Jumat, 31 Maret 2017

Blog Dog anxiety herbal treatment


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The Books That Feed My Brain


This month's Sisterhood of the Traveling Blog question came from Deb, who asked: What type of book do you read for writing inspiration, and why? Do you read fiction or non-fiction, and what genres? Mysteries and YA, or archeology and astronomy?

Laura's answer is here, and Lydia's is here. Deb will be up next week. As for me ...

I've learned a lot about writing and storytelling from other writers. I've been knocked flat by the beauty and power in their prose, by the intricacy of their plotting, the individuality of their characters. I've gotten hooked by ideas that just wouldn't leave me alone. A few things that have inspired me (to name only a few of many):

The stark rhythms and brittle fragility of Wintergirls, by Laurie Halse Anderson.


The lyricism and longing in Shiver, by Maggie Stiefvater.


The exploration of identity and loyalty in Camo Girl, by Kekla Magoon.


The flat eeriness and dread of Descent Into Hell, by Charles Williams. 


The conceptualization of the afterlife in The Great Divorce, by C.S. Lewis.


The frightening ease with which good people become evil in The Lucifer Effect, by Phil Zimbardo.


The phenomenal pacing and timing of The Hunger Games, by Suzanne Collins


I could go on and on, but I'll stop there. How about you? What books have inspired you and why?

Kamis, 30 Maret 2017

Share Anxiety panic attacks and dizziness


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Do the Opposite of Your Parents but Get the Same Results



"Letters, we get letters
We get lots and lots of letters"




On my post of October 5, 2011, I tried my hand at writing a newspaper advice column.  As I occasionally get interesting queries in comments on my blogs or as e-mails, I figured it was time to try once again.  I'm sure I will get absolutely no invitations from any newspaper to write a regular column just like the last time, but what the hay?

A reader asked a very important question after reading my Psychology Today blog post, a version of which has also appeared on this blog, Does One Need to Forgive Abusive Parents to Heal?  With the writer's  permission, her question and my answer will be reproduced shortly.



The exchange mentions what I consider to be an extremely important issue – something I have also briefly discussed in previous posts:  the phenomenon of parents who were themselves abused as children making such an extreme effort to be and act nothing like their own parents that they go to the opposite extreme. They over-indulge and over-protect their children to the point where the children are smothered.  

The children are then induced to refuse to grow up and become independent, because they believe that their parents have a pathological need to control, manipulate, and/or take care of them.  They may appear to be incapable of doing many things for themselves which they are, in point of fact, quite capable of doing.  They just will not do so for the reason I just quoted.  It is a lot easier to fake incompetence than it is to fake competence.

This is an illustration and an example of a principle I discussed in my very first book, A Family Systems Approach to Individual Psychotherapy, that I call the Principle of Opposite Behaviors.   I will explain that in more detail after I present the letter and my response:

Thank you for your article. There is one point that you have not mentioned in your article and that is - beyond the forgiveness, how does a victim of childhood abuse go on in life?

I am in my mid thirties and I was physically, emotionally and verbally abused by both my parents. Strangely enough, they were also loving, kind and encouraged me and my sister to do our best. On the one hand I was taught I could achieve anything I wanted and on the other hand I felt like I was barely human and did not deserve to take up any space. I grew up to be relatively successful but I continue to be plagued by severe self doubts, lack of self confidence and self sabotage. I thought about suicide several times in my teens and twenties. In my late twenties I met the man who became my husband and he has helped restore me to being what I could have been if I came from a healthy home. However, I continue to find life difficult and struggle to be happy. 

My parents, especially my father, have changed completely since I left home in my late teens. They are now the kind of parents one can only dream about, and have supported and encouraged me in every way possible throughout my adulthood to date. They have helped me financially, emotionally and physically. They have said they regret the way they treated me and want to make amends. Whenever I do meet them now, we have a great time together.

The trouble is that I recently gave birth to a child. And when I hear their advice about taking good care of him and not letting him be sad, I can't help but remember how badly they treated me when I was a small child. Where was the consideration and empathy then?

My point and my question are as follows. If one reconciles with previously abusive parents who are now repentant, how should one act when one continues to suffer the effects of childhood trauma on a daily basis?

