Tuesday, December 10, 2013

Acid Attack or Hoax

Dan:                Hello welcome to Head Shrink Inc. my name is Dan Bates.

David:             And I'm David Simonsen.

Dan:                I am a certified counselor and I typically work with families and youth and individuals that are mandated by a judge.

David:             So they have to see you.

Dan:                Meet me.

David:             Yes correct.

Dan:                Because they're forced.

David:             And I am a licensed marriage and family therapist and have a PhD in Psychology and I work with at risk youths, families and couples.

Dan:                Just for FYI, I'm not a chain smoker so, this is a cold.

David:             Oh, I thought it was more about you just getting emotional the whole time. It sounded like you were about to cry.

Dan:                Yeah.

David:             The whole time.

Dan:                No.

David:             So you're not about to cry?

Dan:                No.

David:             Does tears streaming out of your eyes are just pain?

Dan:                No. those tears are just the weather.  No.

David:             Tears of joy for being in the room with me?

Dan:                Yeah. Tears of joy.  So today we're talking about a disorder called body dysmorphic disorder. You may be thinking, that's a really crazy name, what does that even mean?

David:             It's cray-cray.

Dan:                It's cray-cray but, essentially, just pulling from the name,  it's like the essential nature of the disorder is, you see your body in a distorted way. So the characteristics of the disorder is self-loathing of your body.  You obsess over certain imperfections and it's usually associated with anxiety and depression and so, from myself, I can relate a lot with this disorder because when I was growing up, believe it or not, I wasn't handsome stud that I am today.

David:             Really?

Dan:                I know.  I was chubby kid, who was obsessed with video games, and wasn't funny and intelligent, and …

David:             Oh. Was that? How was that?

Dan:                Just an all around ladies man.

David:             How was that changed?

Dan:                Chuckle.  So, like a lot of kids would make fun of me and call me fat and I just hated  the locker room, you know what I mean? I hated  having to undress in front of other people because I was just  ashamed of my body and so …

David:             Because of your man boobs?

Dan:                The man boobs, the kid boobs, yeah.

David:             Oh, I had kid boobs too.

Dan:                And so, it's like, of course you my bodies changed a lot and I'm not in that same place but …

David:             So then, for you that was changed at some point though?

Dan:                Yeah. I changed, like I mean I kind of grew into my body, I'm six foot seven now and so it's like …

David:             Whoa.  You did grow into your body.

Dan:                I did grow into my body. So, I mean it's like, I like my body now and I'm not ashamed of it.

David:             So the difference between somebody that has BDD or body dysmorphic disorder is that it becomes an obsession for them, whatever the issue is, whether that's their skin, whether it's how their nose looks, whether it's how their feet are shaped. I mean any number of issues that …

Dan:                Yeah.

David:             It dramatically affects their lives and they can't …

Dan:                Right.

David:             Stop thinking about.

Dan:                And here's the crazy thing, it's not, they're not, people with BDD are not ugly people.  They could be very attractive people, but for whatever reason, societal pressures, media, their own thoughts, they obsess over certain aspects of their body to such a degree that it's obsessive, and it results in self harm, pain, depression, like I said.

David:             So we have a great story.

Dan:                Yeah.

David:             To go with that.  That our guest producer Jordan Thompson is going to tell us about.

Jordan:           In 2010, on a warm summer evening in Washington State, Bethany Storro, a vibrant 28 year-old was, walking downtown Vancouver towards a local coffee shop. A woman approached her and said, "Hey pretty girl, how are you? Would you like a drink of this?" then out of nowhere, the woman splashed a cup of liquid into Bethany's face, the liquid was acid. Bethany fell to the ground, screaming in pain. Here's Bethany Storro, It was like fire to my face. Somebody screamed out,  Did someone do this to you? I just said yes and that's when it all began.

Paramedics rushed Bethany to the hospital, while police launched a search for the attacker. Soon, the first, before, and after photos of Bethany were released to the public. On the left, a stunningly beautiful woman in her 20s and on the right, an image so shocking, media outlets, more often than not, warned viewers before airing the photos. Two days after the attack, Bethany's doctor said a pair of sunglasses she bought just 20 minutes prior to the attack likely saved her vision.

