Anxiety disorders taking toll on literate, urbanised states – Times of …

The burden of anxiety disorders is growing across India, especially in the literate and urbanized states, shows the country’s first state-level disease charts published in The Lancet last week.

While anxiety disorders were in the 40th place in 1990 as a contributor to disability adjusted life years (DALYS)—the World Health Organization’s special scale to measure loss of ‘healthy’ years—it climbed to the 26th place in 2016. In fact, the study listed it among the top 10 causes for morbidity across India in 2016 (in terms of YLDs or years lived with disability).

Anxiety disorders, which range from generalised fear to panic attacks and obsessive compulsive disorders, are generally not as crippling as depression but can cause disability and hit economic production.

Maharashtra, Delhi, Andhra, Karnataka and Kerala are among 10 states (see box) that have more problems due to anxiety disorders, said the study. These states also made the transition from communicable to non-communicable diseases, indicating they are more urbanised and literate.

“Urbanisation is a contributor to higher levels of anxiety disorders and depression,” said Dr Pallabh Maulik, an AIIMS-trained psychiatrist who is with the Delhi-based George Institute for Global Health.

The National Mental Health Survey of India 2015-16 said urban metros were witnessing a growing burden of mental health problems that result in disabilities and affect work, family and social life.

Mumbai-based psychiatrist Harish Shetty said anxiety is the mother of all mental illnesses. Making a distinction between anxious thoughts and anxiety disorders, Dr Shetty said, “In this quick and uncertain world, anxiety is ubiquitous. About two-thirds would be anxious while about 10% would have some anxiety disorders.”

Many with anxiety disorders could progress to depression, which is the leading cause for self-harm and suicides. “The key message is that anxiety disorders cannot be ignored. Some of these people could be at the start of a depressive disorder and should be helped at the earliest,” said Dr Maulik.

In recent years, research has linked anxiety disorders to mortality as well. A study by the University of Edinburgh published in the British Medical Journal in July 2012 said that mild mental health problems could be linked to increased risk of death from major causes. A Dutch study in the British Journal of Psychiatry in 2016 said the risk of death by natural and unnatural causes was significantly higher among individuals with anxiety disorders as compared with the general population. It also quoted a meta-analysis about approximately five million deaths worldwide being attributable to mood and anxiety disorders each year.

However, doctors said people with most anxiety disorders could be helped easily. While severe forms of anxiety disorder will need medication, they said that many eastern practices could help the affected persons. “Be it meditation or yoga, eastern practices help people check general anxiety or anxiety disorders,” said Dr Shetty.

Breaking the Obsession: Children suffering from OCD |

HAMPTON ROADS, Va. – Obsessive Compulsive Disorder is a debilitating disorder that millions of people suffer from nationwide. It doesn’t just plague adults, it also affects children.

Doctors say children as young as three years old have been diagnosed with OCD, but there are signs parents can look out for to help their children cope with the disorder before it takes over their lives.

Doctors say OCD begins as an obsession developed from anxiety. They say patients become fixated on their obsession and in order to relieve the stress that comes with their obsession, they perform a certain behavior, which they call a compulsion.

Emily Woodhouse was only in second grade when she was diagnosed with OCD. She says her obsession when she was younger was with germs, specifically germs on her classmates.

“If they didn’t wash their hands I would track them throughout the day and would not touch anything that they touched,” said Woodhouse. “It was just a lot of work tracking everyone like if they touched the water fountain I guess I wasn’t drinking water anymore.”

The pressure of tracking germs eventually caught up to Woodhouse, leading her to breakdown in front of her mother one day.

“We were in the bathroom and she put her purse on the ground and when she went to pick it up I said, ‘Shouldn’t you wash your hands first?’ and then I burst into tears.”

Woodhouse was put into therapy and underwent Exposure and Response Prevention (ERP) therapy. Doctors describe the treatment as putting patients into situations that expose them to their obsessions and keep them from performing the compulsions that they typically did. Woodhouse says the therapy helped, but years later she developed another trigger – instead of germs, it was an obsession with death.

“I thought when I woke up everyone would be dead,” said Woodhouse. “I would sit in the car for a good amount of time going through all types of scenarios and then would stay awake at night and think, ‘Well if they are going to be dead, maybe I should just call the police now.'”

More therapy eventually helped Woodhouse cope with her thoughts about death. Doctors say that OCD is not a curable disorder, but if patients are able to figure out their triggers they are able to cope with the anxiety that may arise in their lives. When it comes to children, doctors say parent may be able to get help for their kids before OCD becomes debilitating.

