Tuesday, March 13, 2012

Acting Neurotic - What is Neurotic Behavior?

Expert Author Susan Meindl
You're just being neurotic! You're acting neurotic!
Your friends may say that to you when you worry about something that doesn't bother them, or something that your worry really will not fix. We say it to each other jokingly or critically... but what does it really mean?
Neurotic behavior
A psychologist will tell you that neurotic behavior or thinking, while distressing or painful to the individual, does not include any loss of contact with reality or behavior that is dramatically outside the social norms.
What this means in effect is that neurotic needs, wishes and behaviors are normal and necessary wishes and needs carried to a point of excess... usually because the individual is being driven by underlying fears and anxieties.
Two examples
We all have a normal, healthy desire to be loved and accepted, especially by those closest to us. However, when this need is expanded into a feeling that everyone must like and approve of us at all times and if they do not that we are failing terribly as human beings, then it has crossed the line and become a neurotic attitude.
Healthy effort becomes neurotic "workaholism" when you must always give 150%....not just in a crisis.
Some other abiding needs and behaviors that might be considered neurotic would be:

  • The need for a partner who will solve all of lifes problems: Grows out of normal need for love, partnership and assistance.
  • The tendency to restrict oneself, to be satisfied with very little or to remain inconspicuous: Grows out of normal need to move cautiously, delay gratification.
  • The need to be powerful and controlling, contemptuous of weakness and irrationality: Grows out of normal need to have others behave in a reasonable rational way.
  • The need to get the better of others or to exploit them: Grows out of normal need to have influence over others.
  • A desperate need for admiration, recognition and prestige, or a fear of being ignored: Grows out of normal need to be recognized and appreciated by others.
  • An insistence on self-sufficiency and independence which does not allow one to ask for help or commit to relationship: Grows out of a normal need for autonomy and self sufficiency.
  • Striving to be perfect and unassailable: Grows out of the normal need to excel and to create order.

Being neurotic is not "mental illness" It more nearly consists of taking too extreme or insistent a position on what would otherwise be normal and appropriate human needs. It is the preoccupation and the intensity of the behavior that makes it neurotic. The individual can never rest and when the neurotic "excess" has an interpersonal component, such as intense need for attention, admiration or control of others, a person driven by neurotic needs will not allow those around them to rest either!
The neurotic person often becomes a problem for others as well as for themselves.
Becoming less neurotic... two routes
One: The "epiphany" Sometimes a person will have a life-changing experience, accident or encounter. Often the thing that the person has tried so desperately to avoid will happen anyway... and they discover that the consequences are not the cataclysm that they had secretly feared. In the aftermath they may realize that their excessive behavior was not the safeguard that they had believed it to be. In some cases, when the neurotic beliefs and behavior are not too ingrained, this may be sufficient to bring about change.
Two: Working in therapy A therapist will try hard to help a person feel safe enough that they can look at, or partially experience, what it would feel like to live without the security of "excess". It is usually necessary to look more closely at the situation, to look past the surface justifications, for example, the straight "A's" generated by the neurotic perfectionist behavior, to see the ways that the behavior is limiting or damaging to other important parts of life...No love, no social life, anxious eating or drinking.
Often one must look below the surface rationalizations to discover the fearful assumptions and damaging past experiences that color the persons ideas about the world and other people and drive the neurotic behavior. Once these fears and assumptions can be named, they can be thought about and reality tested.
Return to reasonable levels of striving When the individual discovers that the assumptions that they live with are not true, they can continue to strive for their natural normal needs but without the excessive neurotic edge. Life becomes more calm, the experience of self becomes less judgmental and more peaceful, skills and talents can be used intuitively and naturally, relationships with others become less strained.
Most people will behave neurotically at some times and in some situations, and sometimes it is just something that we can make a joke of, but when neurotic behavior begins to be distressing to yourself and others or when it starts to overstep the social norms of society, it may be time take aim at your neurotic impulses and find someone to help you challenge your assumptions!
Susan Meindl, MA, is a licensed psychologist in private practice in Montreal Canada. She has a special interest in Jungian ideas and practices a Jungian approach to psychodynamic psychotherapy
http://therapists.psychologytoday.com/rms/59983

