Wednesday, August 20, 2014

Symptoms of Addiction
  • The cardinal symptom of addiction is the inability to limit use of a substance or activity beyond need leading to clinically significant impairment.
  • There is a craving or compulsion to use the substance or activity.
  • Recurrent use of the drug or activity escalates to achieve the desired effect, indicating tolerance.
  • Attempts to stop usage produce symptoms of withdrawal—irritability, anxiety, shakes, nausea.
  • Recurrent use of the substance or activity impairs work, social, and family responsibilities, creates psychological impairments and interpersonal problems, has negative effects on health, mood, self-respect, exacerbated by the effects of the specific substance itself.
There are many symptoms created by the specific substance/activity that is used.
All addictions have the capacity to induce feelings of shame and guilt, a sense of hopelessness, and feelings of failure. In addition, anxiety and depression are common conditions among those with substance and behavioral addictions.

Dopamine: Why It's So Hard to "Just Say No"

Recovering from addiction is about healing mind, body and life.

"Why doesn't s/he just stop when s/he knows how much it's hurting me?" This is one of the most common questions asked by those who love someone addicted to substances and/or harmful behaviors. It might be helpful for those loved ones to know that stopping isn't simply a matter of wanting to, or simply understanding that you may be causing someone else's pain. Research indicates that to "just stop" is not so easy.
One of the main reasons is called dopamine. Research on the brain indicates that addiction is about powerful memories, and recovery is a slow process in which the influence of those memories is diminished. Both addictive drugs and highly pleasurable or intense experiences (such as a life or death thrill, a crime, or an orgasm) trigger the release of the brain chemical dopamine, which in turn creates a reward circuit in the brain. This circuit registers that intense experience as "important" and creates lasting memories of it as a pleasurable experience. Dopamine changes the brain on a cellular level, commanding the brain to "do it again," which heightens the possibility of relapse even long after the behavior (or drug) has 
Additional research on addiction indicates that dopamine is not just a messenger that dictates what feels good; it is also tells the brain what is important and what to pay attention to in order to survive. And the more powerful the experience is, the stronger the message is to the brain to repeat the activity for survival. Additionally, those who have fewer salient things in their lives that capture their interest and attention are more vulnerable to those things that may give them a rush and alert the brain in a powerful way.
This research on dopamine goes a long way in explaining how someone can become addicted to something that can become so destructive and detrimental in their lives and the lives of those they love. It also helps to explain why meditation, yoga, exercise and acupuncture can be helpful tools in the fight against addiction, as they address the physiology and biochemistry of the individual. Battling addiction is not simply a matter of will-power, but also is about transforming an individual's body, mind, and life and creating a new set of experiences for the brain to register as important and pleasurable. It is also about patience, healing, not taking relapse personally, and the passage of time to allow the memories to fade.
What Is Addiction?
Addiction is a condition that results when a person ingests a substance (e.g., alcohol, cocaine, nicotine) or engages in an activity (e.g., gambling, sex, shopping) that can be pleasurable but the continued use/act of which becomes compulsive and interferes with ordinary life responsibilities, such as work, relationships, or health. Users may not be aware that their behavior is out of control and causing problems for themselves and others.
The word addiction is used in several different ways. One definition describes physical addiction. This is a biological state in which the body adapts to the presence of a drug so that drug no longer has the same effect, otherwise known as a tolerance. Because of tolerance, the biological reaction of withdrawal occurs the drug is discontinued. Another form of physical addiction is the phenomenon of overreaction by the brain to drugs (or to cues associated with the drugs). An alcoholic walking into a bar, for instance, will feel an extra pull to have a drink because of these cues.
However, most addictive behavior is not related to either physical tolerance or exposure to cues. People compulsively use drugs, gamble, or shop nearly always in reaction to being emotionally stressed, whether or not they have a physical addiction. Since these psychologically based addictions are not based on drug or brain effects, they can account for why people frequently switch addictive actions from one drug to a completely different kind of drug, or even to a non-drug behavior. The focus of the addiction isn't what matters; it's the need to take action under certain kinds of stress. Treating this kind of addiction requires an understanding of how it works psychologically.
When referring to any kind of addiction, it is important to recognize that its cause is not simply a search for pleasure and that addiction has nothing to do with one's morality or strength of character. Experts debate whether addiction is a "disease" or a true mental illness, whether drug dependence and addiction mean the same thing, and many other aspects of addiction. Such debates are not likely to be resolved soon. But the lack of resolution does not preclude effective treatment.

Tuesday, August 19, 2014

Types of personality disorders are grouped into three clusters, based on similar characteristics and symptoms. Many people with one personality disorder also have signs and symptoms of at least one additional personality disorder.

