Personality Disorders, Treatment and Homeless Connection

14 10 2018
Healthy relationships are can be challenging to maintain. A personality disorder multiplies that challenge exponentially.

Maintaining a healthy relationships is challenging enough under the best circumstances. A personality disorder  exponentially multiplies the risk of relational loss.

Updated:  14 October 2018, by Marc Woodard

Personality disorders (PD) are long-term chronic patterns of erratic behavior that will likely require a lifetime of care.  Often this is a result of people who don’t seek behavioral therapy and drug intervention early on.

Or are misdiagnosed and treated irrelevantly.  Or don’t comply with prescribed treatment program(s).

Chronic PD behaviors are also known to lead to homelessness.  Especially when the individual is drug addicted and believes self-medication is the solution to their problems.  This connection is further explained in review of the 10 personality disorders as defined below.

Chronic and complex personality disorders make it more likely alcohol and drug abuse will exponentially escalate abnormal behavior and lead to self-harm, homelessness and jail time.  The complexity of abnormal behaviors further challenges medical providers to assess an accurate diagnosis and treatment prescription program.  Especially when mental health protocols are not followed.

“There aren’t any drugs approved for the treatment of personality disorders.  However, certain types of prescription medications might be helpful in reducing various personality disorder symptoms… (Carey 2012).”

PD Behavioral Characteristics

When does a PD begin and who does it affect.

When does a PD begin and who does it affect.

It appears this disorder has a connection to child abuse and neglect.  But abuse need not occur to develop a behavioral disorder as a child or homeless adult.

People with PD’s are often unaware their thoughts and behaviors are not normal and inappropriate.  And once confronted a problem exists – generally little responsibility is taken for it.

The avoidance of seeking medical treatment for a personality disorder eventually results in negative impacts on relationships, social environment and holding a job.

This is because PD mood swings cause behavior to become unstable and irrational.  Where relationships tend to be like a roller coaster ride and feelings swing from love to hate, or trust to distrust, or rational to irrational rather abruptly.  These feelings are often connected to real or imaged abandonment situations that cause an avoidance of letting someone get too close.  And that distancing causes antisocial, obsessive, detached, hostile or needy behaviors.

During personal crisis such as feelings of abandonment, harmful behaviors may ensue, e.g., wrist cutting, over dose, binge eating, uncalled for and inappropriate anger, impulse buying, substance abuse, shoplifting, unable to cope with being alone, unhealthy sexual relationships, emptiness and boredom coupled with anxiety and depression.

Anti-social behavior, or someone that simple enjoys going it alone?

Anti-social behavior, or someone that simpley enjoys going it alone?

Currently there are ten classified Personality Disorder Types within 3 clusters:

Cluster A_PD (Type: Odd and Eccentric Behavior)

Paranoid Personality Disorder (PPD)

 Distrust and suspicious perceptions prevail over trust of others.  Those who encounter this personality type may communicate innocently enough with them.  However the paranoid personality often interprets others’ intention and environment or events incorrectly.  This incorrect read is often taken as a personal threat and harmful to relationships.  It causes them to hold grudges, distrust people and become hostile to people who don’t deserve the cold shoulder.  Close friendships are uncommon and a cold disposition in attitude is the norm.  Early childhood trauma may be a cause, and is more common in males (Martel 2015).

Schizoid Personality Disorder (SPD)

They are detached from close relationships and lack motivation and drive to be with others or build relationships.  They have a limited range of emotions and require little to no approval or attention from others.  For the most part they have a persistent indifference of interests that make relationship building near impossible.  Since the social skills are lacking a secretive lifestyle preference to remain in solitude and away from others seems to be the norm (Glunk 2015).

Schizotypal Personality Disorder (STPD)

 An eccentric personality type with severe anxieties in a social sense and lacks an emotional response.  They display paranoia and anxiety around people and have unusual beliefs outside of conventional norms.  They are somewhat a loner and feel more comfortable living in solitude.  At times may appear to others as delusional due to strange thoughts and behavior.  The mannerisms are often bizarre by-way of socially nervous tendencies with atypical communicative speech patterns.  Which include talking to themselves and hard to follow rambling and complicated speech patterns.  “While STPD is on the schizophrenia spectrum, people with STPD don’t usually experience psychosis (Martel 2015).”  Psychosis is defined as a loss of contact with reality.

Cluster B Personality Disorder (Type Dramatic and Erratic)

 Antisocial Personality Disorder (APD, or ASPD) 

With the breakdown of traditional famly values and structure an increase in PD's occured.

With the breakdown of traditional family structure and values an increase in PD’s and homelessness arose.

The APD characteristics display manipulative behavior, lack of conscience and care for others and adept at manipulation.  To be charming is a ruse to get what they want to self-gratify and feel no guilt over the deceit.  “While statistics indicate that 50%-80% of incarcerated individuals have been found to have antisocial personality disorder, only 15% of those convicted criminals have been shown to have the more severe antisocial personality disorder type of psychopathy (Dryden-Edwards and Stoppler 2016).”

Borderline Personality Disorder (BPD)

Behavioral irregularities are often displayed by abrupt and unpredictable mood changes and outbursts.  Self-image issues and high fear sensitivities to rejection and abandonment make it difficult to maintain relationships.  Destructive behaviors such as suicide threats and attempts are often associated with this disorder.  “The diagnosis of BPD is frequently missed and a misdiagnosis of BPD has been shown to delay and/or prevent recovery.  Bipolar disorder is one example of a misdiagnosis as it also includes mood instability. There are important differences between these conditions but both involve unstable moods.  For the person with bipolar disorder, the mood changes exist for weeks or even months. The mood changes in BPD are much shorter and can even occur within the day (NEA 2016).”

 Narcissistic Personality Disorder (NPD)

This personality type feels a need to be center of attention, lacks empathy, and displays an egocentric behavior and feels full of self-importance.  Also sees themselves above others in appearance or intellectual endowment [whether true or not] has a grandiose sense of entitlement and believes he/she is special, or falls into a high class or status of people.  “Because personality disorders describe long-standing and enduring patterns of behavior, they are most often diagnosed in adulthood.  It is uncommon for them to be diagnosed in childhood or adolescence, because a child or teen is under constant development, personality changes and maturation. However, if it is diagnosed in a child or teen, the features must have been present for at least 1 year (Bressert 2016).”

Grandiosity is closely associated with NPD.  It is considered a personality disorder.  Where one feels entitled, is self-absorbed and lacks empathy for others.  “Grandiosity occurs when a person has an inflated self-esteem, believe they have special powers, spiritual connections, or religious relationships.  When grandiosity is severe, the person may be delusional about his or her capabilities (Droogendijk 2009).”

Chronic PD's often break up relationships. While distrust, anxiety and paranoia anti-social loner behaviors increase.

Chronic PD’s often cause close relationships to never begin. Distrust, anxiety and paranoia increase anti-social loner behaviors.

He/she has an unrealistic sense of superiority and are often referred to as narcissist, or Bipolar and seem boastful and rude.  They feel a sense of uniqueness which can only be matched intellectually and understood by a handful of people.  And since they feel superior to everyone else they have distain for those they see inferior to them.  “In the American Psychiatric Association’s Diagnostic and Statistical Manual, the presence of grandiosity is used in combination with several other symptoms to confirm a diagnosis of bipolar.  This symptom also occurs in children with early onset bipolar disorder (Purse 2016).”

