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HappyGala

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Obsessive–compulsive disorder*(OCD) is ananxiety disorder*characterized by*intrusive thoughts*that produce uneasiness, apprehension, fear or worry (obsessions), repetitive behaviors aimed at reducing the associated anxiety (compulsions), or a combination of such obsessions andcompulsions. Symptoms of the disorder include excessive washing or cleaning, repeated checking, extreme*hoarding, preoccupation with*sexual, violent or religious thoughts,*relationship-related obsessions, aversion to particular numbers and nervousrituals*such as opening and closing a door a certain number of times before entering or leaving a room. These symptoms are time-consuming, might result in*loss of relationships with others, and often cause severe emotional and financial distress. The acts of those who have OCD may appearparanoid*and potentially*psychotic. However, people with OCD generally recognize their obsessions and compulsions as irrational and may become further distressed by this realization. Despite the irrational behaviour, OCD is associated with above-average intelligence.[1]A number of psychological and biological factors may be involved in causing obsessive–compulsive disorder. Standardized rating scales such as*Yale–Brown Obsessive Compulsive Scale*can be used to assess the severity of symptoms.[2]*Other disorders with similar symptoms include:*obsessive–compulsive*personality*disorder*(OCPD), anautism spectrum disorder, or disorders whereperseveration*(hyperfocus) is a feature inADHD,*PTSD, bodily disorders, or just a habit problem.[3]Treatment for OCD involves the use ofbehavioral therapy*and sometimes*selective serotonin reuptake inhibitors*(SSRIs).[4]*The type of behavior therapy used involves increasing exposure to what causes the problems while not allowing the compulsive behavior to occur.[4]*Atypical antipsychoticssuch as*quetiapine*may be useful when used in addition to an SSRI in treatment-resistant cases but are associated with an increased risk of side effects.[5]Obsessive–compulsive disorder affects children and adolescents, as well as adults. Roughly one third to one half of adults with OCD report a childhood onset of the disorder, suggesting the continuum of anxiety disorders across the lifespan.[6]*The phrase*obsessive–compulsive*has become part of the English lexicon, and is often used in an informal or caricatured manner to describe someone who is excessively meticulous,*perfectionistic, absorbed, or otherwise fixated.[7]

Some people with OCD perform compulsive rituals because they inexplicably feel they have to, others act compulsively so as to mitigate the anxiety that stems from particular obsessive thoughts. The person might feel that these actions somehow either will prevent a dreaded event from occurring, or will push the event from their thoughts. In any case, the individual's reasoning is soidiosyncratic*or distorted that it results in significant distress for the individual with OCD or for those around them. Excessive skin picking (i.e.,*dermatillomania) or hair plucking (i.e.,*trichotillomania) and nail biting (i.e.,onychophagia) are all on the Obsessive-Compulsive Spectrum. Individuals with OCD are aware that their thoughts and behavior are not rational,[20]*but they feel bound to comply with them to fend off feelings of panic or dread.Some common compulsions include counting specific things (such as footsteps) or in specific ways (for instance, by intervals of two), and doing other repetitive actions, often with atypical sensitivity to numbers or patterns. People might repeatedly wash their hands[21]*or clear their throats, make sure certain items are in a straight line, repeatedly check that their parked cars have been locked before leaving them, constantly organize in a certain way, turn lights on and off, keep doors closed at all times, touch objects a certain number of times before exiting a room, walk in a certain routine way like only stepping on a certain color of tile, or have a routine for using stairs, such as always finishing a flight on the same foot.The compulsions of OCD must be distinguished from*tics; movements of othermovement disorders*such as*chorea,dystonia,*myoclonus; movements exhibited instereotypic movement disorder*or some people with*autism; and the movements ofseizure*activity.[22]*There may exist a notable rate of comorbidity between OCD and tic-related disorders.[22]People rely on compulsions as an escape from their obsessive thoughts; however, they are aware that the relief is only temporary, that the intrusive thoughts will soon return. Some people use compulsions to avoid situations that may trigger their obsessions. Although some people do certain things over and over again, they do not necessarily perform these actions compulsively. For example, bedtime routines, learning a new skill, and religious practices are not compulsions. Whether or not behaviors are compulsions or mere habit depends on the context in which the behaviors are performed. For example, arranging and ordering DVDs for eight hours a day would be expected of one who works in a video store, but would seem abnormal in other situations. In other words, habits tend to bring efficiency to one's life, while compulsions tend to disrupt it.[23]In addition to the anxiety and fear that typically accompanies OCD, sufferers may spend hours performing such compulsions every day. In such situations, it can be hard for the person to fulfill their work, family, or social roles. In some cases, these behaviors can also cause adverse physical symptoms. For example, people who obsessively wash their hands with*antibacterial soap*and hot water can make their skin red and raw withdermatitis.[24]People with OCD can use rationalizations to explain their behavior; however, these rationalizations do not apply to the overall behavior but to each instance individually. For example, a person compulsively checking the front door may argue that the time taken and stress caused by one more check of the front door is much less than the time and stress associated with being robbed, and thus checking is the better option. In practice, after that check, the person is*still*not sure and deems it is*still*better to perform one more check, and this reasoning can continue as long as necessary.

