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90-474: Since the formation of Angerme, there have been eleven generations and fourteen departures. As of 20 June 2024, the total number of members of the group stands at ten members. On April 4, Japanese music producer Tsunku announced on his blog that a new girl group consisting of Hello! Pro Egg members would be formed. The members would consist of Ayaka Wada , Yuuka Maeda , and Kanon Fukuda , all formerly of Shugo Chara Egg! , as well as fellow Egg Saki Ogawa. Ayaka

180-549: A questionnaire . Panic disorder is usually treated with counselling and medications . The type of counselling used is typically cognitive behavioral therapy (CBT) which is effective in more than half of people. Medications used include antidepressants , benzodiazepines , and beta blockers . Following stopping treatment up to 30% of people have a recurrence. Panic disorder affects about 2.5% of people at some point in their life. It usually begins during adolescence or early adulthood, but may affect people of any age. It

270-418: A 25-year-old former model from Fukuoka . The couple have fraternal twins (a boy and a girl—the girl best known by her debut name, Hotzmic) born in 2008 and a second daughter, born in 2011. As his musical influences he cites The Beatles , Japanese popular music (especially kayōkyoku ), American and European hits being played on the radio when he was a schoolboy, disco acts such as Chic , Kool &

360-498: A career in fashion. One new member, Rin Hashisako from Hello! Pro Kenshuusei, joined the group as the eighth generation member. She is the 3rd solo generation to debut in the group, as well as the first to debut after all original 1st generation members have graduated. She was introduced on stage during the Hello! Project 2019 Summer concert tour from July 13. Rina Katsuta officially left

450-412: A chemical imbalance within the limbic system and one of its regulatory chemicals GABA -A. The reduced production of GABA-A sends false information to the amygdala which regulates the body's "fight or flight" response mechanism and, in return, produces the physiological symptoms that lead to the disorder. Clonazepam , an anticonvulsant benzodiazepine with a long half-life, has been successful in keeping

540-426: A chronic state of hyperventilation and other carbon dioxide receptor hypersensitivity could represent genetic causes for panic disorder. Differing proposed causes look at chromosomal regions 13q, 14q, 22q, and 4q31-q34 as possible associations to heritability. The neuroanatomy of panic disorder largely overlaps with that of most anxiety disorders . Neuropsychological, neurosurgical, and neuroimaging studies implicate

630-399: A fearful dependence on others for their sense of security, which leads to separation anxiety and defensive anger. Therapy involves first exploring the stressors that lead to panic episodes, then probing the psychodynamics of the conflicts underlying panic disorder and the defense mechanisms that contribute to the attacks, with attention to transference and separation anxiety issues implicated in

720-503: A full member of Angerme, and held a concurrent position in Country Girls. The sixth generation began activities in the group at the Hello! Project 2017 SUMMER concert tour on July 15. On December 31, an announcement was posted to the Hello! Project website, stating that Maho Aikawa had decided to graduate from both Angerme and Hello! Project , after having been on hiatus from activities for

810-461: A gray area. However, some researchers have found strong causative links. In general, neurochemical dysfunction plays the most prominent role in genetic cause for panic disorder. This can be seen in factors such as autonomic imbalances, decreased GABA-ergic tone, increased adenosine receptor function, increased cortisol levels, and disturbances in other hormones and/or neurotransmitters (e.g., norepinephrine). Some studies have looked at theories suggesting

900-404: A month of a significant and related behavior change, a persistent concern of more attacks, or a worry about the attack's consequences. There are two types, one with and one without agoraphobia . Diagnosis is excluded by attacks due to a drug or medical condition, or by panic attacks that are better accounted for by other mental disorders. The ICD-10 diagnostic criteria: The essential feature

990-476: A new arrangement and new lyrics. The song is a tie-up for their second collaboration campaign with oral beauty care brand Ora2 promoting the Ora2 Me line of toothbrushes, running from July 12 to August 31. The song was later released digitally on September 1. On September 13, it was announced that Momona Kasahara's graduation concert was scheduled for November 15 at Nippon Budokan. On November 15, Momona Kasahara left

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1080-641: A new company called TNX consisting of singers such as Ami Tokito and other people including Tatsuya Naka , a magician who appeared on Hello! Morning . On September 26, 2007, Tsunku released a compilation album with the temporary title of "Sharam Q ~ Morning Musume" ~Tsunku 15 Years in Entertainment Commemoration Album~ , containing songs by both Sharam Q and Morning Musume, and another one on December 5, 2007 titled Tsunku Best Work Collection , containing songs sung by Tsunku himself. In June 2006, Tsunku married Kanako Idemitsu ( 出光 加奈子 ) ,

