Anxiety – Page 3 – The Procrastination Pen

Sleeping With ASMR

I realise that for people who have not been following (the ASMR theme on) this blog since the beginning might find this to be nonsense. For such people, a bit of background. With each blog article I review a video (mostly videos located on YouTube) for its ability to either produce ASMR symptoms or to be restful enough to aid in sleep. At the end of which the video either gets added to The Procrastination Pen playlist or it does not. The assumption is that ASMR aficionados will just go straight to the playlist and listen, but some of you may like to read the material before doing that.

For an idea of where this all began take a look at the initial ASMR blog post which will give you an idea.

I think we are on more solid ground today as this one is back firmly in the medical exam area.

The channel is Ryann McCarty and sadly for us is not going to be a rich resource of ASMR material. In fact, there is one playlist of music videos entitled Rye and the video that we are featuring today entitled:

Ryann McCarty Student Nurse health assessment performance

So this is all you get today I’m afraid – look at it as an appetiser – keeping you keen to see yet more. (Yes, that didn’t sound that accurate to me either). Posted in 2017 and nothing posted on this channel subsequently. (The music playlist was last updated in 2020). Hopefully Ryann is out there doing more important things with her life. The sleeve badge seems to be for Suny Downstate College of Nursing, only sometime subsequently they’ve had a rebrand.

Ryann announces herself at the beginning so we’re pretty certain this is the Ryann we’re talking about. Initially her voice is a bit loud but once the examination starts it begins to settle down (although I don’t think she will ever be a Hollie Berry).

At intervals, (despite the constant air conditioning sounds in the background) I found myself quite calmed by it.

At one stage the person behind the camera starts laughing which is a little disconcerting. (It is easy to forget that there will always be a third person in each of these one-to-one encounters due to the presence of the camera).

I also liked the comment about cold hands – one feature of using alcohol-based hand sanitiser is that your hands get properly freezing – although in other videos I have featured in the past the medical professional does warn the patient about the incoming iceberg.

The notes state “Week 6 lab- Final health assessment performance”. I’m not sure how the education process works but if Ryann achieved this level of proficiency after merely 6 weeks of education then I am impressed.

In all quite a charming short piece at twenty minutes and fourteen seconds. Worthy of adding to the Procrastination Pen playlist I think.

The overall playlist of all videos featured so far in this blog is here:

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Sleeping With ASMR

In a previous blog post I mentioned that Dr James Gill was sufficiently prolific in the world of medical exams that it would be inevitable we would return to his own channel at some point in this blog.

I’m not sure if it is built into the YouTube algorithm but every time I look for a medical exam video Dr James Gill will occur at least once on that list. He is obviously dedicated.

This is one I chose for today’s blog:

Respiratory Examination Master Class

But this is one of a great many

Examining the YouTube channel Dr James Gill we find approximately one hundred and sixty nine videos as at todays date. The longest blog item I ever did was twenty three and I feel that was far too long.

In time honoured tradition (for this blog anyway), I will refine this number down using one of Dr James Gill’s own playlists.

As luck would have it we have been on the subject of cranial nerve exams recently – and I find that he has a playlist for this here:

Ten videos all incorporating Dr Gills calming voice (I have the feeling he must have cultured that over a long period of training).

How to Examine Cranial Nerve I – Olfactory Nerve – Clinical Skills – Dr Gill

A funky intro tune (which I could do without) and the constant accompaniment of air conditioning as background noise. These are all things we are used to after the blog item on Warwick Medical School.

However the voice of Dr Gill makes this seem unimportant. Lovely and quiet and calm. He seems consistent in this respect, I have only occasionally found a video of his in which this is not the case. This is one in which he seems quite young. However it was posted only two years ago, which probably shows how old I am.

As one of the commentators relates – we’re not here for the education but we’re getting one anyway.

