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Experts Warn of Hidden Psychological Burden in Glaucoma
Experts Warn of Hidden Psychological Burden in Glaucoma

Medscape

time6 hours ago

  • Health
  • Medscape

Experts Warn of Hidden Psychological Burden in Glaucoma

TOPLINE: Patients with glaucoma have a notable burden of depression and anxiety that often goes undetected, highlighting a critical gap in healthcare, the researchers found. These psychological comorbidities were linked to worse general health and poorer quality of life due to visual impairment and occurred more commonly among women, younger patients, and those with lower incomes. METHODOLOGY: Researchers conducted a cross-sectional study to assess the prevalence of anxiety and depression among individuals diagnosed with glaucoma and to identify risk factors associated with these psychological comorbidities. They analyzed data of 249 adult patients with glaucoma (mean age, 60.49 years; 54.6% women) who were interviewed at an eye hospital in Germany using a three‐part standardized questionnaire. The questionnaire asked for details on demographics, medical history, and ocular health including clinical data on glaucoma and assessed symptoms of depression and anxiety as well as the effect of overall health and visual impairment on quality of life. TAKEAWAY: Although only 11.2% of patients with glaucoma had a prior diagnosis of depression and 1.2% had a prior diagnosis of anxiety, screening revealed significantly higher rates of symptoms of both anxiety (42.2%) and depression (34.9%; P < .001) in this cohort. Scores used for assessing depression showed a strong correlation with those used for assessing anxiety; a higher severity of depressive symptoms was associated with poorer mental and physical health, lower quality of life due to visual impairment, female sex, living alone, younger age, and lower incomes (P < .05 for all). A higher severity of anxiety symptoms was also linked to poorer mental and physical health, lower quality of life due to visual impairment, female sex, and lower incomes (P < .05 for all). IN PRACTICE: 'Incorporating routine psychometric screening into standard clinical practice is essential to facilitate early detection and treatment of psychological disorders,' the researchers reported. 'Effective collaboration among ophthalmologists, general practitioners, and psychologists is crucial to providing holistic, patient-centered care. Tailoring interventions to factors such as age, gender, vision impairment, and socioeconomic status can bridge existing social disparities and foster a more integrated and personalized care model,' they added. SOURCE: This study was led by Alexander Christopher Rokohl, MD, of the Department of Ophthalmology at the University of Cologne, Cologne, Germany. It was published online on July 17, 2025, in the British Journal of Ophthalmology. LIMITATIONS: This study took place in a tertiary setting that usually treated patients with more severe glaucoma. The cohort showed demographic bias toward older European participants. Individuals without sufficient proficiency in German were excluded from the analysis, although they may have had less access to medical help because of language or culture issues. DISCLOSURES: No funding was received for this research. No relevant conflicts of interest were disclosed. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

