Relieving Anxiety and Panic with Dr. Nicole Cain [Episode 1007]
This Week’s Episode Special Guest: Dr. Nicole Cain
About Dr. Nicole Cain
Nicole Cain, ND, MA, is a pioneer in integrative approaches for mental and emotional wellness. With a degree in clinical psychology, training in EMDR, and a license as a Naturopathic Physician in the state of Arizona, her approach to mental health is multidisciplinary: medical, psychological, and holistic.
A sought after speaker and writer, Dr. Nicole Cain has shared her expertise on the Tamron Hall Show and presented alongside renowned doctors like Deepak Chopra. Her insights have been regularly featured in such publications as Psychology Today, Health Magazine, Huff Post, The Daily Mail, Katie Couric Media, Salon, Spirituality & Health Magazine, and more. Dr. Nicole Cain has been a guest on popular podcasts such as This Genius Life, Brendan Burchard’s Growth Day, Therapy Jeff, Heal Thyself, Well with Arielle, Love Happiness and Success, KPCW’s Cool Science, Just Between Us, and many more. A comprehensive list of media appearances by Dr. Nicole Cain, ND MA.
Dr. Nicole is also the founder of the Holistic Wellness Collective, a one-stop-shop membership program designed to support self-healers. This program guides users through the practical application of Panic Proof’s wisdom, offering helpful videos and a supportive community.
Guest Resources:
Website: drnicolecain.com
Book: Panic Proof: The New Holistic Solutions to End Your Anxiety Forever!
Social: @drnicolecain
Episode Sponsors:
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Episode Chapters
00:00 Introduction to Hormonal Health and Dr. Erica Schwartz
01:52 The Importance of Bioidentical Hormones
05:57 Misconceptions and Historical Context of Hormone Therapy
09:50 Empowering Women to Understand Their Bodies
13:53 Navigating Hormone Therapy: Timing and Longevity
17:40 Balancing Hormones for Fertility and Overall Health
19:30 Understanding Hormone Supplementation
21:46 The Role of Hormones in Aging
25:39 Proactive vs. Reactive Hormone Use
28:11 Hormones and Disease Prevention
30:30 Muscle Health and Aging
33:53 The Importance of Supplements and Lifestyle
SOLLUNA PRODUCT LINKS
- Glowing Greens Powder™
- Feel Good SBO Probiotics
- Feel Good Detoxy
- Feel Good Digestive Enzymes
- Feel Good Starter Kit
- Feel Good Skincare
KIMBERLY’S BOOKS
- Chilla Gorilla & Lanky Lemur Journey to the Heart
- The Beauty Detox Solution
- Beauty Detox Foods
- Beauty Detox Power
- Radical Beauty
- Recipes For Your Perfectly Imperfect Life
- You Are More Than You Think You Are
OTHER PODCASTS YOU MAY ENJOY!
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Wellness Insights: How to Listen to Your Body for Nutritional Guidance
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How Not to Age with New York Times best-selling author Dr. Michael Greger
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How to eat to reduce anxiety with Harvard nutritional psychiatrist Dr. Uma Naidoo
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Transcript:
Kimberly Snyder (00:00.57)
Hi everyone and welcome back to our Monday interview show. I am so excited for our very special guest today, Dr. Nicole Kane. She has this newly published book called Panic Proof, The New Holistic Solution to End Your Anxiety Forever. Very powerful title. Dr. Nicole is a pioneer in integrative approaches for mental and emotional wellness. She holds a degree in clinical psychology and is trained in EMDR.
She’s also licensed as a naturopathic physician. So Dr. Nicole, thank you so much first of all for being with us on the show and congratulations on your new book,
Dr. Nicole Cain (00:41.314)
Thank you so much. I’m really happy to be here and I love talking about emotional well-being more than almost anything else. So we’re gonna have, I think, beautiful conversation.