1170-503: A portion of the population with undiagnosed panic disorder who will not seek professional help as a result of their own self-medication. In fact, for some patients panic disorder is only diagnosed after they seek treatment for their self-medication habit. While alcohol initially helps ease panic disorder symptoms, medium- or long-term hazardous alcohol use can cause panic disorder to develop or worsen during alcohol intoxication , especially during alcohol withdrawal syndrome . This effect

1260-571: A regular basis, sometimes daily or weekly. Limited symptom attacks are similar to panic attacks but have fewer symptoms. Most people with Parkinson's disease experience both panic attacks and limited symptom attacks. Studies investigating the relationship between interoception and panic disorder have shown that people with panic disorder feel heartbeat sensations more intensely when stimulated by pharmacological agents, suggesting that they experience heightened interoceptive awareness compared to subjects without Parkinson's disease . While there

1350-525: A sole generation member. Kanon Fukuda officially left the group on November 29. Less than a month after Fukuda's graduation, on December 20, 2015, during the Angerme Christmas Fanclub event, it was announced that Meimi Tamura would leave Angerme and Hello! Project in spring 2016. On May 30, 2016, Meimi Tamura graduated from Angerme. On July 16, 2016, a surprise announcement was made: Momona Kasahara, previously from Hello! Pro Kenshūsei, would join

1440-418: A standard therapy session), policies against conducting exposures outside of the workplace setting, and perhaps most tellingly, negative therapist beliefs (e.g., that interoceptive exposures are unethical, intolerable, or even harmful)." Appropriate medications are effective for panic disorder. Selective serotonin reuptake inhibitors are first line treatments rather than benzodiazapines due to concerns with

1530-589: A study that examined co-morbid panic attacks and substance use in a non-clinical sample of young adults who experienced regular panic attacks. The authors found that compared to healthy controls, sedative use was greater for non-clinical participants who experienced panic attacks. These findings are consistent with the suggestion made by Cox, Norton, Dorward, and Fergusson (1989) that panic disorder patients self-medicate if they believe that certain substances will be successful in alleviating their symptoms. If panic disorder patients are indeed self-medicating, there may be

1620-517: A supporter who is familiar with the condition. For more serious or active treatment, there are support groups for those with anxiety which can help people understand and deal with the disorder. Current treatment guidelines American Psychiatric Association and the American Medical Association primarily recommend either cognitive-behavioral therapy or one of a variety of psychopharmacological interventions. Some evidence exists supporting

1710-432: A way that exaggerates relatively normal bodily reactions are also believed to play a role in the onset of panic disorder. Often the first attacks are triggered by physical illnesses, major stress, or certain medications . People who tend to take on excessive responsibilities may develop a tendency to have panic attacks. Individuals with post-traumatic stress disorder ( PTSD ) also show a much higher rate of panic disorder than

1800-614: Is a questionnaire for measuring the severity of panic disorder. Panic disorder is a serious health problem that in many cases can be successfully treated, although there is no known cure. Identification of treatments that engender as full a response as possible, and can minimize relapse, is imperative. Cognitive behavioral therapy and positive self-talk specific for panic are the treatments of choice for panic disorder. Several studies show that 85 to 90 percent of panic disorder patients treated with CBT recover completely from their panic attacks within 12 weeks. When cognitive behavioral therapy

1890-787: Is also involved in Nice Girl Project! ( NICE GIRL プロジェクト! ) . As a result of the Japanese earthquake in 2011, Tsunku wrote a song titled Love is Here ~Kibou no Hikari~ , dedicated to the victims. Tsunku is one of the many Japanese celebrities who have stepped up to support the victims and their loved ones. In March 2014, Tsunku announced on his blog that he had laryngeal cancer , which he found out after having throat surgery due to an unspecified condition. He also stated that he has been seeking treatment for it. On April 4, 2015, Tsunku revealed that he had his vocal cords removed as part of his cancer treatment. In his memoir, Dakara, Ikiru , which

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1980-517: Is also possible that panic disorder patients smoke cigarettes as a form of self-medication to lessen anxiety. Nicotine and other psychoactive compounds with antidepressant properties in tobacco smoke which act as monoamine oxidase inhibitors in the brain can alter mood and have a calming effect, depending on dose. A number of clinical studies have shown a positive association between caffeine ingestion and panic disorder and/or anxiogenic effects. People who have panic disorder are more sensitive to

2070-441: Is also the first single to feature Yuki Hirayama. On October 19, ANGERME released their 31st single, " Kuyashii wa / Piece of Peace ~Shiawase no Puzzle~ . On December 20, it was announced that Akari Takeuchi would graduate and leave from the group and Hello! Project at the end of their 2023 Spring Tour to focus on her new passion in calligraphy. On March 22, the group released their fourth studio album, BIG LOVE . On May 23, it

