By W. Trompok. Canyon College.

When the bipolar disorder is not characterized by any of the above mentioned types of bipolar disorder buy sildenafil 75mg low price impotence cures. Occasionally someone will experience the symptoms of a manic episode and a major depressive episode buy sildenafil 75mg with visa erectile dysfunction drugs levitra, but not fit into the above mentioned types of bipolar disorder. This is known as Bipolar Disorder Not Otherwise Specified. Just like the other types of bipolar disorder, Bipolar Disorder Not Otherwise Specified is a treatable disorder. The exact cause of bipolar disorder is not known, but researchers believe a combination of factors may play a role in developing bipolar disorder. These include a brain chemical imbalance (an imbalance in the level of the neurotransmitters such as serotonin or norepinephrine) and genetics. There is a strong genetic component to bipolar disorder. If a family member has bipolar disorder, other family members may be at risk. Sometimes a period of emotional stress, drug use, an illness, or another event seems to trigger the onset of the bipolar disorder. Stresses can also trigger a manic or depressive episode in people who are known to have the condition. For comprehensive information on bipolar and other mood disorders, visit the Bipolar Community. Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association; 2000. Guide to Depression and Manic-Depression [brochure]. Chicago, Ill: Depression and Bipolar Support Alliance; 2001. Full description of Borderline Personality Disorder. Definition, signs, symptoms, causes of Borderline Personality Disorder. Borderline personality becomes evident in early adulthood but becomes less common in older age groups. People with borderline personality are unstable in their self-image, moods, behavior, and interpersonal relationships. The Merck Manual states "their thought processes are more disturbed than those of people with an antisocial personality, and their aggression is more often turned against the self. They are angrier, more impulsive, and more confused about their identity than are people with a histrionic personality. Consequently, they feel empty, angry, and deserving of nurturing. They have far more dramatic and intense interpersonal relationships than people with cluster A personality disorders (odd or ecentric personality disorders such as paranoid personality disorder, schizoid personality disorder). When they fear being abandoned by a caring person, they tend to express inappropriate and intense anger. People with a borderline personality tend to see events and relationships as black or white, good or evil, but never neutral. When people with a borderline personality feel abandoned and alone, they may wonder whether they actually exist (that is, they do not feel real). They can become desperately impulsive, engaging in reckless promiscuity, substance abuse, or self-mutilation. At times, they are so out of touch with reality that they have brief episodes of psychotic thinking, paranoia, and hallucinations. According to the Merck Manual, people with a borderline personality commonly visit primary care doctors. Borderline personality is also the most common personality disorder treated by therapists, because people with the disorder relentlessly seek someone to care for them. However, after repeated crises, vague unfounded complaints, and failures to comply with therapeutic recommendations, caretakers, including doctors, often become very frustrated with them and view them erroneously as people who prefer complaining to helping themselves. A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.

Eventually others will respond positively as you get better at it and as you approach the right people buy generic sildenafil 25 mg online erectile dysfunction treatment by exercise. Also purchase sildenafil 100 mg with visa food that causes erectile dysfunction, say this to yourself, "My gift recipients have the freedom to do whatever they want with my gifts (my attention, help, etc. Do you ever feel anxiety about inviting someone to do something with you? If so, try viewing your invitation as a gift in the spirit just discussed above. It is a gift in two ways: (1) it is a compliment to the other person that you care enough about them and find them attractive enough to give the invitation and (2) your time is a gift which is offered to them. Thus even if they reject the offer to spend time together, they still have received the gift of the compliment. Accordingly, start stating your invitations more as compliments. Learn the difference between non-assertive behavior ("I lose, you win"--passive, indirect, avoidance); aggressive behavior. The most successful relationships are assertive-assertive ones. Learn how to be both an understanding listener who looks deeply into important issues and someone who can communicate my own feelings in a direct, caring, and diplomatic manner to others. CHECK OUT University Counseling Center Self-Instructional Videos to build Interpersonal skills in MEETING PEOPLE, DATING, ASSERTIVENESS, AND COMMUNICATION SKILLS. Hundreds have increased their meeting people, dating, and assertiveness skills with these videotapes. Men and women often differ considerably in their knowledge and expectations about romance. One survey found that 94% of romance novels are read by women. Women gain a lot of knowledge and expectations from their reading, watching romantic movies, and talking with each other. Many men could learn more about what women want simply by going to romantic movies, reading some romantic books, or just asking women what they think is romantic. Also, anyone can buy books that give tips about how to be romantic. Anyone can buy cards, flowers, give compliments, be affectionate, take someone to a romantic setting, enjoy a sunset together, learn to dance, or go to romantic movies. Above all, ask your partner what he/she wants and what he/she thinks is romantic, and then be open for developing a more "romantic" outlook and actions. It can add a lot of fun and intimacy to your relationship and make you more sexually desirable. If you want your partner to be romantic, remember that he/she may feel insecure in that area and be very sensitive to criticism. Tell your partner how important romance is to you, be specific about what actions you think are romantic, and praise your partner for any romantic attempt (never make fun of attempts). Say, "How romantic," not "its about time you bought me some flowers. It may also help you identify problem areas or areas you want to develop more. EDUCATION AND OCCUPATIONAL INFORMATIONAccomplishments (Education, Work Experience, etc. Tom Stevens was a licensed psychologist with over 25 years of psychotherapy experience and has rank equal to full professor at California State University, Long Beach, in the Counseling and Psychological Services Center. He is author of the book " You Can Choose To Be Happy: Rise Above Anxiety, Anger, and Depression. There are stages we all go through to make peace with ourselves. When there is a death of a partner in a marriage, it is considered tragic by friends and family, and they gather round in support and reassurance and understanding, responding to the mourning and grief of the survivor. This seems a natural and humane part of our culture. Strangely divorce (which could be likened to the death of a marriage ) does not receive the same response from friends and family. Family members are often disapproving, shamed, embarrassed, or perhaps take an "I told you so" stance. Friends are often made uneasy or uncomfortable by your action. Your divorce in some strange way may threaten their marriages. So that they may feel very awkward around you, having difficulty finding "safe" topics of conversation. Your church may be condemning and punitive, rather than supportive and understanding. On the other hand others may see you as light-hearted and happy, fortunate to have rid yourself of a burden.

