drpat @live.ca
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    • Thermography extinguished
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  • Welcome page
  • Walk In / One time patient form
  • New Patient Form
  • Virtual Visits
  • Bio
    • About...
    • Competence
  • Best bang for your buck
  • Fascinating Folk
    • Farewell to Flatass
  • Old Old Newspaper articles !
    • Nishga news
    • Hijacked
    • Whiplash and Train-Neck
    • ARTICLE STUFF
  • Covid
    • Covid Controversies
  • Medical Bloggy stuff
  • Testosterone
    • How to tell if you have low T
    • Testosterone for Geezers
    • Testosterone for twits
    • Trump Teeny T hands
    • T questions & answers
  • For Men Only
    • Touch me !
    • Deadpool talks balls
    • Dear Penis
    • Napoleon's Penis
    • Vasectomy
    • Sick Dick Pics
    • MAN STUFF
    • MEN & DEPRESSION
      • Depression & Exercise
      • Depression in men is different
      • Depression & Exercise
      • Cognitive Therapy
      • St. Johns Wort for Depression
      • Depression, Exercise, and the Internet
      • Stress
  • Prostate watching increases mets but not death
    • Prostate Puzzles
      • Prostate Ca Overview
      • If I were Tom
      • Prostate Ca Overview
      • Prostate Ca Overdiagnosis
      • Prostate Ca treatment works
      • PSA Testing
      • Prostates 101
      • Prostate Cancer
      • Prostate biopsy
      • PSA Staging
      • Balding and PSA
      • Finasteride cuts Prostate Cancer Risk
    • If you are male and fifty ....
      • Balding
      • Premature ejaculation
      • Erectile Dysfunction
      • Erectile Dysfunction Slideshow
      • Ken & Barbie
      • The "Slut" Gene
  • A Tale of Two Speeches
  • A Tale of Two Goats
  • Benefits of alcohol
  • Obstructive Sleep Apnea
  • Covid
    • Mask Crazyness
    • Covid Phone App
    • Sex and glory holes
    • Covid 19 answers
    • Covid 19 videos
  • To Statin or not to Statin
    • Cardiac risk stratification
    • Coronary Artery Calcium
    • Non Fasting Cholesterol Testing
  • Acupuncture
  • Sex before hockey ?
  • Amazing ASA
  • Strep Throat,Mozart &Darwin
  • Columbus & Syphilis
  • Diabetes / Pissing Evil
    • Treatment of Prediabetes
    • Sugar bad for your seahorse
    • Diabetic Eating
    • Type 2 Diabetes Slideshow
    • Diabetic Neuropathy
  • Love and Armpits
  • Internet Addiction
  • Flu Vaccines
  • Sunburned Vikings
  • Vaccines & Cows
  • Coffee and stupidity
  • How Low is Low Enough ?
  • The SkepDoc
  • Up To Date
  • Poop transplants
  • Cancer Prevention
  • BRAINY STUFF
    • Brain Attacks
    • Autism
    • Tourette's
    • Prevent Alzheimer's
    • Exercise boosts old brains
  • FOODY STUFF
    • Weight loss - truths and myths
    • Fat Facts
    • Food Allergies
    • Vitamins - Men
    • Heart & chocolate
    • Vitamins - Women
    • Chocolate for Heart Failure
    • Brain & chocolate
    • Chocolate
    • Fruity Heart Health
    • Clear fluids diet
    • Healthy Cholesterol Eating
    • Tumeric
    • Evil Grapeffruit
    • Orphan Vitamin
    • Calcium hates men
  • SEXY STUFF
    • Contraception
    • Sexy Infections
    • Infidelity #2
    • Top Ten Men's Health Risks
    • Penis practices
    • Senior Sex ?
    • Sex Drive Killers
    • How Men Love
  • ACHEY STUFF
    • Osteoarthritis 2012
    • Achey Stuff
    • ITB Stretches
    • Patellofemorol Syndrome
    • Rotator Cuff Stuff
    • Shoulder exercises
    • Nocturnal Calf Cramps
    • Organic Steroids
    • Poppy Medicine
    • Scoping knees
  • QUIRKY STUFF
    • Jargon for Dummies
    • e-medicine
    • Cosmetic surgery
    • Medical Privacy
    • Halloween medicine
    • Healthy Honey
  • HYPNOSIS STUFF
    • What is Hypnosis ?
    • Hypnosis for Weight Loss
    • Questions and Answers About Hypnosis
    • Talking to the Almond - Hypnosis
    • Hypnosis and Pain Reduction
    • Hypnosis & Healing
    • Hypnosis to Stop Smoking
  • PREVENTION STUFF
    • Flu Shots
    • Wart Virus Vaccine
    • Stopping Smoking
    • Cell-phone brain
    • The "Checkup"
    • Cancer prevents Altzheimer's
    • Avoiding Old Age
  • Sleep
    • Video game sleeps
    • Causes of fatigue slideshow
    • Sleep Disorders Sideshow
    • Sleep Apnea
  • Secrets of Fire and Ice
  • Mind-Body Links
  • Breast Boats
    • Thermography extinguished
  • Secrets of the Placebo Effect
  • Germs Triumphant
  • Why your pancreas is amazing
  • FEVER STUFF
  • Puberty
  • The hearts electrical system
  • Exercise for your mind
  • Old Fart Fitness
  • Guidelines vs. Reality
  • Canada Ranks Last
  • Cannibis
  • Depression & Anxiety
  • Good videos
  • Kidney stones
  • Flu shots
  • Physical Debate
  • Chronic Pain
  • Porn
  • Whiplashes & Car Crashes
  • Medical Marijuana
  • Physician Assisted Death
  • Alcoholism
  • Light for Prostate
  • Homocysteine
  • Therapeutic needling
  • Trigger Point Injections
    • Trigger point injections
  • Chiropractic
  • Quack stuff
  • Atrial Fibrillation
  • Tired all the time
  • Antibiotic apocalypse
  • Malaria
  • Lung testing
  • Expired Drugs
  • Acupuncture
  • Science of depression
  • TMJ
  • Back Pain
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  • My favorite sexual complaint
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    • BriansBoardDelay
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Mind - Body Links 

