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Pediatric Autoimmune Neuropsychiatric Disorder (PANDAS) and OCD

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Understanding Pediatric Autoimmune Neuropsychiatric Disorder (PANDAS) and Its Connection with OCD

Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections, commonly known as PANDAS, is a term coined to describe a subset of children who experience sudden onset obsessive-compulsive disorder (OCD) and/or tic disorders following a streptococcal infection, such as strep throat or scarlet fever. The concept of PANDAS was first introduced by Dr. Susan Swedo and her colleagues at the National Institute of Mental Health (NIMH) in the late 1990s, who observed a pattern of abrupt, severe neuropsychiatric symptoms in children following streptococcal infections.

The Mechanism Behind PANDAS

PANDAS is believed to be an autoimmune condition, wherein the body’s immune system mistakenly targets the brain. The hypothesized mechanism involves molecular mimicry, where the immune system, while attacking the streptococcal bacteria, also targets brain tissues due to structural similarities. This immune response is thought to interfere with the basal ganglia, a part of the brain involved in movement and behavior regulation, leading to the abrupt onset of OCD and tics.

Symptoms and Diagnosis

Children with PANDAS typically show a dramatic, sudden onset of OCD symptoms, tics, or both, following a streptococcal infection.

The symptoms can include:

  • Severe anxiety and panic attacks
  • Ritualistic behaviors and compulsions
  • Motor and vocal tics
  • Mood swings, irritability, and aggression
  • Changes in handwriting and academic performance
  • Sensory sensitivities
  • Sleep disturbances

Diagnosis of PANDAS is primarily clinical, based on a combination of symptom history and laboratory evidence of a recent streptococcal infection. The criteria for diagnosis include:

  1. Presence of OCD and/or tic disorders.
  2. Pediatric onset of symptoms (typically between 3 years and puberty).
  3. Episodic course of symptom severity.
  4. Association with streptococcal infection.
  5. Association with other neuropsychiatric symptoms such as ADHD, separation anxiety, and mood changes.

PANDAS and OCD: The Connection

Obsessive-Compulsive Disorder (OCD) is a condition characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions). In PANDAS, the onset of OCD symptoms is particularly rapid and severe, distinguishing it from the more gradual development seen in typical childhood OCD.

The connection between PANDAS and OCD underscores the impact of autoimmune processes on neuropsychiatric health. In PANDAS, the immune system’s response to infection not only targets the pathogen but also inadvertently affects brain function, leading to the manifestation of OCD and other neuropsychiatric symptoms.

Treatment Approaches

Treatment for PANDAS involves addressing both the underlying infection and the neuropsychiatric symptoms.

The main approaches include:

  1. Antibiotics: To eradicate the streptococcal infection and prevent further immune response.
  2. Immunomodulatory Therapies: Such as intravenous immunoglobulin (IVIG) or plasmapheresis to reduce autoimmune activity.
  3. Psychiatric Medications: Including selective serotonin reuptake inhibitors (SSRIs) for OCD symptoms and other psychiatric medications for co-occurring symptoms.
  4. Cognitive Behavioral Therapy (CBT): Especially exposure and response prevention (ERP) to manage OCD symptoms.

Controversies and Challenges

The concept of PANDAS has been subject to debate within the medical community. Some experts argue that the evidence linking streptococcal infections to neuropsychiatric symptoms is not conclusive and that the diagnostic criteria are too broad. Moreover, the overlap of PANDAS symptoms with other pediatric neuropsychiatric disorders adds to the complexity of diagnosis and treatment.

Conclusion

PANDAS represents a fascinating intersection between infectious disease and neuropsychiatry, highlighting how an immune response to a common bacterial infection can lead to significant behavioral and psychological changes in children. While the condition remains controversial and more research is needed to fully understand its mechanisms and optimal treatment strategies, the recognition of PANDAS has paved the way for new approaches to diagnosing and managing sudden-onset OCD in children, offering hope for affected families.

Understanding PANDAS and its connection to OCD not only aids in the effective treatment of affected children but also provides a broader insight into the ways in which immune responses can impact mental health. As research progresses, it is hoped that more definitive answers and improved therapeutic options will emerge, further bridging the gap between physical and mental health in pediatric care.

Further Reading


Understanding OCD, Germ Contamination & Human Interaction

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Brown & Cream Image Depicting Typed Wording On Typewriter Paper, Mentioning ‘Fear & OCD’. Image Credit: PhotoFunia.com Category Vintage Typewriter


Understanding OCD, the Fear of Germ Contamination & Social Interaction

Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by persistent, unwanted thoughts (obsessions) and repetitive behaviors (compulsions). One common manifestation of OCD is the fear of germ contamination, which can significantly disrupt daily life. Individuals with this fear might obsess over cleanliness, engage in excessive hand washing, or avoid public places and physical contact.

The Impact of Contamination Fears

The fear of germ contamination often leads to severe behavioral changes. People may refuse to leave their homes or allow visitors, creating a self-imposed isolation that can severely impact their social lives and mental well-being. This can be particularly debilitating, affecting one’s ability to work, attend school, or engage in social activities.

Agoraphobia and Isolation

Agoraphobia, a related anxiety disorder, involves an intense fear of being in situations where escape might be difficult or help unavailable. This can overlap with contamination fears, leading to extreme avoidance behaviors. People with agoraphobia might avoid leaving their homes altogether, contributing to a cycle of isolation that exacerbates mental health issues.

Discrimination and Forced Physical Interaction

Forcing someone with germ contamination fears or agoraphobia to engage in physical interaction can be highly discriminatory and harmful. This kind of coercion not only dismisses the person’s mental health condition but also can lead to increased anxiety, panic attacks, and a further entrenchment of their fears.

Health Implications

The health implications of such discrimination are profound. Forcing physical interaction can lead to:

  1. Increased Anxiety and Stress: Elevated stress levels can exacerbate OCD symptoms, leading to more frequent and intense compulsions.
  2. Physical Health Consequences: The stress and anxiety from forced interactions can weaken the immune system, increase blood pressure, and lead to other stress-related conditions.
  3. Social Withdrawal: The fear of forced interactions can cause individuals to further isolate themselves, reducing social support and increasing feelings of loneliness and depression.

Legal Implications

Legally, forcing someone to interact physically against their will can violate their rights. EHRC (equalityhumanrights.com). The Americans with Disabilities Act (ADA), protects individuals from discrimination based on their mental health conditions. Employers, educators, and service providers must provide reasonable accommodations for people with disabilities, including those with OCD and agoraphobia. Failing to do so can result in legal consequences, including fines and mandatory changes in policies and practices.

Discrimination Laws and the Protection of Individuals with OCD and Agoraphobia

When it comes to individuals with OCD, particularly those with a fear of germ contamination, or agoraphobia, forcing physical interaction or denying reasonable accommodations can constitute discrimination.