Histrionic Personality Disorder (HPD)

This type of personal disorder is obsessed with appearance and acts sexually provocative with excessive attention seeking tendencies.  They desire to be at center stage to get reassurance and approval.  And are overly sensitive to criticism and disapproval which causes inappropriate and unwanted behavior.  Such as an over the top melodramatic outburst and manipulative behaviors which push people away.  The outbursts are coupled with a consistent flood of emotional storms that reap havoc on romantic, social and for that matter, inability to solidify any meaningful and long term personal commitments and relationships.

Since this personality type has a low tolerance toward delayed gratification, they often blame others for their shortcomings.  Although negative attention may seem shallow to others, it is better than no attention at all for this person.  “Histrionic personality disorder can improve with talk therapy and sometimes medicines.  Left untreated, it can cause problems in people’s personal lives and prevent them doing their best at work (Berger 2014).”

Cluster C (Personality Disorder:  Type Anxious and Fearful)

How much time would be spent counting the different colored flowers before you could move on.

How much time would be lost if you couldn’t control an obsession to count the different colored flowers in front of you before you moved on.

Obsessive-Compulsive Personality Disorder (OCPD)

This disorder is displayed by orderly perfection and preoccupation to detail that causes a lack of flexibility with regard to healthy lifestyle and time balance.   The disorder is also a contributor of workaholic tendencies.  Fears of losing control over orderly perfection is the compulsion which causes the irrational obsession to continue its course.  And this interferes with getting things done that matter.

Or what would you do if you couldn't more forward until all cloud formations represented an image. I.e., looks like a head with ear wings.

Or what would you do if you couldn’t more forward until all cloud formations made sense. E.g., looks like a head with ear wings.  Ridiculous… not to someone with a complex mix of PD traits.

“Most professionals subscribe to a biopsychosocial model of causation — that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual’s personality and temperament, shaped by their environment and learned coping skills to deal with stress) (Bressert 2016).”

Avoidant Personality Disorder (APD)

Family playing at beach lake

Personality disorders often begin during childhood and not diagnosed until adulthood. Fear of loss, anxiety and unacceptance from others begin irregular and erratic thoughts and behavioral patterns early on in life.

Fears rejections and feeling of inadequacy in front of others, but wants desperately to be accepted.  Very self-conscious and avoids social group settings and situations when possible.  Jobs with little human interaction are preferred.  “Avoidant personality disorder (APD) is usually first noticed in early adulthood and is present in a variety of situations. ‘APD is treated in much the same way as social anxiety disorder.

Cognitive-behavioral therapy, social skills training, group therapy, and medication have all been shown to have some impact on the disorder.  However, it is sometimes difficult for people with APD to trust their therapist enough to complete treatment (Cuncic 2016).”

Dependent Personality Disorder (DPD)

The need to be taken care of to meet emotional and physical needs and fear of abandonment and being alone cause’s clinginess.  The reliance on others to make important life decisions is needed for advice and reassurance.  If relational trusts are broken, suicidal tendencies and acts increase.

Mental Health Treatment and Homelessness Connection

Daytime drifter and homeless shelters occur in not so obvious settings. But blend well into seasonal beach activities.

Daytime drifter and homeless shelters occur in not so obvious settings. But blend well with seasonal outdoor recreational activities.

A combination of mental health and drug prescription [psychotherapy] treatment plan includes exploration of inappropriate behavioral causation that triggers out-of-control feelings and thoughts.

Once childhood or adult abuse-history connects to current social, or environmental, or personal stress-triggers that cause erratic and undesirable behavior; a relative diagnosis and treatment plan is prescribed to manage it.

However there are caveats to this approach.  Success of treatment is dependent on accurate diagnosis and wiliness of patient to opt-in, trust their medical care provider and follow the treatment plan.

For instance, “The treatment that’s best for you depends on your particular personality disorder, its severity and your lifestyle situation.  Often, a team approach is needed to make sure all of your psychiatric, medical and social needs are met.  Because personality disorders are long-standing, treatment may require months or years (MayoClinc 2016).”  In severe cases when someone can’t care for themselves, or present harm to others, admittance to psychiatric care is the process towards stabilization.  Thereafter may lead to successful outpatient treatment.

Recall, I stated the individual has to opt-in to receive mental health resources and follow the treatment plan.

Unfortunately for too many, the inability to take responsibility for a personality disorder problem causes a revolving door that does not adequately help a chronic mental health condition especially when connected to drug addiction.  For those who choose to self-medicate and deal with a chronic personality disorder… many of those people are homeless.

The treatment protocol for the mentally unstable homeless person who is a public nuisance and is drug addicted and breaks the law doesn’t receive the mental health resources they need.  Although homelessness is not a crime and not all homeless people commit crimes… personality disorders are found within a large sector of the homeless population.  Many have all the signs and symptoms of PD’s.  That is they have fears and anxieties and paranoia associated with anti-social lifestyle which leads to obsessions and depression and illegal self-medication habits.  These behavioral habits amplify the PD stress-triggers which cause inappropriate behavior.

When the mentally-ill are caught for inappropriate behavior or breaking the law to sustain their habits, short-term jail time or out-patient psychiatric care is served.  Jail time release is often conditional on probation agreements which are almost always broken by those with complex personality disorders and drug abuse.

Homeless people with a complex PD and drug addiction history don’t have the mental faculties or resources to comply with orderly and civil penalty processes like the rest of us.  So the sequence is repeated costing tax payers dearly as the revolving door to the homeless is a reactive civil penalty process as opposed to a proactive mental health treatment program.

Community must come together to find proactive solutions to deal with the homeless problem.

Community must come together to find proactive solutions to deal with the homeless PD and drug addiction problem.

There is no good answer for the homeless that suffer with personality disorders and/or drug addiction.  Not until society determines they want to be part of the solution.  And that solution must provide the comprehensive mental health treatment, public transportation and sheltered resources, etc., needed to get on with their lives.  I regress, moving on…

Medications may include stabilizers to help balance mood swings and impulses, or anti-depression medications to help reduce feelings of hopelessness and irritability.

If a patient has lost touch with reality then anti-psychotic drugs are prescribed.  Anti-anxiety medications are to help reduce anxieties.  But for some these drugs can lead to impulsive behavior.  For this reason their avoided when diagnosed with other types of personality disorders.

Recommendation if a PD disorder is suspect – Get diagnosed and treated by a medical professional if you, or a friend or loved one suffers from a personality disorder that now causes out-of-control behavior, drug addiction and homelessness.

Common treatment programs for any one of the 10 diagnosed personality disorders listed above may require a combination of the following types of therapy treatment by a behavioral therapist and/or phycologist, etc., : On-going Group, one-on-one psychotherapy [includes mental health and prescription protocol], behavioral-social and drug addiction therapy, etc.

References,

Berger, Fred K., MD. “Histrionic Personality Disorder: MedlinePlus Medical Encyclopedia.” MedlinePlus Medical Encyclopedia. NIH U.S. National Library of Medicine, 10 Oct. 2014. Web. 23 Nov. 2016.

Bressert, Steve, Ph.D. “Obsessive-Compulsive Personality Disorder Symptoms | Psych Central.” Psych Central. Psych Central, 17 July 2016. Web. 21 Nov. 2016.

