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Had significant distress or disability caused by obsessions (anxiety-provoking, repetitive, unwanted thoughts) or compulsions (obsession-relieving, repetitive rituals).
Fear:Fear is normal if it is in proportion to the actual danger posed by the specific object or situation, and this fear doesn't cause significant distress or disability. If fear about about a specific object or situation becomes excessive, it is defined as a phobia.
If the individual develops persistent, unwanted thoughts about the phobia; this is defined as an obsession. If the individual develops a superstitious ritual aimed at reducing the anxiety associated with the obsession; this is defined as a compulsion. Obsessive-compulsive disorder (OCD) is often a severe anxiety disorder that affects approximately 2% of the population.
The 1-year prevalence rate of OCD is 1.2%, with women in adulthood slightly more likely to develop this disorder than men.
One-quarter of OCD cases start by age 14, and the mean age at onset in America is 19.5 years. The average amount of time that lapses between onset of symptoms and appropriate treatment is 17 years.
Recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety and distress. Which Behavioral Dimensions Are Involved?The ancient Greek civilization lasted approximately 3,000 years (16th century BC to 15th century AD).
In life there is a constant struggle between good and evil; hence there is a need for justice. Individuals that are open to new experience are creative, imaginative, philosophical, intellectual, complex, and curious. Summary Of Practice guideline for the treatment of patients with obsessive-compulsive disorder. Each recommendation is identified as falling into one of three categories of endorsement, indicated by a bracketed Roman numeral following the statement.
Obsessive-compulsive disorder (OCD) seen in clinical practice is usually a chronic illness with a waxing and waning course.
Establishing and maintaining a strong therapeutic alliance is important so that treatment may be jointly, and therefore more effectively, planned and implemented [I].
The psychiatrist should understand that individuals with OCD are not immune to co-occurring disorders that may increase the likelihood of suicidal or aggressive behavior. Because OCD symptoms can also interfere with parenting, the clinician may have to work with the unaffected parent or social agencies to mitigate the effects of OCD symptoms on the patient's children [II]. In completing the psychiatric assessment, the psychiatrist will usually consider all the elements of the traditional medical evaluation [I]. The appropriate treatment setting may be the hospital, a residential treatment or partial hospitalization program, home-based treatment, or outpatient care. To enhance treatment adherence, the psychiatrist should consider factors related to the illness, the patient, the physician, the patient-physician relationship, the treatment, and the social or environmental milieu [I]. In choosing a treatment approach, the clinician should consider the patient's motivation and ability to comply with pharmacotherapy and psychotherapy [I].
Clomipramine, fluoxetine, fluvoxamine, paroxetine, and sertraline, which are approved by the U.S. CBT that relies primarily on behavioral techniques such as exposure and response prevention (ERP) is recommended because it has the best evidentiary support [I].
When treatment is initiated, the patient's motivation and adherence may be challenged by factors such as treatment cost and medication side effects. The frequency of follow-up visits after a new pharmacotherapy is initiated may vary from a few days to two weeks. Cognitive-behavioral therapies have been delivered in individual, group, and family therapy sessions, with session length varying from less than 1 hour to 2 hours.
When no interfering factor can be identified, augmentation strategies may be preferred to switching strategies in patients who have a partial response to the initial treatment [II].
Patients who do not respond to their first SRI may have their medication switched to a different SRI [I]. After first- and second-line treatments and well-supported augmentation strategies have been exhausted, less well-supported treatment strategies may be considered [III]. Successful medication treatment should be continued for 1 to 2 years before considering a gradual taper by decrements of 10% to 25% every 1 to 2 months while observing for symptom return or exacerbation [I].
Safety and efficacy of repetitive transcranial magnetic stimulation in the treatment of obsessive-compulsive disorder: a review. Cognitive-behavioral therapy for obsessive-compulsive disorder in children and adolescents. Note: The Cochrane Reviews are the best in psychiatry, but they do not cover all psychiatric topics.
The 2nd House shows our sense of self-worth as well as our material security and our ways of nurturing it and indulging. However, I have found quite the opposite to be true for this placement: The sense of confidence and optimism that comes with Jupiter in any house this planet resides in, takes away all fears and feelings of lack. Jupiter in the 2nd house shows an intense trust that one will always somehow have enough, so there is no need to hoard anything or to save up money. These are actually quite big spenders, who are optimistic with their finances and can live above their means.
