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Hello and welcome to in good shape have you ever met people who really just laugh one person themselves. Who really just a daw one person themselves. Who every single thought is just about one person. Themselves. Those people are called the officers. Nurses that spend the fascinating but also really in law you are such people stood normal post see the limit there are many personality disorders not only narcissism there is for example a source of compulsive behavior history only be borderline paranoia. I am going to meet with psychotherapist. I do have a lot of questions i want to ask her. To look up at the top whats the correct definition of a personality disorder personality disorders are pervasive patterns of feelings for what it leaves symptoms and behaviors and they deviate from. Healthy individuals. But the name of the word disorder implies that somethings broken isnt always just they get it sometimes these traits also have some positive effects for instance patients report own personality disorder of every sensitive to certain stimuli in their surrounding or their own creative or patients or narcistic personality disorder very much abated to achieve a lot and they really push with so that stated with borderline disorder personality disorder whats that about. The 9 diagnostic criteria for instance patients are part of the information a disorder might have problems in their fence of identity they may. Harm themselves they might have a suicide affords experience intense anger disassociated sometimes and have changes in their social relationships mental disorders are not uncommon but its very rare that people talk about it its like a to boot but you should talk about it like the next woman we met you know an extreme part and she was suffering from depression and she hurt herself and she didnt know whats wrong with her until she found out borderline personality disorder. In the past dominick to my knees illness ruled her life these days she has it under control. The young woman from munich has been suffering from borderline personality disorder or b p d for 16 years now typical symptoms or a lack of selfesteem and extreme mood swings and this is not the christmas where you are happy or ecstatic when youre sad youre devastated and sometimes those feelings can alternate within minutes it sounds exhausting iranians. She ended up resorting to alcohol a bottle of vodka a day was soon the norm then she began cutting herself with a razor the pain help distracted from the ceaseless mental stress she was experiencing my live in what was actually it was utterly exhausting i was leading a double life the side i show to the world was functional everything seemed fine i finished high school i went to university that wasnt a problem but inside it was a different story altogether it cost me so much energy to keep up the facade but i was convinced that i was at fault and that i was simply weak and there was nothing anyone could do any way i hear. Them 5 years ago dominic decided to try and get help she was diagnosed with borderline personality disorder the diagnosis was a relief and a new beginning these days she visits schools to talk to students about the condition as would see together suicide was a topic that was with me throughout all my life simply because my greatest desire was to shut off my head which was constantly terrorizing me but suicide isnt something you can do quietly my mother would have noticed if i just disappeared so the main reason i didnt commit suicide was because of her because of my family. Dominic isnt shy about talking in a group like this about her vulnerability about the ups and downs shes experienced and how she deals with her condition. You said your last therapy session is coming up soon does that mean youre healed or will you continue and some other form is going to hire im not exactly healed but my therapist and i decided to leave longer breaks between our sessions ive learned to deal with it and ive learned so much and acquired so many tools to help myself that i dont really need her support any more how her therapy has helped on a keeper demons in check and her friends and family supporter instead of alcohol she noticed some sports instead of withdrawing and harming herself shes open with others about ariel notes in her blog and in a new book it once was or what youre in moments when i realize wow ive come really fun i know its a good feeling. But of course to be able to do this is something a lot of us have forgotten to be proud of yourself but its actually pretty nice. Dominic to manet hopes that in future psychological problems like b. P. D. Will no longer be a taboo subject and the tree can say she did her part. She has quite a good job or think so lets talk about borderline personality disorder there are a lot of people suffering from its and if you take a look in the yellow press you see that there are famous people among them like Britney Spears Robbie Williams and justin so far successful people are they successful because of the borderline personality disorder or despite 1st of all i cant say whether these people that you mentioned have a personality disorder however if a patient have a personality disorder is successful then its because of that competencies and their resources and not because of the symptoms that are going along with a personality disorder personality disorder itself