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Wenn Du eh schon kränkelst hast Du wenigstens weniger Probleme mit dem derzeit angeratenen ’social distancing‘ – hat also auch was positives ;)
Gute Besserung :bye:
Ich hab es mir schon gedacht dass das depot nicht ausreicht..
mich nervt das aber es zuseatzlich zu nehmen
Also wenn Dein Zustand so wie oben beschrieben ist und Du das auf die unzureichend starke Wirkung des Depots zurückführst, versteh ich ehrlich nicht, wie „es nervt“ ein Argument dagegen sein kann, zusätzlich ne Tablette einzunehmen…
Ich habe ja noch nie gekifft und weiß nicht, ob dass eine THC-Wirkung sein soll? Mein Mann hat sich auf jeden Fall gefreut
Ahahahaha!
Danke @zoidberg nochmals für Deine Hilfe!
Gerne, kein Thema :bye:
aber mein Englisch ist auch ziemlich begrenzt
Na also das würd ich aber absolut nicht sagen.
Find ich sehr gut geschrieben und ist flüssig zu lesen. Meine Version erhebt natürlich auch keinen Anspruch auf Perfektion 
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fett+ kursiv: veränderte Formulierungen / Tippfehler
(eingeklammertes): kann weggelassen werden
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***Folie 1***
Good morning everyone, and thank you for attending my presentation today. The title of my talk is “Coping with psychoses – a reprospect”, and as you will see more later, this is not a scientific talk, and it has nothing to do with my work in the research & IT support but rather with my private health situation as a psychotic, but more in general terms.First of all, if you don’t feel comfortable about this topic for whatever reasons you may have, please feel free to leave the room now or at any time during the talk. You don’t have to stay here, just to make that clear.
And sorry for cutting van Gogh’s paintings into pieces, but I thought they would fit perfectly to my presentation, as the way how van Gogh, who also suffered from psychotic episodes, painted the sun and the moon etc., reminded me strongly of my own perceptions when I was acutely psychotic.
***Folie 2***
My first psychotic episode occurred in 2010, and at, that time, I didn’t know anything about psychosis or about mental illnesses in general.When I was discharged from (the) psychiatry I felt like an alien, and my younger sister, who was with me then – we were in the city of Freiburg – (she) had to take my hand and help me cross the street. So we were both in a new situation we’ve never encountered in the past.
Ever since this so to say dramatic change in my life almost 10 years ago, it has been a steep learning curve for me to gradually adapt to health restrictions, to experience and to recover from relapses, and to re-build resilience.
Also, I realized slowly that mental illnesses, especially schizophrenia or psychoses, are highly stigmatized in our societies. I’ve never been aware of this situation before.
As you might know, at times there are negative headlines in the media about psychotics, which can fuel prejudices like “psychotics are unpredictable and violent” or “persons suffering from mental illness are too weak” and so on. Although, for example, it is known that statistically there is no increased group prevalence of psychotics regarding crime.
Psychosis often results in social decline and social isolation of the affected person, and I think this is in part due to the lack of opportunities for many psychotics to become re-included in our societies.
***Folie 3***
There are a number of movies dealing with psychotics, and here you can see a few of them.David Helfgott was (and still is today) a world-class concert pianist from Australia, and the recent documentary “Hello, I Am David!”, directed by Cosima Lange, about him and his life is my (most) favorite film. This documentary was filmed almost 20 years after the Oscar-winning feature film “Shine” was published, which is worth watching, too.
“A Beautiful Mind”, directed by Ron Howard in 2001 is another Oscar-winning feature film, and it is about John Forbes Nash Jr., a US mathematician and Nobel laureate known particularly for his fundamental contributions to (the) game theory. This film won other awards, too, including Golden Globe Awards and British Academy Film Awards.
The third film that I think (it) is worth watching is a German film. “The White Sound” or “Das weiße Rauschen”, by Hans Weingartner, an Austrian director, was released in 2001.
It is about a young man who just graduated from high school and after consuming magic mushrooms, he started to hear voices as an auditory hallucination, and developed a severe psychosis. This film won a Max-Ophüls-Preis and several other German film prizes, too.***Folie 4***
What is psychosis and schizophrenia, respectively, anyway?
The diagnoses can be found in the ICD, the International Classification of Diseases, which is issued periodically by the WHO, the current version being ICD-10 from last year.
Presumably, the majority of psychoses are diagnosed within the range of F20, which is schizophrenia, to F29, which is unspecified non-organic psychosis.
The most prominent characteristic, I find, of a person suffering from an acute psychosis, is that this person is, to a significant extent, out of touch with the “normal” reality that is shared by the vast majority of healthy persons.
The symptoms can be categorized in positive and negative symptoms.
On one hand, positive symptoms refer to a mental state that is “too much”, e.g. delusions (for example a religious delusion can be when the person is convinced that he or she is Jesus Christ himself), hallucinations (e.g. an auditory hallucination is when the person hears voices or other sounds without any real auditory stimuli. Of course, hallucinations can involve any of the sensory organs, that are auditory, visual, haptic, olfactory, and gustatory hallucinations), Disorganization can concern (the) thoughts, feelings, speech and other actions.
On the other hand, negative symptoms refer to a mental state that is “too little”, e.g. flattening of affect – i.e. feelings, alogia, i.e. speechlessness, and avolition, i.e. lack of of motivation.