Kimberly Snyder (00:52.436)
I know we will, especially after reading your book. And emotional wellbeing is one of our four cornerstones. And it just came about so organically creating these cornerstones, Dr. Nicole. I worked with clients, there was always this focus on food initially, but then it started to become so clear. Our wellness is holistic. And that really was how my journey unfolded into these cornerstones. It’s like, okay, food, then we have our body.
And then there’s this emotional piece, which we know affects our hormones, it affects our digestion. So before we go into the book and some of your tools and teachings, can you tell us a little bit about your story? Just a little bit why you were drawn to focus so much on emotional wellness and a little bit about your own journey with anxiety and panic.
Dr. Nicole Cain (01:46.688)
Yes, yeah, I’m a wounded healer as many of us are. And we were really intentional when creating the title, End Anxiety Forever. Wow, that activates a lot in a lot of us. End anxiety forever. It’s not just manage anxiety or suppress anxiety or how to stay calm all the time, but end anxiety forever. And
Kimberly Snyder (01:51.138)
Yes.
Kimberly Snyder (02:02.938)
you
Dr. Nicole Cain (02:16.554)
It started with a question. I remember asking myself, can I actually heal from anxiety or is this something I’m gonna have for the rest of my life? And it began with a lot of stress in childhood and thank goodness when we’re kids that we are so adaptable. And I grew up in a stressful household and my little self learned how to adapt. I became hypervigilant.
Kimberly Snyder (02:24.282)
Mmm.
Dr. Nicole Cain (02:45.582)
I noticed everything that was happening around me. could see changes in the environment. I could see changes in facial expressions. So I was really good at being hyper aware. And I developed all these skills to then try to manage my environment, whether by fawning or cleaning the house for my parents or whatever it was. But those same traits for those who are listening, if you resonate with that,
Kimberly Snyder (03:00.13)
Right.
Dr. Nicole Cain (03:12.342)
that yeah, I grew up and I was really hyper aware. I was really attuned. I’m a people pleaser. We always say people pleasers often start out as parent pleasers that those very adaptations that helped us survive could be the seeds that produce feelings of fear or disempowerment or anxiety or panic. Or as you talk about a lack of that coherence in the mind, the body and the spirit.
Kimberly Snyder (03:22.499)
Right.
Dr. Nicole Cain (03:41.864)
And so when I would go to the doctor, the doctor was all about management. And the doctor would say, know, Nicole, anxiety is just a part of the human experience. You just have to deal with it. Our ways of dealing with it is you use top-down strategies, try to talk yourself out of it, or we correct the chemical imbalance with antidepressants. And then going into counseling, I realized that there is
Kimberly Snyder (04:04.314)
Mm-hmm.
Dr. Nicole Cain (04:11.63)
a limit to how much we could talk ourselves out of things. I don’t know if you’ve ever experienced it, but I sure have where my body may be having an experience and it doesn’t really care what my logical brain has to say. so for those who feel frustrated and they’ve had people say, you know, just calm down, good vibes only think positively. That doesn’t always work, especially
Kimberly Snyder (04:25.977)
Yes.
Kimberly Snyder (04:38.444)
Yes.
Dr. Nicole Cain (04:39.788)
because these adaptations can get stored in non-logical parts of the mind, body, and spirit, non-temporal meaning they could feel like they’re happening inside and outside of time. So as I’m kind of saying that, it sounds like I see you nodding. I feel like you’re kind of resonating with us.
Kimberly Snyder (04:57.602)
Yes. I mean, first of all, when we define a stressful household or things that happened in our childhood, it wasn’t until I started to read the first book that really sort of woke me up to this was The Body Keeps the Score by Wiesel van der Kolk. And it’s amazing, I think, how much people are talking about trauma now and maladaptive coping mechanisms from childhood. you know, it really doesn’t, it can be
Dr. Nicole Cain (05:14.68)
Bessel van der Kolk, yeah.