Bressert, Steve, Ph.D. “Narcissistic Personality Disorder: Symptoms & Treatment | Psych Central.” Psych Central. Psych Central, 18 Nov. 2016. Web. 21 Nov. 2016.

Carey, Elea. “Personality Disorder.” AARP. HealthReferenceLibrary, 31 July 2012. Web. 21 Nov. 2016.

Cuncic, Arlin. “Avoidant Personality Disorder and Social Anxiety Disorder: Shared Genetics.” Verywell. About, Inc., 27 July 2016. Web. 21 Nov. 2016.

Droogendijk, Daniel, RPN. “Bipolar Mania Symptoms.” Grandiosity – Bipolar Disorder Symptoms. Daniel Droogendijk, 4 Feb. 2009. Web. 23 Nov. 2016.

Dryden-Edwards, Roxanne, MD, and Melissa Conrad Stöppler, MD. “Antisocial Personality Disorder Symptoms, Treatment, Causes – What Is the Difference between Antisocial Personality Disorder and Psychopathy? – MedicineNet.” MedicineNet. MedicineNet, Inc., 16 Feb. 2016. Web. 21 Nov. 2016.

Gluck, Samantha. “What Is Schizoid Personality Disorder?” HealthyPlace. HealthyPlace.com, Inc., 20 Oct. 2015. Web. 23 Nov. 2016.

Martel, Janelle. “Paranoid Personality Disorder.” Healthline. Healthline Media, 17 Dec. 2015. Web. 23 Nov. 2016.

Mayo Clinic Staff Print. “Personality Disorders.” Treatment – Personality Disorders – Mayo Clinic. MayoClinic.org, 23 Sept. 2016. Web. 21 Nov. 2016

Moore DP, Jefferson JW. Borderline personality disorder. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry.  2nd ed. Philadelphia, PA: Mosby Elsevier; 2004: chap 138.

Montandon M, Feldman MD. Borderline personality disorder. In: Ferri FF, ed. Ferri’s Clinical Advisor 2008: Instant Diagnosis and Treatment. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008.

Purse, Marcia. “Grandiosity in Bipolar Disorder: Definition and Stories.” Verywell. About, Inc., 14 July 2016. Web. 23 Nov. 2016.

NEA. “BPD Overview – Borderline Personality Disorder.” Borderline Personality Disorder. NEA.BPD, 2016. Web. 21 Nov. 2016.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2018 Copyright.  All rights reserved, Mirror Athlete Publishing @: www.mirrorathlete.com, Sign up for FREE Monthly eNewsletter.

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Personality Disorders, Treatment and Homeless Connection

24 11 2016
Healthy relationships are can be challenging to maintain. A personality disorder multiplies that challenge exponentially.

Maintaining a healthy relationships is challenging enough under the best circumstances. A personality disorder  exponentially multiplies the risk of relational loss.

Updated:  24 November 2016, by Marc Woodard

Personality disorders (PD) are long-term chronic patterns of erratic behavior that will likely require a lifetime of care.  This is because people don’t seek behavioral therapy and drug intervention early on.  Or are misdiagnosed and treated irrelevantly.  Or don’t comply with a treatment program.

Chronic PD behaviors are also known to lead to homelessness.  Especially when the individual is drug addicted and believes self-medication is the solution to their problems.  This connection is further explained after the 10 personality disorders are defined below.

Chronic and complex personality disorders make it more likely alcohol and drug abuse will exponentially escalate abnormal behavior and lead to self-harm, homelessness and jail time.  The complexity of abnormal behaviors further challenges medical providers to assess an accurate diagnosis and treatment prescription program.  Especially when mental health protocols are not followed.

“There aren’t any drugs approved for the treatment of personality disorders.  However, certain types of prescription medications might be helpful in reducing various personality disorder symptoms… (Carey 2012).”

PD Behavioral Characteristics

When does a PD begin and who does it affect.

When does a PD begin and who does it affect.

It appears this disorder has a connection to child abuse and neglect.  But abuse need not occur to develop a behavioral disorder as a child or homeless adult.  People with PD’s are often unaware their thoughts and behaviors are not normal and inappropriate.  And once confronted a problem exists generally little responsibility is taken for it.  The avoidance of seeking medical treatment for a personality disorder eventually results in negative impacts on relationships, social environment and holding a job.

This is because PD mood swings cause behavior to become unstable and irrational.  Where relationships tend to be like a roller coaster ride and feelings swing from love to hate, or trust to distrust, or rational to irrational rather abruptly.  These feelings are often connected to real or imaged abandonment situations that cause an avoidance of letting someone get too close.  And that distancing causes antisocial, obsessive, detached, hostile or needy behaviors.

During personal crisis such as feelings of abandonment, harmful behaviors may ensue, e.g., wrist cutting, over dose, binge eating, uncalled for and inappropriate anger, impulse buying, substance abuse, shoplifting, unable to cope with being alone, unhealthy sexual relationships, emptiness and boredom coupled with anxiety and depression.

Anti-social behavior, or someone that simple enjoys going it alone?

Anti-social behavior, or someone that simpley enjoys going it alone?

Currently there are ten classified Personality Disorder Types within 3 clusters:

Cluster A_PD (Type: Odd and Eccentric Behavior)

Paranoid Personality Disorder (PPD)

 Distrust and suspicious perceptions prevail over trust of others.  Those who encounter this personality type may communicate innocently enough with them.  However the paranoid personality often interprets others’ intention and environment or events incorrectly.  This incorrect read is often taken as a personal threat and harmful to relationships.  It causes them to hold grudges, distrust people and become hostile to people who don’t deserve the cold shoulder.  Close friendships are uncommon and a cold disposition in attitude is the norm.  Early childhood trauma may be a cause, and is more common in males (Martel 2015).

Schizoid Personality Disorder (SPD)

They are detached from close relationships and lack motivation and drive to be with others or build relationships.  They have a limited range of emotions and require little to no approval or attention from others.  For the most part they have a persistent indifference of interests that make relationship building near impossible.  Since the social skills are lacking a secretive lifestyle preference to remain in solitude and away from others seems to be the norm (Glunk 2015).

Schizotypal Personality Disorder (STPD)

 An eccentric personality type with severe anxieties in a social sense and lacks an emotional response.  They display paranoia and anxiety around people and have unusual beliefs outside of conventional norms.  They are somewhat a loner and feel more comfortable living in solitude.  At times may appear to others as delusional due to strange thoughts and behavior.  The mannerisms are often bizarre by-way of socially nervous tendencies with atypical communicative speech patterns.  Which include talking to themselves and hard to follow rambling and complicated speech patterns.  “While STPD is on the schizophrenia spectrum, people with STPD don’t usually experience psychosis (Martel 2015).”  Psychosis is defined as a loss of contact with reality.

Cluster B Personality Disorder (Type Dramatic and Erratic)

 Antisocial Personality Disorder (APD, or ASPD) 

With the breakdown of traditional famly values and structure an increase in PD's occured.

With the breakdown of traditional family structure and values an increase in PD’s and homelessness arose.

The APD characteristics display manipulative behavior, lack of conscience and care for others and adept at manipulation.  To be charming is a ruse to get what they want to self-gratify and feel no guilt over the deceit.  “While statistics indicate that 50%-80% of incarcerated individuals have been found to have antisocial personality disorder, only 15% of those convicted criminals have been shown to have the more severe antisocial personality disorder type of psychopathy (Dryden-Edwards and Stoppler 2016).”

