Symptoms Detected
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You show symptoms of several mental health disorders.
While they have not reached the level of full diagnosis, seeking the advice
of a therapist is recommended, as the symptoms may become overwhelming, more
frequent, and more serious.
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Manic Episodes
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You appear to have showed some signs of experiencing a
manic episode. People who experience manic episodes have times when they feel
extreme emotional "highs" accompanied by a variety of other
symptoms, such as racing thoughts, extreme talkativeness, and reduced need
for sleep, among others.
According to the DSM-IV, a manic episode consists of the
following:
- A
discrete period of time when there is an extremely elevated or expansive
mood, or high levels of irritability.
As well as three or more of the following symptoms:
- Exaggerated
sense of self-esteem or grandiosity.
- Greatly
reduced need for sleep.
- Excessive
talkativeness and feeling of internal pressure to keep talking.
- Thoughts
race quickly and change rapidly from topic to topic.
- More
easily distracted than usual.
- Increase
in goal-setting activity or in unproductive physical activity, such as
fidgeting, pacing, or finger-tapping.
- Risky,
impulsive, and unconsidered behavior, with the potential for serious and
long-term consequences (e.g. reckless spending, sex with strangers,
foolish business decisions).
The symptoms must be severe enough to disrupt functioning
in important life areas, such as the ability to function at work, to have
healthy relationships, and to take care of oneself. If hospitalization is
required, this criterion is considered to have been met.
If you feel that your symptoms are a problem for you,
speaking with a professional therapist or psychiatrist, or a medical
professional is your first step towards obtaining help. The most effective
treatment for Bipolar Disorder appears to be pharmaceutical drugs, in
particular lithium, anticonvulsant mood stabilizers, and atypical
antipsychotic drugs. Cognitive Therapy might also be useful for Bipolar
patients, mostly to assist in understanding the illness, dealing with its
consequences, preventing relapse (monitoring symptoms and adjusting
medications before a full-blown relapse occurs), and ensuring adherence to
the drug regime.
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Specific Phobia
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You show some signs of suffering from a Specific Phobia,
but not enough for a definitive diagnosis. People with a Specific Phobia have
a strong, unreasonable fear of a particular object or situation.
The DSM-IV describes the signs and symptoms of Specific
Phobia as follows:
- Excessive
fear of an object of situation that is cued either by the presence or
anticipation of being exposed to that stimulus.
- Exposure
of the object or situation almost always provokes a strong and immediate
anxious response, or results in panic attacks related to the phobia.
- The
fear is recognized by the individual as being unreasonable and out of
proportion.
- Contact
with the object or situation is avoided if at all possible, or endured
only with great anxiety and/or distress.
- The
issues surrounding the phobia, such as distress, panic attacks, and
avoidance of the phobia interfere with the individual's life.
- The
symptoms of Specific Phobia cannot be better explained by another
disorder, such as Panic Disorder, Social Phobia, Post-traumatic Stress
Disorder, or Obsessive-Compulsive Disorder.
This type of phobia can often be easily treated with
Cognitive or Behavioral Therapy techniques. Exposure Therapy, for example,
slowly builds up from mildly frightening situations to more frightening ones
in order to reduce the phobic reaction. Flooding, which entails placing the
individual into the situation they find frightening and then teaching them
how to relax in that scenario, can also help. Drug therapies might also be
used.
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Post-Traumatic Stress Disorder
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You show some of the signs of Post-Traumatic Stress
Disorder (PTSD) but do not fulfill all the diagnostic criteria. This
disorder, which can occur after a traumatic experience, involves intense
feelings of anxiety and even flashbacks of the experience.
The DSM-IV describes the following signs and symptoms of
Post-Traumatic Stress Disorder:
- The
person witnessed, experienced, or was otherwise confronted with a
traumatic event or series of events that involved threat of death or
injury to him or herself or others.
- The
person's response to this event involved intense fear, feelings of
helplessness, or horror.
- The
person repeatedly re-experiences the event in at least one of the
following forms:
- Repetitive,
intrusive recollections of the event, including images, thoughts or
perceptions (visions, hearing or smelling the same smell or sounds that
occurred that day, etc.).
- Recurrent
dreams or nightmares about the event in question.
- Feeling
as if he or she is reliving the traumatic experience (i.e.,
experiencing flashbacks, hallucinations or other vivid sense of
experiencing the event again).
- The
person experiences extreme psychological distress upon being reminded
of or thinking about the traumatic experience.
- The
person has an actual physical reaction upon being reminded of or
thinking about the traumatic experience.
- The
individual avoids experiencing stimuli associated with the traumatic
event or shows signs of general numbing of feelings and interest in
everyday life, in the form of three or more of the following:
- Avoiding
thinking about or discussing the traumatic event.
- Avoiding
the place, people, or activities that are associated with the
traumatic event.
- Blocking
out (experiencing amnesia about) important memories associated with
the precipitating event.
- Diminished
interest in or participation in formerly enjoyed activities.
- Feelings
of emotional detachment or estrangement from others.
- Dampening
of emotions -- feeling that emotions have a restricted range, i.e.
unable to feel love towards others.
- Expectations
about future are foreshortened; that is, the person believes that his
or her life will be cut short, or that he or she will never reach
normal milestones, such as marriage, birth of children, career, etc.
- The
person experiences frequent and persistent symptoms of increased
physiological arousal (his or her body appears ready to react rapidly
in case of another stressful event), in the form of two or more of the
following:
- The
person has difficulty falling asleep or staying asleep.
