#dissociative seizures mood
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I'm just going to pin this post and use it to find weird tags that I have inexplicably written on something, mostly for my own gratification, but if any of you wonderful weirdos wanna look, feel free
#house wouldnt say 'youll grow out of it' or 'growing pains' (my seizures and my siblings hypermobility)#'i have a seizure disorder'#dissociative seizures mood#technically my seizures are psychosomatic; that's an old name for them; but it's basically my brain going "tired now; fuck off; floor time#he only kills georgia and bev because they can identify him#though actually the first role i saw him in was georges seurat because im from that sort of family#really short shorts with that geometric christmas pattern in red white and blue#the same way george takei said 'when shore leave aired it was still illegal for me to marry the girl my character flirted with.#geordi because red pandas are the best#im only small and im ill and i cant fight nearly as well as i think#im not going to hijack the main post for this#im not sure why i find it so funny that im reblogging this off someone i met on ao3 and the last comment is from someone i met on discord#the staff at the caff down the road from my nans; people who watched me grow up; tell me that i look exactly like her#my nan tried to teach me to knit but i am bad at it#my nan isnt antivax but my uncle (we think) had a reaction to the vaccine so mum didnt get it#i lost my nan at fourteen and it sucked. its going to suck for them#i look like my mum and aunt and nan and i love it#no my heart cant take it#my housemate thinks hes matt; is the thing; self describes as a 'partially sighted catholic man'; has the red glasses; good in a fight#his smile melts me#especially when he smiles#matt goes to marriage like a catholic'#hes wearing his ring!#i love ripper so much#am i spelling that right?#awww good for them#i audibly gasped when he appeared#ive tried the milkshake thing (vanilla) at maccies and its very nice actually; sweet and salt#but im not going to#and then back to sleep
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In the mood for...
Apr 19th
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1. Hi, I'm looking for fics where WWX is drunk/high and LZ noncons him @thehappyyellow
the sweetest dream would never do by honeyandviscera (E, 2k, WangXian, Modern AU, Dark LWJ, Somnophilia, Non-Consensual Somnophilia, Body Worship, Breaking and Entering, Drugged Sex, Stalking, Come Eating, Unreliable Narrator, Dead Dove: Do Not Eat)
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2. Hey, hope you guys are well. For itmf, any opwwx! recs? Preferably completed please. Thank you for your time!! @tinyfoxpeach
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3. Helloooo Just came here jajsjs I'm desperate, lately I was thinking about some caveman! Or prehistoric ice age wangxian but I could not find something like that :( any rec? (Tysm for this page)
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4. more fics like lwj's big dick agenda? or just fics lwj being possessive. thanksss!
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5. Love your blog!!!!thank you for the hardwork!
Would love some disabled/chronic health issues wei wuxian pretty please 💖💖
🔒 the thread may stretch or tangle but it will never break by RoseThorne (E, 91k, WIP, WangXian, Canon Divergence, Soulmates, Self-Esteem Issues, Fix-It, Angst, Hurt/Comfort, Nightmares, PTSD, Handfasting, Panic Attacks, Getting Together, First Time, Aftercare, Implied/Referenced Alcohol Abuse/Alcoholism, /Referenced Torture, Scars, Chronic Pain, Golden Core Reveal, First Time, Switching, sex-related injury, LWJ Stays at the Burial Mounds, LSZ is a Wèi, Good Sibling JC, Dissociation, Burial Mounds Settlement Days, Disability, Scheming NHS, Disabled Character)
🔒 a star called sun by thelastdboy (E, 120k, wangxian, SL/XXC, JC & JYL & WWX, JYL & LWJ, WWX & WN & WQ, JYL/JZX, Canon Divergence after Xuanwu Cave, Fall of Lotus Pier, But worse!, Power Imbalance, It Gets Worse Before It Gets Better, Not Everyone Dies AU, Implied/Referenced Child Abuse, Canon-Typical Violence, Sunshot Campaign, Miscommunication, Heavy Angst with a Happy Ending, Slow Burn, Major Character Injury, Loss of Limbs, Chronic Illness, Seizures, WWX’s Three Months in the Burial Mounds, Wēn Remnants Live, Wēn Remnants Deserve Better, WWX Creates a Sect | Yílíng Wèi Sect, Additional Warnings In Author’s Note, Hurt/Comfort, Selectively Mute LWJ, Service Animals, Crows)
The Darkness Before Dawn by PsycheStellata707 (M, 113k, wangxian, Angst with a Happy Ending, Time Travel Fix-It, Canon Divergence, BAMF WWX, Attempt at Humor, PTSD, Oblivious WWX, WWX-centric, Blind WWX, Sentient Burial Mounds, Everyone Lives AU, Except Those Who Deserves to Die, Oblivious Pining, Not Canon Compliant, WIP)
🧡 the river brought you here by chilianxianzi (Not Rated, 11k, WangXian, Canon Divergence, POV Outsider, Amnesia, Past abuse, Strangulation, Found Family)
please don’t let me be misunderstood by sysrae (T, 3k, WangXian, Modern AU, College/University, Emotional Hurt/Comfort, getting hit by cars, Past Child Abuse)
some foolish thing I've done by sysrae (M, 4k, wangxian, Modern, College/University, partial hearing loss, Past Child Abuse, Emotional Hurt/Comfort, the real OTP is everyone x therapy)
🔒 how to make your dad fall in love with your high school teacher in five steps; the complete and bulletproof guide by ravenditefairylights (T, 90k, wangxian, modern, coffee shop au, nonbinary LSZ, hurt/comfort, trauma, past abuse, past domestic violence, healing, hurt WWX, found family, hospitalization, therapy, single parent WWX, pining, teacher LWJ, unreliable narrator, chronic pain, queer platonic relationship, genderfluid WWX, autistic LWJ, fluff & angst)
🔒 some things go forward by everythingispoetry (T, 73k, WangXian, Modern AU, Hospitals, Teenage Drama, Slow Burn, Hurt/Comfort, Fluff, Happy Ending)
Cure by Yukirin_Snow (M, 100k, WangXian, XiCheng, XuanLi, Modern AU, Hurt/Comfort, Sick Character, Cancer, Medical Procedures, Medical Jargon, Romance, Eventual Smut, Fluff and Angst, Love at First Sight, possible trigger warnings) Wwx has cancer, happy ending. It's a really good fic. I love it.
Rest is Resolution series by MarbleGlove (T, 32k, JC & WWX, JYL/JZX, JZX & JGS, LQR & LWJ, wangxian, Fix-It, Post-Sunshot Campaign, this might be crack, Ni�� Cultivation, BAMF NHS, BAMF JYL, Canon Divergence, Madam Lan Backstory, Getting Together), but especially the first one, Elder, an Aesthetic It's WWX without his golden core leaning into needing assistance
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6. Hiii! For the next itmf, I’m wondering if anyone has read fics inspired on creative reality shows? I’d love to read about wangxian having to team up for something like baking impossible or blown away. I hope y’all are having a great day, thanks!
❤️ Knight Hunt! Phoenix Mountain by travelingneuritis (E, 51k, wangxian, modern, dating show, Modern Cultivation, but in the silliest way possible, Reality TV, the juniors are interns, Smut, Illustrations, low-stakes pining)
Wangxian Strictly AU Series by Selenay (E, 135k, WangXian, Modern: No Powers, Dance, Strictly Come Dancing Fusion, Ballroom Dancing, Dancer!WWX, Violinist LWJ, Pining While Dancing, Oblivious WWX, Gratuitous Costume Descriptions, Gratuitous dancing descriptions, Slow Burn, Ballroom dancing, Established Relationship, Romantic Fluff, [Podfic] Falling to the Rhythm by semperfiona_podfic (semperfiona))
Previously, on LEGO Masters by trippednfell (M, 55k, wangxian, Reality TV Show Contestants/Judges, Modern, Mutual Pining, Forced to compete together, strangers to reality show contestants to lovers, there's only one bed, Platonic Cuddling, Autistic LWJ, WWX Has ADHD, Grief/Mourning, Wangxian miss their moms, so much pining, More Pining than LEGO in this LEGO fic, Additional Warnings In Author's Note, POV Alternating, Lego Masters AU, Not YZY friendly, Dysfunctional Jiang family dynamics)
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7. Do you by any chance know if there's any fic about the kid playing hanguang-jun role and the kid playing to be the yiling patriarch of that bunch of kids playing to be cultivators? As they have no names idk where to start looking. I'm in the mood for something wholesome 😌 Thanks in advance!
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8. Itm A) miscarriage fics where it causes problems in wx marriage.
B) girl dad wwx
C) cat dad wwx
Please find all of them in >20k or atleast 10 k. Please. Thankyou.
Rise of the Divine Oracle by BlakSalt (T, 291k, WangXian, Boy Love, Hurt/Comfort, Romance)
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9. hi! :3 itmf junior-central fics :) can be any combination of the quartet. ship fics are fine but no sizhui/jin ling pls bc they are cousins in my heart. thanks!! @monstergreentea
🔒 blue flies buzzing by RoseThorne (T, 2k, JL & LJY & OYZZ & LSZ, JC & WWX, wangxian, LSZ & WWX, LSZ & LWJ, LSZ & LXC, Gossip, Rumors, Mentioned Wen Remnants, Sect Leader Yao Bashing, JC & WWX Reconciliation, NHS is a Little Shit, POV LJY, POV Third Person, Threats, Justice, Cultivation Discussion Conferences, LWJ is LSZ’s Parent, LJY Being LJY, Podfic Welcome)
🔒 hills and rivers are waiting by LtLJ (T, 15k, wangxian, Post-Canon, Hurt/Comfort, Emotional Hurt/Comfort, Fluff and Angst, Domestic Fluff, Family Feels, Canon-Typical Violence, the family that hunts demons together stays together, and doesn't murder each other, Case Fic, BAMF WWX, Mojo's post)
💖A Dramatic Reading by pupeez4eva (Not rated, 5k, wangxian, post-canon, humor, public confessions, curses, getting together)
❤️ Tragedy is Not the End by Hobbsy3 (T, 358k, wangxian, Time Travel, Torture, Hurt/Comfort, Golden Core Reveal, Canon Divergence from Qiongqi Pass, Angst with a Happy Ending, Implied/Referenced Rape/Non-con, Yunmeng sibling bonding, good dad wwx, good dad lwj, JZX Lives, JYL Lives, Junior Quartet Dynamics)
Would You Come Home? by s6115 (Not rated, 46k, WangXian, Junior Quartet Centric, Time Travel Fix-It, Canon Divergence, Junior Quartet Dynamics) Might work, though it's a little more Sizhui centric, but it's a very lovely showing of their dynamic in a low stakes setting
❤️ grow by cafecliche (T, 14k, WangXian, Age Regression/De-Aging, Character Study, Post-Canon) link in #12
You Bring the Colour by fuddy_duddy (rainier_day) (G, 12k, wangxian, art school, art restoration)
🔒 Yearning by Sanguis (T, 9k, WangXian, LingYi, Modern AU, Professors, Established Relationship, Married Couple, Bunnies, Pre-Relationship Secrets)
climbing up that coastal shelf by Sour_Idealist (T, 15k, JC & JL & WWX, JC & JL, JC & WWX, JL & LSZ, JL & WWX, Post-Canon, Mutually Unrequited Forgiveness, JC & WWX Reconciliation, Family History, Generational Trauma, Discussion of Canonical Abuse, Awkward Attempts at Communication, mentions of past JC/WQ, Fairy is a good dog)
history by tongzhi (T, 16k, LSZ & WN, JC & LSZ, LSZ & WWX, LSZ & LWJ, LSZ & Wen Remnants, LSZ & Juniors, LSZ & MM, Post-Canon, Angst, Grief/Mourning, Hopeful Ending, LSZ gets angry, LSZ and JL refuse to take their family's trauma forward, jiujiu is the best, Character Study, MM abolitionist queen)
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10. itmf any pregxian fics! thank you for your hard work admins :)
Reluctant partner by sacrificial_fawn (G, 31k, wangxian, LXC/JGY, Modern, Mpreg, Family Reunions, bonding over your shared trauma, Reluctant Bonding, Married Life, Supportive LQR, Past Miscarriage, LXC's excessive use of kaomojis, Male Lactation, non-graphic birth, LQR tries to be a good uncle but he doesn’t know how to, Intersex WWX, JGY can hold the baby as a treat, LWJ can have words and verbs as a treat, Slight OOC) very sweet imo, it has a bit of Meng Yao and Wei Wuxian friendship, it's also a teene tiny bit sad
All I Want by Selenay (E, 47k, wangxian, Modern, Mpreg, Post Holiday Romance, Consequences, Reunions, Idiots in Love, wangxian attempt to be sensible adults about it, they are very bad at it, Teacher WWX, Rating earned in later chapters, Handwavey Biology)
Until The End by abCEE (M, 365k, wangxian, canon divergence, communication, established relationship, sunshot campaign, mpreg, canon typical violence, WWX has new golden core, canonical character death, happy ending, fix-it of sorts) He's not pregnant for a large portion of the fic, but it's not an insignificant amount of time.
