[Kizzy]

Then offer something up, if you rate ECT so highly and suggest those who think it's in the main an outdated practice show me something to change my mind!

[Redway]

Originally Posted by Kizzy

Then offer something up, if you rate ECT so highly and suggest those who think it's in the main an outdated practice show me something to change my mind!

Old-school ECT caused bone fractures. The more it's refined the more it's relevant today.

Like I said it's just funny how you keep ignoring all my earlier posts in response to you. You need to brush up on your rebuttal skills.

I've offered plenty. It's you who can't offer any real counter-arguments for reasons we both know. This is what you do on every thread allied to mental health.

[Maru]

Have to say, this is one the best threads in SD in a while... lots of information and deeply engaging...

[Twosugars]

^ That's amazing, Maru. Goes to show what a difference a modern ECT can make.

[Maru]

Originally Posted by Twosugars

^ That's amazing, Maru. Goes to show what a difference a modern ECT can make.

Yeah, I think without trying different things or pursuing new research in current areas, we may leave important rocks upturned ... like that wonderful article I posted in SD about Chinese Animal Testing and how ethics in the US have affected research... yeah there's potential those conditions can be done poorly without proper oversight, but the downside is if we don't do any testing, we won't really learn more about those conditions...

China Is Genetically Engineering Monkeys With Brain Disorders
http://www.thisisbigbrother.com/foru...d.php?t=342279

I still think chronic pain and mental health have a significant link... they seem to really do in particular with women... which might be one reason why the number of women is higher, that they often suffer worse? For Fibromyalgia & IC, the number of women is also dramatically high... IC is a problem with the bladder, but considered a nerve disorder, so it's a bit bizarre...

[Twosugars]

This is a NHS depression test, very similar to the previous one posted

https://www.nhs.uk/Tools/Pages/depression.aspx

And here more general mood assessment tool

https://www.nhs.uk/Tools/Pages/Mood-...lf+assessments

[Jessica.]

Originally Posted by Twosugars

This is a NHS depression test, very similar to the previous one posted

https://www.nhs.uk/Tools/Pages/depression.aspx

And here more general mood assessment tool

https://www.nhs.uk/Tools/Pages/Mood-...lf+assessments

[Redway]

Originally Posted by Jessica.

Anything you want to talk about?

[Maru]

Redway, this is a suggestion, but maybe update your OP with the educational material you've posted... since your thread is so sticky and all

[Redway]

Originally Posted by Maru

Redway, this is a suggestion, but maybe update your OP with the educational material you've posted... since your thread is so sticky and all

You mean the ECT stuff?

[Maru]

Originally Posted by Redway

You mean the ECT stuff?

Yes

[Maru]

Pretty sure the surgery was this...

Deep Brain Stimulation
https://www.dystonia-foundation.org/...in-stimulation

Deep brain stimulation (DBS) is a surgical procedure used to treat a variety of neurological disorders, including movement dystonias such as dystonia. A battery-powered stimulator —essentially a brain pacemaker—is surgically implanted and delivers electrical stimulation to the areas of the brain associated with dystonia. The stimulator is implanted into the chest or abdomen, and extension wires connect the stimulator to leads deep in the brain.

How Does DBS Treat Dystonia?

Although DBS has proven to be a safe and effective treatment for a variety of disorders, the exact mechanism of action is not fully understood; doctors know it works, they just can’t exactly explain why. Dystonia symptoms result when excessive signaling from the brain causes involuntary muscle contractions and movements. The stimulation delivered to the brain by the DBS stimulator suppresses theses excessive signals, thereby lessening the dystonia symptoms.

Sort of like when they overfill the bladder during hydrodistension and piss the little nerve-endings off and interrupts them... lead to months of pain relief... Science ...

[Redway]

I thought as much. DBS is used for severe OCD as well.

[Redway]

Out of interest does anyone on here have misophonia /4S (sensitivity to certain soft sounds)?

[Twosugars]

I've complied a list of subforums on the largest mental health forum, psychforums.com
I thought it may help us choose other topics for discussion.
Here it goes:

Anger Management

Anti-Psychiatry Forum

Cutting and Self Injury Forum

Grief and Loss Forum

Hope, Healing and Coping.