“The earlier we diagnosis OCD, the less those compulsions are ingrained so they are easier to treat at that point so they haven’t affected life so they aren’t affecting your quality of life,” said Dr. Ryan Light of Tidewater Medical Center. “The earlier we can begin Cognitive Therapy as well as the ERP Therapy, the earlier it’s going to be treated and the better the results are.”

Dr. Light says parents should be on lookout for repeated behaviors or anxiety that comes when a child is unable to perform a certain task before starting another one.

More information about OCD in children can be found here.

Judge rules dog can stay in clash that pitted two Ohio State sorority sisters

Cory will stay with roommate Madeleine Entine at the Chi Omega house, a federal judge ruled Friday morning.

U.S. District Judge Algenon L. Marbley issued a preliminary injunction against Ohio State University that prohibits removing Entine’s “assistance animal” because a sorority sister blamed the dog for aggravating her allergies and Crohn’s disease.

“Under clearly established law, Entine and Cory prevail,” Marbley wrote in his 21-page opinion.

Entine suffers from severe anxiety that causes panic attacks that can leave her immobile and gasping for breath, which qualified her for the protection under the Americans with Disabilities Act, Marbley said. Entine said she has trained Cory, an 8-year-old Cavalier King Charles Spaniel, to be her “assistance animal” that helps her overcome the attacks by resting on her torso.  

It was unclear, Marbley said, whether Carly Goldman, who contended that Cory aggravated her Crohn’s disease, ever requested an accommodation under the ADA for her allergy. Crohn’s is a painful inflammatory bowel disease.

It was clear, the judge said, that the university’s ADA coordinator, Scott Lissner, who said Cory had to go, “did not even establish that it was Cory who aggravated the symptoms of Goldman’s disability.”

Entine’s lawsuit was filed against Lissner.

Marbley acknowledged that, for Lissner, “this case is about a thorny and largely unmapped legal issue: how the University should reconcile the needs of two disabled students whose reasonable accommodations are (allegedly) fundamentally at odds.”

The preliminary injunction stays in effect until the case goes to trial.


Mentally Ill Millennial: Anxiety at 26

Trigger warning: Article discusses mental illness, panic attacks, and self-harming behaviors.

Mental illness is not a new or unusual concept. Human beings’ brains are wired in such a way that allows for specific errors to occur. While these errors are problematic, they’re not a sign of personal failure or inferiority. They are simply an unfortunate side effect of being human. That being said, though, there’s a lot of misconceptions surrounding mental illness. This is particularly true of anxiety disorders.


Anxiety disorders are some of the most common mental illnesses, so it makes sense that they get a lot of attention. However, more attention also means more potential for misunderstandings. As a person who deals with severe anxiety on a daily basis, I think it’s important to clear up some of these issues.

Anxiety: The Facts

What is Anxiety?

First, let’s get some basic facts straight about anxiety disorders. Let’s get one thing clear right off the bat: anxiety disorders are more than just feeling “anxious.” I can see how people would make that mistake since in our cultural lexicon “anxiety” is frequently used as a general description.

But while feeling anxious is a normal part of being a human, anxiety disorders go beyond just general feelings of nervousness. A neurotypical person might get anxious before giving a speech, or a big test. That’s normal.

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What’s not normal is when these nervous feelings linger or begin to interfere with a person’s day to day life. Once normal functioning starts to be affected, that’s when you likely have an anxiety disorder. Why do I keep using the term anxiety disorder?

Well, that’s another misconception. Even when they acknowledge it as a mental illness, most people think of anxiety in one specific way. But there is not one defined way to have anxiety. In fact, there are many subcategorical disorders.

Types of Anxiety

What most people think of is likely Generalized Anxiety Disorder (GAD). This is the general excessive worrying that is taken to an unhealthy extreme. People with GAD may find it difficult to control their thoughts or to address their fears face-on. However, another thing many people think of when they think of anxiety is a panic attack. While people with GAD may have panic attacks, people who deal with them are more likely to have Panic Disorder.


One of the defining characteristics of Panic Disorder that sets it apart from GAD is the fear of panic attacks. People with Panic Disorder will legitimately live in fear of having another panic attack. This greatly impacts their standard of living. Panic Disorder often goes hand in hand with Agoraphobia. Agoraphobia is the fear of the outdoors, but in this context means that people with panic disorder are afraid to leave their house for fear of having a panic attack in public.