"And I don't really normally wear sunglasses, I just don’t like them or anything. It's a miracle because, I mean 20 minutes, that's like, that's Jesus for sure I mean you know!"  Bethany’s sight is especially important to her, because she's hard of hearing, and her primary way of communicating is reading lips. Bethany and her family hold a press conference from the hospital. Bethany's entire head is covered with bandages with just three small holes for her eyes and her mouth.

Police then released a composite of Bethany Storro's attacker. She identified her attacker as an athletic, black female with a ponytail. Six days after the attack, Bethany was released from the hospital. She was shocked to hear her community raised $28,000 in just a matter of days through fundraising and charity work but 10 days after the attack, with no leads from the police, some locals started raising the question, is it possible that she injured herself?

Some local publications pointed to the lack of splash patterns on her face. They also question why there were no witnesses at one of Vancouver's most highly trafficked areas and some people found it very fishy that Bethany, who had no problem holding press conferences, canceled an appearance on Oprah Winfrey show. Police also found no record of Bethany buying the sunglasses prior to the attack and finally, Bethany used fundraiser money to buy clothing, dinners, a train ticket, and an Apple computer device. With all those questions surfacing, something finally broke. 

On September 16th, Bethany Storro admits it was all an elaborate hoax and injuries were self inflicted. "People are shocked, saddened and downright dumbfounded that this troubled young woman would not only mutilate her own face, but tell a lie to the world..." "Washington state woman who splashed acid in her face as part of bizarre hoax has pleaded not guilty..."  "A story that took a bizarre turn when she admitted that she made it all up..." 

Bethany Storro had something called body dysmorphic disorder, a serious disease, that in the majority of the cases, individuals are obsessed with the minor or imagined physical flaw. On top of that, she had also been diagnosed with obsessive compulsive disorder and depression. She had been on medication before, but records show she was not taking anything the day that she burned her face.

Here's how it went down. Bethany applied drain cleaner to her face several times that day in an apparent attempt to commit suicide. When she couldn't bring herself to drink the drain cleaner, she decided to show up outside the coffee shop and scream for help. Bethany Storro was quoted saying; "When I realized it wasn't killing me, I thought maybe this is the answer to all my problems, to have a completely different face. I thought there'd be no evidence of me doing this to myself." 

Storro said her body dysmorphic disorder started when she was 15 or 16, when she withdrew from friends and started spending hours in the bathroom staring at herself and examining what she perceived as flaws. Following her admission to fraud, Bethany pleaded guilty to making a false statement to a public official and was sentenced to mental health treatment. The three theft charges were dropped once Storro returned the $28,000 but many people believe the true punishment was lifelong mutilation inflicted by Bethany Storro herself.

David:             Hello we're going to talk to Marcus Griffith today. Marcus is a freelance journalist, he worked for Vancouver Voice and now currently does some freelancing for The Vancouver Vector and he is working on a bigger, more long-term project that's to be announced.  So we wanted to bring Marcus on because he … as we're talking about,  the Beth Storro Story, he was one of the, or the first person to question the validity of the story that she was bringing to the to the newspapers and to the police.  So, I'm curious Marcus, what was the, what, was it gut thing or was it kind of, what was it?

Dan:               What tipped you off? Yeah?

David:             Yeah?

Marcus:          Just like everyone else, when I first heard of Bethany Storro’s story, I accepted it at face value. It was in the process of trying to locate the perpetrator, that I came across some information that casted doubt on her initial stories.  Then as more information came out, they were just increasing holes at her own story and there was a lot of conflicting statements from bystanders and witnesses to the alleged incident.

I was focused on, this was an incident occurred in my own neighborhood, a few blocks away from where I live, I obviously have a more vested interest in the case than a lot of other journalists, and I was going out to try to find who did it so that the story headline I was originally going for was finding the perpetrator.  Now why the Columbian or the [inaudible 00:12:10] didn't send a reporter out to actually do an independent Investigation, there’s going to be great questions heading their way.