Should I talk to my parents and tell them how their actions have damaged me and continue to hurt me? Should I call out their hypocrisy regarding their advice about raising my kid?

How do I go on?

Hi Wondering,

That's a good question, but I am afraid I cannot really give specific psychiatric advice to you without seeing you and finding out a whole lot more about your situation.

I can say that it sounds, just from what you wrote and not knowing more, that you are well on the way to recovery. Having children and not repeating family patterns that have been passed from one generation to the next is, however, always a challenge.

Someone like you will probably benefit enormously and fairly quickly from seeing a knowledgeable therapist. So what kind of therapist?

If someone like you is still sort of torturing themselves with negative thoughts, there are in most cases two possibilities:

1. The person is still getting double messages from one's family of origin about something - say, about being a good parent - and the person is trying to satisfy both ends of a double bind. In my hypothetical case, the parents might feel even worse about themselves if their child manages to raise children well.

In that case, I'd recommend looking for the kind of therapist that I described near the end of my previous post, Finding a Good Psychotherapist.

2. The person has obsessive tendencies and cannot seem to stop replaying old "tapes" of internalized dialog from when they were a child, despite the fact that the family of origin has stopped reinforcing (that is, feeding into) them.

In this case, a good CBT therapist (which is much easier to find than the other type), can help teach you ways to ignore the "tapes" even if they keep playing. Particularly, something called Acceptance and Commitment Therapy" (ACT), can teach you that you don't have to believe everything that you think.

I do want to make one more point about your post. Of course, you do not want to MAKE your child sad, but it is a HUGE parenting mistake to try to protect your child from all sadness. Doing this will lead the child to act as if he or she is grossly impaired in their ability to tolerate any adversity. They will have great difficulty with autonomy, up to the point where they may become completely crippled.

Parents who were abused themselves have a tendency to try to go to this opposite extreme, and end up creating almost the exact same problem for their child that they had! I call this the principle of opposites. Certain patterns of behavior, and what seem to be patterns at the complete opposite extreme, end up creating a nearly identical problem.

Anyway, I hope that's helpful. I wish you the best in your efforts to differentiate yourself from your family of origin.

The paragraph about parenting mistakes just above is the one that refers to the principle of opposite behaviors: The use of extreme or polarized behavior (a list of behavioral polarities can be found on my post of 8/24/10, Polar Exploration) can produce the same end result as behavior at the exact opposite extreme.

In this case, abusing children can impair a child's independence, but so can overprotecting them.  Opposite behaviors leading to the same end result (or what I call the net effect of the behavior).  


I gave another example of two opposite behaviors leading to an identical outcome in my post of 8/20/10, Final Destination: the Net Effect of Behavior.

The principle of opposite behaviors is one reason why different generations of members of a particular family may seem to alternate between opposites on a genogram.  A generation of alcoholics can produce a generation of teetotalers which in turn produces a generation of alcoholics, or a generation of nose-to-the-grindstone working types can generate children who are more hedonistic and irresponsible, who in turn generate children who are workaholics.  This is one of the mechanisms by which dysfunctional behavior is transmitted from one generation to another. 

Rabu, 29 Maret 2017

Is Pain All That There Is


Trigeminal Neuralgia pain is the worst I have ever felt in all my life. 

Sleep is difficult, talking hurts like hell and every single thing that I need to do on a daily basis is becoming increasingly difficult. Brushing my hair is hell, showering is pure torture and brushing my teeth feels like I am using a cheese grater inside my mouth instead of a toothbrush, Moisturising also hurts, and putting on make-up is nasty. 

I feel really self conscious without my war paint. I despise leaving the house without it. I know that it is a silly and some people would say stupid thing to worry about, but it is how I am. 


I just want some of this pain to ease. Just a little. I have daydreams often. In them, I am working, living my life and completely pain free. I would give almost anything for this. It is futile, and each day passes with extreme burning pain, electric shocks overwhelm me every couple of minutes and the stabbing sensation is never ending. 

I feel that I am loosing myself. I look into the mirror and my appearance has changed, there is a blank and glassy look in my uneven pupils, my skin is pale and the swollen black bags under my eyes make me look like I am much older than my 28 years. 

