By P. Avogadro. Kentucky Wesleyan College.
Janay: I cut with a piece of broken lightbulb generic nimotop 30mg, so light it barely broke the skin discount 30mg nimotop with visa. I remember being late to school one day and buy discount nimotop 30mg, as I was crossing the grass buy nimotop 30mg lowest price, just for no reason turned around and went to a corner of the school campus and cut myself with an exacto knife. Janay: I was really kind of upset from the night before and that morning over a fight with my mom. I had the exacto knife on me because I used to help my mom with various crafts. David: From previous guests, we have learned that many people start self-injuring possibly as a way to handle certain feelings stemming from sexual abuse. David: In the letter you sent me, you said: "I (used to) self injure because it was the only way I knew to relieve extreme stress or emotion, i. The more extreme the pain or confusion, the less I felt, so the deeper I cut. Janay: I think it was more that she was ashamed of me - having a crazy daughter. When I was younger I was "so smart, so pretty, I could be whatever I wanted," and then they found out about my cousin (sexual abuse) from someone else. She was just dissapointed in me, that I turned out the way I am. David: We have a lot of audience questions for you, Janay. I was furious, but at the same time it made me feel good that they even cared enough to tell. Now I am 22 and stopped doing it at the end of last year. I wanted to stop because I knew it was getting out of hand - cuts were reaching muscle. I saw a therapist, told my mum, and stopped lying to myself. Every day is a battle to not SI but, so far, I am getting there. When was the first time you received professional treatment and what were the circumstances? My mom said I was a smart ass, so she put me in the hospital to scare me. Most of my stays were only 3-5 days because of insurance. A lot were just for "suicidal ideation," 2 for overdoses. And the cops put me in a few times because my mom told them I was suicidal. David: So, in combination with the self-injury, you were suffering from depression. Did you get anything positive out of treatment/therapy? Janay: Yeah, I am diagnosed with depression, and anorexia, bulimia, and OCD, and a billion other things. I see no point in hospitalization, because if I want to hurt myself, I can do it in the hospital or at home. As for stopping - it caused a lot of problems with my "sorta girlfriend" Sarah. I felt awful because I realized that it was my fault. She made me promise not to do it again two weeks prior to that night. David: We have a lot of questions and a lot of comments.
Putting others down - he thinks - will make himself feel better cheap nimotop 30mg otc. You could help her work on acceptable responses such as "why are you treating me this way? However purchase nimotop 30 mg visa, there are also many loving and caring teachers who want to get involved purchase 30 mg nimotop with amex, and they need to be told and get involved to stop these incidences order nimotop 30mg mastercard. For junior high kids, that is almost an impossibility if they are on the receiving end of the bully stuff. The "bully" is the one with the self-confidence, and in my experience, the one whose parents allow and encourage that type of behavior. Kathy: Generally, parents of bullies fall into two categories: They are either very permissive and allow their kids to get away with anything, or they are very abusive. Many studies have shown bullies have a low self-esteem. If they appear the opposite, it is an act; a show they put on. Is the bully kid receiving "approval" from his/her parents to be a bully, so he continues on with his bully behavior? All cases are individual and as unique as people are. Kathy: Yeah, many times a bully will come back at you harder for "snitching" on them. Again, since most of the bullying takes place on school grounds, you must get the teachers/principal involved. Rich005: I was wondering if there were studies on adults who were bullied earlier in life. Most of those people started out as victims and remained victims throughout their adult life. Both of these books are available through my web site as Dr. Carter is also my co-author of "Taking the Bully by the Horns". David: What about the idea of "ignoring" the bully and, if the bully is engaging in verbal bullying, just not responding. He may "bully" someone else who has glasses because he wants to distract from himself. Sometimes a bully bullies because he started out as a victim and feels if he/she becomes the "bully", he can no longer be hurt by anyone ever again. Kathy: Yes, in my book, I call this the "Bully Cycle". Bev_1: Why is it that children of one who was bullied, also get bullied? Kathy: You mean, the parents were victims and so are their children? I was bullied so severely as a child that I developed social phobia as an adult. To this day, I still get picked on, no matter where I go. I notice that I send a vibe out that I am an easy target. Carter has helped many people with his "Center for Self-Esteem. And since you are suggesting that here, you know you are. David: We had a conference last week on self-esteem.