For tenants with OCD and agoraphobia, the intrusion of privacy can be a significant issue, particularly when they are forced to allow contractors or maintenance workers into their homes against their will. This forced interaction can lead to various forms of discrimination, including direct discrimination, indirect discrimination, and ableism.

Direct Discrimination

Direct discrimination occurs when a tenant is treated unfavorably specifically because of their disability. Forcing tenants with OCD or agoraphobia to allow contractors into their home can constitute direct discrimination:

  • Example: A tenant named John has severe OCD related to germ contamination. Despite his documented disability, the property manager insists that contractors must enter his apartment to conduct routine maintenance without offering any accommodations. John’s refusal, based on his condition, leads to threats of eviction. This treatment is directly related to John’s disability and is a clear case of direct discrimination.

Indirect Discrimination

Indirect discrimination happens when a general policy disproportionately affects individuals with a disability, even if it is not intended to be discriminatory:

  • Example: A housing complex has a policy that all apartments must be accessible for quarterly inspections by maintenance staff. While this policy applies to all tenants, it disproportionately affects those with severe OCD or agoraphobia, like Emily, who self-isolate and have an extreme fear of contamination. The policy doesn’t consider Emily’s condition and puts her at a significant disadvantage, making it an example of indirect discrimination.

Ableism

Ableism involves attitudes and practices that devalue individuals based on their disabilities. Forcing tenants to comply with intrusive policies without reasonable accommodations reflects ableist attitudes:

  • Example: A landlord dismisses a tenant’s request for scheduled maintenance visits to be done while they are not at home, stating that all tenants must be present during such visits. Another example is when the landlord downplays the work being done as not being overly excessive and will not affect the tenant’s well-being. This dismissal of the tenant’s legitimate concerns and needs related to their disability is an example of ableism.

The Impact of Forced Intrusions

Forced intrusions into the homes of tenants with OCD and agoraphobia can have severe implications:

  • Mental Health: The stress and anxiety caused by forced interactions can worsen the tenant’s condition, leading to increased compulsions, panic attacks, and further isolation.
  • Privacy and Security: For tenants who meticulously control their environment to manage their anxiety, unwanted intrusions can feel like a violation of their safe space, further undermining their sense of security and well-being.
  • Legal Rights: Under the Equality Act 2010 in the UK, tenants with disabilities are entitled to reasonable adjustments. This includes modifying policies to accommodate their needs, such as scheduling maintenance at times that minimize stress or allowing tenants to provide access in ways that reduce direct contact. In the case of building maintenance and airborne dust particles, the contractor must use: a negative air pressure machine, and provide a protective covering for furniture floors and surfaces, as well as air purification and HEPA-filtered vacuums.

Case Study Example

Consider a tenant named Lisa, who has agoraphobia and severe OCD related to germ contamination. Her landlord insists that she must be present during all maintenance visits, regardless of her condition. Lisa explains her disability and requests that maintenance be performed when she is not at home, but her landlord refuses. This forced intrusion exacerbates Lisa’s anxiety and feeling of helplessness, and her requests for accommodation are ignored, reflecting direct discrimination, indirect discrimination, and ableism.

Legal Framework Protecting Against Discrimination

Americans with Disabilities Act (ADA)

The ADA prohibits discrimination against individuals with disabilities in several areas, including employment, public accommodations, transportation, and government services. Key provisions include:

  • Reasonable Accommodation: Employers must provide reasonable accommodations to qualified individuals with disabilities unless doing so would cause undue hardship.
  • Equal Opportunity: Individuals with disabilities must have equal opportunity to benefit from the full range of employment-related opportunities available to others.

The Equality and Human Rights Commission (EHRC)

The Equality and Human Rights Commission (EHRC) plays a pivotal role in safeguarding individuals against disability discrimination in the UK. As an independent statutory body, the EHRC enforces the provisions of the Equality Act 2010, ensuring that individuals with disabilities, including those with OCD and agoraphobia, are protected from unfair treatment. The EHRC provides guidance, supports legal cases, and works with organizations to promote best practices in inclusivity and accessibility. Through its efforts, the EHRC strives to create a society where everyone, regardless of their disability, can participate fully and equally, free from discrimination and prejudice.

Ensuring Compliance and Supporting Affected Individuals

To avoid violating these laws, employers, educators, service providers, and others must:

  1. Understand the Law: Familiarize themselves with the EHRC in the (UK), ADA, Rehabilitation Act, FHA, and relevant state and local laws in the (USA).
  2. Implement Policies: Develop and enforce policies that prevent discrimination and provide reasonable accommodations.
  3. Training and Education: Conduct regular training for staff to recognize and address potential discrimination and ableism.
  4. Engage in Dialogue: Maintain open communication with individuals requiring accommodations to ensure their needs are met effectively.

By adhering to these principles, organizations can foster an inclusive environment that respects the rights and needs of individuals with OCD, agoraphobia, and other mental health conditions, thereby complying with anti-discrimination laws and promoting mental well-being.

Supporting Individuals with OCD and Agoraphobia

To support individuals with OCD and agoraphobia, it is crucial to respect their boundaries and provide accommodations that facilitate their participation in society without forcing uncomfortable interactions.

This includes:

  • Remote Work or Learning Options: Offering telecommuting or online classes can help individuals maintain their employment or education without facing unnecessary stress.
  • Sanitation Accommodations: Providing hand sanitizers, maintaining clean environments, and understanding personal space requirements can help alleviate fears of contamination. (This is important in a workplace capacity rather than in the home which would be down to the tenant to sanitize other than on occasions where workmen performed maintenance work, they would have to supply all cleaning materials, not the tenant).
  • Therapeutic Support: Encouraging access to cognitive-behavioral therapy (CBT) and other treatments can help individuals manage their fears and reduce avoidance behaviors over time. (This is relation to a workplace or self-help therapy)
  • Minimizing the frequency of contractor visits: Respecting boundaries and reducing intrusive interactions can foster a sense of trust and safety for tenants, allowing them to maintain a level of control over their living environment. By acknowledging their need for space and privacy, landlords and housing providers demonstrate empathy and understanding, which are essential for promoting the well-being of tenants with mental health concerns. This approach not only helps to minimize anxiety and stress but also cultivates a supportive living environment where tenants feel respected and valued.

Conclusion

Understanding and respecting the needs of individuals with OCD and agoraphobia is essential for promoting mental health and preventing discrimination. By providing appropriate accommodations and fostering a supportive environment, we can help those affected by these conditions lead fulfilling lives while minimizing unnecessary stress and anxiety. Respect for personal boundaries and legal protections are fundamental in ensuring that everyone, regardless of their mental health status, is treated with dignity and respect.