Anxiety Diagnosis
Anxiety Diagnosis

Health Line

time2 days ago

  • Health
  • Health Line

Anxiety Diagnosis

Key takeaways Diagnosing anxiety requires a comprehensive approach, including a physical examination and a thorough review of your personal history to rule out other medical conditions that may mimic anxiety symptoms. Various self-assessment questionnaires and clinical assessments, such as the Zung Self-Rating Anxiety Scale and the Hamilton Anxiety Scale, are used to evaluate the level and severity of anxiety. Effective management of anxiety involves a combination of medication, therapy, lifestyle adjustments, and open communication with family and friends. Read on to learn more about the process of diagnosing anxiety. During the physical examination You should be completely honest with your doctor. Many things can contribute to or be affected by anxiety, including: certain illnesses medications alcohol consumption coffee consumption hormones Other medical conditions can cause symptoms that resemble anxiety. Many anxiety symptoms are physical, including: racing heart shortness of breath shaking sweating chills hot flashes chest pain twitching dry mouth nausea vomiting diarrhea frequent urination Your doctor may perform a physical exam and order a variety of tests to rule out medical conditions that mimic anxiety symptoms. Medical conditions with similar symptoms include: heart attack angina mitral valve prolapse tachycardia asthma hyperthyroidism adrenal gland tumors menopause side effects of certain drugs, such as drugs for high blood pressure, diabetes, and thyroid disorders withdrawal from certain drugs, such as those used to treat anxiety and sleep disorders substance abuse or withdrawal Diagnostic tests It's suggested that you complete a self-assessment questionnaire before other testing. This can help you decide whether you may have an anxiety disorder or if you may be reacting to a certain situation or event. If your self-assessments lead you to believe that you may have an anxiety disorder, your doctor may then ask you to take a clinical assessment or conduct a structured interview with you. Your doctor may use one or more of the following tests to assess your level of anxiety. Zung Self-Rating Anxiety Scale The Zung test is a 20-item questionnaire. It asks you to rate your anxiety from 'a little of the time' to 'most of the time' on subjects such as: nervousness anxiety shaking rapid heartbeat fainting frequent urination nightmares Once you complete this test, a trained professional assesses your responses. Hamilton Anxiety Scale (HAM-A) Developed in 1959, the Hamilton test was one of the first rating scales for anxiety. It's still widely used in clinical and research settings. It involves 14 questions that rate moods, fears, and tension, as well as physical, mental, and behavioral traits. A professional must administer the Hamilton test. Beck Anxiety Inventory (BAI) The BAI helps measure the severity of your anxiety. You can take the test by yourself. It may also be given orally by a professional or paraprofessional. There are 21 multiple-choice questions that ask you to rate your experience of symptoms during the past week. These symptoms include tingling, numbness, and fear. Answer options include 'not at all,' 'mildly,' 'moderately,' or 'severely.' Social Phobia Inventory (SPIN) This 17-question self-assessment measures your level of social phobia. You rate your anxiety in relation to various social situations on a scale from zero to four. Zero indicates no anxiety. Four indicates extreme anxiety. Penn State Worry Questionnaire This test is the most widely used measure of worry. It distinguishes between social anxiety disorder and generalized anxiety disorder. The test uses 16 questions to measure your worry's generality, excessiveness, and uncontrollability. Generalized Anxiety Disorder Scale This seven-question test is a screening tool for generalized anxiety disorder. You're asked how often in the past two weeks you've been bothered by feelings of irritability, nervousness, or fear. Options include 'not at all,' 'several days,' 'more than half the days,' or 'nearly every day.' Yale-Brown Obsessive-Compulsive Scale (YBOCS) The YBOCS is used to measure levels of OCD. It's conducted as a one-on-one interview between you and a mental health professional. You choose three items from a symptom checklist that are the most disturbing and then rate how severe they are. Then, you're asked whether you've had certain other obsessions or compulsions in the past. Based on your answers, the mental health professional grades your OCD as subclinical, mild, moderate, severe, or extreme. Mental health disorders that feature anxiety Anxiety is a symptom in several disorders. Some of these include: Disorder Symptoms Panic disorder High amounts of anxiety as well as physical stress for a short amount of time; physical stress can come in the form of dizziness, a high heart rate, sweating, numbness, and