Sunday, 23 November 2014

BPD comes with Other Common Disorders

Other Common Disorders



By On April 7, 1998 
The borderline
disorder is usually associated with other neuropsychiatric problems.
Attention deficit disorder is probably the most common one. Most of
these “disorders” are really not illnesses at all, but traits that had
advantages in a different time and environment – but they are a serious
problem for patients in today’s society and it’s pressures. Successful
BPD treatment requires successful treatment of all neuropsych problems:
1) Generalized Anxiety Disorder (GAD):
the body’s “flight or fight” system seems to be on all the time,
causing fear related symptoms. One can experience mostly a “thinking”
anxiety problem, called the “cognitive component” of the GAD, where the
person is unable to sit peacefully with a quiet mind. This diagnoses is
almost always the case when medications like Paxil, Prozac and Ritalin
cause increased anxiety. Treating this disorder first is often necessary
before successfully treating the other diagnoses.


2) Obsessive Compulsive Personality Disorder (OCPD):


like the BPD, it’s a medical problem, not a “character disorder.” In
my opinion it is a condition people are born with. The body’s automatic
switch that takes over when facing a life and death situation stay’s on
all the time, constantly experiencing “life and death” sensations.
Symptoms include inappropriate perfectionism, difficulty making
decisions, inability to prioritize, and being a pack rat – all because
the person feels literally like he/she will die if an error is made.


3) Obsessive Compulsive Disorder (OCD):


an anxiety disorder (and/or symptom) characterized by excessive and
intrusive thoughts and ritual behaviors that help the person cope, such
as washing hands excessively, repeatedly checking the door, etc. The B
vitamin inositol in high doses can be as effective as standard
medications.


4) Attention Deficit (Hyperactive) Disorder:


a reduced flow of blood to the brain areas responsible for staying
focused on an activity or thought, and/or to think and consider before
acting or speaking. Some patients have hyperactivity as well. It appears
that the “disorder” does not go away at adulthood. I suspect a high
percentage, if not a majority, of untreated or undertreated ADD
individuals go on to get the BPD.


5) Rejection sensitivity:


along with dysthymia (rarely depressed, rarely happy – sort of in
between) and irritability they compromise a syndrome I call “fractured
enjoyment” (not a true medical diagnosis!). These symptoms collectively
so far are only treatable with Prozac, and are the main reason Prozac
has been so successful.


6) Panic Disorder:


results when the brain incorrectly assumes the individual is being
choked to death. This is a true medical problem with a high suicide
risk. Experiencing the body’s last ditch effort to avoid being “choked
to death” is a terrible sensation, and the victim may live in terror
that he/she will experience it again (preanticipatory anxiety).


7) Phobias:


irrational fears that limit the person’s ability to function, even
though he/she knows they’re irrational. They are usually treatable
medically, and include claustrophobia.


8) Cyclothymia:


is a relatively common mood swing disorder, similar to bipolar but with “mini highs” and “mini lows.”


(Dr. Heller’s book “Biological Unhappiness” explains the biology and treatment of these and other conditions).

BPD, Dysphoria and Treatment

Borderline Personality Disorder Dysphoria and Treatment



By On October 18, 2011 · Leave a Comment
Q. How do I tell when what I am going through is Dysphoria?

I have emotional storms that are extremely painful, and seem to be a
combinations of depression, some anger, fear and despair, all at once,
along with racing thoughts I can’t follow; I just feel like being
alive is a mistake when I get like that. I also feel a lot of stress, I feel like something inside of me
is about to snap… Is this *anything* like Dysphoria? Or is this just
“feeling bad”?

These “episodes” vary in strength and quality, the emotion that
dominate can change. There are times when I go into states that are
more slow, depressive but not exactly. It’s like things slow down
inside me; it takes me longer to respond to what happens around me, I
feel a little disconnected from the rest of the world (just a little).
this feeling is like floating around in a bubble, seeing everything but
through a thin layer. And if someone insists on talking to me and I
have to be responsive, I kind of “snap out of it” and after about a
minute, it can go away… I didn’t notice how much my behavior/perception
were affected by some of these episodes until one day, when I was
taking the subway to somewhere while feeling disconnected (after a bad
therapy session), someone tried to explain to me how to use the
turnstile — I guess I looked a little disoriented and like I didn’t
know what to do, because I was doing everything slower, and thinking
about what to do next took more time… and this is just one kind of
“episode.”