How To Perform Optic Nerve Examination – Cranial Nerve II Examination OSCE – Dr Gill

Dr Gill is if anything even quieter here. Intra-video volume is a problem. If you’re playing my playlist regularly you may notice that you have one video at optimum volume for sleep and you can’t hear the next one. Worse still the next one kicks in like Trumpet Voluntary and blasts you from a nice relaxing dose.

I may soon be weeding the existing list to reflect only the highest quality, so some high-volume ones may get archived.

The biggest issue with these videos I find is because they have breaks in the track, YouTube introduces adverts into those spaces. Sometimes these are quite jarring adverts that are not toned to the content of the video or the time of day.

How to Find Your Blind Spot – Clinical Skills – 4K

This appears to be out of order. It refers to a cranial nerve exam yet to come which is in fact the video above in this playlist.

I love the comparison of the cranial nerve with a wiring point for the eye. It’s this kind of thing which must really help students to comprehend what is going on.

I also managed to map my own blind spot which is a piece of fun (I’m unlikely to be paid for doing this).

Cranial Nerves III, IV & VI Explained – What do they do and how to examine them – Dr James Gill

Entitled “Ultimate Guide to…” and just less than six and a half minutes. Quite astounding he could cram it in so effectively. Again with the air con but I think the vocal volume is better here. In all of these videos the best ASMR is definitely during the brief exam part of the video.

Cranial Nerve V: The Trigeminal Nerve – Your Ultimate Guide To Cranial Nerve Examination – Dr Gill

Again, the exam part of the video is best in ASMR terms.

Cranial Nerve VII – The Facial Nerve – Ultimate Guide to Cranial Nerve Examination

A very odd background noise at the start like a light metallic sound, almost as if the sound was vibrating through a duct or similar. This settles down as he gets into the motor neuron part of the video.

The video actually explains some of the behaviour we have seen in other cranial nerve exam videos.

Cranial Nerve VIII – The Vestibulocochlear Nerve – Ultimate Guide to Cranial Nerve Examination

Age related hearing loss strikes home, I am certainly starting to lose mine. Which presumably, eventually, will ultimately impact on any ASMR.

Dr Gill seems to repeat himself in this video, when discussing hearing loss due to old age, that can be distracting. I’ll keep this in the playlist but it might be one that is subject to future weeding.

Glossopharyngeal & Vagus Nerve Explained – Guide to Cranial Nerves IX and X – Dr Gill

So much quieter at the start and so much easier to relax to as a result.

Cranial Nerve XI & XII – Accessory and Hypoglossal Nerve – Ultimate Guide – Dr Gill

This again at the start lacks the air conditioning noise – ah peace.

Cranial Nerve Examination Demonstration – 4K – Clinical Skills OSCE – Dr. Gill

For me, the exam is always where Dr Gill is at his best ASMR wise so this is the pinnacle of this particular set.

The Dr Gill playlist is here:

I have no doubt we will be covering more of his videos in this blog

The overall playlist of videos covered so far in this blog is here:

I hope that you find them relaxing.

If you liked this blog item why not follow this blog:

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Sleeping With ASMR

I recently had a nasty shock when posting an ASMR article. For each embedded video, rather than a nice image of the video from YouTube there is a rather abrupt message from YouTube stating that the content of the video can only be shown on YouTube itself.

I don’t see this as a problem. I was anticipating that in reading this you were eager to get to the playlists at the end and see what new joys of ASMR I had found for you. However, it does look rather unattractive.

I apologise for this. I do not know a workaround other than to delete the video from the blog altogether. That seems a bit counterproductive since you wouldn’t get to experience the video at all.

If anyone has any suggestions as to how the ugly warning box can be dispensed with and something more attractive put in its place, I would welcome that kind of input.

Today’s video subject is another nerve examination – they are a rich source of ASMR material. I have no idea how the medical education process seems to churn out so many people with calm quiet voices but long may it continue and long may they continue to post their videos.

Quick Neurological Screening Examination

Judging by some of the comments I am not the first to divine that this is a great ASMR video. I’m hopeful that you find it soporific, if you’ve decided to use the playlists to get off to sleep, as I do.