Crystal Meth - The Ultimate Overkill

Expert Author Jorg Mardian
Crystal Meth is somewhat like a racehorse among drugs. Its reaction in the body is fast, furious and long lasting. So are the immediate and long term side effects. It increases attention, wakefulness, and physical activity, and decreases appetite and fatigue. There is a brief intense sensation or rush, followed by a long-lasting high or euphoria. This first high is the most intense, with all others being "chasers" which never quite come close to expectations again.
Once the drug's effect disappears (known as the "crash"), the user may experience symptoms such as fatigue, nightmares, insomnia, disorientation, confusion, increased appetite, severe depression and suicidal tendencies.
To avoid the unpleasant effects of crashing, some people will take more crystal meth. Paradoxically, the more one uses this drug, the harder one crashes. And of course use can lead to dependence and cravings lasting for life. That means even if you beat the habit of taking this chemical soup, you'll always have psychological yearnings.
In the USA, 2.8 percent of young adults (ages 18-26) reported use of crystal methamphetamine in the past year. This is higher than the annual prevalence of crystal methamphetamine use by young adults (ages 19-28) of 1.4 percent reported by NIDA's 2002 Monitoring the Future Survey.
In Canada, the prevalence among young users is somewhere around 2 percent. I personally believe overall use is somewhat higher, with much of it going unreported.
So what exactly is this stuff and why is the rush so intense?
Crystal meth is the most powerful form of speed available. It excites the brain and nervous system by releasing dopamine into the body. Many times it's made in small and dirty labs and sold as an injectable or snortable powder and a smokeable crystal form called "ice." And it's cheap, which makes it extremely attractive to users.
However, unknown to the victims, dealers often cut crystal with harmful fillers such as antifreeze, drain cleaner, lantern fuel, Epsom salts or battery acid to come up with a 3:1 ratio of filler to drug.
The mix acts as a powerful psychostimulant and sympathomimetic drug, entering the brain and triggering a cascading release of norepinephrine, dopamine and serotonin. Euphoria and excitement is caused by stimulation of the mesolimbic reward pathway.
Routes of administration
Swallowing: takes 20-30 minutes to get high through pills or mixed into a drink. Method presents least amount of risk, because the drug is absorbed more slowly. Effects are less extreme but last longer.
The liver breaks down crystal into simpler components, but its use competes with other drugs, and so toxin breakdown may not be efficient. These substances migrate into the blood stream, causing possible drug interactions and overdose. Dangers include heart attack, stroke, coma and/or death.
Bumping and Snorting: takes 3-5 minutes to get high. Powder inhaled directly through the nose and quickly absorbed into the body. This method has similar risks than injecting since sharing inhalers can spread diseases like HIV and Hep B& C. Snorting can also destroy the nasal passages.
In the kidneys, crystal constricts the blood vessels so that less urine is excreted and toxic waste is allowed back into the system, causing headaches and mental confusion. Long term use may cause bladder infections and inflamed kidneys.
Smoking: takes 7 to 10 seconds to get high through inhaling, quickly spreading through the blood stream, with long term concerns such as nerve cell damage, depletion of neurotransmitters, paranoia, psychosis and increased chance of stroke.
"Smoking" methamphetamine actually refers to vaporizing it to produce fumes, which are smoked in glass pipes, or in aluminum foil heated by a flame underneath. Lung damage has been reported with long-term use, but manifests in forms independent of route (pulmonary hypertension and associated complications), or limited to injection users (pulmonary emboli).
Shooting up: (or slamming) takes 15 to 30 seconds to get high, as the drug is injected directly into the veins/blood stream with a needle or syringe. This method is extremely risky as it bypasses all the body's defence systems. If injected into the blood stream, the drug travels directly to the heart, giving a 30 second high.
Physical effects include constriction of veins and arteries, reduced blood flow and increased blood pressure. The heart will beat a lot faster also, which increases risk of arrhythmia (heart out of rhythm) or heart attack.
The hydrochloride salt of methamphetamine is soluble in water; injection users may use any dose from 125 mg to over a gram, using a small needle. This dosage range may be fatal to non-addicts; addicts rapidly develop tolerance to the drug.
Hot Rail: takes 7 to 10 minutes to get high. The drug is heated in a glass stem until red hot and then inhaled through the nose, but can cause lung irritation/nasal passage irritation. The stem can also become contaminated and transmit HIV and Hep C.
Treatment and support are necessary for addiction, requiring a period of detoxification, followed by rehabilitation. Counseling is also recommended to address issues which lead to meth use.
Sources:

  1. Canadian Aids Society
  2. Centre for Addiction and Mental Health
  3. National Institute on Drug Abuse (NIDA)
  4. Scienceblog.com
  5. Statistics Canada
  6. Fenwayhealth.org
  7. Wikipedia.org
Jorg Mardian is a Certified Fitness Trainer, Kinesiology Specialist, Myoskeletal Therapist and Registered Nutritionist with over 25 years of practical experience. He is also editor of "Mardian in Motion," a health intelligence blog giving clear and concise information on the real truth about nutrition and causes of disease. Find his site at - http://mardianinmotion.com/

The Family Vacation Is Important for Mental Health

Expert Author Neill Neill
My wife and I were discussing vacations this morning and I realized we haven't been practicing what I preach; and that's bad, especially for a psychologist. Our last extended vacation of three weeks or more was eight years ago. And for the last five years, we have had a few solo vacations of 5 to 7 days, but little more than three or four days away together.
With all the family losses of the last five years, it's not surprising we've neglected vacations, but neither is it healthy...
I encourage others to take vacations for several reasons, the first one being family mental health. The vacation gives you a chance to step off the treadmill that living in a family often becomes. Left behind are the demands of employment, school, endless household management errands, hobbies, TV and volunteer work.
Going on a family vacation gives all of you opportunity to be together at a deeper level. Some of the stress of vacations comes from fear about what you might find out. A husband gets to find out that he hasn't really talked with his wife (or children) for some time. She gets to find out about some of her husband's dreams of adventure and freedom.
Or you get to find out that you are doing fine. Either way, you both gain a clearer picture of the quality of your bond with your spouse and your children. You are better prepared for another year of full-out living. Families that take vacations together function better.
The second reason you need vacations is to regain your perspective as an individual. When you are away from workfor a week or more, you begin to see the bigger picture of your life. You may find you love your job so much that you can't wait to get back to it. Or you may begin to realize you are in the wrong job and need to change. The fear of what you might find out about yourself could be a factor in why you sometimes don't take a vacation.
You might not even be conscious of your ruminations until your first week back on the job. Twice, upon return to work after a break, I realized that I was ready to change careers. And I did. I wouldn't be writing this column or running my practice here today, were it not for those life-changing vacations.
Individuals who follow their hearts in their careers take vacations. Those who stick at the job or business without a break are putting themselves at risk of burnout.
I admit I'm still working on this one for myself. It's so satisfying to blame someone else for how I'm feeling!
Psychologist Dr. Neill Neill maintains an active practice on Vancouver Island, BC, Canada, with a focus on healthy relationships and life after addictions. He is the author of Living with a Functioning Alcoholic - A Woman's Survival Guide. Get a copy of his free report "Codependency and Alcohol Addiction" at http://www.neillneill.com.