LSD not addictive but has tolerance

source: https://www.briarwooddetox.com/blog/is-lsd-a-stimulant/

NO: drug-seeking behaviors, cravings, withdrawal symptoms

YES: TOLERANCE

thus, still DANGEROUS

>"bad trip" (adverse reactions) include intense anxiety, panic, delusions, paranoia, rapid mood swings, feeling like you've lost your identity, feeling that you're disintegrating into nothing & really don't exist, violent behavior, SELF-MUTILATION, seizures, SUICIDE

>long-term side effects: drug-induced psychosis (may last years after taking LSD), hallucinogen persisting perception disorder (HPPD) -- spontaneous flashbacks 

depersonalization (definition)

source: https://www.briarwooddetox.com/blog/is-lsd-a-stimulant/

depersonalization = feeling like you've left your body

images of depression

 DAT 18M MDD,Re,Se + GAD

07 Dec 2021 Submission: Eto po yung mga drawings ko bago po ako magpa check up // May symptoms na po ako n'yan mga past 2 months po to

 

maladaptive dayreaming case

25 Nov 2021

Re: TAT Picture # 01 Analysis (caps mine)

Fr: JKA 22M MDD, GAD, Dyslexia, ADHD, Cluster A Personality Traits; cm: MALADAPTIVE DAYDREAMING

PAST: “Hi my name is Jelo 13 years old now. I start playing violin when I was just 6 years old, all of my family is a musician, and professional. My family always train me and compete me, and I always win it easily, when I just 10 yrs old I got a multiples of awards, tropies [sic] etc. because of that a lot of people call me “the prodigy”

PRESENT: “But why am I sad in the picture, even with the gift and talent that I have? Why! Why does anyone ask me if I want this? Because of my STRICT PARENTS I can’t play with friends, I can’t enjoy My child life! Yes I’m Blessed because of my talent, yes I’m blessed because my family is rich, yes I’m blessed because my family is PROUD of me. But I’m not lucky as like as Lilia (picture # 2 image) even she doesn’t have my talent or rich family, she still got her FREEDOM. He study what she really want, working hard not just to make her family proud, to give it back what her parent’s sacrifices. Yes I love music, but I love HELPING people more[.] I want to show them that even the’re not gifted or blessed like me they still got the’re own advantages.

FUTRE: “Jelo became the mayor of the’re village. He help his people not just in financial or programs he help people to see the’re own gift he believe that EVERY PEOPLE IS SPECIAL.

Free Association on the word “Freedom”:

“Freedom to do what ever you love, … to do something. Limitless, … to do without conditions, … to do what you see in your self, … to choose topic to topic, to be happy,

 “Without Thinking that I’m NOT ENOUGH… my limitation. I’m OK with this now, but need more PUSH to do it not just in FANTASY Without thinking what’s other thinking in reality

“Tulad sa sabi ko isa sa mga Grateful ako is yung FAMILY ko kasi SOBRANG BAIT at SOFT HEARTED nila, di katulad ni Jelo (story one) na sobrang strikto ng parents nya.

Pero ang problema kasi sakin ako mismo yung PUMIPIGIL sa FREEDOM ko. Kasi lahat ng gusto kong gain Malaya kong nagagawa sa DAYDREAM ko pero ang kapalit nya noon kinukulong ko sa daydream ko.

Lunod na lunod nako sa daydream ko sarili ko para akong isdang nasa malalim na dagat na takot na takot pumunta sa lupa kasi lagi kong iniisip na ISDA ako.

“Simula palang pag ka bata ko kasama ko na daydream ko wala akong pake kahit wala akong KALARO sa realidad ang importante sakin may LARUNA ako kasi lagi kongna iimagina na kasama ako sa laruan ko tipong parang BUHAY sila, halus dun nag umpisa lahat hanggang sa di ko na kailangan ng laruan para magkaroon ng kalaro. Oo malaki nagging epekto sakin netong Anxiety, ADHD o kung meron man akong Dyslexia yan din. Kung walaka akong daydream disorder Hindi magiging MASAYA childhood ko. Daydream ang SUMASALBA sakin matagal ng MASARAP na pakiramdam na may TATAKBUHAN ka kapag may panget na ng yare

at importate sa lahat DAYDREAM KO SUMALBA SAKIN SA SUICIDE.

