Be Nice to Aspys: A Little Known Condition is Gaining Recognition

You approach a stranger at a party. He’s nice looking, well groomed and wears stylish clothing. He’s standing alone, with a rather stiff, self-conscious posture. You smile. He stares back a few awkward seconds, then shapes his mouth into a returning smile. You strike up a conversation about a recent game. He nods his head with interest, then begins spouting a stream of statistics and data about the game, the major plays of each team, the coaches, the officials, the history of the sport Your eyes glaze over and you find an excuse to break off and flee to the other side of the room.

You may have met an extremely devoted fan of the game or you’ve just had an encounter with an Aspy.

Asperger syndrome disorder (AS) has only become a distinct diagnosed condition since the early 1990s. It is characterized by social awkwardness, inability to understand facial expressions and body language, clumsy movements, overly formal use of language, preoccupation with favorite topics, poor impulse control, difficulty empathizing, hypersensitivity to light, sounds, smells and touch, and repetitive routines.

Asperger’s is a type of autism, although people with this condition often are highly intelligent, have excellent written and verbal abilities, appear ordinary, and function fairly normally.

Although mostly diagnosed in children, AS is increasingly recognized in adults who initially seek help for depression, eating disorders, substance abuse, self-esteem issues, OCD, ADHD and relationship problems.

One of the most famous Aspys is Temple Grandin, a scientist, college professor, animal rights advocate and author. Grandin has said her condition is like a computer that hasn’t been loaded with software. Most people intuitively know how to make connections with others; Aspys must watch and learn appropriate behaviors, thus loading the needed software into their brains.

So, next time you meet someone who seems odd, be extra nice. They may be an Aspy coping with their limitations.

Aren’t We All a little Paranoid?

Paranoid personality disorder (PPD) is characterized by a deep distrust of others. People with PPD suspect that others are competing with them, undermining them, plotting against them and out to humiliate and belittle them.

Well, let’s think about this. Didn’t Bernie Madoff bilk billions from people who trusted him? And in the workplace aren’t we constantly competing with our coworkers for time, attention, rewards, promotions and job security? Haven’t most of us encountered so-called friends, who smile to your face, then spread rumors behind your back? What about the guy who cuts you off in traffic or suddenly slams on his breaks in front of you for no reason other than to get you upset?

There are some good reasons in our current world for people to have a healthy distrust of others. They’re likely to be more cautious and careful, very selective in whom they befriend and which institutions they patronize.

It’s probably a normal human trait to be a little paranoid  a survival mechanism. It’s wise to look before we leap, to suspect hidden agendas behind offers that seem too good to be true. We just have to be careful not to let our cynicism block us from actual opportunities and genuine relationships.

People with PPD seldom seek counseling, and if they do, they won’t open up and share with their therapist. Their thinking is so rigid they find it hard to let down their guard and consider a different reality than the one they see.

The beauty of self reflection and personal growth is that we can take a breath, forgive others, try to understand a different point of view and not let setbacks keep us from hoping and dreaming.

It takes courage in a time of change and uncertainty to look for the good in others, overlook offenses and stay positive.

Mental Health in Nursing Home Patients

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Geriatrics usually suffer from such a huge host of medical problems, that taking care of their physical issues usually supplants their mental health needs. When in a nursing home, resources are not often available to maintain the patient’s optimal mental health.

Depression is the leading mental health issue among nursing home patients. They know they’re there to die, and that it is only a matter of time before they succumb to either age or their maladies. Their lifestyle may have radically changed over a short period of time making adjustment difficult. Furthermore, for many elderly patients, discussing their mental health state is difficult and embarrassing.

Many nursing home facilities are not equipped with sufficient resources to improve the mental health of the patients. If mental health issues do get diagnosed, then all too often the treatment involves drug therapy. Such drugs may exacerbate the depression or other mental disorders rather than cure the problem.
While most nursing homes do include some recreational activities, these programs do not sufficiently address the individual needs of the patients. And, if the patients are hampered by limited mobility or articulation then their sense of depression, isolation and despair may intensify, despite the use of drug therapy.

