Friedman MJ
Department of Psychiatry, Rowan University School of Osteopathic Medicine, USA
Publications
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Research Article
Parasympathetic and Sympathetic Nervous System Monitoring and Anxiety Like Symptoms: Improved Differentiation and Improved Outcomes
Author(s): Colombo J*, Murray GL, Pinales JM, Acosta C, Lill R, Friedman MJ and DePace NL
Anxiety disorders (DSM-5) and disorders having anxiety laden symptoms (e.g., PTSD and attention disorders) often include several physiologic symptoms which involve the Parasympathetic and Sympathetic nervous systems (P&S). Our research has identified four P&S disorders that are associated with these symptoms: 1) Sympathetic Excess (SE) secondary to Parasympathetic Excess (PE) as an abnormal stress response, 2) Sympathetic Withdrawal (SW) upon assuming headup posture (standing) associated with Orthostatic Dysfunction, 3) SE upon standing associated with Syncope, and 4) Autonomically mediated cardiac arrhythmia, including Sinus Arrhythmia. All four disorders involve poor brain profusion which is known to contribute to Anxiety-like symptoms. They also contribute to (sub-clinical) depression, another frequent co-morbidity. Resting and challenge P&S responses were assessed noni.. Read More»