Impermanence, Transience, Permanence by Best Bepsy (BepsyGray) (E, 39k, wangxian, canon divergence, unplanned pregnancy, mpreg, gore, sunshot campaign, assumed miscarriage, medical procedures, childbirth, golden core reveal) I'd be surprised if you haven't already read this one, but it's one of the few ones of the genre that I like.
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11. Hi!! For itmf, is there any fic where Lan zhan and wei ying personality swapped? It only temporary but the chaos cannot be contained @chibiizzy
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12. hey admins, any fic recs on wei ying getting injured or sick and lan zhan takes care of him or just anyone who gets very worried about him?? thanks <3
🔒🧡 rain falls and soaks into the earth series by RoseThorne (T, 57k, WangXian, WIP, Near Death Experience, Attempt Drowning, Madam Yu Bashing, Recovery, No war AU)
Rotten Work by ShanaStoryteller (Not rated, 63k, wangxian, JL & WWX, post-canon, Protective WWX, Protective JL, POV JL, JC & WWX Reconciliation, eventually, Reluctant Matchmaker JL, this kid is doing his best, Pre-JL/LJY if you squint)
How to Treat Your Injured Yiling Laozu by merakily (T, 3k, wangxian, Chronic Pain, Whump, Love Confessions, Literal Sleeping Together, Burial Mounds, Golden Core Reveal, LWJ has a lot of feelings about WWX being in pain, Hurt WWX)
hunters seeking solid ground by Attila (E, 23k, wangxian, Canon Compliant, discussion of canon character death, Hurt/Comfort, Nightmares, bed sharing, Getting Together, Yearning, Literal Sleeping Together, Really Excessive Amounts of Hurt/Comfort)
something left to save by androids_fighting93 (E, 57k, wangxian, Canon Divergence, No Bloodbath of Nightless City, JYL Lives, Not Everyone Dies AU, Hurt/Comfort, single dad wwx, Sick Character, Golden Core Reveal, the lightest d/s dynamic if you squint, handjobs, Anal Sex, Canon-Typical Dynamics)
Heart of hearts series by apathyinreverie (M, 40k, wangxian, WIP, Dark LWJ-ish, Not Cultivation World Friendly, Amnesia, WWX gets to be Not Okay after the BM, Recovery, Possessive LWJ, Possessive WWX, Protective LWJ, not nearly as dark as the tags make it sound, Golden Core Reveal, Hurt WWX, Caring, WWX Goes to Gusu, ridiculously self-indulgent, Canon Divergence, Amnesia, some definite manipulation, but not everything is as it seems, Golden Core Transfer Fix-It, Domestic WangXian, Fluff, WWX happily atticwifing away, Sunshot Campaign, BAMF WWX, BAMF LWJ)
❤️ grow by cafecliche (T, 14k, WangXian, Age Regression/De-Aging, Character Study, Post-Canon)
What's Wrong With Him? by GrapefruitSketches (G, 2k, JYL & WWX, JYL & LWJ, JC & WWX & JYL, wangxian, Hurt/Comfort, Hurt WWX, Pining LWJ, POV JYL, Canon Compliant, Oblivious WWX, Unconscious WWX, Concerned JYL, JYL Knows Everything)
let the yoke fall from our shoulders by occultings (microcomets) (G, LSZ & LWJ, LSZ & WWX, wangxian, LWJ & LSZ & WWX, Hurt/Comfort, Light Angst, Character Study, Mentions of Canonical Character Death, Grief/Mourning, Gusu Lan Juniors Dynamics, let capricorns cathart agenda, Happy Ending, Family Feels, Established Relationship)
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13. Itmf serious fics. Where wwx has personality like he has in 12 moons n a fortnight, he's so mature there uk. Ik that fic has funny and crack moments too, but it's mostly feels and serenity there, more fics where wwx is like that please?
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14. Hello. Thank you for all the hardwork.
For the next itmf I'm looking for fics whe WWX is not the only one to be resurrected.
Or where he is resurrected in other people bodies (I have seen the fic comp here ).
Thank you once again @anime-trash-parody
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15. itmf,,, a fic where wwx atracts the supernatural, the divine, the eerie,, like he has a connection with the burial mounds or the dead in general, they like him, they are atracted to him; spirits and deities like huli jins or like the fliwer maiden are also atracted to him or interact with him,,, does what im saying even make sense?
Ad Oblivione by Baph, HikariNoHimeWriter (M, 70k, WangXian, Time Travel Fix-It, Temporary Character Death, Canon-Typical Violence, POV Multiple, Hurt/Comfort, Grief/Mourning, Identity Reveal, Golden Core Reveal, Cultivation World Critical, Not JC Friendly, Abusive YZY, Angst with a Happy Ending)
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16. itmf any fics where they actually end up meeting baoshan sanren when going to or while doing the core transfer
Can't Tell Me Nothin by natacup82 (T, 35k, wangxian, Canon Divergence, Everybody Lives, Family Feels, Communication, BAMF Women) They don’t meet during the transfer so it might not quite be what u have in mind but she does do something about it.
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17. Would love some genius modern wei wuxian extra if the juniors are involved thank you 💖💖💖💖💖
💖 One Can Keep A Secret (If He Does Not Know It’s There)by H_Belle (T, 5k, wangxian, NHS & WWX, modern w/ cultivation, inventor WWX, secret identity, identity reveal, YLLZ WWX, rogue cultivator WWX, pining LWJ, WWX pov)
living in my memory/living in my mouth by tardigradeschool (T, 32k, wangxian, modern w/ magic, reincarnation, college/university au, hurt/comfort, sharing a bed, light angst, nightmares, epistolary, pining, friends to lovers)
🔒 care by everbrighter (T, 35k, LSZ & WWX, wangxian, modern w/ magic, resurrection, family bonding, getting to know each other, past character death, pining)
🔒 The Second Jade of Lan's late but incendiary sexual awakening by KizuKatana (E, 41k, wangxian, First Time, LWJ's Horny Grip,LWJ does not know what hit him, and yet somehow he still realizes it before WWX, canon wangxian dynamics, college AU, LWJ starts off annoyed at WWXBut quickly discovers both his competency kink and a caretaking kink, Genius WWX)
i really want to know (who are you) by Stratisphyre (M, 19k, wangxian, LQR & WWX, Modern with Magic, Golden Core Reveal, Single Dad WWX, Reasonable Authority Figure LQR, Allusions to violence and murder, Hospitalization)
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If you didn’t get an answer to your ask here, don’t forget to make use of @mdzs-kinkmeme and MDZS KINK MEME on Dreamwidth. Authors actually do use them for ideas. You may get what you order!***Your prompt doesn’t have to be kink! Fluff, crack, whatever - it’s all good!***
#wangxian#mdzs#wangxian fic recs#i'm in the mood for a fic#the untamed#wangxian fic search#wangxianficfinder#long post
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Chris Sturniolo x PNES!reader)
Summary: you have PNES, or **Psychogenic non-epileptic seizures.** They are attacks that look like epileptic seizures, but are not caused by abnormal electrical discharges. They are, instead, stress-related, psychological, or emotional. While hanging out with your boyfriend, Chris, at a party, you experience a seizure and reassures you when you regain consciousness.
pairing: chris x reader
genre: angst
warnings: mentions of alcoholism, abuse, PTSD. And this whole story is about PNES seizures so if that's troubling don't read :))
this was a request by an anonymous user (tysm). I had to do a lot of research about PNES so I hope I am well informed enough— I think the seizure I am writing about is called a dissociation seizure which is a form of photogenic seizure and also a non-epileptic seizure as well. Hopefully this is close to what you were hoping for. If not please message me and I'll make changes
if this makes anyone uncomfortable I'll take it down!!
Having seizures for most of your life is really challenging, especially having PNES, which developed from your past trauma. It wasn't the best, but it was manageable. Especially with Chris, who's been supportive throughout your entire life of having this, even more since you started dating a few months ago. Matt and Nick are little bit less educated since you aren't as close. They mostly aren't there when you get the seizures, but they are still aware that they happen and know not to question it or freak out.
At a hangout with the triplets, Larri, Tara, Jake, Johnnie, Sam, and Colby, you were sat on the couches of the triplets’ apartment. Everyone was a few drinks in, laughing and joking around, everyone having small seperate conversations, you talking with the triplets. You only had one non-alcoholic beer, weary of getting drunk, since you knew alcoholism ran in your family, especially your dad, who's trouble with drinking was the main reason for your trauma and PNES.
Tara, drunk as all ever, started talking with Johnnie and Sam about some movie she watched earlier that day about an abusive father and alcoholism. You paused your conversation with the triplets, looking over at Tara and hearing her conversation. Remembering small bits of your past caused greats amount of stress within you, therefore triggering your PNES disassociation seizures. You shook your head, turning back to the three brother in front of you. They all started at you, feeling bad you had to remind yourself, ruining your mood on such a good night.
“Are you okay? Do you want me to hangout with you outside for a minute?” Chris asked, placing his hand on your arm and rubbing it up and down in reassurance.
You reassured him, placing your hand on top of his and giving him a kiss on the cheek. Getting up, you told him it was nothing to worry about. You grabbed a cup of water from the kitchen, ditching the virgin-beer. After chugging the glass of water and placing it in the sink, you walked back over to the couch, the stress becoming worse. While walking back to the couch, Nick and Matt gave each other a look, aware of how out-of-character you are acting right now but confused on what is going on.
“Sorry about that. What were we talking about?” You asked, rubbing your hands on your thighs and quietly drumming on them.
“We were just talking about Melanie and the Trilogy Tour,” Nick reminded you, taking a swing of his drink, a bitter expression present on his face.
“Right!” You laugh at yourself loudly for forgetting. “Oh my god I love her I cannot..” Your words trailed off, fingers spasming a little, and holding your breath. The triplets furrowed their eyebrows.
“Are you alright, baby?” Chris asked, waving his hand in front of your face before realizing what's happening.
Your eyes dilated, which didn’t go unnoticed by Chris. Chris knows it’s a sign of a seizure, after years of being around you.
Your jaw clenches just seconds later, eyes fluttering but not fully closing for blinking. The room goes quiet after noticing Chris stopped talking to his siblings.
“She's having a seizure. She's fine,” Chris explains to them. Their confused faces quickly turn to worry, then getting up and running over to you. Overlapping worries surround you and Chris, asking if they should call 911 or get you anything. “No, it's fine guys, I promise. She's having a disassociation seizure, it's not an active medical emergency unless she stops breathing fully. She'll come back in a minute or so,” Chris said immediately. He takes small checks at his watch to see how long the seizure is and how long your’re holding her breath for, a thing he picked up off of online videos and going to doctors. Eventually, everything he’s learned and done had become second nature for him.
They all look relieved and sit back down, but a little closer than before, not continuing their past conversations curious to see what happens next, scared they might have to call emergency services.
Your eyes start to roll a little bit, which Chris understands is normal.
You slowly gain conciseness again, unaware that you just had a seizure seconds ago. You breathe in loudly, having held it for a long period of time.
“I cannot wait to see her live. I've never been to any of her other concerts,” you finish your sentence. You look around the room, noticing everyone was staring at you and in different positions last time you looked over at them. “What?”
“Did you just have a seizure?” Tara asked, taking a small sip of her drink and leaning backwards, moving her body weight onto her palm.
You laugh, confused. “I mean probably but I don't remember.” You look back at Chris, who's expression looks less worried than the others, a small supportive smile clearly present on his face.
“You did, but it wasn't anything bad. Just a mild disassociation,” Chris assures you. “I'm right here, baby if you need anything.”
You smile at him and grab him in a hug, grateful of how supportive he is. Everyone resumes talking and drinking except for Chris, who wanted to stay sharp in case another seizure occurs.
