Anger rather than Sad


from the Book of Life

Common tenants of Depression or Major Depressive Episodes

  • Persistent sad, anxious or “empty” mood
  • Feelings of hopelessness, pessimism
  • Feelings of guilt, worthlessness, helplessness
  • Loss of interest or pleasure in hobbies and activities, including sex
  • Decreased energy, fatigue, feeling “slowed down”
  • Difficulty concentrating, remembering, making decisions
  • Insomnia, early-morning awakening, or oversleeping
  • Low appetite and weight loss or overeating and weight gain
  • Thoughts of death or suicide, suicide attempts
  • Restlessness, irritability
  • Persistent physical symptoms that do not respond to treatment

Common tenants of Anxiety―Depression (disorder group GAD)PDF
thanks https://www.adaa.org/understanding-anxiety/depression/symptoms

What is Disorder?

  • Disorders such as Bipolar disorder, Personality Disorders. or Anxiety Disorders can only be “Diagnosed” by healthcare―professionals or psychologists.
  • One maybe diagnosed with 6 disorders or 1 disorder – this does not mean one is anymore “screwed up” than the other.
  • Disorder is categorized for the purposes of treatment & management between a client, therapist & healthcare―providers.
  • There are legal and professional standards that healthcare―providers in mental-physical health must abide by – that’s what the literature is about: DSM4 DSM5

Gestalt therapy perspective

  • Self awareness not why but:
  • how and when? do ” I feel angry and sad “.
  • Moral- am I judging myself for feeling angry? sad? or tired?
  • How and When do I judge myself.. others environment.
  • Ambivalence: do i feel “conflicting” sensations? ↓Examples:↓
  • thrilled but angry and anxious
  • sad but tuned_in
  • relaxed.. but tight in the legs or chest

contact―boundary memoirs

At a good time (when sad happy or angry etc.)
can I observe between “me” and “not―me” :

  • projection — eg. expressing feeling in drawing or painting ; blaming someone or somthing)
  • Deflection — avoiding both good or bad feeling for another time)
  • confluence — losing sense of self to the outside world, or defending in reaction
  • retroflection — turning ones desires for others (especially with anger) back and substituding ones self) i.e. self blame and self harm
  • Introjection — absorbents in the interactions between “me” and “not―me” without processing (metabolizing)
Anger is part of depression. Anger is part of all of us in daily life.
the good choices we make are in
how to manage are emotions, sensations and Affects so they are not regular intrusions or regularly destructive.
This Management.
This is Anger. This is Depression.

All Dogs have ADHD

by video blogger, fitness model and kickboxer Tailia St.

ADHD is one of the most common childhood disorders and can continue through adolescence and into adulthood. The average age of onset is 7 years old.
ADHD affects about 4.1% American adults age 18 years and older in a given year. The disorder affects 9.0% of American children age 13 to 18 years. Boys are four times at risk than girls.
Studies show that the number of children being diagnosed with ADHD is increasing, but it is unclear why.

 

Information on ADHD can be found at:

http://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd/index.shtml

Defense mechanisms. Talking and Listening

 
example of a of  a mock therapy session on “Defense mechanisms“. and a great job by the participants of this video.
 
Note that the lady on the right is using a passive method of conversion  called Active Reflective Listening

Active Reflective listening is

  • Focused on listening to another person who is in command of his/her speaking
  • ‘Active’ because the listener stays focused on what is presently heard in real time (here &now).
  • ‘Reflective’ because replies are meant to be minimal and passive.
  • Coersive response during active reflective listening allow the other speaker to explore or clarify what he has spoken.
  • responses are kept minimal,allowing the speaker to be free and control of his language.

 

Common Defense mechanisms.

Colloquially, defense mechanisms are the common responses, including thoughts and actions, (and perhaps attitudes) one experiences when he/she feels threatened, fatigued, unconfident, or insecure.
Usually they are useful, some can be replaced, or new ones can be learned. A key factor of understanding ones Defence mechanisms is being aware of them, as one experiences them.
Talking and listening is an excellent exercise.