2160-429: Is hypochondriacal concerns, which mediate the relationship between anxiety sensitivity and panic symptomatology; thus, anxiety sensitivity affects hypochondriacal concerns which, in turn, affect panic symptomatology. Perceived threat control has been identified as a moderator within panic disorder, moderating the relationship between anxiety sensitivity and agoraphobia; thus, the level of perceived threat control dictates

2250-438: Is in comparison with 61% (alcohol) and 7.9% (other psychoactive drugs) of the general population who use alcohol and psychoactive drugs, respectively. Utilization of recreational drugs or alcohol generally make symptoms worse. Most stimulant drugs (caffeine, nicotine, cocaine) would be expected to worsen the condition, since they directly increase the symptoms of panic, such as heart rate. Deacon and Valentiner (2000) conducted

2340-448: Is less common in children and elderly people. Women are more likely than men to develop panic disorder. Individuals with panic disorder usually have a series of intense episodes of extreme anxiety during panic attacks . These attacks typically last about ten minutes, and can be as short-lived as 1–5 minutes, but can last twenty minutes to more than an hour, or until helpful intervention is made. Panic attacks can last up to an hour, and

2430-580: Is not an option, pharmacotherapy can be used. SSRIs are considered a first-line pharmacotherapeutic option. Panic disorder is not the same as phobic symptoms, although many phobias commonly result from panic disorder. CBT and one tested form of psychodynamic psychotherapy have been shown efficacious in treating panic disorder with and without agoraphobia. A number of randomized clinical trials have shown that CBT achieves reported panic-free status in 70–90% of patients about 2 years after treatment. A 2009 Cochrane review found little evidence concerning

2520-461: Is not just one explanation for the cause of panic disorder, there are certain perspectives researchers use to explain the disorder. The first one is the biological perspective. Past research concluded that there is irregular norepinephrine activity in people who have panic attacks. Current research also supports this perspective as it has been found that those with panic disorder also have a brain circuit that performs improperly. This circuit consists of

2610-583: Is not unique to alcohol but can also occur with long-term use of drugs which have a similar mechanism of action to alcohol such as the benzodiazepines which are sometimes prescribed as tranquilizers to people with alcohol problems. The reason chronic alcohol misuse worsens panic disorder is due to distortion of the brain chemistry and function. Approximately 10% of patients will experience notable protracted withdrawal symptoms, which can include panic disorder, after discontinuation of benzodiazepines. Protracted withdrawal symptoms tend to resemble those seen during

2700-449: Is recurrent attacks of severe anxiety (panic), which are not restricted to any particular situation or set of circumstances and are therefore unpredictable. The dominant symptoms include: Panic disorder should not be given as the main diagnosis if the person has a depressive disorder at the time the attacks start; in these circumstances, the panic attacks are probably secondary to depression . The Panic Disorder Severity Scale (PDSS)

2790-435: Is referred to as anxiety sensitivity , and studies suggest that people who score higher on anxiety sensitivity surveys are five times more likely to be diagnosed with panic disorder. Panic disorder has been found to run in families, which suggests that inheritance plays a strong role in determining who will get it. Psychological factors, stressful life events, life transitions, and environment as well as often thinking in

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2880-478: Is sometimes used for panic disorder. People's interoceptive triggers of anxiety are evaluated one-by-one before conducting interoceptive exposures, such as addressing palpitation sensitivity via light exercise. Despite evidence of its clinical efficacy, this practice is reportedly used by only 12–20% of psychotherapists. Potential reasons for this underutilization include "lack of training sites, logistical hurdles (e.g., occasional need for exposure durations longer than

2970-623: The COVID-19 pandemic . Panic disorder Panic disorder is a mental and behavioral disorder , specifically an anxiety disorder characterized by reoccurring unexpected panic attacks . Panic attacks are sudden periods of intense fear that may include palpitations , sweating, shaking, shortness of breath , numbness, or a feeling that something terrible is going to happen. The maximum degree of symptoms occurs within minutes. There may be ongoing worries about having further attacks and avoidance of places where attacks have occurred in

3060-558: The COVID-19 pandemic . On March 22, Mizuki Murota graduated and left from both ANGERME and Hello! Project at Hello! Project Hina Fes 2020 <ANGERME Premium>. On April 21, it was announced that Musubu Funaki 's and Juice=Juice member Karin Miyamoto 's graduations set for June 2020 would be postponed to a later date due to the government's declaration of emergency following the spread of COVID-19 getting worse. Both stated that they wanted to graduate in front of an audience, and thus made