While there are those times when I slow down, other times I get
incredibly tense. I remember having “attacks” of terrible distress when
I was going through depression a few years ago, and they were so
unbearable that they drove me to self-mutilate to get rid of the pain.
They were different from the feeling of depression. The ones I have now
are not as bad; so I am not sure if this is even Dysphoria. I often
don’t even know what causes me to feel this way. It’s like a build-up of
despair that just erupts all of the sudden; other times, it happens
because I feel rejected, self-loathing, hated or guilty. Is this
treatable?

One thing I should probably mention is that, unlike most BPDs,
although I grew up in a very problematic family, I did not have a
traumatic childhood and I was not abused.

I guess the disconnecting thing is when my feelings reach a state of
overload. Another reaction I get when it’s too much is feeling nothing
— being numb, functioning well but being “dead” inside. I must admit
that there are times when I find it useful and count on it when I have
to go through something painful; I don’t know how to “turn it on”, but
somehow it happens. Sometimes the numbness turns into euphoria. I am
completely confused about this.

Sometimes I take mild sedatives when I can’t stand the tension, but
they rarely do anything. I just lay in a dark room or stare at the
wall. Sometimes these feelings–esp. the stress– are triggered by things
like someone saying they’ll come over and being late; not being able
to get someone on the phone; expecting something that I know should
happen — even if nothing goes wrong, the expectation alone makes me go
crazy. I try to remind myself of the reality, that I am not being
rejected, but it does not help at all. Once my mind starts this kind of
a cycle it’s like it doesn’t know how to stop.

I’m in therapy, and it’s helped me control my anger and violent
outbursts (for which I will feel guilty for the rest of my life, as I
should), but we have not found a solution for this emotional
vulnerability yet. Other than the “episodes” I was talking about, I
generally suffer from tension (to the degree that I get extremely
annoyed by sounds; I go ballistic when a neighbor plays his radio a
little too loud, or the TV in the other room is on, while other people
in the house get angry for a minute, then shrug it off), and, on the
other hand, a complete lack of energy, concentration and interest in
anything.

BPD BEHAVIORS: Dissociation and Dysphoria

BPD BEHAVIORS: Dissociation and Dysphoria




« on: March 08, 2007, 09:09:45 AM »


It strikes me that the borderliners in our lives have so much negative behaviour in common.

A
couple of weeks ago I came to a conclusion that most of that behaviour
is due to a single defense mechanism with lots of faces: Dissociation.  I
have been reading about dissociation ever since.

Common behaviour:
- Daydreaming, fasing out = dissociation
- depersonalised sex = dissociation
- "Black and White" thinking = dissociation
- Self mutilation, cutting = dissociation
- Remembering things differently than others do, lying = dissociation
- Raging = dissociation

We
all have our occasional dissociation in the form of daydreaming,
meditation, dancing on music until we get in a trance state... But I
believe BPD's do it quite often without having control over it as we do;
and their dissociation does not limit itself to occasional daydreaming;
it has a lot of different faces.

If the feelings of the BPD do
not match the situation or reality, the BPD will alter the
situation/reality to the point it does match.  They do this because they
do not want to be confronted with their out-of-place feelings.

PS: This is a personal conclusion.  Maybe I see a pattern that is incorrect. Please feel free to comment.


Wikipedia:
Dissociation
is a psychological state or condition in which certain thoughts,
emotions, sensations, or memories are separated from the rest of the
psyche. For this reason, it is sometimes referred to as "splitting."

French psychiatrist Pierre Janet:

The
French psychiatrist Pierre Janet (1859-1947) coined the term in his
book L'Automatisme psychologique; he emphasized its role as a defensive
maneuver in response to psychological trauma. While he considered
dissociation an initially effective defence mechanism that withdraws the
individual psychologically from the impact of overwhelming traumatic
events, a habitual tendency to dissociate would, however, promote
psychopathology.