Overvalued ideas

Some OCD sufferers exhibit what is known asovervalued ideas. In such cases, the person with OCD will truly be uncertain whether the fears that cause them to perform their compulsions are irrational or not. After some discussion, it is possible to convince the individual that their fears may be unfounded. It may be more difficult to do*ERP therapy*on such patients because they may be unwilling to cooperate, at least initially. There are severe cases in which the sufferer has an unshakeable belief in the context of OCD that is difficult to differentiate from*psychosis.

Psychosis*refers to an abnormal condition of the mind, and is a generic*psychiatric*term for a mental state often described as involving a "loss of contact with*reality". People with psychosis are described as*psychotic.*People experiencing psychosis may exhibit some personality changes and*thought disorder. Depending on its severity, this may be accompanied by unusual or bizarre behavior, as well as difficulty with*social interaction*and impairment in carrying out daily life activities.Psychosis (as a*sign*of a psychiatric disorder) is a*diagnosis of exclusion. That is, a new-onset episode of psychosis is not considered a symptom of a psychiatric disorder until other relevant and known causes of psychosis are properly excluded.[2]*Medical and biological laboratory tests should excludecentral nervous system*diseases and injuries, diseases and injuries of other organs, psychoactive substances, toxins, and prescribed medications as causes of symptoms of psychosis before any psychiatric illness can be diagnosed.[2]*In medical training, psychosis as a sign of illness is often compared to fever since both can have multiple causes that are not readily apparent.[2]The term "psychosis" is very broad and can mean anything from relatively normal aberrant experiences through to the complex and*catatonic*expressions of*schizophreniaand*bipolar type 1 disorder.[3][4][5]*In properly diagnosed psychiatric disorders (where other causes have been*excluded*by extensive medical and biological laboratory tests), psychosis is a descriptive term for thehallucinations,*delusions, sometimes*violence, and impaired*insight*that may occur.[4][6]Psychosis is generally given to noticeable deficits in normal behavior (negative signs) and more commonly to diverse types of hallucinations or delusional*beliefs, especially as regards the relation between self and others as in*grandiosity*andpronoia/paranoia.An excess in*dopaminergic*signalling is hypothesized to be linked to the*positive symptoms*of psychosis, especially those of schizophrenia. However, this hypothesis has not been definitively supported. The dopaminergic mechanism is thought to be causal in an aberrant perception or evaluation of the salience of environmental stimuli.[7]Many*antipsychotic*drugs accordingly target the dopamine system; however, meta-analyses of placebo-controlled trials of these drugs show either no significant difference in effects between drug and*placebo, or a moderate*effect size, suggesting that the pathophysiology of psychosis is much more complex than an overactive dopamine system.[8][9]

How do you expect us to read all these block of words? Seriously, proper paragraphing is needed. If you copy-paste from other source, you need to reformat the structure for everyone's ease of reading.
 

XxooxX

Alfrescian
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How do you expect us to read all these block of words? Seriously, proper paragraphing is needed. If you copy-paste from other source, you need to reformat the structure for everyone's ease of reading.