Picture
 “It is much more important to know what sort of patient has a disease than what sort of disease a patient has.” 

 These words --published by a physician nearly 200 years ago - describe the mind-body connection that physicians deal with daily.  

All good healers know that the mind and the body are indivisible - what affects one will influence the other.   Personality and physiology, the mind and the body, are one.  Physicians have to consider the individual as a whole.  

When disease presents itself the whole person - body and mind - is disturbed.  And when the mind is troubled, it can create havoc with the body.  Or to paraphrase the Greek philosopher Democritus (460-370 B.C.) “ if the body were to sue the mind for cruel and unusual punishment, the mind would have to pay ”.  

This connection between the mind and the body is so well known to physicians that there is a whole field of medicine devoted entirely to it - the study of “psychosomatic” disorders.  The current official definition of a psychosomatic disorder according to the Diagnostic and Statistical Manual of Mental Disorders (DSM IV )  is “ psychological factors affecting a medical condition”.  

This does not necessarily mean that the condition is purely in your mind, although that particular disorder is also included.  Psychosomatic diseases cover the gamut of medical conditions.  They include acne, allergies, angina, arrythmias, asthma, blood pressure … all the way up to warts. In all of these conditions your mental state can affect how your body is doing.   

Aretaeus the Cappodician, personal physician to Alexander the Great, listed “vehement affectations of the soul, such as astonishment, fear, or dejection of spirits” as one of the six causes of paralysis.  From the 16th to the 19th century being a hypochondriac was quite fashionable, particularly among the English aristocracy.  Upper class Brits became such hypochondriacs that it was often referred to as the “ English malady”, along with other nicknames such as “the hyp”, the “fantods and megrims”, and the “vapours”.  Romantic swoons were particularly popular among young maidens.  

A medical textbook published in 1763 described such important medical conditions as “ the Harmful Effects of Suppressed Anger on the Body”, and the “Harmful Corporeal Effects of Unrequited Love”. ( I have had this one several times.)  Fortunately there were also treatments described in this text.  They begin with “ the Beneficial Corporeal Effects of Hope in Connection with Various Ailments”.  For more stubborn cases there was always “ Terror as a Therapeutic Agent”.  More modern psychosomatic complaints range from hypochondriacs to heart attacks.  