is what i respect or process is its very hard to diagnose borderline personality disorder i mean that the a lot of people just freak out in stressful situations but they dont everybody this is just a bottle of disorder in order to diagnose borderline personality disorder we do diagnostic interviews and i. Get and the on line diagnostic criteria and a patient has to prefer a certain amount and has to suffer and the patient has personality disorder diagnosed you mentioned anger and that is only one of those diagnostic criteria but more diagnostic criteria is a agree that their mood swings as well as the so what else is there they have mood swings they have problems with their identity moreover they use their doing self harm they have suicidal thoughts what about those suicidal selves and self harm why do patients with a boy like him. Hurting themselves. One aspect is the self harm the other one is suicidal for its self harm is used in order to reduce high internal tension and suicide affords i worry often they have to function to cope with that difficult or stressful situation. So if everything is getting too much and suicide affords help to there to get out of this many patients with the borderline personality disorders are in the relationship and its kind of hard for them and for their partners because im on the one hand they are very afraid of being the band and do you have any advice for the partners of a portland patient to cope with this is i think information is very important for instance to get some. Counseling or to go to some of the selfhelp groups for their people who would have thought i am patients and moreover its very important to offer a stable relationship but to also to set boundaries so when should patients with borderline personality disorder seek professional help with their. Well usually when theres a crisis for instance when partners are leaving or when they have. Their perceived frequent ruptures and their friendships and then they seek therapy i would train with them certain kind of skills for instance stress tolerance skills emotional regulation mindfulness and sort of competencies and rifty skills there that helps them to regulate their emotions and to have better relationships be good if youre called mary she suffers from borderline personality disorders and she wrote that she always bites into hot chili pepper and the tension becomes unbearable how can this help by using chili or other distress tolerance that helps them to their down regulate their emotions you use it in therapy as well as we have certain kind of kennys taste if you want you can try one of those can you say yes this is that this you. Think you are the real. Problem. And thats a myth. Its hard yes its hard for someone who was not tense but it was what if you would be a patient or a borderline personality disorder in your experience high in attention and if the tension around 6570 and those kind of candies help you to regulate your emotions so i can concentrate on the talk right now because its very very hard so lets watch the next report in greek mythology there was a son of god the name of losses and he fell in love with his own reflection in the river and theres a personality disorder called narcissism you know one patient. Self centeredness low empathy and a need for admiration or common traits of narcissists but behind the facade things are often quite different layout and as has a Narcissistic Personality Disorder which affects his relationships with other people for the hormones. Those very demanding i expected a lot from people and was easily disappointed when those expectations werent met i argued a lot made accusations and couldnt accept any kind of praise i always thought people were making fun of me because i thought i wasnt lovable oh good enough im just not enough. As a child he received little more for approval from his parents his father left the family when he was young his mother preferred his younger sister later not felt abandoned. When i would have preferred i tried to make my mother happy to get warm from defection but i couldnt get what i needed. Harbor. Leonard also struggled in school and was often bullied. I was already showing signs of narcissism back then i tried to bribe people into being my friend by saying i did invite them to my Birthday Party ill give them candy if they let me play with them and i thought that might be a way to get friends. I want you to be liked but often felt rejected after high school he was dismissed from an apprenticeship and became so we saw. During his stay in hospital he realized he needed help. I was really suffering and i didnt want to suffer anymore i wanted to handle my life better and not real people the wrong way that was my main problem. I suffered because people were constantly annoyed by me. Thanks to years of therapy i know it is now coping much better understands the roots of his problems and why hes always struggled. Want to be loved and theyll do almost anything to achieve that if it doesnt happen and it looks like they wont get what they need to get angry hateful and aggressive but thats basically a desperate cry for help. If you dont know the spec ground you probably think they were very unpleasant people but if you know them then you realize its just their way of seeking love and approval they never learned any different. And as has written a book about his own experience and is now training to be a