Cluster A personality disorders

Cluster A personality disorders are characterized by odd, eccentric thinking or behavior. They include paranoid personality disorder, schizoid personality disorder and schizotypal personality disorder. It's not necessary to exhibit all the signs and symptoms listed for a disorder to be diagnosed.

Paranoid personality disorder

  • Pervasive distrust and suspicion of others and their motives
  • Unjustified belief that others are trying to harm or deceive you
  • Unjustified suspicion of the loyalty or trustworthiness of others
  • Hesitant to confide in others due to unreasonable fear that others will use the information against you
  • Perception of innocent remarks or nonthreatening situations as personal insults or attacks
  • Angry or hostile reaction to perceived slights or insults
  • Tendency to hold grudges
  • Unjustified, recurrent suspicion that spouse or sexual partner is unfaithful

Schizoid personality disorder

  • Lack of interest in social or personal relationships, preferring to be alone
  • Limited range of emotional expression
  • Inability to take pleasure in most activities
  • Inability to pick up normal social cues
  • Appearance of being cold or indifferent to others
  • Little or no interest in having sex with another person

Schizotypal personality disorder

  • Peculiar dress, thinking, beliefs, speech or behavior
  • Odd perceptual experiences, such as hearing a voice whisper your name
  • Flat emotions or inappropriate emotional responses
  • Social anxiety and a lack of or discomfort with close relationships
  • Indifferent, inappropriate or suspicious response to others
  • "Magical thinking" — believing you can influence people and events with your thoughts
  • Belief that certain casual incidents or events have hidden messages meant specifically for you

Cluster B personality disorders

Cluster B personality disorders are characterized by dramatic, overly emotional or unpredictable thinking or behavior. They include antisocial personality disorder, borderline personality disorder, histrionic personality disorder and narcissistic personality disorder. It's not necessary to exhibit all the signs and symptoms listed for a disorder to be diagnosed.

Antisocial personality disorder

  • Disregard for others' needs or feelings
  • Persistent lying, stealing, using aliases, conning others
  • Recurring problems with the law
  • Repeated violation of the rights of others
  • Aggressive, often violent behavior
  • Disregard for the safety of self or others
  • Impulsive behavior
  • Consistently irresponsible
  • Lack of remorse for behavior

Borderline personality disorder

  • Impulsive and risky behavior, such as having unsafe sex, gambling or binge eating
  • Unstable or fragile self-image
  • Unstable and intense relationships
  • Up and down moods, often as a reaction to interpersonal stress
  • Suicidal behavior or threats of self-injury
  • Intense fear of being alone or abandoned
  • Ongoing feelings of emptiness
  • Frequent, intense displays of anger
  • Stress-related paranoia that comes and goes

Histrionic personality disorder

  • Constantly seeking attention
  • Excessively emotional, dramatic or sexually provocative to gain attention
  • Speaks dramatically with strong opinions, but few facts or details to back them up
  • Easily influenced by others
  • Shallow, rapidly changing emotions
  • Excessive concern with physical appearance
  • Thinks relationships with others are closer than they really are

Narcissistic personality disorder

  • Belief that you're special and more important than others
  • Fantasies about power, success and attractiveness
  • Failure to recognize others' needs and feelings
  • Exaggeration of achievements or talents
  • Expectation of constant praise and admiration
  • Arrogance
  • Unreasonable expectations of favors and advantages, often taking advantage of others
  • Envy of others or belief that others envy you

Cluster C personality disorders

Cluster C personality disorders are characterized by anxious, fearful thinking or behavior. They include avoidant personality disorder, dependent personality disorder and obsessive-compulsive personality disorder. It's not necessary to exhibit all the signs and symptoms listed for a disorder to be diagnosed.

Avoidant personality disorder

  • Too sensitive to criticism or rejection
  • Feeling inadequate, inferior or unattractive
  • Avoidance of work activities that require interpersonal contact
  • Social inhibition, timidity and isolation, especially avoiding new activities or meeting strangers
  • Extreme shyness in social situations and personal relationships
  • Fear of disapproval, embarrassment or ridicule

Dependent personality disorder

  • Excessive dependence on others and feels the need to be taken care of
  • Submissive or clingy behavior toward others
  • Fear of having to provide self-care or fend for yourself if left alone
  • Lack of self-confidence, requiring excessive advice and reassurance from others to make even small decisions
  • Difficulty starting or doing projects on own due to lack of self-confidence
  • Difficulty disagreeing with others, fearing disapproval
  • Tolerance of poor or abusive treatment, even when other options are available
  • Urgent need to start a new relationship when a close one has ended

Obsessive-compulsive personality disorder

  • Preoccupation with details, orderliness and rules
  • Extreme perfectionism, resulting in dysfunction and distress when perfection is not achieved, such as feeling unable to finish a project because you don't meet your own strict standards
  • Desire to be in control of people, tasks and situations and inability to delegate tasks
  • Neglect of friends and enjoyable activities because of excessive commitment to work or a project
  • Inability to discard broken or worthless objects
  • Rigid and stubborn
  • Inflexible about morality, ethics or values
  • Tight, miserly control over budgeting and spending money
Obsessive-compulsive personality disorder isn't the same as obsessive-compulsive disorder, a type of anxiety disorder.