Dan:                Well, Marcus it seem like there was a lot of, because I mean I was in the same boat as you were, like heard about this story, my heart was wrenched, I mean I couldn't believe this happened blocks away from me, and so I mean I gave like $10  at the grocery store for the fund, and so, I mean it seemed like everybody just bought into the story and didn't want to question it like there's a lot of fear surrounding, you know, looking further deeper into it.   That didn't faze you, you went out and kept looking.

Marcus:          Well it did phase me. I mean, it did face a lot of people. I mean a part of the issue was when you look at the media coverage at that time, is that people that believe Bethany were the most vocal. The people who had doubts, for the most part they keep it in themselves, It's very much the Emperor's new clothes phenomenon. No one wanted the state being treated obvious, and as whether or not it phased me is kind of question the horrible decision for us to write our first article about the caustic questions surrounding the acid attack and that was a very soft punched article. 

We were very polite and even apologetic in the beginning of the article about needing to question it but at the time we came with the article, we had enough evidence and enough people questioning the story that we felt we were right to question it. I was very aware of the catch 22 I was in, if we were right, that the story was a hoax, we're dealing with a person who really was causing a lot of emotional harm to the public. If we are wrong and she really was attacked, we would be, for the lack of a better word, very rude people adding trauma to an already sticky issue, uncomfortable to the end.

David:             What was the worst that you were called or that your newspaper was called?

Marcus:          At the time we were labeled The Devil's Paper by a couple of groups.  I received dozens and dozens of emails with death threats, demands that I get fired. I was called everything from a hack to a Satanist. I had someone spit in my coffee that I knew.

David:             No, wow.

Marcus:          Part of it was some people bothered to apologize, but at the same time, from a lot of people who reacted very emotional to this question, they took the position that Bethany was attacked, and they knew her, cared about her.  They had trouble even imagining that this could be a lie, and here I was, some guy just, throwing salt in the wounds for my own perverse amusement.  From that perspective I understood why there is [inaudible 0:14:55] and it was a very traumatic experience for a lot of people.

One of the questions I had at the time and still has never really got a satisfactory answer is why was it so hard to believe that a middle aged white woman would lie about an acid attack but so easy to believe a middle aged black woman would conduct an acid attack? I mean there is a fundamental issue with that disparity and because Bethany fabricated an African American attacker, she did bring the race component, and for a couple of weeks, her attack was hijacked by white supremacists  worldwide as example of racial issues. There is that level of racism that Bethany invited in for reasons that we still don't know.

Dan:                I think I've misspoke early. I understand why, how that could be a huge risk for you to kind of stick your neck out and look at the story from a different way.   How do you think or why do you think that you know, the hoax could cause emotional harm to the community?

Marcus:          Well we look at it at a couple of different perspectives. One, the idea that a hoax is victimless is not true. One, there are a lot of people who gave money for the wrong reasons. There is a lot of African American women who match the description, that were spot by police or profiled, there are several women I knew who stopped coming to downtown because they sort of looked like the suspect. There were people who were profiled. There is the emotional harm because the next time there's an issue, people are going to be cynical and what if the next time is real, and people withhold support because they like, well, we’ve been burned once.

Dan:                Right.

Marcus:          There's also this harm when you emotionally whiplash anyone, it causes adverse effects and the community rallied around here and that have to realize the shock that it is wrong, and then there's that emotional harm into the community is that numb feeling, that disbelief, the gut wrenching, [inaudible 14:03] they were thinking about this horrible attack being real. That was a bit of a rollercoaster for people, and not the fun type.

Dan:                Yeah and you know what too? You brought up a good issue because when this happened I was proud of our community, rallying behind her.  It was like a source of like, yes you know, out of all the crap in the world, we're actually, the community as a whole is responding rightly to her, you know like, this is great, and then to find out that she wasn't being honest was devastating.

Marcus:          And back at, during the time of the incident, I even myself, was very supportive of the fact that we are living in a society and a community that rallies around us.

Dan:                Exactly, exactly.

Marcus:          After attacking Washington on a male that happened shortly before Bethany's attack, there was the acid attack on the Arizona woman which happened shortly after the attack.

Dan:                Right.

Marcus:          In Vancouver, we  really rallied around this person we thought was a victim of a horrible attack and so, when not minimizing the attacks on the other cities, those definitely civic, not necessarily pride but civic involvement. We belong to a community that are going to take care of our own.

