some panic attack symptoms in medical terms

TACHYCARDIA = fast heartbeat

DYSPNEA = shortness of breath

ANGINA = chest pain

NAUSEA = urge to vomit

PRESYNCOPE = lightheadedness, fainting feeling

DEREALIZATION = feeling disconnected to body & thoughts

pseudohallucination

"A pseudohallucination is an involuntary sensory experience that is vivid enough to be regarded as a hallucination, but which is recognized by the person experiencing it as being subjective and unreal. By contrast, a “true” hallucination is perceived as entirely real by the person experiencing it " (Pseudohallucination - Wikipedia)

"The term is not widely used in the psychiatric and medical fields, as it is considered ambiguous;^[5] the term nonpsychotic hallucination is preferred.^[6] Pseudohallucinations are more likely to happen with a hallucinogenic drug. But "the current understanding of pseudohallucinations is mostly based on the work of Karl Jaspers".^[7]

"A further distinction is made between pseudohallucinations and parahallucinations, the latter being a result of damage to the peripheral nervous system.^[8]

"They are considered a possible symptom of conversion disorder in DSM-IV (2000).^[9] In DSM-5 (2013), this definition has been removed.^[2] Also, pseudohallucinations can occur in people with visual/hearing loss, referred to as Charles Bonnet syndrome.^{[citation needed][10]}

(same source)

meconium aspiration syndrome & ASD = 7x/normal

 from ms bing chat 2023 nov 30

psychopath vs sociopath

 (20+) Dark psychology and manipulation. | Facebook

Psychopaths and sociopaths are both characterized by a lack of empathy and conscience, but there are some key differences between the two. Psychopaths are typically born with their condition, while sociopaths are believed to be more influenced by their environment. Psychopaths are also more likely to be manipulative and deceitful, while sociopaths may be more impulsive and aggressive.

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

Fr: Barb Chiqovani

The main differences I’d say are:

1. Sociopaths are more influenced by their emotions than psychopaths are, psychopaths might not even experience emotions at times.

2. Psychopaths are more likely to be sadistic and commit serious crimes than sociopaths.

3. Sociopaths can love pets and people outside of their family, while psychopaths can’t. Psychopaths typically don’t even view their wife or husband as family.

4. Sociopaths are more impulsive than psychopaths, but also more cautious than psychopaths.

5. Psychopaths are more paranoid and suspicious of the environment around - they also display far more social awareness than sociopaths.

Both of them are extremely unlikely to think that they need help or that they have a problem… Sociopaths and psychopaths don’t usually seek therapy.

F51.3 Parasomnia, Somnabolism (FIRST CASE)

... secondary to G47.3 Sleep Apnea

13M only child, M: early retired teacher to look after only son, F: died of illness

onset: a year after F died

5 YRS PTC, Dx "Mild Obstructive Sleep Apnea [Gk. a = no + pnoei = breathing] & Hypopnea [>Gk. hypo = below + pnoia = breath] (Low Respiratory Rate) Syndrome"

probably aggravated, since M showed me a video when C was a child having sleepwalking -- agitated & crying (seems to have night terror)

personality: appear schizoid to me, did not fill up drawings for happy memories & best version of self; experienced anxiety upon entry to new school as Gr 7, then again at Gr 8 for the first few months due to having new classmates

                    : appeared effeminate to me based on how he moved, which our janitress affirmed when i asked her

referred to PCMC: pedia pulmo & pedia psycha

 

mania vs hypomania

 Mania - StatPearls - NCBI Bookshelf (nih.gov)

Dailey & Saadabai, 2023 (National Institute of Health)

"Mania is a period of 1 week or more in which a person experiences a change in normal behavior that drastically affects their functioning. Mania can be distinguished from hypomania in that hypomania does not cause a major deficit in social or occupational functioning, and involves a period of at least 4 days rather than at least 1 week. The defining characteristics of mania include increased talkativeness, rapid speech, a decreased need for sleep, racing thoughts, distractibility, increase in goal-directed activity, and psychomotor agitation. Some other hallmarks of mania are an elevated or expansive mood, mood lability, impulsivity, irritability, and grandiosity."

severe anxiety with psychotic features

 

Anxiety Psychosis: What it is and How to Control it (calmclinic.com)

Anxiety Psychosis Treatment

Experts theorize that the reason the brain tends to have psychosis-like symptoms during extreme anxiety is that the brain doesn't know how to cope with extreme stress, and uses some of the symptoms of psychosis as coping mechanisms.

