Wednesday, January 19, 2022

adult ADHD case F48

 


me: malikot po ba kayo nung maliit -- takbo ng takbo, umaakyat sa bintana, nadadapa etc

service user: tahimik po ako, detached, hindi malikot kundi aligaga, laging may kunukuha or hinahanap sa bag. laging nadadapa or nahuhulog sa hagdan. ang dami ko pnag di maalala nung bata ako. kahit ngayon ang memory ko ang wino-work out ko pano maka-retain at maka-focus ng attention. ang dami ko pong ginagawa at inaaral na di natatapos. kala ko nga po may autism ako nung bata ako pero nakita ko sa youtub si Mel Robbins, sabi nya na diagnose sya na adult ADHD at age 47, karamihan daw sa babae undiagnosed? lost generation of women po ang tawag nya. kaya po ako magpa-consult sana if possible kahit tele-consult, gusto ko po ng peace of mind, to forgive myself and mawala ang regrets ko kasi i feel and dami ko pong lost years, i want an understanding or explanation for myself. i don't feel my age. actually 20s pa lang nararamdaman ko po may mismatch. nayon parang may gap pa din, how can i narrow d gap? also unhappy ako sa work ko dahil kahit interest or skill ko po ang numbers and writing, hindi ko po magaw. hindi ako mag-excel kasi nga po baka hindi suitable dahil desk jobs? ang dami kong inaaral pero di ko po natatapos or natutuloy. i junp to the next one kahit di ko pa na-digest or ma-explore mabuti. cylce na po, nakakapagod. JACK OF ALL TRADES pakiramdam ko. disorganized po ako sa bahay and sa work. ke hard copies or soft copies or kahit anong gamit. hoarder din kasi ako kaya nakadagdag sa disorder, ang dami ko pong di maalala nung childhood ko. last year nag-join ako ng program ni Jim Kwik yung brain coach po, nakatulong po konti ang mga brain exercises and brain food pero kulang pa din kasi yung focus or concentration ko po hindi ko ma improve. Also ang memory ko ngayon, ang homily ng mass hindi ko kayang ulitin pagkatapos ng mass. Pag may kausap ako kahit kaharap ko din ko na maalala ang sinasabi minsan swerte pagtalikod ko lang nakakalimutan. Minsan ganito pa din po ako. Pero bakit po ganon, nakatapos ako ng accounting at cpa po ako ngayon (3takes) and prc licensed real estate broker po ako. Kumuha din po ako ng Financial Planning. Pero wala po akong na pursue or nag excel dito kahit interested po ako. Ngayon im into writing pero hirap na hirap and can only finish pg may kasama or may deadline.
I have been intentional, aware and did my best to overcome this pero still I can’t do it alone, ang maganda lang ngayon finally, may name na! I already dealt with all my emotional issues akala ko dun galing pero this i have to face pa pala:(
Please help me doc how to live with adhd or may cure po ba ito? I want to experience to live a happy, meaningful and fulfilled life. I am very hopeful, there’s more to life than what I have or experiencing. Thank you so much po. God bless


Friday, December 17, 2021

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

Tuesday, December 7, 2021

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














 

Friday, December 3, 2021

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.”

 

 

Wednesday, November 24, 2021

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)."


Monday, November 22, 2021

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 

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