Relieving Anxiety and Panic with Dr. Nicole Cain [Episode 1007]
Ā
This Weekās 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 Burchardās Growth Day, Therapy Jeff, Heal Thyself, Well with Arielle, Love Happiness and Success, KPCWās 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 Proofās 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
Ā
Episode Sponsors:
MOMENTOUS
OFFER: Head to livemomentous.com and use code KIMBERLY for 35% oļ¬ your ļ¬rst subscription. Thatās code KIMBERLY at livemomentous.com for 35% oļ¬ your ļ¬rst subscription.
USE LINK: livemomentous.com Code: KIMBERLY for 35% oļ¬ your ļ¬rst subscription.
Ā
FATTY15
OFFER: Fatty15 is on a mission to replenish your C15 levels and restore your long-term health. You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/KIMBERLY and using code KIMBERLY at checkout.
USE LINK: fatty15.com/KIMBERLY
Ā
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
Ā
SOLLUNA PRODUCT LINKS
- Glowing Greens Powderā¢
- Feel Good SBO Probiotics
- Feel Good Detoxy
- Feel Good Digestive Enzymes
- Feel Good Starter Kit
- Feel Good Skincare
KIMBERLYāS 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!
-
Wellness Insights: How to Listen to Your Body for Nutritional Guidance
- How the Power Foods Diet helps with Weight Loss with Dr. Neal Barnard EP. 877
-
How Not to Age with New York Times best-selling author Dr. Michael Greger
-
How to eat to reduce anxiety with Harvard nutritional psychiatrist Dr. Uma Naidoo
Ā
Powered and Distributed by: PodcastOne
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.
Sheās 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. Iām really happy to be here and I love talking about emotional well-being more than almost anything else. So weāre 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. Itās like, okay, food, then we have our body.
And then thereās 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, Iām 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. Itās 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 Iām gonna have for the rest of my life? And it began with a lot of stress in childhood and thank goodness when weāre 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. Iām 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 donāt know if youāve ever experienced it, but I sure have where my body may be having an experience and it doesnāt really care what my logical brain has to say. so for those who feel frustrated and theyāve had people say, you know, just calm down, good vibes only think positively. That doesnāt 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 theyāre happening inside and outside of time. So as Iām kind of saying that, it sounds like I see you nodding. I feel like youāre 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 wasnāt 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 itās amazing, I think, how much people are talking about trauma now and maladaptive coping mechanisms from childhood. you know, it really doesnāt, 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. Thereās 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 thatās why I think itās 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, itās 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 itās 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 itās 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 Iām also interested, you know, because weāre talking about anxiety in your subtitle, but then panic in your title. So itās almost like youāre 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, thatās a really wise question. And when weāre 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, weāre on number five at this point, itās 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 weāre outside amongst lots of people, they may say, itās 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? Theyāll 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 isnāt distinct separate, now Iām anxious, now Iām not anxious, now Iām panicking, that itās an ever-growing process. And if we can learn how to hear the body when it whispers, weāll 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 itās 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, Iām 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 youāre feeling really good. Youāre in the flow, you have good coherence, youāre creative, itās 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 headās just facing forward and youāre reading a book, but the body is like, Iām getting a little stressed, like itās 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 thereās a moment, I call that the pay attention zone, where, ooh, Iām not feeling calm and creative and relaxed anymore. Iām feeling a little activated. And if that activation is paired with a sense of a lack of personal power or agency, then thatās fear, thatās 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, weāll get into the yellow zone, which is moderate activation. And if it goes from there and goes into the red light zone, thatās 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 itās no longer anxiety. Itās just data like, Iām feeling a little tension in my chest. What could that be about? Iāve got this. Iām not afraid. Iām listening. And so suddenly the whole conversation changes.
Kimberly Snyder (11:08.334)
Okay.
