Bipolar Disorder Treatment-Piedmont Behavioral Services

Bipolar Disorder Treatment

Bipolar Disorder Treatment

bipolar Disorder Treatment

Bipolar Disorder treatment is given to a mood Disorder patient in which mood swings to its extreme level. People having Bipolar Disorder suffer from changes in mood and energy, fluctuation of mood from Extremely feeling high, very active and euphoric(manic) to extremely feeling low and depressed.

What is Manic Episode?

Manic episode leads to a high mood. In this phase a person is having a huge amount of energy. It lasts from one week. It may include psychotic symptoms which include hallucinations and delusions. People with psychotic symptoms need hospitalization.

What is Hypomanic Episode?

Hypomanic means less than Mania. Hypomanic episode includes symptoms of mania in less intensity. A person swings to a high mood, more active and energetic.
• Insomnia
• Agitation, Irritability, Emotional Intensity
• Inability to concentrate
• Rapid thoughts and speech
• Spending Money more than usual
• Increased Sexual Desire
• Increased Intake of Alcohol
• Impaired Judgement
• Arguments with friends and family
• Increased driven activity to hang out.
• Extreme optimismBipolar Disorder Treatment – Adult Psychiatrist in Cary, Raleigh, Durham NC.

What is Major Depressive Episode?

bi polar disorder symboles-Piedmont Behavioral Services
In depressive episode a person feels too low ,sad and stressed.
• Feeling Sad ,empty, Hopeless
• Loss of interest
• Withdrawal from Family and friends
• Loss of energy
• Feeling exhausted
• Low self esteem
• Feeling of Guilt
• Having Problem in concentration and making decisions
• Suicidal thoughts
• Weight changes
• Insomnia or excessive sleep
• Engaging in Risky behaviours

Difference Between mania and hypomania:

Hypomania is less severe than mania. Mania contains:
• Delusions and Hallucinations psychosis
• Mania is more prolonged
• Mania is marked as impairment of functioning.
• Hypomania do not require hospitalization while mania requires hospitalization.

Types of Bipolar Disorder

  • Bipolar I

Bipolar I last for one week or more. A person having Bipolar I must have one episode of depression and one episode of hypomania. Bipolar I is diagnosed in following conditions.
• There must be at least one Manic episode.
• The patient must have previous depressive episode.

  • Bipolar II

For Bipolar II there must be one episode of depression and one episode of hypomania.
Hypomania episode is less than manic episode.

  • Cyclothymia

In this episode mood swings between short periods of depression and hypomania. In Cyclothymia mood fluctuates and lasts for months and years as well.

What Causes Bipolar Disorder

Bipolar disorder is often known as mood disorder and is caused by many factors. Some of them are them are mentioned below.
Genetic Factors: Bipolar is caused by genetic factors as well. According to research, It is present 10 to 15 % in child. There are 30 to 40 % chances of Bipolar in child if the Parents are suffering from it.

  • Brain Chemical Imbalance:

Bipolar may occur due to Imbalance and misfunctioning of Neurotransmitters in a specific area of a brain. Norepinephrine and Serotonin are the main Neurotransmitters which plays an important role in mood swings.

  • Hormonal problems

It may be caused by some hormonal changes that’s why it’s more common in females than men. Pregnancy, irregular menstrual cycle, menopause, imbalance of estrogens can lead towards Bipolar.

  • Environmental factors:

Environmental factors is the most common reason that can lead towards Bipolar such as bullying at school, relationship issues, marital issues, family issues, job related issues.

Bipolar Disorder Signs-Piedmont Behavioral Services

6 Tips to Live Better with Bipolar Disorder

    1. Stay Connected – The more you isolate yourself, the more you increase the risk of mood changes going unnoticed and jeopardizing your health. Lack of connection to others can also put you at risk for a depressive episode. So don’t hesitate to assemble of team of professionals to provide guidance and insight. Doctors, counselors, and others can be a part of your support system, and many people find that attending a support group for people with bipolar disorder can be invaluable. Staying engaged with friends, family, and members of your community can also play an important role in keeping you energized and providing support.
    2. Educate Yourself – Education starts with learning the symptoms of manic and depressive episodes and getting up-to-date on research-driven treatment options for bipolar disorder. Share your questions and concerns with your doctor or psychiatrist, and ask them what resources they recommend for you to read or gather. Understanding the illness can help it feel more manageable and assist you in identifying symptoms before they get worse.
    3. Track Symptoms – Many people with bipolar disorder find it useful to keep a daily log of their mood, thinking, and behaviors. If you are able to catch small changes in these arenas, then you may be able to stop or decrease the intensity of a mood episode before it worsens. You should can also track stressors or behaviors which may trigger a mood episode, such as lack of sleep, relationship conflict, school or work stress, substance use, or seasonal changes. The more accurately you can report these changes to yourself and your doctor, the greater chance of stabilizing your mood.
    4. Engage Coping Skills – In addition to alerting your counselor or doctor, you can utilize coping skills to control symptoms or reduce your risk for a mood episode. Different coping techniques work for different people, but they typically involve activities that help you feel calm, stay connected to others, practice healthy habits, and engage interests. Having a list of coping skills available to you can be useful, as it might prove difficult to generate your own ideas when you feel a lack of control.
    5. Establish a Routine – Perhaps the greatest coping skill for preventing mania or depression is the establishment of a healthy, daily routine. You should be taking medication consistently and accurately. Getting consistent and sufficient sleep every night can reduce the risk of mania.2 Getting healthy and exercising can help improve and stabilize your mood as well. Schedule regular times to dedicate to family and friends, attend all doctor’s appointments, and carve out time to relax and unwind from life’s stressors.
    6. Develop a Crisis Plan – There are times when even the best routine and set of coping skills may fail to prevent a mood episode from escalating. It’s important, even while you’re feeling good, to go ahead and develop a crisis plan you can activate when you feel out of control. Create a written plan with a list of people that you or others can contact in emergency as well as information about your medications and warning signs and symptoms. Also, include a list hotline numbers that you can call if you experience suicidal thoughts or psychotic symptoms. Finally, leave a reminder to yourself that you can always call 911, walk into an emergency room, or ask a loved one to get you help if other measures fail.
      If you’re not sure where to start, mental health professionals are trained to help you develop a treatment plan that can engage all of these actions steps. Having a concrete plan can help you feel more in control of your bipolar disorder, and over time you can tailor or alter this plan as needed. Bipolar disorder doesn’t have to be a lonely experience, so think about who you can recruit today to help you build up resilience and thrive in all arenas of life.
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Eating Disorder Treatment

Eating Disorder Treatment   

Eating disorder Treatment                                       

Eating Disorder Treatment is a Disorder having irregular or abnormal eating habits. It is the severe and extreme distress about body weight gain or lose or shape. A person focuses on inadequate or excessive food intake which affects a person’s physical and mental health. It occurs mostly in teen age and in adolescents.