There are no easy answers to this problem. If fortunate, the elderly patient may have observant family members who can act as their advocate to receive proper geriatric therapy instead of just over medicating. The problem with this is that many families just expect their aged parents or grandparents to have mental issues; but this is never normal.

There is help available for elderly patients suffering from mental health disorders. The key is to articulate the need in such a way as to receive this help. Communicating with family members and doctors is one way to receive needed help. Always encourage your elderly family members to talk about how they’re feeling, and act on their behalf if necessary.

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Coping with Anxiety

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Many people find themselves from time to time, dealing with anxiety. For those with anxiety disorder, they suffer from constant, recurring anxiety. Anxiety that is present on a daily basis can have a negative impact.

People with debilitating anxiety should seek professional help, but for those with naturally occurring and short lived anxiety, can learn to cope and overcome its affects. When first recognizing the signs of anxiety such as trembling, sweating or the nauseous feeling in the stomach, it is important to recognize that you’re dealing with anxiety and then implement some of the following strategies to deal with it.

Breathe

When in the grasp of anxiety, the best thing to do to shorten its course is to breathe. Breathing deeply through the nose and out through the mouth, concentrating on each breath, is the simplest and most effective thing you can do. Focusing on regulating your breath will slow your heart rate and calm your nerves. Once you have your breathing under control you can be objective about your situation.

Objectivity

When you’ve attained a measure of calm, you can begin to analyze your situation and be objective about it. You need to recognize the problem or issue and then form a plan in order to rectify the situation. Sometimes all that means is leaving the room or moving on to another task.

Consideration

Once you’ve removed the source and symptoms of your anxiety, consider what caused it in the first place. It is important to fully understand your reaction from start to finish so that you can learn to more quickly recognize the onset of anxiety and so that you can resolve the situation more quickly.

Anxiety is a mental health issue that should not be trifled with. It is serious and if left unchallenged it can become an even more dire issue. Always consult with you physician if you think that you’re experiencing more than normal anxiety.

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Are You Too Nice?

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It’s as true for mental health as it is for business: nice guys finish last. Many of us have been conditioned by our upbringing, social standing, or even gender roles to be far too agreeable for our own good. If you are finding that you avoid conflict at all cost, go out of your way to appease others, and consistently ignore your own needs to meet others’ whims, you might be hurting yourself more than you help others.

According to Beverly Engel, author of The Nice Girl Syndrome, we often become self-destructively nice because of patterns established in our youths. Relationships with violent or narcissistic parents teach children to put their parent’s needs above their own. The harshness of early social relationships teaches children that they must be nice in order to befriend the popular crowd or find dates. And we often think that by taking care of other people, we’re ensuring that we’ll be taken care of when we need it.

Nobody wants to be perceived as selfish, but striving for complete selflessness is a self-destructive goal. If you put your own emotions aside to succeed socially, to meet the needs of your family, or simply to avoid aggression, you are training the people around you to treat your needs as if they don’t matter. Over time, the discord between your emotions, your actions, and the way you are treated may erode your state of mental health. If you are experiencing depressions, unexpected bouts of anger, or frequent patterns of abuse, it may be time to talk about your situation with a therapist.

You don’t have to let others take advantage of you in order to be kind. If you’ve been assuming the doormat posture for too long, your therapist will help you to identify past issues and overcome them. She will also help you to explore your assertive side in a safe environment.

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The Hug Machine: Mental Health in a Mechanical Form

Major brain structures implicated in autism.
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Most mental health prescriptions are for antidepressants, but if you have Asperger Syndrome you might be prescribed a machine. The Hug Machine looks like a cross between an accordion and a chair. You can hug it, and the bellows provide firm but gently compliant pressure-like a hug, but no human contact.