Respecting boundaries in the workplace, at home, and among family and friends is crucial for supporting individuals with mental health issues. Establishing and honoring personal space and limits can significantly reduce stress and anxiety, fostering an environment of safety and understanding. Whether it’s accommodating a colleague’s need for a quiet workspace, allowing a friend time to recharge alone, or being mindful of a family member’s triggers, these acts of respect and empathy build trust and promote mental well-being. By prioritizing these boundaries, we create inclusive spaces where individuals feel valued and supported, ultimately enhancing their overall quality of life and mental health.


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Airborne Dust Particles and OCD

Brown & Cream Image Depicting Typed Wording On Typewriter Paper Mentioning 'Fear & OCD'. Image Credit: PhotoFunia.com Category Vintage Typewriter
Brown & Cream Image Depicting Typed Wording On Typewriter Paper, Mentioning ‘Fear & OCD’.
Image Credit: PhotoFunia.com Category Vintage Typewriter


The Invisible Menace: Airborne Dust Particles and Their Impact on Health and OCD Germ Contamination

Airborne dust particles, often imperceptible to the naked eye, are a ubiquitous presence in our environment. While they might seem harmless or merely a minor nuisance to most people, these tiny particles can pose significant health hazards and have a profound impact on individuals with Obsessive-Compulsive Disorder (OCD) related to germ contamination.

The Hazards of Airborne Dust Particles

Airborne dust is a complex mixture of various substances, including pollen, mold spores, skin flakes, textile fibers, and even microscopic bits of soil and debris. When inhaled, these particles can cause a range of health problems, particularly for individuals with respiratory conditions, such as asthma, chronic obstructive pulmonary disease (COPD), and allergies. Long-term exposure to high levels of dust can lead to chronic respiratory issues, cardiovascular diseases, and in severe cases, lung cancer.

Airborne Dust and OCD Germ Contamination

For individuals suffering from OCD, particularly those with contamination fears, airborne dust presents a unique and pervasive threat. OCD is a mental health condition characterized by intrusive, distressing thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) aimed at reducing the anxiety caused by these thoughts. Those with contamination OCD often fear that dust particles carry germs, bacteria, or other contaminants that could cause illness.

The presence of dust can trigger intense anxiety and compulsive cleaning behaviors. These individuals may feel compelled to dust and clean their living spaces incessantly to reduce their perceived risk of contamination. This not only takes a toll on their mental health but also significantly impacts their daily lives, making it difficult to maintain normal routines and relationships.

The Role of Landlords in Ensuring a Dust-Free Environment

Given the significant impact that dust can have on individuals with OCD germ contamination, it is crucial for landlords to maintain clean and dust-free living environments for their tenants. If a landlord neglects their duty to provide such an environment and dismisses the tenant’s concerns about airborne dust particles, they may be in breach of their legal responsibilities.

In many jurisdictions, landlords are required by law to ensure that rental properties are safe, habitable, and well-maintained. This duty is often referred to as the “implied warranty of habitability.” Under this legal doctrine, landlords must take reasonable steps to address issues that could impact the health and safety of their tenants. Persistent dust problems that exacerbate a tenant’s health condition, such as OCD, could be seen as a failure to uphold this warranty.

Ensuring Dust-Free Maintenance: Protecting Tenants with OCD from Contamination

Maintenance work in homes, such as loft insulation, can inadvertently lead to significant dust contamination. For tenants suffering from Obsessive-Compulsive Disorder (OCD), particularly those with germ contamination fears, this can be extremely distressing. It is the responsibility of landlords to ensure that any maintenance work does not compromise the living conditions of their tenants. By taking proactive measures, landlords can minimize dust contamination and safeguard their tenants’ well-being, while also adhering to legal obligations under the Equality and Human Rights Commission (EHRC).

Understanding the Impact of Maintenance Work on OCD Sufferers

For individuals with OCD focused on germ contamination, dust is more than just a nuisance; it is a source of severe anxiety. The aftermath of maintenance work that generates dust can lead to obsessive cleaning routines, disrupting their daily lives and exacerbating their mental health condition. Therefore, it is crucial for landlords to recognize the impact of such activities and take steps to prevent contamination.

Preventive Measures for Dust-Free Maintenance

  1. Pre-Work Communication and Planning:
    • Consultation with the Tenant: Discuss the planned maintenance work with the tenant well in advance. Understand their specific concerns and anxiety triggers related to dust.
    • Hiring Professionals: Ensure that the contractors hired are reputable and experienced in maintaining a clean work environment. Specify the need for dust control measures in the contract.
  2. Dust Control Measures:
    • Containment: Use plastic sheeting and barriers to seal off the work area from the rest of the home. This prevents dust from spreading to other parts of the house.
    • Negative Air Pressure: Employ negative air machines to create a vacuum effect, drawing dust away from the living spaces and filtering it out of the air.
    • Protective Coverings: Cover furniture, floors, and other surfaces with protective sheets to prevent dust from settling on them.
  3. Cleaning Protocols:
    • Frequent Cleaning: Ensure that the work area is cleaned frequently during the maintenance process. Use HEPA-filtered vacuums and damp wiping techniques to capture and remove dust particles effectively.
    • Post-Work Cleaning: Arrange for a thorough cleaning of the entire affected area once the work is completed. This should include air purification and detailed surface cleaning to ensure no residual dust remains.
  4. Tenant Relocation:
    • Temporary Relocation: If possible, offer the tenant temporary accommodation during the maintenance work. This can help mitigate the anxiety and stress associated with being present during dusty activities.

Legal Implications and Tenant Rights

Under the EHRC, tenants have the right to live in a safe and habitable environment free from unnecessary stress and disturbance. This includes the right to reasonable accommodations for mental health conditions, such as OCD. Failure to provide such accommodations can be seen as discrimination and a breach of the tenant’s rights.

Landlords must adhere to the implied warranty of habitability, ensuring that their properties are well-maintained and safe. Neglecting to implement proper dust control measures during maintenance work can be considered a violation of this warranty. Additionally, landlords have a duty to make reasonable adjustments to prevent exacerbating a tenant’s health condition, as stipulated by the EHRC.

Navigating Home Modifications: Respecting the Rights of OCD Sufferers with Social Interaction Fears

For individuals suffering from Obsessive-Compulsive Disorder (OCD), particularly those who have a profound fear of physical interaction with people, the prospect of allowing contractors into their homes can be a source of immense distress. When these individuals are compelled to accommodate such intrusions, especially for modifications that do not offer them immediate benefits, it raises significant human rights and legal concerns.