Types of Eating Disorder:

  1. Anorexia Nervosa:

Anorexia means self starvation and lack of appetite. It is a fear of gaining wait, extreme desire to be thin or slim. A person with anorexia Nervosa consider himself as overweight but in reality he is not, so it can be a life threatening eating Disorder. People suffering from this disorder are suffering from extremely low body weight.

Types of Anorexia Nervosa:

There are two types of Anorexia Nervosa.

  • Binge/Purge Type:

The person restricts their food intake on their own and does not engage in binge-eating or purging behaviour

  • Restricting Type:

The person self-induces vomiting after eating something.

Signs & Symptoms of Anorexia Nervosa:

    • Obsession with calories and fat contents of food.
    • Hair fall or thin hair.
    • Avoiding of social gatherings of friends and family.
    • Thin appearance
    • Dizziness or fainting
    • Absence of menstruation
    • Dry or yellowish skin
    • Extreme weight loss
    • Low blood pressure
    • Swelling of arms or legs
    • Constipation and abdominal pain
    • Reduced interest in sex
    • Social withdrawal
    • Flat mood /lack of emotion
    • Frequent checking in the mirror for perceived flaws
    • Restricting food through dieting or fasting.

        Causes of Anorexia Nervosa:

            It causes when a person is having an extreme drive of perfectionism. Some of more causes are given below.

    • New school, home, job
    • Relationship breakup
    • Death
    • Illness of a loved one
  1. Bulimia Nervosa:

Bulimia nervosa, often referred to as just bulimia, is an eating disorder and a mental health condition. There is no single cause of bulimia nervosa. It is thought to develop from a combination of genetic and environmental influences. Eating Disorder Treatment in Cary

This is an eating disorder characterized by binge eating followed by purging. Binge eating refers to eating a large amount of food in a short amount of time.

Mostly people having Bulimia are having normal body weight but they want to get more thin and slim.

Eating disorder Treatment-Piedmont Behaviorasl Services

Recommended Post : Suboxone /Addiction Treatment in Cary.

Signs and Symptoms

  • Chronic gastric after eating.
  • Unhealthy/dry skin, hair, nails and lips
  • Fatigue, or exhaustion
  • Compulsive or excessive exercise
  • Frequent occurrences involving consumption of abnormally large portions of food
  • Depression, anxiety disorders and sleep disorders
  • Regular trips to the bathroom, especially soon after eating
  • Suicidal tendencies
  • An irregular menstrual cycle in women.
  • A fixation on the number of calories consumed
  • A fixation on and extreme consciousness of one’s weight
  • Low self-esteem and/or self-harming
  • Constipation or diarrhea
  • Hypotension

Eating Disorder-Piedmont Behavioral Services

Causes of Bulimia Nervosa

Before bulimia nervosa begins there is often a period of excessive dieting. However, the wrong kind of dieting can cause uncontrollable hunger and lead to binge eating. Feelings of guilt and shame after binge eating then cause the person to try and compensate by purging (inducing vomiting or using laxatives). Eating Disorder Treatment in Cary.

These are some of the factors that can increase someone’s risk of developing bulimia nervosa:

Bulimia nervosa usually starts with a feeling of unhappiness about body image and weight. This is very common in today’s world and many people feel pressure from society and the media to be thin.

Before bulimia nervosa begins there is often a period of excessive dieting. However, the wrong kind of dieting can cause uncontrollable hunger and lead to binge eating. Feelings of guilt and shame after binge eating then cause the person to try and compensate by purging (inducing vomiting or using laxatives).

Eating Disorder Treatment

Suicide Risk

Suicide risk is elevated for individuals with bulimia nervosa, particularly with a co-occurring mood disorder.

Symptoms of major depressive disorder increases the risk of suicide. The essential feature of major depressive disorder is a period of two weeks during which there is either depressed mood most of the day nearly every day or loss of interest or pleasure in nearly all activities. Other potential symptoms include:

  • Significant weight loss when not dieting or weight gain and changes in appetite
  • Insomnia or hypersomnia nearly every day
  • Psychomotor agitation or retardation nearly every day
  • Fatigue or loss of energy nearly every day
  • Feelings of worthlessness or excessive guilt
  • Impaired ability to think or concentrate, and/or indecisiveness
  • Recurrent thoughts of death, recurrent suicidal ideation without a plan, or a suicide attempt or suicide plan. 7

Eating Disorder Treatment the symptoms of major depressive disorder cause significant distress or impairment in social, occupational, or other areas of functioning. Suicide is always a risk when an individual experiences a major depressive episode. It is very important that individuals discuss their depressive symptoms with their health care providers when seeking help for bulimia nervosa, as a more than one treatment approach might be necessary.

Treatment of bulimia nervosa and depression

Treatment of bulimia can be complicated. Effective treatment addresses the underlying emotional issues that contribute to low self-esteem and negative self-perception.

Treatment of bulimia nervosa and depression is most effective with a team approach. Your treatment team includes you, your family, your primary care doctor or health practitioner, your mental health practitioner, and a dietitian experienced in treating eating disorders.

Treatment can include:
  • Cognitive Behavioral Therapy (CBT) to help you identify unhealthy, negative thought patterns that contribute to disordered eating and replace them with positive ones
  • Family therapy (this is particularly important with adolescents)
  • Interpersonal therapy to help work through issues related to self-esteem, communication, and problem solving
  • Medication management – some antidepressants can be effective for treatment of bulimia nervosa when combined with psychotherapy. 8
  • Nutrition education to design a healthy eating plan
  • Hospitalization – if you have significant health complications from bulimia nervosa, hospitalization might be necessary

Finding help for bulimia nervosa and depression

There is no simple answer for treating bulimia nervosa and depression. The best first step to take is to ask your primary care physician for a referral to an eating disorders specialist. From there, your specialist can lead your team to help you find the treatment plan that works best for you.