Kimberly Snyder (05:27.34)
an accident or one particular thing, but it can also be these ways in which our parents made us feel like we had to vie for love or attention. There’s so many ways I think that we develop patterns that can create anxiety. So I think now we realize how widespread this really is. And so that’s why I think it’s really amazing that this conversation is happening between us and also in the collective.
And the second thing I wanted to say about this mental idea is yes, we can be logical in our mind, but the body work has been so powerful for me personally and being able to shift out of patterns, including eating disorders and just anxiety myself. And really for me, it’s been going into the heart, the physical heart.
Dr. Nicole Cain (05:56.451)
Yes.
Kimberly Snyder (06:21.336)
like focusing on the heart and work with heart coherence and also the energetic heart and taking that pause. And I think it’s powerful to have these other strategies because to your point, I know people that have been in talk therapy for many years and they seem to be still trapped in that victim mindset or just the same story. So I think it’s great that this is becoming something that so many people are talking about.
Dr. Nicole Cain (06:44.055)
Yes.
Kimberly Snyder (06:50.714)
And I’m also interested, you know, because we’re talking about anxiety in your subtitle, but then panic in your title. So it’s almost like you’re using them synonymously or how would you actually define the difference? Because now a lot of us can say, you know, I feel anxious or I have anxiety, but then panic and panic attacks almost seems to be a separate thing.
Dr. Nicole Cain (06:57.005)
Yeah.
Dr. Nicole Cain (07:11.192)
Yes, that’s a really wise question. And when we’re talking about ending anxiety, what does that actually mean? And what does that look like? And how does panic fit into all of this? And if we look at the conventional medical model, they use a book called the DSM, the Diagnostic Statistical Manual, we’re on number five at this point, it’s a big purple book. And they categorize anxiety into
agoraphobia, which would be anxiety in public places like bus stops or baseball games. You know, when we’re outside amongst lots of people, they may say, it’s generalized anxiety, or they may say you have panic attacks or panic disorder. And so they look at those separately. But if we were to put on our researcher hat and go into downtown LA, or New York or any city and ask
Kimberly Snyder (07:46.927)
Yeah.
Dr. Nicole Cain (08:07.114)
everybody, what does it feel like when you get a little bit stressed, overwhelmed, or activated? They’ll give you a whole list of symptoms that can affect them from head to toe. And if we reorganize and recategorize all of those symptoms, which I did, is we can put them into approximately nine categories, and I call those the nine types of anxiety.
Kimberly Snyder (08:28.43)
Why?
Dr. Nicole Cain (08:31.272)
And then now that we know all the different types of ways people can experience arousal and activation, then we look at how it can occur on a continuum. Because we see from the research that it isn’t distinct separate, now I’m anxious, now I’m not anxious, now I’m panicking, that it’s an ever-growing process. And if we can learn how to hear the body when it whispers, we’ll be able to
Kimberly Snyder (08:42.468)
Mm.
Dr. Nicole Cain (09:00.384)
understand its language, listen to it, and then meet the needs that it’s telling us it has before it has to accelerate and amplify into a shout, which would be mild annoyance, mild overwhelm, all the way up into panic, rage, crisis.
Kimberly Snyder (09:16.938)
Okay, so even annoyance is a type of, I’m getting thrown off, like this is a type of anxiety all the way to the extreme panic.
Dr. Nicole Cain (09:26.57)
And exactly, I teach it like stoplight strategies. So green light is when you’re feeling really good. You’re in the flow, you have good coherence, you’re creative, it’s that alpha state centered. And then as you get a little bit like more maybe happening more stimuli, maybe from the screen, or maybe your head’s just facing forward and you’re reading a book, but the body is like, I’m getting a little stressed, like it’s a deer in headlight position in that
Kimberly Snyder (09:37.248)
Yes, sector.
Dr. Nicole Cain (09:56.248)
feedback loop gets activated. And then there’s a moment, I call that the pay attention zone, where, ooh, I’m not feeling calm and creative and relaxed anymore. I’m feeling a little activated. And if that activation is paired with a sense of a lack of personal power or agency, then that’s fear, that’s anxiety. And so then as that mounts, maybe you started with a little butterfly in your chest.
