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Angst

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  1. Hi Bruces. You encapsulate your experiences in one sentence. I have no idea about the nature of your job and your power to change the conditions of your employment. Certain jobs like working in a large warehouse where your movements are digitally monitored and you are set exacting targets are a different context to professional and senior jobs where you have greater autonomy. Your ability to negotiate your conditions of employment depend on a number of factors - the type of human resource policy, if you are covered a collective bargaining agreement, the nature of your employment contract whether temporary, zero hours or permanent and so forth. You need to take independent advice from a person experienced in your sector of employment and then perhaps talk through the options with a therapist. Good luck but a personal strategy is needed perhaps including job searches.
  2. Hi Phil. I reckon that you must have more than one diagnosis given that you have another thread talking about things which traditionally would fall under the OCD umbrella. You also mention in this other thread that your psychiatrist barred you from certain forms of NHS treatment. If I were you I would clarify the position and to this end I would get an advocate to help you do this; especially with regard to whether the barring was a temporary measure in the context of a diagnosed bipolar breakdown or a longer term measure. I think that a permanent ban would be very unreasonable.
  3. Angst

    Retired

    You mention three triggers to your fear: reducing your work by 50%, two episodes of forgetfulness and moving into an over 50 housing development. Well your employer still considers you employable and now you have more spare time. Are you sure that you did not have moments of forgetfulness in the past butnow you are according them more meaningfulness? Your housing status has changed which gives you more choice. It’s not all gloom and doom. It is a matter of perspective. But when I turned 65 and applied for therapy I got referred to the CMHT (Community Mental Health Team) for Older Persons which as part of their standard procedure includes a test for dementia. So certain agencies can intensify a fear. I passed or failed: I did not score on the dementia scale. This despite that the official retirement age in some years time will reach 68. And who knows what the age will be in the future. As you say in the sentence that ends with an exclamation mark: you have convinced yourself that it’s dementia. I reckon it’s not. As said, plan to enjoy yourself on your free days.
  4. Just read about gaslighting. The term based on the classic film Gaslight. And one post was about How to use Gaslighting at Work. Feeling or acting confidently is important. People who display vulnerability can be exploited. For example, if you have plumbing leak and are really worried in my experience an awful lot of plumbers will charge a premium. The British television show Watchdog often show vulnerable people such as infirm elederly people being exploited by salespeople and tradesmen.
  5. Just been reading through the content of this forum and I think it’s very good in its discussions about how policies and procedures by state organisations affect our wellbeing. I read PTM when it first came out and used the concept of power to explain to my GP why I decided a few years previously to retire early from work. It lead to a good discussion. I think that some diagnoses are more dysfunctional than others. I would include schizophrenia and personality disorder in that the societal response is hugely negative. In comparison the diagnoses of OCD I think is positive in most cases. People can use the diagnosis to accomplish greater wellbeing. And this is reflected in surveys that reveal that people find the diagnosis helpful in the main. I think that the biomedical model has a lot of power. It has negative and positive consequences. But it provides legitimation for employment protection measures and welfare benefits.
  6. Angst

    Cognitive before behavioural

    Part of my checking was so habitual that it was not until I desisted from checking that my fears flooded my consciousness. In my case refusing to check that the front door was locked. Of course, I knew that my checking was unusual but the full extent of the obsessional fear became apparent after the behavioural experiment.
  7. Hi Orwell1984. I think it is great that you have reflected, gathered information and opinions and then taken the initiative. It might be that one group might be very different from another. See how it goes. Treat it as an interesting experiment. Great strides are being taken in CBT with the use of virtual reality. Where patients interact with avatars in a variety of social contexts. Hopefully we will move from trials to full implementation in the near future in the UK. You mentioned in an earlier post about feelings of paranoia: Daniel Freeman at the Institute of Psychiatry estimates that 40 per cent of the general population experience paranoia in some forms of social interaction and the risk is greatly increased if you have high anxiety. His team have done some of the pioneering work in this area of therapy with the use of virtual reality.
  8. Angst

    Fear of Tinnitus..