GAD and Panic Disorder are the most common subsets of anxiety disorders, but there are many more. One familiar subset is social anxiety, which happens when a person gets incredibly anxious about social settings. Think about going to a party where you won’t know anyone, or speaking to a roomful of strangers. These are situations that a neurotypical person might find nerve-wracking. But again, what sets this apart from normal nerves is the extent to which it impacts a person’s life.

Other mental illnesses may often have components of anxiety. Obsessive Compulsive Disorder (OCD), for example, is often related to feelings of anxiety. Obsessive thoughts are often related to something that makes the thinker anxious, and compulsions are used to offset these feelings. Post-Traumatic Stress Disorder frequently includes panic attacks when confronted with specific triggers.

Anxiety Symptoms

Obviously, many of the symptoms of anxiety disorders are mental or emotional. Think of extreme nervousness, fear, and panic. But what makes anxiety disorders so dangerous is that they are frequently accompanied by physical symptoms as well. This isn’t that radical a concept, of course. Anyone who has ever been nervous before a big speech can sympathize. Who hasn’t dealt with sweaty palms, an increased heart rate, or similar feelings?

Mental Health In the Media When Done Right

But again, what makes these symptoms problematic is when they fail to dissipate or negatively impact a person’s life. That person with sweaty palms who just gave a speech will likely calm down after their speech is over. But a person with GAD, for example, will likely continue to present these physical symptoms for a good while. This person may also be experiencing the physical symptoms of anxiety without a specific cause, which of course makes it difficult for the symptoms to dissipate because there is no trigger to move beyond.

The combination of symptoms is especially difficult for people with Panic Disorder. Panic attacks are a terrible combination of mental and physical symptoms. Oppressive fear joins in with racing heart rate, inability to breathe, headaches, even fainting. This explains why people with Panic Disorder are often agoraphobic; no one wants to have a panic attack in public if you know you might pass out.

Who Gets Anxiety?

Anxiety is one of the most common types of mental illness. According to the Anxiety and Depression Association of America, as many as 40 million adults in the United States experience an anxiety disorder in a given year. Anyone can deal with an anxiety disorder, though there are risk factors that make a person more likely to deal with one. Women are more likely than men to suffer from anxiety disorders. A person with a family history of anxiety or other mental illness is more likely to have an anxiety disorder.


Co-morbidity is also a risk factor. Co-morbidity refers to when a person deals with two or more illnesses at the same time. Mental illness has a high rate of co-morbidity, both with other mental illnesses and with physical illness. Co-morbidity is extremely prevalent in anxiety patients. One study found that almost half of all patients with a mental illness had at least one other presenting mental illness. In GAD and panic disorder, there is a high rate of co-morbid depression.

Young people are increasingly likely to develop an anxiety disorder. The ADAA estimates that one in eight children has an anxiety disorder. This is an extremely important point because younger generations often have a reputation — a distinctly negative reputation — for being oversensitive and weak. Terms like “special snowflake” and “participation trophy” seem designed to mock young people for their perceived weaknesses. But they aren’t weak. They are ill. These stereotypes are extremely harmful because they discourage young people from seeking treatment and undermine their health.

My Anxiety: A Journey

This might all seem pedantic and unnecessary to those who have never dealt with anxiety or never have a loved one suffering from an anxiety disorder. But for me, it’s incredibly personal. I deal with anxiety on a daily basis, and it affects my life. This has been a long, difficult journey, and my life is vastly different from what I thought it would be when I was younger.


I didn’t always have anxiety. In fact, when I was younger, I was distinctly un-anxious. I dealt with the layman’s anxiety, the nerves before a big speech type (I didn’t even use to get anxious over tests. I miss those days). What I did deal with were other mental illnesses. I was diagnosed with bipolar disorder at 18, but that wasn’t the start of my journey. For me, it began when I was 14 and had my first depressive episode.

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I was away on a school trip; it was my first big trip away from home on my own. I was having a blast until suddenly I wasn’t. It was as simple as that like someone had flipped a switch. At 14, I had no idea what was happening to me. I went from having the time of my life, having light-hearted good times with friends, to hiding under a table in an abandoned room and crying. That might sound over-dramatic and exaggerated, but honestly, that’s what it was like for me.