In many ways, stress overloads the brain so strongly that many of its functions shut down in order to be less affected by the stress. Once the anxiety decreases the brain no longer needs to protect itself and the symptoms go away.

So in many ways, part of reducing the psychosis is simply waiting it out.

There are ways to get yourself "back" to reality. Psychologists often advise utilizing your senses to make sure you feel yourself in the present. For example, running your hands under cool water and then focusing on the cool feeling can "snap" you back to the present. Focusing on different objects and describing the colors, smells, and sounds can help too. These activities essentially ground you in reality so that you're not stuck in your thoughts.

guilt vs shame

 source: msn.com/en-ph/news/other/the-psychological-effects-of-keeping-secrets

my conclusion: guilt is OBJECTIVE & PARTIAL (not always bad), shame is SUBJECTIVE & TOTAL (always bad / negative). Catholic teaching (from St Augustine): Hate the SIN, love the SINNER.

GUILT: "I regret having done something wrong. I wish I had done something differently."

SHAME: "There's something wrong with ME (whether or not I have done something objectively wrong). I'm failing to live up to expectations."

Shame, therefore, tends to PREOCCUPY people more than guilt because it can chip away at our sense of SELF-WORTH and lead to feelings of HOPELESSNESS.

trichotillomania (hair-pulling D/O) case # 01

 10.18.2023 F16 Brgy 188, CC 

trigger: stress c/o irritation over siblings (youngest of 5)

F: unemployed, M: domestic helper, elder bro & sister breadwinners -- bro sells soaps

ps: unfortunately, SU refused to remove her head covering for me to see what it looks like :-)

schizoid vs schizotypal

 Schizoid vs. Schizotypal Personality Disorder: What's The Difference? (therecoveryvillage.com)

SCHIZOID

• Having little interest in relationships or sexual experiences
• Choosing to be alone
• No engagement in pleasurable activities
• Lacking close friends other than family members
• Feeling indifference to praise or criticism
• Refraining from displaying warmth or love

SCHIZOTYPAL

• Believing that others are talking about them
• Magical thinking patterns or odd beliefs about oneself or others
• Unusual body sensations
• Suspiciousness or paranoia
• Confusing or eccentric thinking, speaking or behavior patterns
• Peculiar appearance
• High levels of social anxiety

PD definition

 Schizotypal Personality Disorder vs. Schizophrenia - The Recovery Village Drug and Alcohol Rehab

Unlike other mental health conditions, personality disorders are believed to be:

• Pervasive: affecting all areas of a person’s life
• Stable: despite fluctuations of intensity symptoms are rarely, if ever fully absenttabl
• Resulting from poor adaptation: impaired personal identity, or inability to develop interpersonal skills

stimming

 Autism Tests for Adults: Symptoms and Evaluations (verywellhealth.com)

STIMMING = self-calming behaviors that are difficult to stop even in public

Ex: pacing

      rocking

      hair twirling

      humming

statistical co-morbidties of ASD: ADHD (28%) & Anxiety (20%)

 

Autism Tests for Adults: Symptoms and Evaluations (verywellhealth.com)

the positive side (yang) of anxiety

 The Lesser-Known Positive Aspects of Anxiety - Psychic Monday

source: MIND & MENTAL (2023 Sept 05) 

[limitation: the article does not have citations]

1. improved INTUITION c/o heightened awareness of surroundings & people, ill: navigate a busy city or pick up on social cues

2. increased EMPATHY c/o hyper-aware of people's emotions

3. improved COGNITIVE FUNCTION c/o high cortisol --> memory & problem-solving

4. increased MOTIVATION c/o sense of urgency --> productivity & goal achievement in shorter time

