Aug 2 2010

What Is Obsessive Compulsive Disorder (OCD)?

I don't remember if I did that or not...

I don't remember if I did that or not...

OCD is a type of anxiety disorder that involves intrusive, uncontrollable thoughts and fears that can eventually take over the person’s life. Although to others the OCD sufferer may seem paranoid or even psychotic, in most cases the person realizes their thoughts and actions are irrational, making them feel even more alienated from those around them. It’s one of the more common mental illnesses, diagnosed nearly as often as asthma and diabetes. It’s important to note that OCD is different from other compulsive behaviors like overeating, gambling or sex addiction, where the person derives at least some short-term pleasure from the behavior. OCD sufferers get no pleasure or satisfaction from their behavior, yet they find it impossible to stop. OCD sufferers may also be diagnosed with conditions like Asperger syndrome, bulimia, social anxiety disorder, Tourette syndrome or major depressive disorder, among others.

It’s believed to have biological roots, and has been associated with abnormalities with the neurotransmitter serotonin, which is thought to have a role in how the brain regulates anxiety. This sort of imbalance of serotonin may be related to abnormal brain development; it’s suspected that children who have had a Group A streptococcal infection may be more prone to OCD later in life.

What Are OCD’s Symptoms?

OCD manifests itself in a set of compulsive behaviors that give the person “relief” from their anxieties. A typical person with OCD might be preoccupied with disease, God, the Devil or germs, all things that can cause tension and give the person the feeling that their life can never proceed as normal. Other obsessions might involve dirt and contamination; the person may be frightened or apprehensive about things like household chemicals, pets, newsprint, radioactivity, and of course their own bodily secretions or excrement.

Others have sexual obsessions that they can never be rid of, or may be extremely averse to sex. An OCD sufferer knows that their thoughts, behaviors and habits are out of step with the rest of the world, which just feeds their anxieties and doubts even more.

Typical obsessive behaviors or rituals might include:

· Skin picking

· Hair plucking

· Counting, which can come into play by counting specific things (such as footsteps or floor tiles) or counting specific ways (odd or even numbers, for instance)

· Hand washing or showering

· Throat clearing or verbal tics

· Behaviors that are preoccupied with order, such as putting items in a straight line, touching objects a set number of times, turning lights on and off, stepping on only a certain color of floor tile, checking that their car is locked several times over before leaving it, or only walking up or down a flight of stairs in a certain fashion (i.e. always starting and ending on the same foot)

How did it come to this?

How did it come to this?

Hoarding

Hoarding is an offshoot of OCD that has come to the public eye in recent months with hoarding-related TV shows. Hoarders might think that inanimate objects (teddy bears, documents, electronic devices, anything) are sentient beings with thoughts and emotions. In other cases, hoarders might never be able to break associations between those objects and a person or a past phase of their lives, and hang onto them as “mementos” or “keepsakes.” Often this might be linked to the trauma of a death or divorce. Nonetheless, hoarding can be just as destructive and just as crippling as any other form of OCD.

Management And Treatment

The first line of treatment for OCD has always been psychotherapy (and in some cases, dynamic psychotherapy). Newer therapies, though, have involved behavioral modification and medication. Behavioral modification for OCD might involve “exposure and ritual prevention,” where the person gradually is conditioned to let go of the anxiety associated with neglecting to go through their ritual behavior. The person might touch something only mildly “contaminated,” or might check the lock on their house only once when leaving, rather than going back and rechecking it. From there, the person is habituated to tolerate their anxiety in increments (touching something a little more “contaminated,” not checking a lock at all or only washing their hands once instead of repeatedly).

Other behavioral work has concentrated on “associative splitting” to reduce obsessive thoughts. It’s a concept that encourages neutral or positive associations in the network of OCD-related anxieties. For instance, a person who is obsessed with fire meaning “danger” or “destruction” might instead be steered towards thinking of fire as fireworks, fireflies, fireplaces, candlelight dinners, campfires or other pleasant associations.

The brain chemistry involved with OCD suggests using SSRI type drugs (selective serotonin reuptake inhibitors) such as paroxetine, fluoxetine, escitalopram or tricyclic antidepressants such as clomipramine. SSRI’s block excess serotonin from being directed back into the original neuron that released it; instead, they bind serotonin to receptors of nearby neurons, sending chemical signals that can help head off anxiety and obsessive thinking. Some newer-generation antipsychotics have been found useful in treating OCD; paradoxically, some of these drugs have been seen to cause obsessive-compulsive symptoms in patients who didn’t have OCD before.

Some experimental drug treatments have been observed to act on serotonin and neurotransmitters:

· The naturally occurring sugar inositol

· Vitamin and mineral supplements (some believe that nutritional deficiencies contribute to OCD)

· Opioids such as morphine and synthetics such as tramadol. It’s not clear exactly how these work, but they sometimes rapidly alleviate OCD symptoms

· Psychedelics such as LSD and peyote

· Nicotine treatment (again, the jury is still out on this one)

· Anticholinergics, to head off the anti-dopaminergic effects of choline

Will I ever be myself again?

Will I ever be myself again?