He leans backwards onto the couch, done with socializing for the day. You sigh, grabbing his drink and placing it on the coffee table, wrapping your hands around him and biting your head into his chest.
“Thank you, Chris,” you mumble. Chris looks down at you and wraps his hands around your waist, pulling you in closer.
“What for? Just doing my job.”
“You don't have to.”
“No, but I want to. I love you and you having seizures isn't going to change how I feel about you.”
His confession only made you happier. You smile to yourself, slowly falling asleep next to him.
A/n: aren't I so preppy I finished a request after like 3 days 😋
#chris sturniolo#matt sturniolo#nick sturniolo#sturniolo fanfic#sturniolo x reader#christopher sturniolo#sturniolo triplets#x reader#chris sturniolo fanfic#matt stuniolo fanfic#fanfic#fanfiction
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Stages of blood withdrawal (Hemopenia)
Hello! This is a psuedo-introduction to my new and currently unnamed whump series! It's an urban-fantasy setting where vampires (and various other species, such as werewolves) coexist with humans :) I imagine there's a type of artificial blood synthesis technology that allows for the sustenance of vampires without actually needing to feed off a living person ("wah wah wah that defeats the whole point of vampires" SHUT UP!!!!!!!) which has allowed the vampire population to grow significantly in recent years.
However, there are very severe consequences to blood withdrawal (which I have, via the genius strategy of smashing medical affixes together, called "hemopenia", or "lack of blood") which I have described here! The story focuses on the main character, a young vampire girl, getting kidnapped and starved of blood until she almost dies <3 enjoy!
Stage zero: no withdrawal present
Technically not a stage in the progression of blood withdrawal. All vampires should aim to stay in stage zero; that means consuming blood in sufficient amounts, each day. A qualified hemophysician can easily provide vampires with a recommended blood target, as it varies, but at least one liter of blood per day is recommended, and drinking more isn't necessarily unhealthy.
Under no circumstances, except when explicitly prescribed by your doctor, should blood consumption cease. Obtaining a surplus of blood at home is recommended in case of emergencies (such as a severe snowstorm), but missing the target every so often isn't usually harmful.
Blood withdrawal is not a joke, and far from harmless. If you are tempted to cease your blood consumption, or know someone who is considering it, then call your local mental support hotline or talk to a trusted friend or family member. Intentional refusal to drink blood may be a warning sign of, or a symptom of, an eating disorder. Take the steps necessary to educate and protect yourself and those around you.
As the steps through blood withdrawal progress, it becomes more and more difficult to eventual treat. As such, if you are or if you know someone suffering from blood withdrawal, it's important to get help immediately. No stage is impossible to recover from, except death.
Stage one: early withdrawal (1-2 weeks)
The earliest and least dangerous stage of blood withdrawal, symptoms are usually very mild and often hard to notice. They can include: irritability, moodiness, mood swings, mild nausea/indigestion, fatigue, acid reflux, weight loss, mild loss of coordination (clumsiness), forgetfulness, difficulty focusing, disorientation, vertigo.
Usually not very serious, and usually treatable at home, simply by returnjng to a safe and consistent level of blood consumption.
Stage two: progressing withdrawal (3-6 weeks)
Often called "the danger zone", in that symptoms become more severe and begin to seriously impact a vampire's quality of life. Usually, vampires in this stage need the help of a temporary carer to perform most tasks. Permanent damage is rare if treatment is timely; it's recommended to immediately take the afflicted person to the hospital for recovery. Taking one to a rehabilitation center at this stage is usually unnecessary, and those afflicted can be expected to make a full recovery in only a few months.
Symptoms include severe nausea, indigestion, and diarrhea, as the body becomes less and less capable of digesting food. Severe personality changes manifest themselves, and the brain gets worse at planning, remembering, and thinking in general. Coordination, fine motor control, and the sense of balance all go out the window, resulting in severe tremors and difficulty with speaking and walking. Those afflicted will have serious issues with language processing and orientation. Dissociation and catatonia are common. Seizures are also possible.
Stage three: severe withdrawal (6-10 weeks)
Those afflicted are now "off the deep end", and will likely need the help of a rehabilitation center for a minimum of multiple months, and then possibly a carer for a varying period of time afterwards. Physical and mental therapy are commonly also needed for an extended period of time, up to multiple years.
Symptoms include severe decline in cognitive and motor function; severe and chronic nausea, indigestion, and acid reflux; heightened aggressiveness as the afflicted becomes more desperate for blood and incapable of rational thought; loss of speech and language processing abilities; loss of object permanence; restlessness; complete inability to sleep; severe weight loss; complete incontinence; seizures; constant vocalizing, most commonly screaming, wailing, or shouting; spontaneous self-harm, such as beating their head against the floor or wall; and virtually constant extreme distress.
Victims of blood withdrawal in stage three can be frightening, dangerous, and unsettling; but it's important to remember they're still people, and that recovery is only impossible after they've died. Treat them with compassion, and refrain from directly interacting with them if possible; instead, keep your distance, stay calm, and call your local emergency number as soon as possible.
Stage four: profound withdrawal (10-12 weeks)
Virtually all the same symptoms as stage three, but victims in this stage also possess symptoms similar to rabies in animals. They may become extremely aggressive or extremely docile, often changing moods quickly and spontaneously. They will have regained some amount of motor control, at least enough to walk and crawl, but these actions will be done uncoordinated and with great difficulty. The victim may drool excessively, and have an extremely low body fat percentage, along with unfocused eyes that may dilate and contract rapidly and randomly.
Do not attempt to interact with the afflicted person; simply find a safe place to call your local emergency number. Recovery will likely take multiple years, spent mostly at a rehabilitation center, but the victim is far from unrecoverable.
Stage five: death (12 weeks)
The person's body simply shuts down at the lack of new blood, and brain activity ceases entirely. Often, the body isn't found for some time, as vampires who spend enough time away from society to die from withdrawal aren't usually in easily accessible places. If you find a vampire corpse, especially in the wilderness or on a hiking trail, make a note of its location and contact your local forestry office. Do not touch or tamper with the body, and consider leaving a marker to let others know not to go near it.
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This may not be 100% correct but this is created to help clear up some things about systems, also trigger warnings as there is some sensitive content covered in this.
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Dissociative identity disorders
Dissociative disorders are a range of conditions that can cause physical and psychological problems.
Some dissociative disorders are very short-lived, perhaps following a traumatic life event, and resolve on their own over a matter of weeks or months. Others can last much longer.
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Causes of dissociative disorder
There are many possible causes of dissociative disorders, including previous traumatic experience.
Someone with a dissociative disorder may have experienced physical, sexual or emotional abuse during childhood.
Some people dissociate after experiencing war, kidnapping or even an invasive medical procedure.
Switching off from reality is a normal defence mechanism that helps the person cope during a traumatic time.
It's a form of denial, as if "this is not happening to me".
It becomes a problem when the environment is no longer traumatic but the person still acts and lives as if it is, and has not dealt with or processed the event.
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Associated conditions
Someone with a dissociative disorder may also have other mental health conditions, such as:
medically unexplained symptoms
post-traumatic stress disorder (PTSD)
depression
mood swings
anxiety and panic attacks
suicidal tendencies or self-harm
an eating disorder
obsessive compulsive disorder (OCD)
They may also have problems sleeping (insomnia).
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Symptoms of a dissociative disorder
Symptoms of dissociative disorder can vary but may include:
feeling disconnected from yourself and the world around you
forgetting about certain time periods, events and personal information
feeling uncertain about who you are
having multiple distinct identities
feeling little or no physical pain
Some people with dissociative disorders have seizures. These can vary from fainting to something more like an epileptic seizure.
Dissociation is a way the mind copes with too much stress.
Periods of dissociation can last for a relatively short time (hours or days) or for much longer (weeks or months).
Many people with a dissociative disorder have had a traumatic event during childhood. Dissociation can happen as a way of coping with it.
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Types of dissociative disorder
depersonalisation-derealisation disorder
dissociative amnesia
dissociative identity disorder
OSDD type 1
OSDD type 1a
OSDD type 1b
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Depersonalisation-derealisation disorder
Depersonalisation is where you have the feeling of being outside yourself and observing your actions, feelings or thoughts from a distance.
Derealisation is where you feel the world is unreal. People and things around you may seem "lifeless" or "foggy".
You can have depersonalisation or derealisation, or both together. It may last only a few moments or come and go over many years.
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Dissociative amnesia
Someone with dissociative amnesia will have periods where they cannot remember information about themselves or events in their past life.
They may also forget a learned talent or skill.
These gaps in memory are much more severe than normal forgetfulness and are not the result of another medical condition.
Some people with dissociative amnesia find themselves in a strange place without knowing how they got there.
They may have travelled there on purpose, or wandered in a confused state.
These blank episodes may last minutes, hours or days. In rare cases, they can last months or years.
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Dissociative identity disorder
Dissociative identity disorder (DID) used to be called multiple personality disorder.
Someone diagnosed with DID may feel uncertain about their identity and who they are.
They may feel the presence of other identities, each with their own names, voices, personal histories and mannerisms.
The main symptoms of DID are:
memory gaps about everyday events and personal information
having several distinct identities
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OSDD type 1
OSDD-1 systems lack some criterion of Dissociative Identity Disorder while still exhibiting alters. The most common types of this are OSDD-1a and OSDD-1b, missing the distinct alters and amnesic barriers respectively. However, OSDD-1 can include lacking both distinct alters and amnesia barriers, or other presentations of dissociative and disordered pluralit.
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OSDD-1a
OSDD-1a is missing the distinct alters found in DID, preventing a diagnosis. Alters are more blurry between one another and often have a core or shell identity. The identities with an OSDD-1a system may be very similar or diverse; one common presentation is one individual within different "modes" or ages, like an angry self, a 12-year-old self, etc. OSDD-1a is different than typical mood changes due to the amnesiac barriers between headmates.
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OSDD-1b
OSDD-1b is missing the amnesia found in DID, preventing a diagnosis. There is no full amnesia ("blackouts") related to switching, but emotional amnesia may be present, as well as "grey-outs" in some cases. There may still be memory loss relating to trauma, but not between alters.
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Types of alters
Core: Also known as the original or the original child, the core is considered by some to be the part first born to the body. Some see the core as the owner of the system, the part that has the most power and influence over other parts, and the most important part which the other parts were created to protect. Others see the core as nothing more than the self state that began to integrate sooner than other self states did. There is currently a debate over the existence of cores because it does not easily fit with the theory of structural dissociation. Not all systems have a part that could be identified as a core.
Host: The host is the alter that most commonly uses the body. Host alters collectively fall under the category of fronters, or alters who frequently “front” by taking control of the body and the front, conscious part of the mind. Host alters are responsible for most aspects of daily life, though teams of fronter alters might divide up daily life into more manageable and specialized units such as socialization, academia, work, and taking care of the body. If the host has spent years unaware of the existence of other alters and the trauma that created them, the host might have an extremely hard time coming to accept their DID. This alter might be used to viewing themselves as the only entity in their body and will likely at least at first view themselves as the core. This may or may not be correct.
Protector: Protectors are alters that protect the body, system, host, core, or other specific alters or groups of alters. Physical protectors might take or try to prevent physical abuse or become aggressive in an attempt to defend against physical abuse. Verbal protectors might take verbal abuse or lash back verbally in order to counter verbal abuse. Emotional protectors might take emotional abuse or comfort other alters to soften the effects of emotional abuse. Sexual protectors might take sexual abuse or attempt to instigate sexual abuse in an attempt to feel more in control of the situation. Caretaker alters are a unique type of protector that is focused specifically on taking care of younger, weaker, or more vulnerable alters or external children. Persecutors are another specific type of protector that are often not seen as such but that protect by harming the system themselves in order to avoid outside harm.
Persecutor: Persecutors are alters that purposefully harm the body, system, host, core, or other alters, sabotage the system’s goals or healing, or work to assist the system’s abuser(s). Persecutors might hold self hatred or provide an outlet for internalized abusive and negative messages. They might believe that hurting the system or other alters is the only way to control them or teach them how to behave and so prevent further and more extreme abuse from outside abusers. They might be reenacting abuse or trying to ensure that future abuse isn’t more harmful due to being preceded by a period of relatively little abuse. Some persecutor alters are introjects of abusers and may or may not understand that they are not actually the abuser themselves.