Kimberly Snyder (10:08.633)
Mm-hmm.
Kimberly Snyder (10:19.704)
Hmm.
Dr. Nicole Cain (10:25.43)
Or maybe your worry brain started going a little faster. And if that continues to amplify more and more and more, we’ll get into the yellow zone, which is moderate activation. And if it goes from there and goes into the red light zone, that’s crisis. weak, like a panic attack. Yes. And we can actually stop, reliably stop panic attacks from happening.
Kimberly Snyder (10:43.258)
Like a panic attack.
Dr. Nicole Cain (10:54.924)
And we can often teach people how to reprogram the mind, the body, and the other complementary systems so that anxiety is more data and it’s no longer anxiety. It’s just data like, I’m feeling a little tension in my chest. What could that be about? I’ve got this. I’m not afraid. I’m listening. And so suddenly the whole conversation changes.
Kimberly Snyder (11:08.334)
Okay.
Kimberly Snyder (11:20.138)
let’s use a real example so we can break that down because then it starts to feel like we’re still talking and I think what you’re referencing is more of this somatic experience. So two of my family members, Dr. Nicole, have very intense plane phobia. One of them is my grandmother and one time she tried to get back on the plane and she caused such a fuss they actually had to stop the plane.
Dr. Nicole Cain (11:32.056)
Yes.
Kimberly Snyder (11:47.512)
It hadn’t taken off yet, but you when you’re going down the runway and go back and let her off, like super intense. So if someone has, and we have a friend who’s really, really anxious about getting in elevators, right? These are like very tangible examples. Even if he’s in New York, he will walk up 20 flights of stairs. So someone starts to feel, and what David described to me is this claustrophobia.
Dr. Nicole Cain (11:52.163)
Yeah.
Dr. Nicole Cain (12:01.528)
Yeah. Yes.
Dr. Nicole Cain (12:06.766)
Yes.
Kimberly Snyder (12:14.136)
I don’t know where did it get created, maybe something else from their childhood. But if someone’s feeling that feeling on the extreme end of your scale, I imagine, what are some of the very things we do? Because you’ve been sitting on the plane, you can tell yourself, hey, there’s not a threat, but your body is registering a pretty big threat at that time.
Dr. Nicole Cain (12:25.4)
Yeah.
Dr. Nicole Cain (12:37.25)
love how in sync we are with this Kimberly. I was thinking about a tangible example of flying because I used to have a horrible fear of flying. I was on a plane and we’re coming into Phoenix and there’s a lot of mountain air like hot air rising from the mountains. We hit a pocket of air in the plane like did this really quick kind of side tip and everyone around me had a very big emotional reaction which set my nervous system into like,
Kimberly Snyder (12:42.701)
Yeah.
Kimberly Snyder (12:47.682)
Bye.
Kimberly Snyder (13:05.57)
Dr. Nicole Cain (13:06.434)
we’re gonna die. So I PTSD for over a decade flying, but I travel all the time. So I just had to keep getting on these flights and I just cry in the fetal position the whole time. And so I love the example of the flying and the way that it’s different for me. And then we could kind of unpack this a little bit more.
Kimberly Snyder (13:09.305)
Yeah
Kimberly Snyder (13:17.124)
Wow.
Dr. Nicole Cain (13:26.744)
But the way that it’s different for me now is I actually just flew into Michigan two days ago and we followed this huge storm front. There were tornadoes in Michigan. It was like this giant storm front that went through like the entire north part of the US all the way across. And so I’m getting alerts like tornadoes, severe weather, and I’m getting on a plane and I’m in recovery from really horrible fear of flying. So
my body remembered that a little bit. So I’m on the plane and I notice that the skin of my hand is starting to feel a little hot. And that’s my pay attention is oftentimes it will start with like a little bit my body is heating up. And then if I don’t address it and back in the day it would then turn into burning, which would then turn into electric zaps running through my teeth and claustrophobia and like,
Kimberly Snyder (14:05.274)
Mmm.