It for jjc only.....on good will to inform her on condition.
Don need to be in queen english format.
it for jjc to seek help for her disorder.
 

jjcc888

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It for jjc only.....on good will to inform her on condition.
Don need to be in queen english format.
it for jjc to seek help for her disorder.

Trust this young punk [only registered Feb 2015] to have the cheek to 'diagnose this oldie's "disorders" ' - what does HE know ??
I have taken so much much more salt than many others here ... how dare he !!!!
 

XxooxX

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Trust this young punk [only registered Feb 2015] to have the cheek to 'diagnose this oldie's "disorders" ' - what does HE know ??
I have taken so much much more salt than many others here ... how dare he !!!!

Anxiety Disorders

There are several*types of anxiety disordersincluding panic disorder,*social anxiety disorder, specific*phobias, and*generalized anxiety disorder.Anxiety is a normal human emotion that everyone experiences at times. Many people feel anxious, or nervous, when faced with a problem at work, before taking a test, or making an important decision. Anxiety disorders, however, are different. They can cause such distress that it interferes with a person's ability to lead a normal life.An anxiety disorder is a serious mental illness. For people with*anxiety disorders, worry and fear are constant and overwhelming, and can be crippling
 

jjcc888

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Anxiety Disorders

There are several*types of anxiety disordersincluding panic disorder,*social anxiety disorder, specific*phobias, and*generalized anxiety disorder.Anxiety is a normal human emotion that everyone experiences at times. Many people feel anxious, or nervous, when faced with a problem at work, before taking a test, or making an important decision. Anxiety disorders, however, are different. They can cause such distress that it interferes with a person's ability to lead a normal life.An anxiety disorder is a serious mental illness. For people with*anxiety disorders, worry and fear are constant and overwhelming, and can be crippling

WHICH specific anxiety disorder is crippling me from leading a normal life - pray tell Dr Quack !!!
WHAT "worries & fears" are overwhelming me huh ????
 
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XxooxX

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Just completed my 'once in a blue moon pasta cooking session for CNY'
did 2 styles - simple olive oil basil pesto & store-bought ready-made tomato-based sauce - with prawns, scallops, mushroom, cherry tomato
(hey I re-discovered the wonders of cheaper frozen succulent sweet seafood alternatives compared with today's tasteless prawns from the wet market !)
NOW plzz award me the Once in Blue Moon BIG WIN with Toto, Big Sweep, Casino Plays, or other Windfalls hehehe ......

During the CNY Spruce up - my mom must have kept those casino pamphlets on lucky draws, other mailers etc somewhere
Must dig these out soon ..... OR just go into the casino 'when I feel like it ie according to personal vibes'
Easier to trump up some excuse for the daytime eg going Spas etc ....
rather than for evenings unless say for 'going loh-hei dinners etc' or CFD Class/Workshop hmmmm .... ???
Mon to Fri - one of the afternoons most probably - which will be the Most Rewarding one for ME huh ??
Hmmm .... if I pick the day with the CFD Workshop at 7pm - that will provide me with the Good Reason to STOP & GO maybe after going in before/after lunch ????
Wa .... this is called Casino Planning Strategy hahahaha ......

Obsessions*are involuntary, seemingly uncontrollable thoughts, images, or impulses that occur over and over again in your mind. You don’t want to have these ideas but you can’t stop them. Unfortunately, these obsessive thoughts are often disturbing and distracting.Compulsions*are behaviors or rituals that you feel driven to act out again and again. Usually, compulsions are performed in an attempt to make obsessions go away. For example, if you’re afraid of contamination, you might develop elaborate cleaning rituals. However, the relief never lasts. In fact, the obsessive thoughts usually come back stronger. And the compulsive behaviors often end up causing anxiety themselves as they become more demanding and time-consuming.Most people with obsessive-compulsive disorder (OCD) fall into one of the following categories:Washers*are afraid of contamination. They usually have cleaning or hand-washing compulsions.Checkers*repeatedly check things (oven turned off, door locked, etc.) that they associate with harm or danger.Doubters and sinners*are afraid that if everything isn’t perfect or done just right something terrible will happen or they will be punished.Counters and arrangers*are obsessed with order and symmetry. They may have superstitions about certain numbers, colors, or arrangements.Hoarders*fear that something bad will happen if they throw anything away. They compulsively hoard things that they don’t need or use.
 