The Impact of Forced Interactions on OCD Sufferers

OCD is a mental health condition characterized by persistent, intrusive thoughts and repetitive behaviors aimed at alleviating anxiety. For some sufferers, this includes an overwhelming fear of interacting with others, which can be paralyzing and severely impact their daily lives. The forced presence of contractors in their homes can exacerbate their symptoms, leading to increased anxiety, panic attacks, and a sense of violation of their personal space.

Human Rights and Legal Considerations

Human Rights

Under the Equality Act 2010 in the UK and similar legislation in other countries, individuals with disabilities, including mental health conditions like OCD, are protected from discrimination. This includes the right to reasonable adjustments that accommodate their specific needs and prevent unnecessary distress.

Types of Discrimination

  1. Ableism: Ableism refers to discrimination and social prejudice against people with disabilities. Forcing an OCD sufferer to interact with contractors without considering their condition can be seen as a form of ableism, as it disregards their mental health needs and imposes unnecessary hardships.
  2. Direct Discrimination: This occurs when someone is treated less favorably because of their disability. If a landlord or housing authority knowingly disregards the expressed concerns of an OCD sufferer and forces them to endure distressing interactions, this could constitute direct discrimination.
  3. Indirect Discrimination: This involves policies or practices that apply to everyone but disproportionately disadvantage people with disabilities. A blanket policy requiring all tenants to allow contractors into their homes without exceptions for mental health conditions can be seen as indirect discrimination. It fails to take into account the specific needs of those with OCD, leading to undue stress and anxiety.

Legal Obligations of Landlords and Housing Authorities

Landlords and housing authorities have a legal duty to make reasonable adjustments for tenants with disabilities. This includes taking steps to minimize the impact of necessary maintenance or modifications on tenants with OCD. Failure to do so can lead to legal consequences under anti-discrimination laws.

Ensuring Respect and Accommodation

  1. Open Communication: Landlords should engage in open and empathetic communication with tenants who have OCD. Understanding their specific triggers and concerns is the first step in making appropriate accommodations.
  2. Alternative Arrangements: Whenever possible, provide alternative arrangements that minimize physical interaction. This might include scheduling work when the tenant is not home, offering temporary relocation options, or using contractors who are trained to work in a manner that reduces direct contact.
  3. Reasonable Adjustments: Implement reasonable adjustments such as giving advance notice, ensuring work is done quickly and efficiently, and maintaining a clean and quiet environment to reduce stress.
  4. Legal Recourse: Tenants who feel their rights are being violated can seek legal recourse. They can file complaints with housing authorities, seek mediation, or pursue legal action under anti-discrimination laws.

Conclusion

Forcing OCD sufferers who fear physical interaction to allow contractors into their homes for non-urgent modifications not only exacerbates their condition but also raises serious human rights and legal issues. It is imperative for landlords and housing authorities to recognize the specific needs of these individuals and make reasonable adjustments to accommodate them. By doing so, they not only adhere to legal obligations but also demonstrate respect and empathy for the mental health challenges their tenants face. Disregarding these needs can result in claims of ableism, direct discrimination, or indirect discrimination, highlighting the importance of a compassionate and legally compliant approach to tenant care.

Performing maintenance work in a home, especially tasks like loft insulation, can significantly impact tenants with OCD germ contamination fears. Landlords must take proactive steps to prevent dust contamination, thereby protecting their tenants’ mental health and adhering to legal obligations. By employing effective dust control measures, maintaining open communication with tenants, and ensuring thorough cleaning protocols, landlords can create a safer and less stressful living environment for all their tenants. Ensuring these practices not only complies with the EHRC’s standards but also fosters a trusting and respectful landlord-tenant relationship.

Airborne dust particles, though often overlooked, can pose serious health hazards and significantly impact individuals with OCD germ contamination. For those suffering from this condition, the presence of dust is not merely a matter of cleanliness but a source of profound distress and anxiety. Landlords have a legal and moral obligation to provide a safe and habitable living environment, which includes addressing concerns related to excessive dust. By understanding the challenges faced by tenants with OCD and taking appropriate measures to maintain a clean living space, landlords can help alleviate the burden of this invisible menace.


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Why Your Contribution Matters

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The Disabled Entrepreneur – Disability UK Online Journal is not just a publication; it’s a collective voice that celebrates the achievements and experiences of the disabled community. We believe in the power of collective knowledge, and we invite you to be a part of our mission. Your contribution can be a stepping stone for others and an invaluable resource for the world. Join us in filling our pages with content that resonates, educates, and inspires.

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Online Therapy – Your Trusted Partner in Mental Health Support for UK and International Patients

Collaboration

Disabled Entrepreneur – Disability UK is excited to announce its collaboration with Online-Therapy.com, a leading online mental health platform. This affiliation aims to further our mission of supporting disabled entrepreneurs in the UK and beyond by providing them with essential mental health resources.

Through Online-Therapy.com’s accessible and evidence-based therapy services, our community members can access professional mental health support tailored to their unique needs. We believe that mental well-being is a crucial aspect of entrepreneurial success, and this partnership will empower disabled entrepreneurs to prioritize their mental health while pursuing their business ventures.

Together, Disabled Entrepreneur – Disability UK and Online-Therapy.com are committed to fostering resilience, growth, and success within our community.

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Understanding Online Therapy

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What Does Online-therapy.com Do?


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List Of Therapies


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  3. Mindfulness-Based Cognitive Therapy (MBCT): MBCT integrates mindfulness practices with cognitive therapy to prevent the recurrence of depression and reduce stress.
  4. Acceptance and Commitment Therapy (ACT): ACT helps individuals accept their thoughts and feelings while committing to actions that align with their values, fostering psychological flexibility.
  5. Schema Therapy: Schema therapy explores and addresses long-standing patterns of thinking, feeling, and behaving to promote healthier relationships and emotional well-being.
  6. Psychodynamic Therapy: Psychodynamic therapy delves into unconscious thoughts and past experiences to gain insight into current emotions and behaviors.
  7. Solution-Focused Brief Therapy (SFBT): SFBT is a goal-oriented approach that focuses on identifying solutions and strengths to resolve current issues rather than dwelling on problems.
  8. Interpersonal Therapy (IPT): IPT is designed to improve interpersonal relationships and communication skills, making it particularly helpful for individuals struggling with relationship issues or mood disorders.
  9. Narrative Therapy: Narrative therapy explores the stories individuals tell themselves about their lives, helping them reframe and reconstruct these narratives in a more empowering way.
  10. Art Therapy: Art therapy utilizes creative expression through art to help individuals explore and communicate their thoughts and emotions.
  11. Music Therapy: Music therapy incorporates music to address emotional, cognitive, and social needs, promoting relaxation and emotional expression.
  12. Play Therapy: Play therapy is primarily used for children and involves therapeutic play to help them express and cope with their emotions and experiences.
  13. Family Therapy: Family therapy focuses on improving communication and resolving conflicts within family systems to promote healthier relationships and emotional well-being.
  14. Couples Therapy: Couples therapy helps couples address relationship challenges, improve communication, and strengthen their bond.
  15. Group Therapy: Group therapy offers individuals the opportunity to connect with others facing similar issues and provides a supportive environment for sharing experiences and strategies.
  16. Online Self-Help Resources: In addition to traditional therapy, www.online-therapy.com provides a wealth of self-help resources, including worksheets, videos, and therapeutic tools to empower individuals to actively engage in their healing process.