I also don't recognise the woman reflected back. I am miserable, and there isn't much in life that brings me joy, and I don't care about very much any more. I do try and put up a front, I paint my face, struggle to tame my hair and plaster a smile on my face. 

My medications make me feel drunk and stupid, and I am positive that my IQ has dropped 50 points since my diagnosis, which for me is torture. 
Sleep is certainly my nemesis of late. 

I wonder how long I can go without sleep? 2 or 3 hours a night is ridiculous. I have to keep hoping that one morning I will wake up, and my first thought or yelp isn't due to pain. I want my vision back, I need it back. I read a lot, and I love to drive. 

Will there ever be an escape from the pain? Is pain all that there is??

Less traumatic awakening


This morning was by far less traumatic upon awakening. Still, I woke abruptly, shaky.

It also took a lot less time to calm down and become functional. And I did  not get sick like I have been. I did have another weird dream. It's quite unusual for me to dream three nights in a row, there are not nightmares, which could explain some anxiety upon waking.  Still no event to explain the episodes. I hate that even more, I think. Knowing something is coming and not knowing what or just how bad it will be is enough to make you crazy. I just want whatever it is to take its shot and lets get it over with.

Thanks to Susan, who goes through this also. She says it is sometimes a week before she knows what is happening but until this blog did not realize that her attacks were related to events to follow. As in my own case, anxiety meds are not working.


I also have a friend who only has panic attacks if she sleeps past eleven in the morning. As with me, it is summer and schedules are all kinds of messed up. I have been getting up after eleven for days with kids up til all hours of the night. ;)
It is only if she sleeps past eleven am, not matter what time she goes to bed. It is my opinion, as Behavioral Science major that this could be psychological guilt. Even though there is nothing wrong with sleeping until eleven, perhaps her sub conscience feels guilty, which I discussed with her in more detail. However, it could be something else entirely.
Anyone with any experience in this area, please let me know.

I want to thank you guys for reading, thanks for the emails.
As suggested, and I want noted, I did listen to some meditation before bed last night. Could that be why the attack was much milder? I can't say  for sure but I will be doing it again tonight.


I will report back to you all tomorrow. Thanks for your prayers!!


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Selasa, 28 Maret 2017

Social anxiety disorder treatment tips


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Can a 700 year old Chinese medicine help treat depression and anxiety


According to this, yes, it can. A recent study cited here points to the efficacy of Kami-shoyo-san in treating depression in rats. And another study (.pdf) linked to here claims this drug and another traditional Chinese medicine, Hange-koboku-to, can help treat panic, anticipatory anxiety, and agoraphobia. According to the first link:
Kami-shoyo-san consists of 10 medicinal herbs, including chai hu (柴胡, Radix Bulpleuri), bai shao (白芍, Radix Paeoniae), dang gui (當歸, Radix Angelicae Sinensis), and gan cao (甘草, Radix Glycyrrhizae), bo he (薄荷, Mentha haplocalyx), fu ling (茯苓, Poria cocos), mou dan pi (牡丹皮, Paeonia suffruticosa), 槴子 (Gardenia jasminoides), and ginger (Zingiber officinale). In Taiwan, its concentrated form was the most popular herbal drug for depression and anxiety and alike disorders. It is also a popular herbal drug to treat insomnia in Japan.

The formula first appeared in Song Dynasty (between 960 and 1279 AD.) in a TCM classic He Ji Ju (太平惠民和劑局). It was said to relieve muscular pain, dizziness, uneasiness, hot flashes, extreme sweating, insomnia, decreasing appetite and abnormal menstrual symptoms. In modern times, it has been used to treat many neuropsychiatric disorders, as well as liver diseases.

Literature shows that the formula has been shown to relieve panic attacks, anticipatory anxiety and agoraphobia. It has been used to treat irregularity of menstruation and anxiety involved with a menstrual cycle.

When used as an adjunct to carbamazepine (carbamazepine is an anticonvulsant and mood stabilizing drug, used primarily in the treatment of epilepsy and bipolar disorder. It is also used to treat schizophrenia and trigeminal neuralgia) in patients with bipolar disorders, the Kamo-shoyo-san combo treatment resulted in significantly greater clinical response rate in depressed patients. Kamo-shoy-san has proved to provide additive beneficial effects in bipolar patients, particularly for those in the depressive phase.

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