other similar symptoms Obsessive-compulsive disorder (OCD) Anxiety expressed as obsessive thoughts or as compulsive behavior that's acted upon repeatedly to relieve stress Phobias Anxiety triggered because of a specific thing or situation that isn't necessarily harmful or dangerous, including animals, heights, or riding in vehicles Social phobias Anxiety that's experienced in interpersonal situations, such as during conversations, in large social groups, or when speaking in front of a crowd The broadest anxiety disorder, generalized anxiety disorder (GAD), is different from these other disorders because it doesn't necessarily relate to a specific cause or behavior. With GAD, you may worry about many different things at once or over time, and the worries are often constant. Diagnostic criteria An anxiety diagnosis depends a lot on your description of the symptoms you're experiencing. Mental health professionals use the 'Diagnostic and Statistical Manual of Mental Disorders' (often called the DSM) to diagnose anxiety and other mental disorders based on symptoms. The criteria differ for each anxiety disorder. The DSM lists the following criteria for generalized anxiety disorder (GAD): excessive anxiety and worry most days about many things for at least six months difficulty controlling your worry appearance of three of the following six symptoms: restlessness, fatigue, irritability, muscle tension, sleep disturbance, and difficulty concentrating symptoms significantly interfering with your life symptoms not being caused by direct psychological effects of medications or medical conditions symptoms aren't due to another mental disorder (e.g. anxiety about oncoming panic attacks with panic disorder, anxiety due to a social disorder, etc.) Anxiety diagnosis in children Childhood and the teenage years are full of new, frightening experiences and events. Some children learn to confront and accept these fears. However, an anxiety disorder can make it difficult or impossible for a child to cope. The same diagnostic criteria and assessments that are used for adults apply to children, too. In the Anxiety and Related Disorders Interview Schedule for DSM-5 (ADIS-5), your doctor interviews both you and your child about their symptoms. Symptoms in children are similar to those in adults. If you notice anxiety symptoms or any anxious or worrying behaviors that last for more than two weeks, take your child to the doctor. There, they can be checked for an anxiety disorder. Some research suggests that anxiety can have a genetic component. If anyone in your family has ever been diagnosed with anxiety or a depressive disorder, get your child evaluated as soon as you notice symptoms. A proper diagnosis can lead to interventions to help them manage anxiety at a young age. What to do if you're diagnosed with anxiety Focus on managing your anxiety rather than on ending or curing it. Learning how best to control your anxiety can help you live a more fulfilled life. You can work on stopping your anxiety symptoms from getting in the way of reaching your goals or aspirations. To help manage your anxiety, you have several options. Medication If you or your child is diagnosed with anxiety, your doctor will likely refer you to a psychiatrist who can decide what anxiety medications will work best. Sticking to the recommended treatment plan is crucial for the medications to work effectively. Try not to delay your treatment. The earlier you begin, the more effective it will be. Therapy You might also consider seeing a therapist or joining a support group for people with anxiety so that you can talk openly about your anxiety. This can help you control your worries and get to the bottom of what triggers your anxiety. Lifestyle choices Find active ways to relieve your stress. This can lessen the impact that anxiety may have on you. Some things you can do include: Get regular exercise. Find hobbies that engage or occupy your mind. Participate in activities that you enjoy. Keep a daily journal of thoughts and activities. Create short-term or long-term schedules. Socialize with friends. Also, avoid alcohol, nicotine, and other similar drugs. The effects of these substances can make your anxiety worse. Communication Be open with your family and close friends about your diagnosis, if possible. It's not easy to talk about any mental disorder. However, the more the people around you understand your anxiety, the easier it becomes to communicate your thoughts and needs to them. Anxiety relief tips Stick to the treatment plan recommended by your psychiatrist. Consider seeing a therapist or joining a support group for people with anxiety. Find active ways to relieve your stress, such as getting regular exercise or keeping a daily journal. Be open with your family and close friends about your diagnosis, if possible. Avoid alcohol, nicotine, and other similar drugs. Focus on managing your anxiety rather than on ending or curing it.

