Pediatric and adolescent angst…

https://nyti.ms/3e9luKJ

Ci, the gender non-binary person from Utah, described the physical symptoms of panic attacks (not the physical symptoms of depression, as Ci had stated) starting in the 3rd grade.
Both diagnoses can give debilitating symptomatology. Both diagnoses often cohabitate the same sufferer.
The misinterpretation of symptoms (by a patient/client) and the misdiagnosis by a medical professional may send a patient/client down the wrong path of therapies for years.

As an aside, many who suffer with undiagnosed, or untreated, panic disorder will often become depressed due to the persistent dysfunction and disability from the panic.

For a variety of reasons, many of our pediatric and adolescent population develop extremely uncomfortable psychological symptoms (loneliness, sadness, fear, shame, embarrassment, anxiety, abandonment, etc).
If there is a significant delay in communicating, or a total lack of communicating, these symptoms to an appropriate, helpful, adult, then the natural drive to “self-explain”, or self-treat these psychological discomforts falls on the youngster, who has to use any source or means available to their young minds.
Often there are seemingly adequate explanations for these discomforts, by observing their friends and family, or by watching and listening to a variety of media.
Self-treatments (anything to decrease the internal tensions and unpleasant feelings) for these youngsters include everything from avoidance, to isolation, to distractions (e.g. screentime), to self-medication, to self harm.

Charles Tadros, M.D.

August 30, 2022

Saint Louis, Missouri

IS THE WAY THAT YOU THINK, SPEAK, AND ACT WHILE AWAY FROM WORK CONSISTENT WITH HOW YOU PERFORM THESE ACTIONS WHILE AT WORK? IF NOT, THEN YOU ARE NOT BEING INTERNALLY AND EXTERNALLY CONSISTENT. YOU ARE NOT WALKING YOUR PATH. THIS DISSONANCE CREATES TENSIONS WHICH, EVENTUALLY WEAR YOU DOWN, EITHER PHYSICALLY OR MENTALLY. EVENTUALLY, ALL THIS COMES CRASHING DOWN, AFFECTING YOUR PERSONAL LIFE AND YOUR FINANCIAL HEALTH. IT MAY TAKE YEARS, EVEN AS LONG AS DECADES, TO REACH THIS BREAKING POINT, BUT YOUR MIND’S NEED TO RESOLVE (or at least decrease) THESE INCONSISTENCIES IS UNRELENTING.

Charles Tadros, M.D.

August 26, 2022

Saint Louis, Missouri

CHILDHOOD TRAUMA AND NEGLECT AFFECT US, BUT DO NOT HAVE TO CONTROL US…

Parents’ behaviors may range from somewhat to totally pathological.  Often this is due to their own mental health issues, ignorance, how they were treated, or how they were taught to raise children.

I’m a firm believer that our traumatized adults (who may have everything from personality issues, to depression, to anxiety, to PTSD to ADHD) have to be shown/taught WHAT their parents did/didn’t do to them/for them (identify and put a name to the actions), potentially WHY the parents did such things (often admitting there is no way for us to know for sure), ACCEPTING (not forgetting, but not necessarily forgiving, either) that these events happened, then with current talk therapy and other techniques, UNLEARN habits/behaviors/internal talk, while REPLACING these habits/behaviors/techniques with more healthy/less dysfunctional habits/behaviors/techniques.

The hardest part is the FORGIVENESS OF ONE’S SELF for the shame, guilt, and the lost/wasted: time, money, energy, opportunities, and relationships.

https://www.psychologytoday.com/us/blog/childhood-emotional-neglect/202208/raised-parents-low-emotional-intelligence

Charles Tadros, M.D.

August 25, 2022

Saint Louis, Missouri

I ASK PATIENTS TO NOT SUDDENLY STOP SUBSTANCES SUCH AS ALCOHOL, BENZODIAZEPINES (Valium, Xanax, Ativan, Klonopin, Tranxene, etc.), OR SEDATIVE-HYPNOTIC DRUGS (these are sleep aids, which are typically long-acting benzodiazepines such as Ambien, Lunesta, Restoril, Dalmane, Halcion, etc.) WITHOUT PROFESSIONAL HELP. SUDDEN CESSATION OF THESE PRODUCTS MAY LEAD TO SEIZURES AND DEATH.

Often, unintentionally, or due to fragmentation of care, or due to improper documentation/lack of review of documentation, or due to concealment by the patient, some patients are also using alcohol while taking a benzodiazepine along with a sleep aid. The combination of 2 or 3 categories of products are especially dangerous (excessive sedation, confusion/delirium, falls, or respiratory arrest). Additionally, when trying to suddenly discontinue 2 or 3 categories of products all at once, there is a significantly increased risk of seizures and death.

Charles Tadros, M.D.

August 17, 2022

Saint Louis, Missouri

IS A 4-DAY WORK WEEK BETTER FOR MENTAL HEALTH THAN THE 5-DAY WORK WEEK? WHAT ABOUT THE HEALTH BENEFITS OF A 3-DAY WORK WEEK, OR A 2-DAY WORK WEEK? PART OF THE PROBLEM IS THAT GETTING BACK INTO A TRULY PRODUCTIVE WORK MODE TAKES SOME REORIENTATION, EFFORT, FOCUS, AND TIME. IT’S LIKE STOP-AND-GO TRAFFIC… IT TAKES QUITE A BIT OF ENERGY TO BOTH SLOW DOWN THE MOMENTUM, AND THEN GET BACK UP TO SPEED.

Do most jobs or projects really require an 8-hour work day (or really, when taking into account breaks and lunch time, a 7.5 hour or 7 hour workday)?

Charles Tadros, M.D.

August 16, 2022

Saint Louis, Missouri

WORKERS WANT THEIR BOSSES TO CATCH OTHER WORKERS NOT DOING THEIR JOBS. BOSSES CANNOT RELY ON WORKERS TURNING IN THEIR COLLEAGUES AND FRIENDS, EVEN THOUGH POOR PERFORMANCES FROM SOME WORKERS SHIFT MORE WORK, RESPONSIBILITIES, AND RISK ONTO THEIR FRIENDS AND COLLEAGUES.

Charles Tadros, M.D.

August 12, 2022

Saint Louis, Missouri

SOME PEOPLE HAVE TO SHOW US HOW MUCH THEY ARE PAINED, SADDENED, OR DESPAIRED. TOO OFTEN THESE PEOPLE DON’T HAVE THE WORDS TO DESCRIBE, OR CAN’T EFFECTIVELY USE THEIR WORDS TO DESCRIBE, THE MAGNITUDE AND INTENSITY OF WHAT THEY FEEL OR WHAT THEY HAVE EXPERIENCED.

Expression of such strong emotions may lead to equally strong responses and reactions, such as:

graffiti

creativity and art

piercings

tattoos

mood disorders, anxiety disorders, personality disorders

self harm

substance abuse

high risk behaviors

violence

Charles Tadros, M.D.

August 10, 2022

Saint Louis, Missouri

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