Kung gagawa man ako ng isa sa pinaka malaking SACRIFICE sa buong buhay ko eto yung ITIGIL DAYDREAMko. May pakiramdam to na mag TAKSIL ako pagkatapos lhat ng ginawa nila para sakit, iiwan ko lang din sila. SOBRANG HIRAP sakin neto sobra. Hindi nila alam na eto ang pinaka RISK na gagawin ko sa lahat, wsalang ibang makaka intindi sa SACRIFICE na gagawin ko. Di nyo maiintindihan kasi ako lang naman KASAMA ng dardream ko eh.”

 

 

mental disorders for PWD certification

 Re: DJNRMHS Psychiatry Section Rules

"Psychiatric PWD Certificates will only be issued under the following conditions:

1. Regular follow-ups for a minimum of 3 months.

2. Diagnoses of: Bipolar Spectrum Disorder, Schizophrenia, Autism Spectrum Disorder, & Other Neurolodevelopmental Disabilities (ADHD, Intellectual Disability)."

maladaptive daydreaming

https://www.healthline.com/health/mental-health/maladaptive-daydreaming?fbclid=IwAR0o5CVoWJc-cyYQHN2Ms6jxqtSkSrTQpSOjKCLtp6ZoQwBXbiYppGGDqnI #treatments

>definition: a psychiatric condition identified by professor eliezer SOMER of the university of haifa in israel characterized by INTENSE DAYDREAMING that DISTRACTS the person from their REAL life triggered by real life situations including: conversation topics, sensory stimuli (e.g., noise or smell), & physical experiences (not yet part of DSM-5 & no official treatment)

>common symptoms:

--extremely VIVID daydreams (dd) with their own characters, settings, plots, & other detailed, story-like features

--dds triggered by real-life events

--difficulty completing everyday TASKS

--OVERWHELMING DESIRE to continue dd

--while dd: performing repetitive movements, whispering & talking

--LENGTHY (from minutes to hours)

>cause: experts not yet sure

>measure: MDS = Maladaptive Daydreaming Scale by Somer

--5 key characteristics: 1. content & quality of dreams 2. COMPULSION 3. distress 4. perceived benefits, & 5. INTERFERENCE in daily activities

NB: often misdiagnosed as psychosis but dreamers can differentiate REALITY vs fantasy! 

>comorbidities: ADHD, D, OCD

NB: not yet understood how they are related to dd

>TX: FLUVOXAMINE (Luxor) c/o 1 study, support group, online fora like Daydream In Blue & Wild Minds Network 

--

paraphilic masturbation

https://www.psychologytoday.com/us/blog/sex-life-the-american-male/201403/unacknowledged-harm-masturbation

by Michael Shelton, MS, LPC [Sex Life of the American Male] "An unacknowledged harm of masturbation (When does masturbation become problematic or unhealthy?)"

PARAPHILIA = [o] recurrent and intense sexually arousing FANTASIES, SEXUAL URGES, or SEXUAL BEHAVIORS that cause significant DISTRESS or IMPAIRMENT in social, occupational, or other areas of functioning" (American Psychiatric Association).

What we do know is that paraphilic development begins early in life (most males develop a paraphilic interest by the age of 17). The text Human Sexuality summarized the literature regarding the etiology of paraphilia and concluded: “People with paraphilia seem to have grown up in dysfunctional environments and to have had early sexual experiences that limited their ability to be sexually stimulated by consensual sexual activity.” (p. 341)[iv] Also, all paraphilias are primarily reinforced by masturbation. Unable to obtain sexual satisfaction by engagement in the activity most sexually stimulating to them, adolescents with paraphilic interest instead use fantasy and masturbation as a primary means of gratification thus keeping their desire hidden and unknown even to the people closest to them.

Each episode of masturbation however only further reinforces the paraphilic interest and reduces the possibility of modifying or eradicating it in the future. When people joke about the harm of masturbation, they almost always neglect to consider its truly most harmful effect. Each time a male masturbates to a paraphilic fantasy he further etches it into the hardwiring of his brain and increases the risk of future “significant distress and impairment,” particularly regarding sexual functioning and satisfaction. Once a paraphilic interest has fully developed, it is almost impossible to ameliorate.