If You Have Imposter Syndrome, You Likely Live With These 9 'Unspoken Fears,' a Psychologist Says
If You Have Imposter Syndrome, You Likely Live With These 9 'Unspoken Fears,' a Psychologist Says

Yahoo

time2 days ago

  • General
  • Yahoo

If You Have Imposter Syndrome, You Likely Live With These 9 'Unspoken Fears,' a Psychologist Says

If You Have Imposter Syndrome, You Likely Live With These 9 'Unspoken Fears,' a Psychologist Says originally appeared on Parade. Generally speaking, we try to stay away from "imposters," whether they're trying to manipulate us into handing over a bank account number or our heart (AKA a two-timing romantic partner). However, your inner critic may unfairly label you an imposter every time you pursue a goal. If you struggle to mute that internal monologue and start believing your critic has a point, you may have imposter syndrome."Imposter syndrome is the feeling or belief that we are not entitled to say something, do something, or be a particular way despite evidence to the contrary," explains Dr. Craig Kain, Ph.D., a licensed psychologist. "Clients express imposter syndrome when they tell me, 'I know I can do this—I am already doing it—but I still feel like a fake.'"Clearly, advice to "fake-it-'til-you-make-it" can only go so far, especially if you experience this imposter phenomenon. Dr. Kain warns that this self-deception can cause anxiety levels that become so paralyzing that you cannot find joy in your accomplishments and life. Working on your unspoken fears is useful. However, first, you need to recognize them. Here, Dr. Kain shares nine common, unspoken fears associated with imposter syndrome, as well as strategies for 9 Unspoken Fears in People Living With Imposter Syndrome, a Psychologist Says 1. Sounding ignorant Dr. Kain shares that people with this fear will often ask themselves, 'What if someone asks me something about a topic I don't know about and I have nothing to say?'"Because we falsely believe we should know everything about everything, we fear someone putting us on the spot," he warns. "This fear of humiliation is a very common one throughout people's lives."Related: 2. Revealing a working-class background Society often views wealth as something best measured in dollars and cents, which can make people with blue-collar roots feel especially self-conscious. For instance, Dr. Kain says that people may wonder whether they'll get judged for using the "wrong fork" at a lavish dinner party or wedding."This fear of social humiliation can be strong even after years of education and a solid white-collar career," he explains. "It can be extremely anxiety-provoking in situations where working-class people are stereotyped and looked down upon." 3. Pronouncing something incorrectly Dr. Kain notes that people with developmental differences are often prone to this unspoken fear of imposter syndrome."Because assisted technology is readily available and extremely useful, many of my clients have relied on audiobooks to get them through their education," he says. "They often go on to be highly successful despite struggling to read quickly or fluently. I have clients who have avoided jobs and careers because of the fear of being perceived as 'stupid' because they struggle reading aloud."Dr. Kain adds that people who aren't fluent in English or don't consider it their primary language are also at a higher risk of this one."If they have a strong need to blend in and not draw attention to themselves, if they have worked hard to eliminate an accent, the fear of 'giving themselves away' by mispronouncing a word can be extremely paralyzing," he 4. Difficult questions You've earned your way to expert status, yet you find yourself chronically asking yourself, "What if someone asks me a question I cannot answer? Won't they know I'm not the expert?" Dr. Kain experienced this one himself. When he started teaching, he wondered what would happen if a student asked him something he couldn't answer."I'm not really sure what caused my belief that I had to know everything about the topic I taught—perhaps it was because I was still under the naive impression my professors knew everything about their areas of expertise—but I worried I'd be seen as an imposter if I didn't," he says. "I'm slightly embarrassed to say it took me a while to realize students are perfectly fine waiting a week for an answer so that I could do some research." 