When to see a doctor

If you have any signs or symptoms of a personality disorder, see your doctor, mental health provider or other health care professional. Untreated, personality disorders can cause significant problems in your life that may get worse without treatment.

Monday, August 18, 2014

                                                  "A Mother's Heart" 



     It's been a year since I've seen my sons. My heart is so broken and I just can't believe my ex would put stuff in their head to think I left on my own. He was getting violent and not that I was perfect but this is why I agreed that I needed to leave. He wanted me out. I know I wrote a post on this before I really need to get this out. I love my kids with my heart and soul and I would have never left them if I didn't think it was time. The anxiety and fear of him hurting me or them wasn't good for me at all. I couldn't be the greatest Mom that I wanted to be with all the depression and anxiety. 

 I was going through a lot with my body always being in pain as well. I have two slipped disks in my low back, spurs on my spine which cause severe pain, scoliosis of the spine which my doctor told me is worse pain than a slipped disk. I have severe arthritis in my back. I have Fibromyalgia and that has a long list of ailments you get from that. I have Chronic Fatigue Syndrome and mentally I have, Bi-polar, severe depression and anxiety, PTSD,and Borderline Personality Disorder. My ex decides to tell them and others that I was faking it. OK, why someone would be so proud to have all these issues is beyond me! I have PTSD from being raped and trauma from the car accident, and being in abusive relationships. 

 I just hate that he never tells them they should come visit me. It was put in the divorce papers that he would bring them once a month. He lies to them so they don't want to come I guess. My daughter told me he talked all kinds of mean stuff to them once I left. I don't understand how a parent can do that to a child. I wouldn't talk bad about him. It's just not right. Even though they would come to me and ask why daddy was so mean, I would tell them he just had a bad day or whatever but he loves you guys very much. 

 Anyway, I'm just hurting so bad inside and been crying over my babies. It kills me to be away from them.
I just want to be with them. My older son, Brian is a volunteer fireman. Worried but so proud of him and my younger son, Joshua wants to be a cop. I just can't wait to see them. My heart is aching for them and I know I'll see them soon. It's hard also because they live three hours from me. I don't drive so I can't go see them. They're very loving and sweet and I raised them to like that. I love my boys and if you guys are reading this, just know that mama is so so very proud of you's and can't wait to see you! I love you both so very much! 

  

Sunday, August 17, 2014


Choosing Happiness in Our Lives Revisited

By JOHN M. GROHOL, PSY.D.

Ten years ago, I wrote how we often make the choice of something else less important over our own and our loved ones’ happiness. This article has generated a lot of positive comments over the years apparently because it resonates with people. With another decade under my belt, I’d like to expand a little on the premise I put forward in that original article.

Our Lives Are Our Choice

At some point in our life, we may forget or give up the responsibility of directing our life to where we want it to go. We sometimes feel buffeted about by the forces of nature, relationships, family, children and more, and feel out of control of our own destinies. We forget to look deep within ourselves and remember who we really are and what really makes us happy and alive. We give that power up, to others, and then place the responsibility (and the blame) when they fail to “make us” happy.
But no one else can make us happy unless we first choose to open ourselves and our lives up to that possibility. Happiness is within each and every one of us. No one else can make us happy unless we first choose that we will place happiness – both our own and our loved ones – above other, less important things in our lives, such as winning an argument or being “right.”

Revisiting Mr. and Mrs. Smith

When we last left them, Mr. and Mrs. Smith liked to argue in their relationship. They’re two independent, competitive people, so neither really enjoyed “losing” an argument, even stupid, tiny ones about chores or helping with cooking or such. They placed the idea of “winning” the argument over not only their own happiness, but that of their loved one.
Why did they do this? Because at some point, we all learn that there is some sort of value to winning stuff. You win at sports, you get kudos. You win a spelling bee, you get a trophy. You win someone over you’ve had your eye on for years, and you feel a warm glow inside. We just like to win things, but often we don’t know when to stop when it comes to applying our winning philosophy to interpersonal relationships.
In interpersonal relationships – you know, those at home, at work, even with your own family – the parameters that define your relationships and communications can be very complex. For instance, when your boss “asks” you to do something, it’s rarely a legitimate question of your ability or time – they are simply phrasing an expected task in the form of a polite question. When your spouse asks you to take out the trash, again, it’s not really a question, but a request that isn’t up for debate.
But most of us don’t get a course in interpersonal communications in school or at any other time in our lives. It’s a shame, because such a class would help clarify these kinds of communications and understand that not every situation is worth “winning.”
Mr. and Mrs. Smith didn’t know when to say, “This isn’t worth my effort to ‘win’ and cause us both emotional pain.” They would argue and argue until one finally tired, and the other person “won” the argument. But all the winner really “wins” is the satisfaction of wearing down one’s opponent or in being “right.” Meanwhile, their spouse is tired of arguing and tired of being “wrong” and unhappy. It’s no wonder 50% of all marriages end in divorce, some of us just don’t know when to stop!