3150-680: The Up-Front Works label. The result of the campaign was announced during the joint Smileage and Erina Mano concert on April 3. It was then announced that the group would be leaving from Hello! Pro Eggs. Their first major single, " Yume Miru Fifteen ", was released on May 26. Their debut album, Warugaki 1 , was released on December 8, 2010. On December 30, Smileage received the Japan Record Award for Best New Artist. On May 29, 2011, Smileage revealed at their first-anniversary event that they would be holding auditions for new members to add to

3240-464: The amygdala , central gray matter, ventromedial nucleus of the hypothalamus , and the locus ceruleus . There is also a cognitive perspective. Theorists believe that people with panic disorder may experience panic reactions because they mistake their bodily sensations for life-threatening situations. These bodily sensations cause some people to feel as though are out of control which may lead to feelings of panic. This misconception of bodily sensations

3330-616: The insula , amygdala , hippocampus , anterior cingulate cortex (ACC) , lateral prefrontal cortex , and periaqueductal grey . During acute panic attacks, viewing emotionally charged words, and rest, most studies find elevated blood flow or metabolism . However, the observation of amygdala hyperactivity is not entirely consistent, especially in studies that evoke panic attacks chemically. Hippocampus hyperactivity has been observed during rest and viewing emotionally charged pictures, which has been hypothesized to be related to memory retrieval bias towards anxious memories. Insula hyperactivity during

3420-554: The 100 sampled individuals. Tobacco smoking increases the risk of developing panic disorder with or without agoraphobia and panic attacks ; smoking started in adolescence or early adulthood particularly increases this risk of developing panic disorder. While the mechanism of how smoking increases panic attacks is not fully understood, a few hypotheses have been derived. Smoking cigarettes may lead to panic attacks by causing changes in respiratory function (e.g. feeling short of breath). These respiratory changes in turn can lead to

3510-546: The ANGERME ONLY ONE Audition ~Watashi wo Tsukuru no wa Watashi~, and Shion Tamenaga from Hello Pro Kenshuusei . The new line-up would make their first performance at the ANGERME Concert 2020 ~Kishotenketsu~ Funaki Musubu Sotsugyou Special on December 9. On November 27, following a countdown to a surprise collaboration with oral beauty care brand Ora2, the music video for promotional song " SHAKA SHAKA TO LOVE "

3600-687: The Gang and Earth, Wind & Fire , and bands like Duran Duran and The Power Station . Tsunku is responsible for majority of the musical composition and lyrics in Hello! Project , noticeably for Morning Musume where all of their singles have ranked in the Oricon Weekly Singles Top 5 (excluding " Morning Coffee " and " Mikan "). Arranging is typically left to outside parties with track records in arranging popular anime and game music. His works are mainly pop-oriented with catchy melodies and romantic, idealistic and sometimes even humorous lyrics,

3690-588: The Hello Pro Premium Angerme Concert Tour 2019 Haru Final Wada Ayaka Sotsugyou Special Rinnetenshou ~Aru Toki Umareta Ai no Teishou~ at Nippon Budokan, becoming the longest-serving member and longest-serving leader of the group. With her graduation, there were no more first generation members in the group. Rina Katsuta graduated from Angerme and Hello! Project on September 25 at Hello! Project 2019 Summer in Pacifico Yokohama to pursue

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3780-758: The US as Rhythm Heaven and in Europe as Rhythm Paradise ) for the Nintendo DS, Minna no Rhythm Tengoku ( Rhythm Heaven Fever in the US, Beat the Beat: Rhythm Paradise in Europe) for the Wii, and Rhythm Tengoku: The Best Plus ( Rhythm Heaven Megamix in the US, Rhythm Paradise Megamix in Europe) for the Nintendo 3DS. On October 1, 2006, it was announced that Tsunku had created

3870-728: The ages of the girls singing them), such as the Morning Musume singles " Kanashimi Twilight , " Onna ni Sachi Are " and " Resonant Blue ". Although his own work as a soloist and in Sharam Q tends to lean towards pop-rock , he is best known for working with various arrangers to create highly melodic, richly-textured sequencer -driven electronic dance music which often features synthesizers, as well as guitar riffs and solos which sometimes hint at hard rock or heavy metal influences (such as in Morning Musume's " Ambitious! Yashinteki de Ii Jan " and Cute 's " Forever Love "). Typical vocal arrangements in