5. Specific questions about your history The idea of answering questions you do know the answer to—such as about your education—may also trigger anxiety if you have imposter syndrome."This is common in people who come from working-class families or who didn't go to upper-tier schools," Dr. Kain says. "The idea that our family of origin's social status defines us as adults or that the school we went to somehow speaks to our intelligence later in life fuels this fear of humiliation and feelings of being an imposter."Related: 6. Having something to prove You may ask yourself, 'What if someone says, 'Prove it,' to me and I can't?' Dr. Kain notes that he often hears competitive athletes release this unspoken fear in therapy with him, especially when they're highly ranked due to stellar past performance."The fear that their success was due to luck and not hard work and skill can increase typical pre-game jitters to an unbearable intensity, all centered around an anticipated humiliation of being called a fake or imposter if they underperform," he may also experience this fear if you received high praise for a work presentation you gave to your company at an all-hands meeting and have since been tasked with speaking to the board of directors. 7. Sounding too intelligent or nerdy Having "smarts" is generally considered a positive trait. However, imposter syndrome has a funny way of turning it into a negative. Dr. Kain says people with this unspoken fear are typically scared that they'll say or do something that tips their friends off that they aren't that "cool." 'While they may, at times, feel like they belong, it is offset by feeling like they're an imposter," he adds that he primarily sees this fear in teens. However, it can strike people of any age and trigger emotional and psychological 8. Exposing a lack of experience People with imposter syndrome often live in fear that they'll say or do something that gets them tagged as "inexperienced.""This common manifestation of imposter syndrome often arises when we have recently mastered a new subject, task or skill, undermining our hard work and effort and discounting our accomplishments," Dr. Kain you have this unspoken fear, you might ask yourself, 'What if I don't know how to do something others think I'm supposed to know how to do?' 9. Forgetting everything during a presentation and performance Lights, what? People with imposter syndrome can experience stage fright long before the curtains go up."This version of the imposter syndrome capitalizes on catastrophic thinking and the notion that everyone in an audience would know and care if we messed up," Dr. Kain likes to remind clients that the audience is almost always rooting for them, not against them, and will understand if they lose their place."Most people in an audience are happy they are in their chair and not on stage presenting or performing," he 4 Tips for Overcoming Imposter Syndrome 1. Stop comparing They say comparison is the thief of joy. However, it's rocket fuel for imposter syndrome."So much of imposter syndrome is based on social comparison," Dr. Kain says. "We mentally paint a picture of how someone will react to us based on a limited amount of information we may have about them."He reminds clients that few people share their inner workings—including any unspoken fears of imposter syndrome they have."Having worked as a therapist for many years, I can assure you that most people do not have it nearly as together on the inside as they may want you to think," he explains. "Hardly anybody has it all figured out, and nearly nobody feels confident all the time."Related: 2. Remember that even experts make mistakes This tip is handy if you're afraid to say or do something that gets you labeled as inexperienced or if you don't know the answer to a question."Imposter syndrome lives in the fear of being 'found out, 'slipping up' and making mistakes," Dr. Kain shares. "It is helpful to remember that making a mistake does not make you an imposter. It simply makes you a human being." 3. Talk to someone Transform your unspoken imposter syndrome fear by saying it out loud. Dr. Kain says you may be surprised by what you hear in return."Let someone else know you feel like an imposter," he suggests. "It's rare to find someone who can honestly say they never felt that way themselves. If you do find someone who tells you they have never experienced imposter syndrome, there is a high likelihood they've accomplished this by avoiding challenging situations."Related: 4. Work on actual gaps No one is perfect. If the voice in your head has a point, there's no shame in working on a gap in knowledge or experience. In fact, it's a sign of maturity and can lead to growth."If you find that you truly are lacking in some area, figure out a way to make up the missing skills, information or experiences," Dr. Kain says. "Do what you can to be more comfortable in your own skin."Sign up for a course, volunteer your time, find a mentor—you and those around you will benefit from your humility and grit. Up Next:Source: Dr. Craig Kain, Ph.D., a licensed psychologist If You Have Imposter Syndrome, You Likely Live With These 9 'Unspoken Fears,' a Psychologist Says first appeared on Parade on Jul 22, 2025 This story was originally reported by Parade on Jul 22, 2025, where it first appeared. Solve the daily Crossword