It’s Easier than You Think

“Sure, choosing happiness over being right sounds easy enough, but often it’s more complicated than that.”
It is only as complicated as we make it. Sometimes we make things more complex than they are, because we grope around in the dark for excuses not to be happy. You heard me. Some people don’t want to be happy, but can’t admit that to themselves. They wouldn’t know what kind of life to live, or what kind of person to be if they gave up their past hurts, their past failures, and their past choices. While we are all the product of our histories, we are not beholden to keep repeating them over and over again unless we so choose. Many of us, fearful of the unknown, choose what is known, even if it’s misery and unhappiness.
Sure, some arguments are worth having, especially if they are on important issues such as childcare, parenting, family, money, shelter, or food. These are things that are pretty important to most people and deserve are undivided attention and efforts. But even on these important issues, there is rarely a universal “right” and a universal “wrong.” There’s no single right way to raise a child, to manage one’s finances, to purchase a house, or to take care of daily meals. The key to happiness is learning to communicate our own expectations and needs to our significant other without framing everything as a battle or argument. Without the need for winners and losers.
For example, if you start a conversation by saying, “I think the way you coddle our child is going to screw her up for life!” you’re pretty much laying down the peace dove and picking up a battle axe and shield. The instinctive human response to such an opening would be something like, “Well, I was raised that way and I didn’t get screwed up!” or “How would you know? How many children have you raised?” Everybody’s defenses immediately go up and the battle is on. When our emotional shields are up, we fight back and aren’t really open as much to listening and being rational. There will be a winner and a loser in this fight, because that’s the way it was initially framed.
Contrast that with, “I have some concerns about the way we’re raising our child. Can we talk about them sometime?” Suddenly your spouse isn’t feeling defensive, but concerned about your concerns and your desire to talk about them at his or her convenience. It shows an openness and respect to the other person, even before the conversation begins. Our shields are down, and our minds remain open and rational. It’s a night and day difference.

Summary

A big part of “being happy” is all about the choices we make in our everyday lives and in our everyday interactions with those around us. How we say things is just as important as the point we are trying to make. Picking things that are important to us to focus on and letting the unimportant battles fall by the wayside is also helpful to maintain happiness. And remembering that old mantra, “Would you rather be right, or would you rather be happy?” in the middle of a fight never hurts. Sure, it’s not always an either/or proposition. But within each of us is the power to end a fight or argument and try to restore balance and happiness in our lives, and just as importantly, in the lives of the ones we love and adore.
So once again, consider the choice of happiness over being right. You may find yourself pleasantly surprised.
* * *

Saturday, August 16, 2014


The Psychology of Addictive RelationshipsLove addicts often have the best intentions. They desire to have happy, healthy relationships. However, underneath these good intentions lies a covert struggle with intimacy. With sex and love addiction, there is always a hidden agenda to get needs met that are based in feelings of insecurity.
When there is dysfunction in the family of origin, love objects are unconsciously sought out with the goal of replaying unfinished business from childhood.
It is not always a relationship with a parent that we are repeating; it can be a relationship with any family member that is unresolved. Mourning childhood losses and allowing oneself to process the pain of past hurt sets us free to select more positive relationships.