medical practitioner. Hes also started working with others suffering from narcissism helping them identify the causes of the condition change their behavior another gate every day life. Runs because ive been through it i know what its like when you think no one understands you are every ones against you everything you say you do is wrong i know exactly what its like but i managed to sort myself out and now i want to help others. Today laying out anders says that therapy has solved his problem and hes optimistic about the future. Nasa says some of the only enough of themselves and do centric and they can fit into others theyve got some positive aspects as well to chris turner when the well does nail steve jobs for example very successful also says is there such a thing as a good narcissism. First of all i cannot say it that those pieces people that are mentioned have been as a stick personality disorder or are now cystic and 2nd i wouldnt use the word good narcissism i would rather say that every personality trait has advantages and disadvantages so for instance narcissists are charming they have. Their outgoing theyre motivated to achieve a lot but on the other hand. They get angry easily or theyre frightened when theres a conflict and those are either to sit around and vent to those personality traits and narcissism become problematic usually problems arise when theres a crisis going stones if the person loses the drop or the wife divorces from the husband yeah then they usually seek psychotherapy is take to look into relationships narcissists capable of loving and being loved i think that every human being has a certain capability of loving and yet its very important to differentiate a Narcissistic Personality Disorder from antisocial personality disorder. Many patients of my own report that they sometimes have feelings of love and empathy for us what about those induced social disorder patients and whats the difference between this and also says they have severe problems of empathy patients with and antisocial personality disorder and very often they have problems of the law as they. Hurt other people also physically and usually does is not the case of patients with Narcissistic Personality Disorder but there are problems there are some patients who have both disorders at the same time is there Something Like an ideal partner for narcissist. Well idea is a complicated word but there are 2 different hypothesis one hypothesis is that narcissists rather search for socalled trophy partners meaning a partner that is success for that as who is good looking because trophy partners. Helping to maintain their self inflicted you but does another a few really stating that this is a problem as rather go for insecure partners meaning someone who they can dominate or who. In order to have a higher self esteem. That some studies and they could show that the masses father before narcissistic progress earlier yes ok so. If youre not in us is to and if you dont like to be a trophy part of that how can you deal with a narcissist in nutrition ship and weve got a viewer who writes get out as fast as you can out of the sedation ship has suffered for years only after the separation i was able to be happy well when youre in a relationship its very important to state your and your wishes reputably and if the other one doesnt. Respond to it then maybe it might be a good idea to leave the relationship and the narcissist when should he or she. Seek the help of a psychotherapist patient Narcissistic Personality Disorder can always come to psychotherapy usually theyre coming when it has a crisis but its better to come before here in order to seek immediate help and can you heal narcissism. I think its not about me its more about understanding yourself better and to create maybe a handbook for yourself in order to better their daily situations but it can get better we know that. After 2 years of seeing patients again only 50 percent of the patients do for the diagnostic criteria for nasa say personality disorder meaning that the symptoms get less severe what i. And his psychotherapy went up to tell the truth i like myself a lot but im not a narcissist because theres something i like more your emails. On an upcoming show well be talking about antibiotics there prescribe more frequently than ever but resistance is also on the rise what are the consequences and are there alternatives essential questions to in good shape and d. W. Dot com just right antibiotics in the subject line we look forward to hearing from you. All your questions make me happy in the really left of them but please dont send in any questions about white teeth because everything you would like to know is in the next report. They are all the rage toothpaste that make your teeth gleaming white. Teeth a bit brighter and feel cleaner but beware some people clean their teeth too much. We have a growing number of patients who are obsessed their teeth are very important to them. Hygiene might be a top priority for them but they clean too intensely likely not to be for long periods of time sometimes too long. Cleaning your teeth to intensively can damage them the neck of the truth near the gums is especially vulnerable and toothpaste. That contains lots of abrasives can scratch the packaging really offers information on how much abrasive a product contains but there are some clues. Whitening toothpastes are especially abrasive i know