I went through the rest of high school with no treatment. Similar episodes happened from time to time, but I never sought treatment. I attempted suicide and began to self-harm. I was as lost as I can imagine. On paper, my life seemed pretty good. I wasn’t well-off, but I had a decent home life, I was very successful academically, and I had great friends.

So why was I always sad? Unfortunately, that’s not an uncommon story for many young people dealing with mental illness. A person can have an outwardly perfect life and still deal with mental illness — because mental illness has nothing to do with a person’s circumstances and everything to do with brain chemistry.

Turning Point

When I was 18, I attempted suicide again. This time, I ended up in the hospital. I was put on academic probation at my college, and I would only be allowed to return if a psychologist deemed me stable enough. What could have completely derailed my life ended up being the best thing for me. Because I was forced to see a doctor, I was eventually able to be diagnosed with Bipolar II Disorder.

That doctor was terrific because he listened to me. I had often felt like no one could understand what I was going through. And while he may not have personally gone through everything, this doctor trusted me to be honest and open with him. I was initially being treated for depression, including taking anti-depressants (which, for the record, is incredibly dangerous if you have bipolar disorder). But when things weren’t adding up for me, I raised the topic of bipolar disorder.


Rather than dismissing my thoughts or decrying internet research, the doctor believed me and agreed to run some tests. Because he was willing to trust me, I was correctly diagnosed. But more than the diagnosis was the peace I felt at that trust.

When you deal with mental illness, you often feel incredibly alone and isolated, which of course only makes things worse. This doctor reinforced to me that I can trust in other people, and not assume that everyone has it out for me. Seven years later I still thank that doctor for saving my life.

That is not to say everything magically got better. In fact, it got much worse.


When I returned to school, I faced several hiccups in accessing mental health care. I stopped taking my anti-depressants because I didn’t like the way they made me feel. While I may have been right, it is never a good idea to change your own medicine without medical supervision. Worse, I did not begin taking anything else to help tackle the mood swings of my bipolar disorder. And on top of that, I stopped seeing the psychologist and did not restart therapy.

There were mitigating factors, of course. The Counseling and Substance Abuse Services at my school was not set up to treat long-term issues, but rather, minor issues like homesickness, stress, or alcohol infractions. So although they tried to accommodate me, they eventually ended up pushing me out to see a community doctor.

The problem with that is that it is incredibly difficult to access mental health care in our country. At the time, I was 19 years old, with crappy insurance and almost no income. I couldn’t afford to see a doctor consistently and frequently, and I couldn’t provide medication when my insurance would regularly refuse to cover it.

Millennials, Meme Culture, and Mental Illness

The lack of treatment, combined with increased stress at school, eventually led to a relapse. After another bout of suicidal ideation, I was back to being treated. Except for this time, I ended up getting the right treatment. I was finally put on mood stabilizers, three years after my initial bipolar diagnosis. I saw a therapist weekly, which was very important when I developed PTSD after a very distressing incident.

This PTSD was my first brush with anxiety. It was incredibly difficult for me because, despite my long-running issues with depression, suicidal ideation, and mood swings, I still had not truly experienced anxiety. While PTSD isn’t quite the same thing, it was still a challenging experience. I started to have panic attacks and trouble sleeping. Soon, though, it would get worse.


What led to this? I made a rookie mistake — I graduated college and thought I was ready to be an adult (spoiler alert: I wasn’t). I moved away to go to law school, which ultimately derailed my life. For the first time, I was incredibly anxious about school. The overwhelming stress I felt impacted my ability to be successful, and I eventually dropped out.

On top of the academic success was a growing agoraphobia. I moved to a bad neighborhood because it was all I could afford in the city where I moved. I was afraid to leave the house by myself because I did not feel safe. At one point, while a friend was visiting, we were attacked on the metro. Although no one was seriously injured, it only added to my fears of the outdoors.


After dropping out of law school, I moved back to the city where I went to college. I was able to get into a low-cost community clinic, where I began seeing an excellent therapist and an excellent psychiatrist. The psychiatrist diagnosed me with panic disorder, and it was an appropriate diagnosis. I had panic attacks, then panicking about having panic attacks. I was afraid to leave the house, which was impacting my daily life.

My therapist was a true angel as I dealt with this. I had to take the bus to get to my appointments, which was nerve-wracking. She encouraged and praised me for my efforts. Eventually, we would meet in public for my therapy, and I was enjoying being out of the house. The time I spent with her did miracles for helping me accept, if not truly overcome, my anxiety diagnosis.