Relationship Forum

Remorse

Mental Health and Significant Others, Family & Friends Forum

Bullying Forum

Child Abuse Forum

Domestic Violence

Sexual Abuse and Incest Forum

Post Traumatic Stress Disorder Forum

Agoraphobia Forum

Obsessive Compulsive Disorder (OCD) Forum

Social Phobia Forum

Generalized Anxiety Disorder Forum

Tourette's Syndrome Forum

Autism Forum

Oppositional Defiant Disorder Forum

Asperger's Syndrome Forum

Attention Deficit Hyperactivity Disorder Forum

Stuttering, Dyslexia, Learning Difficulties Forum

Selective Mutism Forum

Reactive Attachment Disorder Forum

Conduct Disorder Forum

Childhood Disorder NOS Forum

Alzheimer's Disease Forum

Dementia Forum

Delirium Forum

Cognitive Disorder NOS Forum

Depersonalization Disorder Forum

Dissociative Identity Disorder Forum

Dissociative Fugue Forum

Dissociative Disorder NOS Forum

Dissociative Amnesia Forum

Anorexia Nervosa Forum

Bulimia Nervosa Forum

Binge Eating Disorder Forum

Munchausen Syndrome Forum

Factitious Disorder Forum

Shoplifting Addiction

Trichotillomania Forum

Intermittent Explosive Disorder Forum

Compulsive Lying Forum

Bipolar Disorder Forum


Seasonal Affective Disorder Forum

Clinical Depression Forum

Postpartum Depression Forum

Antisocial Personality Disorder Forum

Borderline Personality Disorder Forum

Avoidant Personality Disorder Forum

Narcissistic Personality Disorder Forum

Histrionic Personality Disorder Forum

Schizoid Personality Disorder Forum

Delusional Disorder Forum

Schizophrenia Forum

Sexual Addiction Forum

Gender Identity Disorder Forum

Sexual Dysfunctions Forum

Paraphilias (Fetishes, BDSM) Forum

Sexual Disorder NOS Forum

Insomnia Forum

Nightmare Disorder Forum

Primary Sleep Disorders Forum

Undifferentiated Somatoform Disorder Forum

Somatoform Disorder NOS Forum

Somatization Disorder Forum

Pain Disorder Forum

Hypochondriasis Forum

Conversion Disorder Forum

Body Dysmorphic Disorder Forum

Spending Addiction Forum

Substance Abuse Disorders Forum

Internet Addiction Forum

Food Addiction Forum

Medication

Therapy

Coping Methods & Techniques

Womens Health

Mens Health

Physical Health

Parenting Forum

[Redway]

Anyone got any questions about mental health?

[arista]

Originally Posted by Redway

Anyone got any questions about mental health?

Has tibb , helped you?

[Redway]

Originally Posted by arista

Has tibb , helped you?

In what way?

[arista]

Originally Posted by Redway

In what way?

Better understanding

[Jessica.]

TiBB helped me with understanding that you can't just guess anyone's backstory, you have to think about what everyone has been through and how they are doing mentally before you judge them.

[Twosugars]

Maybe we could kick off a tour through personality disorders? Starting with an overview and then stopping at more common ones.


https://www.psychologytoday.com/gb/b...lity-disorders

The 10 Personality Disorders
A short, sharp look into the 10 personality disorders.
Neel Burton, M.D.


The study of human personality or "character" (from the Greek charaktêr, the mark impressed upon a coin) dates back at least to antiquity. In his Characters, Tyrtamus (371-287 B.C.) — nicknamed Theophrastus or "divinely speaking" by his contemporary Aristotle — divided the people of 4th century B.C. Athens into 30 different personality types, including "arrogance," "irony," and "boastfulness." Characters exerted a strong influence on subsequent studies of human personality, such as those of Thomas Overbury (1581-1613) in England and Jean de la Bruyère (1645-1696) in France.

The concept of personality disorder itself is much more recent and tentatively dates back to psychiatrist Philippe Pinel’s 1801 description of manie sans délire, a condition which he characterized as outbursts of rage and violence (manie) in the absence of any symptoms of psychosis, such as delusions and hallucinations (délires).