3960-497: The anxiety-provoking effects of caffeine. One of the major anxiety-provoking effects of caffeine is an increase in heart rate. Certain cold and flu medications containing decongestants may also contain pseudoephedrine , ephedrine , phenylephrine , naphazoline and oxymetazoline . These may be avoided by the use of decongestants formulated to prevent causing high blood pressure. About 30% of people with panic disorder use alcohol and 17% use other psychoactive drugs . This

4050-473: The condition under control. Recently, researchers have begun to identify mediators and moderators of aspects of panic disorder. One such mediator is the partial pressure of carbon dioxide, which mediates the relationship between panic disorder patients receiving breathing training and anxiety sensitivity; thus, breathing training affects the partial pressure of carbon dioxide in a patient's arterial blood, which in turn lowers anxiety sensitivity. Another mediator

4140-551: The decision to postpone their graduations. On August 26, the group released their 28th single " Kagiriaru Moment / Mirror Mirror ". On October 13, it was announced that Haruka Oota had withdrawn from Angerme but would remain in Hello! Project. On October 23, it was announced that Funaki's graduation concert was rescheduled for December 9 at Nippon Budokan. On November 2, three new members were announced as part of ANGERME's ninth generation: Wakana Matsumoto and Rin Kawana , winners of

4230-472: The degree to which anxiety sensitivity results in agoraphobia. Another recently identified moderator of panic disorder is genetic variations in the gene coding for galanin ; these genetic variations moderate the relationship between females with panic disorder and the level of severity of panic disorder symptomatology. The DSM-IV-TR diagnostic criteria for panic disorder require unexpected, recurrent panic attacks, followed in at least one instance by at least

4320-557: The efficacy of psychotherapy in combination with benzodiazepines such that recommendations could not be made. Symptom inductions generally occur for one minute and may include: Another form of psychotherapy that has shown effectiveness in controlled clinical trials is panic-focused psychodynamic psychotherapy, which focuses on the role of dependency, separation anxiety, and anger in causing panic disorder. The underlying theory posits that due to biochemical vulnerability, traumatic early experiences, or both, people with panic disorder have

4410-496: The fall to continue with her university studies. On November 11, 2015, Angerme released their twentieth single, "Desugita Kui wa Utarenai / Dondengaeshi / Watashi." At the release event for this single, the winner of the 2015 Angerme Shin Member Audition and a sole fourth generation member was announced with Moe Kamikokuryo revealed as the new member. This was the first time a Hello! Project group other than Morning Musume welcomed

4500-419: The fear of losing control and going crazy, the fear of dying and hyperventilation. Other symptoms are a sensation of choking, paralysis, chest pain, nausea, numbness or tingling, chills or hot flashes, vision problems, faintness, crying and some sense of altered reality. In addition, the person usually has thoughts of impending doom. Individuals experiencing an episode have often a strong wish of escaping from

4590-463: The first couple of months of withdrawal but usually are of a subacute level of severity compared to the symptoms seen during the first 2 or 3 months of withdrawal. It is not known definitively whether such symptoms persisting long after withdrawal are related to true pharmacological withdrawal or whether they are due to structural neuronal damage as a result of chronic use of benzodiazepines or withdrawal. Nevertheless, such symptoms do typically lessen as

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4680-477: The first group had a somewhat better response rate, but that both groups demonstrated a significant improvement in reduction of panic symptomatology. These findings lend credibility to the application of CBT programs to patients who are unable to access therapeutic services due to financial, or geographic inaccessibility. Koszycky et al. (2011) discuss the efficacy of self-administered cognitive behavioural therapy (SCBT) in situations where patients are unable to retain

4770-504: The formation of panic attacks, as respiratory symptoms are a prominent feature of panic. Respiratory abnormalities have been found in children with high levels of anxiety , which suggests that a person with these difficulties may be susceptible to panic attacks, and thus more likely to subsequently develop panic disorder. Nicotine , a stimulant , could contribute to panic attacks. However, nicotine withdrawal may also cause significant anxiety which could contribute to panic attacks. It

4860-459: The four-member line-up and that some of the members would depart. The new members were announced on August 14. From Hello! Pro Egg, Akari Takeuchi and Rina Katsuta were added, and three other girls: Kana Nakanishi, Fuyuka Kosuga, and Meimi Tamura also joined. On August 24, it was announced that Saki Ogawa would be leaving Smileage on August 27 and, subsequently, from Hello! Project . On September 9, one of Smileage's newest additions, Fuyuka Kosuga,

4950-456: The general population. Prepulse inhibition has been found to be reduced in patients with panic disorder. Substance use disorders are often correlated with panic attacks. In a study, 39% of people with panic disorder had recreationally used substances. Of those who used alcohol, 63% reported that the alcohol use began prior to the onset of panic, and 59% of those using illicit substances reported that substance use began first. The study that