XxooxX

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WHICH specific anxiety disorder is crippling me from leading a normal life - pray tell Dr Quake !!!
WHAT "worries & fears" are overwhelming me huh ????

Generalized anxiety disorder*(GAD) is ananxiety disorder*that is characterized by excessive, uncontrollable and often*irrationalworry, that is, apprehensive expectation about events or activities.[1]*This excessive worry often interferes with daily functioning, as individuals suffering GAD typically anticipate disaster, and are overly concerned about everyday matters such as*health*issues,money,*death,*family*problems,*friendshipproblems,*interpersonal relationshipproblems, or work difficulties.[2][3]*Individuals often exhibit a variety of physical symptoms, including*fatigue,*fidgeting,*headaches,nausea,*numbness*in hands and feet,*muscle tension,*muscle aches, difficulty*swallowing, bouts of difficulty*breathing, difficultyconcentrating,*trembling,*twitching,*irritability,agitation,*sweating,*restlessness,*insomnia,hot flashes, and*rashes*and inability to fully control the anxiety (ICD-10).[4]*These symptoms must be consistent and ongoing, persisting at least six months, for a formal diagnosis of GAD to be introduced.[1][2]In any given year, approximately 6.8 millionAmerican*adults and two percent of European adults experience GAD.[5][6]*GAD is seen in women twice as much as men. GAD is also commonly seen in individuals with a history of substance abuse and a family history of the disorder.[7]*Once GAD develops, it may become chronic, but can be managed or eliminated with proper treatment.[8]Standardized rating scales such as*GAD-7can be used to assess severity of generalized anxiety disorder symptoms.[9]*GAD is the most common cause of disability in the workplace*
 

jjcc888

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Dr Quack - can you STOP your rubbish - what kind of Proper Diagnosis is that when you can't eve PIN-POINT properly
Just a SEA OF WORDS - quoted some more - without paragraphing etc for Easy Reading
YOUR Wall of Words is the one causing us the READING ANXIETY lah !!!!!!

Let the rest of us continue with SLOTS and related-to-Slots stuff such as Feng Shui etc .....
 
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yiyong

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WHICH specific anxiety disorder is crippling me from leading a normal life - pray tell Dr Quake !!!
WHAT "worries & fears" are overwhelming me huh ????

relac la...

come watch some videos...

[video=youtube;B-PiVAZ2b2o]https://www.youtube.com/watch?v=B-PiVAZ2b2o[/video]
 

XxooxX

Alfrescian
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Dr Quake - can you STOP your rubbish - what kind of Proper Diagnosis is that when you can't eve PIN-POINT properly
Just a SEA OF WORDS - quoted some more - without paragraphing etc for Easy Reading
YOUR Wall of Words is the one causing us the READING ANXIETY lah !!!!!!

Let the rest of us continue with SLOTS and related-to-Slots stuff such as Feng Shui etc .....

JJC U SUFFERED FROM GENERAL ANXIETY DISORDER
OBSESSIVE COMPULSIVE DISORDER..
U CAN VISIT A Psychiatrist TO CONFIRM.
U CONFIRM A DERANGED STATE CASE.
 

XxooxX

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THAT says it all
So - you ARE indeed a Dr Quake - pretending to be a psycho EXPERT !!! Huh !!!!!