References

[i] American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4^th ed.). Washington, DC: Author.

[ii] Kafka, W.P. (2007). Paraphilia-related disorders. In S.R. Leiblum (Ed.), Principles and practice of sex therapy (pp. 442 – 476). New York: Guilford Press.

[iii] Feierman J.R. & Feierman, L.A. (2000). Paraphilias. In L.T. Szuchman & F. Muscarella (Eds.), Psychological perspectives on human sexuality (pp. 480 – 518). New York: John Wiley & Sons.

[iv] Strong, B., DeVault, C., Sayad, B.W., & Yarber W.L. (2005). Human sexuality: Diversity in contemporary America. Boston: McGraw Hill.

comoribid = direct vs indirect causal relationship vs common factors

https://comorbidityguidelines.org.au/a1-what-is-comorbidity/why-does-comorbidity-occur

"There are a number of possible explanations as to why comorbidity may occur (see Figure 2):

>The presence of a mental health condition may lead to an AOD use disorder, or vice versa (known as the direct causal hypothesis).

>There may be an indirect causal relationship.

>There may be factors that are common to both the AOD and mental health condition, increasing the likelihood that they will co-occur.

=====================================================================

https://comorbidityguidelines.org.au/why-does-comorbidity-occur/why-does-comorbidity-occur/direct-casual-hypothesis

1. OAD as EFFECT of a MH condition 

MH condition --> AOD (alcohol or other drugs) ["SELF-MEDICATION" Hypothesis] = substances are sued to medicate MH symptoms

2. AOD as CAUSE of a MH condition 

AOD --> MH condition ["SUBSTANCE-INDUCED DISORDERS"]

-- alcohol --> depression, anxiety

-- stimulants, steroids, or hallucinogens --> mania

-- alcohol withdrawal, amphetamines, cocaine, cannabis, LSD (lyserfic acid diethylamide) --> psychotic symptoms

-- OAD --> substance-induced neurocognitive disorder, sexual dysfunction, sleep disorder

comorbid = mutual influence relationship

"There are a number of possible explanations as to why two or more disorders may co-occur. It is most likely, however, that the relationship between comorbid conditions is one of mutual influence."

https://comorbidityguidelines.org.au/part-a-what-is-comorbidity-and-why-is-it-important/a1-what-is-comorbidity

drug and tobacco abuse: common comorbidity

"Indeed, one of the most common and often overlooked comorbidities in AOD clients is tobacco use (discussed in Chapter B1) [9-12]."

https://comorbidityguidelines.org.au/part-a-what-is-comorbidity-and-why-is-it-important/a1-what-is-comorbidity

suicidal depression = severe

 "For example, people who report symptoms of depression but do not meet diagnostic criteria have reduced productivity, increased help-seeking, and an increased risk of attempted suicide [22]. Therefore, rather than viewing mental health as merely the presence or absence of disorder, mental health conditions can be viewed as a continuum ranging from mild symptoms (e.g., mild depression) to severe disorders (e.g., schizophrenia or psychotic/suicidal depression)."

https://comorbidityguidelines.org.au/part-a-what-is-comorbidity-and-why-is-it-important/a1-what-is-comorbidity

panic disorder: essential feature

https://en.wikipedia.org/wiki/Panic_disorder

key word: PAROXYSMAL [Gk. para = beyond + oxys = sharp, pointed] = sudden & uncontrolled, occurring periodically (medicine)dictionary.com], sudden attack, convlusions; periodic worsening of a disease [etymonline.com]

--ICD-10-CM Code F31.0 Panic Disorder (Episodic PAROXYSMAL Anxiety) without Agoraphobia

>"The essential feature is recurrent attacks of SEVERE ANXIETY (panic) which are NOT RESTRICTED to any PARTICULAR situation or set of circumstances and are therefore UNPREDICTABLE."

>"Often the first attacks are triggered by physical illnesses, major stress, or certain mediation."

>Rule Out Depression: "Panic disorder should NOT be given as the main diagnosis if the person has a depressive disorder at the time the attacks start; in these circumstances, the panic attacks are probably SECONDARY TO DEPRESSION."