Depression Treatment in cary

Top 10 Emergency DepressionTreatment

Depression and its Treatment

Depression Treatment in Cary

Depression is a mood Disorder that causes negative physical and Mental affects. It may has an effect on your feelings, thinking, reasoning, judgement, making decisions, attitude and behaviour. It decreases person’s ability to function at work or home.

What are the symptoms of Depression?

  • Feeling of sadness
  • Lack of appetite
  • Insomnia or oversleep
  • Mood Swings to the extreme level
  • Feeling hopeless and frustrated
  • Low self-esteem
  • Difficulty in thinking ,reasoning, Judgement and making decisions
  • Difficulty in memorizing
  • Difficulty in concentrating
  • Suicidal Thoughts.
  • Low energy levels.
  • Anxious and empty
  • Physical pains, Headaches, cramps, digestive problems

Depression Treatment in Cary

Depression Treatment in Cary

Depression Treatment in Cary

What causes Depression in Child and Teens?

According to research depression can often occur in teens, between 20’s and 30’s but it can last at any age. Symptoms of child and teenage depression are:

  • Low energy levels
  • Lack of confidence
  • Refusing to go to school
  • Poor attendance
  • Lack of interest in activities
  • Withdrawal from family and friends
  • Low academic performance
  • Appears sad and tearful
  • Feeling misunderstood
  • Extremely sensitive
  • Self harm
  • Using drugs
  • Dizziness

Depression treatment in Cary

Depression Treatment in Cary

What causes Depression in Adults?

Depression is the most common mental illness in adults. It not only occurs in males but also in females but the triggers are different for both genders.

Some of symptoms are:

  • Memory Difficulty
  • Change in personality
  • Fatigue, loss of appetite
  • Sleep problems and lost interest in sex.
  • Wanted to stay at home rather than going out
  • Over thinking
  • Suicidal Ideation

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Depression Treatment in Cary

Telepsychiatry Services in Multiple States including:

Factors of Depression Treatment:

Depression occurs due to different reasons. It varies from person to person. Some of factors are mentioned here:

Biological Factors: Depression may cause the physical changes in the brain functioning.

Environmental Factors: Depression may caused by environmental factors, such as job issues, Relationship issues, marital issues.

Brain Chemistry:  In depression functions of Neurotransmitters are disruptive.  Neurotransmitters transfer signals from one part to another. Serotonin, Noradrenalin and Dopamine are three basic neurotransmitters which affects mood.

Hormonal Factors:  Hormonal changes  causes depression and mood swings at its peak like pregnancy, Menopause etc.

Depression Treatment in Cary

 How to do  Self Depression Treatment?

  • Make a routine and follow it.
  • Set some goals to achieve.
  • Eat healthy diet
  • Get enough Sleep
  • Take on responsibility
  • Challenge Negative thoughts
  • Do something new
  • Try to have fun
  • Keep your self more socialize.
  • Stay away from toxic people
  • Build strong relationships
  • Maintain a healthy weight
  • Avoid common Triggers
  • Try talking therapy

3 Tips to Manage Stress and treat Depression

We all have stress — at work, at home, and on the road. Sometimes we can feel especially stressed because of a bad interaction with someone, too much work, or everyday hassles like getting stuck in traffic.

Negative stress can keep you from feeling and performing your best — mentally, physically and emotionally. But no one’s life is completely stress-free. It’s important to know how to manage the stress in your life. Try these three simple techniques for dealing with it.

1.Positive Self-Talk

Let’s be honest, we all talk to ourselves! Sometimes we talk out loud but usually we do it in our heads. Self-talk can be positive (“I can do this” or “everything will be OK”) or negative (“I’ll never get better” or “I’m so stupid”). Negative self-talk increases stress. Positive self-talk can help you calm down and control stress. With practice, you can learn to shift negative thoughts to positive ones. For example:

2.Negative to Positive

“I can’t do this.”> “I’ll do the best I can. I’ve got this.”
“Everything is going wrong.” “I can handle this if I take one step at a time.”
“I hate it when this happens.” “I know how to deal with this; I’ve done it before.”
“I feel helpless and alone.”> “I can reach out and get help if I need it.”
“I can’t believe I screwed up. “I’m human, and we all make mistakes. I can fix it.”

To really make it work, practice positive self-talk every day — in the car, at your desk, before you go to bed or whenever you notice negative thoughts. It’s a great practice to teach kids, too! Depression Treatment in Cary

Top 10 Emergency Stress-Stoppers

Emergency stress stoppers are actions to help you defuse stress in the moment. You may need different stress stoppers for different situations, and sometimes it helps to combine them. Here are some ideas:

  1. Count to 10 before you speak or react.
  2. Take a few slow, deep breaths until you feel your body un-clench a bit.
  3. Go for a walk, even if it’s just to the restroom and back. It can help break the tension and give you a chance to think things through.
  4. Try a quick meditation or prayer to get some perspective.
  5. If it’s not urgent, sleep on it and respond tomorrow. This works especially well for stressful emails and social media trolls.
  6. Walk away from the situation for a while, and handle it later once things have calmed down.
  7. Break down big problems into smaller parts. Take one step at a time, instead of trying to tackle everything at once.
  8. Turn on some chill music or an inspirational podcast to help you deal with road rage.
  9. Take a break to pet the dog, hug a loved one or do something to help someone else.
  10. Work out or do something active. Exercise is a great antidote for stress.

Depression Treatment in Cary

3.Stress-Busting Activities

Doing things you enjoy is a natural way to relieve stress and find your happy place. Even when you’re down, you may find pleasure in simple things like going for a walk, catching up with a friend, or reading a good book.

When stress makes you feel bad, do something that makes you feel good, even if only for 10 or 15 minutes. Some of these activities may work for you:

  • Make art — draw, colour, paint, or play a musical instrument.
  • Work on a scrapbook or photo album to focus on good memories.
  • Read a book, short story or magazine.
  • Meet a friend for coffee or a meal.
  • Play a favourite sport like golf, tennis, or basketball.
  • Do a hobby like sewing, knitting, or making jewellery.
  • Play with your kids or pets – outdoors if possible.
  • Listen to music or watch an inspiring performance.
  • Take a walk in nature.
  • Take a relaxing bath and feel the stress wash away.
  • Meditate or practice yoga.
  • Work in the garden or do a home improvement project.
  • Go for a run or bike ride to clear your head.
PTSD Treatment -Piedmont Behavioral Sercvices

How do you know if you have PTSD?