Although there is still a lot of research to be done on OCD, the last several years have seen significant advances. Medical science has gone a long way towards understanding the biological roots of OCD; between treating the root causes and readjusting the behaviors of the OCD sufferer, many with OCD (and many with related anxiety disorders) have been able to go back to leading a fairly normal, routine life again.


Mar 25 2010

Using mental discipline to lose weight

think_lose_weight_2

Having time for one self

The quickest way to start losing weight is to start believing that you can. It takes mental discipline as well as a healthy diet and exercise to lose weight and keep it off. Achieving mental discipline is not as hard as one might think and you can start right away. Discipline is defined as “the ability to do the right thing even when no one is watching”. Mental discipline could then be defined as “the ability to control your thoughts when you’re not thinking”. Using mental discipline to lose weight is the ability to stay strong in a moment of weakness. Unfortunately, moments of weakness occur rather frequently when dieting. Imagine that your diet has been quite successful and your target weight is seemingly reachable in less time than previously imagined. Suddenly, just when success is in sight, a weekend from hell occurs and before you know it, you’ve skipped two workouts and consumed every Little Debbie and Pringle in sight, and when no one was watching, you secretly ordered take-out.

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I need to lose weight

Having a strong sense of mental discipline may prevent that disaster from ever occurring. Occasionally we will give ourselves the green light to be bad. Then we make promises to ourselves such as working out harder during the next workout or skipping lunch or dinner, which is extremely unhealthy. Having mental discipline keeps your mind strong and your willpower in tact when you are consistently challenged during the course of a day. By properly programming your mind, you become able to override and overcome ingrained eating habits, and your energy level will naturally increase because you’ve stuck to a healthier diet. Skipping workouts is less likely to occur as well; in fact you’re likely to start looking forward to them.

tp-happy-lose-weight

I am finally reaching my weight goal

Create a vision of yourself having already lost the weight you feel you need to lose. Think about what you are wearing. Think about how you would feel. Confident? Ready for anything? Train yourself to think of this vision when you wake up, then keep the vision on your mind when you are in the shower, as you get ready for work. Think about this vision on your bus ride or drive into the office. After a couple of days, it becomes natural and easy. Remember, a belief is nothing more than a series of thoughts. It won’t be long before you start believing this vision is an attainable version of you! Suddenly, eating healthy is easy and working out is no longer the chore it once seemed. Achieving mental discipline will stop the sabotage from occurring and losing weight will no longer be the proposed chance of failure it once was. If you have decided that losing weight is your goal, and you want it bad enough, you must first believe that you can lose weight. Most people program themselves for failure not even realizing it. With mental discipline, and a strong desire to succeed, anyone can lose weight, and keep it off.


Feb 10 2010

Breaking an Addiction : An introductory course

gambling-addiction

I am so confused

Addictions manifest in many ways. Some turn a fun hobby like shopping into a financial nightmare. Other times, addictions pose health risks, especially when the addiction is drug or alcohol related. It really does not matter what you are addicted to. The only thing that matters is that you realize that you have a problem and are ready to take the steps needed to take your life back. In this fight, your mind is your biggest ally. It has all the power you need to get back on a healthy track.

You need to get to the root of your problem. Your problem is not with any substance or activity. Your problem is with what drove you to seek refuge in an addiction. Maybe it is to fight boredom. Maybe it is to get a rush. Whatever it is, you need to figure out what drives you to put your life on hold for an addiction. When you have it singled out, find healthy alternatives to receive the feelings that you crave.

Notice what is going on around you when you get an urge to partake in you addiction. If you figure out your trigger, you can plan to avoid any situation that will make you weak. In the beginning of the fight with addiction, you will need to stay away from obvious stressors and triggers in your life. Eventually, you can work up the strength to stare down the habit and walk away clean.

e_cig

I am addicted to Smoking

The next step in this basic method comes in week two. Make a note every time you want to indulge in your addiction, and also make a note of what’s going on around you at the time. For example:

Cigarette craving 1:00

Just ate lunch

Smoked 1 cigarette

By keeping track of what happens when you have a craving or a need to do something, you can find your triggers, and make yourself realize what causes the urge – and then find a way around it. If you always have a cigarette after lunch, try something new in your routine for at least three weeks. For example, instead of going to a café where smoking is allowed, eat lunch at a different restaurant. Don’t give yourself time to smoke after you finish eating, either. Go right back to work. We are creatures of habit, and addictions are all about breaking these habits. Did you know that you can form a new habit in as little as 27 days? Don’t use chemical dependency as an excuse. Once the withdrawal phase is over, your road blocks are purely in your mind.

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Addictive Gambling

Your new daily routines and habits should reflect your new life. Do not stay in the same patterns that you did while you were in full throws of addiction. This trap sets you up to fall back in to repeated patterns, including the ones that drove you to addiction. Vary what you do day to day. This will keep you open to better and more healthy life choices.

As you face your addiction, remember this fight will be for your life. You need to stay strong and take back control of your life. You can and will do it if you put your mind to it.