  

socio- vs psychopath

https://www.psychologytoday.com/us/blog/wicked-deeds/201801/the-differences-between-psychopaths-and-sociopaths

a. commonalities

antisocial personality disorders (dsm5)

disregard laws & social norms

fail to feel REMORSE or GUILT

tend to be violent or have aggressive behaviors

b. differences

1. sociopaths = environmental (trauma & abuse), sporadic crimes, usu jobless & uneducated, can empathize with a few people only

2. psychopaths = genetic inability to control impulse & emotions, well-planned (cool, calm, meticulous) crimes (sometimes with contingency plans), usu with job & well-educated, ~50% of serial killers; MANIPULATIVE, MIMIC emotions, others = objects of amusement; "the most dangerous of antisocial PDs" 

 

a police officer as a sociopath: the australian story of the 1980s

https://www.youtube.com/watch?v=4kjFYH5Y4YY

Re: The sex worker turned hero who exposed Australia's dirtiest cops | Under Investigation (47:42 minutes) (24 August 2021 -- today!)

i just heard on youtube the interview with 2 former COA (commission on audit) commissioners being interviewed on separate shows on the COA expose & senate investigation (last week) of DOH's (department of health) mishandling of 63million pesos & one commissioner saying that "WHISTLE BLOWING" is not in the Filipino culture because of fear, of course, & think the other is the famous Filipino social personality of SIR = smooth interpersonal relationships even vis-a-vis the TRUTH.

well, here's a prostitute hero who risked her life "so that others may live" -- be liberated, given justice, and the wider society be more safe and secure by giving an interview over australia's famous 60 minute show in 1981 by revealing the DOUBLE LIFE of New South Wales police detective ROGER CALEB ROGERSON (sacked 1986, sentenced to life imprisonment only in 2016!) -- a well-known detective regarded as a future police commissioner. MICK DRURRY, fellow police officer refused to be corrupted by him!

may her soul (strangled and drowned in 1986 at age 26 believed to have been done by violent ganster Arthur "Neddy" Smith [also serving sentence who confessed to the murder to his cellmate & verified by DNA testing from sallie-anne's exhumed body] -- Sallie-Anne revealed the connection between Rogerson & Smith, as ordered by Rogers) & that of her heroine dealer boyfriend WARREN CHARLES LANFRANCHI who also gave his life for a dream of a new life with SALLIE-ANNE HUCKSTEPPrest in peace. amen.  

========================================================================

https://www.news.com.au/national/crime/the-life-and-death-of-sallieanne-huckstepp/news-story/20f35a11f1322a56006fbca2d587d972

SALLIE-ANNE, the martyr whistleblower

WARREN -- the person who was able to make Sallie-Ann stop her vices & unhealthy lifestyle

psychological incapacity grounds (dapatlaw.com)

https://www.youtube.com/watch?v=dflfkS_eJG0 (CNN News 05/14/2021)

>definition of terms

1. declaration of nullity of marriage = void ab initio (can re-marry)

2. annulment = voiding a marriage that was valid (can re-marry)

3. legal separation = removing the legal consequences of marriage (cannot marry); nearest equivalent of divorce in the PH (the lone country with the Vatican that does not legally recognize divorce)

GROUNDS FOR DECLARATION OF NULLITY (void ab initio)

1. minority and lack of parental consent

2. insanity

3. consent through fraud, force, intimidation or undue influence

4. physical incapacity to consummate marriage which is incurable

5. psychological incapacity 

THREE LEGAL REQUIREMENTS FOR PSYCHOLOGICAL INCAPACITY:

1. GRAVITY = very serious that the person can no longer perform the essential marital obligations**

2. JUDICIAL ANTECENDENCE = deeply rooted incapacity existing PRIOR to marriage

3. PERMANENCE & INCURABILITY*

*in a Press Briefer dated 05/21/2021, the Supreme Court unanimously decided the requirement of INCURABILITY is no longer needed in the case of Tan-Andal vs Andal.

However, Atty Joyce Domingo-Dapat, Family Law Expert says that there is no substantial change because since 1995, it was already decreed that the person is INCURABLE as regards this particular spouse ONLY (specific vs universal).