Introject: Introjects are alters that are based off of an outside person or figure. Introjects may or may not see themselves as the individual that they represent. Introjects can be based off a family member or adult caretaker who supported the dissociative child and provided a positive influence on their life, serving as a source of potential positive messages for the child to internalize. Unfortunately, introjects can also be of abusers. Abusive introjects, unlike more positive introjects, provide no comfort or moral compass for the system. Instead, they reenact trauma and abuse, sometimes reinforcing abusers’ lessons to prevent further abuse and sometimes serving as a permanent component of an internal flashback. Although less common, introjects can also be based off of historical or fictional figures that the dissociative child found strong, courageous, heroic, or otherwise worthy of being emulated and internalized.
Memory Holder: Memory holders are alters that hold memories that are usually traumatic in nature so that other alters do not have to be confronted by the memories. In some cases, memory holders might hold memories of childhood innocence or of being loved by the system’s otherwise abusive or neglectful family. In these latter cases, the memory holder might serve to preserve these memories untainted by memories of trauma or to avoid confronting the system with the pain of what the abuse has cost them. Memory holders are highly associated with abuse takers, alters that experience trauma so that other alters do not have to. Memories holders are the prototypical emotional part in structural dissociation.
Gatekeeper: A gatekeeper is an alter that controls switching or access to front, access to an internal world or certain areas within it, or access to certain alters or memories. The existence of a gatekeeper is highly stabilizing for a system because gatekeepers can to some extent prevent unwanted switching, failure to switch when necessary, or failure to switch to the correct alter. They can help to prevent traumatic memories from bleeding from the alters who hold them to alters who could not yet handle them. Gatekeepers might police the boundaries between subsystems. Because gatekeepers have control over which alters have access to front, they themselves are often or always near front and so witness everything that happens to the system. They might experience vast amounts of abuse and might present as ageless, emotionless, and nonhuman as a way to process this and cope. Gatekeepers may or may not also serve as an internal self helper.
Internal Self Helper: An internal self helper is an alter that holds vast amounts of knowledge about the system, alters, trauma, and/or internal workings. For those who believe in cores, internal self helpers are often viewed as the first alter to be created or as the normally pseudo-separate internal voice of logic and reason that all people possess. Within the theory of structural dissociation, internal self helpers are often viewed as observing parts or hidden observers, both less than distinct states. Internal self helpers may or may not also serve as a gatekeeper.
Fragment: A fragment is an alter that is not fully differentiated or developed. Fragments may exist to carry out a single function or job, to hold a single memory or emotion, or to represent a single idea. Depending on the way that individual systems use the term, a fragment might be any alter that could not survive if left on its own or that could not pass for a fully developed individual without the help of other alters. Fragments usually have not been exposed to enough complex, different, or interactive experiences to incorporate more into their sense of self and so become more developed and differentiated. It is possible for fragments to develop into more elaborate alters if the need arises or with further use.
It is important to remember that different systems have different needs, and systems may or may not have one or more alters for each of the above jobs. In smaller systems particularly, alters might hold multiple roles, some of which may even at first seem contradictory. For example, an alter might be persecutory to the system yet strive to protect it from outsiders. Other alters might hold roles that are specific to the system and would be difficult to define or generalize. Alters may hold unexpected roles, such as a child part handling finances or presenting in a persecutory manner. While fragments may be defined by their roles, other parts may be able to act in more complex and less reactive ways. The most well developed alters may be able to handle a wide variety of roles if this becomes necessary for the system's continued functioning. Finally, it should be remembered that an alter's roles can change over time.
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PMDD + transitioning
I don't know how to write this in a more poetic manner, but I would like to put some words out of my head and into (virtual) paper. Being trans has saved my life
Quite literally! I have a medical condition called PMDD, that has been undiagnosed for 17 years. It is a neurological sensitivity to changes in levels of estrogen in the blood. There is documentation out there, don't believe anything that says "it's like bad pms". It has nothing to do with pms. This is your brain being "allergic" to you getting your period, and causing havoc on any and all brain functions - like a russian roulette! It can affect your mood (in a good and bad way, usually very extreme), leaving you suicidal, violent, nonverbal, manic... It can be very painful - and not just in your head, with the typical migraines that last for days, but also on the rest of your body, or localized areas. I used to not be able to move my legs for days at a time. "Just pms" my ass. It can affect your memory. Long and short term memory, some parts of mine are just gone. Erased. Not coming back. They are big chunks too. It can affect you psychologically, in all the fun flavors that can have, like paranoia, obsession, depression, hypomania, dissociation... This usually lasts up to 10 days and ends when you get your period. Which is a hell of its own, so I have lost half of my time for the last few years, when it started getting really bad. It only got diagnosed for me when my psychologist noticed a pattern of me getting really bad every month around the same time. He assumed I knew this. I did not. Nobody had every mentioned PMDD, I didn't know it existed.
But here is where we get to the good part. I was in medical psychological therapy for something unrelated (OCPD, a personality disorder, although most of the symptoms got really bad with PMDD), and the psychiatrist assigned to me is an expert in this matter. He talked to me about the research he had done, and the research I had done while obsessively browsing the internet for any morsel of info I could get. So far any medical treatments had been from ineffective to making things a lot worse, so I needed to talk to someone who knew their stuff. And he did! But we found that since this is your body being "allergic" to a thing it naturally produces, and will continue to produce for at least another 20ish years, the best treatment was to stop that cycle. I had tried this before with my gyno. This went terribly bad. Twice. Or rather, it went great for 3 months, then worse than ever after that, and it became the new normal. It was hell. I was at a point where I couldn't have any sort of normal life. Half the time I would make projects and live happily by myself, and the other half I needed help to even walk to the bathroom because my head was about to explode, my legs didn't work, I wanted to jump out of a window, and I forgot about all my deadlines. Oh, and the muscle spasms that looked almost like seizures. This shit had cost me 90% of my social life, all of my professional life, and was now simply trying to take my life.
BUT!!! Did you know that if you remove the ovaries, the estrogen blood levels stop rising and falling? Did you know that triggers premature menopause? Did you know that testosterone is a very effective treatment of the side effects of menopause?
That was my whole approach, and my brilliant psychiatrist agreed it was a good one. To this day, he has been the only person to not question this decision even if it's pretty radical. He's the only one that has understood there is no sense in asking someone whose brain is killing them from the inside "are you sure you want to do that? you won't be able to turn back!". I'm aware you can't put the ovaries back in. But they are. Killing me. Driving me insane. Please.
It took me ages to find a doctor that would even contemplate doing this (quite simple) surgery. Every single one of them used the "but you are a woman of childbearing age, I can't do this in good faith" argument. Or the "I don't know about PMDD so I think you are lying" covered in sugary lies approach. It was hell.
In the end, I have gotten the surgery. I no longer have overies. I'm writing this weeks after it, and I can assure whoever is reading this that I no longer suffer - or will suffer - from PMDD ever again. Writing that feels so liberating... The kicker is that I wouldn't have been able to access any of this if I wasn't trans. Because PMDD is so badly researched and documented that even the doctors that specialize in the organs it affects think it's "bad pms". I had to say "but I am a trans man, this is very dysphoric". Then, and only then, would they give me T. I am not a trans man, just transmasc. I wanted to get healthy before transitioning, because it's not very great to be in an unstable mental state to handle the tsunami of changes and their (sometimes social) repercussions that come with it. But irony of ironies, the cure for 90% of my health issues has been transitioning.
OCPD has gotten easier to manage thanks to the emotional resilience I got on T (and what my therapist taught me) No ovaries mean no periods, which means no spending up to 2 weeks each month with my brain self destructing. No more memory loss, no more pain, no more spasms, no more migraines!!! No more dreading the days before the next T dose in case the previous one is a little too short (this has sent me to the ER before). No more pregnancy risk. No more depression, no more low energy, no more low libido, no more bullshit!!!! I am ME, inside and out, forever!!!!! I haven't felt like this since I was 14, and I'm 32 now! This is insane to think about @_@ It sucks that I had to lie to some doctors to get where I am today. But if I hadn't, I don't even know if I'd be here. It wasn't that big of a lie anyways (I hope). Feels bad to me, because I hate lying, but... no, I think this one was ok.
TL;DR: I have PMDD, meaning my brain is allergic to estrogen, so you can kind of say I was allergic to being a woman, and transitioning has saved my life ♥
If you are still reading this, thank you. I'm very sleepy and this probably makes very little sense, but my dms are open to any questions.
#pmdd#trans#testosterone#estrogen#transitioning#healthcare#it's not about insurance or money btw. im not form USA. my healthcare is free.#having to fend for yourself is hard but this was Nightmare Mode on steroids#pmdd is a fucking hellhole get that shit checked out. it has a cure. its drastic but it works.#this is just like my gluten intolerance but... it's coming from inside the house. ohno.
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Hey, I know we don't know each other, but you seem to know a lot about the topic of seizures.
If it's not a bother, could I ask you a few questions about them?
Specifically about focal seizures/partial seizures.
What is a focal seizure like for you?
I've been having these episodes for as long as I can remember that I labeled dissociation for a long time, but recently have come to find out resemble focal seizures. A few triggers are bright flashing light, and being stressed out and tired at the same time. My vision gets blurry, a wave washes over my brain (dunno how else to describe it), I feel either so spaced out I don't have feelings, or I feel extremely fearful with a feeling a deja vu, I blink a lot and lick my lips, and sometimes my hand moves on its own in repeated motions. Usually lasts about two minutes, and leaves me feeling quite haggard for hours afterwards, I usually sleep after them if possible.
I'm going to try and get into a neuro soon but it's been driving me NUTS thinking about it. Does this sound like it could be a focal seizure to you? I haven't been able to talk to anyone with epilepsy about it, and I think doing so could be enlightening, like they'd know what questions to ask to tell the difference having been through a seizure themselves.
Thank you for your time, even if you don't reply. Have a nice day.
this sounds a lot like textbook TLE focals or a generalized absence, yes. depending on your doctor, you might be labelled as "easy" or it might seem suspicious because it's "too textbook."
i just came back from a follow up that went downhill because i happen to have mood changes associated with my biggest seizures, that also clear up after the events, so i turned down antidepressants since im not currently depressed and its a self solving issue, and i have an aura, postictal state, seizures during sleep, stereotypical posturing, bro has seen literal videos of the typical events, and the moment i mentioned any kind of mood change with bigger events, he immediately slapped the mental health label on it, is ready to stop my meds, and did not set up a follow up. he was positive the appointment before that i have TLE and where it was probably coming from and now he wants to slap the mental health label and not bother. i also happen to have life stressors, as does everyone else, mine may be more so since i have insane parents and in-laws, but yeah just be really careful of that. epilepsy is a very common neurological disorder, second to headaches, but when someone isnt willing to put in the work (this guy barely asks questions and did not know that one of my recent seizures was my fault for taking meds too late and happened during my sleep), they jump to statistically unlikely conclusions that are overtly sexist and can become extremely dangerous for the patient (such as pulling a patient off of necessary meds)
#seizures#actually epileptic#anti epileptic drugs#epileptic problems#seizure#partial seizure#seizure disorder#grand mal seizures#absence seizures
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Explanation of the various CDDs
(NOTE: This is not meant to be complete definitions of all presentations of these disorders. Do not use this as a diagnostic tool. This is only for the purposes of helping decide what disorder you headcanon characters as having)
A paraphrase version of DSM 5 Criteria for DID (Dissociative Identity Disorder)
Criteria A: Disruption of identity characterized by two or more distinct alters, which, may in some cultures as an experience of possession. The alters fronting involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in mood, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.
Criteria B. Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events inconsistent with ordinary forgetting.
Criteria C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Criteria D and E. The disturbance is not a normal part of a broadly accepted cultural or religious practice. The symptoms are not attributable to the physiological effects of a substance (e.g., blackouts or chaotic behavior during alcohol intoxication) or another medical condition (e.g., complex partial seizures)
C-DID or Polyfrag DID (Complex Dissociative Identity Disorder or Polyfragmented Dissociative Identity Disorder)
Note sometimes C-DID and Polyfrag DID are used to refer to similar but slightly different presentation, sometime they are used to refer to the exact same prescriptions. For the sake of this bracket they will be used interchangeably.
Refers to a subtype of DID, there are several different definitions used both clinically and by the system community.
A DID system that has a high number of alters and fragments. Usually 100 or over, however some clinicians put the number as low as 26+.