The (edit:) likelihood of experiencing at least one psychotic episode during one’s life is about 1% in western cultures. So the occurrence is not really rare. And in those who develop psychoses, the typical onset, that is the first time a psychosis occurs, is at the ages between 16 and 30 years.
***Folie 5***
What causes (a) psychosis? Well, arguably, there are practically always multiple factors that can lead to the development of (a) psychosis.Non-organic psychoses can be caused by (e.g.) excessive and persistent stress, deprivation (e.g. sleep deprivation, social isolation, etc.), trauma, medication, and psychoactive drugs (i.e. Cannabis, amphetamines, cocaine, etc.).
Organic psychoses can be caused by degenerative diseases of the brain such as Alzheimer’s, brain injuries, and infections (impeding the immune system).
***Folie 6***
So how do we treat psychoses? There are pharmaceutical and non-pharmaceutical therapies available to psychotics.The vast majority of psychiatrists rely on medication as the primary measure to treat (their) patients vulnerable to psychoses. Medication also appears to be the most effective therapy when it comes (down) to an acute psychotic state. However, many of these patients suffer from side effects from that medication, too.
Antipsychotics were discovered as early as in the 1950s, and these agents primarily block the dopamine receptors in the brain. Second-generation-antipsychotics tend to block serotonin receptors as well. Now, dopamine and serotonin are known as ‘happiness hormones’, and dopamine also keeps us motivated.
And so, as you can imagine, depending on the choice and the dose of the antipsychotic agent, there will be compelling side effects that can include the loss of feelings and motivation. Antipsychotic agents also act on the saturation center in the brain. Many patients experience weight gain, and obesity can be a persistent side effect, too. A large spectrum of other possible side effects exists, which can impede the healthy functioning of both the body and the mind.
Other medicines prescribed to patients vulnerable to psychoses include antidepressants and bezodiazepines. Benzos, e.g. lorazepam and diazepam, are anxiolytics, i.e. they decrease anxiety.
Several non-pharmaceutical therapies are offered in psychiatric clinics, too, including ergotherapy, art, music, movement, work therapy etc.
Psychotherapy can be an effective support to recover from psychotic episodes, by professionally analyzing (the) personal problems and by strengthening the individual’s ability to care for one’s self.
There are different therapies available to psychotics, but the ability to prioritize your own health is, in my opinion, the prerequisite for a successful recovery process.
metal illnesses
Ich hab mir erlaubt, den Text mal „korrekturzulesen“ – was jetzt natürlich in keinster Weise als klugscheißerische Besserwisser-Kritik daherkommen soll. Aber mein (schriftliches) Englisch ist, bei aller Bescheidenheit, ziemlich gut. Und Korrekturlesen ist ja sowieso einfacher als so ‘nen Text selbst zu verfassen.
In erster Linie hab ich lediglich ein paar Ausdrucks-/Grammatik-/Formulierungs-„Fehler“ (sprich: ich würde manches eventuell ein wenig anders formulieren, damit es für mich sprachlich „wohlklingender“ erscheint) entdeckt – und natürlich den ein oder anderen Tippfehler, siehe oben. *hrhrhr* Sinngemäß bleibt alles erhalten.
Bei Interesse kann ich die Überarbeitung gerne hier posten.
Verständlich und umfassend geschrieben ist der Vortrag aber so oder so.
Guten Abend @Molly :bye:
Wie man damit umgeht hängt wohl auch sehr von der eigenen Grundpersönlichkeit ab.
Da ich selbst doch ziemlich introvertiert bin, ist mein Bedürfnis nach sozialen Kontakten, wenn natürlich auch vorhanden, insgesamt jedoch eher gering. Von daher kann ich mit den als Beispiel erwähnten Dingen wie wenigen Freunden und wenig ausgehen o.ä. selbst ganz gut umgehen. So lange die Problematik nicht, wie in der Vergangenheit durchaus der Fall gewesen, solche Ausmaße annimmt, dass sie das alltägliche Leben stark beeinflusst oder quasi kaum noch möglich macht, weil die Vermeidungsstrategien in die totale Isolation führen.
Das, persönlichkeitsbedingt, für mich gute daran: So lange es mild ausgeprägt ist, entsteht mir dadurch so gut wie kein Leidensdruck. Das negative daran: Genau deswegen besteht für mich natürlich auch keine drängende Motivation, daran noch großartig was „verbessern“ wollen.
Natürlich wurde das seinerzeit auch durchtherapiert, was auch gewaltig geholfen hat und mich auch heute noch dran erinnert, es nicht allzu sehr schleifen zu lassen bzw. zu sehr in die alten Muster zurückzufallen.
In gewisser Weise ist dieser Wesenszug aber wohl so in meiner Pesönlichkeit verankert, dass da keine großartigen Verbesserungen mehr drin sind, die den wahrscheinlich verhältnismäßig hohen dafür nötigen Aufwand wert wären, denk ich. Eine nonchalante Rampensau mit „I-don’t-give-a-f*ck“-Einstellung werd ich ganz bestimmt in diesem Leben nicht mehr. Aber das war für mich auch noch nie ein besonders erstrebenswertes Ziel.
Gewisse Einschränkungen sind nach wie vor da, ganz klar, aber insgesamt fühl ich mich doch durchaus wohl. Luft nach oben ist immer – aber kleinere Fortschritte sind auch so immer wieder mal drin.