- He
or she appears irritable or has emotional or angry outbursts.
- He
or she experiences difficulty concentrating.
- His
or her senses are hypervigilant and she or he appears to be constantly
on the lookout for threats.
- He
or she startles easily.
- The
symptoms related to this experience went on for more than one month and
caused distress or impairment in social, occupational, or other
important areas of functioning.
You've experienced a traumatic event in your life, and are
obviously suffering. A mental health professional can help guide you in the
healing process and can help you learn to live with the memories of this
difficult experience. The treatments for PTSD include Exposure Therapy, which
slowly builds up from mildly frightening situations to more frightening ones,
as well as relaxation techniques for handling anxiety and group therapy,
among others.
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Generalized Anxiety Disorder
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Your answers indicate that you show some of the signs of
Generalized Anxiety Disorder, but not enough of them to meet all the
criteria. People suffering with this disorder are on edge most of the time,
with no obvious precipitating event. This is a very common disorder and there
are many effective treatments available.
The DSM-IV states that the following signs and symptoms
must be apparent for a diagnosis of Generalized Anxiety Disorder to be made:
- The
individual must experience excessive anxiety and worry more days than
not for a minimum of six months. The concern must be about a number of
different events or areas of life, not focused on one or two specific
issues.
- The
person must have a difficult time controlling his or her worry.
- The
anxiety and worry must be associated with at least three of the
following physical or emotional symptoms:
- Feelings
of restlessness, edginess, or unease.
- Feeling
easily fatigued.
- Difficulty
maintaining concentration or a feeling of his or her mind going blank.
- Irritability.
- Tense
muscles.
- Sleep
disturbance in the form of insomnia or difficulty staying asleep, or
feeling unsatisfied with his or her sleep.
- The
anxiety and worry must not occur solely as a result of another disorder,
such as Social Phobia, Obsessive Compulsive Disorder, Anorexia or
Bulimia, Post-Traumatic Disorder, Panic Disorder, Somatization Disorder,
or Hypochondriasis.
- The
anxiety, worry and accompanying physical and emotional symptoms must
cause the person distress or lead to impairment of his or her
functioning at work, in his or her personal life, or in other life
areas.
- The
anxiety is not due to a physical condition or drug use (illegal or
medical), and does not occur only during a mood disorder such as
Depression, in the course of a Psychotic Disorder, or due to a Pervasive
Developmental Disorder (such as Autism).
Treatments for Generalized Anxiety Disorder include
anti-anxiety medications, relaxation therapy, and Cognitive-Behavioral
Therapy.
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Agoraphobia without Panic Disorder
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From your responses, it seems that you show some of the
signs of Agoraphobia without Panic Disorder. Agoraphobics who are not also
suffering from Panic Disorder have a great deal of fear about being in
situations where escape would be difficult or embarrassing, but do not have
enough symptoms of panic attacks to quality for a Panic Disorder diagnoses.
The DSM-IV criteria for Agoraphobia without Panic Disorder
are as follows:
- Worry
and anxiety about being in places or situations where escape in the
event of an unexpected or situationally predisposed panic attack would
be difficult, or where help might not be available should an attack
occur. Fear-inducing situations include leaving the house or other
secure area alone, being in a crowded place, waiting in line, being on a
bridge, or being in a car, train or airplane.
- The
person avoids these situations, requires the company of others in order
to take part in them, or endures them with a great deal of anxiety or
even panic attacks.
- The
criteria have never been met for Panic Disorder.
- The
symptoms are not due to another disorder, such as Social Phobia (e.g. if
they occurred mostly in social situations), Specific Phobia (e.g., if
they had only one type of situation or object that caused them to
experience attacks), Obsessive-compulsive Disorder, or Post-traumatic
Stress Disorder (in response to things that remind them of the difficult
scenario).
- The
problems are not a direct result of the use of a substance, whether
medical or illegal.
- If
a medical condition is present, the worry and anxiety is very clearly
above and beyond what is merited by the medical condition.
Agoraphobics often find their lives highly limited by
their condition. It can be difficult for them even to leave the house. In
order to live their lives to the fullest, they find they must seek treatment.
The choice of treatment often includes anti-anxiety medications, exposure
therapy, which slowly builds up from mildly frightening situations to more
frightening ones, or learning techniques to reduce anxiety.
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Body Dysmorphic Disorder
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Your responses indicate that you suffer from some of the
issues related to Body Dysmorphic Disorder, but do not yet feel that these
symptoms are interfering with your life or causing you concern. You are
troubled with one or a few particular areas of your appearance, either being
preoccupied with an imagined physical imperfection, or being unduly concerned
about a small physical imperfection.
The DSM-IV criteria for this disorder are as follows:
- Concern
with one or a few particular areas of your appearance, either being
preoccupied with an imagined physical imperfection, or being unduly
concerned about an insignificant physical imperfection.
- This
concern causes the person distress or impedes in occupational, social,
or other important ways of functioning.
This disorder can be very disruptive to your life, and it
can take up a great deal of energy, as you may find you can think of little
else than the perceived imperfection. Seeking treatment can help you overcome
these problems and get on with your life. The most likely treatment is
Cognitive Behavior Therapy (CBT) combined with anti-depressants. CBT will
help you identify the unhealthy thoughts and teach you how to fight against
them, as well as help you face situations where your obsessions are triggered
and prevent unhealthy behaviors.
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