**Please note that the availability of specific therapies may vary based on individual needs and the expertise of the therapists on the platform. Patients can work with qualified therapists to determine which therapy or combination of therapies is most suitable for their unique circumstances.

Support for UK and International Patients


One of the standout features of Online-Therapy.com is its commitment to serving both UK and international patients.

Here’s how the platform ensures accessibility for individuals from various parts of the world:

  1. Multilingual Services: www.online-therapy.com recognizes the importance of breaking language barriers in mental health support. To cater to international patients, the platform offers services in multiple languages, ensuring that people from diverse backgrounds can access therapy in their preferred language.
  2. 24/7 Availability: Online therapy at www.online-therapy.com is available 24/7, making it possible for patients from different time zones to schedule sessions at their convenience. This global accessibility ensures that nobody is left without support when they need it the most.
  3. Secure and Confidential: The platform places a strong emphasis on data security and patient confidentiality, assuring international patients that their personal and medical information is protected according to rigorous standards and regulations.

Therapist To Join The Online-Therapy.com Team


Online-Therapy.com is on the lookout for compassionate and skilled therapists to join their dynamic team.

They are continuing to expand their reach and impact in providing accessible mental health support to individuals worldwide, and are actively seeking licensed therapists who are passionate about making a difference in people’s lives.

If you are a dedicated mental health professional with expertise in various therapeutic modalities and a commitment to evidence-based practices, they invite you to consider joining their team.

By becoming a part of Online-Therapy.com, you will have the opportunity to work with a diverse clientele, engage in online therapy sessions, and contribute to their mission of improving mental well-being on a global scale.

If you share Online-Therapy.com’s vision and are interested in exploring this exciting opportunity, please visit our website to learn more about how you can apply and be a valuable part of our growing community of therapists dedicated to making a positive impact in the world of online mental health support. Join in helping individuals lead happier, healthier lives through accessible and effective therapy.

Conclusion


www.online-therapy.com is playing a pivotal role in revolutionizing mental health care by offering accessible, evidence-based therapy to individuals not only in the UK but around the world. With a diverse range of therapy options, professional therapists, and a commitment to patient privacy, it has emerged as a trusted partner for anyone seeking support and guidance on their journey toward improved mental well-being. Whether you are located in the United Kingdom or elsewhere, www.online-therapy.com is there to provide the help you need, when you need it.

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How A Missed Call Can Give You Anxiety

How A Missed Call Can Give You Anxiety

Communication has become more comfortable than ever, however, we take things for granted and do not always think of the consequences of our actions. With the advent of technology, people can connect from different parts of the world through various channels such as messaging, emails, social media, and phone calls. One of the most common forms of communication is a phone call, but sometimes, even a missed call can lead to anxiety.

A missed call from a loved one can cause anxiety because it might signify an emergency. When you see a missed call from your parents, spouse, or children, you automatically assume that something is wrong. The feeling of uncertainty and not knowing what the call is about can make you anxious. Your mind starts to wander and imagine all sorts of worst-case scenarios, which can be stressful.

A missed call from a potential employer can cause anxiety because you might miss an opportunity. When you are actively looking for a job, and you miss a call from a hiring manager or recruiter, it can be frustrating. You may worry that you missed your chance to impress them, and they will move on to another candidate. This fear of missing out can cause anxiety and stress.

It is unprofessional to not leave a voicemail and expect the recipient to mind read. Not leaving the message will cause a person to get worried and anxious especially if they call back and the call goes into the answering machine.

There are consequences to people’s actions.

Some people may be anxious about the missed call itself. They may worry that they will never find out who called them or why, or that the call was important but they missed it. This fear can be particularly acute for people who have a fear of missing out (FOMO) or who have a tendency to overthink and ruminate.

If you experience anxiety due to missed calls, there are several things you can do to manage your anxiety. Firstly, try to identify the root cause of your anxiety. Are you worried about missing important calls, or are you anxious about the person who missed the call? Once you understand the source of your anxiety, you can take steps to address it.

For example, if you are worried about missing important calls, you can set up call forwarding or voicemail to ensure that you don’t miss any important messages. If you are anxious about the person who missed the call, you can reach out to them and check in to see how they are doing. If you are anxious about the missed call itself, you can try to reframe your thinking and remind yourself that most missed calls are not emergencies and can be returned at a later time.

In addition to these practical steps, several self-care techniques can help you manage your anxiety. These include exercise, deep breathing, meditation, and mindfulness. By taking care of your physical and mental health, you can reduce your overall levels of anxiety and stress.

A missed call can trigger anxiety for a variety of reasons. If you experience anxiety due to missed calls, it’s important to identify the root cause of your anxiety and take steps to address it. By setting up call forwarding or voicemail, reaching out to the person who missed the call, and practicing self-care techniques, you can manage your anxiety and reduce your stress levels. Remember, most missed calls are not emergencies and can be returned at a later time.

How anxiety can affect a person’s life

Anxiety is a natural human emotion that we all experience at some point in our lives. It is a feeling of worry, fear, or apprehension about what may happen in the future. While it is normal to feel anxious in certain situations, excessive and ongoing anxiety can be debilitating and can negatively affect a person’s life in many ways.

Anxiety can affect a person’s physical health. When we feel anxious, our bodies go into “fight or flight” mode, releasing stress hormones like adrenaline and cortisol. These hormones can cause physical symptoms such as rapid heartbeat, sweating, and shaking. Over time, chronic anxiety can lead to other health problems such as high blood pressure, heart disease, and a weakened immune system.

Anxiety can also impact a person’s mental health. It can cause feelings of dread, panic, and constant worry. These feelings can lead to insomnia, difficulty concentrating, and decreased productivity. Anxiety can also cause a person to become socially isolated, as they may avoid situations or people that trigger their anxiety.

Anxiety can also affect a person’s relationships. It can cause a person to become irritable, short-tempered, and withdrawn, which can strain relationships with friends, family, and romantic partners. Anxiety can also make it difficult for a person to form new relationships, as they may feel too anxious or insecure to initiate contact.

In addition to affecting physical health, mental health, and relationships, anxiety can also impact a person’s career. Anxiety can cause a person to miss work, have difficulty completing tasks, and miss out on opportunities for advancement. It can also make it difficult to maintain positive working relationships with colleagues.