The American Psychiatric Association:
The
American Psychiatric Association's Diagnostic and Statistical Manual of
Mental Disorders, Fourth Edition considers symptoms such as
depersonalization, derealization, and psychogenic amnesia to be core
features of dissociative disorders. However, in the normal population
mild dissociative experiences are highly prevalent, with 80% to 90% of
the respondents  indicating that they have had dissociative experiences
at least some of the time. [citation needed]

Dr. Richard Moskovitz
What is the difference between BPD and the spectrum of dissociative disorders?

In
normal consciousness, we experience an exquisite and seamless
integration of a variety of neurological functions. We are perceiving
input via all five of our senses and integrating these perceptions into a
meaningful picture of reality. Current experience is also influenced by
memory traces from the past that are automatically called into
awareness according to their relevance to the present. New memory traces
are constantly being created and stored. And we must remember that we
are not merely passive recorders of our environment but interact with it
via our various motor functions, altering both our surroundings and our
perceptions of them. Finally, to distinguish us from the computer on
which I record this message, we experience emotions, which further color
and individualize the content of consciousness.

Dissociation
describes any conditions in which one or more of these functions fail to
integrate and are split off or dissociated from the mainstream of
experience. The dissociated piece may be a small fragment of a function,
for example a specific memory of a single event in time, or it may be
of more sweeping consequence, such as amnesia for the essential elements
of one's identity.

Dissociation may affect memory creation or
retrieval, any aspect of sensory input and interpretation, the capacity
to execute motor functions such as movement or speech, and the emotional
coloring of experience. The cognitive and emotional aspects of
experience can be separated in more than one way. The perception of
one's surroundings may be robbed of all emotional tone as in
depersonalization. On the other hand, emotion can so dominate
consciousness that it blots out current reality as might occur in the
flashbacks that occur in Post-traumatic Stress Disorder.

Most of
the dissociative disorders that have been defined are well-circumscribed
in scope and may, in turn, originate with a single intense or traumatic
emotional experience. There may be amnesia covering a specific event or
period of time. There may be a discrete alteration of sensory input,
such as tunnel vision or even an episode of psychogenic blindness (often
interpreted as an unconscious unwillingness to view something painful).
Motor functions may be affected as in the paralysis of a limb or an
inability to speak (which may be understood as unconscious recognition
that something is unspeakable). Such alterations of sensory or motor
functions that are not based upon physical diseases characterize the
conversion disorders along with pseudo seizures and other non-organic
neurological dysfunctions. There may even be apparent alterations of the
individual's usual cognitive abilities.

Any of the dissociative
symptoms may occur in BPD. Dissociative experiences are a hallmark of
BPD. They are generally more varied, more complex, and often more
persistent than the single symptoms that characterize many dissociative
disorders. All people with BPD dissociate. Only some people who
dissociate have BPD.
At the other end of the complexity spectrum is
Dissociative Identity Disorder. In Chapter 4 of Lost in the Mirror, I
compared multiple personalities to the channels of a radio or
television. With this model, the tuner would be governed by current
circumstances and emotions, determining which personality would be tuned
in at any given time.

About BPD and depersonalisation and dissociation:
http://www.aapel.org/bdp/BLdissoUS.html

About BPD and lying, remembering facts different than others:
http://www.aapel.org/bdp/BLlieUS.html

About BPD and "black and white thinking"
http://www.aapel.org/bdp/BLsplittingUS.html

Friday, 21 November 2014

Born Without Social Genes | Nick Jr. Parents Blog

Born Without Social Genes | Nick Jr. Parents Blog



A young boy with Asperger’s interviews his mother and the result is a touching tribute to parenting.

Q&A from StoryCorps on Vimeo.

Joshua Littman was a twelve-year-old boy with Asperger’s Syndrome
when he and his Mum took part in an oral history project run by Story Corps.
In it Joshua, who is now twenty, interviews his Mum and the audio has
been beautifully animated to allow the viewer to ‘see’ the world from
Joshua’s eyes.