They wouldn't even think about saving up for bad times because, to them, the good times never end - they have no worries regarding finances. When it comes to food and eating habits, you would think they don't worry about gaining weight, so they overeat. Let me explain: I have a friend with this placement and she is the classic "naturally skinny girl". Then there's me with Saturn in the 2nd house, always scared I might get hungry, because that would mean I have to STARVE so I eat extra amounts just to make sure I had enough. They have a big sense of self-worth and really treasure themselves which is admirable, too. I could say something like "well, but you have to work hard and suffer to even DESERVE to spend all of that money!! Figuring out whether someone needs Sun or Moon Nurturing The Moon indicates how our emotions need to be nurtured. What is your astrological combination of sun, moon and ascendent and how can it be wrapped up in one sentence?
In last weeks post, Part 1: The Confusion with Self-Care, I introduced, Sarah, a married mother of two, working part-time, experiencing significant stress, decreased energy and little enjoyment in her life. When I started working with Sarah, her main goal was to feel happy, increase her energy and decrease fatigue. Self-care is a term used to describe how a person takes care of oneself in a series of behaviors in the following categories: physical, emotional, cognitive and spiritual care. Self-care is engaging in behaviors that enhance and contribute to one’s well-being and overall life satisfaction and happiness. Routine self-care is often beneficial when a person experiences stress; self-care improves coping skills. The goal in self-care is not to be perfect in all areas, rather, incorporating self-care behaviors over time into one’s lifestyle. In terms of emotional and cognitive self-care, Sarah started almost every day with negative thinking toward herself. One of the areas of self-care that needed immediate attention was increasing support in Sarah’s life.
I worked with Sarah for almost a year to increase and improve her own well-being through self-care behaviors. I hope this post inspires you to take small steps to increase your own self-care and well-being.
Enter your email address to subscribe to this blog and receive notifications of new posts by email. Despite the nature of burns we have to follow the same immediate first steps: wash off the burned area and cool down the skin. Remove the clothes from the burned area and around the area and run cold water over the affected area to wash off causative substances, cool the skin down and ease the pain.
This is the time when you decide how bad things are and what risk are you willing to take to search for medical care.

If ita€™s a third degree burn or the affected body area is bigger than 5 percent the body will heal harder and ita€™s exposed to infections. Then the skin is blanched or speckled with or gone altogether, it is a clear sign of a third degree burn. The skin retains tissue fluids and damaged or burned flesh cause capillaries to ooze lots of fluid.
A word of advice: The information provided by this article is solely for self-help in times of emergency when medical help is not available.
For example, an individual can develop a phobia to snakes in which the fear becomes excessive. In obsessive-compulsive disorder, these obsessional thoughts are involuntary and often repugnant. Accurate diagnosis of this disorder requires assessment by a qualified practitioner trained in psychiatric diagnosis and evidence-based treatment.
Computerized diagnosis is less accurate when done by patients (because they often lack insight). Rates of OCD are elevated in Schizophrenia or Schizoaffective Disorder (12%), Eating Disorders, Body Dysmorphic Disorder, and Oppositional Defiant Disorder. In adulthood, untreated OCD has a chronic course with only a 20% recovery rate after 40 years. However, first-degree relatives of individuals with onset of OCD in childhood or adolescence are 10-times more likely than normal to have OCD.
It is as effective as medication alone and may lead to better outcomes when combined with medication compared to medication alone.
There is a lack of evidence for the effectiveness of benzodiazepines, transcranial magnetic stimulation or meditation therapy in the treatment of OCD. Obsessional thoughts are ideas, images, or impulses that enter the patient's mind again and again in a stereotyped form. Research has shown that these 5 themes are basic dimensions of personality disorders and other mental disorders.
Agreeable, cooperative individuals are sympathetic, warm, kind, altruistic, empathetic, and polite. They find it easy to think in symbols and abstractions (hence excel in mathematical, logical or geometric thinking).
Extraverted, enthusiastic people are talkative, bold, energetic, emotionally positive, and sociable. Individuals with an optimal level of courage are stable and calm; they do not emotionally over-react to stress. Treatment is indicated when OCD symptoms interfere with functioning or cause significant distress [I]. OCD patients who fear loss of control may engage in extensive avoidance rituals in an effort to contain their symptoms. A mental status examination, including an evaluation of insight and judgment, should be performed to systematically collect and record data related to the patient's signs and symptoms of illness during the interview [I]. Combined treatment or treatment with an SRI alone may also be considered in patients with severe OCD, since the medication may diminish symptom severity sufficiently to allow the patient to engage in CBT [II].
Food and Drug Administration (FDA) for treatment of OCD, are recommended pharmacological agents [I].
Some evidence suggests that adding cognitive therapy to ERP may enhance the results, but this remains to be established [III]. On the other hand, rTMS of the dorsolateral prefrontal cortex is not significantly effective when compared to sham rTMS.