How do you know if you need PTSD Treatment?

Post Traumatic Stress  Disorder- PTSD  

PTSD Treatment- Piedmont Behavioral Services

PTSD is an Abbreviation of Post traumatic stress disorder is an anxiety disorder that occurs due to stressful, frightening or distressful events such as death of beloved one, sexual assault (Rape or child Abuse), Natural disasters, threat to a personal life, serious accident, terrorist incident etc. PTSD may disturb your thoughts, feelings and emotions and dreams. PTSD may have flashbacks and Nightmares or intrusive memories. PTSD Treatment PTSD Treatment PTSD Treatment


  • Stressful dreams and nightmares
  • Recurrent distress flashbacks
  • Physical and emotional disturbance due to recalling that event.
  • Extreme physical reactions of recalling that event e.g. Nausea, sweetening, increased heart rate.
  • Feeling Isolated
  • Feeling detached from loved ones
  • Avoiding that certain people, situations, activities and events.
  • Difficulty in sleeping
  • Difficulty in concentrating
  • Shame and Guilt
  • Suicidal thoughts

PTSD Treatment PTSD Treatment

Diagnosis of  PTSD:

To be diagnosed as PTSD, a person must have following  Symptom for at least one month.

  • At least one or more re-experiencing symptom
  • At least one or more avoidance symptom
  • At least two arousal and reactivity symptoms
  • At least two thinking and mood symptoms

Re-experiencing symptoms:

  • Flash backs
  • Nightmares
  • Frightening thoughts

Avoidance symptoms

  • Avoiding places, events, people and things that are reminders of traumatic events.
  • Avoiding thoughts of feelings related to the traumatic events. PTSD Treatment

Arousal and reactivity symptoms

  • Difficulty in sleeping.
  • Having anger outbursts.
  • Feeling tense and anxious

Thinking and mood symptoms

  • Negative thoughts
  • Guilt or blame
  • Lack of interest.

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Symptoms of  PTSD in Children:

Symptoms of PTSD in children are different than adults. The symptoms different ages are following:

PTSD Treatment PTSD Treatment PTSD Treatment

Less than 6 years:

  • Wetting the bed after having learned to use the toilet
  • unable to talk or less talkative.
  • Over react on a scary event during playtime
  • clingy with a parent or closed ones.

Between 5 to 12 years:

  • Express that trauma through play.
  • May have nightmares.
  • Irritable mood and behaviours.
  • Difficulty in studying and going out with friends.

Between 12 to 18 years:

  • Disruptive
  • Disrespectful
  • Impulsive
  • Aggressive behaviour

Symptoms of children with Sexual Abuse:

  • Fear, Anxiety, Isolation.
  • Unusual Sexual behaviour
  • Hurt themselves
  • Lack of self worth and self behaviour
  • Lack of self Confidence
  • Misuse of Alcohol or drugs.

Causes of PTSD : PTSD Treatment

  • Serious Road Accident
  • Prolonged Abuse
  • Violent personal Assaults
  • Terrorist Attacks
  • Natural Disasters
  • Rape or other type of Abuse
  • Being a victim of crime
  • Death or loss of loved ones

Risk Factors of PTSD:

  • Increased risk of heart problems.
  • Difficulty in relationships.
  • Difficulty in work.
  • Greater chance of Chronic disease.
  • It can affect the brain structure that is decrease in the size of hippocampus
  • It increases the stress hormone cortisol.

12 Coping Strategies of PTSD-PTSD Treatment

  1. Respect the trauma/tragedy. Acknowledge and be sensitive to the severity of the situation and how profoundly it affects everyone, but also determine how it is personally interpreted differently by each person with varied scenarios. PTSD Treatment
  2. Seek balance. It takes an equal and opposite action to balance the terrible trauma that has occurred. Start by replacing the past negative trauma that may plague you with present-centered positive deeds, thoughts, words and actions. PTSD Treatment
  3. Be compassionate. Always show kindness via a willing ear, sincere smile, make eye contact, learn first names, give a gentle touch or hug – all are simple healing balms.
  4. Promote community cooperative compassion. Help people form natural support groups with shared phone numbers and email contacts.
  5. Stay mentally and physically strong. Don’t succumb to the overwhelming negative situation. (See the link below for Phil’s TED Talk). It’s important to be solid when others need you the most.
  6. Don’t bring your own personal disaster to a societal disaster. As much as possible, put your personal feelings aside when you are helping others. You can become an emotional casualty yourself if you aren’t careful. PTSD Treatment
  7. Focus on solution, not the problem. Rather than focusing on the trauma (past negative), move forward slowly, carefully and deliberately away from the problem and toward the solution (future positive). Don’t become stuck in the past negative. Encourage selected present hedonism, fun activities as self-rewards.
  8. Honor and respect those who lost their lives or were injured. The best way to honor those who have died or have sustained a life-changing injury is to figure out how best to help those left behind, or all those whom you can help. PTSD Treatment
  9. Be aware of your limitations. Walk away if you find yourself slipping into exhaustion, depression or anxiety. Take care of yourself; you can’t help anyone if you aren’t feeling up to the job. Do seek professional help if your mental distress lasts more than a few days.
  10. Extend your empathy, not only the victims, but to their loved ones. Even harder is to show empathy toward the perpetrators who must learn to cope with their own guilt and other issues.
  11. Avoid judgmental attitudes, as well as generalizations toward ethnic and/or religious groups; focus on understanding, compassion and constructive actions.
  12. Encourage the faculties that promote everyday heroes – being socio-centric, optimistic, self-confident and practice being a “hero-in-training,” while challenging the negatives of egocentrism, cynicism, pessimism and public apathy.

How do you know if you have PTSD?

According to the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, after a traumatic event if you suffer from symptoms that include depression, anxiety, flashbacks, avoidance, isolation, difficulty falling and/or staying asleep, difficulty concentrating, irritability, an exaggerated startle response and hypervigilance, you may have Acute Stress Disorder (ASD). If these symptoms last longer than a month, then you may suffer from PTSD.

How can I help myself?