David: How would you suggest one do that-- nourish yourself in other ways? Dr Gross: The first thing you have to do is discount sildenafil 25 mg fast delivery erectile dysfunction prescription drugs, learn what your triggers are for emotional overeating sildenafil 100 mg low price can you get erectile dysfunction pills over the counter. For example, if you are extremely stressed out at the end of the day, before you go to the fridge and eat everything in there, try doing things that are relaxing for you, like take a walk, a bath, call a friend. I tell my patients to move the body, feed the mind and lavishly indulge the sprit. DrkEyes2 A: What is behind the addiction to compulsively overeat? Dr Gross: All of the research indicates that the biological part of the problem lives in a place in the brain called the mesolimbic system. Depressive disorders and anxiety disorders are problems for some people as well. Having Borderline Personality Disorder, will I ever be able to get a grip? Most people with Borderline Personality Disorder, have had lots of losses, and so it is tempting to try to fill the empty place with food. Working on making your relationships more healthy will probably be very key to you. David: Is there any medication out there that can help block the "feeling of wanting to eat" or is it all on the emotional level? Dr Gross: Numerous medications have been studied for this purpose. I have a chapter in my upcoming book about this and I call it "Priced by the Pound". David: And I think Kate brings up a great point here, doctor. Right now, society frowns on people being overweight. How, as a compulsive overeater, can you deal with that emotionally, and not let your self-esteem hit rock bottom? And you can email the doctor at This e-mail address is being protected from spambots. I want to address one thing about Meridia, there are some questions as to its safety. Medically and psychologically, no medications should be used without careful discussion with your doctor of the risks and side-effects, versus the potential benefits. David: One other question I wanted to ask, since you compared compulsive overeating with an addiction. With an addiction, the doctors say you are never really "cured," you just manage it better. The difference between alcoholism and compulsive overeating is that while the alcoholic can stay out of bars, the compulsive overeater can never get away from food. I think that accounts for a lot of the relapse problems. Dr Gross: I consider all highly structured diet programs to be similar to a detox. The research shows that sometimes it is helpful for people to take a break from making decisions about food, that is why many commercial diet programs have highly structured eating plans at the beginning, and allow more choices as time goes on. How can I be expected to even be willing to try another drug? When I do take a medication, I then need something else to help me sleep. I assume you are trying these medications for depression. The research shows that a combo of medications and psychotherapy is best for complicated situations. Maybe you could share some of the emotional issues you are dealing with as a result of compulsive overeating. A lot of times, people feel they are the only ones who feel this way and by sharing this you might be helping someone else here tonight. Gross, you have a program to help compulsive overeaters. Can you describe it and tell us a little more about it? Dr Gross: My program is called "The food and feelings system for weight loss wellness". It can be an additive to any program for the diet math "the calories and exercise part". It starts with having your food and feelings profile done. Then you get a teaching module for each one of these.

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