5. more & more CREATIVITY c/o active imagination --> creative thinking & problem-solving --> innovative ideas & solutions

important notes on ASD

Source: DSM-5-TR (2022), p. 62.

re: childhood vs adulthood symptoms

"Diagnostic criteria may be met when restricted, repetitive patterns of behavior, interests, or activities WERE clearly present during CHILDHOOD or at some time in the PAST, EVEN IF SYMPTOMS ARE NO LONGER PRESENT."

re: NO universally accepted cut-off scores

"... the symptoms of ASD occur as DIMENSIONS without universally accepted CUTOFF scores for what would constitute a disorder. Thus, the diagnosis remains a CLINICAL one, taking all available information into account, and is not solely dictated by the score on a particular questionnaire or observation measure."

OCPD vs OCD

 

the hemingway depression and suicide transgenerational pattern

 The Interesting Life of Ernest Hemingway - en.claireandjamie.com

Death

Depression, paranoia, ECT, heavy drinking, hereditary hemochromatosis [iron overload](which caused his father to kill himself) and possibly even multiple concussions which may have caused him to develop chronic traumatic encephalopathy (CTE), saw Hemingway check into the Mayo Clinic for further shock treatment. But upon returning home to Idaho, he ate his favorite meal – New York strip steak, a baked potato, Caesar salad and a glass of Bordeaux – then took his own life by shotgun when he "quite deliberately" shot himself with his favorite shotgun in the early morning hours of July 2nd, 1961. 

Family Curse

Tragically, Hemingway's granddaughter Margaux committed suicide by drug overdose in 1996. Depression and suicide is a dark theme that runs through the Hemingway family like a curse.

As well as her grandfather Ernest and her great-grandfather (Ernest's dad) two of Ernest's siblings also died by their own hand. Suffering from cancer and depression, sister Ursula died of a drug overdose in 1966 and Leicester diabetic faced with the loss of his legs, shot himself in the head in 1982. Margaux's sister, Mariel Hemingway has become a mental health advocate. 

auditory hallucination as a symptom of intellectual disability

 

can intellectual disability cause auditory hallucinations - Search (bing.com)

advanced paternal age is a risk factor for autism & schizophrenia

 Advanced paternal age as a risk factor for neurodevelopmental disorders: a translational study | Molecular Autism | Full Text (biomedcentral.com)

Abstract (Krug et al., 2020 Molecular Autism, article # 54)

Advanced paternal age (APA) is a risk factor for several neurodevelopmental disorders, including autism and schizophrenia.... This study demonstrates associations between APA and social behaviors across species. They might be driven by changes in the expression of microRNAs and/or epigenetic changes regulating neuronal plasticity, leading to brain morphological changes and FRONTO-HYPOCAMPAL CONNECTIVITY, a network which has been implicated in social interaction.

wentworth miller: depressive & autistic

https://www.msn.com/en-ph/news/other/what-happened-to-prison-break-s-wentworth-miller-depression-autism-and-leaving-hollywood

burn out in ICD-11

 Workplace Burnout: World Health Organization Recognizes 3 Major Symptoms (inverse.com)

The ICD-10 version, defined burnout as “a state of vital exhaustion,” listed it under “life-management difficulty,” and didn’t outline symptoms in a robust way. The new ICD-11 definition includes three specific signs of workplace burnout:

1. 1. Feelings of energy depletion or exhaustion.
2. 2. Increased mental distance from one’s job, or feelings of negativism or cynicism related to one’s job.
3. 3. Reduced professional efficacy.

anti-NMDAR encephalitis

 Anti-NMDA receptor encephalitis - Wikipedia

Anti-NMDA receptor encephalitis is a type of brain inflammation caused by antibodies.^[4] Early symptoms may include fever, headache, and feeling tired.^[1][2] This is then typically followed by psychosis which presents with false beliefs (delusions) and seeing or hearing things that others do not see or hear (hallucinations).^[1] People are also often agitated or confused.^[1] Over time, seizures, decreased breathing, and blood pressure and heart rate variability typically occur.^[1] In some cases, patients may develop catatonia.^[5]

