{"id":21,"date":"2010-09-26T17:00:00","date_gmt":"2010-09-26T17:00:00","guid":{"rendered":"http:\/\/blog.beliefnet.com\/medicinetomoveyou\/2010\/09\/caffeine-is-a-trigger-for-anxiety-attacks.html"},"modified":"2010-09-26T17:00:00","modified_gmt":"2010-09-26T17:00:00","slug":"caffeine-is-a-trigger-for-anxiety-attacks","status":"publish","type":"post","link":"https:\/\/www.beliefnet.com\/columnists\/medicinetomoveyou\/2010\/09\/caffeine-is-a-trigger-for-anxiety-attacks.html","title":{"rendered":"Caffeine Is a Trigger for Anxiety Attacks"},"content":{"rendered":"

If you have wandered around this blog, you may have noticed that I have the Arizona Center for Integrative Medicine on my ‘faves’ list.  Rightly deserving its place in my heart, it puts out the evidence that supports the movement towards more lifestyle-based solutions for many conditions.  One area of interest  that is particularly a passion for AzCIM’s founder, Dr. Andrew Weil, is the world of mental health.  An excerpt from my Fellowship Training in Integrative Medicine was one  that I think will really make you rethink your  “just 1-2 cups of coffee a day” safe-place.  <\/p>\n

“A randomized, double-blind caffeine challenge study was
\nconducted in 28 patients with panic disorder (PD), 25 patients with generalized
\nsocial anxiety disorder (GSAD), 19 patients with performance social anxiety
\ndisorder (PSAD), and 26 control subjects. None of the patients had taken any psychotropic medications in the
\nfour weeks preceding the test. On two occasions 7 days apart, 480 mg of
\ncaffeine and a caffeine-free solution were given to the participants and
\nanxiety scales were administered before and after each test. A panic attack was
\ninduced in 17 (60.7%) PD patients, 10 (52.6%) PSAD patients, 4 (16.0%) GSAD
\npatients. None of the control subjects had a panic attack after the caffeine
\nintake and none of the patients or controls had a panic attack after drinking
\nthe caffeine-free solution. This study confirmed what many clinicians and
\nnutritionists had long known–that patients with PD and PSAD are more sensitive
\nto the stimulant effects of caffeine than normal volunteers.”<\/p>\n

Coffee<\/span><\/b><\/p>\n\n\n\n\n\n\n\n\n\n\n
\n

Type
\nof coffee<\/span><\/b><\/p>\n<\/td>\n

\n

Caffeine
\n(milligrams)<\/span><\/b><\/p>\n<\/td>\n<\/tr>\n

\n

Dunkin’ Donuts, brewed, 16 oz (480
\nmL)<\/span><\/p>\n<\/td>\n

\n

143-206<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Generic brewed, 8 oz (240 mL)<\/span><\/p>\n<\/td>\n

\n

95-200<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Generic brewed, decaffeinated, 8
\noz (240 mL)<\/span><\/p>\n<\/td>\n

\n

2-12<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Generic instant, 8 oz (240 mL)<\/span><\/p>\n<\/td>\n

\n

27-173<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Generic instant, decaffeinated, 8
\noz (240 mL)<\/span><\/p>\n<\/td>\n

\n

2-12<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Starbucks Espresso, 1 oz (30 mL)<\/span><\/p>\n<\/td>\n

\n

58-75<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Starbucks Vanilla Latte, 16 oz
\n(480 mL)<\/span><\/p>\n<\/td>\n

\n

150<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/p>\n

Adapted from USDA National Nutrient
\nDatabase for Standard Reference, 2009; Center for Science in the Public
\nInterest, 2007; Journal of Analytical Toxicology, 2003.<\/span><\/p>\n

Tea<\/span><\/b><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

Type
\nof tea<\/span><\/b><\/u><\/p>\n<\/td>\n

\n

Caffeine<\/u>
\n(milligrams)<\/span><\/b><\/p>\n<\/td>\n<\/tr>\n

\n

Brewed tea <\/span><\/p>\n<\/td>\n

<\/td>\n<\/tr>\n
\n

Black tea, 8 oz (240 mL)<\/span><\/p>\n<\/td>\n

\n

40-120<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Black tea, decaffeinated, 8 oz
\n(240 mL)<\/span><\/p>\n<\/td>\n

\n

2-10<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Starbucks Tazo Chai Tea Latte, 16
\noz (480 mL)<\/span><\/p>\n<\/td>\n

\n

100<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Stash Premium Green, 6 oz (180 mL)<\/span><\/p>\n<\/td>\n

\n

26<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

<\/p>\n

Iced Tea <\/span><\/p>\n<\/td>\n

<\/td>\n<\/tr>\n
\n

Arizona Green Tea, 16 oz (480 mL)<\/span><\/p>\n<\/td>\n

\n

15<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Generic instant mix, unsweetened,
\n1 tsp (5 mL)<\/span><\/p>\n<\/td>\n

\n

27<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Generic instant mix,
\ndecaffeinated, unsweetened, 1 tsp (5 mL)<\/span><\/p>\n<\/td>\n

\n

1<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Lipton Brisk Lemon Iced Tea, 12 oz
\n(355 mL)<\/span><\/p>\n<\/td>\n

\n

7<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Nestea Iced Tea, 12 oz (355 mL)<\/span><\/p>\n<\/td>\n

\n

2<\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Snapple Plain Unsweetened, 16 oz
\n(480 mL)<\/span><\/p>\n<\/td>\n

\n

18<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/p>\n

Adapted from USDA National Nutrient
\nDatabase for Standard Reference, 2009; Center for Science in the Public
\nInterest, 2007; Journal of Analytical Toxicology, 2008.<\/span><\/p>\n

Obviously, you can tell that I have no qualms about ‘outing’ any negative news about caffeine.  I think it has a place in society, but it is all too often, misused and abused for more than just a warm, comforting liquid to start the day.  In this day of ridiculously low attention to lifestyle as a major treatment for your chronic diseases, consider decreasing if not stopping your caffeine intake in order to better manage your anxiety conditions.  What do you have to lose but the need for medication perhaps!<\/p>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

If you have wandered around this blog, you may have noticed that I have the Arizona Center for Integrative Medicine on my ‘faves’ list.  Rightly deserving its place in my heart, it puts out the evidence that supports the movement towards more lifestyle-based solutions for many conditions.  One area of interest  that is particularly a…<\/p>\n","protected":false},"author":220,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,10],"tags":[],"class_list":["post-21","post","type-post","status-publish","format-standard","hentry","category-everyday-health-tips","category-mindful-medicine"],"yoast_head":"\nCaffeine Is a Trigger for Anxiety Attacks - Medicine to Move You<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.beliefnet.com\/columnists\/medicinetomoveyou\/2010\/09\/caffeine-is-a-trigger-for-anxiety-attacks.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Caffeine Is a Trigger for Anxiety Attacks - Medicine to Move You\" \/>\n<meta property=\"og:description\" content=\"If you have wandered around this blog, you may have noticed that I have the Arizona Center for Integrative Medicine on my ‘faves’ list.  Rightly deserving its place in my heart, it puts out the evidence that supports the movement towards more lifestyle-based solutions for many conditions.  One area of interest  that is particularly a…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.beliefnet.com\/columnists\/medicinetomoveyou\/2010\/09\/caffeine-is-a-trigger-for-anxiety-attacks.html\" \/>\n<meta property=\"og:site_name\" content=\"Medicine to Move You\" \/>\n<meta property=\"article:published_time\" content=\"2010-09-26T17:00:00+00:00\" \/>\n<meta name=\"author\" content=\"Dr. Shilpa P. 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