To a person with an autism spectrum disorder like Asperger Syndrome, it can be a godsend. The pressure of hugs does help to relieve stress and provide mental balance. Unfortunately, many autistic people are uncomfortable with human contact. The hug machine provides a pressure sensation without the discomfort of interaction.

The hug machine is the invention of Temple Grandin, a scientist who herself is autistic. Dr. Grandin is a livestock behavior specialist who has made numerous breakthroughs in animal behavior. During a visit to a slaughterhouse, she noticed that pressure calms alarmed animals. Dr. Grandin wanted to try this discovery out on her own human behavior, yet she found hugs to be too much stimulation. She built the first hug machine herself out of plywood, and later shared her design with the autistic spectrum community.

The hug machine was a great success-since 1965, hundreds of people have benefitted from its calming effect. Multiple studies have shown that it definitively reduces the stress and anxiety of a large number of people with autistic spectrum disorder; it even appears to provide some relief to the disruptive behavior sometimes associated with autism.

Deep pressure contact appears to be a calming device for all humans, across all societies. The specific stimulatory awareness of people with autistic spectrum disorders has made it difficult for them to enjoy the simple mental health benefits of a hug. Thanks to creativity, observation, and a bit of mechanical ingenuity, this mental health device makes the comfort of a hug available to everyone.

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Munchausen Syndrome: Dangerous Mimicry

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unchausen Syndrome has been a standby plot device in almost every medical and crime television show in the last ten years. This disorder compels a person to pretend to have increasingly complex medical disorders in order to seek attention. A person suffering from Munchausen Syndrome is often such a good mimic that they can convince doctors to give them unnecessary surgeries. In a more dangerous twist, people with Munchausen Syndrome By Proxy force harm upon a person in their care, usually a child, to gain attention as an afflicted caregiver.

Physicians and mental health professionals alike have a very difficult time recommending care for people with Munchausen Syndrome because diagnosis comes with a high risk. If a person is indeed faking illness, they are inflicting harm upon themselves without solving their underlying psychological issues; but what if a person really is repeatedly afflicted with illness? He may appear to have Munchausen Syndrome, but treating him for it would ignore his true illness.

The stakes are even higher for the helpless victims of Munchausen Syndrome By Proxy. If indeed someone is inflicting harm upon them, a doctor should intervene and stop the abuse. However, accusing a caregiver of Munchausen Syndrome will prevent or delay treatment if the patient genuinely needs it. For this reason, a thorough physical should always accompany any suspicion of Munchausen Syndrome.

The root psychological cause of Munchausen Syndrome is usually another mood disorder, often stemming from childhood experience. For example, a child that was neglected, especially in favor of a person with a true illness, learns to associate illness with the reward of attention. As a depressed adult, she may seek out the same reward. Munchausen Syndrome patients generally do well in cognitive behavioral therapy if the association of reward and illness is broken. It is equally important that the underlying emotional issue is treated, or the patient may return to the established cycle of Munchausen Syndrome behavior.

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Narcissism From The Outside In

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Narcissism is a nebulous mental health disorder-there’s no lab test for it, and most of the afflicted don’t know that they have it. But it’s easy for an outsider to tell. Narcissism is not vanity-rather, it’s an excessive self-absorption. We’re all a little bit self-absorbed, but narcissists take it to an extreme. Remember Kathie Lee Gifford’s classic gaffe upon being confronted with a child laborer from her own brand’s sweatshop? Gifford fell to crying and told the overworked little girl that she, Gifford understood the girl’s suffering-she’d had a hard week too, what with a fight with Gifford’s husband. This sort of epiphany-defying self-involvement is de riguer for the narcissist.

We’re all a little bit self-absorbed, and we can all forgive a bit in others. Narcissists are difficult because their self-absorption can be extreme and even destructive. Narcissists don’t respect others’ emotional boundaries; if you’re in a relationship with a narcissist, your job may be to attend to their every emotional whim. Your partner may expect you to live up to unrealistic standards just to make him or her happy, because the narcissist sees you as an extension of him or herself and an accessory.

