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Nasia A. Kervan, Psy. D

 
 


INTERMITTENT EXPLOSIVE DISORDER

Intermittent Explosive Disorder falls in the category of Impulse-Control Disorders. The condition is characterized by failure to resist aggressive impulses, resulting in serious assaults or property destruction. Examples of this behavior include threatening to or actually hurting another person and purposefully breaking or damaging an object of value. The degree of aggressiveness expressed during an episode is grossly out of proportion to any provocation or situational stress. The individual may describe the episodes as "spells" or "attacks" in which the explosive behavior is preceded by a sense of tension or arousal and followed immediately by a sense of relief. Often genuine regret is expressed after the outburst. Later the individual may also feel upset, remorseful or embarrassed about the behavior. Most patients are young men and history will often involve frequent traffic accidents, moving violations and possibly sexual impulsivity.

Symptoms

Several discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property

The degree of aggressiveness expressed during the episodes is grossly out of proportion to any precipitating psychosocial stressors

Irritability or rage, increased energy, and racing thoughts during the aggressive impulses and acts, and rapid onset of depressed mood

Treatment could involve  therapy including behavioral modification. Ask for help, now.

NARCISSISTIC PERSONALITY DISORDER

An individual with narcissistic personality disorder exhibits extreme self-importance, inability to empathize with others and heightened sensitivity to criticism. Self-involvement and lack of empathy characterize this personality disorder.

People with narcissistic personality disorder are frequently perfectionists and need to be the center of attention, receiving affection and admiration, and controlling the situation. To get the attention he craves, he may try to create crises that return the focus to him. Like patients with antisocial personality disorder, this person places entitlement issues at the fore. He feels that the world owes him, regardless of whether he makes a contribution.

Symptoms

Overreacts to criticism, becoming angry or humiliated

Uses others to reach goals

Exaggerates own importance

Entertains unrealistic fantasies about achievements, power, beauty, intelligence or romance

Has unreasonable expectation of favorable treatment

Needs constant attention and positive reinforcement from others

Is easily jealous

Psychotherapy may be useful in getting the individual with narcissistic personality disorder to relate to others in a less maladaptive manner... Ask for help, now.

OBSESSIVE - COMPULSIVE DISORDER

Obsessive-compulsive disorder (OCD) is a potentially disabling anxiety disorder. The person afflicted with OCD becomes trapped in a pattern of repetitive senseless thoughts and behaviors that are very difficult to overcome. A person's level of OCD can be anywhere from mild to severe, but if severe and left untreated, it can destroy a person's capacity to function at work, at school or even to lead a comfortable existence in the home.

Although OCD symptoms typically begin during the teen years or early adulthood, research shows that some children may even develop the illness during preschool. Studies indicate that at least one-third of cases of adult OCD began in childhood. Suffering from OCD during early stages of a child's development can cause severe problems for the child. It is important that the child receive evaluation and treatment as soon as possible to prevent the child from missing important opportunities because of this disorder.

Symptoms

Unwanted repetitive ideas or impulses

Persistent paranoid fears

Unreasonable concern with becoming contaminated

Excessive need to do things perfectly

Studies of behavior therapy for OCD find it to be a successful treatment for the majority of patients who complete it, and the positive effects endure once treatment has ended, if there are follow-up sessions and other relapse-prevention components. Ask for help, now.

PARANOID PERSONALITY DISORDER

Paranoid personality disorder is an unwarranted tendency to interpret the actions of other people as deliberately threatening or demeaning. The disorder, surfacing by early adulthood, is manifested by an omnipresent sense of distrust and unjustified suspicion that yields persistent misinterpretation of others' intentions as being malicious. People with a paranoid personality disorder are usually unable to acknowledge their own negative feelings toward others but do not generally lose touch with reality. They will not confide in people, even if they prove trustworthy, for fear of being exploited or betrayed. They will often misinterpret harmless comments and behavior from others and may build up and harbor unfounded resentment for an unreasonable length of time.

Symptoms

Suspicion

Concern with hidden motives

Expects to be exploited by others

Inability to collaborate

Social isolation

Poor self image

Detachment

Hostility

Poor sense of humor

People afflicted with this disorder have deep foundational problems that necessitate intense therapy. A confident therapist-client relationship offers the most benefit to people with the disorder. Ask for help, now.

MORE ABOUT...

Attention-Deficit/Hyperactivity DisorderAntisocial Personality DisorderAvoidant Personality Disorder       Borderline Personality DisorderDelusional DisorderDependent Personality Disorder               Dissociative Identity DisorderGender Identity DisorderHistrionic Personality Disorder                Schizoid Personality DisorderCompulsive GamblingKleptomaniaSchizophrenia                  Schizotypal Personality DisorderTourette's Syndrome

 
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