A DID system that splits fragments very easily, often times making some the system has more fragments than full alters
A DID system that have a complex internal structure. For example many subsystems, or an innerworld with layers. These internal structures often have strong memory and/or communication barriers between them.
Often times definitions include multiple of the above mentioned.
OSDD-1, refers to disorders very similar to DID that do not meet either Criteria A or B.
It's worth mentioning the the "A" and "B" are not actually used clinically, but will be used here.
OSDD-1A (Other Specified Dissociative Disorder)
Refers to DID like symptoms without fully meeting Criteria A. OSDD-1A system do still have identity alterations, however they are less intense than that of DID or 1B. Usually version of the same person or similar people. Alters in OSDD-1A systems are sometimes called aspects
We've seen it described as, in OSDD-1A systems alters are more likely to be described as "me but not me", "other/also me", "sorta me", or "me but different". Whereas in DID or 1B alters are more likely to be described as "nothing like me" or "someone else"
It is a spectrum though of course.
The memory gaps in OSDD-1A are like those in DID
OSDD-1B (Other Specified Dissociative Disorder)
Refers to DID like symptoms without fully meeting Criteria B. Meaning there are not substantial memory gaps of everyday events, important personal information, and/or traumatic events. Some OSDD-1B do report less complete memory problems, such as emotional amnesia.
The alters in OSDD-1B systems are like those in DID
P-DID (Partial Dissociative Identity Disorder) paraphrased from the ICD-11
Partial dissociative identity disorder is characterised by disruption of identity in which there are two or more alters associated with marked discontinuities in the sense of self and agency. Each alter has its own pattern of experiencing, perceiving, conceiving, and relating to self, the body, and the environment.
One alter is dominant and normally functions in daily life, but is intruded upon by non-dominant alters (dissociative intrusions). These intrusions may be cognitive, mood, perceptual, motor, or behavioral. They are experienced as interfering with the functioning of the dominant alter and are typically aversive. The non-dominant alters do not recurrently take executive control of the body's consciousness and functioning, but there may be occasional, limited and transient episodes in which a distinct alters assumes executive control to engage in circumscribed behaviors, such as in response to extreme emotional states or the reenactment of traumatic memories.
The symptoms are not better explained by another mental, behavioral, or neurodevelopmental disorder. Are not due to the direct effects of a substance or medication on the central nervous system, including withdrawal effects. Are not due to a disease of the nervous system or a sleep-wake disorder. The symptoms result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning.
U(S)DD (Unspecified Dissociative Disorder) in the DSM 5 is described as
"This category applies to presentations in which symptoms characteristic of a dissociative disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the dissociative disorders diagnostic class.
The unspecified dissociative disorder category is used in situations in which the clinician chooses not to specify the reason that the criteria are not met for a specific dissociative disorder, and includes presentations for which there is insufficient information to make a more specific diagnosis (e.g., in emergency room settings)"
U(S)DD does not inherently make someone part of a system, however sometimes it does
In this bracket it will also be used for characters where you are not sure what they have.
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do you know of have any good sites that explain organic disorders a bit more? even russian sites? english sites(wikipedia) isn't super helpful,, but it's still a start so if you don't know of any that's alright too!
Well, it's kinda hard to answer.
Because I'm not sure if any place in the internet or even in medical books would answer you that OBD is actually is. I talked to my psychiatrist, to my neurologist, read a lot of books and still like. Who knows. Also, terms between russian ang american are fluctuating...
I can write a little, just. Text based on my research and personal experience, just to make liek. Some sense.
OBD used as an umbrella term for "you brain was damaged and now you FUCKED" and UNFORTUNATELY almost untreatable. Like, patients with OBD are treated from their symptoms and not from the cause. Because. Well. Sometimes cause is "part of his brain now fucking missing".
OBD has smaller disorders under it, like organic emotionally labile disorder (your emotional state are no stable), organic dissociative disorder (bye-bye reality I'm comfy inside) or organic delusional [schizophrenia-like] disorder (at this point this names just gets funny).
But it's. Well. Things that doctors can diagnose from outside. Let's imagine the guy who drowned. A little. And wasn't breathing. For a while. Parts of his brain now damaged because of hypoxia. But THAT PARTS NO ONE KNOWS (actually we partially know, the frontal lobe takes the first hit). So the only thing that doctors can do, is just look at him very hard, ask a lot of questions and diagnose Some Variation of OBD.
It's also the reason why treating people with OBD is that hard. Because who knows that actually broken, let's give them some pills and check on them later. Like. I always joke that I'm taking pills from epilepsy and from bipolar, and I don't have any of them.
There's some symptoms that are almost prevalent in all variations, like
- mood swings
- high irritation and uncontrollable agression
- seizures or/and light sound sensitivity
- migrains
- dissociation
- hallucinations
- depressive and/or manic states
- fatigue
- cognitive problems (learning and understanding).
- INSOMNIA AND SLEEPING PROBLEMS
Some people (specially not diagnosed properly) are frequent to use legal drugs to get some symptoms off. Usually alchol, because it slows brain functions. Like, I have terrible light sensitivity, but if I get drunk blinkin light would not fuck me THAT much.
Anyway. Doctors rarely diagnose people with OBD if it does not have a obvious cause. Like you know "you skull got crushed with hammer. A little. And now you want to set things on fire". But I'm a lucky girl, no one knows that fucked my brain THAT MUCH. No history of brain trauma, bacterial infections, air deficiency. Just was born very very wrong.

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generally, i've grown to a place where i will cry when i percieve myself to be relatively safe, but i still tend to dissociate more than not.
for a few years, my old adhd meds made me cry suuuper easily (also mood swings! was hell upon the hell i already had, glad i dont take them anymore) and that was an unpleasnt time because the weirdest shit would tip the balance and i would be like "oh jeez what the fuck" (it also turned out that my hormones were super low for like 5 years, which didnt help anything)
i also had a year overlapping with that where all my unprocessed trauma was like "ITS TIME" and everything was flashback seizures + ptsd sobbing in the closet for a while. old news.
kinda thought that processing would be more normal after that, but unfortunately systemic shit is still an ongoing complex trauma circus for most of us. my mental health around individual traumas got way better, for sure, but i returned to being a person who doesn't cry as much as try not to get swallowed by intermittent pits of despair and depression (which dont tend to involve a lot of crying)
i wouldnt say i feel backed up like i cant cry, though. probably just run of the mill dissociation and/or neurodivergent expression. i dont tend to express physical pain much either, not until it's wildly out of control, which causes all kinds of problems but. wygd. autism jazzhands.
#when i was 16 i was almost misdx'd as schizoid for having flat affect#i think im comfortable with how much i cry#the whole sobbing in closet year was humbling as someone who almost never cried before that#life do be moving on though
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Effect 5F-AKB48 C Liquid
5F-AKB48 C Liquid is a potent synthetic cannabinoid that mimics the effects of natural cannabinoids like THC. However, because it is chemically engineered and often more potent, the effects can be stronger, more unpredictable, and potentially dangerous. Here’s a detailed breakdown of the effects:
1. Psychoactive Effects:
Euphoria and Relaxation: Like THC, 5F-AKB48 can produce feelings of intense euphoria and relaxation. This is one of the primary reasons some users are drawn to it.
Altered Perception: Users may experience changes in how they perceive time, colors, sounds, and other sensory inputs, similar to the effects of cannabis but often more intense.
Dissociation: At higher doses, 5F-AKB48 can cause dissociation, where users feel disconnected from their bodies or surroundings, leading to a sense of detachment from reality.
2. Cognitive and Emotional Effects:
Heightened Anxiety or Paranoia: Synthetic cannabinoids are known for causing extreme anxiety, fear, and paranoia, especially when consumed in larger doses. These effects can be severe and may even result in panic attacks.
Confusion and Cognitive Impairment: Users often experience difficulty thinking clearly, problems with memory, and impaired decision-making abilities. This cognitive cloudiness can last for several hours after the effects subside.
Agitation or Irritability: In some cases, instead of relaxation, users may become highly irritable or agitated, leading to erratic behavior.
3. Physical Effects:
Tachycardia (Rapid Heart Rate): A common side effect of 5F-AKB48 is an elevated heart rate. This can be uncomfortable or dangerous, especially for people with pre-existing heart conditions.
Hypertension (Increased Blood Pressure): Along with a fast heart rate, users may experience heightened blood pressure, which can lead to cardiovascular stress.
Dry Mouth: As with many cannabinoids, users often report dry mouth, also known as cottonmouth.
Dizziness and Lightheadedness: Users may feel dizzy or lightheaded, which can lead to balance issues and falls, particularly when standing up quickly.
Nausea and Vomiting: Some users experience nausea, which can sometimes lead to vomiting, especially if the dose is high.
4. Psychological and Neurological Effects:
Hallucinations and Delusions: Synthetic cannabinoids like 5F-AKB48 have been linked to both auditory and visual hallucinations. These hallucinations can be very vivid and frightening, often leading to a state of confusion or distress.
Psychosis: In some cases, particularly after prolonged use or higher doses, synthetic cannabinoids can induce psychosis. This can include delusions, loss of touch with reality, and violent or erratic behavior.
Seizures: 5F-AKB48 has been associated with seizures, especially in users who are susceptible or when combined with other substances.
5. After-Effects and Long-Term Risks:
Lethargy and Fatigue: After the initial effects wear off, users often report feeling extremely tired or mentally drained, which can persist for several hours.
Depression and Mood Swings: Regular use of synthetic cannabinoids like 5F-AKB48 can negatively impact mood, leading to depression, irritability, and mood swings even when not actively using the substance.
Addiction and Dependence: Synthetic cannabinoids are known to be habit-forming. Users can develop a tolerance, requiring higher doses to achieve the same effects, and may experience withdrawal symptoms such as irritability, anxiety, insomnia, and cravings when trying to stop.
6. Overdose and Toxicity Risks:
Because synthetic cannabinoids like 5F-AKB48 are often much more potent than natural cannabis, even a small increase in dosage can lead to an overdose. Some potential overdose symptoms include:
Severe Agitation or Psychosis: A mental breakdown characterized by intense confusion, panic, and sometimes violent or erratic behavior.
Loss of Consciousness: In severe cases, users may pass out or fall into a coma.
Respiratory Problems: Some users experience breathing difficulties, particularly when the liquid is vaporized or inhaled, leading to potential respiratory failure in extreme cases.
Severe Cardiovascular Issues: Sudden spikes in heart rate or blood pressure can lead to heart attacks or strokes, particularly in vulnerable individuals.
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How To Use Cognitive Behavioral Therapy (CBT) In Neuropsychiatry

Cognitive behavioural therapy or CBT is a psychotherapy approach that is often used to treat various psychiatric disorders. Along with treating psychiatric conditions, this therapy also has a significant role in the field of neuropsychiatry. If any negative emotion or behaviour is interfering with your life then you can contact a psychiatrist in Siliguri and undergo some sessions of CBT. It can effectively replace negative behavioural influences with positive ones for a successful recovery.
You must know that CBT is one of the effective therapies that combine the advantages of behavioural and cognitive therapy. Your faulty thoughts are challenged, identified, and replaced with realistic ones so that you can overcome the underlying mental health conditions. There are various types of CBT that the doctor can recommend based on the specific neuropsychiatric conditions. Some such types include multimodal, cognitive, dialectical behaviour, and rational emotive behaviour therapies.
Application of CBT To Manage Neuropsychiatric Disorders
Uncontrolled anger
Uncontrolled anger is a neuropsychiatric disorder that can be effectively managed with CBT. Herein, the CBT technique will involve a range of exercises and questions that can help the doctor find the triggers of anger so that it can be managed. This will help the person to control sudden outbursts.
Some of the best techniques of CBT for controlling anger are cognitive structuring, deep breathing and muscle relaxation, assertive communication, behavioural rehearsal, and problem-solving.
Anxiety
Another neuropsychiatric complication effectively managed with the application of CBT is anxiety. Herein, the main role of the therapy is to identify the behaviours, feelings, and thought patterns experienced by the person which is causing anxiety.
During the therapy sessions, the neuropsychiatrist in Siliguri will detect the changing behaviours, understand the negative thought patterns, and teach you certain relaxation skills. The most effective CBT techniques that work best for alleviating anxiety are thought-challenging, cognitive reframing, journaling, behavioural activation, and relaxation techniques.