Dan:                Right, right.

David:             So Marcus, when did the diagnosis of body dysmorphic disorder come into the story?

Marcus:          Well that is a curious question.  That came up long after I kind of disengaged. I questioned the validity of that diagnosis, obviously I haven't been privy to her medical reports or interviews or say assessments but like most mental health diagnoses that are largely dependent on self report, I would have to air a voice of  caution in believing any of Bethany Storro's self reports.  How can we go from believing she committed one hoax, and now we're going to believe in the very next statement she comes up about why she did the hoax? I don't think there's any signs of evidence that her hoax was a product of depression or body image at the time though it's curious that they arose months and months later.

Dan:                So are, I didn't know that, because when I heard the story I always heard it in connection with BDD. So are you saying that addition, the BDD aspect came in after?

Marcus:          I'm not privy to her personal timeline, her personal medical reports [inaudible 0:19:36] but during the time as it was unfolding.

Dan:                Right.

Marcus:          You know she allegedly was trying to do a do-it-yourself acid peel. she researched on the internet on how to do it.  She went to a local convenience store to pick up latex gloves, and the drainer.  She picked up all the tools she did, she went to an isolated park bathroom to do it, to conduct it, and somehow it ended badly and then hours later, the idea that to hoax started. Nothing in that transparent says that this was really a suicide attempt, this is being done because she hated her image. Now, obviously as a cosmetic procedure, she obviously had some critiques about her appearance but women get acid peels, and then all the time that's still perfectly fine.

Dan:                So the stuff, the stuff that you just described about you know, latex gloves, Park, I                       mean, is that all documented somewhere?

Marcus:          Yeah, that came out in police reports and at the time that was what came out.  That was some of the information that really started me talking about the hoax was my understanding, and it has been a couple of years, so it could be a little blurring.  There were debit card purchases for the drainer, on the latex gloves or something that was on the police report, about why they were suspicious of it because the search warrant they had to search her house was for drainer and gloves and things be used for applying plastic substance to her face so that was really, you know, the big call for search warrant we had was for a drainer and gloves.

Dan:                So are you saying like she felt a need to do the acid peel because of the BDD or you just said you weren't sure of the timeline or…?

Marcus:          Well, again, not being ever privy on her mental health record or report, I  want to be in a little bit of a caution….

Dan:                Right, right.

Marcus:          But there was nothing about the incident or how it unfolded that suggested that she actually had some type or embarrassment over her look.

Dan:                Okay.

Marcus:          She was extremely media friendly. Everyone remembers the photos she posted while in the hospital, the one where she looked depressed, the one where she was happy, she was confident, in a room full of reporters with international news.  This behavior is one that you typically don't associate with someone who has serious self doubt about their look.

Bethany was, for all types of purposes, running a very sophisticated media campaign, the only time she got shy was one she was emailed and asked questions about certain specific details about the nature of the attack, and that was not conducive of body image, that strikes more like of someone trying to cover up a lie, rather than someone who's embarrassed by how they look.

Dan:                Yeah and I've seen several pictures of her and it, it doesn't, the extent of the burns, none of her eyes are affected, her lips aren't affected, its, it looks like it was around her forehead and cheeks and nose.

Marcus:          If you look at the photos, it was that, the burn lines mimic a very carefully applied cosmetic pattern, which is, blend to the idea that this was a do-it-yourself acid peel gone horribly wrong.  She, the chin line, the forehead line, the eye line, those were all very clear, very carefully articulated lines.  They were not conducive to the person being in an altered state who's trying commit suicide, you know, her statements were not adding up. Since the incident, years later, now when she has the book out, talking about, you know, body image issues,  she doesn't seem, still doesn't explain certain details that refute that. 

So as far as I'm concerned, absence of more convincing evidence, I'm writing off her books and claims of body images are just  another hoax to sucker  people out of more money because she's mastered being victim to get attention. I know that is kind of harsh but she was going on Oprah and talk about her acid attack and according to her own friends at the time, try to launch a career as a Christian inspirational speaker. She re-thought and cancelled her Oprah appearance because she was worried that Oprah would talk about other things.