Feb 9 2010

10 Habits of a Liar, and how to spot them

liarhand

This girl is a liar

Everyone’s told a lie– you, your friends, your boss, even your perfect “role model” mother. But the only reason you’ve ever told a lie was to help someone else, or yourself for that matter, out of a very sticky situation…right? Or are you just lying to yourself now? Either way, considering the fact that almost everyone on the face of the earth has lied at one point or another, we sure are lousy at picking out the most malicious liars among us. You might think you have a good sense of when someone is telling a tall tale, but you’ll find that when you know how to read the signs, spotting the falsities in your perpetually late co-worker’s excuses or even the faults in your spouse’s multiple cover-ups can really save you some strife in the long run. So, without further ado, here are 10 habits shared by Lying Larry’s and Fibbing Franny’s around the world.

1. Averted gaze: It’s not normal to expect someone to maintain full eye contact for the entirety of a conversation…unless they have some sort of disorder, and that’s another story in and of itself. However, if you notice any difference in the amount of eye contact the suspected liar is making, that could be a clue that they’re not telling the truth. In fact, even the direction of the gaze makes a difference when trying to figure out someone’s intentions. It has been noted that when trying to recall a fact, most people with avert their eyes upwards and to the right. A person who is trying to come up with a lie, however, will usually look down.

2. Too much eye contact: Just as a liar may avert his or her gaze to keep someone from looking into their eyes (it’s been long said that you can see the truth in someone’s eyes, therefore liars may try to avoid this result by looking away altogether), someone trying to cover up a lie may also make too much eye contact. This comes as a result of a reverse train of thought by the person in question. More experienced frauds may know that people are expecting them not to make eye contact and therefore counteract this by making prolonged eye contact, to the point of abnormality.

3. Stuttering: Telling a lie, especially a more in-depth one, takes a lot of effort on the fibber’s part. So much effort, in fact, that in the process of telling it, people tend to get tripped up. Think about it– if there’s something big at stake, it takes enough effort to remember and relay an actual string of events. Liars charge themselves with the duty of not only coming up with a fake string of events, but also coming up with it on the spot as well as double-checking every word they say seconds before they say it, meanwhile paying strict attention to every word they say for fear that they’ll be asked to repeat the same story later. Makes you almost feel sorry for them doesn’t it? Nah.

liarlips

She tells nothing but lies

4. Sweating: It’s a natural nervous reaction. Most people sweat or get sticky palms when speaking in public, making an important decision, waiting on significant results, etc. But if someone is sweating during an everyday situation, that could be a tip-off that they fear getting caught in their lie.

5. Abnormal expressions: As in the case of liars making too much eye contact, they may also go too far when it comes to showing they are at ease to throw you off. If someone holds a facial expression for too long, such as a smile, or other expressions/gestures, take that into consideration.

6. Fidgeting: This may be a person’s way of diverting your attention, therefore breaking your concentration on the facts of the story they’re telling you. It may also be an uncontrollable nervous habit. Whether someone fidgets with an outside object or takes up a nervous habit such as tapping their feet or twirling their hair, these are all signs that your culprit may not be fully at ease and in the midst of spinning a tall tale.

7. Changes in pace: Beyond the obvious stuttering through sentences, more experienced liars might try to disguise this dead giveaway by pausing excessively. You can watch for this by noticing where in the sentence or story the person pauses. If it’s right before an important detail, or maybe before a detail they have relayed to you previously, this could be a sign that they are trying to straighten up their story in their head before it comes out of their mouth. Also, if the person pauses at irregular times such as the middle of a sentence (in the absence of a transition), they could be trying to let their voice catch up with their mind.

fingerscrossedliar

This girl can't keep a secret

8. Changes in tone of voice: When someone is spinning a story, they are usually concentrating too hard on coming up with the details for their body to focus on what it is normally able to focus on. This may cause a person’s voice to crack, which is almost a dead giveaway of a lie being told.

9. Any other changes in bodily functions: As noted above, people actively engaged in making up a story that isn’t true, while also trying to double-check the details of this story in their mind, while also trying to remember the details in case they have to recall them later…don’t usually have time for much else. As a result, functions such as blinking, swallowing and breathing may become abnormal. For the most part these changes will manifest themselves in the form of increased levels of all of the above (all going back to “fight or flight” reactions—also known as modern day nervous reactions).

10. Being overly vague: To lighten the load on themselves, fibbers will often not tell too many details of any story they’re asked to recall. And wouldn’t you do the same? Given the difficulty of telling a solid lie (noted several times thus far), it is much easier to keep it simple until further request. So give these people a run for their money—if they’re too simple, ask for further explanation, and then look for the signs noted above.

For the most part, pegging the aforementioned signs as a tip-off of a lie comes down to knowing the person in question. On any given day, any given person could show any of these signs, while also remaining perfectly innocent. But if you know someone’s normal tendencies, it becomes that much easier to peg these signals for what they really are, therefore catching their insincere act and taking proper actions. Ready to try it out but have no one to try it on? First, thank whatever higher power you might believe in…or your mom and dad for teaching you not to hang around liars. Then, go record the daytime court TV sensation of your choice and have at it.