Prashant for that is the YouTube channel has posted just ten videos but has 4.06K subscribers as at today’s date. This makes me wonder if there are a shed-load of ASMR devotees out there.

A number of the videos could have been effective but they are in a language I do not understand and hence there is a risk I’m posting something that I shouldn’t. Therefore, I have discounted them.

This next one features Dr Prashant himself. He has quite a good voice, but I’m not sure the coronavirus is a very restful subject so I am discounting it from the playlist.

Corona Virus (COVID-19) Pandemic

Which leaves only one video:

Mental Status Examination

This takes a while to wind itself up, the exam proper does not really start till six minutes five seconds into the video. Sadly whilst it is the sole remaining video in this channel worthy of consideration, I don’t think it really made the grade. (Your experience may differ). So one more video for the playlist, remember it is found here:

I hope you find it restful.

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Sleeping With ASMR

Another segue in terms of video subject this one is osteopathy. The voice is not as restful as in some previous videos – nonetheless I find this one relaxing. (However this is no Dr Gill).

PE: Neurologic Exam – OSCE Prep – 2022

The notes indicate this was filmed at the University of North Texas Health Science Center Texas College of Osteopathic Medicine (UNTHSC – TCOM).

This has a YouTube channel TCOM Texas College of Osteopathic Medicine, but it does not include this one.

Here OSCE is Objective Structured Clinical Examination.

The intro tells us that it was filmed in 2022 which is positively up to date in terms of the ASMR videos I’ve covered so far. Neither the “patient” nor the medical professional are introduced so I’m none the wiser.

As the exam continues the medical professional’s voice gets a lot quieter and that is a lot better ASMR-wise. This is a playlist candidate.

Again it is worthwhile checking out the resulting channel to see if there are any gems hiding in there.

The channel is Osteopathic Clinical Skills, and contains about ninety-two videos as at today’s date which again is far too many for any single blog item (perhaps we’ll venture back here at some future date).

Fortunately, Osteopathic Clinical Skills has been kind enough to supply a playlist containing the featured video, which is here:

There are only seven videos in here (which is a more manageable number).

We’ve covered the above one, the remaining six are:

Common Palpatory Landmarks for Physical Examination and Osteopathic Structural Examination

It starts a bit loud for me, obviously the presenter is in education mode rather than examination mode. (Well for most people performing an examination they are quite a bit quieter).

Unfortunately this style continues with the rest of the video making it unsuitable for our ASMR purposes. For this reason this video isn’t going to be in the playlist.

Standing Postural Examination – Osteopathic Structural Exam (OSE) Screening

It starts out loud as it is after all a teaching video. Sadly this isn’t useful in ASMR terms so it will not be in the playlist.

Lordosis – inward curve of the spine in neck or lower back.

Upper Extremity Palpatory Landmarks for Physical Examination and Osteopathic Structural Examination

Appreciate – to detect or to find.

This is still presented as in a classroom – perhaps less noisy than the previous one but still not quite there.

FIGS by the way is not a name label for the “patient” but a range of medical apparel.

Somatic Dysfunction: Clavicle (SC and AC Joint)

It starts reasonably quietly but still not Shane Brun. For me this is still a bit loud so it will not be in the playlist.

Sternoclavicular – link between the collarbone and the breastbone.

Acromioclavicular where the collarbone meets the highest point of the shoulder blade.

Thoracic & Lumbar Spine Palpatory Landmarks for Physical Examination & Osteopathic Structural Exam

I think that these are probably great instruction videos – this one has fourteen thousand five hundred subscribers for example. But it really isn’t any good for ASMR.

Pelvis & Sacrum Palpatory Landmarks for Physical Examination and Osteopathic Structural Exam

As before, a no-doubt great instruction video but it doesn’t make the playlist.

So no Osteopathic Clinical Skills Playlist (only one video made the grade).

The overall playlist for videos covered so far in this blog is here:

I hope you find it relaxing.

If you like this article why not follow this blog.