According to Nina W. Brown, author of Children of the Self-Absorbed, narcissistic parents make their children attend to the parent’s emotional needs, which has an extremely negative effect on the children. According to noted psychologist Alice Miller, these children often grow up to continue the cycle of emotional abuse upon themselves, or become narcissistic parents and relive the suffering on a new generation.

Narcissists are not, by nature, mean-they just have difficulty understanding that others have separate and important identities and needs. Cognitive behavioral therapy is a great first step to regain this awareness. Remember also that narcissists tend to attract easy victims. If you’ve been affected by a string of narcissists in your work, relationships, and family, you should look into your own behavior. Improving your self-worth, often with the help of a mental health professional, will help you to define reasonable boundaries and better defend yourself in the future.

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Body Dysmorphic Disorder

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If you’re spending your life fretting over the need to lose weight, it might be time to jettison some psychological baggage instead. Body Dysmorphic Disorder, or BDD, is a mental condition in which a person’s body image is skewed-they are simply incapable of finding themselves thin enough, muscular enough, or attractive enough.

As you’d imagine, BDD often goes hand-in-hand with eating disorders like bulimia or anorexia. Surprisingly, BDD often has a closer relationship with social anxiety disorders. There is a strong social component to BDD because the sufferer is often motivated by fear of judgment. The high beauty standards of both popular media and family ring loud to the sufferer of BDD. When it is impossible to meet these standards, the BDD sufferer falls upon a backup stance of least agreeing with his or her perception of the group’s opinion. In short, part of BDD is attempting to keep a stake in society by internally trash-talking one’s own physique, because that’s what society would do.

If you have even an inking that your fitness self-improvement measures are becoming self-destructive, first talk to a physical trainer or doctor to ensure that your personal goals are reasonable. Be honest. If you tell your doctor that you want to lose five pounds in a month but you’ve been secretly hoping for 20, you’re not helping yourself.

If readjusting your health plan and goals has not improved your desperation to change your appearance, it’s time to make some mental health goals instead. Find a counselor who specializes in body image issues. Cognitive behavioral therapy will help you to see your body in a more positive light. It will also help you to understand that people aren’t judging you as harshly as you judge yourself.

Remember, BDD is a product of your mind and personal psychology. Studies have shown that even plastic surgery can’t quell the deep-seated feelings of imperfection. Strengthen your self-image before you attempt to perfect your outward appearance

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Cognitive Behavioral Therapy

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People are unique, but not totally unpredictable. Even the least routine life is a slave to patterns. We all develop patterns and systems of thought and behavior in our life. For example, given a conflict, some of us always come up fighting; some shy away. Some of us can congratulate ourselves on a job well done, and some always denigrate their achievements. Some people place blame exclusively on others, and some people always blame themselves when things go wrong.

You might be able to identify some of your own patterns, and if so, you’ll probably recognize that we all have a few that drag down our quality of life. For example, if you habitually downplay your own achievements, you’re likely to feel that you’re not good at anything.

But this may go further-as the result of your negative self-image, you won’t strive to do great things. As a result, you’ll consistently appear to be a ne’er-do-well to yourself, reinforcing your original beliefs. This ever-strengthening spiral of negativity may eventually crush you into a serious depression.

Cognitive behavioral therapy is designed to help us to confront and break these patterns. A cognitive behavioral therapist acts as a kind but impartial outsider, seeing the biases and negative patterns that we are too close to see. To defeat these biases, the counselor challenges them-she tries to show in conversation that our assumptions are harmful and untrue. She often coaxes us to confront our fears in real life. As we boldly face the things that we want to avoid, and our worst fears don’t come to pass, the fears dissipate and we gain new, constructive patterns of thought.

Cognitive behavioral therapy is especially effective for many people because it is concerned with changing your life in the present. It was developed in part as a reaction to psychological practices that dealt mostly with the emotions of our childhood. Cognitive behavioral therapy is the therapy method of choice for many counselors, and has proven effective across a wide range of afflictions, difficulties, and disorders.

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