5040-428: The girls on their studio recordings during key parts of songs such as during choruses and on certain phrases, in a voice an octave lower than theirs). However, there have been some exceptions, such as the Morning Musume songs "Morning Coffee", " Furusato ", " Memory Seishun no Hikari ", " Love Machine " and " I Wish ", where most (if not all) of the backing vocals were sung by the group's members themselves. Furthermore, in

5130-434: The group and Hello! Project by the end of 2021 to move abroad to study singing and dancing. On June 23, the group released their 29th single, "Hakkiri Shiyou ze / Oyogenai Mermaid / Aisare Route A or B?", the first single to feature the 9th generation members. On July 12, ANGERME released the music video for promotional song " SHAKA SHAKA #2 LOVE Colorful Life Hen ", which is an alternate version of "SHAKA SHAKA TO LOVE" with

5220-456: The group as the sole fifth generation member. On January 11, 2017, Hello! Project announced the hiatus of Maho Aikawa until further notice, due to being diagnosed with panic disorder . On June 26, Musubu Funaki, who transferred from Country Girls and Ayano Kawamura as a former Hello! Pro Kenshūsei, joined Angerme as new 6th generation members. Musubu continued her activities as a full member of Country girls until June 30, where she then became

5310-629: The group on September 25. Kana Nakanishi graduated from both Angerme and Hello! Project on December 10, 2019, to study business administration and management. Musubu Funaki graduated from both Angerme and Hello! Project in March 2020. Kana Nakanishi left the group on December 10. On January 2, during Hello! Project 2020 Winter HELLO! PROJECT IS [ ] ~side A~, ANGERME announced that they would hold an audition for new members, titled ANGERME ONLY ONE Audition ~Watashi wo Tsukuru no wa Watashi~, which opened for applications on January 11. On January 22, 2020, it

5400-518: The group would become a full-time group in the spring of 2010 and their debut was set for May 2010. A "Smile Campaign" ( 笑顔キャンペーン , "Egao Campaign") was embarked upon to collect 10,000 smiles from people, where fans were asked to send in photographs of themselves smiling, compiled into a big mosaic. The group made their official event debut in Nagoya on March 19, with their fourth single "Otona ni Narutte Muzukashii!!!", released March 14, their first release on

5490-553: The group. On December 30, it was announced that Yuki Hirayama would join ANGERME as part of its 10th generation. On March 4, ANGERME performed at R-1 Festival 2022 . On March 21, ANGERME performed at LIVE SDD 2022 , a live event held as part of FM Osaka's drunk driving eradication project " STOP! DRUNK DRIVING PROJECT ". On May 3, ANGERME performed at JAPAN JAM 2022 . On May 11, ANGERME released their 30th single, " Ai・Mashou / Hade ni Yacchai na! / Aisubeki Beki Human Life ", which

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5580-539: The initial episode. vanApeldoorn, F.J. et al. (2011) demonstrated the additive value of a combined treatment incorporating an SSRI treatment intervention with cognitive behavior therapy (CBT). Gloster et al. (2011) went on to examine the role of the therapist in CBT. They randomized patients into two groups: one being treated with CBT in a therapist guided environment, and the second receiving CBT through instruction only, with no therapist guided sessions. The findings indicated that

5670-460: The intensity and symptoms of panic may vary. In some cases, the attack may continue at unabated high intensity or seem to be increasing in severity. Managing panic disorder can be a challenge, but there are several strategies that can help individuals manage their symptoms and improve their social life. Common symptoms of panic disorder attack include rapid heartbeat , perspiration , dizziness , dyspnea , trembling , uncontrollable fear such as:

5760-412: The latter in particular often being pitched to appeal to a young audience. However, many of the female vocalists who perform his songs have a large, dedicated fan base composed of older male wota , as well as male fans who are not wota, both of whom are usually in their twenties and thirties, and occasionally older. Some of his works in the late 2000s were particularly mature and hard-hitting (considering

5850-427: The latter regarding tolerance, dependence and abuse. Although there is little evidence that pharmacological interventions can directly alter phobias, few studies have been performed, and medication treatment of panic makes phobia treatment far easier (an example in Europe where only 8% of patients receive appropriate treatment). Medications can include: For some people, anxiety can be greatly reduced by discontinuing

5940-403: The months and years go by eventually disappearing altogether. A significant proportion of patients attending mental health services for conditions including anxiety disorders such as panic disorder or social phobia have developed these conditions as a result of recreational alcohol or sedative use. Anxiety may pre-exist alcohol or sedative dependence, which then acts to perpetuate or worsen