Furthermore, anxiety can also affect a person’s financial well-being. If anxiety is severe enough to cause missed work, it can lead to a loss of income. Additionally, anxiety can lead to increased healthcare costs as a person seeks treatment for their symptoms.

Overall, anxiety can have a significant impact on a person’s life, affecting their physical health, mental health, relationships, career, and finances. While it is important to seek treatment if anxiety is interfering with daily life, there are also steps a person can take to manage their symptoms, such as practicing relaxation techniques, exercising regularly, and seeking support from loved ones. By taking these steps, a person can reduce the impact that anxiety has on their life and regain a sense of control.

The domino effect of people’s actions regarding mental health

Mental health is a crucial aspect of our overall well-being. It affects how we feel, think, and behave, and it can have a significant impact on our quality of life. Unfortunately, mental health issues are widespread, and many people struggle with them in silence.

While mental health is a personal issue, it’s important to remember that our actions can have a domino effect on others. For instance, when we take care of our mental health, we inspire others to do the same. When we stigmatize mental health issues or downplay their significance, we create a ripple effect that can harm people around us.

The domino effect of our actions regarding mental health can manifest in many ways. Here are a few examples:

  1. Stigma and Shame

One of the most common ways our actions can affect mental health is through stigma and shame. When we stigmatize mental health issues, we create an environment where people feel ashamed to seek help. This can lead to a domino effect where people suffer in silence, and their mental health deteriorates over time.

To combat this, we must work to create a culture that is accepting and understanding of mental health issues. This means promoting open dialogue and education about mental health, challenging negative stereotypes, and encouraging people to seek help when they need it.

  1. Support and Understanding

On the other hand, when we offer support and understanding to those struggling with mental health issues, we create a domino effect of positivity. When someone feels supported and heard, they are more likely to seek help and take steps to improve their mental health. This, in turn, can inspire others to do the same, creating a positive ripple effect.

  1. Self-care and Personal Responsibility

Our actions also have a domino effect on our mental health. When we prioritize self-care and take responsibility for our mental well-being, we inspire others to do the same. This can create a domino effect of positive habits and behaviors that benefit everyone.

For instance, when we prioritize self-care by getting enough sleep, eating well, and exercising regularly, we are better equipped to manage stress and cope with challenging situations. This, in turn, can inspire others to prioritize their self-care and improve their mental health.

Conclusion

Our actions have a significant impact on mental health, both on our own and on those around us.

By being selfish and not taking into account people’s mental health, not leaving voicemails says a lot about the person. It shows unprofessionalism if the entity phoning is part of a business and it shows that the caller does not care about the consequences of their actions.

The domino effect of selfishness can cause the recipient a catalyst of disorders, such as stress, anxiety, emotional distress, fear, depression, insomnia, and depression.

By promoting acceptance, support, and self-care, we can create a domino effect of positive change that benefits everyone. However, the domino effect can also cause negativity, by selfish people that do not care how the recipient may feel.

This happened to me today and when I phoned back my call went to voice mail where I did leave a message. I will try and contact the entity again if they do not email me and will give them a link to this post via SMS to teach them that not leaving a message has caused unnecessary stress and anxiety, which all adds up to my healing process. Putting spanners in the works only causes setbacks. I am now worried about what this person wanted from me. I hope the universe pays her back as the caller was a (she), because now I will be up all night worrying.

Apologizing is a lame excuse, the damage has been done and there is nothing anyone can do to undo their thoughtlessness. Saying sorry is just words, unless it comes with an action, words do not mean anything, and they will not bring food to the table if the recipient becomes unwell because of another person’s selfish act.

It’s up to us to take responsibility for our actions and create a culture that prioritizes mental health and well-being and not be selfish.


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#anxiety #stress #worry #negativethoughts #intrusivethoughts #panicattacks #mentalhealth #insomnia #stigma #selfishness #selfishness #empathy #consequences #dominoeffect


Panic Attacks

Panic Attacks: Understanding and Coping with a Common Mental Health Concern

Panic attacks are common mental health concerns in both men, and women, they can be debilitating for those who experience them. Characterized by feelings of intense fear, rapid heartbeat, and physical symptoms such as sweating, shaking, and shortness of breath, panic attacks can be extremely distressing. They can happen suddenly and without warning, making it difficult for those who experience them to predict or control when they will occur.

Panic attacks are typically a manifestation of an underlying anxiety disorder, such as generalized anxiety disorder (GAD) or panic disorder. While the exact cause of panic attacks is not fully understood, they are thought to be related to a combination of genetic and environmental factors, including stress, trauma, and certain medical conditions.

It is important to understand that panic attacks are not dangerous and do not cause any physical harm. However, the fear and physical symptoms they induce can make it difficult for those who experience them to lead a normal life. Panic attacks can be especially distressing when they occur in public or in social situations, as this can lead to feelings of embarrassment and shame.

If you or someone you know is experiencing panic attacks, it is important to seek help. There are several effective treatments for panic disorder and GAD, including medication and psychotherapy. In particular, cognitive behavioral therapy (CBT) has been shown to be highly effective in reducing the frequency and severity of panic attacks.

CBT works by teaching individuals to identify and challenge their negative thoughts and beliefs, and to develop coping strategies for managing their symptoms. The goal of therapy is to help individuals understand their panic attacks and develop the skills necessary to manage them.

In addition to therapy, there are several self-care strategies that can help individuals manage their panic attacks. These include relaxation techniques, such as deep breathing and progressive muscle relaxation, and mindfulness meditation. Regular exercise, eating a balanced diet, and getting enough sleep can also help to reduce stress and anxiety, and lower the risk of panic attacks.

It is important to remember that recovery from panic disorder and GAD is possible. With the right support and treatment, individuals can learn to manage their symptoms and live fulfilling lives. If you or someone you know is struggling with panic attacks, don’t hesitate to reach out for help. You are not alone.

In conclusion, panic attacks are a common mental health concern that can cause significant distress. However, with the right support and treatment, individuals can learn to manage their symptoms and lead fulfilling lives. If you or someone you know is experiencing panic attacks, don’t hesitate to reach out for help. There is always hope for recovery.

#panicattacks mentalhealdisorders #panicdisrorder #gad #generalizedanxietydisorder #anxiety #cbttherapy #cbt

Anxiety: Understanding and Coping with a Common Emotional Disorder


Anxiety: Understanding and Coping with a Common Emotional Disorder

Anxiety is a common emotional disorder that affects millions of people around the world.

It is characterized by feelings of worry, nervousness, and fear, and it can have a significant impact on an individual’s quality of life. Despite its prevalence, many people still do not understand what anxiety is, how it develops, and how it can be treated.

What is Anxiety?