A list of common defense mechanisms can be found at:
http://psychcentral.com/lib/15-common-defense-mechanisms/

People are Different: Medication and Mental Disorder

People function and react differently given the same chemical cocktail. One medication can be a wonder drug for consumers of Mental disorder, restoring their ability to function adequately for a long duration of time. Another patient may not respond at all to the same prescribed psychiatric medication. And the next consumer could have serious negative or dangerous effects from the same medical therapy.
People are different.

A funny story about me….

Lithium is a commonly prescribed drug for Bipolar Disorder. It is a relatively cheap, successful and safe mood stabilizer. It’s a naturally found substance – Lithium compounds are  salts. Most consumers who take the drug therapy successfully usually only deal with the side effects of weight gain, mild tremors and dry mouth. Lithium can take up to three months to build up in a consumers system to show full effect.
Unfortunately, for me: I am highly sensitive to the stuff. After a period of build, actually a smaller dosage than normally prescribed for someone of my weight, I began to REALLY feel the effects… the side effects. my eyes came close to swelling shut, throat constantly dry and thick to the wear I had trouble swallowing.
Scream.jpgI remember sitting at a fast food restaurant trying to ingest a meal of soda and fries… the tremors!  my hands and arms shook so violently that I had trouble getting fries in my mouth until I gave up, eyes squinted, and a lethargy that made me look like a  shaky zombie. (definitely not like those cool superfast zombies I see on TV. Now that would have been cool!)
This was still better than being “Manic” (An elevated level of mood and energy that made impossible for me to sit still, or do things like read,watch tv, drive, or even walk for a long period of time.) However, I was not one of the fortunate  who use this drug successfully…. I would not be able to work or enjoy leisure with lithium
The funny part was the drug to almost as long to get out of my system as it took to build up. Those were the early days of my mental wellness management. I joke about how bad I looked out in public at times, and how I was cursed to wait to I pissed the salt out of my system.   Well,I guess you had to be there..

A serious story that is important to know…

I know of a person who says she suffered from major depression for over twenty years.  She was prescribed many medications and therapies over the years, including electroconvulsive therapy  — the latter is often reserved when no other therapies seem to work.   Nothing worked. (She had a physical handicap as well, which further complicated her health woes leading to many stays in the hospital). After twenty years, Someone finally prescribed her a different class of medication than she we would normally be prescribed for severe depression…  Her “Wonder Drug”.. in her words.
It was a mood stabilizer called lithium. She would be diagnosed with Bipolar Disorder II  soon after.  She told me repeatedly that “Lithium saved her life”. After a few months Her depression cleared, she got back part of her life again. I have not heard from her for along time, but she said was generally  happy when we  last spoke.
Her success , of course, is important, but…

here is another important observation in mental health:

Many people seek treatment for severe depression and are prescribed anti-depressants… only to experience their depression get significantly worse, including suicidal thoughts.
As it seems,  something is  physically different in the manifestation that would correctly be diagnosed as Depression and in the manifestation that would be correctly diagnosed as Bipolar Disorder II. Unipolar (major) depression and bipolar disorder in depression  be appear outwardly  as the same.
But in fact, a therapy of prescribed antidepressants, WITHOUT a mood stabilizer or a like drug can make Bipolar Depression far more severe.
A commonly observed side effect of someone who should receive treatment for Bipolar Disorder, but is only taking Antidepressants is increased mood cycling with with deeper peaks and/or valleys.

A  little more about this subject: “Bipolar Disorder: A Mistaken Diagnosis“.

As it turns out: even Clinical Depression and Bipolar Depression can be physically different, just like results  of  treatment with that commonly prescribed salt.
A treatment that works for one person , may not for the next.  

Perhaps we  just can’t treat all people to the same, after all.

Forgive my pun-word game… its just a segue for my next post on how  my experience with Mental Disorder   matured my philosophical approaches and attitude.

