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6 - What Is Panic Disorder?

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(Please feel free to edit the speaker names if incomplete or inaccurate. Names are handled on a best-effort basis depending on the info on the source file. Dialogue is left as is.)
SIGN    Comical Psychosomatic Medicine!
SIGN    Episode 6
    "What Is Panic Disorder?"
[00:10] Asuna
    Hello, everyone!
[00:12] Asuna
    I'm Asuna, the nurse at Yuu Mental Clinic.
[00:15] Iyashi
    I'm Iyashi the nurse.
[00:17] Ryou
    I'm the psychologist—
[00:17] Both
    Together, we're the Sexy Nurse Sisters!
[00:20] Ryou
    Completely ignoring me now, huh?
[00:22] Ryou
    So, today's theme is panic disorders.
[00:25] Ryou
    Do you know what panic is, Asuna-san?
[00:28] Asuna
    Panic?
SIGN    Twinkle
SIGN    Run Run Run Run Run
[00:31] Girl
    Oh, no! I'm late!
SIGN    Thud
[00:37] Bubble
    Yaaah!
[00:38] Girl
    Ow...
[00:40] Girl
    W-Watch where you're going—
[00:48] Girl
    My heart is racing!
[00:50] Girl
    I'm in a panic!
[00:52] Asuna
    Is this panic?
[00:54] Ryou
    That never happens in this day and age!
[00:56] Asuna
    But it's what every girl dreams of.
[00:58] Ryou
    Every girl dreams of seeing a boy with
    his legs spread and his fly open?!
[01:03] Iyashi
    What are you saying, Asuna?
[01:05] Iyashi
    That scenario isn't realistic at all.
[01:08] Ryou
    That's right.
[01:10] Iyashi
    When two people collide,
    they end up like this.
[01:12] Ryou
    That's an erotic accident that
    defies the laws of physics!
[01:15] Iyashi
    What's crucial here is to utilize this
    established fact while the girl is panicked—
[01:19] Ryou
    You're continuing this story?!
    And what "established fact"?!
SIGN    Panic Disorder
[01:23] Ryou
    Panic disorder is a condition in which
    someone has repeated panic attacks.
SIGN    Whisper Whisper
[01:27] Asuna
    Did you hear that, ma'am? It's the
    "panic" part we don't understand.
[01:31] Iyashi
    I did, ma'am. There are always guys like
    that who just keep talking in circles.
[01:36] Ryou
    Please stop rebuking me and
    making it look like idle gossip.
SIGN    Panic Attack
[01:39] Ryou
    A panic attack is the sudden
    outbreak of symptoms
SIGN    Heart Palpitations
[01:42] Ryou
    like heart palpitations, sweating,
    trembling, difficulty breathing,
SIGN    Heart Palpitations Sweating
SIGN    Heart Palpitations Sweating Trembling
SIGN    Heart Palpitations Sweating Trembling Difficulty Breathing
SIGN    Heart Palpitations Sweating Trembling Difficulty Breathing Chest Discomfort
[01:45] Ryou
    and chest discomfort due
    to anxiety or stress.
[01:48] Iyashi
    Chest pleasure...
[01:50] Ryou
    You're missing an important detail!
[01:52] Asuna
    That's a sign you're healthy, Onee-chan!
[01:54] Ryou
    What you're imagining is unhealthy!
[01:55] Ryou
    Symptoms may also include the feeling that
    your senses are off, such as lightheadedness.
[02:00] Iyashi
    Like your morals are off...
[02:03] Guy
    Forget your boyfriend
    and go out with me.
[02:03] Iyashi
    I'd better be careful.
[02:05] Girl
    Hmm, what should I do...
[02:05] Ryou
    Your senses!
[02:06] Ryou
    Bad morals isn't a sickness!
    It's just your personality!
[02:09] Ryou
    Now, here's a question.
[02:10] Ryou
    What do you think happens when these
    panic attacks occur repeatedly?
[02:14] Iyashi
    When panic occurs repeatedly?
SIGN    Panic
    Panic
    Panic
[02:19] Ryou
    Get away from that scenario already!
[02:21] Ryou
    This girl has way too many erotic accidents!
[02:24] Ryou
    When panic attacks occur
    repeatedly, patients often...