Kimberly Snyder (11:20.138)
letās use a real example so we can break that down because then it starts to feel like weāre still talking and I think what youāre 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 hadnāt taken off yet, but you when youāre going down the runway and go back and let her off, like super intense. So if someone has, and we have a friend whoās really, really anxious about getting in elevators, right? These are like very tangible examples. Even if heās 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 donāt know where did it get created, maybe something else from their childhood. But if someoneās feeling that feeling on the extreme end of your scale, I imagine, what are some of the very things we do? Because youāve been sitting on the plane, you can tell yourself, hey, thereās 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 weāre coming into Phoenix and thereās 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)
weāre 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 itās 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 itās 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 Iām getting alerts like tornadoes, severe weather, and Iām getting on a plane and Iām in recovery from really horrible fear of flying. So
my body remembered that a little bit. So Iām on the plane and I notice that the skin of my hand is starting to feel a little hot. And thatās my pay attention is oftentimes it will start with like a little bit my body is heating up. And then if I donāt 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 Iām s-
Dr. Nicole Cain (14:23.362)
chewing on ice, trapped in there, right? And so thereās a couple of things if we unpack what happens in that moment for those who are like, my gosh, Iām here, happens to me in the highway, Kaneās talking about a plane, itās the same biological process. So in that moment, thereās 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 weāre in danger for whatever reason. And we could totally unpack whatever those root causes are. And we do that in the book. But weāll walk through kind of the biology of it first. And so the amygdala is like, we might be in danger. Weāre getting alerts and thereās 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 theyāre like, just think logically, you know that the plane loves to fly, can go through hurricanes, itās fine, itās all safe, youāre just feeling nervous. That part of your brain isnāt accessible. So like your grandmother, when she gets really frightened on the flight, she doesnāt have access to this logical part of herself because the body is like, weāre not analyzing the tiger. We donāt care about your wellbeing. We care about your safety. So weāre just gonna run away.
Kimberly Snyder (16:08.729)
Right.
Dr. Nicole Cain (16:16.824)
but sheās 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 didnāt have the fear or the anxiety paired with it. And thatās 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 weāre 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 didnāt cry and I didnāt have a panic attack and it was wonderful. So thereās 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, thereās nowhere to go. I canāt get off. Weāre up in the air. Iām 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, whoās with HeartMath, is that we can change our perceptions in this other way of dropping in, because then thereās actually more messages from the heart up to the brain. So itās like these tools, which Iām really interested in learning about all the heart work and other ones, where itās 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 donāt like crowds, like you were saying back to your spectrum.
Itās not that I donāt, I do a lot of speaking or, you Iāll be on stage, but then thereās kind of like, itās like organized. Thereās a book signing afterwards or whatever, but Iāve never liked music festivals where Iām sort of in the throes of everyone moving around. And thatās 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 donāt have these tools, itās 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 whatās 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 weāre 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)
Itās 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 youāre a little bit more activated. It wasnāt at that moment where it was still like, ooh, Iām 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, itās not going to change the body. We just start with the body. And so Iād 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 weāre 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 whoāve 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 donāt have an aura ring, if you donāt have a biofeedback device, and itās 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 youāre not that you ever have to, you know, do an H, you donāt have to have any sort of HRV device. Although HR, you know, heart math does have their wave pro equipment. itās more about, you know, tuning in to how your heart, starts to calm your thoughts, but you donāt have to have, just to be clear, I donāt mean you need any sort of numerical feedback device, cause I donāt 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, itās so brilliant. I actually, when I was learning about all this, I loved heart math because I needed to see it. I was like, donāt tell me to breathe. I donāt feel any differe
More like this
Ep. 1023 | Optimizing your Preconception Health & Fertility with Dr Ann Shippy
Heart Healthy, Plant-Based Eating with Dr. Jenneffer Pulapaka [Ep. #1021]
Fawning: How We Can Lose Ourselves and How to Come Back with Dr. Ingrid Clayton [Episode #1018]
The Science of Longevity: Plaque Heart Scans, Cancer Screening, Glutathione & More with Dr. Julianna Lindsey [EP#1018]
Empowered Knowledge of Perimenopause for any Stage with Dr. Mariza Snyder [Ep. #1016]
Getting to the Root of Food and Other Addictions with Dr. Jason Giles [EP. #1015]
Handling Anxiety & Conflict in Kids (and Humans!) with Connection with NYT Bestselling Author Alyssa Blask Campbell [Episode 1013]
The Connection Between Body Movements and our Emotional & Physical health with Henry Abbott [EP. #1011]
September Solluna Power Hour: Essential Rhythms and Rituals to feel Grounded, Clear and Energized [Episode 1009]
Overcoming Trauma through Somatic Body Healing with Britt Piper [Episode 1008]