Borderline Personality Disorder (BPD)

Behavioral irregularities are often displayed by abrupt and unpredictable mood changes and outbursts.  Self-image issues and high fear sensitivities to rejection and abandonment make it difficult to maintain relationships.  Destructive behaviors such as suicide threats and attempts are often associated with this disorder.  “The diagnosis of BPD is frequently missed and a misdiagnosis of BPD has been shown to delay and/or prevent recovery.  Bipolar disorder is one example of a misdiagnosis as it also includes mood instability. There are important differences between these conditions but both involve unstable moods.  For the person with bipolar disorder, the mood changes exist for weeks or even months. The mood changes in BPD are much shorter and can even occur within the day (NEA 2016).”

 Narcissistic Personality Disorder (NPD)

This personality type feels a need to be center of attention, lacks empathy, and displays an egocentric behavior and feels full of self-importance.  Also sees themselves above others in appearance or intellectual endowment [whether true or not] has a grandiose sense of entitlement and believes he/she is special, or falls into a high class or status of people.  “Because personality disorders describe long-standing and enduring patterns of behavior, they are most often diagnosed in adulthood.  It is uncommon for them to be diagnosed in childhood or adolescence, because a child or teen is under constant development, personality changes and maturation. However, if it is diagnosed in a child or teen, the features must have been present for at least 1 year (Bressert 2016).”

Grandiosity is closely associated with NPD.  It is considered a personality disorder.  Where one feels entitled, is self-absorbed and lacks empathy for others.  “Grandiosity occurs when a person has an inflated self-esteem, believe they have special powers, spiritual connections, or religious relationships.  When grandiosity is severe, the person may be delusional about his or her capabilities (Droogendijk 2009).”

Chronic PD's often break up relationships. While distrust, anxiety and paranoia anti-social loner behaviors increase.

Chronic PD’s often cause close relationships to never begin. Distrust, anxiety and paranoia increase anti-social loner behaviors.

He/she has an unrealistic sense of superiority and are often referred to as narcissist, or Bipolar and seem boastful and rude.  They feel a sense of uniqueness which can only be matched intellectually and understood by a handful of people.  And since they feel superior to everyone else they have distain for those they see inferior to them.  “In the American Psychiatric Association’s Diagnostic and Statistical Manual, the presence of grandiosity is used in combination with several other symptoms to confirm a diagnosis of bipolar.  This symptom also occurs in children with early onset bipolar disorder (Purse 2016).”

Histrionic Personality Disorder (HPD)

This type of personal disorder is obsessed with appearance and acts sexually provocative with excessive attention seeking tendencies.  They desire to be at center stage to get reassurance and approval.  And are overly sensitive to criticism and disapproval which causes inappropriate and unwanted behavior.  Such as an over the top melodramatic outburst and manipulative behaviors which push people away.  The outbursts are coupled with a consistent flood of emotional storms that reap havoc on romantic, social and for that matter, inability to solidify any meaningful and long term personal commitments and relationships.

Since this personality type has a low tolerance toward delayed gratification, they often blame others for their shortcomings.  Although negative attention may seem shallow to others, it is better than no attention at all for this person.  “Histrionic personality disorder can improve with talk therapy and sometimes medicines.  Left untreated, it can cause problems in people’s personal lives and prevent them doing their best at work (Berger 2014).”

Cluster C (Personality Disorder:  Type Anxious and Fearful)

How much time would be spent counting the different colored flowers before you could move on.

How much time would be lost if you couldn’t control an obsession to count the different colored flowers in front of you before you moved on.

Obsessive-Compulsive Personality Disorder (OCPD)

This disorder is displayed by orderly perfection and preoccupation to detail that causes a lack of flexibility with regard to healthy lifestyle and time balance.   The disorder is also a contributor of workaholic tendencies.  Fears of losing control over orderly perfection is the compulsion which causes the irrational obsession to continue its course.  And this interferes with getting things done that matter.

Or what would you do if you couldn't more forward until all cloud formations represented an image. I.e., looks like a head with ear wings.

Or what would you do if you couldn’t more forward until all cloud formations made sense. E.g., looks like a head with ear wings.  Ridiculous… not to someone with a complex mix of PD traits.

“Most professionals subscribe to a biopsychosocial model of causation — that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual’s personality and temperament, shaped by their environment and learned coping skills to deal with stress) (Bressert 2016).”

Avoidant Personality Disorder (APD)

Family playing at beach lake

Personality disorders often begin during childhood and not diagnosed until adulthood. Fear of loss, anxiety and unacceptance from others begin irregular and erratic thoughts and behavioral patterns early on in life.

Fears rejections and feeling of inadequacy in front of others, but wants desperately to be accepted.  Very self-conscious and avoids social group settings and situations when possible.  Jobs with little human interaction are preferred.  “Avoidant personality disorder (APD) is usually first noticed in early adulthood and is present in a variety of situations. ‘APD is treated in much the same way as social anxiety disorder.  Cognitive-behavioral therapy, social skills training, group therapy, and medication have all been shown to have some impact on the disorder.  However, it is sometimes difficult for people with APD to trust their therapist enough to complete treatment (Cuncic 2016).”

Dependent Personality Disorder (DPD)

The need to be taken care of to meet emotional and physical needs and fear of abandonment and being alone cause’s clinginess.  The reliance on others to make important life decisions is needed for advice and reassurance.  If relational trusts are broken, suicidal tendencies and acts increase.

Mental Health Treatment and Homelessness Connection

Daytime drifter and homeless shelters occur in not so obvious settings. But blend well into seasonal beach activities.

Daytime drifter and homeless shelters occur in not so obvious settings. But blend well with seasonal outdoor recreational activities.

A combination of mental health and drug prescription [psychotherapy] treatment plan includes exploration of inappropriate behavioral causation that triggers out-of-control feelings and thoughts.  Once childhood or adult abuse-history connects to current social, or environmental, or personal stress-triggers that cause erratic and undesirable behavior; a relative diagnosis and treatment plan is prescribed to manage it.

However there are caveats to this approach.  Success of treatment is dependent on accurate diagnosis and wiliness of patient to opt-in, trust their medical care provider and follow the treatment plan.

For instance, “The treatment that’s best for you depends on your particular personality disorder, its severity and your lifestyle situation.  Often, a team approach is needed to make sure all of your psychiatric, medical and social needs are met.  Because personality disorders are long-standing, treatment may require months or years (MayoClinc 2016).”  In severe cases when someone can’t care for themselves, or present harm to others, admittance to psychiatric care is the process towards stabilization.  Thereafter may lead to successful outpatient treatment.

Recall, I stated the individual has to opt-in to receive mental health resources and follow the treatment plan.

Unfortunately for too many, the inability to take responsibility for a personality disorder problem causes a revolving door that does not adequately help a chronic mental health condition especially when connected to drug addiction.  For those who choose to self-medicate and deal with a chronic personality disorder… many of those people are homeless.

The treatment protocol for the mentally unstable homeless person who is a public nuisance and is drug addicted and breaks the law doesn’t receive the mental health resources they need.  Although homelessness is not a crime and not all homeless people commit crimes… personality disorders are found within a large sector of the homeless population.  Many have all the signs and symptoms of PD’s.  That is they have fears and anxieties and paranoia associated with anti-social lifestyle which leads to obsessions and depression and illegal self-medication habits.  These behavioral habits amplify the PD stress-triggers which cause inappropriate behavior.