I think the quote from the time was “We’re going in another direction.” so even at the time she was trying, appear to be trying to find a way to launch a public speaking career, and that doesn't really match up with someone who has serious body images issues.

Dan:                Yeah. Well you make a lot of good points Marcus. Alright well, it's been a pleasure talking with you and we really appreciate you coming on and giving us your perspective so thank you very much.

David:             Where can people find you if they're wanting to track you down?

Marcus:          We're in the process of making a new online news entity called The Ogre News, traditional spelling,  for the Vancouver area.  It's an online news site, it's still being in kind of the launch phase, but we'll see if it can evolve into a greater project over the next few months.

David:             Okay, so ogernews.com?

Marcus:          That is correct.

David:            Alright, thank you Marcus.

Dan:                Thanks Marcus.

Dan:                So this raises a lot of questions.  First of all, what is BDD?  What are the symptoms and so let me just rattle off a few things.  Camouflaging, so like you cover up the parts of your body that you're ashamed with. Comparing your body, your appearance to others, seeking surgery, checking yourself constantly out in the mirror,  avoiding mirrors, grooming a lot, a lot of exercise, and then like, grabbing the part of the body that you dislike.

So that's BDD in essence.  It’s obsession over the part of your body that you don't like but what was, what was going through her mind when she was doing this is, my guess is, she was in the bathroom, she hated the aspect which would be her face, and so she went to go kill the thing or destroy the thing that was causing her pain.

David:             No, no. The problem you run into is that, if you say, oh she had no, granted I don't have any access  to any of her mental health records and I've never talked any of her doctors and I did reach out to Bethany.   I did reach out to her mother, and they never responded back to me, to be a part of this show.   I did reach out to Bethany's ex-mother in law and she basically said I'm not, this is what she wrote me, I'm not in any way shape or form interested in helping Bethany, she is a liar and manipulative person who I never want to see again.  She will wrap you up around her finger, pretending to be authentic but it is all a lie.

So obviously she's biased, the ex-mother-in-law. So, and just to be fair, she, she's probably been hurt not just by this issue but because Bethany was involved in their lives with her son I believe. The problem I have with saying yes, Bethany has BDD, is that all the people that really do have BDD that really suffer with BDD, I think this diminishes the diagnosis for those other people potentially because those are the people that really don't go outside because they have an issue with something.  These are the people that really can't function in relationships and really are obsessed about their looks because if you currently today go to Facebook and you search for Beth Storro, as of right now, her Facebook is completely open and she freely posts pictures of herself, now maybe she's cured from the BDD.

The cure rate of that I'm not exactly sure what it is, but it's hard to believe that she had it to the extreme of where she put acid on her face and was going to kill herself to now she freely is posting lots of pictures of herself on Facebook and writing about her latest facial procedure. That does not strike me as somebody that has BDD diagnosis. Now, she may have depression, granted.  She may have some other kind of challenges but the specific BDD diagnosis, I question that.  I'm not saying it's, it is impossible for her to not have it, but given the actions that I see, I don't pay attention to what people say often, I pay more attention to the actions.

Dan:                That's fair but you do have to consider the possibility that her doing this hoax, in turn, got her the help she needed. It was an ineffective way of getting help, but it was, it was a way, I mean, we deal with people who do that all the time.  They have pain in the relationships and so they don't have effective ways of communicating the problem or solving the problem so they do it in a bad way but it is a way.

David:             Yeah.

Dan:                You know, I'm willing to look at the inconsistencies but you’ve got to understand if she is someone in pain, and with a mental health disorder, I'm not expecting her to be consistent.

David:             Right. did she look up BDD or was it something that someone suggested and then she kind of latched on to that?  I don't know, but we'll probably never know unless she actually is willing to take the hard questions. I think in the meantime it's, it's a good thing to, for people that are listening to the podcast and if, that if they have friends or families that struggle with this issue, to get them help, and the best help can be done with the local psychologist or psychiatrist because this is something that could be really debilitating to the person. 

If they don't have the help that they need, then they could just struggle for the rest of the lives unfortunately. So I think this story has come to, came to national attention because, Oh look at this crazy diagnosis of BDD you know, and so it made great news, national news, local news, international news, and so this was put up as, okay this is what BDD can do, and I don't, I'm not convinced that that's a good example.