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Sleeping with ASMR

The next item in the ASMR sleep series is a little more complicated. Now that I have been following ASMR-related videos for a while it has become obvious that some ASMR publishing people are trying to game the system.

From the number of follows, comments, views, and so-on I am not the only person who is searching for ASMR content. There appears to be a subset of people who are interested in videos where the person produces ASMR effects by mistake. Examples include speeches made where the person has a gentle voice; a lecture where the lecturer’s tone happens to be the correct one to set off ASMR in some of the listeners; interviews where the participants have very calm voices.

Some professional ASMR artists, (and indeed amateur ASMR artists) are now making videos deliberately but claiming they were produced entirely coincidentally. There is obviously a money angle – the more adherents you have – the more advertising-related revenue you can captivate. So the temptation is there, frankly, to cheat.

Some titles will say something like “by a genuine person” (as if there were non-genuine people wandering around). Sometimes there are “medical examination” videos, with a couple of suspiciously attractive young people in the video who don’t appear to know a great deal about medicine.

In this climate I am a little unsure about this series. They are great videos for ASMR which purport to be part of a medical education series.

Patient Examination Series- Dr Hollie Berry

Given I am suspicious I took a look on DuckDuckGo (other search engines exist) and it turns out there is no Dr Hollie Berry other than as part of this video series (or other people discussing this video series). No LinkedIn account, no medical papers, no references or citations – and no college sites linking to the videos.

So far Aidan Blunt appears to be the only source and he (assuming it is a he) is obviously aware that Dr Berry has this affect in some listeners as he has produced some videos edited in order to enhance the ASMR effect.

Here:

Cranial Nerves Examination ASMR Loop

I have a dislike of ASMR loop videos. There will be (say) a medical exam which is about ten minutes and to make it an hour it will play (or parts of it will play) over and again. It might be that I am just dosing when a part I’ve heard before comes winging back. This is one of those. So I will not be adding it to the playlist.

And here:

Cardiac Examination ASMR Edit

This one edited in order to enhance its ASMR effect. Again I won’t add this one to the playlist, however some people reading may find this kind of thing right up their street perhaps.

And here:

Abdominal Examination ASMR Edit

Also edited for its ASMR effect and therefore, as before, not included in the playlist.

And here:

Upper Limb Neuro Examination ASMR Edit

As before.

However Aidan also produces some more dedicated medical videos so for the purposes of this blog item I am prepared to give him the benefit of the doubt.

I found this series originally through a posting on Reddit

Which leads to this video:

Cranial Nerve Examination

Which leads me to suspect that the filming was done at Manchester Medical School and the Lancashire Teaching Hospitals NHS Foundation Trust. However I am currently not able to find any similar video content other than that put out by Aidan.

This video has the smell of the genuine article and is a sensible seven and a half minutes in length which seems to fit with a reasonable length medical examination video found elsewhere.

Aidan Blunt – this is the channel where the Hollie Berry videos are all found. There are thirty four videos here and so too many to feature in any one blog item.

However I started with a Hollie Berry video and so I will concentrate on the videos from this channel that feature Hollie Berry.

Apart from the compilation, ASMR edit and ASMR loop videos (all of which I know to be doctored and therefore will discount) there are these:

Abdominal Examination

This is a sensible length at five minutes thirteen seconds.

Cardiovascular Examination

This one is five minutes six seconds.

I think Hollie may have my favourite ASMR voice of the videos I have covered so far.

Diabetic Foot Examination

Three minutes twenty five seconds in length.

A repeating theme in these is that the “patient” appears either petrified or completely distracted. I’m not sure what they could have said to them to get them in this state. Hollie seems the ideal medical person – professional and relaxing. But for the people in these videos it does not appear to be working.

Lymph Gland Examination

Three minutes fourteen seconds in length. And given the comments I’d say a number of people find Hollie’s voice to be relaxing.

Respiratory Examination

Five minutes thirty four seconds in length. The more I listen the more I think this set of videos is a great find ASMR-wise.