One way to accomplish this is to spend time getting to know our partners prior to becoming sexually or romantically involved with them. If we emerge from dysfunctional homes, falling in love with someone soon after meeting them can cloud our vision and place us at risk of being with a partner with whom we repeat familiar, unhealthy patterns. Getting to know someone whom we feel sexually attracted to without becoming sexual is a tall order, but one that is incredibly important for love addicts to adhere to.
Love addicts need to live in reality. They need to identify and reflect on intense fantasies, such as “this person can make me happy.” When we don’t know someone well, we can project all kinds of desires upon them. These positive feelings can create chemical highs within the body, but they may not be based in truth, as we don’t have any real knowledge of who this person is. Only time and experiences with another person can provide us with this information.
Addictive relationships are based on creating “highs” when pairing. Therefore, a non-addictive relationship will grow and become more settled over time, while an addictive one will burn out. Partners in an addictive relationship have extreme difficulty navigating normal relational difficulties as they arise, whereas partners in healthy relationships frequently navigate difficulties from the beginning. In a love-addicted relationship, honesty is lacking, and the underlying truth regarding the dynamics of the relationship are not safe to talk about openly. This is a relationship that lacks true intimacy.
True intimacy involves the ability to talk openly about fears, concerns, and topics that delve beyond the surface, and which are risky to discuss. It does not involve blaming or deflecting to avoid taking responsibility that is so characteristic of an addictive relationship.
In early childhood, addicts often found that it was not safe to be authentic and real with another person. Rather, as coping mechanisms, these children learned to preserve themselves by detaching from their feelings. Bringing this coping style into adult relationships creates potentially toxic dynamics.

Obsessions and Addiction

By DARLENE LANCER, JD, MFT

Obsessions and Addiction
This article isn’t meant to addressobsessive-compulsive disorder (OCD), which is a mental disorder affecting one percent of adults. It starts in childhoodand is believed to have a genetic component. OCD may include only obsessions. Usually, the themes are about: Fear of contamination or dirt; having things orderly and symmetrical; aggressive or horrific thoughts about harming yourself or others; and unwanted thoughts, including aggression, or sexual or religious subjects.
The Mayo Clinic has developed an Apple app ($4.99) to cope with persistentanxiety, obsessions, and compulsions. If self-help isn’t enough, seek professional help for overcoming anxiety and obsessions. If you have OCD, seek professional treatment.
When an obsession dominates us, it steals our will and saps all the pleasure out of life. We become numb to people and events, while our mind replays the same dialogue, images or words. In a conversation, we have little interest in what the other person is saying and soon talk about our obsession, oblivious to the impact on our listener.
Obsessions vary in their power. When they’re mild, we’re able to work and distract ourselves. When intense, our thoughts are laser-focused on our obsession. As with compulsions, they operate outside our conscious control and rarely abate with reasoning.
Obsessions can possess our mind. Our thoughts race or run in circles, feeding incessant worry, fantasy or a search for answers. They can take over our life, so that we lose hours, sleep, or even days or weeks of enjoyment and productive activity.
Obsessions can paralyze us. Other times, they can lead to compulsive behavior such as repeatedly checking our email, our weight or whether the doors are locked. We lose touch with ourselves, our feelings and our ability to reason and solve problems. Obsessions like this are usually driven by fear.
Codependents (including addicts) focus on the external. Addicts obsess about the object of their addiction. Our thinking and behavior revolves around the object of our addiction, while our true self is cloaked with shame. But we can obsess about anyone or anything.
Obsessive worry frequently occurs. Because of shame, we’re preoccupied with how others perceive us. This leads to anxiety and obsessions concerning what other people think about us. We especially worry before or after any type of performance or behavior where others are watching, and during dating or after a breakup.
Shame also creates insecurity, doubt, self-criticism, indecision and irrational guilt. Normal guilt can turn into an obsession that leads to self-shaming that can last for days or months. Normal guilt is alleviated by making amends or by taking corrective action, but shame endures because it is “we” who are bad, not our actions.
Codependents typically obsess about people for whom they love and care. They might worry about an alcoholic’s behavior, not realizing they have become as preoccupied with him or her as the alcoholic is with alcohol.
Obsessions can feed compulsive attempts to control others, such as following someone, reading another person’s diary, emails, or texts, diluting bottles of liquor, hiding keys, or searching for drugs. None of this helps but only causes more chaos and conflict. The more we’re obsessed with someone else, the more of ourselves we lose. When asked how we are, we may quickly change the subject to the person we’re obsessed with.
In a new romantic relationship, it’s normal to think about our loved one to a degree, but for codependents, it often doesn’t stop there. When not worrying about the relationship, we may become obsessed with our partner’s whereabouts or create jealous scripts that damage the relationship.
Our obsessions may also be pleasurable, such as fantasies about romance, sex, or power. We may imagine how we’d like our relationship to be or how we want someone to act. A big discrepancy between our fantasy and reality may reveal what we’re missing in our life.
Some codependents are consumed by obsessive love. They might call their loved one many times a day, demand attention and responses, and feel easily hurt, rejected, or abandoned. Actually, this isn’t really love at all, but an expression of a desperate need to bond and escape loneliness and inner emptiness. It usually pushes the other person away. Real love accepts the other person and respects their needs.
Denial is a major symptom of codependency: denial of painful realities, of addiction (ours and others’), and denial of our needs and feelings. A great many codependents are unable to identify their feelings. They may be able to name them, but not feel them.
This inability to tolerate painful emotions is another reason why codependents tend to obsess. Obsession serves the function of protecting us from painful feelings. Thus, it can be looked at as a defense to pain.
As uncomfortable as an obsession can be, it keeps at bay underlying emotions, such as grief, loneliness, anger, emptiness, shame and fear. It may be the fear of rejection or the fear of losing a loved one to a drug addiction.
Often certain feelings are shame-bound because they were shamed in childhood. When they arise in adulthood, we might obsess instead. If we believe we shouldn’t feel anger or express it, we might not be able to let go of resentment about someone rather than allow ourselves to feel angry. If sadness was shamed, we might obsess about a romantic interest to avoid feeling the pain of loneliness or rejection.
Of course, sometimes, we really are obsessing because we’re very afraid that a loved one will commit suicide, get arrested, overdose, or die or kill someone while driving drunk.
Yet, we can also obsess about a small problem to avoid facing a larger one. For example, a mother of a drug addict might obsess about her son’s sloppiness, but not confront or even admit to herself that he could die from his addiction. A perfectionist might obsess about a minor flaw in his or her appearance, but not acknowledge feelings of inferiority or unloveability.
The best way to end an obsession is to “lose our mind and come to our senses.” It follows that if an obsession is to avoid feeling, getting in touch with feelings and allowing them to flow will help dissolve our obsession. If our obsession helps us avoid taking action, we can get support to face our fears and act.
When our obsessions are irrational and allowing our feelings doesn’t dispel them, it can be helpful to reason them out with a friend or therapist.
  • Ask yourself, “What am I feeling?” and wait patiently until you know.
  • Learn to meditate to quiet your mind.
  • Do slow movement to evocative music and allow yourself to feel.
  • Write about your feelings (ideally with your non-dominant hand) and read it to someone.
  • Share at a CoDA or Al-Anon meeting.
  • Spend time in nature.
  • Read spiritual literature or attend spiritual or religious gatherings. (Note that religion and spirituality can become obsessions, too.)
  • If you’re obsessed with a person, get “14 Tips for Letting Go” atwww.whatiscodependency.com.
  • Put your energy into expanding your social network.
  • Do something creative.
  • Develop interests and passions that feed, inspire, and nurture you.
  • Do what you enjoy. Don’t wait for someone to join you.
  • If you’re obsessing over a broken relationship, here’s a list of things to do and think about.
  • Do the exercises in Codependency for Dummies, especially Chapter 9 on nonattachment and the exercises in Conquering Shame and Codependency.