When the mentally-ill are caught for inappropriate behavior or breaking the law to sustain their habits, short-term jail time or out-patient psychiatric care is served.  Jail time release is often conditional on probation agreements which are almost always broken by those with complex personality disorders and drug abuse.  Homeless people with a complex PD and drug addiction history don’t have the mental faculties or resources to comply with orderly and civil penalty processes like the rest of us.  So the sequence is repeated costing tax payers dearly as the revolving door to the homeless is a reactive civil penalty process as opposed to a proactive mental health solution.

Community must come together to find proactive solutions to deal with the homeless problem.

Community must come together to find proactive solutions to deal with the homeless problem.

There is no good answer for the homeless that suffer with personality disorders and/or drug addiction.  Not until society determines they want to be part of the solution.  And that solution must provide the comprehensive mental health treatment, public transportation and affordable housing resources needed to get on with their lives.  I regress, moving on…

Medications may include stabilizers to help balance mood swings and impulses, or anti-depression medications to help reduce feelings of hopelessness and irritability.  If a patient has lost touch with reality then anti-psychotic drugs are prescribed.  Anti-anxiety medications are to help reduce anxieties.  But for some these drugs can lead to impulsive behavior.  For this reason their avoided when diagnosed with other types of personality disorders.

Get diagnosed and treated by a medical professional if you, or a friend or loved one suffers from a personality disorder that now causes out-of-control behavior, drug addiction and homelessness.   A common treatment program for any one of the 10 diagnosed personality disorders listed above may include a combination of the following: on-going Group, one-on-one psychotherapy [includes mental health and prescription protocol], behavioral-social and drug addiction therapy, etc.

References,

Berger, Fred K., MD. “Histrionic Personality Disorder: MedlinePlus Medical Encyclopedia.” MedlinePlus Medical Encyclopedia. NIH U.S. National Library of Medicine, 10 Oct. 2014. Web. 23 Nov. 2016.

Bressert, Steve, Ph.D. “Obsessive-Compulsive Personality Disorder Symptoms | Psych Central.” Psych Central. Psych Central, 17 July 2016. Web. 21 Nov. 2016.

Bressert, Steve, Ph.D. “Narcissistic Personality Disorder: Symptoms & Treatment | Psych Central.” Psych Central. Psych Central, 18 Nov. 2016. Web. 21 Nov. 2016.

Carey, Elea. “Personality Disorder.” AARP. HealthReferenceLibrary, 31 July 2012. Web. 21 Nov. 2016.

Cuncic, Arlin. “Avoidant Personality Disorder and Social Anxiety Disorder: Shared Genetics.” Verywell. About, Inc., 27 July 2016. Web. 21 Nov. 2016.

Droogendijk, Daniel, RPN. “Bipolar Mania Symptoms.” Grandiosity – Bipolar Disorder Symptoms. Daniel Droogendijk, 4 Feb. 2009. Web. 23 Nov. 2016.

Dryden-Edwards, Roxanne, MD, and Melissa Conrad Stöppler, MD. “Antisocial Personality Disorder Symptoms, Treatment, Causes – What Is the Difference between Antisocial Personality Disorder and Psychopathy? – MedicineNet.” MedicineNet. MedicineNet, Inc., 16 Feb. 2016. Web. 21 Nov. 2016.

Gluck, Samantha. “What Is Schizoid Personality Disorder?” HealthyPlace. HealthyPlace.com, Inc., 20 Oct. 2015. Web. 23 Nov. 2016.

Martel, Janelle. “Paranoid Personality Disorder.” Healthline. Healthline Media, 17 Dec. 2015. Web. 23 Nov. 2016.

Mayo Clinic Staff Print. “Personality Disorders.” Treatment – Personality Disorders – Mayo Clinic. MayoClinic.org, 23 Sept. 2016. Web. 21 Nov. 2016

Moore DP, Jefferson JW. Borderline personality disorder. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry.  2nd ed. Philadelphia, PA: Mosby Elsevier; 2004: chap 138.

Montandon M, Feldman MD. Borderline personality disorder. In: Ferri FF, ed. Ferri’s Clinical Advisor 2008: Instant Diagnosis and Treatment. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008.

Purse, Marcia. “Grandiosity in Bipolar Disorder: Definition and Stories.” Verywell. About, Inc., 14 July 2016. Web. 23 Nov. 2016.

NEA. “BPD Overview – Borderline Personality Disorder.” Borderline Personality Disorder. NEA.BPD, 2016. Web. 21 Nov. 2016.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright.  All rights reserved, Mirror Athlete Publishing @: www.mirrorathlete.com, Sign up for FREE Monthly eNewsletter.





Alzheimer’s Disease and Aluminum Absorption Risk

21 10 2015

Do processed and cooked foods have any connection to this disease?

Updated:  22 Oct 2015

Why is Alzheimer’s disease the 4th leading cause of death among our elderly, only behind heart disease, cancer and stroke? It also happens to be the 3d most common mineral element on the planet we’re exposed to with frequency.

The World Health Organization to include many other research teams has determined there’s a correlation with aluminum and elderly mental health risk and mortality.  “According to Washington DC’s Department of the Planet Earth, United States and Canadian regulatory agencies, acknowledges a potential risk factor in elderly cognitive impairment. It makes sense, research shows aluminum can produce toxic, oxidative stress in the brain and a brain autopsy study of elderly persons found them to have aluminum levels 20+ times higher than a middle-aged group” (Edward 2013).

But not all research institutions are on board with this cause and disease relationship. For instance, “People exposed to high levels of aluminum may develop Alzheimer’s disease, but other studies have not found this to be true. “We do not know for certain that aluminum causes Alzheimer’s disease.”  The ideal being the possibility those diagnosed with Alzheimer’s or genetically predisposed to get it, have brain tissue that absorbs and stores more aluminum to greater degree than others when exposed” (ATSDR 2008).

However it is certain “eating large amounts of processed food containing aluminum additives or frequently cooking acidic foods in aluminum pots may expose a person to higher levels of aluminum than a person who generally consumes unprocessed foods and uses pots made of other materials (e.g., stainless steel or glass). The consensus of this particular study finds aluminum levels found in processed foods and foods cooked in aluminum pots are generally considered to be safe” (ATSDR 2008).

Aluminum is so common within our consumer products it’s also found in city water and everyday hygiene and beauty products.

Other research shows us you are 3 times more likely to develop Alzheimer’s through the use of arousal anti perspirants and hair spray containing aluminum.  Both entrants into the body are absorbed easily through consumption and may be easily absorbed by the brain through the nasal cavity (Public health reports, Natural health, University of California, Berkeley Wellness Letter).

Aluminum cookware such as pans, pots and thermal beverage holders present absorption of mineral risk into foods. And for a pan lined with a Teflon nonstick surfaces this may present a separate health risk concern. It is suggested by consumer safety advocates Teflon may present health risk. However, M3 and DuPont research, show no conclusive proof that Teflon puts your health at risk.