6030-414: The onset of and over the course of acute panic episodes is thought to be related to abnormal introceptive processes; the perception that bodily sensations are "wrong" is a transdiagnostic finding (i.e. found across multiple anxiety disorders), and may be related to insula dysfunction. Rodent and human studies heavily implicate the periaqueductal grey in generating fear responses, and abnormalities related to

6120-451: The past few years, it has become even more common for members of Hello! Project's groups to provide the backing vocals for their songs themselves. Recent years have also seen Hello! Project moving in a new direction musically, with prominent elements of dubstep and electro being incorporated into much of their recorded output, resulting in songs which seem at times to be almost experimental in style, at least by idol music standards. Tsunku

6210-427: The past twelve months. The graduation was effective immediately, making Aikawa the first of the third generation to graduate. On April 5, 2018, Ayaka Wada made an announcement that she would graduate in one year, in spring 2019 at the end of a spring concert tour. On November 3, seventh generation members Layla Ise and Haruka Oota joined the group. On June 18, Ayaka Wada graduated from Angerme and Hello! Project in

6300-409: The past. The cause of panic disorder is unknown. Panic disorder often runs in families. Risk factors include smoking , psychological stress , and a history of child abuse . Diagnosis involves ruling out other potential causes of anxiety including other mental disorders , medical conditions such as heart disease or hyperthyroidism , and drug use. Screening for the condition may be done using

6390-454: The rock band Sharam Q . As a songwriter, Tsunku is the primary producer for Morning Musume and other Hello! Project acts, such as Coconuts Musume , Berryz Kobo , Cute , V-u-den , Aya Matsuura , and Maki Goto . He has also produced music for artists such as EE Jump and Sonim . Aside from musical acts, Tsunku has also produced soundtracks for anime and video game series such as Rhythm Heaven and ClassicaLoid . The total sales of

6480-436: The root of the fear can be identified. Comorbid clinical depression , personality disorders and alcohol abuse are known risk factors for treatment failure. As with many disorders, having a support structure of family and friends who understand the condition can help increase the rate of recovery. During an attack, it is not uncommon for the affected to develop irrational, immediate fear, which can often be dispelled by

6570-443: The services of a therapist. Their study demonstrates that it is possible for SCBT in combination with an SSRI to be as effective as therapist-guided CBT with SSRI. Each of these studies contributes to a new avenue of research that allows effective treatment interventions to be made more easily accessible to the population. Cognitive behavioral therapy encourages patients to confront the triggers that induce their anxiety . By facing

6660-509: The singles he has written exceed 37.9 million copies, making him the fifth best-selling lyricist in Japan. Tsunku later worked with Nintendo and J.P.ROOM to create the music video game , Rhythm Tengoku . It was released for the Game Boy Advance exclusively in Japan on August 3, 2006, and later as an arcade machine on September 20, 2007. He also worked on Rhythm Tengoku Gold (Released in

6750-444: The situation that provoked the attack. The anxiety of panic disorder is particularly severe and noticeably episodic compared to that from generalized anxiety disorder . Panic attacks may be provoked by exposure to certain stimuli (e.g., seeing a mouse) or settings (e.g., the dentist's office). Nocturnal panic attacks are common in people with panic disorder. Other attacks may appear unprovoked. Some individuals deal with these events on

6840-454: The songs he writes for Hello! Project's groups tend to revolve around the members taking turns at singing lines and sometimes even small parts of lines in succession, building up to a chorus in which most (if not all) members sing in unison rather than using vocal harmonies ; any harmonies that are present in the songs are often sung by other people (including Tsunku himself, who records his backing vocals so as to appear to sing "along with"

6930-534: The structure and metabolism in the PAG have been reported in panic disorder. The frontal cortex is implicated in panic disorder by multiple lines of evidence. Damage to the dorsal ACC has been reported to lead to panic disorder. Elevated ventral ACC and dorsolateral prefrontal cortex during symptom provocation and viewing emotional stimuli have also been reported, although findings are not consistent. Researchers studying some individuals with panic disorder propose they may have

7020-586: The superiority of combined treatment approaches. Another option is self-help based on principles of cognitive-behavioral therapy. Using a book or a website, a person does the kinds of exercises that would be used in therapy, but they do it on their own, perhaps with some email or phone support from a therapist. A systematic analysis of trials testing this kind of self-help found that websites, books, and other materials based on cognitive-behavioral therapy could help some people. The best-studied conditions are panic disorder and social phobia. Interoceptive exposure

7110-548: The therapist-patient relationship. Comparative clinical studies suggest that muscle relaxation techniques and breathing exercises are not efficacious in reducing panic attacks. In fact, breathing exercises may actually increase the risk of relapse. Appropriate treatment by an experienced professional can prevent panic attacks or at least substantially reduce their severity and frequency—bringing significant relief to 70 to 90 percent of people with panic disorder. Relapses may occur, but they can often be effectively treated just like