Anxiety is a normal response to stress and danger. It prepares us to face a challenge or respond to an emergency by increasing our heart rate, sweating, and tensing our muscles. However, anxiety becomes a problem when it interferes with our daily activities and causes significant distress.

There are several types of anxiety disorders, including generalized anxiety disorder, panic disorder, social anxiety disorder, and specific phobias. Each type of anxiety disorder has unique symptoms, but all share the common theme of excessive, persistent worry and fear.

What Causes Anxiety?

The exact cause of anxiety is not well understood, but it is thought to be a combination of genetic, environmental, and psychological factors. People with a family history of anxiety are more likely to develop the disorder, and traumatic life events, such as abuse, neglect, or loss, can trigger anxiety symptoms. Additionally, chronic stress, substance abuse, and certain medical conditions can also contribute to the development of anxiety.

How to Manage Anxiety

Fortunately, anxiety is a treatable condition, and there are several effective strategies for managing its symptoms. Some of the most commonly used strategies include:

  • Cognitive-behavioral therapy (CBT): CBT is a type of therapy that helps individuals understand and change negative thoughts and behaviors that contribute to anxiety.
  • Medication: Antidepressant and anti-anxiety medications, such as selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines, can be effective in reducing anxiety symptoms.
  • Exercise: Regular exercise has been shown to have a positive impact on anxiety by reducing stress and improving mood.
  • Relaxation techniques: Techniques such as deep breathing, progressive muscle relaxation, and mindfulness can help reduce physical symptoms of anxiety and promote a sense of calm.
  • Lifestyle changes: Simple lifestyle changes, such as getting enough sleep, eating a healthy diet, and reducing caffeine and alcohol consumption, can also help reduce anxiety symptoms.

How Anxiety Affects Me

From a personal perspective anxiety comes and goes. It is the fear of the unknown that can spiral into stress, panic attacks, depression, and procrastination. For example, bearing in mind it is a Sunday so you would not expect any businesses to call you today, yet I noticed a missed call. Not knowing who it was that was calling me, I withheld my number and proceeded to call the number back and I was put through to the DWP.

Update Monday 13th February 2023. I had another missed call today and this time they left a message that they will phone me between 11 -12 despite me telling the PIP assessor I am in University Mon, Tue & Fri. I did accept the call when they rang and they said they are increasing my PIP payments as they needed some more information about my mobility. So it looks like they work Sundays as well.

Stress & Anxiety impact on a sufferer of multiple sclerosis.

Considering I have voice mail activated you would think the person that was trying to reach me would leave a message, but unfortunately, they didn’t which has now made me feel anxious and on edge. Stress and anxiety can cause a person suffering from multiple sclerosis to relapse. Relapsing remitting MS (RRMS) | Multiple Sclerosis Society UK (mssociety.org.uk)

Fortunately, I have my mum as my rock and she tried reassuring me that they will write to you if they cannot get in touch and that I needn’t worry as she will take care of things for me.

Anxiety is a common and treatable emotional disorder through medication, CBT therapy, and hypnosis. It can have a significant impact on an individual’s quality of life. By understanding its causes and learning how to manage its symptoms, people with anxiety can take back control of their lives and improve their overall well-being. If you are experiencing symptoms of anxiety, it is important to seek help from a mental health professional who can provide an accurate diagnosis and develop an effective treatment plan.


#ms #msrelapses #dep #pip #persoanlindependancepayments #stress #wory #anxiety #panicattacks #procrastination


Anxiety and Panic Attack, Personal Perspective

Anxiety and Panic Attack, Personal Perspective

Article Written and Published 9th December 2022 19.45 pm

This is a health update on how I am feeling today. It started off with Evri supposedly delivering two expensive parcels to my property with a photo of what looked like the side of a package and the pavement.

When I received the email I immediately went downstairs because I live in a First Floor Flat only to find nothing in the communal area, so my initial thought was to buzz my neighbor to see if they heard the buzzer go (seeing as I am partially deaf) and the woman said she did not hear anything. I then went outside and could not see anything.

So now I am starting to panic, I could feel my heart pumping faster and I started to shake.

Although this post is not entirely a medical guide I will still include a few links should you need to research further.

The symptoms I had were:

  • Shortness of breath or hyperventilating
  • Fastened heartbeat
  • Feeling ill and lightheaded
  • Feeling out of control or like you’re about to die (a distinctive sign of a panic attack!)
  • Tingling sensation in your fingers or lips
  • Shaking and sweating 
  • Chest pain 
  • Tearful
  • Anxious
  • Feeling out of control

Fear, Anxiety & Panic Attacks

My Anxiety

I continued the small talk and asked if they had sorted the problem with British Gas chasing them for £2K even though they have only lived in the property for two months if that. Now, this is the bit that started alarm bells ringing because I am in communication with British Gas who have said my address has been reverted back to Ground Floor on the 8th of November 2022 where the debt is (which has nothing to do with me). I was even told by British Gas that my meter was associated with the building rather than the flat according to the national database. I have not had any problems for 23 years and all of a sudden I am.

  • I am feeling very anxious over a lot of things right now. My brother and his wife and son are coming to the UK for Christmas and although it would be nice to see them, I am anxious because I do not know how well I can cope with my OCD. Furthermore, they expect me to travel which is a journey of 3 hours and I need to go to the loo every hour. Public toilets are out of the question. I can cope with my disability at home but doing what I do is humiliating and embarrassing when it’s done in front of other people that do not understand.
  • I feel anxious just in case they make a diversion and want to come to my home, I have anxiety issues when workmen and contractors come in let alone anyone else. If I had more money I would make the place look more liveable but as it stands it’s I place I work and lay my head to sleep.
  • Although I have agreed to meet with my brother, he does not realize the ordeal I have to go through to get from A to B, It is stressing me because he is not taking my disability seriously. I am already leaving my comfort zone and am testing my OCD thresh-hold. My daughter said if I do this now I won’t have to go through this again for a while. So fingers crossed on how well I cope with my disorder.

So going back to my missing parcels they were wedged between the pavement and the bin where anyone passing by could have swiped. Nice one Evri part of the Hermes group shower of company.

I feel very on edge and feel very tearful. My tolerance levels are nil. I have no patience and am very irritable. Put it this way I found one last valium that I saved in case of emergencies which was prescribed donkey years ago. I still feel my heart racing and the valium pill did jack sh#t 💩 to calm me down.

A few hours have now passed since the fiasco with the courier this afternoon and writing how I feel down has actually helped to a certain extent.

It’s easy to say don’t worry, or things will be ok, but unless you are walking in my shoes it’s hypocritical for someone to judge.

“I will continue carrying on, one step at a time, until one day the universe manifests my desires”.