Dan:                Yeah and David I, I got to be honest with you, I do agree with a lot of what you're saying. The inconsistencies, even though I just got done saying, she has mental health disorder, so it makes sense that she would be inconsistent.  There are characteristics of this disorder that would make her more prone to not being in the spotlight, not wanting to draw attention to yourself because her self perception is she's ugly. Why would she want to put a spotlight on herself and part of it is shame, and the fact that she was in a public bathroom, why is she in a public bathroom? Why isn't she home? The fact that the scarification is so uniform, there's just too many, there's too many things about this that make me think, I don't know if this is true BDD. Now, I have experience working with people who have related symptoms like anorexia and bulimia who also have a, a dual diagnosis of BDD and for them it's like a very shameful, private thing and to go to extreme lengths, and I mean by extreme, I'm not just talking about like …

David:            Covering something up?

Dan:                Covering something up, but they will go to extreme lengths to hide, to keep secret what they're doing, they won't draw attention to it all, and if there was a spotlight cast on them, they would just like go into a hermit hole, they would not like embrace it.

David:             I want to make sure that if you know someone or if you yourself listening    to this have some issues with BDD, we really encourage you to go seek out a specialist, a psychologist or psychiatrist that can help you, give you some ideas or avenues to go down to help with this, because like I said before, it can be debilitating.

Dan:                Oh absolutely.

David:             And it can cause relationship issues and issues at your workplace and things like that.

Dan:                Yeah. It can lead to eating disorders and eating disorders are like the number one killer for the, anorexia has the highest death rate out of any, out of all the mental health disorders.  My recommendations would be, find help with a counselor, psychiatrist, access support groups like Eaters Anonymous and then you know, don't keep it secret.  That's the big thing, that's the killer about this disorder is secrecy, don't keep it secret, come out to your friends and family, get support. Alright, well, you're welcome, that's all I'm going to say, for this story.

David:             Hey we are Head Shrink Inc, Dan and I. I'm mostly Head Shrink Inc, Dan is the Inc part, I'm the head shrink.

Dan:                David is the …

David:             Come on, come on weedy man, weedy smoker man.

Dan:                He's the shrehh. He's the shhhh. 

David:             Oh good one. You can follow us on Facebook where Dan thinks he is amazing because he is getting followers or twitter where I'm amazing because I have so many follower @headshrinkinc is where I am at twitter.

Dan:                Or you can go to HDshrinkinc on twitter.

David:             Oh that's creative. Good job.

Dan:                Well, you know …

David:             I have taken your head shrinking already.

Dan:                I do what I do.

David:             Or email us @ headshrinkinc@Gmail.com.  We're trying a new format here with a more produced podcasts, more story, more storied podcast so let us know what you think, we look forward to your comments.


Dan:                Alright, bye.

Thursday, November 7, 2013

What is Depression?


Major Depressive Disorder is separated into two distinctions: major depressive disorder, single episode and major depressive disorder, recurrent. Single episode must last longer than two weeks and subsist up to 4-9 months, the cognitive symptoms are feelings of worthlessness and indecisiveness, and the physical symptoms are altered sleep patterns, loss of energy, changes in weight and appetite. This makes every physical activity very strenuous, pleasurable activities are no longer enjoyable (Anhedonia) and the person’s relationships begin to suffer. Major depressive disorder, recurrent is diagnosed with most of the symptoms that one experiences with the major depressive disorder, single episode, the only main difference is frequency and that recurrent episodes last usually 4-5 months. Major depressive disorder, recurrent is diagnosed when two major depressive episodes happen less than two months apart.
            The unfortunate truth for those who experienced a major depressive episode is that they are 85% likely to have another episode and 20% likelier to experience another one within a year. Dysthymic disorder is related to major depressive disorder in that they share some similar symptoms, but dysthymia displays these symptoms in low levels and they can last up to 20-30 years. Hypomania is related to these major depressive disorders in that it falls under the mood disorder category, but it is somewhat different from a major depressive episode. They are similar because at the tail end of a manic episode one can experience anxiety and depression while still being manic. A hypomanic episode must last at least one week and can extend up to 3-6 months if not treated, symptoms are low levels of hyperactivity, little sleep and ideas of grandiosity, which at this low level usually doesn't result in function impairment.