Cookware sealants became a consumer health issue because 3rd party research shows when you get into varying chemical sealant composites to bind-bond-seal the aluminum or copper cookware as “THE” protective “HEAT” barrier may present other known & unknown health risks.  ‘To minimize the amount of aluminum that dissolves into your food from cookware, avoid cooking acidic foods like tomatoes and rhubarb in aluminum pans. Don’t store leftovers in aluminum, because the longer the food sits, the more aluminum it can absorb from the pan. Since more aluminum will dissolve out of old, pitted and worn pans, throw away your aging aluminum cookware. When you replace your old pans, consider upgrading to anodized aluminum pans” (LivingStrong 2015).

With regard to city treatment of drinking water how does one find out “how much” alum, or aluminum sulfate is added to our water?  The amount necessary to reduce algae and turbidity creating crystal clear drinking water from our city utilities dictates the amount of aluminum sulfate required.  If you drink city water, you are ingesting alum.  Due to the unanswered link between Alzheimer’s and aluminum, (some scientists) are urging water treatment facilities use ferric sulfate, or calcium as opposed to aluminum sulfate to accomplish the job. Call your city treatment facility, or water provider how they treat the water source.

Aluminum is also an occupational hazard, “Exposure to aluminum, unfortunately, is common with some occupations like mining, factory work, and welding. Welding can be especially worrisome because it produces vapors that, when inhaled, send aluminum directly into the lungs in a “super absorption” status where it is released to the blood and distributed to the bones and brain. Researchers have repeatedly examined the consequence of inhaling aluminum vapors and the results are grim” (Edward 2013).

Recommendations,

  1. Medical research correlation between Alzheimer’s disease and aluminum is so convincing a prudent person would remove “all” aerosol or cosmetics to include deodorants made of, or containing aluminum.
  2. If you see the word alum (aluminum), on any consumer product, or consumable in aluminum container or cookware, seriously consider an alternative.
  3. If you drink beverages made from aluminum cans, it would be prudent to switch to glass bottled or other container type.
  4. The greatest risk of aluminum exposure at a super absorption rate is an occupational hazard where inhaling vapors presents a serious health risk potential. Personal Protective Equipment (PPE) should always be worn during working with or around aluminum vapors and where PPE is inspected with frequency for breach or defects per manufacturer safety use instructions and inspection standards.
  5. Contact your local municipality and ask about aluminum sulfate in your drinking water and do check the bottled water to see if it’s simply bottled city or natural spring water with alum.

Reference,

ATSDR. Health Statement for Aluminum. September 2008. Agency for toxic substances and disease registry.

Edward Dr. Why I’m Concerned about the Dangers of Aluminum. 17 July 2013.  GHC (Global Healing Center).

Webber, Vallery.  Health Risks of Cooking Aluminum. Last Updated: 6 May 2015. LivingStrong.

Author: Marc T. Woodard, MBA, BS Exercise Science. Original 2008 Copyright updated 22 Oct 2015.  All rights reserved, Mirror Athlete Publishing @ www.mirrorathlete.com, Sign up for FREE Monthly eNewsletter.



 





Will Power to Control Compensation Weight Gain Effect

24 11 2009
Walk and See all Around You.

Walk and See all Around You.

Your body’s health and appearance is dependent on many lifestyle habits and behaviors especially as you age.  With regard to diet and exercise, food intake and calorie burn through physical activity inevitably becomes a compensation-Will Power challenge.  Mind over body then becomes much more of a will power issue not to consume the “wrong types and quantities” of foods after an exercise, or activity event.  This issue will attempt to defeat your will power to stay on body weight target.  Compensation effect simply means if your body burns calories it will also want to replace them by telling the hunger center in the brain to eat more.  Your brain begins to beg you to stop the screaming fat cells from causing you agony and to satisfy them.  Scary little guys these fat cell monsters!

I’ve known for some time that exercise alone would not be the sole factor in body weight maintenance, or weight loss.  When I was working on my Exercise Science undergraduate degree, one thing I did learn is in order to maintain healthy body equilibrium especially as we age, requires a “customized” multidisciplinary healthy life program.  This program consists of exercise-activity, nutrition and healthy living lifestyle to meet body fitness requirements.  This multi-discipline approach is necessary for successful weight loss and body weight regulation at any age.  My take on exercise products sold on TV as I’ve stated in previous articles…  They won’t provide you a significant weight loss result, and especially without proper nutrition and healthy living habits.  If you’re serious about losing weight, don’t waste your money on exercise TV product gimmicks.  Instead, consider buying a gym membership and apply aerobic activity using various types of aerobic equipment to accomplish body weight goals. 

For those of you without much experience in a gym, look to purchase a few 1:1 fitness trainer sessions for weight loss programming and/or need motivation, etc.  Look for local fitness center promotion specials to run end of year and spring.  Also, learn to become a smart nutrition and healthy eating habit consumer by doing your own healthy weight management nutrition research.  For example, use the Internet and research under fit/healthy” weight loss tips and recommendations.  Also consider visiting your local book store/library, or take a community college nutrition/health fitness course, etc.  Consider purchasing fitness training books and videos geared around weight loss activities using aerobic bike, bike, walking, swimming, treadmill, etc., if the gym is not for you.  Or if dollars are tight, simply start a daily walking program.

When I mention TV exercise gimmicks they are exercise equipment that are non aerobic in nature and specifically work on body toning, not fat burning! For example, abs, hip-buttocks-chin specific exercise equipment.  Also I know you all know my favorite aerobic activity is walking and it always will be.  Walking in my opinion is the best cardiovascular, fat burning, low stress-fun, and low impact exercise available to all that can walk!  Healthy centurions have this one lifelong habit activity in common.  This is one of the least stressful aerobic fat burning activities and burns the greatest amount of fat per time spent on activity (swimming included).  It is my experience that walking causes the least amount of hunger pain if it is not done with high intensity (speed walking).  This is because the body will shift to greater fat burning as a fuel source preference during low intensity large muscle activity (legs).  The hunger center in the brain won’t know the difference when the body’s glucose-glycogen fuel source shifts more to a “stored-released” triglyceride fat burning process.

I walk almost every day, own some fitness equipment and have a fitness center membership.  I’ve found fitness activity variety keeps boredom abbey by breaking up my daily routines.  This helps immensely with my daily motivation to stay on healthy body weight target.  To walk, it doesn’t cost anything but time and good foot ware that should include excellent sole inserts.  See our chronic pain center and click on the posture, or foot image to get more information on “Posture Control Insoles.”  Gym memberships are nice because the sky is the limit on aerobic equipment choices.  If interested in fitness memberships look for one that has a swimming pool within the facility.   You can truly customize a fitness training weight loss program that’s right for any age at reasonable rates.

Always keep in mind the compensation effect.  If you exercise, regardless of activity you’ll always feel hungry approximately 1 hour after activity.  This is because most work done in the gym tends to become quick pace through daily conditioning.  Think about it.  You want to finish getting on to the home relaxation phase of your day, so you push your body to get out of the gym.  In essence you begin to exercise at a greater intensity rate which more closely resembles cardiovascular and anaerobic activity that will burn greater quantities of quick fuel sources; cretin phosphate, glucose-glycogen making you hungrier faster.  However, if your routine is mostly aerobic you’ll burn body fat and more of it at lower aerobic intensity rates.