Panic Disorder Symptoms

By JOHNNA MEDINA, M.A.

People with panic disorder have feelings of terror that strike suddenly and repeatedly, most often with no warning. They usually can’t predict when an attack will occur, and many develop intense anxiety between episodes, worrying when and where the next one will strike. In between times there is a persistent, lingering worry that another attack could come any minute.
When a panic attack strikes, most likely your heart pounds and you may feel sweaty, weak, faint, or dizzy. Your hands may tingle or feel numb, and you might feel flushed or chilled. You may have chest pain or smothering sensations, a sense of unreality, or fear of impending doom or loss of control. You may genuinely believe you’re having a heart attack or stroke, losing your mind, or on the verge of death. Attacks can occur any time, even during nondream sleep. In the United States, this type of panic attack has been estimated to occur at least one time in roughly one-quarter to one-third of individuals with panic disorder, of whom the majority also have daytime panic attacks. While most attacks average a couple of minutes, occasionally they can go on for up to 10 minutes. In rare cases, they may last an hour or more.
Panic disorder strikes between 3 and 6 million Americans, and is twice as common in women as in men. It can appear at any age–in children or in the elderly–but most often it begins in young adults. Not everyone who experiences panic attacks will develop panic disorder– for example, many people have one attack but never have another. For those who do have panic disorder, though, it’s important to seek treatment. Untreated, the disorder can become very disabling.
In the United States and Europe, approximately one-half of individuals with panic disorder have expected panic attacks as well as unexpected panic attacks. Thus, as a recent change made to the criteria in the 2013 DSM-5, presence of expected panic attacks no longer prevents the diagnosis of panic disorder. This change acknowledges that oftentimes a panic attack arises out of an already-anxious state (e.g., the person is worried about having a panic attack in a store and low-and-behold has one). Clinicians now make the decision whether a person’s expected panic attacks will count towards their client’s panic disorder diagnosis. Now, they will usually classify expected panic attacks under panic disorder as long as the person’s concerns accompanying their panic attacks are centered around fears of the panic sensations themselves, their consequences (e.g., “I could have died or gone crazy”), and of having them again in the future (e.g., the person makes special efforts to avoid returning to the place where that attack occurred).
Panic disorder is often accompanied by other conditions such as depression or alcohol/drug use to cope with or prevent symptoms, and may spawn phobias, which can develop in places or situations where panic attacks have occurred. For example, if a panic attack strikes while you’re riding an elevator, you may develop a fear of elevators and perhaps start avoiding them.
Some people’s lives become greatly restricted — they avoid normal, everyday activities such as grocery shopping, driving, or in some cases even leaving the house. Or, they may be able to confront a feared situation only if accompanied by a spouse or other trusted person. Basically, they avoid any situation they fear would make them feel helpless if a panic attack occurs. When people’s lives become so restricted by the disorder, as happens in about one-third of all people with panic disorder, the condition is called agoraphobia. A tendency toward panic disorder and agoraphobia runs in families. Nevertheless, early treatment of panic disorder can often stop the progression to agoraphobia.