SRI is effective for patients with body dysmorphic disorder (BDD) in preoccupation with body appearance or sensation subgroup. The current literature suggests that self-help can be a facilitator and aid to standard face-to-face interventions, rather than a rival. Cognitive behavioral therapy is the treatment of first choice, followed by combination pharmacotherapy including selective serotonin reuptake inhibitors (SSRI) and then by SSRI alone. However, the combination of pharmacotherapy and CBT for compulsive hoarding is likely more effective than either treatment alone. Correctly applied, this treatment can be equally effective as its combination with pharmacological management.
Indirect comparisons of effectiveness suggested that although individual SSRI drugs were similar in their effectiveness, they differed in terms of their adverse effects. With Jupiter, the biggest planet in the solar system, that exaggerates and enlarges everything in this house, one would think that this placement makes one overly indulgent, a hoarder, maybe even obsese - accumulating things and fat for the biggest possible safety.
I love to write and this is where I share my thoughts on astrology, sprinkled with other interests such as mythology and psychology.
Assess: Take an inventory of what self-care behaviors in the categories of physical, emotional, cognitive and spiritual care you engage in on a regular basis.
Set aside time: If you want to increase self-care, not only do you need to plan, you need to set aside and schedule the time to do so.
Her thoughts included negative self-talk statements, centered on putting herself down for eating too much the day before, being out of shape, and not being a good mom or wife because she was often irritable with her children and husband.
Through awareness, planning and support, Sarah was able to meet her goals of increasing happiness, decreasing stress and enjoying her life in a more meaningful way. When it comes to treating bad burns most people will aggravate the situation due to their lack of knowledge. It is important to stay calm and not panic, otherwise you will make mistakes, or even worse you will go into shock. Dona€™t use ice on burns as it will limit the blood flow to the area and it will slow down the natural healing process.
Most of the burns are not life threatening unless they pose a risk to your airways or involve 10 percent or more of your skin surface. If ita€™s on the face or neck, it could cause respiratory-tract damage and the swelling could block the airways.
If ita€™s 10 percent or more than the person could be in a life-threatening situation and it needs professional medical care. You can add cool compresses or aloe vera and for the pain mix a few drops of lavender essential oil in two teaspoons of honey apply it on the affected area few times a day. Once you debride eschars make sure the area is clean and disinfected as it can leave you prone to infection.
Make a long way cut down the middle if the eschar is thick Start with shallow cuts to avoid cutting into the living tissue. This will cause dramatic swelling in the surrounding tissue and it becomes a serious problem for face and neck burns.
This happens mostly when the swelling occurs and if the burn covers more than 10% of the body surface there is a high risk of severe dehydration. Use this information at your own risk, but the readers are strongly recommended to seek for qualified medical personnel in case of a third degree burn. Must Have Supplies to Prepare for the End of the World Doomsday Survivalists: Paranoia or Preparation? This phobia can develop into an obsession in which the individual spends much of the time thinking about snakes, and how to avoid them. They are almost invariably distressing and the individual often tries, unsuccessfully, to resist them. However, 40% of individuals with onset of OCD in childhood or adolescence recover by early adulthood. Human behavior is governed by conscience - an inner sense of what is right or wrong - which guides conscientious behavior. They often excel in literature, music composition or performance, or in the visual or performing arts. Whereas reserved, quiet people (introverts) are aloof and lack the exuberance, energy, and activity of the talkative, assertive extraverts. Individuals with too much courage, and not enough fear, become reckless, and this usually leads to failure. They have a kind of trust that "mother nature" will always provide for them, so they might not even worry about eating in the first place. Sarah was in a cycle of getting through the things in her day that had to be done; work, taking care of her children, managing the demands of maintaining a home-cooking, shopping, cleaning. Perhaps you make time for physical and emotional self-care through exercise and reaching out to maintain friendships, which is a strength.

Now, it is unbelievable how challenging it is to find time alone without taking care of someone. As moms, we will make sure our children have everything they need-meals, snacks, clothes, sleep, medical appointments, play-dates, time learning, relaxing and pursuing interests.
Sometimes our family and friends become accustomed to us being available whenever there is a need, request or demand. We started with basic physical self-care; Sarah needed a more healthy, balanced sleep routine. While she showered in the morning she often continued the negative self-talk frustrated with her body and physical shape. She had isolated herself from friends; often declining social events and had trouble returning phone calls. But, in true infantile expression of the human twist, they can at least be in charge of making their opportunities  in life more limited. There are many things that can cause burns, from heat sources to electrical wires and even UV radiations coming from the sun. It is also prohibited to use ingredients such as oil, grease or butter because they will keep the heat in and will amplify the pain. Aloe veraa€™s moisturizing, anti-inflammatory and mildly antiseptic effects are well recognized and it has been used to treat burns since antiquity.