Post-Post

mood-charting-example

mood-charting-example

If one is suffering from depression, inhibiting levels of  anxiousness, or extreme shifts in mood or emotion, enough to seek out professional medical treatment…
Mood Charting can be very advantageous. There is no way to predict completely the outcome of treatment and diagnosis.  But one can improve his chances of avoiding misdiagnosis by tracking his/her own  shifts and patterns in mood, energy level, focus and behaviours.    Getting the correct diagnosis early could certainly improve a consumer’s  chance of getting to a functional, productive  and happier day-to-day life.

Here is one suggested  reason  for   common misdiagnosis of  Bipolar Disorder Depression  for Major Depression:
a patient simply doesn’t recognize the brief  period of  hypomania that they experience. Up moods, with extra energy and alertness  can feel good.  A person doesn’t  normally think or know something is wrong when he/she  feels good.   He/she   fails  to describe or report these hypomanic periods to his doctor.
Tracking moods, focus, anxiety, sleep patterns over a long period of time can help doctors detect the right diagnosis.

Examples of mood charts can be downloaded on the CHARTS  tab above.

 

Daily Feeling Chart, Alternate Version

Happy   New Year!http://30daynephalist.files.wordpress.com/2008/10/stuart_smalley.jpg?w=88&h=88
I would like my first post of this year to be another feeling.. or emotion tracking  chart.  Your excited… so am I (photo, right).
I am glad  that the   Daily Emotion Chart  for Special Needs Children has been relatively well received, since I first posted it , years ago.  But I think  emotions charting or tracking can be useful for more than just children.  For adolescent  boys and girls and adults, managing mental disorder or just having trouble expressing their selves confidently, a emotion chart tool can be just as useful.  working on Emotional grammar It can never hurt anyone, of any a age.

The emotion tracking  chart  (the one tagged for children that I have posted previously)  could be used by anyone at any age, or expanded upon… but I had to give it name (for the search engines of the interwebs);  and it was based on a previous Daily-feeling-track,jpgexperience with a friend and her childs needs .   So I am   adding  another example of a chart for emotional vocabulary.

My theory is (and I certainly don’t think I’m alone in this thought) that one can learn to make most of his or her own personal management tools;  by customizing them for his/her own needs; or the needs of themselves with  peers, support,  communicating to their doctors etc.
The creativity and control  that comes with   personalizing and maintaining  one’s   own toolbox only serves to build confidence and command over health management, IMHO.
However this one I made is free to download in several formats.  Use them as is…. or  just make your own charts,

Alternate Daily Feeling Tracker Sheet:

For more Tracking charts please check out the “Charts” tab above.
Thanks!

Mood definition… a disorderly description by a bipolar disorder manager

You wake up one morning.

  • you feel happy,loving, humorous  optimistic.
  • Your confidence and self worth are high.
  • You are motivated.
  • Your body feels healthy and energetic
  • You are  thinking is clear, focused,  positive.
  • You are not concerned witht bad thoughts.
  • Your impulses are strong and up mind/body feel crisp.
  • You  look outside your window and everything appears crisp , bright and colorful.

You are  in a “good mood”or an up mood.

You don’t need all these attributes to be in a “good” or “up” mood, when you wake up. You may be happy and thinking positive, but not feeling energetic…. You might feel very energetic a little confident and optimistic  and not particularly impulsive.
However, these attributes are loosely tied together… or appear commonly together in feelings … and we describe them as “being in a good mood”.
An Up mood.

You wake up one morning,

  • You feel sad, lonely, or pessimistic.
  • Your confidence and self worth low.
  • Your body feels, detached, achy, and slow. Your  thinking is disinterested and unfocused .
  • Your  thoughts are  self defeating..
  • You feel detached.
  • You look outside you window  and everything looks hazy and dull.

You are feeling down or in a down mood.