Living with Anxiety… and Hope

Things are not perfect in my life by any means. Since my anxiety diagnosis, a lot of other things have gone wrong. But, thanks in no small part to the support I found, I am still here.

I live with my anxiety every day. I take several different medications, both for the bipolar disorder and the panic disorder. A large chunk of my money goes to prescription costs, not to mention the cost of doctor’s visits. But I do my best to keep up with my medicine because I have seen what happens if you don’t.

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My anxiety still negatively affects my life. I am not able to do all the things I want to. I can’t watch certain TV shows or movies because they might trigger an episode. Minor things that most people might not even think about are huge undertakings. I struggle inordinately with talking on the phone or asking people for favors. But I am also taking steps to deal with these issues. I started watching GAME OF THRONES… just with an anxiety pill handy, just in case. I had begun learning to drive, something I put off for many years after an unfortunate car accident when I was younger.

Most importantly, I try to take things as they come. A lot of terrible things happen every day, to people all over the world. While my anxiety puts me a step behind others at dealing with these issues, I can still overcome them. I take my medicine; I talk to people, I let my loved ones know what to expect so that we are all prepared. My anxiety won’t get the best of me, not if I have anything to say about it.

There is Hope for You Too

If nothing else, let my experience be a lesson to everyone reading. Anxiety is a terrible experience, to be sure, but it’s not life-ending. When so many people are dealing with it, it’s important to be understanding, empathetic, and kind.


And most importantly, be kind to yourself. Anxiety disorders don’t make you lesser than anyone else. It’s important to be cognizant of your symptoms and to take careful care of yourself. But you do not have to let anxiety keep you down.

Support groups are available online. Many communities may have support groups, and look for low-cost clinics if reaching treatment is difficult. If you or a loved one is experiencing severe distress or thoughts of self-harm, you can find help online at and by phone at (775) 784-8090.

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No Association Between Comorbid Anxiety Disorders, Suicide Attempts

Patients with comorbid anxiety disorders had similar survival curves compared with patients without comorbid anxiety disorders.

According to the results of a study published in European Psychiatry, comorbid anxiety disorders among patients with depression or bipolar disorder were not associated with suicide attempts.

In a 2-year prospective study, researchers evaluated 667 participants with major depression or bipolar disorder for suicide attempts, depression, and anxiety at 3, 12, and 24 months. The results were compared among patients with lifetime comorbid anxiety disorders (n=229) and those without (n=438). Anxiety disorders included panic disorder, post-traumatic stress disorder, social phobia, obsessive-compulsive disorder, generalized anxiety disorder, and agoraphobia.

A total of 480 patients completed all 3 follow-up sessions. Overall, 85 suicide attempts were made by 63 patients (13.1%) during the 2-year follow-up.

Patients with comorbid anxiety disorders had similar survival curves compared with patients without comorbid anxiety disorders (P =.6). Similarly, no difference was noted when participants were stratified by the number of comorbid anxiety disorders (0, 1, or 2; P =.8).

Suicide attempts during the study period were associated with female sex (hazard ratio [HR] = 3.66; P =.001), previous suicide attempts (HR =3.27; P =.001), and higher scores on the Buss-Durkee Hostility Inventory (HR = 1.05; P .001).

The investigators concluded that “the presence of comorbid anxiety disorders does not seem to be a risk factor for suicide attempts in patients with mood disorders, although patients with anxiety disorders had [significantly] higher scores for depression, hopelessness, suicidal ideation, impulsivity, aggression, and hostility, all risk factors for suicide attempts.”


Abreu LN, Oquendo MA, Galfavy H, et al. Are comorbid anxiety disorders a risk factor for suicide attempts in patients with mood disorders? A two-year prospective studyEur Psychiatry. 2017; 47:19-24.

24 Jokes You’ll Relate To If You’re Always Picking At Your Skin

By the way: Humor is a great way for a lot of people to cope with their skin-picking compulsions, but if you found a lot of things in this post a little too relatable, you might want to look into ways to take care of yourself. So, here are some quick resources, just in case:

You might want to read more about dermatillomania (a disorder that causes people to repetitively touch, rub, scratch, pick at, or dig into their skin in ways that result in physical damage). While you’re there, you can check out their resources and information on how to get treatment.

You can read about anxiety disorders and obsessive-compulsive disorder, since skin-picking can be a symptom or coping mechanism of both.

You might also want to check out these strategies our readers use to keep from picking their skin.

