Exactly what does my therapist mean when she says to “be mindful”? Quora)

This comes from Mindfulness Meditation a practice that research has shown to be quite effective in the treatment of mental disorders. You might want to ask your therapist about this as I’m quite sure it will be helpful to you.

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Why did loneliness lead me to psychosis? (Quora)

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Why did loneliness lead me to psychosis?
I was studying abroad. I wasn’t able to make friends, and worse than that, I made some people angry at me (I think, because they would snigger at everything I did). As a few weeks passed I started to think that people on facebook were doing things related to me, like if they would come online it would be because I did something online. Like everything I was doing was somehow having an effect on people’s activities on facebook. I was having fights with (the people I thought disliked me) songs on Spotify. For example someone would play ‘My god, he knows me’ and I would think of it as an insult and play ‘Retarded retard’.

(Oh, god, this is so embarassing, but please do give me an answer if you have one).

Near the new years eve, I spent a lot of time hungry as I was too depressed/lazy to cook, and at midnight I was convinced my computer was hacked. There were some compromising videos (heh) on there, and I was certain that the people who disliked me were putting those videos up, editing them, all over the world. The noise, loud music, and everyone going ‘Happy new years’ only strengthened my belief. It was the worst thing I ever faced (held a knife on my neck, until my flatmate’s boyfriend cam out of nowhere).

A week later I went into class. And in the second class, I suddenly realised people were hearing my thoughts. I stopped going to class because of that, and took an interruption 1 week before the exams as I hadn’t studied anything. I thought I was being tested on for some technology that enables people to hear thoughts. But I realised it wasn’t true 2 months later, when a teacher failed to recognise who I was, and the psychosis period ended.

I am fine now, on 2mg risperidone for safety. But I am scared a lot because I am going abroad again for studies, and wondering if it will come back.

My response: That’s quite a story, harrowing and uplifting all at once.
As I only know what you’ve posted here about your experience I would say your disturbance might have been a combination of being in a foreign country, anxious, alone and with the stress of academic pursuits. I imagine that this may have been the first real move away from your family which is always a vulnerable time for a young person and it isn’t unusual for the young person to experience what you did.
I think it was a combination of stressors, not the least of which is being alone in a foreign country by yourself. I’m so happy to have read that this psychotic episode has passed and can certainly empathize with your struggle as well as your trepidation regarding re-experiencing that episode again.
Good luck. I hope you are working with a therapist to really understand in depth what led to such a frightening experience, one I expect that will increase your empathy for others who find themselves in a the throes of their own psychotic episode

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How do you take mentally ill relatives to the psychiatrist? (Quora)

These situations are so confusing, tragic and possibly lethal. Yes, the mother and daughter should waste no time in leaving to be somewhere that they can be safe from him. As he is a threat to them, he can be involuntarily committed. In this instance wherein the danger is clear and present, the police should be contacted to that they may safely transport him to the nearest emergency room where he can begin to receive the help he and his family so urgently need. Good luck to them in both the near and long term.

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How can I choose a good therapist or psychiatrist? How can I know they are good at what they do or good for me? (Quora)

1st off, there are not many psychiatrists who actual engage in psychotherapy as they are pushed ever more into doing medication management. Clinical social workers provide the most therapy services in the US and many psychologists specialize in psychotherapy. Almost everyone you think about working with will be well trained and have the proper licenses, though you wan to check that. The real question is, are you comfortable with therapist you meet with. That can start be assessed in the initial phone call and the following initial appointment. Remember, a perfectly good therapist may be someone with whom you personally don’t connect with. It’s neither blamed on your or the therapist, it’s just a matter of fit. That should be your key point in deciding on whom to work with. Good luck.

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Why and when do we use family focused therapy or interpersonal and social rhythm therapy for bipolar disorder over CBT? (Quora)

I endorse family therapy for this. The patient with the diagnosis of bipolar disorder may also be in individual therapy. I suggest family therapy to work on issues, patterns and triangles that may contribute to the identified patient’s—here, the one with the diagnosis—symptoms. Family therapy can help the entire family confronting a member with a serious mental disorder. The impact of this disorder will reverberate throughout the family and that will create feedback for the identified patient(IP). As that patient begins to free her or himself from the role of the family’s IP s/he may well find the bipolar symptoms backing off.

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Should I seek help or am I just overreacting? (Quora)

I’m afraid we can’t be of any assistance as we need more information beyond your question. It might help if you were a bit more specific about what may be troubling to you?

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Can therapists tell the attachment style of a person after just a short period of time? And if so, how? (Quora)

Good question without a really good answer.
There are some therapists who say they can discern an attachment style relatively quickly even within the initial appointment. I have no reason to doubt this, but it runs counter to my more cautious stance on diagnosis & prognosis.
The research into attachment has spawned a number of good therapeutic interventions, or in my mind, enhanced ways of connecting with people who for whatever reason display problematic attachment styles and behavior.
I say I’m cautious about this as, in my experience, a quick assessment or diagnosis is held prey to counter-transference in the therapist. The quicker the diagnosis the more likely it’s colored by the therapist’s unconscious attachment styles that are then easily seen, through projection, in one or another patient.
I find that if I take more time to experience the relationship with a new patient the more sanguine I am regarding diagnosis and prognosis as I have allowed more data, so to speak, to accumulate to support my diagnostic thinking.
In closing, I’d like to point out that there are some gifted therapists in identifying and communicating attachment styles. These are time savers for sure and may allow them to move more quickly into treatment. & in our insurance dominated professions, speed and accuracy of diagnosis is held in high esteem.
However, as I’ve laid out above, this also has it’s down side in misconstruing the more delicate distinctions among attachment styles that then show the path to treatment and resolution of the patient’s problems.
Briefly stated, we humans are a complex lot that often requires slowed down approach that allows someone’s attachment difficulties to present them to and inside the therapist.

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Answers to question posed to me on Quora and online entity

Anyone can ask any kind of question or question on the website Quora. You can ask for answers anonymously or by using your name. You can ask a question posed to anyone who reads it and asks for an answer. Readers can follow those who answer or pose questions and you can also ask a question of a specific person. You can also “follow” anyone you find interesting. I primarily answer questions about psychopathology, therapy and on writing. I’ve just recently started posting both the questions and my answers. There are a variety of questions and many are intriguing.

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Is it possible to focus on multiple goals at the same time? (Quora)

The short answer is yes. However, it depends on the nature of the goals and how much each might take of your personal resources. Experimentation is a good approach to learning what your capacity for multi-tasking is. Again, it will vary according to the complexity and difficulty of each goal.

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Is it normal to have difficulty remembering if something happened in reality or a dream? (from Quora)

Your question, though intriguing is impossible to answer in a definitive way. There are some people who, like you, from time to time have difficulty distinguishing between the two. If it happens everyday and interferes with any part of the person’s life it might well be considered a psychotic process. The key is: How much does this confusion affect your life. If this is considered by you a minor nuisance to living I wouldn’t worry about it. If it happens all the time and interferes in any area of you life I’d talk to my physician to explain what is happening and asking him/her for a referral to someone who’s done this kind of work in the past.

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