In the interview, Joshua asks his Mum some pretty candid questions.
The honest and touching answers that Sarah gives illustrates the
powerful bonds of parenthood and also show some of the challenges that
come with being a parent of a kid with Asperger’s.

Kids with Asperger’s Syndrome often miss social cues and can have
topics or interests that can be described as obsessive. Joshua’s
obsession is with animals. His Mum, Sarah, describes him as like “being
born without social genes”.

In the interview Joshua asks his Mum questions such as, “Do you have
any mortal enemies?” and the more tricky one, “Have you ever lied to
me?”. But the most touching moment has to be when Joshua asks his
mother, “Did I turn out to the son you wanted when I was born?” Sarah’s
beautifully articulated answer will bring a tear to your eye, and really
gives a glimpse into how much she herself would have grown and
developed over the course of Joshua’s life.

This interview was one of the most popular produced in the Story
Corps oral history initiative, and prompted a follow up five years
later, when eighteen-year-old Joshua re-interviewed his Mum following
his departure to college. In the updated interview, Joshua questions his
Mum about how she felt when he left for college and again her
sensitive answers to his questions show the depth of their relationship
and the special bonds that they have.

You can here the updated interview here.

Thursday, 20 November 2014

Foods High in Inositol | LIVESTRONG.COM

Foods High in Inositol | LIVESTRONG.COM

Last Updated: Dec 18, 2013 |
By Louise Tremblay

Foods High in Inositol



Citrus is high in inositol.
Photo Credit Medioimages/Photodisc/Photodisc/Getty Images



Inositol, sometimes known colloquially as "vitamin
B-8," is a beneficial nutrient that has been implicated in the
treatment of some behavioral or emotional disorders. Your body can
produce inositol by breaking down glucose, and does not rely on inositol
in your diet. However, your digestive tract can absorb inositol from
the foods you eat; consuming foods high in inositol can boost your
overall inositol intake.




Beans

Foods High in Inositol

Beans
Photo Credit Heather Down/iStock/Getty Image
One type of food high in inositol are beans.
Consuming 100 grams of navy and lima beans provides your body with
approximately 65 and 44 milligrams of inositol, respectively. Beans are
also rich sources of other nutrients including several vitamins and
minerals. Consuming beans increases your intake of dietary fiber to help
prevent constipation. When possible, consume fresh beans, as the
canning process can decrease the inositol content of foods.





Citrus Fruits and Cantaloupe


Foods High in Inositol

Cantaloupe
Photo Credit psycodesign/iStock/Getty Images


A number of fruits also contain inositol.
Cantaloupe and many citrus fruits, with the exception of lemon, serve as
extremely rich sources of the nutrient. For example, an 8 ounces
serving of grapefruit juice contains around 468 milligrams of inositol.
Fruits also contain other beneficial nutrients, including vitamin C,
which helps maintain your skin and blood vessels. Consume fresh fruit to
increase your inositol intake, since freezing, canning and processing
decreases the food's inositol content.





Whole Grain Bread


Foods High in Inositol

Whole grain bread
Photo Credit Jupiterimages/Photos.com/Getty Images


Bread made from whole grains can also increase
your inositol content. Each 37 grams slice of whole grain bread contains
around 13 milligrams of inositol. Consuming breads made from whole
grains also benefits your overall health, since the fiber found in whole
grain foods can help regulate your blood sugar and cholesterol, as well
as decrease your risk of diabetes and possibly some types of cancer,
notes the Linus Pauling Institute.

Considerations





Foods High in Inositol

Fruits and vegetables
Photo Credit Noel Hendrickson/Photodisc/Getty Images


Inositol is not an essential nutrient, so it does
not have a recommended intake level, since your body can produce as much
inositol as it needs to function. In addition, many foods -- including
several fruits, vegetables, grains and legumes -- contain phytic acid, a
plant compound converted to inositol after digestion. If you're
interested in modifying your diet to increase your inositol intake, talk
to a registered dietitian to design a meal




Saturday, 15 November 2014

Ruby Wax: Losing my TV career was a like death | Daily Mail Online

Ruby Wax: Losing my TV career was a like death | Daily Mail Online:





She was the queen of brash comedy – until Britain got bored of it. Then Ruby Wax’s depression took over and she ended up in The Priory.
Now she’s turned her darkest days into her comeback show.
Ruby Wax is talking about marriage.
Or rather, what a miracle it is hers has lasted 22 years. If it wasn’t for the kids, she says, it would have been over years ago.
Ruby has three children – Max, 22, Maddie, 20, and Marina, 17 – with her third husband, BBC producer Ed Bye, who she says ‘made our kids normal’. 
Finding it again: Ruby Wax is starring in a show about her depression called Losing It
Finding it again: Ruby Wax is starring in a show about her depression called Losing It
But marriage can be tricky, particularly when you’re married to a firecracker like Ruby.
‘I give him hell,’ she says. ‘I’m a nag. I’ll give him instructions without saying “please”. 
'I’ll just say, “Fix the window.” He’ll say, “Could you say that nicer?”’ So does she? Nope. 
'It sounds exhausting. Have they ever wanted to chuck in the towel? ‘If I didn’t have kids, yeah,’ she says. ‘But the way those kids are… he gave me those genes. When it’s just two people, marriage only lasts five years. Unless it’s a freak incident, you grow apart.’
'I wonder if Ed’s some sort of saint to… er… ‘Stand me?’ she asks. Yes, to be blunt. 
‘He is a really sweet man,’ she says. ‘I hadn’t had a lot of sweet men before. He comes from a really lovely, lovely family so he wanted a rollercoaster and he got one.’ He certainly did.
Ruby is the brilliantly brash funny girl who made a career out of being a bit of a bully. 
‘I just barked at people,’ she concedes. Until six years ago when barking at people stopped being funny and, as she says, ‘television gave me up’. 
She tried to hang on, even having a stab at reality TV on ITV’s Celebrity Shark Bait, but it wasn’t very funny. So she stopped trying and started a degree in psychology and philosophy. 
Soon, the brash bully had become the victim (although she’d hate to be thought of as such), suffering with depression and checking herself into The Priory.
Fast forward six years and she’s back. Now Ruby is using her own personal story in a show called Losing It, a mixture of music, comedy and confessional with singer-songwriter Judith Owen, also a sufferer of depression. 
‘It’s about not having a manual,’ she says, ‘falling off the cliff and thinking everybody else knows how to do life. I question envy. I tear out the pages of Hello! magazine saying, “Die, die.” I’m not happy for anyone else who has a job I want.
Happy family: Ruby with her husband, Ed Bye, and children Max, Maddie and Marina
Happy family: Ruby with her husband, Ed Bye, and children Max, Maddie and Marina
‘I talk about marriage and love and get to the bottom line. It’s a negotiated deal so I give prices for what you have to do. Household appliances have manuals but we don’t,’ she says. ‘I take you into what happens when you really don’t have a guide book and you have depression.’
Now Ruby is smiling really sweetly as she says this. She’s told me earlier that she’s learnt to say ‘brush’ before walking into a room, so her face and mind are set properly. 
When she begins to feel stressed, she repeats ‘brush, brush, brush,’ which all sounds a bit bonkers, but is, I suppose, better than barking.
Mental illness seems to be the new celebrity black since Stephen Fry confessed to suffering with bi-polar. Is Ruby just jumping on the bandwagon?
‘You can’t fake depression,’ she says.
‘Your personality leaves town and you’re replaced by something very dark. You’re no longer you, which is really scary. When you’re out, you’re out. I used to hope a car would hit me. 
'I didn’t plan anything, but anything would have been better than that pain. It isn’t even pain, it’s indescribable hopelessness – bigger than that. And, it goes on for months and months.
‘But I’m not depressed now. It’s like herpes.
'You don’t always have it. I hate people who say, “I’m a depressive” or, “I’m an alcoholic”. That’s not an identity, that’s a label. When people yabber on about being an alcoholic, it’s like being a feminist, or Jewish. We know. Now shut up.’
Ruby was brought up on labels: ‘failure’, ‘useless’, ‘idiot’, ‘braindead’. Her father, Edward Wachs, was Chicago’s sausage king. 
He had escaped from Austria with his wife Berta in 1938 and set about building an empire around sausage casings made from pig intestines. 
Her mother was obsessed with cleanliness, covering the furniture in plastic and worrying about smudged door handles. 
Her father was a strict disciplinarian and there was lots of slapping and screaming in the family home. Ruby couldn’t wait to get away. 
'Embodiment of punishment:' Ruby with her parents Edward and Berta Wachs in 1992
'Embodiment of punishment:' Ruby with her parents Edward and Berta Wachs in 1992
In her autobiography How Do You Want Me? she wrote, ‘To me, he was the embodiment of punishment. His job was to control and terrorise.’
Ruby’s father died in a rest home in Miami, Florida, seven years ago, following an emotional reconciliation with his daughter. ‘I did hug my dad and say I love you,’ she says. 
She never said the same to her mother, who died three years later. ‘My mother died in a coma. She couldn’t speak. She was out of it. She was really old – in her 90s. She was so angry, so bitter with everything. I never asked her why. To the end she thought something was wrong with me. 