Specific Symptoms of Panic Disorder:

A person with panic disorder experiences recurrent either expected or unexpected Panic Attacks and at least one of the attacks has been followed by 1 month (or more) of one or more of the following:
  • Persistent concern about about the implications of the attack, such as its consequences (e.g., losing control, having a heart attack, “going crazy”) or fears of having additional attacks
  • A significant change in behavior related to the attacks (e.g., avoid exercise or unfamiliar situations)
The Panic Attacks may not be due to the direct physiological effects of use or abuse of a substance (alcohol, drugs, medications) or a general medical condition (e.g., hyperthyroidism).
Though panic attacks can occur in other mental disorders (most often anxiety-related disorders), the panic attacks in Panic Disorder itself cannot occur exclusive to symptoms in another disorder. In other words, attacks in Panic Disorder cannot be better accounted for by another mental disorder, such as Social Phobia (e.g., occurring on exposure to feared social situations),Specific Phobia (e.g., on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e.g., on exposure to dirt in someone with an obsession about contamination),Posttraumatic Stress Disorder (e.g., in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e.g., in response to being away from home or close relatives).
Panic disorder is associated with high levels of social, occupational, and physical disability; considerable economic costs; and the highest number of medical visits among the anxiety disorders, although the effects are strongest with the presence of agoraphobia. Though Agoraphobia may also be present, it isn’t required in order to diagnose panic disorder.
General Treatment of Panic Disorder

bipolar
Manic Depressive Disorder also know as Bipolar Disorder is associated with feelings of hopelessness to feelings of euphoria and full of energy. These mood shifts can occur a couple of times a year or many times a day. It usually develops in late teens to early adulthood. Bipolar disorder is divided into subtypes. They include:
1) Bipolar I Disorder: Mood swings that can cause difficulty with your job or personal relationships. The manic episodes associated with Bipolar I can be severe and dangerous.
2) Bipolar II Disorder: You can carry on with your daily functioning even though you may experience elevated mood or changes in your functioning. You experience hypomania in Bipolar II which is a less severe form of mania. Depression usually lasts longer than hypomania in Bipolar II and is less severe than Bipolar I.
3) Cyclothymic Disorder: Hypomania and depression are present and can be disruptive but the highs and lows are not as severe as in the other two types of Bipolar disorders.
Some of the signs and symptoms of manic phase are listed below. A manic episode can last for a week or less and at least three or more of the following symptoms need to be present:
  • racing thoughts
  • grandiosity
  • decreased need for sleep
  • excessive spending or spending sprees
  • rapid speech
  • risky behavior
  • poor judgement
  • agitation
  • increased physical activity
The mood disturbance must be severe enough to cause difficulty at work or school or social activities.
Some of the signs and symptoms of hypomanic phase are listed below. A hypomanic episode lasts at least four days and three or more if the following must be present:
  • decreased need for sleep
  • elevated self esteem
  • racing thoughts
  • rapid speech
  • distractibility
The mood must be severe enough to cause a noticeable change in functioning and it isn’t severe enough to cause difficulty with work, school or social activities.
Some of the signs and symptoms of the depressive phase include:
  • hopelessness
  • suicidal ideation
  • sleep problems
  • problems concentrating
  • loss of interest in activities
  • poor performance in job or school
  • low appetite or increase appetite
The exact cause of bipolar disorder are unknown however several factors may be involved in triggering bipolar disorder:
  • Environment-traumatic experiences, abuse, periods of high stress may play a role
  • inherited traits-it is more common in blood related individuals who have the condition.
  • neurotransmitters-an imbalance in brain chemicals
Bipolar disorder cannot be cured but can be treated effectively. Long term treatment is needed to control symptoms and gain better control of their mood and symptoms. An effective treatment plan includes medications and talk therapy. If you or someone you know has bipolar disorder it is important to get the proper treatment. Learn as much as you can about the disorder and offer support and patience. You can learn more about Bipolar Disorder at www.nimh.nih.gov.
 Image taken from the pridepost.com