I believe one day I will have everything I dreamed of. I believe nothing stays in the same place forever. I continue to keep myself busy, to stop myself from thinking about my past. I have set myself goals that I will strive to achieve and from this, I will be able to eradicate my memories. I will be able to help others to also put their past behind them and learn to overcome their fears. Everyone has down days even the richest people on the planet and everyone has a story to tell. The trick is learning to love, respect yourself and learn to forgive. My therapy is called “writing”, this can be a letter, a diary, a blog, or a book.

Writing releases the tension and puts it out to the universe, it is up to God to punish the perpetrators that have hurt you, whilst allowing you to rebuild your life.

“I carry a battlefield of wounds and from my own personal experiences will tell my story”.

My Book Is Coming Out In 2023

www.irenata.com

“Like a Pheonix, From the ashes, I will rise and God help anyone that stands in my way. I am a survivor warrior and am iRenata”.

#anxiety #panicattacks #depression #uncertanty #insecurity #lowselfesteem

Renata’s Online Health Journal Update 2022!

Renata’s Online Health Journal Update 2022!

People who shy away from people with mental health disorders or disabilities and label people as damaged goods usually have their own demons to contend with”.

I need to vent and let off steam before I blow a gasket.

The last few months have taken a toll on my health. As most of you know I am the Editor of ‘Disability UK – Disabled Entrepreneur Online Journal’ and have come to near enough a standstill with my business because of my health.

My Disabilities are Invisible.

I sometimes am so depressed it takes a lot of effort to do anything, these days.

Renata’s Online Journal Health Report

The following is a snippet of what I am going through.

I am disabled, I suffer from Cerebellar Atrophy, OCD, and Depression so it is no surprise that I have highs and lows. Yet most recently I have been experiencing very bad lows.

I do not have a support system and my GP is as useful as a chocolate fire guard. https://disabledentrepreneur.uk/gp-doctor-negligence-evidence/ To understand my health you will have to understand how the last few months have been for me and what I have gone through and am still going through.

Events 2022.

  1. I have been through war and back with ‘British Gas’, which I have reported to ‘Ombudsman’ who in turn report to ‘OFGEM’. ‘British Gas’ caused me humiliation, intimidation, harassment, and emotional distress.
  2. In another incident I had 40 emails from a credit card issuer (situation now under control), again I have experienced, humiliation, intimidation, harassment, and emotional distress. (They gave me £100 as a gesture of goodwill, with the understanding that if I endure more harassment I will report them to the Ombudsman). I know what they will say but she accepted the £100, which is just a band-aid on a gaping wound.
  3. Most recently my laptop started having a blue screen and eventually died, I have not been able to do anything online for about a week. I have simply used my phone to read and reply to emails and do research. This started making me sink into a very dark place.
  4. I then had a brand new computer and not even a week old I ended up with a BSOD, you just can’t make this stuff up. https://marketingagency.cymrumarketing.com/2022/08/24/lenovo-or-windows-fault-blue-screen-of-death-bsod-2022/
  5. My internet is intermittent, and I am getting the blame game excuse (it’s not us it must be you), this is an ongoing issue in which they gave 3 months of free broadband, but the issues are starting to happen again. Virgin Media Outage in Cardiff, Wales: Current Problems and Outages • Is The Service Down? UK
  6. I have lost clients due to the rise in the cost of living and them not being able to afford their websites. (No help for small businesses I hear your cry, and yes the rich get richer and the poor get poorer).

My health.

  • I am very depressed.
  • My OCD has spiraled off the ricker scale.
  • I have intrusive thoughts.
  • I have no patience.
  • I have panic attacks.
  • I hate noise, anything from traffic to car doors opening and closing.
  • The only way I will interact is online.
  • I do not answer my phone, which no doubt has cost me a lot of business.

So there is a knock-on domino effect when people are so robotic and irritating to the point if I could shove my fist down the other end of the line or across the computer screen, I would.

I am not in a good place right now because I am struggling to stay positive and optimistic. I have been studying neuroplasticity and I should stick with it because something I thought about, the next day materialized. Therefore I need to heal and start caring about myself rather than neglecting myself.

I plan to write a book about my life, this will no doubt open a can of worms, not only for me having to recall things that I would rather not remember but for the people that have done me wrong. My book will mention all the highs and lows and perhaps it may help people to avoid the same mistakes I made, in my relationships, and in my career, not only how everything over the years has affected my health and how I am trying to heal.

“I want to make a difference in this world and help people like me or worse off than me”.

I may not physically want to interact but a virtual connection I am fine with, although I won’t be doing anything for a few weeks because I need to recover from all the trauma I have had to endure over the last few months.

This all goes towards documenting my health so that it all gets put on the NHS database. There is a reason behind my madness.

It saddens me that the people I have reached out to on a personal level, who said they were going to get back in touch never have. I assume that they have reached their own conclusions and do not want to interact with someone that has disabilities. I suppose they see me as damaged goods, but labeling someone in such a way is not only hurtful but incorrect because we all have something going on in our lives thus we can all be labeled the same way. In fact, it will be hard to find a person that has not been screwed over in some way or another and how it affected them mentally. Usually, people who shy away from people with mental health disorders have their own demons to contend with and cannot handle yours. I do not see myself as damaged I see myself as someone who can overcome obstacles and then write about them. Just because I am having a bad day today does not mean I will be having a bad day tomorrow. No two days are the same. Yes, I have disabilities but there are millions of people in the same boat as me or worse off. You need to find the strength to make your story your superpower. Everyone has a book waiting to be written. There’s No Such Thing As Being “Damaged Goods” In A Relationship—Here’s Why (bolde.com)

I am like a bear with a sore head at the moment, as a consequence, I avoid talking over the phone as much as possible. When I do have to call people, as an example the other day, I nearly bit an IT engineer’s head off when I was having trouble accessing my site. I did apologize afterward about my outburst but I have a very short fuse and my temperament is not great, I can come off at times as being rude, (I try not to be, but cannot help it if people push my buttons). However, I also get very obnoxious, patronizing, and condescending individuals and all I want to do is punch their faces. I am no good at interacting physically, which is fortunate.

I have reported ‘British Gas’ to the Ombudsman and have to wait on an outcome. I feel very lethargic and am finding it hard to be optimistic right now. I should stay positive but is hard when I have to deal with some things that cause my health to worsen. It is as if I make one step forward and two steps back.

My OCD has gone through the roof and where I was making progress the last few months have basically thrown all my hard work away. Having a mental health disorder like depression which causes an onset of intrusive thoughts causing you to have compulsions to ease the anxiety. it is a vicious circle. and that is why I do not interact physically.

#onlinediary #onlinejournal #scripting #journalling #blogging #pip #depression #stress #anxiety #ocd #mental health #obsessivecompulsivedisorder

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