Across the English Channel, physician JC Prichard (1786-1848) coined the term "moral insanity" in 1835 to refer to a larger group of people who were characterized by "morbid perversion of the natural feelings, affections, inclinations, temper, habits, moral dispositions and natural impulses," but the term, probably considered too broad and non-specific, soon fell into disuse.

Some 60 years later, in 1896, psychiatrist Emil Kraepelin (1856-1926) described seven forms of antisocial behavior under the umbrella of "psychopathic personality," a term later broadened by Kraepelin’s younger colleague Kurt Schneider (1887-1967) to include those who "suffer from their abnormality."

Schneider’s seminal volume of 1923, Die psychopathischen Persönlichkeiten (Psychopathic Personalities), still forms the basis of current classifications of personality disorders, such as those contained in the influential American classification of mental disorders, the Diagnostic and Statistical Manual of Mental Disorders 5th Revision (DSM-5).

According to DSM-5, a personality disorder can be diagnosed if there are significant impairments in self and interpersonal functioning together with one or more pathological personality traits. In addition, these features must be (1) relatively stable across time and consistent across situations, (2) not better understood as normative for the individual’s developmental stage or socio-cultural environment, and (3) not solely due to the direct effects of a substance or general medical condition.

The DSM-5 lists 10 personality disorders and allocates each to one of three groups or "clusters": A, B, or C.

Cluster A (Odd, bizarre, eccentric)

Paranoid PD, Schizoid PD, Schizotypal PD

Cluster B (Dramatic, erratic)

Antisocial PD, Borderline PD, Histrionic PD, Narcissistic PD

Cluster C (Anxious, fearful)

Avoidant PD, Dependent PD, Obsessive-compulsive PD

Before going on to characterize these 10 personality disorders, it should be emphasized that they are more the product of historical observation than of scientific study, and thus that they are rather vague and imprecise constructs. As a result, they rarely present in their classic "textbook" form, but instead tend to blur into one another. Their division into three clusters in DSM-5 is intended to reflect this tendency, with any given personality disorder most likely to blur with other personality disorders within its cluster. For instance, in cluster A, paranoid personality is most likely to blur with schizoid personality disorder and schizotypal personality disorder.

The majority of people with a personality disorder never come into contact with mental health services, and those who do usually do so in the context of another mental disorder or at a time of crisis, commonly after self-harming or breaking the law. Nevertheless, personality disorders are important to health professionals, because they predispose to mental disorder and affect the presentation and management of existing mental disorders. They also result in considerable distress and impairment, and so may need to be treated "in their own right." Whether this ought to be the remit of the health professions is a matter of debate and controversy, especially with regard to those personality disorders which predispose to criminal activity, and which are often treated with the primary purpose of preventing crime.

1. Paranoid personality disorder

Cluster A is comprised of paranoid, schizoid, and schizotypal personality disorders. Paranoid personality disorder is characterized by a pervasive distrust of others, including even friends, family, and partners. As a result, this person is guarded, suspicious, and constantly on the lookout for clues or suggestions to validate his fears. He also has a strong sense of personal rights: He is overly sensitive to setbacks and rebuffs, easily feels shame and humiliation, and persistently bears grudges. Unsurprisingly, he tends to withdraw from others and to struggle with building close relationships. The principal ego defense in paranoid PD is projection, which involves attributing one’s unacceptable thoughts and feelings to other people. A large, long-term twin study found that paranoid PD is modestly heritable, and that it shares a portion of its genetic and environmental risk factors with schizoid PD and schizotypal PD.

2. Schizoid personality disorder

The term "schizoid" designates a natural tendency to direct attention toward one’s inner life and away from the external world. A person with schizoid PD is detached and aloof and prone to introspection and fantasy. He has no desire for social or sexual relationships, is indifferent to others and to social norms and conventions, and lacks emotional response. A competing theory about people with schizoid PD is that they are in fact highly sensitive with a rich inner life: They experience a deep longing for intimacy, but find initiating and maintaining close relationships too difficult or distressing, and so retreat into their inner world. People with schizoid PD rarely present to medical attention, because despite their reluctance to form close relationships, they are generally well functioning and quite untroubled by their apparent oddness.