Sleep Disorders
Sleeping disorders such as insomnia, nightmares, circadian dysregulation, or hypersomnia are common symptoms among people suffering from neuropsychiatric issues. In such cases, doctors often use CBT to manage sleeping disturbances and improve overall life quality.
CBT is found to be the best treatment for insomnia and this technique helps you to identify the causes of sleep issues so that they can be fixed. Herein, the doctor may ask you to change your routine, practice relaxation techniques, use biofeedback, and remain passively awake to enjoy a sound sleep at night. CBT not only treats neuropsychiatric issues but also controls its long-term symptoms.
Depression
Depression is one of the most common neuropsychiatric conditions which can cause distressing symptoms. The symptoms of depression can be managed through CBT which is a goal-oriented technique that can improve your overall functioning and mood. During the therapy sessions, the thought patterns and reactions affecting your mood are evaluated and the cognitive distortions are solved for an effective recovery.
The most used techniques of CBT that are used for depression are developing a worry-free zone, practicing gratitude, and taking part in pleasurable activities. You can eliminate the feelings of being worthless, helpless, and hopeless by attending the CBT sessions.
Seizures
Non-epileptic or dissociative seizures are neuropsychiatric conditions where CBT can be applied to improve your overall life quality. These seizures often look like epilepsy but often happen due to an involuntary blackout. In such cases, the neuropsychiatrist in Siliguri can use CBT to understand the underlying psychiatric symptoms causing the blackouts.
This method can work effectively as it can reduce the frequency of seizures while improving your psychosocial functioning and life quality. You may need to attend multiple therapy sessions to maximize the benefits of CBT in managing functional seizures.
Addiction
Starting from alcohol or drug addiction, everything is related to neuropsychiatry. Herein, the intense cravings towards the addictive substances often happen due to any underlying triggers. These triggers can be effectively identified through CBT. This disorder is just like anxiety where the underlying beliefs and emotions need to be managed for a successful withdrawal.
Some top-notch therapy techniques that can be used by the doctor for treating addiction are thought challenges, journaling, guided discovery, relaxation techniques, and cognitive restructuring. You can reframe the condition leading you towards addiction and live an addiction-free lifestyle.
Attention deficit disorders
Living with attention deficit disorder or ADHD can be extremely tough due to the diverse range of symptoms. There are medications to treat ADHD but they cannot provide you long-term relief. This is why CBT is also used to manage this neuropsychiatric issue.
Navigation of distractions, psychoeducation, organizing and planning, and developing new skills are some of the key elements that are included in the CBT sessions which will ultimately lead to long-term change. In some cases, the doctors also use positive self-talk, cognitive restructuring, guided discovery, and successive approximation to treat ADHD. Don’t hesitate and contact a neuropsychiatrist if you experience any signs of ADHD.
Eating disorders
Strict dieting, binge eating, low weight, and compensatory behaviors related to eating are some of the elements of eating disorders which are a part of neuropsychiatric illnesses. You must know that these eating complications can be effectively managed with CBT.
Herein, the CBT sessions can help you challenge the concerning food patterns and develop new eating strategies so that you can avoid disturbing behaviours. Proper meal planning, relapse prevention, and psychoeducation are some of the other techniques of CBT that can be utilized by the doctor to help you overcome eating disorders.
Benefits of CBT in The Field Of Neuropsychiatry
It is quite budget-friendly for patients as compared to other therapeutic approaches.
It helps you develop healthier patterns and be aware of the unrealistic thought patterns affecting your life quality.
It is effective for you to overcome the challenges associated with maladaptive behaviours.
It is a short-term treatment approach where you can experience significant improvements after a few sessions.
The CBT sessions can be done through both online and offline platforms.
The diverse techniques of CBT make it one of the best treatment options which is widely selected by the psychiatrists in Siliguri. This is a structured therapy where the changes included in it can be quite difficult in the beginning. You need to be willing to change the concerning neuropsychiatric issues to indulge entirely in the sessions.
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i want to write an essay about being on psychiatric medication & the havoc it wreaked on my body rly bad but idk where to start or how to frame it. rly it was just so fucked up. i went on celexa when i was ten and had rly bad side effects. when i went to the psych ward when i was twelve they put me on lexapro and i was back in a week. then i ended up on antipsychotics even tho i wasn't manic/psychotic at all -- later i asked my mom why & she said it was bc i was operating in a way that was 'like you weren't living in reality' referring to my irrational responses to sexual abuse -- which, duh! when i was in 8th grade i was in a dissociative fugue state for more than a year. i was so outside my body it was terrifying. i felt like i was on drugs all the time. my mood stabilizers made me start lactating -- i was fourteen!!! i would soak thru my bras and tank tops. all my shit was stained. a few weeks ago i was texting w my best friend from that time & she reminded me about how during sleepovers i would convulse in my sleep. she often thought i was having seizures but it was just my meds. i would also do it while i was falling asleep. i had horrible restless leg syndrome, i remember this one night a boy i was sleeping on the couch with at my cousin's house almost called 911 because he thought i was dying. i was sick all the time; sometimes i would forget doses and puke or i would take them at the wrong time and puke or i wouldn't eat beforehand and i would puke or i would eat too much beforehand and i would puke. i forget exactly what i was on when i was 15-16 or so but as soon as i took them i would have to lay down or i would puke. i couldn't even sit up for ten minutes. i was never happy. they barely worked. i was on such high doses. when i stopped taking trazodone in high school my mom was also on it. i was taking double her dose every night and still couldn't sleep. i went off of everything when i was seventeen after i hyperventilated in my psychiatrist's office about how nothing had ever worked. we titrated off of everything really carefully and slowly. i had the WORST side effects. even the stuff he said would have no side effects for most people going off them absolutely tore my body up. i was in hell for months. when i came out the other side of the withdrawals i was happier than i had been in years. when we were driving i told my dad i could see the sunset again
#diary#idk it's so weird there is so much there#it was such a cloud over my life#and so extensive and long idk where to start#i was on so many meds and the side effects were so severe for me#like my doctors have been confused by it for years#it's something abt me#who knows !!
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My take was always that Bucky would have C-PTSD *after first being diagnosed as PTSD, because PTSD comes from a singular traumatic event, whereas C-PTSD comes from prolonged, ongoing, repetitive trauma. Which is definitely what he had!
I did a whole meta for myself once where I worked out what conditions Bucky might have -- both physical and psychological -- on top of what injuries he suffered in CATWS, and the symptoms of drugs he might be on and the symptoms of coming down from those drugs, as mentioned.
Looking at what symptoms had the most overlap / repeat between categories, and it's impressive how many are common in fanfic (I guess people do their research!)
Taking drugs, withdrawal, C-PTSD, TBI etc. into account, the most common symptoms seemed to be:
Depression
Anxiety
Headaches (In typical 'project onto ur faves' style, as someone who has migraines I imagine he has those... cuz 'headache' just doesn't quite seem to cut it, does it?)
Fatigue
Insomnia
Mood disturbances / emotional dysregulation
Nausea / vomiting
Aches/chills/sweats/tremors
Suicidal thoughts
Seizures
MEMORY ISSUES (!)
IDENTITY ISSUES (!)
Derealization / depersonalisation / dissociation
Tardive dyskinesia (tics)
Appetite problems (increase or decrease)
C-PTSD covers a lot of those same beats and:
Intrusions (flashbacks / nightmares, disturbing images)
(Also somatic re-experiencing, ie. flashing back and feeling sensations in the body, or experiencing certain bodily sensations and that then triggering a flashback). So he might, for example, have a flashback to being tortured by electrocution to the head and that gives him a headache... or he might get a headache and that triggers a flashback/nightmare, and physiologically it feels like he's back when it was happening.)
Insomnia
Avoidance / Isolation
Hyperarousal
Identity issues, negative views of self, etc.
Interpersonal difficulty / problems with trust or feeling safe,
Mood disturbances / emotional dysregulation / numbing / Dissociation.
So it's kinda dealer's choice! It would be easier to decide what symptoms Bucky wouldn't have. 😩
Suddenly thinking about a recovering Bucky Barnes.
His brain was obviously heavily damaged due to all the times he was given electroshocks to forget, but do you think he had any other issues besides memory displacement and memory loss? Seizures? Tics? Stuttering? Tremors? Headaches? Chronic fatigue? Not to mention his PTSD from everything that happened to him while he was under Hydra’s control and from the war itself. I’m willing to bet Hydra hardly fed him or let him sleep (the closest he could ever get was being put under). I also can’t imagine all the kinds of drugs they also would’ve given him to keep him more compliant and submissive, so there’s withdrawal symptoms to consider, too.
When he’s eventually in a place to actually take care of himself/be taken care of, I imagine his serum would finally be able to catch up and heal some of the damage, rather than just doing the bare minimum and keeping him functioning. But it obviously wouldn’t heal everything. He still forgets, still sometimes wakes up and thinks it’s WW2 or is startled to find that Steve is no longer small. Sometimes he loses the light in his eyes and asks what his mission is and insists that he’s ready to comply. Sometimes he doesn’t speak for days. Sometimes all he can do is lay in bed with the lights turned off and the curtains closed, leaving him in total darkness as his head aches and aches..
But he loses his stutter over time, unless he’s particularly overwhelmed or his thoughts are just too fast for his mouth to keep up with. He doesn’t tic as much. He no longer eyes all possible exits or keeps hidden weapons on him all the time. He remembers his childhood and his family. He has an appetite again. He opens himself up to others. He smiles and teases and laughs. He is able to love and allows himself to be loved.
Bucky Barnes’ mother had always said he was a resilient kid. And, these days, he’s so glad that she was right.
#bucky barnes#bucky meta#meta#mcu#mcu meta#also iirc the dsm5 doesn't recognise c-ptsd whereas the WHO does#so you can imagine bucky trying to get help from shrinks who won't even admit that that is what he has / insurance won't cover it 😭#also I cannot imagine hydra taking him out of the ice and being like 'wait! when was the last time he actually slept??'#I wonder how long a supersoldier can go without sleep before dying...#bucky's recovery meta#medical stuff
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How does Medication, Therapy and Lifestyle Modifications improve Mental Well-being?

Nowadays, people are diagnosed with several mental health issues that upset the course of life. Folks pay a visit to the best psychiatrists in Bangalore who provide impeccable treatment at competitive prices by relying on advanced medical technology.
If you suffer from any cognitive disorder, then speak up and embrace life as these conditions do not define one’s character. Insurance for mental health treatment in India provides people with adequate psychiatric care from all walks of life.
A plethora of symptoms
There are a variety of signs that point out to the fact that an individual is suffering from some sort of mental illness. Mentally unstable people often dissociate themselves from reality and live in their own void.
Exhibiting rash behaviour, having disorganized thought patterns, experiencing difficulty while expressing oneself, having delusions/ hallucinations and hearing voices in one’s mind are some of the prominent symptoms.
Causes of psychological disorders
Usually, there are physical, environmental and biological factors that contribute to the development of mental illnesses. Behavioural problems, trauma, severe work/academic pressure, isolation, lack of hygiene and genetic disposition lead to neurodevelopmental issues.
Ways to treat a gamut of psychiatric illnesses
Research suggests that medication, therapy and lifestyle modifications can nip the evil of experiencing mental ailments in the bud. At times, people need a combination of different techniques that helps them live peacefully and get some respite from the disastrous consequences of neuropsychological disorders.
Considering the right medication
Medications such as valproate, lithium-infused drugs, sulphitac, anti-depressants, atypical psychotic medicines and mood stabilizers correct the chemical configurations in the brain, balance the hormonal levels in the body and coordinate the thought patterns.
Also, psychiatric medication fosters synaptic connections that facilitate neural pathways. Beta-blockers and alternative medicines prevent the person from going into a trance-like condition and regulate the production of dopamine in the brain.
Apart from this, selective serotonin reuptake inhibitors calm the nerves and promote the circulation of blood to the different parts of the brain hemispheres. Anti-anxiety medicines and sedatives normalize the symptoms by restoring a normal heartbeat or preventing seizures or relapses.
Going in for therapy
Interestingly, therapy has worked wonders in eradicating the disease from its essence. Bipolar disorder treatment in India encapsulates psychotherapy, supportive psychotherapy, cognitive behavioural and psychodynamic psychotherapy.
Psychiatric sessions are conducted by knowledgeable psychologists who possess a repertoire of skills that makes them highly accessible. They analyze the patient’s behaviour, diagnose the symptoms and provide valuable suggestions that help people develop positive relationships.