a brace of sarin that when i see bleaching or whitening on the package conversely toothpaste made for sensitive teeth usually have very little abrasive material that means any tooth paste made especially for sensitive teeth is the kind to use if people dont want to scratch their teeth. Those who do want to whiten their teeth should be careful and only use whitening toothpaste for short periods of time around one or 2 weeks. Demonstrates another important factor how much pressure is needed. Pressure can increase any abrasive effect actually no more than 70 to 100 grams of pressure should be applied thats really not much. Thats not easy to do you dont always have a scale on hand so just make sure you can try it on another surface the bristles are not completely bent they should be able to glide easily. Electric toothbrushes often have a Pressure Sensor they warn users with a light signal. Another factor in cleaning teeth with a brace of toothpaste what was on the menu before brushing any of the things ive eaten and drunk are acidic fruits fruit juices and other things you never think about like Energy Drinks so young that they make the tooth enamel softer and i can damage my teeth and thats why its good to take a half hour break to drink one or 2 glasses of water and then brush your teeth. Clean and white teeth are fine just not at any price. Proton pump inhibitors those drugs have been used. To treat gastritis and that recently many scientists claim that those drugs could have serious side effects and could cause the disease its. Created for. Try to. Take a closer look. Id like an orange juice in you. For a long time having a drink in a cafe was the last thing Barbara Harman wanted to do. People called me barbara suffered from chronic heartburn a symptom of acid reflux. Left if im sure my stomach couldnt take juice or other acidic foods i always felt it repeats on me and it burns its like having a small fire burning inside of you. It was very uncomfortable. But one tablet a day has restored her quality of life for the last 11 years shes been taking Proton Pump Inhibitors a medicine that regulates the acid forming cells in the stomach inhibiting gastric acid secretion but she still needs regular checkups and has a stomach and does. Every 3 years. I should not be unnaturally it would be much better of course if i didnt have to take anything like my pills which i dont like taking because i think they all have side effects on the kidneys for example and if you dont need pills you should take that. Hamann is not the only one with concerns gastroenterologist ducked under. Is confronted every day by patients worried about the dangers of Proton Pump Inhibitors. Very often come across patients who are doing well with the medicine but stop using it because they were afraid of developing osteoporosis. Proton pump inhibitors are led to cause kidney failure pneumonia and cardiovascular disease. Also a gastroenterologist hes been researching Proton Pump Inhibitors for years he thinks the warnings are exaggerated. We basically know that the risks that are published are based on databases that dont necessarily reflect the most recent information. And that means there might be some statistical differences. But those are not clinically relevant. And however new warnings are being published all the time such as dangerous interactions with certain cancer drugs professor corp says doctors are aware of these risks and just need to take them into account. Berta cording to new estimates half of the patients who take Proton Pump Inhibitors dont actually need to. 11 years after her acid reflux diagnosis Barbara Harman still needs her pills thats the result of her most recent stomach endoscopy. But her doctor has advised her to cut her dosage in the future shell only need a tablet every other day. Thats it for today see you next week and until then lets try to stay in good shape. I was just also. Means. Im not thinking out of the well i guess sometimes i am but im still laughing with that the german thinks deep into the german culture of looking at the stereotypes the question put in your sink to see the country that im not. Even seeing from pictures grandma day oh. Its all about ok bob no im rachel join me from the german sunday w. Post you know that 77 percent of black economy are younger but thanks a lot. Thats me. A lot of time all voices. On the 77 percent who talk about the issue. For almost all of the flashes from housing boom boom times this is what. Welcome to the 77 percent. The book this weekend long t. W. Play. The obliquely on some. Of the issues above his respect. Is the belief presumably the brisebois the buggy shuffle space the book the flood the bursts the bold mug the boosts. The bold blame the sun. The sun is about. Love and respect the birth. Place blame blame blame blame blame blame blame blame blame blame blame blame blame blame. The be. This is really whos coming to live from but a punk obviously that invokes emergency pals for the 1st time in more than 50 yes gary lam the bands face masks saying its necessary to prevent violence during antigovernment protest and the chinese retaliatory we go live to our correspondent for an update also coming up the number of refugees from turkey to greece rises again through the portal inside europes biggest refugee camp where children are growing up in tents and shipping container

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