Plane Passenger Holds Stranger's Hand During Takeoff After He Notices She's 'Visibly Shaken' (Exclusive)
Plane Passenger Holds Stranger's Hand During Takeoff After He Notices She's 'Visibly Shaken' (Exclusive)

Yahoo

time2 days ago

  • Entertainment
  • Yahoo

Plane Passenger Holds Stranger's Hand During Takeoff After He Notices She's 'Visibly Shaken' (Exclusive)

Chad Savage tells PEOPLE it just felt "natural" to comfort the person next to him during her first flight alone As Chad Savage's flight began to take off, he felt a soft touch on his hand.'I looked up and I could see her hand was trembling a bit,' he tells PEOPLE of the woman sitting across the aisle. 'I could see her body language [was] really anxious, and then I just grabbed her hand.' 'It just felt natural to do,' he adds. Savage admits he hardly knows anything about the woman. They didn't even exchange names. But he did overhear her anxieties about flying alone for the first time. For about five minutes, the complete strangers held hands during takeoff. But it never felt awkward or like a hassle. Instead, Savage says he thinks he got more out of the experience than the nervous flyer — something he never expected. 'At first, I was there for her. Now we're just here for each other,' he explains. 'It was really powerful for me.' As her worries began to quell, the strangers released their grip. Afterwards, the woman turned to Savage to thank him. 'She told me how much she appreciated that, how much it meant to her,' he says. 'She also told me that I should tell my parents that they raised me right, which is really, really nice.' Savage shared a clip of the experience to TikTok. The viral video, with just under a half a million views, led commenters to share their own experiences of comforting strangers. 'I was 14 flying alone and I was sat next to this mom and her kids,' one user wrote. 'I was in the window and she held my hand and treated me like her own. I'll never forget her.' 'I first started driving a semi truck and my first time in the Smokey Mountains it was dark and raining and I was scared,' another comment with over 5,000 likes said. 'On my CB radio I hear the driver behind call my truck because I was driving slow. Told him I was nervous. This UPS driver said 'I'm going to pass you, follow me, I'll talk you through this.' He talked me through the process and kept me calm. That was in 1995, I remember it to this day. We all need comfort sometimes.' Never miss a story — sign up for to stay up-to-date on the best of what PEOPLE has to offer, from celebrity news to compelling human interest stories. Others shared words of encouragement and admiration for Savage. 'The fact that she felt okay to ask you says a lot about how you present yourself in public,' wrote one user. 'It's been really cool and inspiring,' Savage tells PEOPLE of the outpouring of support. 'It makes you feel so happy because that's the kind of platform that I want to build and that's what I want to be a part of.' For Savage, the experience has given him a new outlook on life. 'It really has refreshed my mindset and just in knowing what I feel like my purpose is, which is just to connect with people and spread kindness,' he says. 'If I can inspire anyone through this video to just go out of the way, just a little bit more each day, I promise the return would be something that they never expected.' Read the original article on People Solve the daily Crossword

Duncan Robinson embraces his anxiety. It's fueling a new chapter with the Pistons
Duncan Robinson embraces his anxiety. It's fueling a new chapter with the Pistons

New York Times

time3 days ago

  • Sport
  • New York Times

Duncan Robinson embraces his anxiety. It's fueling a new chapter with the Pistons