During these meetings, the counsellor focuses on bringing alive the person’s inner-most self and transforming his/her unconscious beliefs into conscious ones by seamless questioning.
Interpersonal/mentalization therapy makes one aware of his/her thinking patterns and eliminates the vicious circle of negative rumination. It is important to make behavioural changes after proper assessment of the triggers or symptoms that lead to such demeanour.
One must defy the laws of stupidity, break the cycle of self-fulfilling prophecies and transcend the ordinary when it comes to maintaining a mental equilibrium.
Also, classical and operant conditioning help people escape their fears and phobias by monitoring their response to the stimuli. For instance, post-traumatic stress disorder treatment in Bangalore is preferred by people who have gone through a lot in their lives.
Besides this, there are eye movement desensitization and processing techniques that make use of medical equipment to gauge human behaviour. It relies on the movement of the eyes to predict behavioural tendencies and examine the grey areas of one’s mind.
Making lifestyle changes
It is important to remain in the pink of one’s health and ensure high quality of life. Psychotic individuals must exercise regularly, eat a balanced diet, keep themself occupied and drink lots of water.
Also, being active or on their toes most of the times, sleeping for eight to ten hours and embracing happiness keep neuropsychological ailments at bay.
One must refrain from drinking excessive alcohol, smoking and consuming junk food that leads to inflammation or fluid retention. Striking a work-life balance is imperative that allows people to be the best version of themselves.
Summing it up, neurodevelopment disorders are a result of several factors such as stress, trauma and fluctuating mood patterns. If you come across such ailments, then it is best to visit the residential psychiatric treatment centres in Bangalore to avail impeccable medical care.
Takeaway
Eradicating mental ailments from their roots has become a cakewalk with the help of several medication techniques, therapies and lifestyle modifications. If you want to know more about these topics, then visit Maarga Mind Care. It has a panel of psychiatrists who treat mental disorders by providing treatment that is specific to each individual.
#Insurance for Mental Health Treatment in India#Stigma Around Mental Health in India#Mental Health Awareness Campaigns in India#Mental Health Policies in Bangalore
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ICD 10 CLASSIFICATION OF PSYCHIATRIC DISORDERS
Introduction
• ICD-10 is the 10th revision of the International statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO).
• Chapter V of the ICD 10 Classifies of Mental and Behavioural Disorders
¶ List of Categories
• F00-F09: Organic, including symptomatic, mental disorders
• F10-F19: Mental and behavioral disorders due to psychoactive substance use
• F20-F29: Schizophrenia, schizotypal and delusional disorders
• F30-F39: Mood [affective] disorders
• F40-F48: Neurotic, stress-related and somatoform disorders
• F50-F59: Behavioral syndromes associated with physiological disturbances and physical factors
• F60-F69: Disorders of adult personality and behavior
• F70-F79: Mental retardation
• F80-F89: Disorders of psychological development
• F90-F98: Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
• F99-F99: Unspecified mental disorder
¶ Important Psychiatric Disorders and its Classification Codes
• F10: Mental and behavioral disorders due to use of alcohol
• F11: Mental and behavioral disorders due to use of opioid
• F20: Schizophrenia
• F30: Manic episode
• F31: Bipolar Affective Disorder (BPAD)
• F32: Depressive Episode
• F40: Phobic Anxiety Disorder
• F42: Obsessive Compulsive Disorder
• F44: Dissociative Disorder
• F50: Eating disorders
• F52: Sexual dysfunction
• F60: Specific Personality disorders
• F70: Mild Mental retardation
• F71: Moderate Mental retardation
• F72: Severe Mental retardation
• F73: Profound Mental retardation
• F80: Specific developmental disorders of speech and language
• F90: Hyperkinetic disorder
• F95: Tic disorders
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F00-F09 Organic, including symptomatic, mental disorders:
Organic mental disorders, also known as organic brain syndromes, are a group of disorders characterized by cognitive impairment, behavioral and emotional changes, and other symptoms that are associated with abnormalities in brain function due to a physical illness or injury.
Symptoms of organic mental disorders can vary widely depending on the underlying cause and the part of the brain affected, but they often include confusion, memory loss, difficulty concentrating, problems with speech or language, changes in mood or behavior, and physical symptoms such as tremors or seizures.
Organic mental disorders can be caused by a variety of medical conditions, such as traumatic brain injury, brain tumors, infections, metabolic disorders, and chronic alcohol or drug abuse. They can also be caused by medications or exposure to toxins.
It is important to note that not all mental disorders are organic in nature.
Many mental disorders are classified as functional or non-organic, meaning they do not have a known physical cause or underlying medical condition.
Examples of non-organic mental disorders include anxiety disorders, mood disorders, and personality disorders.
The codes F00-F09 are used to classify various organic, including symptomatic, mental disorders.
These disorders are caused by known or suspected physiological factors, such as diseases, injuries, or other physical conditions affecting the brain or other parts of the nervous system.
The following are some of the specific disorders classified under F00-F09:
F00: Dementia in Alzheimer's disease
F01: Vascular dementia
F02: Dementia in other diseases classified elsewhere
F03: Unspecified dementia
F04: Amnestic disorder due to known physiological condition
F05: Delirium due to known physiological condition
F06: Other mental disorders due to known physiological condition
F07: Personality and behavioral disorders due to brain disease, damage, and dysfunction
F08: Other organic or symptomatic mental disorders
F09: Unspecified organic or symptomatic mental disorder
It is important to note that these codes are used to classify the underlying organic or physiological cause of the mental disorder and not the symptoms themselves.
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F00:
F00 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify dementia in Alzheimer's disease.
Dementia is a syndrome characterized by a progressive decline in cognitive function and other mental abilities, such as memory, language, judgment, and reasoning. Alzheimer's disease is the most common cause of dementia, accounting for 60-80% of all cases.
The symptoms of Alzheimer's disease typically develop slowly and gradually worsen over time, with early signs including memory loss, difficulty with language and communication, poor judgment, and disorientation. As the disease progresses, individuals may experience personality changes, mood swings, and behavioral problems.
Diagnosis of Alzheimer's disease is typically based on a comprehensive evaluation of the individual's medical history, cognitive function, and other symptoms, along with tests such as brain imaging and blood tests. Treatment may involve medications to manage symptoms, as well as lifestyle modifications and support from caregivers.
The F00 code is used to classify cases of dementia that are specifically due to Alzheimer's disease.
F01
F01 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify vascular dementia.
Vascular dementia is a type of dementia that results from reduced blood flow to the brain, typically due to a stroke or other cerebrovascular disease. It is the second most common cause of dementia, accounting for approximately 10% of cases.
The symptoms of vascular dementia can vary depending on the location and extent of the damage to the brain. Some common symptoms include problems with memory, concentration, and judgment, as well as difficulty with planning and organizing tasks. Individuals with vascular dementia may also experience mood swings, depression, and anxiety.
Diagnosis of vascular dementia typically involves a comprehensive evaluation of the individual's medical history, cognitive function, and other symptoms, along with imaging tests such as MRI or CT scans. Treatment may involve medications to manage symptoms, as well as lifestyle modifications and support from caregivers.
The F01 code is used to classify cases of dementia that are specifically due to cerebrovascular disease or other vascular factors.
F02:
F02 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify dementia in other diseases classified elsewhere.
Dementia is a syndrome characterized by a progressive decline in cognitive function and other mental abilities, such as memory, language, judgment, and reasoning. There are many different causes of dementia, including Alzheimer's disease, vascular disease, and other diseases and conditions that affect the brain.
The F02 code is used to classify cases of dementia that are specifically due to diseases or conditions that are classified elsewhere in the ICD-10 system. This may include conditions such as Parkinson's disease, Huntington's disease, Creutzfeldt-Jakob disease, and HIV/AIDS-related dementia, among others.
The symptoms of dementia can vary depending on the underlying cause, but common symptoms may include memory loss, difficulty with language and communication, poor judgment, and disorientation. As the disease progresses, individuals may experience personality changes, mood swings, and behavioral problems.
Diagnosis of dementia typically involves a comprehensive evaluation of the individual's medical history, cognitive function, and other symptoms, along with imaging tests such as MRI or CT scans. Treatment may involve medications to manage symptoms, as well as lifestyle modifications and support from caregivers.
F03:
F03 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify unspecified dementia.
Dementia is a syndrome characterized by a progressive decline in cognitive function and other mental abilities, such as memory, language, judgment, and reasoning. There are many different causes of dementia, including Alzheimer's disease, vascular disease, and other diseases and conditions that affect the brain.
The F03 code is used to classify cases of dementia where the underlying cause is unspecified. This may occur in cases where a definitive diagnosis cannot be made, or where there are multiple potential causes of dementia.
The symptoms of dementia can vary depending on the underlying cause, but common symptoms may include memory loss, difficulty with language and communication, poor judgment, and disorientation. As the disease progresses, individuals may experience personality changes, mood swings, and behavioral problems.
Diagnosis of dementia typically involves a comprehensive evaluation of the individual's medical history, cognitive function, and other symptoms, along with imaging tests such as MRI or CT scans. Treatment may involve medications to manage symptoms, as well as lifestyle modifications and support from caregivers.
The F03 code is just one of several codes in the F00-F09 range used to classify different types of dementia and organic or symptomatic mental disorders. It is important to note that an unspecified dementia diagnosis does not necessarily mean that the individual does not have a specific underlying cause of their symptoms.
F04:
F04 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify delirium.
Delirium is a state of acute confusion that is characterized by a disturbance in attention and awareness, as well as changes in cognition and perception. It is a common complication of many medical conditions, especially in older adults.
The symptoms of delirium can vary but often include confusion, disorientation, altered consciousness, and hallucinations or delusions. Individuals with delirium may also experience changes in sleep patterns, agitation, or lethargy.
Diagnosis of delirium typically involves a comprehensive evaluation of the individual's medical history, cognitive function, and other symptoms, along with laboratory tests to identify potential underlying causes. Treatment may involve addressing any underlying medical conditions, medications to manage symptoms, and environmental modifications to promote a calm and supportive environment.
The F04 code is used to classify cases of delirium that are due to a physical or organic cause, such as a medical condition or medication side effect.
F05:
F05 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify delirium not induced by alcohol or other psychoactive substances.
Delirium is a state of acute confusion that is characterized by a disturbance in attention and awareness, as well as changes in cognition and perception. It is a common complication of many medical conditions, especially in older adults.
The symptoms of delirium can vary but often include confusion, disorientation, altered consciousness, and hallucinations or delusions. Individuals with delirium may also experience changes in sleep patterns, agitation, or lethargy.
Diagnosis of delirium typically involves a comprehensive evaluation of the individual's medical history, cognitive function, and other symptoms, along with laboratory tests to identify potential underlying causes. Treatment may involve addressing any underlying medical conditions, medications to manage symptoms, and environmental modifications to promote a calm and supportive environment.
The F05 code is used to classify cases of delirium that are not due to the use of alcohol or other psychoactive substances.
F06:
F06 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify a group of mental disorders due to a general medical condition.
This code is used to describe a range of symptoms and conditions that are caused by an underlying medical condition. Examples of medical conditions that can cause mental symptoms include brain tumors, infections, metabolic imbalances, and neurological disorders.
The symptoms of F06 disorders can vary depending on the underlying medical condition, but they often involve changes in mood, perception, or behavior. Some individuals may experience hallucinations or delusions, while others may have difficulty with memory or cognitive processing.
Diagnosis of F06 disorders typically involves a comprehensive evaluation of the individual's medical history, including any existing medical conditions or medications. Laboratory tests and imaging studies may be used to identify potential underlying causes. Treatment may involve managing the underlying medical condition, as well as medications to manage symptoms.
It is important to note that F06 disorders are different from primary psychiatric disorders, which do not have an identifiable medical cause.
F07:
F07 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify personality and behavioral disorders due to brain disease, damage, and dysfunction.
This code is used to describe a range of personality and behavioral changes that can occur as a result of brain disease, damage, or dysfunction. Examples of conditions that may lead to F07 disorders include traumatic brain injury, stroke, and neurodegenerative diseases such as Alzheimer's and Parkinson's disease.
The symptoms of F07 disorders can vary depending on the underlying condition and the specific areas of the brain that are affected. Individuals with F07 disorders may experience changes in mood, behavior, and cognitive function. They may have difficulty with memory, judgment, and decision-making, and may display impulsivity or disinhibition.