About half of cases are associated with tumors, most commonly teratomas of the ovaries.^[1][4] Another established trigger is herpesviral encephalitis, while the cause in others cases is unclear.^[1][4][6] The underlying mechanism is autoimmune, with the primary target being the GluN1 subunit of the N-methyl D-aspartate receptors (NMDAR) in the brain.^[1][7] Diagnosis is typically based on finding specific antibodies in the cerebral spinal fluid.^[1] MRI of the brain is often normal.^[2] Misdiagnosis is common.^[7]

Treatment is typically with immunosuppresive medication and, if a tumor is present, surgery to remove it.^[1] With treatment, about 80% of cases have a good outcome.^[1] Outcomes are better if treatment is begun earlier.^[2] Long-term mental or behavioral problems may remain.^[2] About 4% of those affected die from the condition.^[2] Recurrence occurs in about 10% of people.^[1]

The estimated number of cases of the disease is one in 1.5 million people per year.^[8][6] The condition is relatively common compared to other paraneoplastic disorders.^[2] About 80% of those affected are female.^[2] It typically occurs in adults younger than 45 years old, but it can occur at any age.^[4][7] The disease was first described by Josep Dalmau in 2007.^[1][9]

suicidal thoughts 17F MDD F32.2 Se

 08.31.2023 Drawing of Happy Memories

>"Does everyone secretly hate me?"

>"I am a liar."

>"Careful, careful, careful. Save yourself from someone."

>"Kurt Cobain, Syliva Playn, Marilyn Monroe"

>"I am addicted to loneliness and desperation. It is the strongest emotion I have ever known. It is my destiny to be different and alone."

>"I'm bored."

>"I like people who love cats."

>"I immediately hate men who hate cats because cats give off feminine energy. Therefore, he must hate women."

>"Dr. Strange said dreams are windows to our multiversal selves. My dreams aren't much different from reality. Just a little weirder or better."

>"I do not like minimalist houses. I think that it kills art. I admire the Christian aesthetic even though I do not believe in Jesus Christ."

>"There is no God. Aliens are real."

20% suicide rate in PH schools (DepEd 2023)

 

PTSD with Psychosis

https://www.verywellmind.com/relationship-between-ptsd-and-psychotic-symptoms-2797525#The%20Connection%20Between%20PTSD%20and%20Psychosis

a. PTSD with Psychotic Features: ~ 2.5% (Hammer, 2011)

   > NB: greater risk for suicidal thoughts and attempts & overall distress

b. Psychosis-Related PTSD: 14-47% (Schiz causing PTSD)

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

15 Aug 2023

ADHD: Simone Biles: 4 Gold medals in gymnastics in Rio Olympics in 2016 & the "TWISTIES" in 2020 Tokyo Olympics

 https://en.onechicagocenter.com/view/?id=life-of-nadia-comaneci-occ&src=facebook&utm_source=facebook&utm_campaign=occ_a_ww_kristinaf_occ2_157176_life-of-nadia-comaneci_all_conv-tv100_conv_dynamic_both_18p_i-0_cost-0.6&utm_medium=23853996734540782&fbclid=IwAR1gF_7qrn85kxIiN3QxYkIXRWJlEd07tCNgDuWk2uvI_ookCUsg9JlMLNI&page=46

ADHD

After the Rio Olympics, Russian hackers released private medical information about several athletes which they had taken from the World Anti-Doping Agency’s files. It revealed Simone Biles had tested positive for Ritalin, a drug commonly used to treat ADHD.

Biles reacted on social media and confirmed her diagnosis. "Having ADHD, and taking medicine for it, is nothing to be ashamed of,” she tweeted. “[and] nothing that I'm afraid to let people know," Biles revealed later in an interview with Understood that she has never seen having ADHD as a disadvantage, in fact, quite the opposite. "If you start to think of it as a superpower,” she said. “Then that's kind of cool."

A Story to Tell

After her four Olympic golds in 2016, Simone Biles gave herself a year away from competing. Gymnastics had been her entire life for fourteen years and it was time to take a break. Though she was still a teenager, Biles used the latter half of 2016 to write her autobiography.

