Category: medications

Being Paranoid

A person who is paranoid has fears, such as being watched, harmed or poisoned. He or she does not trust others and is suspicious that others are “out to get” him or her. These seem very real.

It’s normal to wonder if people are talking about you when you hear them whispering as you walk into a room. These thoughts are usually passed off and not dwelled upon for most people. We give them little credence. Not a problem.

A person who is paranoid, however, does dwells upon suspicious thoughts. He or she goes out of their way to prove their suspicions even though no evidence exists to confirm their thoughts. It’s very hard to reason or speak what is real.

Paranoia is usually found in small degrees in almost every mental illness.

Symptoms

  • Use and/or withdrawal of certain drugs, such as marijuana, crack cocaine and angel dust (PCP)
  • Alcohol withdrawal
  • Deafness or problems with hearing
  • Illnesses that affect the central nervous system, such as Alzheimer’s disease or other dementias, a stroke, a brain tumor
  • Mental illnesses, such as bipolar disorder or schizophrenia
  • Paranoid personality disorder, (PPD)

How to Recognize Paranoia

A person with paranoia may also:

  • Appear cold and aloof
  • Be withdrawn and anxious in social situations
  • Act stubborn and combative
  • Appear “on guard” at all times, out of fear of being controlled or harmed

A paranoid person also:

  • Complains about his or her health and often feels vulnerable and inferior to others
  • Holds grudges easily
  • Displays bitterness and resentment toward others
  • May be easily drawn into religious cults or other groups with strict beliefs
  • Is quite susceptible to conspiracy theories, religious or political
  • Can have delusions of being persecuted

Treatment

Treatment for paranoia depends on its cause. If it is a symptom of another condition, treatment for the condition will often take care of or lessen the paranoia. Paranoid personality disorder is treated with counseling, support therapy and often with medication. Treatment for this disorder is not easy, though, due to the nature of paranoia. Persons who are paranoid often do not trust others including doctors, therapists or family members trying to help them get treatment. It is likely that you will need to intervene, patiently and gently. 

Ministering to the paranoid treatment requires a huge commitment. Typically you’ll see lots of anger as they confront others of mistreating them.

What You Can Do for a Friend or Relative

The most important thing you can do is to encourage your friend or relative to get professional help. Be aware that you may need to make the initial appointment with a professional. You may also need to take them to the appointment and stay with them. Be supportive. Paranoia requires patience, understanding, love and encouragement of the person’s loved ones and friends.

Those close relationships are typically what frees a person who struggles.

Be aware of the types of medication your friend or relative takes and when they should take it. You should also alert their physician or psychiatrist to any side effects that you notice when they do or do not take their medication. 

If I may, I would suggest a movie for you, “A Beautiful Mind.”  This may give you a little insight.

Further Resources

Cleveland Clinic PPD Introduction Site http://my.clevelandclinic.org/disorders/personality_disorders/hic_paranoid_personality_disorder.aspx

Suite 101 PPD Site http://personalitydisorders.suite101.com/article.cfm/paranoid_personality_disorder

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A Sound Mind

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“A sound mind.” For some of us that doesn’t seem remotely possible. We’ve come to believe this is only true for others, maybe, but not me. As mentally ill people we seem to think that we shouldn’t be this way. Given enough time our illness becomes fused to our spirit and soul. We buy the lie and choose to live defeated. Only the Lord Jesus can break this chain.

Healthy thinking is a wonderful gift. That’s important to note. I can’t earn it; nor can I fabricate it. It must be simply acknowledged and received as a bonus. We must come humbly and broken. I suppose that is where we become the happiest and healthiest.

In 1 Timothy 1:7 we’re told that we have a salvation that includes:

  • incredible power,
  • love,
  • and a sound (healthy) mind.

These three are a gift from God. You don’t buy a gift, nor do you earn it. Rather it comes from Someone who loves you (!) and only wants to restore you. We may have issues, but the Spirit is sound and lucid. He speaks so we understand.

Afflicted people will find what they need from the Holy Spirit of God. Mental illness isn’t a death sentence. Rather it’s a grand opportunity for God to teach us about His power in the middle of our pain.

The healthy mind is one that is clear and life-giving. It is without any sick or crippling deficiencies. It’s a mind that is vigorous and robust. Those of us who struggle with a mental illness this is fantastically good news. And it maybe that you’re certainly impaired but even then you’re given a strength to use in service in the body. Everyone has a gift and calling.

There is nothing worse than fighting through muddled thinking when you’re having mental issues. Names, dates and memories disappear in the fog. It can be frightening. I know what it’s like to be afraid of one’s own mind. It seems like it’s trying its best to kill me. (Some of you can ‘read-between-the-lines’ and understand exactly what I am saying.)

My own experience is that the Holy Spirit is working, with my meds, to hold me in a good place. Just as a diabetic must take insulin, so I need to take my antidepressants. The brain is an organ that can get sick also. We live in a fallen and broken world. We are human and therefore vulnerable just like anyone else. (Somehow, we imagine better.)