Kimberly Snyder (14:20.354)
Hmm. Yes. Like I’m s-
Dr. Nicole Cain (14:23.362)
chewing on ice, trapped in there, right? And so there’s a couple of things if we unpack what happens in that moment for those who are like, my gosh, I’m here, happens to me in the highway, Kane’s talking about a plane, it’s the same biological process. So in that moment, there’s something, a memory or an activating event, an adaptation.
that in that moment when the plane starts bumping or whatever it is, that the amygdala, that emotional processing part of the brain decides that we’re in danger for whatever reason. And we could totally unpack whatever those root causes are. And we do that in the book. But we’ll walk through kind of the biology of it first. And so the amygdala is like, we might be in danger. We’re getting alerts and there’s storms. what if this? What if that?
And so that sends an automatic cascade down to the body, which will result in cortisol, stress hormone being produced, adrenaline being produced. And so we experience this autonomic arousal, this kind of fight, flight, freeze, flop, fawn, or fracture response. And what will happen then as a result of all those chemicals is the logical brain gets down-regulated.
So that top down, when you go to the therapist and they’re like, just think logically, you know that the plane loves to fly, can go through hurricanes, it’s fine, it’s all safe, you’re just feeling nervous. That part of your brain isn’t accessible. So like your grandmother, when she gets really frightened on the flight, she doesn’t have access to this logical part of herself because the body is like, we’re not analyzing the tiger. We don’t care about your wellbeing. We care about your safety. So we’re just gonna run away.
Kimberly Snyder (16:08.729)
Right.
Dr. Nicole Cain (16:16.824)
but she’s stuck on a plane, right? So I have a four step process for how to reprogram this. And so that when I was on the flight yesterday after practicing these four steps, I noticed my skin getting a little hot and I didn’t have the fear or the anxiety paired with it. And that’s the key difference is how can we feel the information from the body with compassion and curiosity
Kimberly Snyder (16:41.113)
Mm.
Dr. Nicole Cain (16:45.814)
and then respond to that. So what I knew is that my amygdala was getting a little louder. And instead of almost jumping in the stream and being carried downstream is I was like, I need to activate my logical brain. so using before things become red light zone, once we’re in that little pay attention zone, we still have the opportunity to activate logical brain.
and logical brain can shut down that fear cascade. So I was on the plane, I noticed a little heat, I was like, thank you, body. And then I started doing some of these techniques and I had a great flight and I didn’t cry and I didn’t have a panic attack and it was wonderful. So there’s the beginning and we can totally unpack that more.
Kimberly Snyder (17:17.306)
Mm.
Kimberly Snyder (17:31.992)
Mm-hmm.
Kimberly Snyder (17:36.802)
Yeah, I really have that personal experience of the thoughts spinning. I think a lot of us start to feel like, you know, there’s nowhere to go. I can’t get off. We’re up in the air. I’m trapped in here. And it can start to feel so terrifying to even be in your body. So yeah, that whole brain. so, you know, for me, with this body work, Dr. Nicole, it has been so much.
Dr. Nicole Cain (17:42.478)
Yeah.
Dr. Nicole Cain (17:55.053)
Yeah.
Kimberly Snyder (18:03.236)
coming to this other brain, right? Because the heart is a brain too with 40,000 neurons. And all this research helped me with, first of the spiritual, but then Dr. Roland McCready, who’s with HeartMath, is that we can change our perceptions in this other way of dropping in, because then there’s actually more messages from the heart up to the brain. So it’s like these tools, which I’m really interested in learning about all the heart work and other ones, where it’s not just relying.
on the brain. And then of course, as we get regulated, then it does start to bring in that common sense thinking again, and not the circular thinking and, you know, going around and around. I noticed it this weekend, Dr. Nicole, because I was at a very crowded chess tournament. My older son plays chess, and I don’t like crowds, like you were saying back to your spectrum.