 ***ESSENTIAL MARITAL OBLIGATIONS

1. to live together

2. to observe mutual love and respect

3. to provide support to each other (financially and psychologically)

4. to manage the household

>fees: lawyer = 250-600k (package deal vs acceptance fee + progress fee) + psychiatrist or psychologist = 25-60k = 300+K

NB: to have a good "fighting chance," the lawyer's manifestation must be CLEAR & CONVINCING!

turner vs klinefelter syndrome

turner = in females, lacking x chromosome (or abnormal) resulting in ovarian insufficiency, among others

klinefelter = in males, excess x chromosome, resulting in sterility (& decreased male physical traits like muscles, hairs & increase in female features like breast tissue)

"toxic people" (narcissistic-psychopathic/antisocial)

source: adapted from fr jhonatan a. letada, svd (2020). the word in other words: bible diary 2021. commentary on the gospel for 13 jul 2021. mt 11:20-24 jesus reprimands the unbelieving people of chorzin & bethsaida

characteristics of "toxic people": (source: rachel chimits. altetheia magazine)

1. divine & conquer -- destroy relationships, make them totally dependent on you; monopolize time, isolate friends & family [antisocial personality]

2. "I, my, me" despotic control -- all his views must be the views of everyone else, pursues his ideas amidst all kinds of objections [narcissistic personality]

3.  slippery as a snake -- never takes responsibility for his actions, evades them, never apologizes [antisocial personality]

high functioning anxiety (12 "symptoms")

https://www.youtube.com/watch?v=NNN3iXFoi54 (7:36)

by Psych2Go

1. you turn down things you actually want to do (due to social anxiety)

2. you dislike having to meet new people (social anxiety)

/ 3. you're uncomfortable with slow results (impatience due to high sense of urgency)

/ 4. you get very little sleep (insomnia due to overthinking)

/ 5. you fixate on the tiniest details (obsessive-compulsive personality)

6. you get hung up on old conversations (ruminations)

7. you're unforgiving to yourself (OC perfectionism)

8. you constantly compare yourself to others (OC competitiveness ?)

/ 9. you're a constant people pleaser

/ 10. you need to keep yourself BUSY all the time (as a coping mechanism to DISTRACT yourself from overthinking [T-] & worries [F-]

11. you get very anxious whenever you think about the future (catastrophizing)

12. you always focus on the worst case scenario

nb: / = applies to moi :-) 

histrionic personality disorder: symptoms & examples

https://www.youtube.com/watch?v=k5hYsIDzpqk (11 mins)

fr: dr todd grande (2018 sep 8). examples of histrionic personality disorder (PD) symptoms (Sx) manifestations.

>under cluster B of PDs, defined as "EXCESSIVE EMOTIONALITY & ATTENTION-SEEKING" with 5/8 of the following Sx

1. CENTER OF ATTENTION (constant need; otherwise, uncomfortable), e.g. as he enters the room, makes eye contact with everyone, inserts himself in the current conversation not knowing what it's all about, makes dramatic statements to create a scene (e.g. "this project's gonna fail miserably.")

2. SEXUALLY SEDUCTIVE or provocative, e.g. suggests possibility of sexual encounter with another professional, creating a strain

3. EMOTIONAL -- rapidly SHIFTING & SHALLOW (i.e., not well-established), "i'm extremely depressed (crying & seemingly uncontrollable)" after a while, shifts to being happy & excited "i'm on top of the world."

4. uses APPEARANCE to draw attention (overlaps with 1 & 2), e.g. dresses provocatively & in a distinctive way; resistant / unaffected by negative feedback -- e.g., uses of jewelry (excessive, flashy, prominently worn) to ensure people will notice

5. IMPRESSIONISTIC SPEECH = lacks details or facts, e.g., "you're the best ever!" to a new delivery van driver & shows excitement everytime he comes in but cannot give a good reason when asked WHY

6. EMOTIONAL -- EXAGGERATED expression (silimar to 3 & 5), e.g. greets with hugs & kisses, loud, & excitement to see just an acquiantance; thus, INAPPROPRIATE & EMBARRASSING (the more public, the more intense)

7. SUGGESTIBLE (easily swayed by others) -- indecisive, easily trusts authorities; high in the agreeableness trait's trust facet, e.g. (1) "Chevrolet is the best!" then, after talking to another: (2) "Ford is the best!"