3. Schizotypal disorder

Schizotypal PD is characterized by oddities of appearance, behavior, and speech, unusual perceptual experiences, and anomalies of thinking similar to those seen in schizophrenia. These latter can include odd beliefs, magical thinking (for instance, thinking that speaking of the devil can make him appear), suspiciousness, and obsessive ruminations. People with schizotypal PD often fear social interaction and think of others as harmful. This may lead them to develop so-called ideas of reference — that is, beliefs or intuitions that events and happenings are somehow related to them. So whereas people with schizotypal PD and people with schizoid PD both avoid social interaction, with the former it is because they fear others, whereas with the latter it is because they have no desire to interact with others or find interacting with others too difficult. People with schizotypal PD have a higher than average probability of developing schizophrenia, and the condition used to be called "latent schizophrenia."

4. Antisocial personality disorder

Cluster B is comprised of antisocial, borderline, histrionic, and narcissistic personality disorders. Until psychiatrist Kurt Schneider (1887-1967) broadened the concept of personality disorder to include those who "suffer from their abnormality," personality disorder was more or less synonymous with antisocial personality disorder. Antisocial PD is much more common in men than in women and is characterized by a callous unconcern for the feelings of others. The person disregards social rules and obligations, is irritable and aggressive, acts impulsively, lacks guilt, and fails to learn from experience. In many cases, he has no difficulty finding relationships — and can even appear superficially charming (the so-called "charming psychopath") — but these relationships are usually fiery, turbulent, and short-lived. As antisocial PD is the mental disorder most closely correlated with crime, he is likely to have a criminal record or a history of being in and out of prison.

5. Borderline personality disorder

In borderline PD (or emotionally unstable PD), the person essentially lacks a sense of self and, as a result, experiences feelings of emptiness and fears of abandonment. There is a pattern of intense but unstable relationships, emotional instability, outbursts of anger and violence (especially in response to criticism), and impulsive behavior. Suicidal threats and acts of self-harm are common, for which reason many people with borderline PD frequently come to medical attention. Borderline PD was so called, because it was thought to lie on the "borderline" between neurotic (anxiety) disorders and psychotic disorders, such as schizophrenia and bipolar disorder. It has been suggested that borderline personality disorder often results from childhood sexual abuse, and that it is more common in women, in part because women are more likely to suffer sexual abuse. However, feminists have argued that borderline PD is more common in women, because women presenting with angry and promiscuous behavior tend to be labeled with it, whereas men presenting with similar behaviour tend instead to be labeled with antisocial PD.

6. Histrionic personality disorder

People with histrionic PD lack a sense of self-worth and depend on attracting the attention and approval of others for their wellbeing. They often seem to be dramatizing or "playing a part" in a bid to be heard and seen. Indeed, "histrionic" derives from the Latin histrionicus, "pertaining to the actor." People with histrionic PD may take great care of their appearance and behave in a manner that is overly charming or inappropriately seductive. As they crave excitement and act on impulse or suggestion, they can place themselves at risk of accident or exploitation. Their dealings with others often seem insincere or superficial, which in the longer term can adversely impact their social and romantic relationships. This is especially distressing to them, as they are sensitive to criticism and rejection and react badly to loss or failure. A vicious circle may take hold in which the more rejected they feel, the more histrionic they become — and the more histrionic they become, the more rejected they feel. It can be argued that a vicious circle of some kind is at the heart of every personality disorder and, indeed, every mental disorder.

7. Narcissistic personality disorder

In narcissistic PD, the person has an extreme feeling of self-importance, a sense of entitlement, and a need to be admired. He is envious of others and expects them to be the same of him. He lacks empathy and readily lies and exploits others to achieve his aims. To others, he may seem self-absorbed, controlling, intolerant, selfish, or insensitive. If he feels obstructed or ridiculed, he can fly into a fit of destructive anger and revenge. Such a reaction is sometimes called "narcissistic rage" and can have disastrous consequences for all those involved.