Understanding a Hoarding Disorder

A lot of us hold on to our most treasured items in our homes. From pictures and antiques, to heirlooms and valuables, keeping those things near to us is what makes them special. Though for some, letting go of certain items might be harder to handle.

Compulsive hoarding can be difficult to overcome. People can have a hard time letting go of even the simplest of materials such as magazines and old papers. Making this harder for those around them if they must live in the clutter that’s been created.

It can also make others stay away from coming over and  even cause signs of loneliness. They think to themselves, “I can’t let go of this. What if I need it one day?” People can also see hoarding as not a serious problem and make getting treated challenging. The good news is help is possible. Here are signs and symptoms you can spot for hoarding.

First, it’s important to understand what is hoarding. According to the Anxiety and Depression Association of America, hoarding is the constant difficulty of parting with possessions, regardless of their values. Common hoarded items can be anything from newspapers, magazines, paper, food, cardboard boxes and even plastic bags.

It should also be noted that hoarding isn’t the same as collecting. When it comes collecting a certain thing, people can have a sense of pride about their possessions and will have no problem showing off. Collectors will also keep their items in a nice condition and feel happy about adding more to their collection. Those who hoard usually feel ashamed about their mess and clutter and often don’t want others to see. They can also feel sad and depressed.

Signs that someone can be suffering from a hoarding disorder is the inability to throw away possessions and severe anxiety when attempting to discard items. They can also have great difficulty categorizing or organizing possessions and even have obsessive thoughts and actions of running out of an item.

Knowing what to spot first can also be a key difference. According to the Mayo Clinic, symptoms start as early as teenage and adult years. By the time the person hits their middle ages, symptoms are much more severe. People with a hoarding disorder can also experience other mental health disorders such as anxiety, obsessive-compulsive disorder and attention-deficit/hyperactivity disorder.

Causes for a hoarding disorder aren’t very clear, but it’s being studied that genetics, brain functions and stressful events might be possible causes.

Ultimately, treatment can be also challenging because many who suffer from a hoarding disorder might not recognize it. If you feel you or someone might be suffering from hoarding, seek professional help as soon as possible.

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Mental illness can happen to your child | SunStar

CHILDREN can also develop a mental disorder like an adult. But most of the time, the symptoms are different. Sometimes people would think that the children are misbehaving but it could be a sign of a mental health condition. There is also stigma attached to mental disorders. Some others find it impossible to think that children may develop a mental health illness.

According to, children can experience a range of mental health conditions, including:

Anxiety disorders. Children who have anxiety disorders — like obsessive compulsive disorder, post-traumatic stress disorder, social phobia and generalized anxiety disorder — experience anxiety as a persistent problem that interferes with their daily activities.

Some worry is a normal part of every child’s experience, often changing from one developmental stage to the next. However, when worry or stress makes it hard for a child to function normally, an anxiety disorder should be considered. 

Attention-deficit/hyperactivity disorder (ADHD). This condition typically includes symptoms in three categories: difficulty paying attention, hyperactivity and impulsive behavior. Some children with ADHD have symptoms in all of these categories, while others may have symptoms in only one.

Autism spectrum disorder (ASD). Autism spectrum disorder is a serious developmental disorder that appears in early childhood — usually before age 3. Though symptoms and severity vary, ASD always affects a child’s ability to communicate and interact with others.

Eating disorders. Eating disorders — like anorexia nervosa, bulimia nervosa and binge-eating disorder — are serious, even life-threatening, conditions. Children can become so preoccupied with food and weight that they focus on little else.

Mood disorders. Mood disorders — like depression and bipolar disorder — can cause a child to feel persistent feelings of sadness or extreme mood swings much more severe than the normal mood swings common in many people.

Schizophrenia. This chronic mental illness causes a child to lose touch with reality (psychosis). Schizophrenia most often appears in the late teens through the 20s.

Mayo Clinic also shared warning signs that a child may have a mental health condition:

Mood changes. Look for feelings of sadness or withdrawal that last at least two weeks or severe mood swings that cause problems in relationships at home or school.

Intense feelings. Be aware of feelings of overwhelming fear for no reason — sometimes with a racing heart or fast breathing — or worries or fears intense enough to interfere with daily activities.

Behavior changes. These includes drastic changes in behavior or personality, as well as dangerous or out-of-control behavior. Fighting frequently, using weapons and expressing a desire to badly hurt others also are warning signs.