1.Get to know your triggers

You might find that certain experiences, situations or people seem to trigger flashbacks or other symptoms. These might include specific reminders of past trauma, such as smells, sounds, words, places or particular types of books or films. Some people find things especially difficult on significant dates, such as the anniversary of a traumatic experience.  PTSD Treatment-Piedmont Behavioral Services

2.Confide in someone PTSD Treatment

Lots of people who experience PTSD find it hard to open up to others. This may be because you feel unable to talk about what has happened to you. However, you don’t need to be able to describe the trauma to tell someone how you are currently feeling. PTSD Treatment PTSD Treatment PTSD Treatment PTSD Treatment

3.Give yourself time

Everyone has their own unique response to trauma and it’s important to take things at your own pace. For example, it may not be helpful to talk about your experiences before you feel ready. Try to be patient with yourself and don’t judge yourself harshly for needing time and support to recover from PTSD. PTSD Treatment

4.Try peer support PTSD Treatment

Peer support brings together people who have had similar experiences, which some people find very helpful.

Hope. There is always hope. With the right treatment and support, things will get better. I’m a living testament. PTSD Treatment

5.Find specialist support

You might find it useful to contact an organization that specializes in advice and support for PTSD. PTSD Treatment

6.Look after your physical health

Coping with PTSD can be exhausting. You might feel like you can’t find the energy to take care of yourself, but looking after your physical health can make a difference to how you feel emotionally. For example, it can help to:

  • Think about your diet. Eating regularly and keeping your blood sugar stable can help you cope when things feel difficult.
  • Try to exercise. Exercise can be really helpful for your mental wellbeing. PTSD Treatment
  • Spend time outside. The outside world might feel overwhelming, but spending time in green space can boost your wellbeing.
  • Avoid drugs and alcohol. While you might want to use drugs or alcohol to cope with difficult feelings, memories or physical pain, they can make you feel worse in the long run. They can also make other problems worse, such as difficulty sleeping. P PTSD Treatment PTSD Treatment PTSD Treatment

PTSD Treatment PTSD Treatment

Autism Disorder treatment in Cary-Piedmont Behaviorl Services

9 Tips to Deal with Autism Spectrum Disorder

9 Tips to Deal with Autism Spectrum Disorder

Autism Spectrum Disorder Symptoms

Autism Spectrom Disorder-Piedmont behavioral Services

Autism Spectrum Disorder is neurobehavioral condition which includes impairment in social interaction and developmental language and communication skills combined with rigid, repetitive behaviors. Children with autism have trouble with communication. They can’t express themselves through words, gestures, facial expressions or touch properly. They can’t understand others feelings, thinking and emotions. People with autism are over sensitive. They are even pained by sound, touches, smell or sights that seems normal to others.  Children with  Autism Spectrum Disorder  may have repetitive, stereotyped body movements such as rocking, pacing, or hand flapping. Autism Spectrum Disorder They may have unusual responses to people, attachments to objects, refusal to accept change in their routines. Unexpected aggressions and self-injurious behavior. They are talented in other areas, such as drawing, creating music, solving math problems, or memorizing facts. For this reason, they may test higher even in the average or above-average range or on nonverbal intelligence tests. Autism Spectrum Disorder is curable and  treatable. Piedmont Behavioral Services Provides Best Psychiatrist in North Carolina, Florida, New York, Texas, Virginia. Book Online Appointments Now. Auti

 Autism Spectrum Disorder-Piedmont Behavioral Services  sm Spectrum Disorder Autism Spectrum Disorder

What are the Symptoms of Autism Spectrum Disorder?

  • Delayed speech development
  • Frequent repetition of same words or phrases
  • Communicate in single words rather than in sentence
  • Not responding to their name been called
  • Behave negative when unknown ask to do something
  • Lack of interest in interacting with others
  • Not enjoying situations even birthday parties
  • Prefer to play alone rather than asking others to play with them
  • Avoid eye contact
  • Lack of expressions when communicating
  • Having repetitive movements, such as flapping their hands, rocking back and forth, or flicking their fingers.
  • playing with toys in a repetitive and unimaginative way
  • having a strong like or dislike of certain foods based on the texture or color of the food
  • unusual sensory interests – for example, children with ASD may sniff toys, objects or people inappropriately
  • Learning disabilities
  • Attention Deficit Hyperactivity Disorder
  • Obsessive Compulsive Disorder
  • Anxiety Disorder
  • Depression
  • Sleep Problems
  • Sensory Difficulties
  • Epilepsy

Autism Spectrum DisorderAutism Disorder Spectrum-Piedmont Behavioral Services

9 Tips to deal with Autistic people -Autism Spectrum Disorder

1.Autism helps protect us from seeing and hearing too much. Please don’t hate our shield.
The word “autism” comes from the Greek autos, meaning “self.” While the long-held, incorrect assumption was that people with autism were unaware of the world around them, we now know that they are capable of withdrawing to a certain degree. The autism shield protects an inner thought life as a safe place for retreat when the world’s bombardment becomes too much to bear. Autism Spectrum Disorder

2. Try not to stare. Sometimes we need to do unusual things.
Many people with autism are very aware of their self-regulating behaviors. They know that their hand-flapping, rocking, or verbal “stims,” as they’re sometimes called, are atypical mannerisms. Some people with autism are very self-conscious about the appearance of these “stereotypies” and prefer that you ignore them as you would if your neurotypical friend were twirling her hair (a socially acceptable self-regulating behavior).

3. We hear you when you complain about us. Find other times to talk mean.
Neurotypical people have made the terrible mistake of believing that people with autism who don’t have reliable speech are incapable of understanding others’ spoken words. Rule of thumb: Presume competence. Never talk about a person; talk to her, or if you must, talk about the individual in a respectful way in her absence. Autism Spectrum Disorder

4. Rudeness is not our intent. No sad faces, please.
People with autism often have a frankness that can be both disarming and alarming. Instead of making a facial expression you expect the person with autism to read and respond to, tell the individual, in a matter-of-fact but helpful way, that his choice of words or actions was not appropriate, and guide him to a better expression.

5. Real friends don’t judge our actions. Please find us inside bodies that work differently.
Many individuals with autism feel powerless to control their bodies skillfully. Whether they’re acting on feelings of sensory dysregulation or compulsions, they want you as friends to look past the physical symptoms of their disorder and see the inner person, who wants very much to connect socially.