Five Things to Know About MDD (Major Depressive Disorder):
1. Symptoms must persist longer than 2 wks and subsist up to 4-9 mos. 
2. What are the symptoms (Sx)?
Cognitive Sxs: slowed cognitive processing, indeciveness, decreased perecption
Physical Sxs: altered sleep patterns, loss of energy, changes in weight and appetite.
Emotional Sxs: feelings of worthlessness, feeling sad, decreased feelings of happiness, inability to enjoy activities once enjoyed.
3. Having a depressive episode increases the likelihood of it happening again
4. Dysthmia is a lower level longer lasting subcategory of MDD
5. Mixed Episode: Hypomania and Depression- not Bipolar (but what's the difference really?)

Reference

David H. BarlowV. Mark Durand (2008). Abnormal Psychology: An Integrated Approach 

Development of Mental Health Disorders




Given the right set of circumstance most anyone can suffer from a mental health crisis. We talk about DNA stress and how some may simply not be able to avoid mental illness in their lives. [...]

Check out the Podcast: http://headshrinkinc.podbean.com/2013/11/07/mental-illness-is-closer-than-you-think/

Monday, October 21, 2013

5 Things about How Mental Health Disorders Develop

 

             To understand how disorders develop we need a conceptual framework to understand the disorder. The Diathesis-stress model is one of the more recent model that give us a way of understanding disorders, the model is also called the Epigenetic model. The Model proposes that people have a genetic tendency for a behavioral trait inherited from their parents that is activated under certain environmental conditions. In the textbook Abnormal Psychology: An Integrated Approach written by Barlow and Durand an example is provided of a girl who had “blood-injury-injection phobia”. This girl never had any episodes of fainting or becoming nauseated at the sight of blood or of any other injury, until she was unintentionally forced to watch a video of an animal dissection. This environmental trigger activated the gene expression which altered her behavior. Henceforward, at the mere mention of a cut or blood she would faint. The Barlow and Durand go on to say that if this girl had never taken a biology course the gene expression (diathesis) caused by an environmental trigger would have never happened and she would have gone through her life without knowing of her own tendency for swooning at the sight of blood.
            This model allows us to understand how twins possessing identical genetic makeup could in one circumstance develop a disorder and not in the other. Separated at birth, parents divorce, one twin is kidnapped and raised by his captors, there are many possibilities in which twins could be separated and raised in two different environments thus exposing one twin to certain environmental triggers and not to the other. Therefore, one twin experiencing different environment triggers could develop a disorder like clinical depression and the other twin experiencing a different environment could not. According to this model it would all be determined by the environment and the genetic tendencies inherited by that person’s parents.

5 Things about How MH Dxs Develop

1. We have all genetics tendencies based on inheritance for certain resiliencies and vulnerabilities
2. However, you can't blame it all on Genes. Environment has a powerful role in shaping us.
3. Predispositions do not remove responsibility or the power of choice, but they do make it harder.
4. The past influences the present, but it does not determine the future.
5. Biology is not destiny- change is possible, but you have to learn new ways of being.

Reference
 Barlow, David H. & Durand, V. Mark (2008).   Abnormal Psychology: An Integrated Approach, CengageNOW™

Sunday, September 29, 2013

Social Media...I can't quit you...


“Hey everybody, I need a time to take a time of rest in my life, so I’m going to take a break from ________________ for a few weeks.”

(Fill in the blank with any type of social media you use)

Two days later you notice this person back on social media with no mention of taking a break. Why does this happen: Lack of self-control? Forgetfulness? Neediness? Addiction?

The answer has finally been found….DOPAMINE

A recent study found a link between Dopamine and reward pathways that directly relates to talking about ourselves on social media. (Dopamine Study)

The more you talk or have people talk about you the more dopamine produced and the more the pathways become formed. It almost seems hopeless.

We talked with Adam Mclane about this study and its implications. It is said that knowing is half the battle. We would agree. Now that you know what will you do about it?

Doc David