The risk increases if the person suffers from a chronic disease or if the age of the person is in one of the two extremes (young or old).
If there are blisters the person has a second degree burn and if the skin is blanched or speckled white, thata€™s a sign for a third degree burn.
The burn should heal in a few days without resultant sloughing of the damaged top layer of skin. The healing time for these types of burns is up to three weeks and you have to keep them clean and protected to avoid scarring.
Keep the burnt areas moist using honey and an absorbent dressing, you will need to do this twice a day.
The best replacement fluid can be made by adding a half-teaspoon of salt and a half-teaspoon of baking soda in a quart of water. The obsession can develop into a compulsion in which the individual spends much of the time doing superstitious, compulsive, ritual behaviors aimed at avoiding snakes. Conscientious, careful, responsible people follow the rules, conform to norms, think before acting, and control their impulses. If so, I would suggest starting small and working to find one way to add this category into your routine.
I am also a mother to four daughters, ranging in age from three to eleven, including a set of fraternal twins.
You can estimate the skin surface damaged by the burn, by measuring with the patient’s hand, it counts for 1 percent.
To minimize or prevent the swelling, avoid wearing restrictive clothing or jewelry and keep the affected area elevated at heart level or above.
Compulsive rituals in obsessive-compulsive disorder are not enjoyable, nor do they result in the completion of inherently useful tasks.
They set clear goals and pursue them with determination; they are reliable and hard-working. Individuals that are conventional and uncreative are conforming and prefer dealing with either people or things rather than ideas. Thus they over-react emotionally to stress, and their fear or despair usually leads to failure.
If you only have one way to take care of yourself, such as exercise, you may find overtime, the benefit you experience from exercise plateaus.
Sarah and I focused on actively decreasing her negative self-talk about how she felt about her body and her choices.
Instead of talking with him about what she needed, she kept her feelings of stress and being overwhelmed to herself.
Similar to many women, I have multiple roles I juggle at any given moment: wife, mother, friend, daughter, daughter-in-law, sister, volunteer, psychologist and last but not least,person. If you notice pus in the burn or redness spreading around it, red streaks or the person has fever, ita€™s time to administrate antibiotics. Their function is fearful avoidance - to prevent some objectively unlikely event which the individual fears might otherwise occur. Unconscientious, careless, irresponsible people are disorderly, frivolous, and undependable.
They have narrow, commonplace interests, and they prefer the plain and obvious over the complex and subtle. Similar to many women, she felt guilty taking time for herself; she equated time alone not engaged in activities for her family as selfish and indulgent.
By actively pursuing various ways to take care of yourself, you diversify the ways to cope with stress and manage the roles in your life.
Take some time and reflect what activity you used to do; an activity you miss that you would like to incorporate back into your life. If you have not been to your physician in years, schedule your annual exam at a lunch break. Set the expectation with all family members that during this time you will be taking care of yourself. Sarah did not want to give up watching television as a way to unwind at the end of the day.
We spent time in therapy exploring ways to understand how negative self-talk was not productive, motivating or helpful.
Sarah thought because she worked part-time, most of the childcare and household responsibilities should be her responsibility. The biggest challenge for me is how balance my roles and to take care of others, whether children or supporting clients, while maintaining my own well-being. If the burn area is 20 percent or more you need professional medical care and special fluids.
Usually, superstitious rituals are recognized by the individual as pointless or ineffectual and repeated attempts are made to resist. Our work began exploring how to balance the demands of taking care of her children and other responsibilities with taking care of herself. If you can not think of an activity you used to do, take some time and think about what area of self-care you need most right now.
So she came up with a plan to reduce the amount of time in front of the television and computer to one and a half hours, followed by adding reading back into her nightly routine. Our work over time focused on increasing time with her husband several times a week, where they would spend time supporting one another instead of going over the schedule or list of household tasks that needed to be done. In contrast to the chaotic, undercontrolled life of individuals with Antisocial Personality Disorder, is the highly ordered, overcontrolled life of individuals with Obsessive-Compulsive Personality Disorder. Make a list of all of the self-care behaviors you would like to incorporate into your life.
Individuals with Obsessive-Compulsive Personality Disorder are overly conscientious, perfectionistic, scrupulous and meticulous. Time is a scarce resource for most parents, start small, even fifteen minutes of self-care can be restorative.
While it was challenging at first, she was able to talk about her needs and schedule time for herself which helped reduce the resentment and frustration she felt toward her husband. If you cana€™t reach out for medical aid in the first two days, the only chance of healing is to debride the black, dead tissue that will form, called an eschar. The skin that will grow will be from the undamaged outer edges and this is why you need to remove the eschar. The edges will grow inward and in order to meet, they dona€™t have to be obstructed by the eschar.

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