6. See us as real. We are not shells with no inhabitants.
One of the most hurtful, untrue comments I’ve heard about individuals with autism is “The lights are on, but no one’s home.” The person with autism in your life is as real and whole as you and me. Treat people with autism as the whole beings with hopes, needs, feelings, and desires that they are. Autism Spectrum Disorder

7. With too much asking us to be normal, we feel like impostors.
Social skills are lovely to teach, but expecting people with autism to “act” more like neurotypical people will just be that—acting. Part of accepting people with autism is understanding that their different brain wiring affects all of who they are and what they do. Instead of trying to make individuals with autism be people they’re not, help them be the best them they can be. Autism Spectrum Disorder . Au

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8.Try to help us, not control us.
There is no amount of consequating an autism-driven behavior that will extinguish it—no punishment, no discipline, no reward. Understanding what is driving the behavior will help you and the person with autism cope or come up with adaptations. Autism Spectrum Disorder

9. Raise hope to give us better futures. We need to aim high.
We need not look at autism as a terrible disorder with a low ceiling of promise, but as a marvelous opportunity to look at the world through a different lens and walk in different shoes. Be ambitious in your planning with your person with autism and thoughtful about the course you chart together to get there. Autism Spectrum Disorder

Tips for Parenting a Child on the Autism Spectrum Disorder

  1. Focus on the positive. Just like anyone else, children with autism spectrum disorder often respond well to positive reinforcement. That means when you praise them for the behaviors they’re doing well, it will make them (and you) feel good.

Be specific, so that they know exactly what you liked about their behavior. Find ways to reward them, either with extra playtime or a small prize like a sticker.

  1. Stay consistent and on schedule. People on the spectrum like routines. Make sure they get consistent guidance and interaction, so they can practice what they learn from therapy.

This can make learning new skills and behaviors easier, and help them apply their knowledge in different situations. Talk to their teachers and therapists and try to align on a consistent set of techniques and methods of interaction so you can bring what they’re learning home.

  1. Put play on the schedule. Finding activities that seem like pure fun, and not more education or therapy, may help your child open up and connect with you.
  2. Give it time. You’ll likely try a lot of different techniques, treatments, and approaches as you figure out what’s best for your child. Stay positive and try not to get discouraged if they don’t respond well to a particular method. Autism Spectrum Disorder
  3. Take your child along for everyday activities. If your child’s behavior is unpredictable, you may feel like it’s easier not to expose them to certain situations. But when you take them on everyday errands like grocery shopping or a post office run, it may help them get them used to the world around them.
  4. Get support. Whether online or face-to-face, support from other families, professionals, and friends can be a big help. Support groups can be a good way to share advice and information and to meet other parents dealing with similar challenges. Individual, marital, or family counseling can be helpful, too. Think about what might make your life a little easier, and ask for help.
  5. Look into respite care. This is when another caregiver looks after your child for a period of time to give you a short break. You’ll need it, especially if your child has intense needs due to ASD. This can give you a chance to do things that restore your own health and that you enjoy, so that you come back home ready to help. Autism

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Autism Spectrum Disorder  Autism Spectrum Disorder

Anxeity Disorder-Piedmont Behavioral Services

Learn to Overcome Anxiety Disorder

Learn to overcome Anxiety Disorder

Anxiety is a psychological Disorder which causes stress, Nervousness, Fear, apprehension and worrying. It is an emotional disorder which can occur at any age and can affect anyone. Anxiety varies person to person, sometimes you feel butterflies in stomach, Nightmares, panic and painful thoughts and memories which are not in your control.

Recommended Post : What is Anger and How to Manage it

Difference Between Anxiety and Anxiety Disorder.

Anxiety is a general feeling of fear and worry. Anxiety is a normal reaction or realistic response to stress or different stressful situations. Anxiety alerts your internal body system to flight, fight or freeze. Anxiety is related to the specific situation or problem and it lasts long as the situation is.

Anxiety becomes a problem when it comes unexpectedly to an extreme and becomes uncontrollable. Then Anxiety becomes a mental illness which is known as Anxiety Disorder. It is Unrealistic and causes uncomfortable physical Sensations and Physical Problems. Anxiety Disorder lasts longer even when a problem is solved. A person feels Impossible to change or control a situation.

What Does it feel like when you have Anxiety:

Following are the Symptoms of anxiety. To be diagnosed as Anxiety Disorder you must have atleast 4 signs from the following symptoms.

  • Sweating
  • Trembling
  • Shortness of breath
  • Chocking sensation
  • Chest pain
  • Nausea
  • Dizziness
  • Fear of dying
  • Flushing
  • Increased heart rate
  • Sleep problems
  • Abdominal Pains
  • Dry Mouth
  • Irrational Fear
  • Panic attack
  • Restlessness, Fatigue
  • Feeling agitated
  • Tense Muscles
  • Feeling hot or cold Numbness

Types of Anxiety Disorder:

There are different types of anxiety disorder as mentioned below.

  • Panic: Intense fear or terror that develop quickly and unexpectedly.
  • Phobia: fear of any specific situation, object or activity.
  • Social Anxiety Disorder: It is fear of facing people, fear of socializing and going out.
  • Obsessive Compulsive Disorder: It is recreational thoughts and repeated actions of some specific things.
  • Hypochondriasis: It is anxiety/ fear about health.( either gaining or losing it)
  • Post Traumatic Stress Disorder: It is anxiety and stress after having a traumatic event.

What Causes Anxiety:

Anxiety can be caused by multiple reasons. It could be caused by biological factors in rare cases. In mostly cases it is caused by environmental factors. In adults it may caused by job issues, relationship issues with closed ones, marital issues, Traumatic events.

In teenage, it may be caused by issues in school, bullying, peer issues, issues in Study, Parental issues, communication with parents, attacks on self-esteem, etc.


Getting better means gaining control over worry. A number of psychological treatments have shown to help people with GAD, but cognitive behavioral therapy (CBT) produces the most consistent and long-lasting improvements.

It appears that the following components of treatment are most important:

  • An approach where people are taught skills to manage their anxiety, as well as taking responsibility for change and control over their thoughts, feelings, and behaviours.
  • Actively identifying and challenging worrying thoughts.
  • Relaxation training (usually a form of progressive muscle relaxation) to control physical tension.

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Some medications, such as antidepressants, have been shown to reduce worry and associated physical symptoms in people with GAD, but it appears that the improvements only last as long as the medications are taken. Benzodiazepines such as Valium provide temporary relief from symptoms, but are addictive. These drugs are not recommended for long-term use. Your doctor will be able to provide more information on medication, but used alone this treatment option will not be as good as when combined with CBT.