Difficulty concentrating. Look for signs of trouble focusing or sitting still, both of which might lead to poor performance in school.

Unexplained weight loss. A sudden loss of appetite, frequent vomiting or use of laxatives might indicate an eating disorder.

Physical symptoms. Compared with adults, children with a mental health condition may develop headaches and stomach aches rather than sadness or anxiety.

Physical harm. Sometimes a mental health condition leads to self-injury, also called self-harm. This is the act of deliberately harming your own body, like cutting or burning yourself. Children with a mental health condition also may develop suicidal thoughts or actually attempt suicide.

Substance abuse. Some kids use drugs or alcohol to try to cope with their feelings.

If you think that your child may be experiencing these signs, it is important that you bring them to a mental health professional like a psychologist or a psychiatrist. They will recommend treatment for them.

Remember that mental health is as important as physical health. Having a mental health disorder means, the child or an adult has a medical condition that can be treated, cured or managed. It’s ok to ask for help. Visit your doctor now!

Obsessive-Compulsive Disorder (OCD) – Everything You Need To Know

Obsessive-Compulsive Disorder commonly known as OCD is an anxiety disorder leading to obsession about something which then leads to repetitive behaviour driven out of compulsion. An individual may get obsessive or paranoid about washing hands or checking on things and more. At a heightened state the condition starts to affect day to day activities of a person thus deteriorating the quality of life. For an individua, suffering from OCD the unwanted thoughts are persistent and distressing. Many a times this also leads to OCD Depression. Although even after being aware that the obsession is unwanted and unwarranted the individual faces a hard time stopping the compulsive thoughts and actions.

About OCD Symptoms
Obsessive-compulsive disorder may involve both obsessive thought and compulsive behaviour or any one of the two. The intensity of the disorder may vary from mild to moderate to severe. The disorder may develop in teenagers and young people and then grow in severity over the years. In case of mild and even moderate intensity cases many a time even the patient is not aware or is not able to establish that he is suffering from a medical condition. The most common obsessions which are observed in OCD affected individuals are related to cleanliness, counting, checking, orderliness, security, repeated thoughts that are religious or sexual in nature and more. This in turn leads to stress, fear and obsessive behaviour such as repeated hand-washing, repeated checking of locks and switches and more.

OCD Causes
Exact cause of what causes OCD is still not completely clear but researcher believe that genetics plays a major role. 30% of all patients of OCD have a history of the disorder in the family. Other than being hereditary researchers have concluded that imbalances of chemicals in the brain especially that of serotonin causes OCD. One study has also concluded that an infection known as streptococcal infection is the culprit in many cases. Some medical professionals believe that depression can also trigger OCD whereas others believe that depression is one of the symptoms of OCD. Obsessive-compulsive disorder can also get triggered because of irregularity in brain circuits and as an effect of some past trauma.

OCD Diagnosis and Prevention
It’s rather difficult to diagnose OCD as many symptoms of the disorder can be similar to other mental disorders such as depression and schizophrenia. There are a few ways using which a medical practitioner can diagnose OCD. Mostly first the medical practitioner will eliminate the possibility of any other similar problem by using physical exams and lab tests such as blood test, test for thyroid functions and more. After which he will diagnose the disorder through a psychological evaluation. When it comes to prevention, there is no specific preventive measure that one can take to avoid OCD. But maintaining overall good physical and mental health helps. Also seeking timely treatment can help tackle the ailment effectively.

OCD Treatment and Tips
It is widely believed that OCD can’t be cured permanently but can only be managed effectively. Most patients seek medical help only after the condition reaches the severity level and becomes disabling for individuals. The two most primary methods for treating or controlling OCD are through psychotherapy and medications. Psychotherapy in form of Cognitive behavioural therapy (CBT) is used in which the patient is trained to handle, manage, react oppositely to the compulsion and gradually control the disorder. Other times medications including antidepressants are prescribed to control the disorder.

A dangerous obsession: the troubles of stereotyping OCD | Opinion …

“How can you not line your shoes up at night without your toes feeling cramped?” my grandfather asked one morning when I was a child.

At the time, my grandfather’s question and the other odd habits of his I noticed seemed strange, but I told myself it was just his way.

I never really noticed the habit of pulling my hair out when I was stressed. It didn’t seem strange. I had to go back three times to make sure my curling iron was unplugged before I could leave the house.