In knowing that daily aerobic conditioning will naturally spur higher work training intensities, you can be prepared for hunger pains if you begin pushing yourself at this level.   In order to gage the best fat burning intensity and reduce severe hunger pains… Don’t train at intensities that make you out of breath, or make it hard to carry on a conversation.  Also if you’re THR (Target Heart Rate) zone peaks into a high intensity cardiovascular training zone for your age; understand you are not maximizing your body’s fat burning potential.  Ask your fitness trainer about THR, or simply research this term on the Internet to best understand and manage fat burning potential through aerobic activity.

I do have a solution to help you out in the hunger department as you will want to be adequately armed before the hunger pains hit regardless of your THR training intensity.  I’ve found, especially after the work out “the calorie burn compensation effect to replace the spent calories does impact us all at various levels of hunger pain.  The goal is to fool the brain with low calorie nutritious fillers that will curve appetite and strengthen will power to avoid pounding down fats and empty calories to satisfy the screaming fat cells. 

Whether the aerobic exercise is walking, biking, swimming, repetitive low resistance circuit training, etc., I know I’ll always be hungry after 90 minutes because my body is conditioned to work out more intensely during activity.  So if you can’t get your hands on fruit or vegetables, you can get water down your gullet.  Although water won’t fully satisfy the fat cell compensation screaming in your mind, a pint of water will stop this hunger feeling rather fast as the bloated stomach technique will temporarily fool the brain.  Besides, water is good for you… Let’s not forget this.  I know it’s boring.  I know you’d prefer an electrolyte drink.  Don’t do this often in the gym as electrolyte drinks have enough calories in them to compensate back to your body what you just burnt.  However, electrolyte drinks are great for high intensity aerobic-training endurance events where sodium and potassium levels in the blood can be reduced significantly and require replacement.  In these types of high intensity cardiovascular activities fat burning is not the fitness goal.

One thing I’m sure many of you may not know.  Many times when your brain tells you it’s hungry, it’s not, and your body is really thirsty.  So give the water gulping session serious consideration frequently while you work out.  This will help.  This water gut blot sensation will provide a feeling of fullness relieving hunger sensations while rehydrating the body.

However, beware; water is easily absorbed through the stomach and intestinal lining.  So this is a temporary fill to fool your mind’s hunger pains and rehydrate the body.  It’s not the cure all solution to defeat the calorie compensation effect that will ultimately result once the body is adequately worked and watered down.  Water in the stomach to fool your brain is like putting water in a strainer that’s lined with cheese cloth.  In other words, you don’t have much time before your brain tells you you’re hungry once the water quickly absorbs into the body.   You have approximately 10-15minutes max before your fat cells say “FEED ME, once the body is adequately hydrated!”  If you give in to the jelly donut, or pepperoni pizza, compensation effect wins over “will power and body weight discipline.”

Will you have the discipline and will power to fight off gorging yourself with the wrong foods, especially on a weekend?  Ah, here’s the question.  I highly recommend you find a nutritious food bar, or shake that’s high in protein and fiber to hold you over between meals.  This is like eating many mini-meals between the main meals.  You’ll find your body won’t be screaming from shear hunger, while reducing total daily calories and body weight.  There are many products to choose from… But you’ll want the fiber and protein because these low calorie high nutrient combinations will fool your brain for longer periods of time.  Good quality food bars, fruits and veggies work great after workouts and curving hunger in between meals.

I’ve also found that by taking a water bottle with me filled with a couple scoops of fiber source drink is a good emergency fix to satisfy a hunger attack when my compensation metabolism tells me I’m starving.  The beauty with this fix, you can carry the fiber powder around in the bottle forever until you add water.  When you have a hunger attack and you can’t wait to make that family dinner, fill the bottle with water, shake and chug that fiber drink.  Yummy!  “Well yummy is debatable, I did that for effect.”

Really, there are good fiber drinks out there in all flavors.  Look for fiber drinks that pack at least 3-5grams per serving.  Once you use your emergency compensation stomach fill solution to satisfy brain hunger, be sure to reload the bottle prior to the next fitness training session.  It is very frustrating to look in your gym bag, or back pack to find an empty fiber, or protein powder bottle.  I can’t tell you how many times I went for the quick food solution that was not there.  Instead I broke down and loaded up with a saturated fat attack, heart stopping gut buster.  My lack of will power won that day.  More the reason to stock an arsenal of various powder drinks in ready premix bottles and power bars at the ready.  I like to use old water bottles instead of tossing them after I drink the water.   I take 3-4 of them, load two with electrolyte and 2 with fiber-protein powders where they stay in dry storage (in the capped bottle)  until I need them.  I usually keep them in my car, or gym bag.  Just add water, shake and drink.

Also visit your libraries and read, or purchase books on how to improve will power while modifying behavioral habits towards food cravings.  To be aware of the mind over body compensation fact will help you recognize you’ll need to find other low calorie diet substitutes and behavioral strategies that will stave off hunger cravings during and after your aerobic training sessions.  Also drink more water in a day, eat more frequently throughout the day in smaller portions, get more fiber in your diet and don’t eat in front of the TV, “only at the dinner table!”  Finding what works for you and sticking to it is a big part of fitness and weight-diet management success. By applying the techniques in which I speak will allow you proper preplanning prior to aerobic fitness training and weight management success.  You’ll also better understand will power compensation effect while reducing body weight in a healthy habit approach.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright, All rights reserved.  Mirror Athlete Enterprises Publishing @: www.mirrorathlete.com, Sign up for your free eNewsletter.





Recognize Personality Disorders

23 07 2009

Personality disorders (PD) are long-term chronic patterns of erratic behavior that most likely will require a lifetime of care.  Common behavioral attributes of PD:  Relationships tend to swing viciously from love to hate; avoid real, or imaged abandonment and view themselves as victims taking very little responsibility for their problems, or themselves.  PD is very susceptible to self harm through drug and alcohol abuse which tends to complicate the disorders exponentially.  Studies show a PD connection to child abuse and neglect; but need not be abused to develop PD.  Personalities of children growing into adulthood diagnosed with personality disorder display antisocial, obsessive, detached, hostile or needy behaviors.  Symptoms:  Crisis is handled through wrist cutting, over dosing, inappropriate anger, binge eating, shoplifting, impulse spending, substance abuse, sexual relationships, unable to be alone, emptiness and boredom.  Recognize PD and seek mental health.

There are currently ten classified Personality Disorder (PD) types within 3 clusters:  1)  Obsessive-Compulsive (OCPD) “Focused on order and perfection, lack flexibility which interferes with getting things done; Avoidant (APD) social anxiety, self-conscious, social avoidance, rejection hypersensitive; Dependent (DPD) neediness, cling to others, fear of rejection, or suicidal with disintegrating relationships.  2) Histrionic (HPD) melodramatic and over the top, constant emotional storms, seek attention and approval, negative attention is better than no attention; Narcissistic (NPD) feel need to be center of attention, lack empathy, egocentric behavior, feel entitled, misperceive others speech and actions, negative personal interactions; Borderline (BPD) inability to regulate emotion, abrupt mood changes, impulsivity, unpredictable outbursts, highly sensitive to rejection, fear of abandonment, suicide threats and attempts; and Antisocial (APD, or ASPD) manipulative behaviors, lack of empathy, or conscious, adept at cold-calculating manipulation, self-gratification not caring of others.  3) Schizotypal – Odd thought, perception and belief, eccentric looking with speech that is difficult to follow and can become disabling if the disorder becomes persistent; and Schizoid – Detached from social relationships, week social skills, loners (do not wish to be socially outgoing).