    I know that. The fact is Polar Bear that the treatment is bascally the same or as I said ‘remarkably similar’. I think that I was clear. You stop the checking in the context of the particular manifestation of OCD. So Kieran stops his present state of compulsions!
  9. Angst

    Fear of Tinnitus..

    I have permanent tinnitus in my left ear. Caused by an untreated ear infection in the left ear. Over the past 18 months I have had two operations to sort out the problem including the replacement of the hearing bones. The smallest bones in the body. One of the treatments for tinnitus is CBT for tinnitus. Which I have not had as the tinnitus is manageable. But problems arise when you shift your attention to the sounds or check for sounds and their volume. So the treatment for tinnitus and an OCD fear of tinnitus is remarkably similar do not pay attention.
  10. Hi BelAnna I am interested in your division between complex and simple phobias. You define complex phobias as ‘occurs in the absence of the specific stimulis’. I have a phobia of rodents - in particular mice and rats which in your classification would be classified as a simple phobia. But in periods of heightened anxiety the fear can motivate behaviour such as searching for signs of presence of the beings. NHS Choices give as examples of complex phobias social anxiety and agoraphobia and define them as ‘deep rooted’. Could deep rooted as Snowbear mentions be ‘your perception of a bad outcome’?
  11. Hi Orwell1984. With my recent problems I too contacted the Samaritans a week ago and had a word with my doctor yesterday about my medication. It’s good that we are taking the initiative. A major international study on work stress was released yesterday and used two measures to measure stress. Job strain where you have little control over aspects of your job and effort-reward imbalance. The latter concept I think captures one of the things that you mentioned in your original post. CBT is a very good thing but it rests on the notion that the problem is entirely in the head with cognitive distortions clouding our judgement and perceptions. However, I think that a good therapist would take account of our circumstances. . In English law, there is the concept of ‘reasonable adjustment’ where the objective circumstances of the job can be rearranged to make it less stressful for the occupant if that person has a recognised disability. I retired early on a reasonable deal but I worked with a clinical psycholigist while at work to make some reasonable adjustments. I was fortunate in that the clinical psychologist was an expert in job stress. We all have setbacks so don’t worry. Time to enjoy yourself and I would make an appointment with your GP.
  12. Hi Orwell1984. How are you feeling today? I think that you pretty low when you wrote your post. I can identify with the last two sentences of your post. But I would add the word ‘some’ so the sentence reads ‘Some people are horrible too’. I have had a variety of jobs including jobs in education where some students whatever their age can take advantage of perceived weakness. And some staff too. It applies to most work spheres. Some builders and tradespeople doing jobs for me if they perceive weakness quote high figures to do a job and then do a bad job. I recent post of mine gives an example of this. It is natural that we compare ourselves with others. But we have a choice about who we compare ourselves with. Given the problems you have experienced in life, I think that you are doing a good job. You are right in many respects life is unfair. For example, rewards in work might not be due to job competence but your ability to network and understand and play a successful game of micro politics in the office or workplace. I think you and me and a lot of people who use the forum need some CBT training on being robust.
  13. Not sure what you mean - do you mean you think that you have post natal depression or you think OCD is making you think you have post natal depression? But I reckon if the feelings were triggered by an article then it might be an OCD trigger.
  14. I reckon an awful lot of therapeutic concepts can be contested by philosophical thought experiments. The theory, as part of the CBT theoretical repertoire, is a device to explore and crystallise the thinking patterns of a patient and are part of the groundwork for the patient to establish new patterns of behaviour. CBT therapist/theorists seek empirical evidence of efficacy of their techniques and use scientific methods such as probabilitymodels to establish it.It is highly probable that, in your example, that compulsive checking will not be preventive in saving a life. For me, TheoryA/B is about probability and risk and not having absolute certainty. It helped teach me that repeated checking was counterproductive.
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