Management of the fight-or-flight response

There are two tasks:

  1. Solve the problem that is making you anxious
  2. Control your level of anxiety so that it helps you problem solve

People are often tempted to avoid threatening situations, but if you do, the anxiety will be worse the next time you are in that situation. The best strategy is to confront the feared situation. Usually, it is better than you thought, and if not, you will have learned valuable coping skills by confronting your fears.


  • Use relaxation methods, such as progressive muscle relaxation, as people with generalized anxiety tend to have increased overall levels of arousal.
  • Plan short-term activities that are enjoyable or distracting (particularly those activities that have been helpful in the past)
  • Exercise is helpful in managing worry, as exercising releases brain chemicals that counteract anxiety and low mood. It also gives time away from worries, and works off “nervous energy.” It is recommended that people do at least a half hour a day, three days a week, of cardio exercise.
  • Use structured problem solving to deal with stressors that may contribute to worry. When faced with difficult life problems, many people do not have adequate coping skills and consequently feel that they are not able to control what is happening to them. These feelings contribute greatly to the development of worry. While everybody has problems in their lives, these problems can become more apparent and more difficult to manage if you are prone to worry. Training in structured problem solving may be extremely useful. Effective problem solving skills can reduce, minimize, control, or even prevent excessive worrying in daily living.
  • If you avoid situations or activities because of anxiety, gradually confront the things you fear using graded exposure. For example, a hierarchy, depending on how fearful you find each step, could be:
  1. Not checking the phone for one hour
    2. Showing up late to a meeting
    3. Grocery shopping without a list
    4. Organizing a birthday party
    5. Accepting an invite without looking at your calendar first
    6. Leaving your mobile at home for the day
  • Use emotion regulation and mindfulness. Research suggests that worry may serve as a way of avoiding emotional processing. Engage in emotion regulation strategies and mindfulness skills as they will help you identify and experience underlying emotions.
  • Once you have identified and challenged your negative thoughts, practice shifting attention away from the thought. Mindfulness-based interventions can also help you remain present focused.
  • Avoid using sedative medication or alcohol to control your anxiety.

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Have Anger Management Counseling to live Happiest Life

What is Anger and How to Manage Anger Management Counseling


Anger is a normal and healthy emotion but when it becomes out of control it is destructive. Anger may lead to Biological and Psychological changes such as increased heart rate and blood pressure. Anger is a result of frustration. Anger Management counseling

What are the common types of Anger?

  • Passive Anger: Passive Anger is a type of anger which is unconscious.  A person with passive anger have self defeating behaviours like avoiding friends and family, Skipping from daily routine activities like job, work, studies, projects  or school, house hold activities.
  • Chronic Anger: Chronic anger is prolonged, affect immune system which can cause mental disorders.
  • Overwhelmed Anger: This type of anger is caused by life demands and wishes which are difficult to fulfil.
  • Self-Inflicted Anger: This is type of anger which is feeling of guilt that is directed towards self.
  • Judgmental Anger: This type of anger is directed towards others.
  • Volatile Anger: It is also known as hostile anger. This is violent anger. 
  • Petrified Anger: This type of anger is holding grudges for someone and refusing to forgive.
  • Jealousy Anger: This type of anger occurs from childhood due to lose of something or losing someone like parental divorce, feeling of rejection etc.
  • Road Aggression: This type of Anger is aggression of road, feeling disrespected if someone follows too close or overtaking while driving.
  • Conflictual Anger: It is the anger causes by arguing with someone or disagreement with someone.
  • Habitual Anger: It is the anger in which a person need to release his anger as a habit. 
  • Moralistic Anger: It is the anger which need power and right on others, superior to others.
  • Manipulative Anger: These type of people use anger to manipulate others e.g. screaming, crying, pouting, threating etc.

What are the main Causes of Anger?

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  • Sexual frustration
  • Premenstrual syndrome
  • Withdrawal from drugs/Medications
  • Physical or mental illness
  • Stress over financial problems or deadlines/due dates
  • Traffic issues/jams etc.
  • Bullied or teased
  • Hunger
  • Grief of losing loved one
  • Disappointment or failure
  • Rudeness
  • Tiredness

What are the techniques to control anger?

  • Relaxation

Breathe deeply,  Repeat the relaxation phrases like “take it easy”.

  • Cognitive Restructuring
  • Problem solving
  • Better communication
  • Using Humour. Anger Management
  • Change the environment

How to control your Anger

  • Recognize your Anger Signs

Your heart beats faster and you breathe more quickly, preparing you for action. You might also notice other signs, such as tension in your shoulders or clenching your fists. If you notice these signs, get out of the situation if you have got a history of losing control, say “Relax”. Anger Management counseling

  • Count to 10
    • Counting to 10 gives you time to cool down, so you can think more clearly and overcome the impulse to lash out.
  •  Breathe slowly.
    • Breathe out for longer than you breathe in, and relax as you breathe out. You automatically breathe in more than out when you’re feeling angry, and the trick is to breathe out more than in,” says Relax “This will calm you down effectively and help you think more clearly.

Anger Management Counseling in the long term

Once you can recognize that you’re getting angry and can calm yourself down, you can start looking at ways to control your anger more generally.

  • Exercise can help with anger
  • Bring down your general stress levels with exercise and relaxation. Running, walking, swimming, yoga and meditation are just a few activities that can reduce stress. Exercise as part of your daily life is a good way to get rid of irritation and anger.
  •  Looking after yourself may keep you calm
  • Make time to relax regularly, and ensure that you get enough sleep. Drugs and alcohol can make anger problems worse. They lower inhibitions and, actually, we need inhibitions to stop us acting unacceptably when we’re angry.
  • Get creative
  • Writing, making music, dancing or painting can release tension and reduce feelings of anger.
  • Talk about how you feel
  • Discussing your feelings with a friend can be useful and help you get a different perspective on the situation.
  • Let go of angry thoughts
  • Try to let go of any unhelpful ways of thinking. Thoughts such as ‘it’s not fair’, or ‘people like that shouldn’t be on the roads’, can make anger worse.

Thinking like this will keep you focused on whatever it is that’s making you angry. Let these thoughts go and it’ll be easier to calm down. Anger Management

Try to avoid using phrases that include:

  • always (for example, “you always do that”)
  • never (“you never listen to me”)
  • should or shouldn’t (“you should do what I want” or “you shouldn’t be on the roads”)
  • must or mustn’t (“I must be on time” or “I mustn’t be late”)
  • ought or oughtn’t (“people ought to get out of my way”)
  • not fair.