When they are separated from a parent buy nimotop 30mg visa, they become preoccupied with morbid fears that harm will come to them buy 30 mg nimotop with mastercard, or that they will never be reunited cheap nimotop 30 mg with visa. Separation anxiety may give rise to what is known as school phobia cheap 30mg nimotop fast delivery. Children refuse to attend school because they fear separation from a parent, not because they fear the academic environment. Sometimes they have mixed fears--fear of leaving the parents as well as fear of the school environment. Children should receive a thorough evaluation before treatment is started. For some, medications can significantly reduce the anxiety and allow them to return to the classroom. These medications may also reduce the physical symptoms many of these children feel, such as nausea, stomachaches, dizziness or other vague pains. Generally, psychiatrists use medications as an addition to psychotherapy. Both psychodynamic play therapy and behavioral therapy have been found helpful in reducing anxiety disorders. In psychodynamic play therapy, the therapist helps the child work out the anxiety by expressing it through play. In behavior therapy, the child learns to overcome fear through gradual exposure to separation from the parents. Studies indicate that conduct disorders are the largest single group of psychiatric illnesses in adolescents. Often beginning before the teen years, conduct disorders afflict approximately nine percent of boys and two percent of girls under the age of 18. Because the symptoms are closely tied to socially unacceptable, violent or criminal behavior, many people confuse the illnesses in this diagnostic category with either juvenile delinquency or the turmoil of the teen years. However, recent research suggests that young people suffering from conduct disorders often have underlying problems that have been missed or ignored--epilepsy or a history of head and facial injuries, for example. According to one study, these children are most often diagnosed as schizophrenic when discharged from the hospital. Children who have demonstrated at least three of the following behaviors over six months should be evaluated for possible conduct disorder:Steals--without confrontation as in forgery, and/or by using physical force as in muggings, armed robbery, purse-snatching or extortion. Consistently lies other than to avoid physical or sexual abuse. Is often truant from school or, for older patients, is absent from work. Has been physically cruel to animals and/or to humans. Has forced someone into sexual activity with him or her. Researchers have not yet discovered what causes conduct disorders, but they continue to investigate several psychological, sociological and biological theories. Psychological and psychoanalytical theories suggest that aggressive, antisocial behavior is a defense against anxiety, an attempt to recapture the mother-infant relationship, the result of maternal deprivation, or a failure to internalize controls. Other sociologists say inconsistent parenting contributes to the development of the disorders. Finally, biological theories point to a number of studies that indicate youngsters could inherit a vulnerability to the disorders. Children of criminal or antisocial parents tend to develop the same problems. Moreover, because so many more boys than girls develop the disorder, some think male hormones may play a role. Still other biological researchers think a problem in the central nervous system could contribute to the erratic and antisocial behavior. None of these theories can fully explain why conduct disorders develop. Most likely, an inherited predisposition and environmental and parenting influences all play a part in the illness. Because conduct disorders do not go away without intervention, appropriate treatment is essential.
Treatment for both OCD and Depression require a combination of therapy and medication (if severe) nimotop 30mg low cost. If moderate to mild purchase 30 mg nimotop amex, then therapy or medication can be used order nimotop 30 mg without prescription. Because of the specialized nature of OCD order 30 mg nimotop mastercard, you may want to seek out a specialist. YOU may want to access our web site to ask for a specialist near you. With depression, if this is still present after the eating disorder is improved, then it should be treated as a separate problem. David: For those of you who want more info on OCD, please visit the OCD Community. I know that you have done research on the relationship between eating disorders and OCD. Could you explain how that relationship between eating disorders and OCD works? Weltzin: What is more likely the case is that OCD or perfectionism (what we call OCD related symptoms) likely increase the risk for eating disorders. Often there is a family history of OCD or perfectionism in patients with anorexia. There also seems to be a link between bulimia and OCD. This is not surprising as serotonin, a brain chemical linked to appetite and eating disorders, is also a major factor in OCD. Or is it too unhealthy for her to be in that sort of situation? Weltzin: Depending on how long the hospital stays are, you may want to consider a residential program that is longer and can help you develop and practice the changes you need to make in your eating, problem solving, and approach to recovery that will allow you to be able to implement these changes in an effective way at home. This often works, although (as I stated above) it requires a significant sacrifice. If you are not doing well, it will likely not help your niece. David: I just want to post this comment from an audience member who has an eating disorder. Weltzin might speak to that:waterlilly: My mom, who is an RN, flipped out when she knew I was making myself vomit. Weltzin: The stress that this problem puts on parents is quite intense and often times they say or do things that are quite shocking. It would appear that, at that moment, your mom was not able to support you. This is unfortunate, however, she may feel quite bad about what she did and be able to support you now in your recovery. You need to work through your feelings about this with your therapist, then have family sessions with your mom to express to her how this made your feel and to determine if you want her as a resource for your recovery and if she is willing. Weltzin: Rogers is in Oconomowoc, which is about 30 minutes from Milwaukee on I94 between Madison and Milwaukee. Do you feel she can get well without being in an eating disorder treatment center? Weltzin: It really depends on how she is doing with her illness. Often times, the therapist can be of help in this - if your daughter is willing to invite you to a session. It is important to mention that the longer an eating disorder goes on the more difficult it is to recover. People begin to have the eating disorder define their way of life and this is hard to break. If she is not better, then a treatment program should be considered. As to the marriage, an important part of recovery at our program at Rogers is responsibility.