Upper Limb Neuro

This last set seem all to have been posted eleven years ago. I think we can assume that Hollie Berry does (or did) exist and probably made a set of videos for the Manchester Medical Schools a decade or so ago. They’ve moved on and taken down her videos subsequently but Aidan has preserved them for some reason.

Why Hollie should disappear altogether at that point is anybody’s guess but a set of six short videos is all we have of the greatest ASMR voice I have so far discovered. A great shame.

The playlist is here:

The complete playlist of videos covered so far is here:

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Sleeping with ASMR

In my opinion the first of these is the best in terms of ASMR-i-ness (if such a term could be said to exist). Yet again a change of direction as we look away from standard medical examinations and move to eye-related exams instead.

The channel comes from the Moran Eye Centre at the University of Utah.

Moran CORE (for such is the channel) provide a number of ophthalmic-related videos, but the best from an ASMR perspective is this one:

The Neuro-ophthalmology Exam: Neuro

The key to this I think is probably the interactions between Judith Warner, ophthalmologist and the “patient” Megan (who turns up in other videos in the series). Megan seems to have the most naturally restful voice here I think.

Moran CORE has so many videos that I gave up counting them and so it is critical to limit the videos that I present here. (Both for my typing fingers and your no doubt tired eyes).

Sadly Moran CORE does not present any helpful playlists that include this particular video so the obvious approach is to filter on videos “starring” the same ophthalmologist or featuring the same “patient” (Megan).

What leaps out scanning the videos is that a number of them feature the same “patient”.

Sticking to videos initially that feature the same “patient” we have this one:

The Orbital Exam

Which is with Tom Oberg instead of Judith Warner. Tom actually has a good voice ASMR-wise but again Megan’s is better. The approach is calm and de-stressing. Both Tom and Judith have been encouraging and patient – the kind of person that you want if someone is going to be examining you.

The Ophthalmic Exam: Retina and Posterior Segment

This is with Andrew Davis, who is technically brilliant I’m sure, but sadly does not have a great voice for ASMR. In this one Megan seems to say very little. So it’s a washout for us sadly and will not be added to the playlist.

The Neuro-ophthalmology Exam: Pupils; Color; Eye Movements; Prism

This is Laura Hanson with the “patient” Megan again. Laura doesn’t have the greatest ASMR voice but Megan here gets more of a speaking role which compensates to an extent.

However as before I do not think this makes the grade for the playlist.

Indirect Ophthalmoscopy with Scleral Depression

This is James Zimmerman with Megan. James’ voice is actually quite good here. But I don’t think it is going to be good enough sadly. This isn’t going to make the grade for the playlist.

How to Instill Topical Anesthetics

Lloyd B Williams with Megan. Lloyd also has a good voice. But again I don’t think this one will graduate to the playlist.

The Neuro-ophthalmology Exam: Eyelids

Laura Hanson again, as far as I can tell the last video featuring Megan and so the last of this blog item. This is slightly better than the earlier Laura video I think. However I still don’t think it is going to make the playlist.

Filtering the videos by the “patient” is an arbitrary method for limiting the videos. However Moran CORE has so many videos and they are so varied that I suspect we will be mining this resource in the future.

The Moran CORE Playlist is here:

The playlist of all videos so far covered in this blog is here:

I hope that you find them restful.

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Sleeping With ASMR

One of the consequences of entering the fifth decade of being alive (which no one seemed to warn me about when I was somewhat younger) is that it is almost impossible to get to sleep. And having got there, to stay in that state for any period of time.

I have tried various hacks for this over the last years, to varying degrees of success, and by chance I happened upon the fact that ASMR works for me.

The little reading I’ve managed to do seems to indicate that only some people are affected.

It also appears that different people have preferences for different sounds.

For me, the most potent trigger is a person speaking quietly and calmly.

Sadly though the effect soon wears off, and over time the same person – with the same speech – stops working.

This means that I am more-or-less constantly looking for new material, which may be of some merit for this blog and for people who react in a similar way.