I never associated these traits or my grandfather’s habit with Obsessive Compulsive Disorder, because neither one of us were “clean freaks” or the other stereotypes people use to label the disorder.

It all seemed just a part of my nervous personality until I talked to someone who finally put some reasoning behind it. I have OCD tendencies in relation to my anxiety disorder.

OCD isn’t an adjective, it’s a noun. You wouldn’t joke about being “so cancer” because your hair falls out when you brush it. How we use words can affect how we think about things, especially something so personal and intangible as mental health.

The idea of OCD isn’t unfamiliar to most people, but the true face of it is. According to a Psychology Today article, “4 Myths About OCD,” there’s lingering stereotypes about what OCD actually looks like, including the common stereotype that those who suffer from the disorder are insistent about clean conditions.

The entertainment industry perpetuates this stereotype. Emma Pillsbury, the guidance counselor character on Fox’s “Glee,” is depicted as quirky, cute and, unfortunately, her OCD is seen as a characteristic of this at times. While she comes off as just an adorable “clean freak,” it isn’t shown until later in the series how debilitating her disorder can be.

The true consequences of what writers rely on to label a character-type showed through in a 2009 ABC interview with game show host Howie Mandel. Mandel went into detail about his OCD and germaphobia, which at the time was an object of curiosity surrounding his public figure. Far from just a “clean freak,” Mandel said his disorder affects his family life, his job and even his head, which he shaves in order to prevent what he perceives as the uncleanliness of hair.

Mandel isn’t afraid of germs because they’re gross, or he’s afraid of getting sick and being inconvenienced. Mandel is germaphobic because he thinks if he gets sick, he will die. Those who suffer from OCD display habits in hopes of stopping their repetitive thoughts, not because they just want to be clean.

My grandfather didn’t have to line his shoes up because he had to be organized. He had to because otherwise his toes would feel cramped once he put them on. There’s no order to this thinking.

I once dropped a noodle underneath the burner plate on my stove. My thoughts immediately jumped to the house burning down, and my roommate had to take the noodle out for me because I started having a panic attack.

The next time you want to joke about being OCD while you clean your room or straighten something, ask yourself: am I just annoyed by this, or is there a thought in my head that keeps telling me I have to do this?

OCD comes in many different forms, and not everyone is the same. If you really feel like your repetitive thoughts and urges might be something more, then talk to a professional.

Realize OCD is a real mental illness, not just a punchline or a stereotype, and maybe there will be one less person who goes undiagnosed longer than they should, like I did.

Digital editor Julie Hubbell can be reached at

Presentation on Treating Obsessive Compulsive Disorder

On Monday, Nov. 13, the Sussex chapter of the National Alliance on Mental Health (NAMI)  will welcome Dr. Charity Wilkinson Truong to discuss “Treating Obsessive Compulsive Disorder.”  The presentation will be held at Bridgeway, 93 Stickles Pond Rd. in Newton from 7:00-8:30 p.m. 

Charity Wilkinson Truong, Psy.D., is a licensed psychologist with training and experience in empirically supported treatments for OCD, PTSD, and anxiety disorders, including Exposure and Response Prevention for Obsessive Compulsive Disorder.  Dr. Wilkinson Truong has worked with children, adolescents and adults with OCD in a variety of settings. She is a staff psychologist and training director at Stress and Anxiety Services of New Jersey, which has offices in East Brunswick and Florham Park (website:

Anyone interested is welcome to attend this program free of charge, but pre-registration is requested via Eventbrite at or by emailing

Presentation on Treating Obsessive Compulsive Disorder – Sparta …

On Monday, Nov. 13, the Sussex chapter of the National Alliance on Mental Health (NAMI)  will welcome Dr. Charity Wilkinson Truong to discuss “Treating Obsessive Compulsive Disorder.”  The presentation will be held at Bridgeway, 93 Stickles Pond Rd. in Newton from 7:00-8:30 p.m. 

Charity Wilkinson Truong, Psy.D., is a licensed psychologist with training and experience in empirically supported treatments for OCD, PTSD, and anxiety disorders, including Exposure and Response Prevention for Obsessive Compulsive Disorder.  Dr. Wilkinson Truong has worked with children, adolescents and adults with OCD in a variety of settings. She is a staff psychologist and training director at Stress and Anxiety Services of New Jersey, which has offices in East Brunswick and Florham Park (website:

Anyone interested is welcome to attend this program free of charge, but pre-registration is requested via Eventbrite at or by emailing