It’s not that I don’t, I do a lot of speaking or, you I’ll be on stage, but then there’s kind of like, it’s like organized. There’s a book signing afterwards or whatever, but I’ve never liked music festivals where I’m sort of in the throes of everyone moving around. And that’s what this chess tournament was, like the jostling of all the parents and the kids. and I did notice that activation. And then I dropped in and soothed myself where I think in the past, and if we don’t have these tools, it’s easy to just spend.
Dr. Nicole Cain (19:10.327)
Mm.
Dr. Nicole Cain (19:16.91)
Mm.
Kimberly Snyder (19:23.474)
And then like you said, the cortisol, the hormones can get out of whack. So what’s an actual physical practice? You know, I talk a lot about the heart coherence work that you have, that you talk about in your book. As you mentioned, a bottom-up approach, not just talk therapy, but how we can regulate the nervous system in our bodies when we notice we’re activated.
Dr. Nicole Cain (19:38.872)
Yeah. Yeah.
Dr. Nicole Cain (19:46.648)
I want to begin by honoring you for noticing that and allowing yourself. Yeah.
Kimberly Snyder (19:50.106)
It’s like in time, Because we learn, as you said, to listen to our bodies again.
Dr. Nicole Cain (19:55.572)
Yeah, yeah, you could have just popped a Xanax and suppressed it and or you could have been like, what is an herb like theanine or kava kava. And so I want to honor you for doing the harder work that takes the time to listen to notice to honor, and then to soothe. So I honor that. And so in that moment, it sounds like what you were describing is a little bit of yellow light.
So you’re a little bit more activated. It wasn’t at that moment where it was still like, ooh, I’m noticing I can still cognitively manage this. It sounds like your body was getting a little bit more yellow light. So in that yellow light zone, we want to do exactly what you said. We want to use bottom up because that logical brain, it’s not going to change the body. We just start with the body. And so I’d love to actually just to make it
Kimberly Snyder (20:37.315)
Yeah.
Dr. Nicole Cain (20:53.748)
organized for people who may be newer to this conversation is go through it one step at a time, each of the four steps of what that bottom up might look like. Would that be okay? Super. step one is any time that we notice that we’re activated, we want to go to the body. And the best way I found to go to the body is with sound, touch, taste, temperature, breath.
Kimberly Snyder (21:00.9)
Okay.
Air.
Dr. Nicole Cain (21:21.142)
And you mentioned that you went to the heart, you went to the breath. Our breath is always with us. Our breath is free and it can be very powerful. And just like for those who’ve seen heart math, you can actually watch how the breath can change your heart coherence. You can watch out, can change the way that your nervous system is responding in real time. And so for those who need the proof, who need to see it, heart math is good for that. I also have a hack for how you can do that.
Kimberly Snyder (21:21.274)
Mm.
Dr. Nicole Cain (21:51.104)
if you don’t have an aura ring, if you don’t have a biofeedback device, and it’s by feeling our very own pulse. May I show you?
Kimberly Snyder (21:59.404)
Yes. And when I say heart math, we did a research study with heart math and you’re not that you ever have to, you know, do an H, you don’t have to have any sort of HRV device. Although HR, you know, heart math does have their wave pro equipment. it’s more about, you know, tuning in to how your heart, starts to calm your thoughts, but you don’t have to have, just to be clear, I don’t mean you need any sort of numerical feedback device, cause I don’t use one myself.
Dr. Nicole Cain (22:08.6)
Yeah, yeah.
Dr. Nicole Cain (22:15.406)
Mm.
Dr. Nicole Cain (22:27.988)
my gosh, it’s so brilliant. I actually, when I was learning about all this, I loved heart math because I needed to see it. I was like, don’t tell me to breathe. I don’t feel any differe
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