References,

1) Moore DP, Jefferson JW. Borderline personality disorder. In: Moore DP, Jefferson JW, eds. Handbook of Medical Psychiatry.  2nd ed. Philadelphia, PA: Mosby Elsevier; 2004: chap 138. 

2)  Montandon M, Feldman MD. Borderline personality disorder. In: Ferri FF, ed. Ferri’s Clinical Advisor 2008: Instant Diagnosis and Treatment. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008. 

World Wide Web References:
3)  (http://personalitydisorders.suite101.com/article.cfm/what is a personality disorder)
4)  http://assets.aarp.org/external_sites/adam/html/1/000935.html?CMP=KNC-360i-YAHOO-HEA&HBX_OU=51&HBX_PK=borderline_personality_disorderPD has a poor outlook because people that go through treatment often do not comply with treatment.  Recommendation:  On-going Group and one-on-one therapy and medication.

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright, All rights reserved.  Mirror Athlete Enterprises Publishing @: www.mirrorathlete.com, Sign up for your free eNewsletter.





Recognize and Treat Bipolar Symptoms

23 04 2009

Bipolar Disorder affects approximately 6 million people in the United States. Those diagnosed with this disorder experience “extreme” highs and lows.  A bipolar high is characterized and may include the following signs and symptoms:  Extreme optimism, euphoria, spending sprees, inflated self-esteem, aggressive behavior, poor sleep patterns, easily distracted, poor concentration, drug abuse, risky behavior, agitation, racing thoughts, rapid speech, increased sexual drive.  While the lows may/may not be characterized by the following symptoms:   Guilt, sadness, anxiety, hopelessness, appetite problems, suicidal thoughts or behavior, sleep problems, irritability, sleep problems, lose interests in daily activities, chronic pain without known cause.  The following terminology with this diagnosis may be used, such as, “manic-depressive psychosis,” characterized by excessive happiness and/or melancholic feelings of dejection or deep depression (melancholy).  Bipolar episodes become more frequent with age and can display both mania and depression simultaneously in what is called “mixed state.”  The term psychosis means complete or partial withdrawal from reality with, or without organic damage to the brain.

There are varying degrees, or types of Bipolar Disorders.  Studies show that the characteristic disorders become more prominent and frequent between the ages of 25-40.  Children and teens with the disorder are usually explained away as infrequent characteristics of growing pains, or maturity issues.  Left untreated the disorder benefactor can create much disruption of family, finances, job loss, marital problems, inability to function in society; also leading many victims to suicide.  Those that tend to self treat do so with alcohol and other drugs where addiction complicates matters.  The primary prescription for Bipolar disorder is through pharmacological intervention medications.  Mania and depression is primarily treated through Lithium (common mood stabilizer).  If Lithium is rejected then anticonvulsants are used.   Episodes of mania or manic behavior are also treated with antipsychotics or Benzodiazepines, thereafter mood stabilizers are used.  Other common medications: Xanax, Valium, Ativan and Klonopin.

Recommendations,

If you are 21 to 65 years of age and suffer from Bipolar disorder visit Allsup http://www.allsup.com for a free evaluation and disability info, or call 800-279-4357.  Also visit http://www.psychcentral.com, or call 978-992-0008 for more disability and mental health information. I’m not an advocate for either site; I simply have identified two key resources that will steer you in the right direction for help.  These sites offer information on how to obtain Social Security Disability Insurance (SSDI), Long-Term Disability (LTD), Medicare benefits and so much more.  They’ve helped thousands of people with bipolar disorders to get back on their feet to include income while working towards independent living.

Issue:“Testicular Cancer  Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2009 Copyright.  All rights reserved, Mirror Athlete Publishing @: http://www.mirrorathlete.com,  Sign up for your Free eNewsletter.





What Is Dementia, Can Anything Be Done?

23 12 2008

Our family has been blessed as we’ve not know dementia.  I’ll make a slight correction to this statement.  My grandmother before she passed at 92 years of age appeared to have had signatures of some form of dementia beginning in her eighties.  Dementia is defined as a cognitive function decline beyond what might be expected as normal aging.  It is a disease that destroys brain function within various centers of the brain by way of many possibilities. Cognitive memory & brain function loss is not solely a cause and effect of Alzheimer’s disease.  Alzheimer’s is the most common and familiar form of cognitive brain function degradation loss.  This disease becomes more of a risk for those after age 60.   I wrote an earlier article on Alzheimer’s disease with strong ties to aluminum as one of the cause pathologies that put healthy brain function at risk (In Our Health Repository).      

While Alzheimer’s affects approximately 4.5 – 5 million people in the United States by gradually destroying one’s memory; fortunately, current treatment can slow down the progression and destruction of brain functionality dramatically.  Alzheimer’s is also the most common form of dementia and leading cause of death in the United States.  Those once diagnosed have an average mortality rate of 10 years.  However, there are those that beat these statistical mortality averages by living more than 20 years after being diagnosed.   Our younger population is not immune from Alzheimer’s.  Those at greatest risk for developing some form of Dementia are those 65 and older.

Dementia pathology (disease cause, progression and development), impacts the cortical and sub cortical brain function and can manifest its symptoms and disease through known and unknown cause agents.  Nutrition, diet and/or behavioral deficiencies leading to and/or influenced to cause dementia are “lightly” noted within this article.   Key pathologies and nutritional deficiencies that lead to Dementia: Alzheimer’s, Alcohol-Induced Dementia, Frontal Lobe Degeneration, Huntington’s, Hypothyroidism, Parkinson’s, Vitamin B1, B12, Folate Deficiency, Syphilis, Hypoglycemia, AIDS Dementia Complex, Severe Depression, End Stage Renal Failure, Cardiovascular Disease, etc.   It is beyond the scope of this article to list all potential Dementia cause pathologies.  Instead, awareness to possible cause pathologies and recommendations will assist you and your family in prevention, recognition, awareness and immediate attention to treatment.  There is an extensive list of pharmaceuticals that appear to slow down the progression of any one of these cause pathologies leading to dementia.  There is no cure for dementia, prevention is the best course. 

Recommendations:
1.  See Geriatric Psychiatrist-Neurologist if patient is forgetful, confused, doesn’t recognize people.
2.  If diagnosed with a form of dementia – Seek medication to slow down the progression.
3.  Dementia Prevention – Live an active mental-physical lifestyle, read books, work puzzles, get involved in community activities, services, volunteer work, etc.,  aerobic daily walking, etc.
4.  Studies show moderate (1-2 Drinks/day) consumption of beer, wine, or distilled spirits may help.
5.  Low blood pressure medications appear to have a dementia health benefit per medical studies.
6.  Mediterranean Diet – Consume plant foods (fruits and Vegetables), olive oil, cheese, yogurt, fish, poultry, no more then 1-4 eggs/week, keep total fat intake at 25%, consume less red meat.
7.  Supplement diet with a quality daily mineral-vitamin and cognitive brain complex supplement (see our Wellness Company Program).

Author:  Marc T. Woodard, MBA, BS Exercise Science, USA Medical Services Officer, CPT, RET.  2008 Copyright.  All rights reserved, Mirror Athlete Publishing @ http://www.mirrorathlete.com,  Sign up for your Free eNewsletter.