Diagnosis of F07 disorders typically involves a comprehensive evaluation of the individual's medical history, including any existing medical conditions or medications. Imaging studies such as CT scans or MRIs may be used to identify potential brain damage or dysfunction. Treatment may involve managing the underlying medical condition, as well as medications to manage symptoms.
It is important to note that F07 disorders are different from primary psychiatric disorders, which do not have an identifiable medical cause.
F08:
F08 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify a group of mental disorders due to a general medical condition not elsewhere classified.
This code is used to describe a range of cognitive and behavioral changes that are caused by an underlying medical condition that cannot be classified under any other code in the F00-F09 range. Examples of medical conditions that can cause F08 disorders include brain tumors, infections, metabolic imbalances, and neurological disorders.
The symptoms of F08 disorders can vary depending on the underlying medical condition, but they often involve changes in mood, perception, or behavior. Some individuals may experience hallucinations or delusions, while others may have difficulty with memory or cognitive processing.
Diagnosis of F08 disorders typically involves a comprehensive evaluation of the individual's medical history, including any existing medical conditions or medications. Laboratory tests and imaging studies may be used to identify potential underlying causes. Treatment may involve managing the underlying medical condition, as well as medications to manage symptoms.
It is important to note that F08 disorders are different from primary psychiatric disorders, which do not have an identifiable medical cause.
F09:
F09 is a diagnostic code in the International Classification of Diseases, Tenth Revision (ICD-10) used to classify a group of mental disorders due to a general medical condition not elsewhere classified.
This code is used to describe a range of mental disorders that are caused by an underlying medical condition that cannot be classified under any other code in the F00-F09 range. Examples of medical conditions that can cause F09 disorders include infections, metabolic imbalances, and neurological disorders.
The symptoms of F09 disorders can vary depending on the underlying medical condition, but they often involve changes in mood, perception, or behavior. Some individuals may experience hallucinations or delusions, while others may have difficulty with memory or cognitive processing.
Diagnosis of F09 disorders typically involves a comprehensive evaluation of the individual's medical history, including any existing medical conditions or medications. Laboratory tests and imaging studies may be used to identify potential underlying causes. Treatment may involve managing the underlying medical condition, as well as medications to manage symptoms.
It is important to note that F09 disorders are different from primary psychiatric disorders, which do not have an identifiable medical cause.
Diagnosis of F01-F09
The diagnosis of mental disorders in the F01-F09 range, which includes organic, including symptomatic, mental disorders, involves a comprehensive evaluation of the individual's medical and psychiatric history, as well as a physical examination and laboratory tests. The diagnosis is usually made by a qualified mental health professional or a physician who specializes in diagnosing and treating mental disorders.
The diagnostic process typically involves gathering information about the individual's symptoms, including their onset, duration, and severity, as well as any associated medical or psychiatric conditions. The healthcare provider may also ask about the individual's family history, medications, and substance use.
Laboratory tests and imaging studies, such as blood tests, MRI, or CT scans, may be used to identify potential underlying medical conditions or brain abnormalities that could be contributing to the individual's symptoms.
To diagnose a specific disorder within the F01-F09 range, the healthcare provider will use the criteria outlined in the International Classification of Diseases, Tenth Revision (ICD-10). The ICD-10 provides a list of symptoms and criteria for each disorder, as well as guidelines for differentiating between similar disorders.
Treatment of F01-F09 disorders typically involves managing the underlying medical condition, as well as medications to manage symptoms. Psychotherapy or other types of therapy may also be used to help the individual cope with their symptoms and improve their overall quality of life. It is important for individuals with F01-F09 disorders to receive ongoing monitoring and care to ensure that their symptoms are effectively managed and their overall health is maintained.
Symptoms of F00-F09
Symptoms of mental disorders can vary depending on the specific disorder and the individual experiencing them. However, some common symptoms of mental disorders may include:
• Changes in mood: feeling sad, irritable, anxious, or overly happy
• Behavioral changes: withdrawing from social activities, engaging in risky behaviors, or exhibiting aggression or violence
• Cognitive changes: having trouble concentrating, difficulty remembering things, or experiencing confusion
• Physical changes: experiencing changes in appetite or sleep patterns, or experiencing physical symptoms like headaches, stomachaches, or muscle tension
• Perceptual changes: experiencing hallucinations or delusions, or experiencing sensory disturbances like hearing voices or seeing things that aren't there
• Emotional changes: experiencing feelings of fear, worry, or panic
It's important to note that experiencing any of these symptoms does not necessarily mean that an individual has a mental disorder. However, if these symptoms persist or interfere with daily life, it may be worth seeking professional help.
Treatments of F00-F09
The treatments for mental disorders can vary depending on the specific disorder and the individual. Here are some common treatments:
• Psychotherapy: Talk therapy with a mental health professional, such as a psychologist or counselor, can help individuals manage symptoms, understand their condition better, and develop coping strategies.
• Medication: Medications, such as antidepressants or antipsychotics, can help manage symptoms of mental disorders.
• Self-care: Practicing self-care, such as exercising regularly, eating a healthy diet, getting enough sleep, and avoiding alcohol and drugs, can help manage symptoms of mental disorders.
• Support groups: Joining a support group can provide individuals with a sense of community and help them feel less isolated.
• Hospitalization: In severe cases, hospitalization may be necessary to provide intensive treatment and ensure the safety of the individual.
• Brain stimulation therapies: Electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS) are two brain stimulation therapies that may be used to treat severe cases of mental disorders.
Who can treat F00-F09
There are several types of mental health professionals who can provide treatment for mental disorders.
Here are some common ones:
• Psychiatrists: Medical doctors who specialize in the diagnosis, treatment, and management of mental illnesses. They can prescribe medication and provide therapy.
• Psychologists: Professionals with a doctoral degree in psychology who can provide psychotherapy, psychological testing, and assessment.
• Counselors: Professionals with a master's degree in counseling who can provide individual, group, and family therapy.
• Social workers: Professionals with a master's degree in social work who can provide therapy, case management, and advocacy.
• Psychiatric nurses: Nurses with specialized training in mental health who can provide medication management, therapy, and other forms of treatment.
• Peer support specialists: Individuals with lived experience of mental illness who provide support and guidance to others going through similar experiences.
It's important to choose a mental health professional who is trained and licensed to provide the specific type of treatment you need.
Doctors available in India for the treatment of F00-F09:
There are many mental health professionals available in India who can provide treatment for mental disorders. Here are some common ones:
• Psychiatrists: Medical doctors who specialize in the diagnosis, treatment, and management of mental illnesses. They can prescribe medication and provide therapy. *Some well-known psychiatrists in India are Dr. Harish Shetty, Dr. Vikram Patel, and Dr. Samir Parikh*.
• Psychologists: Professionals with a doctoral degree in psychology who can provide psychotherapy, psychological testing, and assessment.
Some well-known psychologists in India are Dr. Anjali Chhabria, Dr. Prerna Kohli, and Dr. Anuradha Sovani.
• Counselors: Professionals with a master's degree in counseling who can provide individual, group, and family therapy.
Some well-known counselors in India are Aruna Broota, Dr. Achal Bhagat, and Dr. Roma Kumar.
• Social workers: Professionals with a master's degree in social work who can provide therapy, case management, and advocacy.
Some well-known social workers in India are Dr. Arun John, Dr. Lakshmi Vijayakumar, and Dr. Manjula O'Connor.
• Psychiatric nurses: Nurses with specialized training in mental health who can provide medication management, therapy, and other forms of treatment.
Some well-known psychiatric nurses in India are Ms. Vandana Patil and Ms. Radha Acharya.
Hospitals treating F00-F09 in India:
There are many hospitals in India that have departments or units dedicated to the treatment of mental disorders. Some of the well-known hospitals for mental health in India include:
• National Institute of Mental Health and Neurosciences (NIMHANS) - Bangalore
• All India Institute of Medical Sciences (AIIMS) - Delhi
• VIMHANS - Delhi
• Institute of Mental Health - Chennai
• CMC Vellore - Tamil Nadu
• P.D. Hinduja Hospital and Medical Research Centre - Mumbai
• KEM Hospital - Mumbai
Tata Memorial Centre - Mumbai
• Ruby Hall Clinic - Pune
• Rajiv Gandhi Institute of Medical Sciences - Hyderabad.
These are just a few examples, and there are many other hospitals and clinics in India that provide mental health services.
Medicines for F00-F09
There are various types of medications available to treat mental disorders, and the specific medication prescribed depends on the type and severity of the disorder.
Here are some common categories of medication used to treat mental disorders:
• Antidepressants: Used to treat depression, anxiety disorders, and other mood disorders. Examples include selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) and sertraline (Zoloft).
• Antipsychotics: Used to treat psychotic disorders such as schizophrenia and bipolar disorder. Examples include aripiprazole (Abilify) and olanzapine (Zyprexa).
• Mood stabilizers: Used to treat bipolar disorder and other mood disorders. Examples include lithium (Eskalith) and valproic acid (Depakote).
• Benzodiazepines: Used to treat anxiety disorders and insomnia. Examples include alprazolam (Xanax) and lorazepam (Ativan).
• Stimulants: Used to treat attention deficit hyperactivity disorder (ADHD). Examples include methylphenidate (Ritalin) and dextroamphetamine (Adderall).
Natural way treatments for F00-F09
There are several natural ways to manage and treat mental disorders that can be used in addition to or instead of traditional medical treatments.
Here are some examples:
• Exercise: Physical activity has been shown to improve mood and reduce symptoms of anxiety and depression. Exercise can also boost self-esteem and help with stress management.
• Meditation: Mindfulness meditation can help reduce stress and anxiety, improve mood, and enhance overall well-being. There are many meditation techniques that can be practiced, including guided meditation and breathwork.
• Yoga: Yoga combines physical postures, breathing exercises, and meditation techniques to improve mental and physical health. Regular yoga practice has been shown to reduce symptoms of depression and anxiety and improve overall well-being.
• Herbal supplements: Some herbal supplements, such as St. John's Wort and chamomile, have been shown to be effective in treating mild to moderate depression and anxiety. However, it's important to consult with a healthcare provider before taking any herbal supplements, as they can interact with other medications and cause adverse effects.
• Diet: A healthy diet that includes foods high in omega-3 fatty acids, such as fish, nuts, and seeds, may help reduce symptoms of depression and anxiety. Avoiding alcohol and caffeine and reducing sugar and processed foods may also improve overall mental health.
• Sleep: Getting adequate sleep is essential for mental health. It's recommended to get 7-8 hours of sleep per night and to establish a regular sleep routine.
How long does it take to get cured:
The length of time it takes to get "cured" of a mental disorder can vary depending on the individual, the specific disorder, and the type of treatment being used. In many cases, mental disorders are chronic conditions that require ongoing management rather than a one-time cure. That being said, with appropriate treatment, many people with mental disorders are able to manage their symptoms effectively and live full, fulfilling lives.
The length of treatment can also vary depending on the individual and the severity of their symptoms.
For example, some people may only need a few months of psychotherapy or medication to manage their symptoms, while others may require ongoing treatment for several years.
It's important to approach treatment with a long-term perspective and to be patient with the process.
How to support the patient
Supporting a loved one or friend who is dealing with a mental disorder can be challenging, but it's important to remember that your support can make a significant difference in their recovery. Here are some ways you can support someone with a mental disorder:
• Educate yourself: Learn as much as you can about the specific disorder your loved one is dealing with. This can help you understand what they are going through and how you can best support them.
• Be supportive and non-judgmental: Let your loved one know that you are there for them and that you support them. Avoid making judgments or criticizing their behavior.
• Encourage treatment: Encourage your loved one to seek treatment from a mental health professional. Offer to help them find a therapist or psychiatrist and to go with them to appointments if they would like.
• Listen actively: Listen to your loved one and be empathetic. Allow them to express their feelings without interrupting or judging them.
• Help with practical tasks: Offer to help your loved one with practical tasks such as cooking, cleaning, or running errands. This can alleviate stress and allow them to focus on their recovery.
• Take care of yourself: Supporting someone with a mental disorder can be emotionally taxing, so it's important to take care of your own mental health. Make sure to take breaks when you need them and seek support for yourself if necessary.
Remember, supporting someone with a mental disorder is a process that requires patience, understanding, and compassion.
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