Anxiety, fear and anger

Sometimes when people talk about “anger”, what they actually mean is aggression. Often when people experience or appear to show anger, it’s because they’re also feeling fear or perceive a threat, and they’re responding with a ‘fight’ response to this. Anger Management counseling. You might be angry that something hasn’t gone your way. But you may also be scared that you might be blamed or hurt as result. Recognizing this might allow you to think and act differently.

Domestic violence and anger Anger Management

If uncontrolled anger leads to domestic violence (violence or threatening behavior within the home), there are places that offer help and support. You can talk to your therapist about your anger issues. Anger Management counseling

The Link Between Anger and Stress

Stress is healthy when controlled. Healthy stress is what gets us out of bed in the morning and makes us pay attention to the details throughout our day. This type of stress does not cause anger or irritability. For those who do not have enough stress in their lives, they are often referred to as “lazy” or “unmotivated.” Anger Management counseling

Distress, on the other hand, is a type of stress that causes many people to be irritable and sometimes downright angry. This happens when the stress is too much and is no longer a motivator. You can think of this as when there is a combination of stressors and things just keep piling up. One day, the person does not know how to handle this anymore and there is an anger outburst.

When you are feeling either stressed or angry, there is some other feeling that is fueling this. Often, it is being overwhelmed, feeling disrespected, helpless, fearful and so on. It is very important to look at the feelings behind the stress to better understand why you are having this reaction. Anger Management counseling

Once you have identified the feelings and thoughts associated with your stress, take a look at your environment. Do you live in a chaotic home environment or perhaps a have a work environment that is adding your stress? When you identify your environmental stressors, take some time to identify ways to limit these stresses in addition to changing the ways you are thinking.

Substances that often increase stress and anger:

  • Sugar
  • Caffeine
  • Excess food
  • Nicotine

Getting help with anger

If you feel you need help dealing with your anger, see your therapist and discuss about your anger issues. Best Psychiatrist Near You “Piedmont Behavioral Services” .Book Online Appointment just call @ 919.297.2930 or visit

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Want to know What Personality Disorder Is!

Personality Disorder
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Personality Disorder is a mental disorder which leads towards unhealthy thought patterns of perceiving, judgment, reasoning, thinking and behaving. People having personality disorder has issues in perceiving things and relating those things to situations and people. Personality disorder may occur in teenage or early adulthood. It becomes a disorder when it interferes and worsens the situations of daily life. It affects your relationships and professional life. People suffering from personality disorders have difficulty in dealing with everyday stresses, problems and control their emotions. People with personality disorder have difficulty in realization of their problem, according to them their thoughts and behaviors are normal and they blame other people for their problems.

Different Types of Personality Disorder

Personality Disorders are divided into three clusters that are mentioned below.

Cluster A Personality Disorders

Cluster A is composed of odd, strange and irregular thought patterns and behaviors.

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Paranoid personality disorder

  • Distrust or difficulty in trusting others.
  • Belief that others are trying to harm or deceive you.
  • Suspicious about others
  • Doubt on loyalty or trustworthiness of others
  • Irrational fear that others will use the information against you
  • Angry and Hostile behavior without justification due to lack of trust.
  • Propensity to hold grudges
  • Recurrent intuition that your sexual partner is unfaithful

Schizoid personality disorder-Piedmont Behavioral Services

Schizoid personality disorder

  •  Like to be alone
  •  Introverted
  •  Lack of interest in social or personal relationships
  •   Lack of emotional expressions
  • Lack of interest in activities
  •   indifferent to others
  •   Lack of interest in sexual life.
  •   Fear of closeness and intimacy to others
  •   Daydreamer rather than taking actions

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Schizotypal personality disorder

  • Unusual thoughts, beliefs, behaviors and speech
  • Odd perceptual experiences, such as hearing a voice someone is whispering your name.
  •  Flat emotions or inappropriate emotional responses
  • Anxiety in social situations
  •  Discomfort with close ones
  •  Different, awkward, inappropriate or suspicious response to others
  • Belief that some incidents or events have hidden messages meant only for you.
  • Believe that you can see future, reads others mind and influence people and events with your thoughts.
  •  Difficulty in forming relationships.
  • May talk to themselves

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Cluster B

Cluster B is composed of people that are dramatic, overly emotional or having unpredictable thinking or behavior.

  • Antisocial personality disorder
  • Aggressive and violent behaviors
  • Impulsive behavior
  • Irresponsible behavior
  •  Disrespecting others
  • Repeated violation of the rights of others
  • Disregard for the safety of self or others
  • Violent relationships

Borderline personality disorder

  • Impulse and Risky behaviors
  • Unstable/poor self image
  •  Mood fluctuations
  • Suicidal behaviors, threats to self injury
  • Intense fear of being alone
  • Feelings of emptiness
  •  Intense Displays of anger

Histrionic personality disorder

  •  Attention Seekers
  • Emotional Dramatic
  • Easily influenced by others
  •  Speaks dramatically with strong opinions
  •  Shallow, changing emotions
  •  Conscious about physical appearance

Narcissistic personality disorder

  •   Belief that you’re special and more important than others
  •   Fantasies about power, success and attractiveness
  •   Failure to recognize others’ needs and feelings
  •   Exaggeration of achievements or talents
  •   Expectation of praise and admiration.
  •   Unreasonable favors from others

Cluster C personality disorders

Cluster C is composed of people that are anxious and fearful thinking and behavior.

  • Avoidant personality disorder
  • Over sensitive about rejection or criticism
  • Avoiding new activities
  •  Avoid meeting strangers
  •  Extreme shyness in social situations
  •  Lack of expressions in personal relationships

Dependent personality disorder

  •  Extreme dependence on others to get care
  •  Lack of self confidence
  •  Confused Decisions
  •  Excessive advice and reassurance from others
  •  Difficulty disagreeing with others
  •  Urgent need to start a new relationship when a close one has ended
  •  Obsessive-compulsive personality disorder
  •  Rigid and stubborn
  •  Inflexible about morality, ethics or values
  •  Tight, miserly control over budgeting and spending money
  •  Shows perfectionism that interferes with task completion
  •  Having difficulty in making and maintaining relationships.
  •  Difficult to express feelings.