Around the Edge of Too Much Caffeine?
My inspiration for penning this article is reply to the many incidents inside my clinical practice treating people who have panic attacks and under-diagnosed caffeine intoxication. When a new client reports high anxiety it tends to go exactly the same: The customer has session complaining of anxiety and panic symptoms with plenty of reports of panic attacks and follow-up visits together with the psychiatrist, pleading for anti-anxiolytic medications. Lots of people haven’t heard of the physiological consequences of consuming a lot of caffeine, and exactly how they’re commonly mistaken for panic attacks and anxiety symptoms. Restlessness, nervousness, excitement, insomnia, flushed face, muscle twitching, rambling flow of speech, increased heartrate and psychomotor agitation among others. They are the same as panic-like symptoms (Association, 2013).
Caffeine helps you get up given it stimulates some other part of our bodies. When consumed, zinc increases the neurotransmitters norepinephrine from the brain, producing a higher level making it be alert and awake. Caffeine produces the same physiological response as you were stressed. This leads to increased levels of activity from the sympathetic neurological system and releases adrenaline. The same response you can find on a stressful commute to operate, or seeing a snake slither across the path on the hiking trip. Caffeine consumption also minimizes the quantity of Thiamine (Vitamin B1) within the body. Thiamine is often a known anti-stress vitamin (Bourne, 2000).
While writing this article one morning I observed the fishing line at my local restaurant. The long line wrapped throughout the store jammed with individuals trying to awaken, desperate for their daily caffeine fix. Many ordered large-sized coffee cups, most of which included caffeine turbo shots to assist them survive their mornings. Now how should we know when we’ve had a lot of caffeine? Most assume their daily level of caffeine has little if absolutely nothing to employ their daily emotional health.
Let’s discuss how many milligrams have been in a regular average sized 8 oz cup of coffee:
Instant coffee = 66 mg
Percolated coffee = 110 mg
Coffee, drip = 146 mg
Decaffeinated coffee = about 4 mg
Caffeine can be found in many different sources aside from coffee. The average cup of tea based on the color along with the amount of time steeped contains roughly under 40 mg of caffeine per serving (Bourne, 2000).
Many popular soda drinks also contain caffeine:
Cola = 65 mg
Dr. Pepper = 61 mg
Mountain Dew = 55 mg
Diet Dr. Pepper = 54 mg
Diet Cola = 49 mg
Pepsi-Cola = 43 mg
Even cocoa has about 13 mg of caffeine per serving (Bourne, 2000). Energy drinks have high caffeine levels and should be monitored also. To find out your total caffeine intake multiple the number of consumed caffeinated beverages from the indicated average caffeine levels in the list above. Understand that a single serving equals 8 oz. Just because you’re consuming one large cup doesn’t mean a couple of seconds counts together serving!
According the newest Diagnostic and Statistical Manual of Mental Disorders (DSM-V) Caffeine Intoxication can be a diagnosable mental health problem. Most of the clients I treat for assorted anxiety-related disorders concurrently belong to the caffeine intoxication category. They eagerly seek psychiatric medication to reduce anxiety symptoms without first being assessed for lifestyle and daily stimulant consumption. The DSM-V’s criteria for caffeine intoxication means anybody who consumes a lot more than 250 mg of caffeine a day (compare your average caffeine level to 250 mg to gauge the quantity of caffeine consume daily) (Association, 2013). After just two glasses of drip coffee you already meet the criteria for caffeine intoxication! It’s recommended that folks without anxiety problems consume lower than 100 mg of caffeine every day. If you have anxiety troubles you ought to have 0 mg of caffeine each day in order that the anxiety arousal system isn’t triggered by anxiety-induced substances.
A lot of the clients who report struggling with panic disorder recall at the time they’d an anxiety attack which they usually consumed an extra caffeinated beverage, in comparison to the days without panic and anxiety attacks. Once a client is assessed for caffeine intoxication the primary steps I take is to develop a behavioral plan to conserve the client reduce their daily caffeine. Many my clients let me know anytime having lessen their caffeine they presently feel better much less anxious. After the client is as a result of 0 mg occurs when I could finally ascertain perhaps the anxiety symptoms are related to anxiety, caffeine intoxication, or both.
If you meet the criteria for caffeine intoxication there are lots of ways you can lessen your caffeine levels. High doses (specially those inside the caffeine intoxication zone over 250 mg) are greatly vulnerable to caffeine withdrawal symptoms for example headache, fatigue, depressed or irritable mood, difficulty concentrating and muscle stiffness (Association, 2013). It’s recommended to slowly reduce your level of caffeine to minimize withdrawal symptoms. For the best results try cutting down by one caffeinated beverage a month (Bourne, 2000). For instance should you consume five servings of coffee per day try reducing to four cups every single day for a month, then into three cups every single day for the following month and continue until you are near least under 100 mg if not 0 mg.
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