Anxiety & Panic Articles

Social Anxiety

Thursday, June 26th, 2014
imgresFeeling nervous before a presentation or in some social settings can be normal. But in social anxiety, everyday interactions can cause irrational fear and can hinder you from moving forward. According to Wikipedia, “Social anxiety is a discomfort or a fear when a person is in social interactions that involve a concern about being judged or evaluated by others. It is typically characterized by an intense fear of what others are thinking about them (specifically fear of embarrassment, criticism, or rejection), which results in the individual feeling insecure, not good enough for other people, and/or the assumption that peers will automatically reject them.” Social anxiety can cause impairment with your social interactions and can affect your emotions and behavior. Symptoms, causes and treatment for social anxiety are listed below:

Natural Ways to Cope with Panic and Anxiety Attacks

Sunday, February 9th, 2014
Suffering from panic attacks or anxiety attacks are never fun and can be scary if you do not know what they are. This can be an uncomfortable feeling and knowing that it can happen to you again without any warning, can leave you to feel hopeless and helpless. For some, it can be an occasional panic attack where you experience it only in particular situations, while for others it can be frequent and recurring that it prevents you from leaving your home. In my previous blog, I discussed ways to support a person suffering from panic or anxiety attacks, the symptoms of panic and anxiety attacks and also on what panic and anxiety attacks are. In this blog, I want to share with you coping techniques to manage panic or anxiety attacks.

How to Support a Person with Panic Attacks or Anxiety Attacks:

Wednesday, February 5th, 2014
anxiety-reflib-shutterstock_107773157What is Anxiety and Panic Attacks?
Anxiety is a part of life and normal to experience at some point or another. It’s a normal reaction to stress and can be beneficial in some situations. When you have an anxiety disorder, the anxiety becomes excessive where you have difficulty controlling it and interferes with daily life. The anxiety remains with you for months and can lead to phobias and fears which impact your life. Anxiety continues even after the stressor is gone. It is a fear that is accompanied by feelings of impending doom.

Friday, August 15, 2014

Generalized Anxiety Disorder Symptoms

By PSYCH CENTRAL STAFF

Generalized anxiety disorder (GAD) is more than the normal anxiety people experience day to day. It’s chronic and exaggerated worry and tension, even though nothing seems to provoke it. Having this disorder means always anticipating disaster, often worrying excessively about health, money, family, or work. Sometimes, though, the source of the worry is hard to pinpoint.
Simply the thought of getting through the day provokes anxiety.
People with GAD can’t seem to shake their concerns, even though they usually realize that their anxiety is more intense than the situation warrants — that it’s irrational. People with GAD also seem unable to relax. They often have trouble falling or staying asleep. Their worries are accompanied by physical symptoms, especially trembling, twitching, muscle tension, headaches, irritability, sweating, or hot flashes. They may feel lightheaded or out of breath. They may feel nauseated or have to go to the bathroom frequently. Or they might feel as though they have a lump in the throat.
Many individuals with GAD startle more easily than other people. They tend to feel tired, have trouble concentrating, and sometimes suffer depression, too.
Usually the impairment associated with GAD is mild and people with the disorder don’t feel too restricted in social settings or on the job. Unlike many other anxiety disorders, people with GAD don’t characteristically avoid certain situations as a result of their disorder. However, if severe, GAD can be very debilitating, making it difficult to carry out even the most ordinary daily activities.
GAD comes on gradually and most often hits people in childhood or adolescence, but can begin in adulthood, too. It’s more common in women than in men and often occurs in relatives of affected persons. It’s diagnosed when someone spends at least 6 months worried excessively about a number of everyday problems.

Specific Symptoms of Generalized Anxiety Disorder

Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance).
The person finds it difficult to control the worry.
The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms present for more days than not for the past 6 months; children do not need to meet as many criteria–only 1 is needed).
  • Restlessness or feeling keyed up or on edge
  • Being easily fatigued
  • Difficulty concentrating or mind going blank
  • Irritability
  • Muscle tension
  • Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
Additionally, the anxiety or worry is not specifically about having a Panic Attack (though panic attacks can occur within a person with GAD), being embarrassed in public (as in Social Phobia), being contaminated (as in Obsessive-Compulsive Disorder), being away from home or close relatives (as in Separation Anxiety Disorder), gaining weight (as in Anorexia Nervosa), having multiple physical complaints (as in Somatization Disorder), or having a serious illness (as in Hypochondriasis), and the anxiety and worry do not occur exclusively during Posttraumatic Stress Disorder (PTSD).
The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism) and does not occur exclusively during a Mood Disorder, a Psychotic Disorder, or a Pervasive Developmental Disorder.