For some time I have avoided revealing that I find ASMR helpful in that a number of commentators respond to it as if it is akin to some kind of sexual perversion.

However for me it feels more of the kind of attention I would see on a David Attenborough programme in which one monkey is grooming another and both monkeys are more relaxed as a result.

As science progresses it appears that there is more acceptance that relaxing to ASMR is not necessarily a sexual experience.

Hence it is moderately safe to give some recommendations around ASMR that I have found work for me.

I am also getting some playlists together on YouTube for those who do not have the time to look around for ASMR videos.

(Most of the ASMR material I find on YouTube at the moment – although other ASMR resources exist.)

Recently I came across an article for a Welsh stone carver who has been an ASMR discovery after he published some YouTube videos about his stone carving.

There are only three and I found them effective. Three is a suitably short number to start with to see if you feel the same way.

My playlists are here:

https://www.youtube.com/@theprocrastinationpensite

the playlist for Leuan Rees is here:

I will be assembling further ASMR into a complete playlist here:

please feed back if they are effective for you or if you have any further ASMR material which would be worth considering.

Sadly these videos no longer work for me so I am looking for new material, which I will shortly publish here.

I hope that you find them relaxing.

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Happy Seed – Worry Seed

I’ve used this technique myself with clients. It is a good creative technique to use with people who worry excessively or are anxious. Sometimes it is good to use techniques other than talking (and listening) in the room. Visual techniques are helpful in that they display to the client where their current thinking style/behaviour is taking them. It also can help them to clearly see changes that they need to make.

Everyone in the world has two seeds. There is a happy seed and a worry seed. You can do what you like with either seed – there is no instruction book. However the way you behave towards these two seeds is not without consequences.

This exercise is to show what happens when you pay attention to one or other seed.

Draw a happy seed and a worry seed at the bottom of a large piece of paper.

The client can pay attention to either seed. They must first nominate one as the happy seed and one as the worry seed. (Draw a label clearly at the base of the paper so that there is no doubt which one is which).

They can pay attention to either seed. Each seed needs feeding and watering so that it can grow.

If the client is prone to worry it is usually easier for them to pay attention to the worry seed. If a worry comes to mind have them draw a shoot from the worry seed. Have them attach a leaf to this shoot labelled with that worry.

At this stage the worry seed is developing into a plant. The happy seed is still just a seed. The client has free rein to add shoots to either seed. Have them add more shoots with whatever comes to mind.

Their predominant thinking style will rise to the surface. Someone who worries draws more worries.

Dependent upon how much the client has to bring up it might be that you will need a very large piece of paper for this. (Plain wallpaper for example is good).

As you watch what the client is doing you can see that they have a tendency to water and feed one particular plant dependent upon their thinking style.

This can continue for as long as you have time designated to this. However a definite pattern will have emerged.

Eventually the client will run out of things to add – or will have added as much as they can within the time you allotted for this activity. There will usually be an asymmetry between the two plants:

At which point you can point out to them that in life there is only one pot of time. They can pay attention to anything that they like but only one thing at a time. If they pay attention to the worry seed – they care for it, water it and it will start to grow.

A first worry leaf develops. With further attention to the worry seed another leaf pops up. If they keep caring for the worry seed in time a tree of worries will fill the page.

Their life will be full of worries and there will be no space left for happy.

They can’t care for the worry seed and at the same time pay attention to the happy seed. With no attention to the happy seed they concentrate all their energy on worry.

The worry tree becomes so huge that it is overwhelming. By comparison the stunted happy tree is undeveloped. In fact the happy tree is completely overshadowed by the worry tree and is not going to grow properly.

Get them then to consider how life would be different if they spent at least some time on the happy seed.

Better still if they watered and cared for the happy seed at the expense of the worry seed. How much different would life be then.

The intention is for them to seek out the parts of their lives that are happy and to minimise the time they spend worrying.

Thanks to my counsellor Rachel http://www.elyhypnotherapy.com/ for suggesting this technique.

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