Pure hypochondriacs have been described as having a “sickness of the emotions”.  The patient’s subconscious mind creates symptoms.  The most extreme example of hypochondriasis is called Munchausen’s Syndrome, after a famous liar. ( A Baron, not a politician.) This condition leads people to become addicted to having medical treatments, including multiple surgeries.  Heart attacks are not generally thought of as psychosomatic illnesses, but the emotions and personality of a patient can play an enormous role in cardiac disease.  

The role of Type A personalities is familiar to most of us by now - the aggressive-compulsive personality with a tendancy to work long hours, to try and seize authority, and become extremely hostile when frustrated.  These personality traits lead to hormonal changes, rapid heart rate, high blood pressure, and can trigger a bout of angina or even a heart attack.  One very famous cardiac researcher made this connection several decades ago.  He realized that his own angina was made significantly worse by emotional factors.  His most famous quote was something like “ my life lies in the hands of the next idiot who chooses to annoy me !”

Peptic ulcers are another condition with an obvious connection to the state of mind of the patient, as are tension headaches, low back pain, PMS, and chronic pain.  Some connections are a bit more subtle, like asthma.  Although stress can make asthma worse, many psychiatrists feel there is something deeper than this.  They feel that many asthmatics tend to have a strong unconscious wish for protection and for envelopment by the mother or surrogate mother.  This mother figure tends to be oversolicitous, perfectionistic, dominating, and helpful.  (Of course, one must keep in mind that what psychiatrists know about asthma is about what the average astrologer knows about diesel engines.)  

There is no doubt that emotional and attitude play a strong role in the development of chronic disease  People with hostility, a feeling of inadequacy, or a grudge against the world always seem to do worse with any particular illness.  Optimists tend to be much healthier and happier in the long run.  So the main message to staying away from psychosomatic illness is to aggressively pursue a positive cheerful attitude.  Or as I tell my gloomy patients, “ there is no use being pessimistic - it probably won’t work anyway !”

