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Angst

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  1. It might be useful to prepare brief notes or bullet points to refer to when you see your GP. You could read the stuff on this site about OCD with a harm theme. Anxiety is in large part a forward thinking emotion in which we predict bad things happening. It is a pessimistic thinking style. The ‘what ifs’ are negative such as what if the GP thinks that I am insane. Your fear of being identified or self identifying as a monster is called taking the perspective of the other. When you internalise certain stereotypes in the popular media. One way to counteract assimilating negative attitudes is to use forums such as this one. The aim of seeng the doctor is to get therapy. GPs do not do therapy though they do prescribe drugs for mental illnesses. So you might want to plan what you want to say in this context. When I see my GP about mental health issues, I see the doctor who is the most empathetic and knowledgeable about mental health issues.
  2. It’s a tough situation with a lot of community care being withdrawn. It’s a risk both ways. Does your Mum generally take her own blood or do the carers do it? Balancing carbs and insulin can be difficult in the best of times. It is a matter of repeated testing until you get the dose right for the reduced intake of food and having something sweet handy if she goes into hypos. But the food intake should not be reduced too much because of nutritional needs. You could ring the advice line of Diabetes UK. They also will be able to provide mental health advice. The GP could prescribe some anti anxiety drugs. Your Dad also needs some assistance as his mobility is very low. Could you get somebody to drive you? You daughters are doing a fine job!
  3. A number of British supermarkets require that one person per household shop. So I would let you boyfriend shop. If you had supermarket deliveries then you would not be able to see what happens. We can minimise risk but there will be some risk. It is a difficult time for us.
  4. Hi Logan5. Your employer will engage in collective bargaining for wages, redundancy, grievance, disciplinary and health and safety procedures. The latter will cover the coronavirus situation. If you look at the Unison site (mentioned in your thread) you will see briefings for negotiators for workplace safety including the legal position under the Equality Act for those persons with preexisting medical conditions in the coronavirus situation. The role of trade unions and professional bodies such as British Medical Association and Unison is to counterbalance the power of the employer and develop explicit criteria for redundancy, wage rates and health and safety rather than leave it solely to the employer or line manager. Your negotiators will aim to develop explicit criteria for employees in the current situation. If you are in the vulnerable category it is likely that you will be among the last to be redeployed back to work. I think you should ask your rep for guidance and the criteria which is being negotiated. I doubt whether part of the criteria will include age at 40 but it might include 60 or 70. You are right that there is a elevated risk at 40 and the risk rises with each decade.
  5. Hi Logan5. Yes there is public relations/political battle going on to capture public opinion. I think Unison and UCU (Universities and College Union) will jointly be involved in negotiations with the college’s management. Your union’s policy on coronavirus can be found on their web site and UCU’s policy on their website. Asking your local rep or regional rep might be a good idea.
  6. Even though 25 per cent of deaths due to coronavirus are diabetics they are not in the extremely vulnerable category. If you go to Diabetics UK Forums you will see the statistics for deaths compiled by epidemiologists for diabetics and other conditions which are considered ‘extremely vulnerable’ as well as ‘vulnerable’ and people in neither category. Pro rata the greatest risk is being diabetic. This is a global phenomenon. The statistics are also given in terms of age and sex though not ethnicity. The ‘shielding’ category or its equivalent exists in a number of countries but the criteria for membership varies between countries. I quote the Diabetics UK source because we are in the realm of probability. I have had four operations in my life and they always quote the death rate of dying under the anaesthetic as part of the consent procedure. Knowing your probability might help you manage your anxiety. I take it you are not diabetic but members of your family have this condition. Are you a member of UCU? If so your local rep should be knowledgeable about any plans to return to work. The unions and local authorities are certainly making their feelings felt. The majority of primary schools are still under local authority control. Statistically I think that you are unlikely to die, but putting figures to the risk might help. Like in the cast of having a general anaesthetic. I believe that until the app is ready and we have much more testing as in Germany, Hong Kong, S Korea, Singapore ......plans are little premature.
  7. A psychotherapist and her partner live in the flat above me where they rent a flat. They rent a flat from a landlord who is a co owner of the building. They emailed their landlord that they had a persistent mice problem with scattered droppings. I checked with the partner who said he had not seen the droppings as his partner, the psychotherapist, had cleared them up. He later texted me to say that he had talked to his partner and that she now believed it was a rat and a rat’s droppings as they were concentrated in a corner. The following day the psychotherapist - I had to open the communal door because she had locked herself out - said to me that there were no droppings. But she heard a loud noise in the wall. This contradicts the emails and texts. The sole witness of the infestation is the psychotherapist. They have a 14 month old son. If there was a rat problem would they not push for pest control. Their conflicting stories is causing me anxiety as if there was a rat presence I would be concerned. I am checking my flat for signs of rodent activity. Should I keep checking? I am listening for rodent noise which is difficult given the presence of a toddler and his banging on the ceiling. I resent not being their landlord having to check up on things. Or feel the onus to.