[02:27] Girl
    What if it happens again?
[02:29] Ryou
    ...begin to worry about this.
[02:30] Ryou
    We call this anticipatory anxiety.
SIGN    Anticipatory Anxiety
[02:32] Ryou
    If this persists for a month
    along with panic attacks,
[02:35] Ryou
    the patient is diagnosed with panic disorder.
SIGN    Agoraphobia
[02:37] Ryou
    And if anticipatory anxiety
    persists too long,
[02:39] Ryou
    it can lead to agoraphobia.
[02:42] Iyashi
    Is that when you're scared
    of big, open places?
[02:45] Woman
    By the way, Yamada-san, next door, is moving
    to a stand-alone house next month.
[02:51] Woman
    We could never do that.
[02:53] Woman
    I'm scared of big houses...
[02:56] Woman
    Our tiny, six-mat, one-room apartment
    is much more relaxing.
[03:00] Woman
    Oh, big places just terrify me...
[03:02] Ryou
    That's a demand disguised as a phobia!
[03:03] Ryou
    The pressure she's putting on
    him is way more terrifying!
[03:05] Ryou
    It's often misinterpreted, but agoraphobia
    isn't a fear of big, open places.
[03:10] Ryou
    Let's look at the English term.
[03:11] Ryou
    "Phobia" refers to a specific fear.
[03:13] Ryou
    Do you know what "agora" means?
SIGN    The Chin Beast
    Agolla
[03:17] Asuna
    Agolla!
[03:18] Ryou
    It's not a monster.
[03:20] Iyashi
    Agowa...
[03:22] Girl
    Ah! Go 'way!
[03:22] Girl
    Ah! Go 'way!
[03:23] Ryou
    Is the husband from before trying
    to placate her with sex appeal?!
[03:25] Iyashi
    He was inspired by the monster.
[03:26] Ryou
    That wasn't clever at all!
[03:28] Ryou
    "Agora" originated in ancient Greece,
[03:30] Ryou
    and referred to a place where
    many people came together.
[03:33] Ryou
    So agoraphobia is the fear of places
    with a lot of people and no way out.
[03:38] Ryou
    It can be in an elevator, a train,
    a meeting, or a concert hall.
[03:41] Ryou
    How big the space is doesn't matter,
[03:43] Ryou
    and it can occur even if
    there isn't a huge crowd.
SIGN    Panic Attacks
[03:45] Ryou
    So the severity of panic disorder
    increases with the progression from
SIGN    Panic Attacks
    ↓
    Anticipatory Anxiety
SIGN    Panic Attacks
    ↓
    Anticipatory Anxiety
    ↓
    Agoraphobia
[03:50] Ryou
    panic attacks to anticipatory
    anxiety to agoraphobia.
[03:52] Ryou
    If symptoms haven't become severe yet,
SIGN    Today's Theme:
    "Panic Disorder"
[03:54] Ryou
    a majority of cases can be treated
    quickly with medication or counseling.
[03:59] Ryou
    What's important to remember in panic
    attacks is not to try to handle it all alone.
[04:02] Ryou
    When you're panicking,
[04:04] Ryou
    you only put more pressure on yourself
    when you try to handle it alone.
[04:08] Iyashi
    So it's a vicious circle.
[04:10] Ryou
    "If it starts to bother me,
    I'll get off the train."
[04:12] Ryou
    "I'll go talk to my friend."
[04:14] Ryou
    Just thinking about measures
    like these can calm you down.
SIGN    Today's Theme:
    "Panic Disorder"
[04:18] Ryou
    There's no need to keep
    everything to yourself.
[04:20] Ryou
    It's okay to rely on measures like those.
[04:22] Both
    Got it!
[04:23] Ryou
    By the way, Iyashi-san,
[04:25] Ryou
    have you ever been in a situation you
    wanted to escape from, but couldn't?
[04:28] Iyashi
    Wanted to escape, but couldn't?
[04:31] Iyashi
    The pressure from my parents to get married.
[04:34] Ryou
    Uh, that topic runs too deep,
    so let's hold off on that.
SIGN    This program is a work of fiction. There is no guarantee that the treatments mentioned herein
    will work. Before having a medical exam, make sure the doctor deals in these treatments first.
SIGN    If you want to run away,
    visit the mental clinic!