7200-399: The three next most senior members, had discussed it amongst themselves and decided that Moe Kamikokuryo would become the leader while Ayano Kawamura would remain the sub-leader. Tsunku Mitsuo Terada ( 寺田 光男 , Terada Mitsuo , born October 29, 1968) , known professionally as Tsunku ( つんく♂ ) , is a Japanese singer, record producer, and songwriter. He was the lead singer of

7290-438: The underlying anxiety disorder. Someone experiencing the toxic effects of recreational alcohol use or chronic sedative use will not benefit from other therapies or medications for underlying psychiatric conditions as they do not address the root cause of the symptoms. Recovery from sedative symptoms may temporarily worsen during alcohol withdrawal or benzodiazepine withdrawal . Genetic vulnerability to panic disorder remains

7380-402: The very cause of the anxiety, it is thought to help diminish the irrational fears that are causing the issues to begin with. The therapy begins with calming breathing exercises, followed by noting the changes in physical sensations felt as soon as anxiety begins to enter the body. Many clients are encouraged to keep journals. In other cases, therapists may try and induce feelings of anxiety so that

7470-659: Was announced that Hello Pro Kenshuusei members Hana Goto and Yukiho Shimoitani would join ANGERME as part of its 11th generation. They were formally introduced to the public at the group's concert as part of the Sayonara Nakano Sunplaza Ongakusai festival on June 11. On June 11, it was announced at the Sayonara Nakano Sunplaza Ongakusai that Moe Kamikokuryo would be ANGERME's new leader starting on June 22 upon Akari Takeuchi's graduation. Rikako Sasaki, Moe Kamikokuryo, and Ayano Kawamura,

7560-411: Was announced that Mizuki Murota would graduate from both Angerme and Hello! Project in March 2020. On February 28, it was announced that Haruka Oota has been suspended from all activities for an indeterminate amount of time due to rule violations. On March 22, Mizuki Murota officially left the group. On April 21, it was announced that Musubu Funaki's graduation would be postponed indefinitely due to

7650-572: Was announced that Yuuka Maeda would leave Smileage and, subsequently, from Hello! Project on December 31. On October 4, 2014, the group welcomed three new members: Mizuki Murota, Maho Aikawa and Rikako Sasaki. On December 17, 2014, it was announced that Smileage would change their name to Angerme, a name proposed by Kana Nakanishi which comes from a combination of the French words for angel (ange) and tear (larme). On May 20, 2015, Kanon Fukuda announced that she would be leaving Angerme and Hello! Project in

7740-513: Was conducted documented the panic-substance use disorder relationship. Substance use disorder began prior to the onset of panic and substances were used to self-medicate for panic attacks by only a few subjects. In another study, 100 methamphetamine-dependent individuals were analyzed for co-morbid psychiatric disorders; of the 100 individuals, 36% were categorized as having co-morbid psychiatric disorders. Mood and Psychotic disorders were more prevalent than anxiety disorders, which accounted for 7% of

7830-452: Was diagnosed with anaemia , after missing a concert due to illness. Due to her anaemia, she left the group and resumed her work as a Hello! Project Egg after her recovery. Starting September 18, a second Smile Campaign was held by the new members to determine their place as official members in the group. On October 16, at Smileage's " Tachiagirl " event, producer Tsunku announced all four sub-members had become full members. On October 25, it

7920-457: Was published in September 2015, it was revealed that he stepped down as Hello! Project's General Manager sometime after Morning Musume's New York concert that happened on October 5, 2014. He still remains involved with Morning Musume as its Sound Producer. On May 4, 2020, Tsunku was among the 121 members of Up-Front Group to participate in a YouTube telework to support the frontline workers during

8010-412: Was released. Alongside the music video, ANGERME also participated in the "Colorful Toothbrush Brush up!" campaign promoting the Ora2 Me line of toothbrushes from November 28 to December 25, during which a lottery to win polaroids of each member was held through Twitter. The song was then released digitally on December 24. On June 21, it was announced that Momona Kasahara will be graduating and leave from

8100-479: Was the designated group leader. A month later, on May 7, 2009, he revealed that the group would be called "Smileage". The name is a portmanteau of the English words "smile", "mileage", and "age", and together the name means "the age of smiles". In 2009 the group released three indie singles: "Ama no Jaku", "Asu wa Date na no ni, Ima Sugu Koe ga Kikitai" and "Suki-chan" After releasing three singles, Tsunku announced that

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