Grace does heal many, but there are some who will find ‘weakness’ becoming their real strength.

The very presence of the Holy Spirit is what enables. Broken believers are coming to see that their illnesses are helping them to be weak enough for God to use. It’s not how strong you are, but it’s how weak. “It is not that we think we are qualified to do anything on our own. Our qualification comes from God,” 2 Cor. 3:5, NLT.

— Michael Yaconelli

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“When the Japanese mend broken objects, they aggrandize the damage by filling the cracks with gold [‘kintsukuroi’]. They believe that when something’s suffered damage and has a history it becomes more beautiful.”

–Barbara Bloom

 

 

The Sheer Hopelessness of Mental Illness

 

Bear with me please. This was written in March of 2012.
Right or wrong, it was where I was at with my illness. I hope it will bless, and bring hope into that situation that seems very hopeless:

“The Lord is near to the brokenhearted
    and saves the crushed in spirit.”

Psalm 34:18

Depression makes you understand hopelessness.

I’ve seemed to have settled down into a blackness that defies all explanation. I’m dodging being hospitalized, and they can’t put me where I don’t want to go. I don’t want to be locked up again. I’ve been hospitalized four times for depression. Six months of my life wasted.

It’s the hopeless/helpless thing, a “one-two” punch that is the most devastating to me. It crushes and pulverizes until I lie in this sad pathetic mess I’ve become. Dante had it dead-on when ascribed the gates of hell with the words, “Abandon hope, all ye who enter here.” In hell you’ll know what despair is really like. Perhaps heaven and hell really do start here?

And there was another writer, just as clever, said something along these lines,“Shut up! Unless you have been lost in this particular section of hell before,  just be quiet.”

And perhaps we should? Nothing can trump personal experience. The survivors, if you can find them, will understand what I’m saying. 

How is it,
People fear the dark?
Not me, I’m reconciled
as every day I see
the blackness grow,
I’ve come to terms with it,
it knows I know.

–Rod McKuen, Alone

Hopelessness swirls me around and I feel like a bug going down a drain. Thoughts of suicide are becoming more concrete and despair is becoming a frequent visitor.  Mental illness is frightening. Those who have experienced it, will learn not to say anything, but pray.

Durability may ultimately prove to be the most significant factor in this “mixed state” of Bipolar disorder that I am wandering through at the moment. Can I outlast these demons that plague me? My irrational mind plays tricks on me, I see mirages of wholeness and peace, but they don’t seem  real. It is a big, fat lie. It is nothing but a delusion, or a trick of the brain. 

And yet something inside of me steadfastly hopes for God’s grace and mercy. 

I can’t explain this.

I know that Jesus has conquered the dark. I must cling to Him. I must let this darkness go. He’ll need to work this out.

Up and down, side-to-side, where it stops, no one knows?  But God…and right now He isn’t saying. Jesus hold on to me. I hold on, by faith to the promise given to me–

“And I am sure of this, that he who began a good work in you will bring it to completion at the day of Jesus Christ.”

Philippians 1:6

I don’t mean to be this raw. Sometimes I just let it “all hang out.” I hope you’ll forgive me if I’m too open. I just wanted you to have a picture of a “broken believer” and more so of the grace that saves me.

I know He loves me. I somehow cling to this.

 

Social Anxiety Understood

“In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach-it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.”

“When I would walk into a room full of people, I’d turn red and it would feel like everybody’s eyes were on me. I was embarrassed to standoff in a corner by myself, but I couldn’t think of anything to say to anybody. It was humiliating. I felt so clumsy, I couldn’t wait to get out.”

Social phobia, also called social anxiety disorder, is diagnosed when people become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation.

This fear may become so severe that it interferes with work, school, and other ordinary activities, and can make it hard to make and keep friends.

While many people with social phobia realize that their fears about being with people are excessive or unreasonable, they are unable to overcome them. Even if they manage to confront their fears and be around others, they are usually very anxious beforehand, are intensely uncomfortable throughout the encounter, and worry about how they were judged for hours afterward.

Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or maybe so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the family.

Physical symptoms that often accompany social phobia include blushing, profuse sweating, trembling, nausea, and difficulty talking.

When these symptoms occur, people with social phobia feel as though all eyes are focused on them. 

Social phobia affects about 15 million American adults. 

Women and men are equally likely to develop the disorder, which usually begins in childhood or early adolescence. There is some evidence that genetic factors are involved. Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse may develop if people try to self-medicate their anxiety.

The use of anti-anxiety drugs may be used and they can help you get through “bad patches” when anxiety becomes too much. It’s possible that these meds can help. Let your doctor guide you.

Understand that social anxiety can be successfully treated with certain kinds of psychotherapy or medications. You probably should find someone who understands what you’re dealing with. They need to be good listeners and have an encouraging voice.

Bringing in a pastor or elder must be considered.

Prayer and counsel are critical. Holding on to God’s promises is necessary and as you deal with this it can be God’s way of strengthening your walk. The Word is packed full of His promises. The Lord knows-He wants you to take up and understand what He wants to give you in this.

“Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.”

Isaiah 41:10