8. Avoidant personality disorder

Cluster C is comprised of avoidant, dependent, and anankastic personality disorders. People with avoidant PD believe that they are socially inept, unappealing, or inferior, and constantly fear being embarrassed, criticized, or rejected. They avoid meeting others unless they are certain of being liked and are restrained even in their intimate relationships. Avoidant PD is strongly associated with anxiety disorders, and may also be associated with actual or felt rejection by parents or peers in childhood. Research suggests that people with avoidant PD excessively monitor internal reactions, both their own and those of others, which prevents them from engaging naturally or fluently in social situations. A vicious circle takes hold in which the more they monitor their internal reactions, the more inept they feel; and the more inept they feel, the more they monitor their internal reactions.

9. Dependent personality disorder

Dependent PD is characterized by a lack of self-confidence and an excessive need to be looked after. This person needs a lot of help in making everyday decisions and surrenders important life decisions to the care of others. He greatly fears abandonment and may go through considerable lengths to secure and maintain relationships. A person with dependent PD sees himself as inadequate and helpless, and so surrenders his personal responsibility and submits himself to one or more protective others. He imagines that he is at one with these protective other(s), whom he idealizes as competent and powerful, and towards whom he behaves in a manner that is ingratiating and self-effacing. People with dependent PD often end up with people with a cluster B personality disorder, who feed on the unconditional high regard in which they are held. Overall, people with dependent PD maintain a naïve and child-like perspective and have limited insight into themselves and others. This entrenches their dependency, leaving them vulnerable to abuse and exploitation.

10. Anankastic (obsessive-compulsive) personality disorder

Anankastic PD is characterized by an excessive preoccupation with details, rules, lists, order, organization, or schedules; perfectionism so extreme that it prevents a task from being completed; and devotion to work and productivity at the expense of leisure and relationships. A person with anankastic PD is typically doubting and cautious, rigid and controlling, humorless, and miserly. His underlying anxiety arises from a perceived lack of control over a world that eludes his understanding, and the more he tries to exert control, the more out of control he feels. As a consequence, he has little tolerance for complexity or nuance, and tends to simplify the world by seeing things as either all good or all bad. His relationships with colleagues, friends, and family are often strained by the unreasonable and inflexible demands that he makes upon them.

Closing remarks

While personality disorders may differ from mental disorders, like schizophrenia and bipolar disorder, they do, by definition, lead to significant impairment. They are estimated to affect about 10 percent of people, although this figure ultimately depends on where clinicians draw the line between a "normal" personality and one that leads to significant impairment. Characterizing the 10 personality disorders is difficult, but diagnosing them reliably is even more so. For instance, how far from the norm must personality traits deviate before they can be counted as disordered? How significant is "significant impairment"? And how is "impairment" to be defined?

Whatever the answers to these questions, they are bound to include a large part of subjectivity. Personal dislike, prejudice, or a clash of values can all play a part in arriving at a diagnosis of personality disorder, and it has been argued that the diagnosis amounts to little more than a convenient label for undesirables and social deviants.

Adapted from the new second edition of The Meaning of Madness (2015).

[Nicky91]

i have an obsessive personality and that combined with extreme opinions, plus i get emotional when supporting my favourites

i like talking about my problems, it makes me feel a bit more relaxed

[Redway]

Originally Posted by Nicky91

i have an obsessive personality and that combined with extreme opinions, plus i get emotional when supporting my favourites

i like talking about my problems, it makes me feel a bit more relaxed

That’s all to do with your autism pal. Having an anankastic personality is something different so don’t worry. You don’t have a personality disorder.

[Zizu]

Originally Posted by Nicky91

i have an obsessive personality and that combined with extreme opinions, plus i get emotional when supporting my favourites

i like talking about my problems, it makes me feel a bit more relaxed

You sound just like me
I'm Aspergers ...

I get into so much trouble on footie forums for thinking differently to most


Sent from my iPhone using Tapatalk

[Nicky91]

Originally Posted by Zizu

You sound just like me
I'm Aspergers ...

I get into so much trouble on footie forums for thinking differently to most


Sent from my iPhone using Tapatalk

aw