Wellbeing and Happiness Series with MoNya-Mental
3 February 2021 OCD, Anxiety and PDs. Is there a difference? Obsessive Compulsive Disorder (OCD) is an anxiety disorder. It is characterized by "irrational" thoughts and fears (Obsessions) that lead to repeated/ritualistic behaviours (Compulsions). OCD falls within the category of Anxiety as it shares the characteristics of feelings of worry, or fears that are strong enough to interfere with one's functioning. OCD is essentially the way the brain tries to regain control of an actual or perceived trauma. The brain does this by trying to organize its external environment in the hope that if the external environment is stable, it can also stabilize, essentially defibrillating itself. When this habit is ingrained, it becomes OCPD. This is when the individual normalizes and identifies with their disorder. Just like any other mental disorder, the longer it exists, the higher chance of it altering ones personality, becoming a Personality Disorder (PD). PDs are not necessarily about blame and manipulation, but ways of coping with difficult situations. People with Personality Disorders have normalized poor (maladaptive) coping mechanisms and therefore adversely affect their communities. A person with a disorder can function well in isolation, but struggles in social spaces, or vice versa. An alcoholic and a violent individual, both have personality disorders in that they have both normalized poor coping mechanisms regardless of one being internalized and another externalized, hence personality disorders are classified on Dramatic/Emotional/Erratic, Anxious/Avoidant and Odd/Eccentric clusters. Cluster A: behaves in a way that others consider unusual or eccentric. There are three cluster A disorders: paranoid, schizoid, and schizotypal personality disorders. Cluster B: has difficulties regulating their emotions and behavior. Others may consider their behavior dramatic, emotional, or erratic. There are four cluster B disorders: antisocial, borderline, histrionic, and narcissistic personality disorders. Cluster C: Behaves in anxious or avoidant ways. There are three cluster C disorders: avoidant, dependent, and obsessive-compulsive personality disorders (OCPD). It is the nature of the extreme environments that create the disorder that determines the type of disorder. For example, neglect creates a different disorder to abandonment, to abuse. Personality Disorders only exist as a result of the prolonged period one has had the disorder; internalized or otherwise, and this also explains why we do not diagnose personality or mental disorders in children, apart from Spectrum (Attention) Disorders. Short term extreme behaviours may be more appropriately termed Adjustment Reactions/Disorders. Knowledge is the key to a meaningful life. #MoNya-Mental (2021) Www.i-wellbeing.weebly.com
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February 2021
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