  8. Did the psychiatrist give reasons why you should try this medication? Did the SSRIs not work? No experience of the medication. I have been on an additional drug for diabetes for just under a month because the lockdown has affected access to a good spread of foodstuffs such as leafy vegetables and high quality protein and the good fats. The GP and the pharmacist checked on my progress by telephone consultations as a few people have very bad reactions to the medication. So I would ask the psychiatrist and your GP to monitor you in the opening period of taking the medicine. Don’t know about availability but you could ask your pharmacy if there have been supply issues.
  9. Hi Ashley I am not sure what ‘we’ refers to as Scotland and perhaps Wales and Northern Ireland now appear to have different rules to England about social distancing from today or is it Wednesday certain things in England will be legal but in Scotland illegal. So I echo Belanna’s comments. As do online newspapers from the Guardian and FT to the Daily Mail. So I would like to know trusted sources of information about the virus and do we wipe down things and with what. So I agree with Belanna again on dealing with uncertainty and a likely surge in cases probably in large urban areas with a high degree of deprivation. I live in such an area.
  10. Hi Iolana. The feelings of responsibility and guilt about causing harm are part of OCD. There is a test for the virus but it’s in short supply and not readily available so we have to judge whether or not we have the virus on symptoms. I do not think the people at 111 would be concerned about your symptoms. But your attention is focused on sporadic episodes of coughing. I think it is a matter of switching attention to other things. Our minds are thinking machines we have to think about something in our waking hours. But feeling scared can affect our concentration and swamp us. So how are you occupying your time. I am trying to be more physically active. So rather than close off your mind by sleep do active things. Could be anything!
  11. Hi bookworm30. Talking things through with a therapist will help you clarify things in your own mind. It is natural that you and your colleagues are thinking about returning to work because that agenda has been set by government and the mass media. In that context, The Observer’s poll on Sunday indicated that 70% of the population is concerned about a relaxation in social distancing. I also have preexisting conditions which make me more prone to complications if I catch the virus. I talked to my GP about my concerns during a phone conversation because much regular testing for preexisting conditions has been curtailed. Talking things through with a GP should help. The are two levels of risk: greater risk and extreme risk. May not be the the precise terminology. The latter group is in the shielding group with the 12 week isolation. Understandable that you want clear guidelines because you want things to be clearer and also your employer will be guided on how to deploy your skills at work. Things are difficult for those of us with OCD. The objective uncertainty can play havoc with our minds. I try to live a day or two at a time. Distract myself and timetable the day. I have returned to taking medication as well. Are you seeing a therapist on Facebook or whatever? Stay strong.
  12. Sorry to hear the news Valamist. I agree with the previous comments. Though it must be difficult if your Mum asks you to google. I also agree with you Dad. If she asks I would say you couldn’t find anything. You or your Dad could have a chat with her GP about your findings. A lot of people with physical problems take anti depressants to deal with anxiety and depression. So a prescription could help. Is the pain relief adequate? Regards to you and your family.
  13. Hi Orwell It’s not easy is it! Like felix I have just collected my prescription and groceries from the front door. The delivery was arranged via my GP and the delivery is made by a local voluntary group. The bag contains fresh veg and veg in bags. I am going to wash it in running water which is/was the standard NHS before the present crisis and let in dry on a clean surface. And then repackage. I am repackaging the Chicken cuts and mince and place them in new packaging before putting it in the fridge. Wipe down the milk plastic bottles, cans and other containers with soapy solution. I have a communal and an individual front door so beginning to perceive the outside as beginning in the communal area. I follow the same rules as Felix with regard to the bins.
  14. I’m not sure what excessive risk perception is. Data reveals that risk is related to ethnicity, class, preexisting conditions, sex and age. Cities are more risky than the countryside. Figures in the UK and US reveal that risk is related to ethnicity and probably social class. It is easier to work at home if you are middle class but factory and warehouse workers cannot do this. The emerging statistics in London, Detroit, New York reveal this fact and whether you live such as overcrowded conditions affect risk. Poor housing conditions affect risk. Whether you have medical insurance. The greatest risk according to the Alzheimer’s Charity is living in a care home. This is an emerging international finding. The international figures reveal that men are at a much greater risk of death than women. The XX/XY distinction has employed to explain this. Risk is to do with probability and the probability of bad things happening not only depend on one’s individual choices but the collective experiences of communities.
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