I know this because I know of medical students taking it before giving a speech. Literally the medicine is well known for making you perfectly calm.
You know that magic pill that can get rid of your approach anxiety? I hear, this is it, though I never tried. I'm wondering if anyone more in the "know" can comment on it.
You're referring to beta blockers, which can reduce the stress response in your sympathetic nervous system.
> Literally the medicine is well known for making you perfectly calm.
> You know that magic pill that can get rid of your approach anxiety? I hear, this is it,
They're not magic. They won't make you perfectly calm and they won't magically rid you of different types of anxiety. Beta blockers are used in mild cases to help tip the scales toward calm, but they won't cure major anxiety or make you superhumanly calm.
Like any medication, it's best used as a combination treatment approach with therapy and other interventions. As always, refer to a doctor for a proper treatment plan, never try to self medicate with prescription medications.
So yes, while beta blockers can help, they are no panacea.
BLUF (bottom line up front):
Try biofeedback to regulate level of emotional arousal before an anticipated stressor or critical decision or event.
COMMENTARY
You may be referring to “Propranolol”
“Propranolol is occasionally used to treat performance anxiety... benefits appear similar to benzodiazepines in panic disorder with potentially less side effects such as addiction. Experimentation has been conducted in other psychiatric areas... Post-traumatic stress disorder (PTSD) and specific phobias...”
https://en.wikipedia.org/wiki/Propranolol
It is a beta blocker:
”Beta blockers (beta-blockers, β-blockers, etc.) are a class of medications that are predominantly used to manage abnormal heart rhythms... also widely used to treat high blood pressure (hypertension), although they are no longer the first choice...“
https://en.wikipedia.org/wiki/Beta_blocker
HYPOTHESIS
When taken before something like a Ted Talk, perhaps what’s happening is pre-treatment of not anxiety but indicative symptoms of anxiety, damping your biofeedback signals.
Perhaps it’s not doing anything direct for your anxiety, rather damping the racing heartbeat and increased blood pressure you usually experience in anticipation of stress (PTSD style association), and without that biofeedback sensor, your metacognition of anxiety doesn’t ramp up as much.
No citations, pure anecdata from 5 years in hedge fund sector.
CONTRAINDICATIONS
More than a few contra-indications:
https://en.wikipedia.org/wiki/Propranolol#Contraindications
https://en.wikipedia.org/wiki/Beta_blocker#Contraindications
ALTERNATIVE: BIO-FEEDBACK / MINDFULNESS
Bio-feedback mindfulness exercises are likely to be able to have the same effect after practice, not just in general, but in the immediate short term preceding an anticipated stress:
”Financial decision making : Financial traders use biofeedback as a tool for regulating their level of emotional arousal in order to make better financial decisions. The technology company Philips and the Dutch bank ABN AMRO developed a biofeedback device for retail investors based on a galvanic skin response sensor.... financial decision makers can learn how to effectively regulate their emotions using heart rate measurements.”
”Stress reduction : A randomized study by Sutarto et al. assessed the effect of resonant breathing biofeedback (recognize and control involuntary heart rate variability) among manufacturing operators; depression, anxiety and stress significantly decreased.”
https://en.wikipedia.org/wiki/Biofeedback#Financial_decision...
"I suspect it’s not doing anything direct for your anxiety, rather damping the racing heartbeat and increased blood pressure you usually experience in anticipation of stress (PTSD style association), and without that biofeedback sensor, your metacognition of anxiety doesn’t ramp up as much."
That's it. Heartbeat is gone, anxiety is still there. Also the "adrenaline rush" is gone.
How have you observed people in the hedge fund industry using Propranolol? How would they acquire it, use it, and was there any talk of negative side effects?
So the blood pressure medication made you more calm? You didn’t specify the medication they prescribed, but that’s a common effect of certain types of blood pressure medication. In fact, certain blood pressure medications are prescribed off-label for their calming properties. One blood pressure medication is even approved for also treating ADHD (Guanfacine).
If you find that your doctor doesn’t acknowledge your side effects or dismisses your complaints, it’s time to get a second opinion or rotate doctors. I’ve never had a problem with my doctors not believing me.
> I'm pretty sure if you take anything like anti anxiety / depressants, psycho-pharmaceuticals, or just anything with known side effects, the impact must be dramatic.
In my experience, the good doctors are well aware that all medications come with side effects. The best doctors strive to minimize medication exposure for this reason. Ironically, many patients disapprove of this because it feels like the doctors are withholding treatments, even when it may be the best choice for the patient.
The most common example is people demanding antibiotics for common colds. Doctors know antibiotics won’t help and that they come with significant risks, but they also know that patients might leave a bad review if they leave empty handed.
In the case of psychiatric medications: Yes, the differences can be significant. However, the side effects are worth the tradeoff for alleviating serious psychiatric issues. Being naturally healthy is obviously preferable to being medicated with side effects, but that’s not the choice that patients are making in these cases. Instead, they’re choosing between continuing to be unhealthy without medication or dealing with some side effects in order to relieve some of their pain.
This is also why many people get stuck in cycles of discontinuing their psychiatric medications. Someone who achieves remission from depression with anti-depressant medication might think that they don’t need the medication now that they’re “better”, and when all they can see are the side effects. This leads them to discontinue, which often results in relapse of the underlying disorder if not managed with the help of their doctors.