Dr. Patrick Nesbitt



​Dr. Pat  Nesbitt, Vancouver, Canada ..... [email protected]
  • Welcome page
  • Walk In / One time patient form
  • New Patient Form
  • Virtual Visits
  • Bio
    • About...
    • Competence
  • Best bang for your buck
  • Fascinating Folk
    • Farewell to Flatass
  • Old Old Newspaper articles !
    • Nishga news
    • Hijacked
    • Whiplash and Train-Neck
    • ARTICLE STUFF
  • Covid
    • Covid Controversies
  • Medical Bloggy stuff
  • Testosterone
    • How to tell if you have low T
    • Testosterone for Geezers
    • Testosterone for twits
    • Trump Teeny T hands
    • T questions & answers
  • For Men Only
    • Touch me !
    • Deadpool talks balls
    • Dear Penis
    • Napoleon's Penis
    • Vasectomy
    • Sick Dick Pics
    • MAN STUFF
    • MEN & DEPRESSION
      • Depression & Exercise
      • Depression in men is different
      • Depression & Exercise
      • Cognitive Therapy
      • St. Johns Wort for Depression
      • Depression, Exercise, and the Internet
      • Stress
  • Prostate watching increases mets but not death
    • Prostate Puzzles
      • Prostate Ca Overview
      • If I were Tom
      • Prostate Ca Overview
      • Prostate Ca Overdiagnosis
      • Prostate Ca treatment works
      • PSA Testing
      • Prostates 101
      • Prostate Cancer
      • Prostate biopsy
      • PSA Staging
      • Balding and PSA
      • Finasteride cuts Prostate Cancer Risk
    • If you are male and fifty ....
      • Balding
      • Premature ejaculation
      • Erectile Dysfunction
      • Erectile Dysfunction Slideshow
      • Ken & Barbie
      • The "Slut" Gene
  • A Tale of Two Speeches
  • A Tale of Two Goats
  • Benefits of alcohol
  • Obstructive Sleep Apnea
  • Covid
    • Mask Crazyness
    • Covid Phone App
    • Sex and glory holes
    • Covid 19 answers
    • Covid 19 videos
  • To Statin or not to Statin
    • Cardiac risk stratification
    • Coronary Artery Calcium
    • Non Fasting Cholesterol Testing
  • Acupuncture
  • Sex before hockey ?
  • Amazing ASA
  • Strep Throat,Mozart &Darwin
  • Columbus & Syphilis
  • Diabetes / Pissing Evil
    • Treatment of Prediabetes
    • Sugar bad for your seahorse
    • Diabetic Eating
    • Type 2 Diabetes Slideshow
    • Diabetic Neuropathy
  • Love and Armpits
  • Internet Addiction
  • Flu Vaccines
  • Sunburned Vikings
  • Vaccines & Cows
  • Coffee and stupidity
  • How Low is Low Enough ?
  • The SkepDoc
  • Up To Date
  • Poop transplants
  • Cancer Prevention
  • BRAINY STUFF
    • Brain Attacks
    • Autism
    • Tourette's
    • Prevent Alzheimer's
    • Exercise boosts old brains
  • FOODY STUFF
    • Weight loss - truths and myths
    • Fat Facts
    • Food Allergies
    • Vitamins - Men
    • Heart & chocolate
    • Vitamins - Women
    • Chocolate for Heart Failure
    • Brain & chocolate
    • Chocolate
    • Fruity Heart Health
    • Clear fluids diet
    • Healthy Cholesterol Eating
    • Tumeric
    • Evil Grapeffruit
    • Orphan Vitamin
    • Calcium hates men
  • SEXY STUFF
    • Contraception
    • Sexy Infections
    • Infidelity #2
    • Top Ten Men's Health Risks
    • Penis practices
    • Senior Sex ?
    • Sex Drive Killers
    • How Men Love
  • ACHEY STUFF
    • Osteoarthritis 2012
    • Achey Stuff
    • ITB Stretches
    • Patellofemorol Syndrome
    • Rotator Cuff Stuff
    • Shoulder exercises
    • Nocturnal Calf Cramps
    • Organic Steroids
    • Poppy Medicine
    • Scoping knees
  • QUIRKY STUFF
    • Jargon for Dummies
    • e-medicine
    • Cosmetic surgery
    • Medical Privacy
    • Halloween medicine
    • Healthy Honey
  • HYPNOSIS STUFF
    • What is Hypnosis ?
    • Hypnosis for Weight Loss
    • Questions and Answers About Hypnosis
    • Talking to the Almond - Hypnosis
    • Hypnosis and Pain Reduction
    • Hypnosis & Healing
    • Hypnosis to Stop Smoking
  • PREVENTION STUFF
    • Flu Shots
    • Wart Virus Vaccine
    • Stopping Smoking
    • Cell-phone brain
    • The "Checkup"
    • Cancer prevents Altzheimer's
    • Avoiding Old Age
  • Sleep
    • Video game sleeps
    • Causes of fatigue slideshow
    • Sleep Disorders Sideshow
    • Sleep Apnea
  • Secrets of Fire and Ice
  • Mind-Body Links
  • Breast Boats
    • Thermography extinguished
  • Secrets of the Placebo Effect
  • Germs Triumphant
  • Why your pancreas is amazing
  • FEVER STUFF
  • Puberty
  • The hearts electrical system
  • Exercise for your mind
  • Old Fart Fitness
  • Guidelines vs. Reality
  • Canada Ranks Last
  • Cannibis
  • Depression & Anxiety
  • Good videos
  • Kidney stones
  • Flu shots
  • Physical Debate
  • Chronic Pain
  • Porn
  • Whiplashes & Car Crashes
  • Medical Marijuana
  • Physician Assisted Death
  • Alcoholism
  • Light for Prostate
  • Homocysteine
  • Therapeutic needling
  • Trigger Point Injections
    • Trigger point injections
  • Chiropractic
  • Quack stuff
  • Atrial Fibrillation
  • Tired all the time
  • Antibiotic apocalypse
  • Malaria
  • Lung testing
  • Expired Drugs
  • Acupuncture
  • Science of depression
  • TMJ
  • Back Pain
  • Smoking California
  • My favorite sexual complaint
  • Covid 19 - Vaccination vs Natural Immunity
  • Links
    • BriansBoardDelay
    • 38 Psych assessments
  • Book Info
  • Mailing list