Wednesday, January 19, 2022
adult ADHD case F48
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
--