'There was always criticism. We didn’t really relate.
‘I completely understand what they went through now. It’s too bad I didn’t when they were alive, but they were too red hot. My mother was the most beautiful woman in Vienna and she had to go to cowboy country, so she never got over that one. Now I feel really sorry for her.’
She pauses – ‘brush, brush, brush’ – before smiling. ‘We’re the best mothers, those of us who came from dodgy mothers, because we know what not to do. 
'I back my children. I don’t make judgments. They’re totally different people to me. I don’t understand who or what they are, but I think, “How interesting.” My mum thought I was a replica. She wanted to tell me what to eat and who to go out with.
‘You can see your children are not too clever in certain areas, but you keep your mouth shut. I was told by the school that my son was slow. My parents would have had a nervous breakdown.
'He studies physics now because nobody said he was stupid except that idiot woman. 
'Kids’ brains change all the time. The important thing is to give them confidence and self-belief.’
I wonder if Ruby thinks her mother’s death triggered her depression. The past few years have been particularly tough for Ruby, with her close friend and co-writer on Absolutely Fabulous Jennifer Saunders being diagnosed with breast cancer and her sister in-law Julia Canning being killed by a train while walking her dogs. 
The best mums are those who had bad mothers. We know what not to do
‘That was a shock,’ she says about her sister-in-law’s death. ‘Sometimes you’re slapped in the face with the big picture. 
'With Jennifer, I was obviously upset but I knew she’d be OK. That girl’s really resilient. She knows how I love her. But depression isn’t about something that’s happened.’
Indeed, Ruby’s depression is largely due to the cortisol levels in her brain. Cortisol is a hormone produced by the adrenal gland and released in response to stress. 
Abnormal levels of it have been linked to clinical depression and memory loss. She now knows that she’s been sick since she was a child, but her condition wasn’t diagnosed until she suffered a five-month depression following the birth of her youngest child and was prescribed a cocktail of drugs. 
But the bouts of depression continued.
She concedes that the loss of her TV career was devastating. ‘TV had always been my ambition, so leaving was a death,’ she says. ‘If I don’t do anything I go berserk. I can’t just sit and read a book. I also have to support my kids. Ed works but he’s a BBC director. Need I say more? If we were in LA we’d be laughing.
‘I started to feel as if I had two lives. Graham Norton, if you could wake him up at 2am, he’d still be Graham Norton. You could wake me up at 2am and I wasn’t the person on TV. I was an introvert. 
'I am funny, but if I’m not switched on, or I don’t like the person, it won’t come. If I interviewed somebody who was on Big Brother I’d just cry. I couldn’t fake it. It just didn’t happen.
'Then you could see my face on TV and it wasn’t good. On the shark show the way they edited it was humiliating and then I did a circus show and that was humiliating for me. 
You could see the misery.
‘I was going through what every human being goes through. We pretend to act grown-up but we don’t know what that means. I’m an adult, but I’m not conscious of it. 
'I don’t know how to act. I tell my daughter sometimes, “I really like your boyfriend. I think he’s sexy.” That’s just weird. But people are nuts.’
Ruby decided to take her nuttiness in hand three years ago when the length of the depressions increased. 
She booked herself into The Priory for six weeks and began to learn how to manage her condition. ‘I suppose there was a bit of thinking about my mother and deciding, “I’m not going to end up like that.” 
Depression isn't like just being sad. It's being a zombie. The walking dead
'Have you noticed with friends that whatever their flaws are they get more and more exaggerated? Something has to stop you in your tracks.
‘Depression is like a tsunami. Now I can feel certain triggers in my head. When my heart starts beating and my mouth goes dry I know I’m in trouble. But before I couldn’t. 
'By the time you’re obviously sick, it isn’t like just being sad. It’s being a zombie, the walking dead.
‘The kids came to see me in The Priory and could see other people who had depression who were very intelligent. I said to them, “You know this might be in the genes? But there are ways of dealing with it. You have to be aware.”’
After all she’s been through, there’s a lot riding on the success of Losing It for Ruby. Is she nervous? ‘It’s funny,’ she says. ‘But being famous isn’t my thing any more. I mean, I love the upgrades. Recently I went to New York and Ralph Fiennes was on the plane. 
'He was whisked off, so I put my arm in his and said, “I’m with him.” We went straight through customs.
'I used him like I was hitching. He was laughing. That’s adorable to have that service.
'But my comedy’s different now. I no longer want to just shock. I want the audience to think, “That’s me.” To know they’re not alone.
‘Lots of us wonder what our role is in life.
'How do we know how to deal with envy, how to be Mummy, how to act when you’re married.’
Which is – apart from churning out kids?
‘Oh, I’m hilarious,’ she says. ‘So he forgives me for a lot of things.’
Ruby Wax – Losing It, Menier Chocolate Factory, London from 15 February. www.menierchocolate factory.com