"I want people to reach for their dreams and there are so many people who have inspired me with their love and encouragement along the way and I want to pass on that inspiration to readers,” said Simone of her decision. The book, Courage to Soar: A Body in Motion, A Life in Balance, was co-written with journalist Michelle Burford. It went to the top of The New York Times young adult best-seller list in January 2017. That year Simone also competed on ABC’s Dancing With the Stars.

#MeToo

“Most of you know me as a happy, giggly, and energetic girl, but lately I’ve felt a bit broken and the me I try to shut off the voice in my head the louder it screams.” This was the beginning of a statement Simone Biles posted on Twitter on Jan 15, 2018. “I am not afraid to tell my story anymore,” she continued.

“I too am one of the many survivors that were sexually abused by Larry Nassar. There are many reasons that I have been reluctant to share my story, but I know now it is not my fault.” The world of gymnastics was shaken when Team USA physician, Larry Nassar, was accused of sexually abusing more than 140 women and girls under the guise of medical procedures. Biles was one of the highest-profile athletes to step forward and tell her story.

Back On the Mats

In 2018, Simone Biles returned to competitive gymnastics and earned herself a place back in the World Championships team, this time traveling to Doha, Qatar. While chasing her fourth gold in the all-around final, Biles fell on both the beam and her vault, but still won the competition on points due to performing at a difficulty level far higher than the other athletes. She left Doha with her fourth all-around gold and her fourth-floor exercise gold.

The USA also took the team gold again. The 2018 competition gave Biles another significant achievement when she won gold in the vault for the first time, making her the first U.S. gymnast to win gold in all four events. She also took bronze on the balance beam that year.

A Clean Sweep

Despite the IGF undermining the difficulty level of her new skills, Simone Biles traveled to Stuttgart, Germany, for her fifth World Championships in 2019. She had a point to prove and she did not hold back. As was by now traditional. Biles won the all-around gold and the floor exercise gold, and the U.S. athletes won another team gold.

For the first time, however, Biles also won gold in both the vault and the balance beam, making it the first major championship in which she won four individual golds alongside her team medal.

..."Growing up, I didn't see very many Black gymnasts," she told her interviewer. "So whenever I did, I felt really inspired to go out there and want to be as good as them. I remember watching Gabby Douglas win the 2012 Olympics, and I was like, 'If she can do it, I can do it.’”

A Whole Life to Lead

As early as 2019, Simone Biles had admitted her career was taking its toll on her body. "Pain is just something I live with and that is pretty odd for my age, right?” she told the Daily Mail. “It feels weird if I'm not in pain." This is one factor in the record-breaking competitor’s indicated intentions to retire after the Tokyo Olympics.

When she does retire, Biles doesn’t intend to put her feet up entirely. "Gymnastics is just one part of my life, and I'm having as much fun with it as possible," she said in an interview with Us Weekly. "At some point, I'll have to go get a real job." 

Tokyo 2020

Expectations were high from Biles for the Tokyo 2020 Olympic Games. Despite a shaky performance in the gymnastics preliminary events, Biles managed to bring the American women team to the team finals and herself to the individuals' finals. And that’s when pressure took its toll. After a bad jump in the vault, Biles left the stadium and soon announced she is quitting the team competition. Later, she also announced she would be quitting all individual finals.

Speculation soon spiraled about what happened to the champion, and Biles was quick to answer it was due to her MENTAL HEALTH compromising her general health. “For anyone saying I quit, I didn’t quit, my mind and body are simply not in sync as you can see here,” Biles wrote. “I don’t think you realize how dangerous this is on a hard/competition surface.”

Biles remained in Tokyo to cheer her teammates throughout the rest of the competition.

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

QUITTING AS A STRENGTH, NOT A WEAKNESS

https://www.leehealth.org/health-and-wellness/healthy-news-blog/mental-health/simone-biles-and-pressure-talking-about-mental-health

The gymnast’s withdrawal came hot on the heels of another star athlete, tennis champion Naomi Osaka, who cited anxiety and mental health issues when she opted out of the French Open and Wimbledon earlier this year.