*Psychiatrists in Singapore, as with other medical specialist,can be found both in the public and also the private sector.*If you are thinking of going to see*(or have been referred or been given a recommendation to) a psychiatrist in Singapore and are not sure what to expect, or you are feeling anxious and apprehensive, read on.*Many people have pre-conceived ideas about what to expect before they see their psychiatrist for the first time. They*often feel very apprehensive while waiting for the appointment. There is often much anxiety about what he will be like and what he would then do to you.*Actually, a visit to a psychiatrist in Singapore is pretty similar to a visit to any other doctor. Think of a psychiatrist as a doctor for emotions. Sometimes feelings and emotions get*“fractured”and a psychiatrist helps to take away the emotional pain and let them heal again. If you feel shy or anxious about seeing the psychiatrist alone, you may also get your family members or best friends to accompany you for the first visit.There are various approaches to treating psychiatric conditions but all begin with a thorough and complete history, a mental state examination and finally a formulation and diagnosis is made. The first visit would typically take about 40 to 60 minutes, during which, expect the psychiatrist to get to know you and your problems better.He would usually begin by finding out about the main issue*that has brought you to the clinic. He would then want to get to know you better and find out more about your family, your*childhood experiences and your educational and occupational history. Male patients in Singapore would also be enquired about their* stint in National Service. A more thorough evaluation of each symptom would then be undertaken. He would also be interested to find out more about your relationships with others and whether there are areas of concern you have.*A*skilled psychiatrist*will of course weave all these into a pretty normal conversation. The key to any psychiatric evaluation is making you feel comfortable and a good psychiatrist would also be able to gauge your level of comfort and tailor the level of questioning to suit this. So don't be worried, seeing a psychiatrist is not particularly scary or*intimidating and psychiatrists are generally warm, friendly, approachable and nice people. It is often an experience on its own for most patients to be intently listened to by someone for the first time. The psychiatrist would then reflect upon what you have said*and help you better understand yourself and also develop greater insight into your issues.While gathering the history, the psychiatrist would also conduct a “mental status exam”. Think of this as the equivalent of the physical examination that other doctors*do. A psychiatrist is a trained medical specialist who is able to assess your level of emotional functioning through both verbal and non-verbal cues that you provide.The use of therapy or medications or both would depend on the diagnosis and severity but your wishes would also be respected.At the end of the session,*your psychiatrist*will offer a summary of what he sees as the current issues. He will take* into account your needs and wishes in the recommended subsequent plan of care.So that’s it, a rather enjoyable first session with plans made for subsequent visits. Remember, Psychological conditions respond best when treated early, but its also never too late to seek help. Don't hesitate any longer, take good care of yourself and your emotional health and*get your appointment*and then turn up promptly at the*clinic. Seeing a Psychiatrist in Singapore may just be the best thing that you have done for yourself in a while.
 

jjcc888

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Don't wish to waste further words with THAT Nutcase !!!!!!
Will put that %4&&## on IGNORE unless really can't tahan ....

Bloody presumptious @$^%&**
Felt he was up to no good when he ASSumed I'd invited my friend into the casino followed by those 'bad karma etc' negative posts
 
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XxooxX

Alfrescian
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Don't wish to waste further words with THAT Nutcase !!!!!!
Will put that %4&&## on IGNORE unless really can't tahan ....

Bloody presumptious @$^%&**
Felt he was up to no good when he ASSumed I'd invited my friend into the casino followed by those 'bad karma etc' negative posts

Delusional disorder*is an uncommonpsychiatric*condition in which the patients present with*delusions, but with no accompanying prominent*hallucinations, thought disorder, mood disorder, or significant*flattening of affect.[1][2]*Delusions are a specific symptom of*psychosis. Non-bizarre delusions are fixed false beliefs that involve situations that could potentially occur in real life; examples include being followed or poisoned.[3]*Apart from their delusions, people with delusional disorder may continue to socialize and function in a normal manner and their behaviour does not generally seem odd or bizarre.[4]*However, the preoccupation with delusional ideas can be disruptive to their overall lives.[4]*For the diagnosis to be made, auditory and visual hallucinations cannot be prominent, though olfactory or tactile hallucinations related to the content of the delusion may be present.[5]
 

XxooxX

Alfrescian
Loyal
Don't wish to waste further words with THAT Nutcase !!!!!!
Will put that %4&&## on IGNORE unless really can't tahan ....

Bloody presumptious @$^%&**
Felt he was up to no good when he ASSumed I'd invited my friend into the casino followed by those 'bad karma etc' negative posts

U need help fast.
 

yiyong

Alfrescian
Loyal
Don't wish to waste further words with THAT Nutcase !!!!!!
Will put that %4&&## on IGNORE unless really can't tahan ....

Bloody presumptious @$^%&**
Felt he was up to no good when he ASSumed I'd invited my friend into the casino followed by those 'bad karma etc' negative posts

Just ignore can already..
 
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