Life for Duncan Robinson has been a balancing act. He understands he's worthy of all the success he's achieved. But an earlier version of Robinson, the one who struggled to find consistent playing time in high school, still creeps into his mind. It's a constant battle, fueled by anxiety, that has allowed Robinson to build an eight-year NBA career after going undrafted in 2018. He's used it to help him accomplish his childhood dream. Advertisement Robinson has long been intimate with anxiety. The two go all the way back to his junior year in 2011 at The Governor's Academy, where Robinson got inconsistent minutes on his high school basketball team. He's well acquainted with uncertainty. He knows the way expectations weigh on a psyche. For Robinson, none of his accomplishments have been able to silence his perpetual angst. Robinson prefers it that way. 'I've always had this anxiety of like, 'Am I good enough?'' he told The Athletic. 'Obviously, I have some God-given talents and abilities. … I sort of feel my superpower has sort of existed in that space of, 'I haven't really achieved anything yet.'' It's a healthy friction, he believes. A welcomed discomfort keeps him from complacency and pushes him toward progress. Robinson is now embarking on his eighth season after being undrafted. The ink is barely dry on his new three-year, $48 million contract, adding to the $70-plus million he's already earned. Yet, somehow, he still sees himself halfway up the proverbial mountain. The summit never gets closer. He's perennially in the same spot — high enough up to know he can achieve success, yet far enough away from the peak to prevent any real sense of security. Robinson is acutely aware of his shortcomings. He knows he's no physical prodigy. His measurables don't stack up in a league full of athletes. He's 6-feet-7 and shoots with the best of them. But that's not enough for ease. Robinson likes the 'razor's edge,' as he calls it. The feeling that he's never arrived. The 31-year-old forward is now 423 regular-season games into his NBA career, has shot 39.7 percent from 3 during that time and has NBA Finals experience. But still, Robinson battles the voice in his head questioning his on-court worth. After being considered an underdog for the majority of his career, Robinson found himself starting a career-best 72 games in 2020-21. It was the season after he solidified himself as a pillar of the Miami Heat's rotation. Advertisement Robinson's opinion of himself began changing as well. 'The public perspective shifted my own perspective of myself,' he said. 'The challenging part of that was realizing and coming to terms with the fact that a public perception should not be indicative of, or define how I think of myself or the process in which I take to get to the person that I want to be. 'As much as somebody can tell you, 'Aw, don't worry about what someone's saying,' or 'Don't worry about that,' we're all human beings. We see and hear things around us all the time. So, working through and getting to the other side of that — of I'm not defined by being an 'underdog,' I'm not defined by being 'overpaid.' I'm defined by what I show up and do every single day.' What Robinson did with his time in Miami was enough for Detroit's president of basketball operations, Trajan Langdon, to acquire him via a sign-and-trade that sent Simone Fontecchio to the Heat. Robinson is the second-oldest player on the roster behind 33-year-old Tobias Harris. His reluctance to settle and desire to persevere will be necessary on a team with a median age of 24.6 looking to advance past the first round. It could become a beneficial partnership for both Robinson and the Pistons. For Robinson, it's an opportunity to grow into a more expansive leadership role. For the Pistons, the franchise can now gain from his experience. Robinson brings a wealth of NBA knowledge. He understands what it's like not getting much playing time. He knows the feeling of hearing his name called as a starter. And the feeling of being relegated back to the bench after being a starter. 'The moments in my career, where on paper, are the biggest accomplishment or the moments where you have everything figured out have been followed by these just gut-punching setbacks,' Robinson said. 'And that's what life is, a lot of times. Everyone can sort of relate to that. It's not necessarily the fact that you go from a high to a low. But it's how you respond to it and how you find some equilibrium to find the peace and drive to continue to push forward.' Advertisement That peace and equilibrium will be needed in Detroit as one of the few veterans, along with Harris. Robinson's former Michigan teammate, Caris LeVert, 30, rounds out the veterans. Robinson said he has worked on his resilience in the same way he works on becoming a better player. 'Having resilience has been, sort of, the calling card of who I aspire to be,' he said. 'I'm a big believer in that, learning how to deal with setbacks and challenges is a skill as much as shooting or dribbling. And the skill is honed and acquired through repetition. The only way you can get better at dealing with it is having gone through it. 'So, that's one area of my career where I feel like I've been very fortunate is that from a young age. … I was challenged early on, (asking myself), 'Is this what you want to do? Is this what you want to be?' And I always just kept coming back to, 'Yeah, I mean, this is. I love basketball more than anything. It's what I do, not necessarily who I am. But in terms of the game itself, it's given me more than I ever could imagine.' Sharing knowledge, while also being open to receiving it, is one way in which Robinson is planning to continue to dedicate himself to the game. He is the only Piston who has experienced the intensity of the NBA Finals. A blend of the knowledge between what Robinson accumulated in his run to the finals, Harris' 67 playoff games and LeVert's 25 postseason appearances could prove to be vital on such a young team. Robinson, who was out with his new teammates for Las Vegas Summer League for the first time since signing, spoke about the Pistons' youth as what drew him to the team. He also notices a similarity between what he's been through and what he sees in his new home. 'When I think of a city like Detroit, I think of resilience,' Robinson said. 'I think of a city that's seen the highest highs and the lowest lows, and is still finding a way to bounce back. I think that embodies the people that inhabit it. And that's very much in tune and in line with everything my career has been.' Advertisement After sharing locker rooms with veterans like Dwyane Wade, Jimmy Butler, Udonis Haslem and Andre Iguodala, Robinson is now stepping into a new role. One where he will likely be relied upon in the same way he did with Wade during his rookie season. At least for Robinson, it helps that he has some familiarity with this group. 'Some crazy games last year,' he said with a laugh. 'But the thing that sticks out about this group is their physicality, their toughness and how hard they play. And honestly how they share the ball. That's the type of system you want to be in. Those are the types of guys you want to be around.' The belief Detroit has shown by investing in Robinson, to be impactful both on the floor and in the locker room, reaffirms he is good enough. The internal voice pushing Robinson to reach his full potential likely won't ever fully be silenced. But it's now a privilege for Robinson to share his wisdom with the youngest team he's been a part of. 'At this stage in my life,' he said, 'I really just kind of view it as I owe it to a game that's given me so much.'

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