotional support,
18:40teach the child resources that can deal with anxiety,
18:44we can find this balance,
18:45and then the child goes back to living in a calmer environment.
18:51And you can even take the child to a psychologist,
18:53if necessary,
18:55a psychiatrist.
18:56And this also helps the child to become more balanced,
18:59without anxiety.
19:00And the adult,
19:01doctor,
19:01how can we help?
19:02What tips do we give?
19:04So,
19:05it is very important to exercise,
19:07right?
19:08There is scientific evidence that it helps both prevent anxiety and treat existing anxiety.
19:15Well,
19:16there is also evidence about diet,
19:18right?
19:18The Mediterranean diet,
19:19a diet focused on consuming fiber,
19:22vegetables,
19:23greens,
19:24right?
19:24Especially an anti-inflammatory diet.
19:26We know that in a case of anxiety there is inflammation and that this inflammation is widespread,
19:31including in the intestinal tract,
19:34which often impairs the absorption of nutrients.
19:37So,
19:38a balanced diet is very important for these patients,
19:41along with monitoring with a nutritionist,
19:43and sleep,
19:44quality sleep.
19:46Quality sleep has nothing to do with time,
19:48right?
19:49Quality sleep,
19:50Often people sleep little,
19:52but they sleep well.
19:53So it is up to the person to start self-observation.
19:56I wake up tired,
19:57right?
19:58I dream too much at night.
19:59Often,
20:00a person who dreams a lot is a person who does not have good quality sleep,
20:04because sleep occurs in superficial sleep and our sleep is divided into superficial and deep sleep.
20:09And it is important that sleep has adequate physiology so that we can recover.
20:14So there are many factors that we need to observe,
20:17which is why it is important to have a professional monitoring you.
20:21But I would say that these three factors,
20:23sleep,
20:24diet and physical activity,
20:25are the basis for improving mental health.
20:29So if you are at home,
20:31enjoy your Sunday,
20:32put on your sneakers,
20:33go for a walk,
20:34take care of your diet and sleep.
20:36We are going to take a break,
20:38and I will be back shortly to talk about myths and truths.
20:42Our experts will tell you whether tea and chocolate can alleviate anxiety or stress.
20:47Wait for me.
21:01We are back with the health checkup.
21:03We are going to talk about myths and truths when it comes to stress and anxiety.
21:09Doctor, we want to know.
21:11Eating chocolate improves your mood and reduces stress.
21:14True.
21:16Yes, chocolate can trigger that release of dopamine that I mentioned,
21:20and this often brings an immediate feeling of pleasure.
21:26The big issue is that this activates that reward circuit
21:29and people often develop a compulsive eating disorder for sweets
21:32because of this feeling of pleasure that obviously won't cure you.
21:36That brings immediate relief.
21:37But anyway,
21:38it's not something we recommend.
21:42I think it's important to understand what the limit is there,
21:45because one thing is eating chocolate during the day.
21:47Another thing is that many patients bring it.
21:50I can't control myself if I open a chocolate bar,
21:53until I finish that bar,
21:54I can't stop.
21:57So we need to understand there what is within a normal range
22:00and what is dysfunctional.
22:03Now, everyone must have heard that advice.
22:05If you're nervous,
22:06drink some tea,
22:07drink some chamomile tea,
22:09drink some lemon balm tea.
22:10We want to know if drinking tea can cure anxiety,
22:13myth or truth,
22:15doctor?
22:15True.
22:16There are teas that have calming properties,
22:18right?
22:19So there is chamomile tea,
22:21lemon balm tea,
22:22and floral tea.
22:24These are teas that can help,
22:26and we even recommend certain treatments,
22:28not as the only treatment,
22:30but as an adjunct treatment.
22:32So for many patients,
22:34this is how it works,
22:35it is something positive.
22:37Folks,
22:38the Espirito Santo Health Department clarifies that stress in itself is not considered a disease.
22:43And anxiety,
22:45although it is a condition that deserves attention,
22:47is not a mandatory report,
22:49which ends up making it difficult to obtain accurate data on new diagnoses in the state.
22:55César reinforces that it follows the national mental health policy focused on care and support for people with mental disorders.
23:04The main gateway for this care is the basic health unit closest to your home.
23:10Now,
23:11if the cases are more serious,
23:13they are referred to the psychosocial care centers,
23:16the CAPS,
23:17which offer specialized treatment and ongoing support to those who need it.
23:22So,
23:22if you are feeling stressed or anxious,
23:25be sure to go to the health unit in your neighborhood.
23:28Always seek help from a specialist.
23:30I'll stop here.
23:32You can watch the program again on Folia Vitoria's YouTube channel and next week there will be more recap sod
23:37at 1030.
23:38I'll be waiting for you.
23:40Thank you,
23:40Renata.
23:41Thank you.
23:42Thank you,
23:43Doctor.
23:43I'm the one who's grateful.
23:44Have a good Sunday,
23:46everyone.
23:46Take your walk.
23:48I'm the one who's grateful for your work.
23:48I'm the one who's grateful for your work.
23:59I'm the one who's grateful for your work.