Read more: http://www.dailymail.co.uk/femail/article-1355564/Ruby-Wax-Losing-TV-career-like-death.html#ixzz3JB2ZXbC0
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Thursday, 13 November 2014

Smiling Depression | Psychology Today

Smiling Depression | Psychology Today:



Nothing to smile about


Smiling depression

Shutterstock / arvitalyaa

By Rita Labeaune, Psy.D.

How many people do you imagine look happy but struggle with depressive thoughts on a daily basis? Typically depressed people are depicted as being bed-ridden and incapable of functioning. What may or may not be surprising is, according to the National Institute of Mental Health, approximately 10% of the United States population is suffering from depression, which is 10 times more than those suffering from bipolar disorder (1%) and schizophrenia (1%).
Not everyone experiences depression in the same way. Some might not even realize that they are depressed, especially if they seem like they're managing their day-to-day life. It doesn’t seem possible that someone can be smiling, chipper, functioning, and at the same time, depressed.
In my practice, those the most surprised to realize they're experiencing some form of depression are those suffering from “smiling depression.” Most people haven’t even heard of the term. The definition of smiling depression is: appearing happy to others, literally smiling, while internally suffering with depressive symptoms. Smiling depression often goes undetected. Those suffering often discount their own feelings and brush them aside. They might not even be aware of their depression, or want to acknowledge their symptoms due to a fear of being considered “weak.”
The hallmark of smiling depression is sadness. The smile and external façade is a defense mechanism, an attempt to hide their true feelings. A person could be experiencing sadness about a failed relationship, careerchallenges, or lacking what they view as a true purpose in life. The sadness might also manifest as a constant, overall feeling that “something just isn’t right.”
Other common symptoms of smiling depression are feelings of anxiety, fear, anger, fatigue, irritability, hopelessness, and despair. Those suffering from this and other forms of depression may also experience problemssleeping, a lack of enjoyment in pleasurable activities, and a loss of libido. Everybody’s experience is different. It’s possible to feel just one or many of these symptoms.
Another way to think about smiling depression is to see it as wearing a mask. People suffering from smiling depression may offer no hint of their problem to the outside world. They often maintain a full-time job, run a family household, participate in sports, and have a fairly active social life. With their mask on, everything looks great, even at times perfect. However, underneath the mask they are suffering from sadness, panicattacks, low self-esteem, insomnia, and, in some cases, suicidal thoughts.