Just the same as an up mood, not every trait is necessary to “feeling down” or “feeling low”. You may have mildly self defeating thoughts, your body may feel achy and slow, you may feel extremely detached and disinterested…. and may not feel sad at all.
but your mood  is still described as down.

When  your over- all mood is very up… its referred  manicy and when it is really down your mood is depressed.

The word “mood“, much the same as the word “mind” is an abstract description.. It is an organization (or integration) of traits that are otherwise difficult describe. their no exact physical or concrete  thing called “mood”.

Even more difficult to describe is a mood disorder diagnosis. a diagnosis, such as “Bipolar disorder , “is made by matching a person’s intrusive traits with criteria in the DSM- IV . A mood disorder is not something you can see with an x-ray such as a spine injury. However, “mood disorder“is description is as real as description as  “mind”… and it is a diagnosis to be taken as serious as any medical diagnosis that is easier to see wit an X-ray or MRI.

For someone  diagnosed with a mood disorder…
These mood traits and the  behaviors linked to them are pushed to further extremes, until they become extremely intrusive in their life.

  • An extreme up mood or “manic mood” for example may lead an individual to have super- high  self esteem in denial of any consequence and lead to reckless behavior.
  • An extreme down mood or “depressed mood”  may have lost all self worth , have intense self defeating thoughts leading them to suicidal behavior.

These is usually a periodic conditions.. but it requires a life time of management.

The exact cause of Bipolar disorder and other mood disorders is not entirely understood yet. Western medicine and scientific evidence strongly supports that  they are biological, in origin.

From a Holistic point of view… we may say that the body, mind, mood, behavior, interaction with people and environment, all are components that act in an integrated fashion as whole of us.
When I, consumer who  manages Bipolar disorder , has these mood traits that are very intrusive at a given time, the mood distortions can throw all  integrated parts of me  off. In periods when this happen  I am described as being “symptomatic“… the symptoms being the intrusions. Each  consumer who manages a mood disorder has a unique  set of symptoms.

Sound complicated? no real concrete definitions?
Defining “Mood, “mood disorder and Bipolar disorder… just a simple component to integrated with the whole of “Living with Bipolar Disorder”.

There  is  wisdom to be  gained:. Our perception of reality and our perceived personality  are all determined by the all the components of us in an integrated fashion.
Just as my choice words to describe “mood”.

DSM, mental wellness, and other buzz words

Rumors have circulated that a new  DSM (Diagnostic and Statistical Manual of Mental Disorders) is in the works.
The DSM is a standard for Diagnosing “mental disorders” in most of the  medical world.
Such disorders as Bipolar disorder, Anxiety Disorder, Personality Disorders, etc.

The term “Disorder” is a  bit vague, as theses diagnosis are given based on listed symptoms and behaviors.

I myself was diagnosed with Bipolar disorder, because I meet the criteria of symptoms for Bipolar Affect Disorder I.

I would think it is more accurate to call it Bipolar “Syndrome”…Every person who is diagnosed with Mental Disorders has unique group of symptoms.The terminology is really for treatment, more than pidgeon hole  condition.
I have grown tired of telling people “I am Diagnosed with Bipolar Disorder” or the ultra-ugly phrase “I am a Mental Illness Manager. Quite frankly most Mental Illness managers are far less ill then “normal” folks. So I have been thinking about the word choices.
~
Holistic terms such as “Wellness” or “Mind /body wellness” have caught on, as of late. I like these Buzz words and I am  now suggesting they be incorporated into the DSM 5 .

I am now using these phrase at my Pennsylvania Echoes Blog:
Mental Wellness Management instead of “diagnosis with Mental disorder.” …or the inaccurate term “Mental illness”
Just the Same Mental Wellness Recovery and occasionally  Bipolar wellness management and so on.

Mental Wellness is part of whole of Wellness Management just as my body wellness is. I manage them as one.

There!
I hope the creators of the new DSM catch on to this idea.
please leave your suggestions  for  your own buzzword choices.