“I do think (athletes) help the mental health discussion. The thing I always tell my patients is that as a society, and, in the past, a lot of people saw mental health problems as a weakness,” Dr. Raab says. “I always tell patients that when they acknowledge that there is something that they need to work on, that’s a strength.”

Biles’ case and the twisties

... Experts and mental health advocates are quick to point out that PRESSURE is just another name for STRESS.

--- Behind the scenes, Biles recently revealed that her aunt died shortly before the Olympic competition. And Biles was also one of many young gymnasts sexually abused by USA Gymnastics team doctor Larry Nassar. In fact, Biles had said that one of the reasons she wanted to compete this year (after winning multiple golds at the previous Olympics) was to help shine a light on Nassar’s abuses and show that such horrors could be overcome.

“I think it’s so easy to judge somebody. And you have no idea what’s going on. We don’t know how much Nassar plays a role. Going back to competition, that could have been a trigger,” Dr. Raab says. “From a news perspective, it’s people’s job to commentate on things, but in reality there are probably a lot of layers to this story, and I think as a society we try to make judgments we don’t even know about.”

Also, Dr. Raab points out, if we’re pushing ourselves non-stop – in any profession – someday our body will just say no.

COVID-19 stress and burnout

Companies are seeing that employees will produce more if they are rested and it actually helps the long-term gain for the company as well,” Dr. Raab says.

n Biles’ case, the pressure she felt under the bright lights and the scrutiny of millions upon millions of strangers watching her led to something called “the twisties.”

This means that her mind-body connection, honed into muscle memory from years of intense practice, suddenly betrayed her, and she lost track of herself in the air – quite a problem when spinning and flipping at top speed. A gymnast dealing with “the twisties” opens themselves to serious injuries.

“Missing a foul shot is one thing, but missing a twirl is another – there is a high rate of injury,” Dr. Raab says about gymnasts. “You can break your neck, in her case, and that’s a whole other level of pressure. There’s so much where you have to know where your body is in relation to the ground. If you are not 100 percent, then it’s dangerous.

“But even outside of that, athletes at the top of their game, there is a lot of pressure there.”

Dr. Raab says we all have to take the time to check in with ourselves a little bit and maybe take a step back – in a way similar to Biles that is appropriate to our daily lives.

That could include finding things you enjoy and committing to them such as:

• Meditation
• Yoga
• Taking frequent breaks at work – especially if you are working from home. Just because you have a laptop on hand 24 hours a day doesn’t mean you should use it.
• Staying mindful and grateful
• Watching Netflix or other entertainment distractions
• Frequent walks or regular exercise
• Indulging in your favorite hobby or learning a new one

schizoid personality: the case of Christopher Johnson McCandless 1968-1992

https://en.bamsmackpow.com/view/?id=haunting-tragic-photos-bam&src=facebook&utm_source=facebook&utm_campaign=bam_a_ww_an_bsp9_173158_haunting-tragic-photos_all_conv-tv10_conv_dynamic_both_18p_i-0_cost-0.5_287908394&utm_medium=23855233301410184&fbclid=IwAR2fytsQ9xdAhax488pvzJXt2Ko9Oyr0IrP1LiFRa6-1NHeJn2tm7rF4n74&page=43

One Last Smile for the Camera

It would seem that for some, staring death in the face and smiling for their last goodbye is what comes to mind. Christopher McCandless went to live alone in the Alaskan wilderness despite having little knowledge or experience of how to survive in the wilderness.  He believed a spiritual force would guide him and that that was all he needed.

This is the last image he took of himself, holding a card with these words written on it: "I have had a happy life and thank the lord. Goodbye and may God Bless All!" The abandoned bus he briefly lived in, and eventually died in, was actually removed in 2020 after many had attempted to visit the gruesome destination and lost their lives in the process. 

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

https://www.youtube.com/watch?v=h34zjOkBHtY

sad & anxious emoticon

12 Jul 2023 14F F33.2 MDD F41.1 GAD

trigger for suicidal self-harm 3x (4 & 3 mos & 1 wk PTC): disowned by biological mother who lives nearby because mom apparently keeps her previous life hidden from her current second family