8. INTIMATE (overestimated) -- regards relationships as more intimate than they really are; puts ROMANTIC elements when there's none; e.g., comes to work sad & asks colleague to listen to him then gives a flood of information with the effect to BEWILDER the colleague; VIOLATES BOUNDARIES

===============================================================

NB: the diagnostic criterion is CONTROVERSIAL because there is not much impairment; instead, it is even associated with careel success when creatively valued

 

anxiety precedes depression in 57% of comorbid cases vs 18% vice versa (2011 Lamers et al.)

 "In 57% of comorbid cases, anxiety preceded depression, and in 18%, depression preceded anxiety." (in the Netherlands 2011, pubmed.ncbi.nlm.nih.gov/21294994/)

source: https://pubmed.ncbi.nlm.nih.gov/21294994/

2011 Mar;72(3):341-8.

 doi: 10.4088/JCP.10m06176blu. Epub 2011 Jan 25. (JCP = Journal of Clinical Psychiatry)

Comorbidity patterns of anxiety and depressive disorders in a large cohort study: the Netherlands Study of Depression and Anxiety (NESDA)

Femke Lamers 1, Patricia van Oppen, Hannie C Comijs, Johannes H Smit, Philip Spinhoven, Anton J L M van Balkom, Willem A Nolen, Frans G Zitman, Aartjan T F Beekman, Brenda W J H Penninx

Abstract

Background: Comorbidity of depressive and anxiety disorders is common and has been shown to be a consistent predictor of chronicity. Comorbidity patterns among specific depressive and anxiety disorders have not been extensively reported. This study examines comorbidity patterns and temporal sequencing of separate depressive and anxiety disorders using data from a large psychiatric cohort.

Method: Baseline data (N = 1,783) of the Netherlands Study of Depression and Anxiety, collected between September 2004 and February 2007, were used. Current and lifetime comorbidity rates for depressive and anxiety disorders (DSM-IV-TR criteria) were calculated. Associations of comorbidity with sociodemographic, vulnerability, and clinical characteristics, and temporal sequencing of disorders were examined.

Results: Of those with a depressive disorder, 67% had a current and 75% had a lifetime comorbid anxiety disorder. Of persons with a current anxiety disorder, 63% had a current and 81% had a lifetime depressive disorder. Comorbidity of depressive and anxiety disorders was associated with more childhood trauma (OR = 1.19; 95% CI, 1.06-1.33), higher neuroticism (OR = 1.05; 95% CI, 1.02-1.08), earlier age at onset of first disorder (OR = 1.59; 95% CI, 1.22-2.07), longer duration of depressive and/or anxiety symptoms (OR = 1.01; 95% CI, 1.01-1.01), and higher symptom severity (ORs ranging from 1.01 to 1.03; all P values < .05). In 57% of comorbid cases, anxiety preceded depression, and in 18%, depression preceded anxiety. Comorbidity with preceding depression compared to preceding anxiety was associated with a shorter duration of symptoms of depressive and/or anxiety symptoms (OR = 0.99; 95% CI, 0.98-0.99), earlier age at first onset (OR = 0.46; 95% CI, 0.31-0.68), and fewer fear symptoms (OR = 0.98; 95% CI, 0.97-0.99).

Conclusions: Comorbidity rates in anxiety and depressive disorders were very high, indicating that it is advisable to assess both disorders routinely regardless of the primary reason for consultation. This is especially important since comorbid patients showed a specific vulnerability pattern, with more childhood trauma, neuroticism, and higher severity and duration of symptoms.

© Copyright 2011 Physicians Postgraduate Press, Inc.

projection: we see things as we are

 

psychosis

 

definition of severity in major depressive disorder

"doc c, good am po. question: if a px already has suicidal ideations complying with the diagnostic criteria for MDD, does this make it automatically severe or depende pa rin sa overall assessment?"

A: "some books would base it on the number of symptoms for example 7 out of the 9 symptoms is said to be severe already. But some would say it would depend on the level of functioning. ie those who are already vegetative in bed"