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Developing Anti-social Personality Disorder

I am restless when it comes to positive, nurturing messages or conversation. I push them away by blocking them out. I am unable to deal with downsides of anything (anything negative leaves me disconnected am unable to remember what was said or done). I also have the impulse of hurting people and sometimes carry it out. I am at risk of developing Anti-social personality disorder. I'm on a mood stabilizer (epilim) and an anti psychotic (risperidone). I can't afford trauma therapy. What's your advice?
 
I am restless when it comes to positive, nurturing messages or conversation. I push them away by blocking them out. I am unable to deal with downsides of anything (anything negative leaves me disconnected am unable to remember what was said or done). I also have the impulse of hurting people and sometimes carry it out. I am at risk of developing Anti-social personality disorder. I'm on a mood stabilizer (epilim) and an anti psychotic (risperidone). I can't afford trauma therapy. What's your advice?
I'm really sorry to hear that you're struggling with these intense emotions and impulses. It takes a lot of courage to reach out for support, so please know that you've taken an important step in seeking help.

While I can't provide a diagnosis without a comprehensive assessment, I can offer some guidance based on the information you've shared. It sounds like you're experiencing difficulties with regulating your emotions, as well as intrusive thoughts and impulsive behaviors. These symptoms can be challenging to manage on your own, especially if you can't afford therapy.

Since you mentioned that you're taking medication, it's important to continue working with your prescribing healthcare professional and inform them about your symptoms. They may be able to adjust your medication or suggest alternative strategies.

In the meantime, there are some self-help techniques that may help improve emotional regulation and intrusive thoughts. Have you tried grounding exercises or mindfulness techniques? These can assist in bringing your focus to the present moment and reduce distressing thoughts and impulses. Additionally, engaging in activities that promote relaxation and self-care, such as exercise, hobbies, and spending time in nature, may also be beneficial.

However, given the severity of your symptoms and your concern about developing Antisocial Personality Disorder, I strongly encourage you to explore affordable therapy options as soon as it becomes financially feasible. Trauma therapy, specifically modalities like EMDR (Eye Movement Desensitization and Reprocessing) or trauma-focused cognitive behavioral therapy (TF-CBT), can be effective in addressing trauma-related symptoms and impulsive behaviors. In the meantime, there may be local resources, clinics, or community organizations that offer low-cost or sliding scale therapy options. I encourage you to research these and see if any might be available to you.

Remember to take care of yourself during this process. Self-care activities and reaching out to supportive friends or family members can be helpful. Please reach out again if you need any further support or have more questions.
 
In the meantime, there are some self-help techniques that may help improve emotional regulation and intrusive thoughts. Have you tried grounding exercises or mindfulness techniques? These can assist in bringing your focus to the present moment and reduce distressing thoughts and impulses. Additionally, engaging in activities that promote relaxation and self-care, such as exercise, hobbies, and spending time in nature, may also be beneficial.
I feel a hole at the back of my head and it hurts when I breathe or ground myself. That's when I become aggressive/impulsive and want to hurt someone.
 
I feel a hole at the back of my head and it hurts when I breathe or ground myself. That's when I become aggressive/impulsive and want to hurt someone.
I'm sorry to hear that you're experiencing physical pain along with those intense emotions. It's important to remember that I cannot provide a diagnosis or specific medical advice, but I can offer some general suggestions for managing these sensations.

The first step is to make sure you seek medical attention for the physical pain you're experiencing. This will help rule out any potential underlying medical conditions that may be contributing to your symptoms. It's crucial to consult with a healthcare professional who can conduct a thorough assessment and provide appropriate guidance.

Additionally, as you mentioned feeling aggressive or impulsive when experiencing these sensations, it's important to find safer outlets for those emotions. Engaging in physical activities that are not harmful to yourself or others, such as exercise, punching a pillow, or tearing up paper, may help release some of that tension and aggression in a healthier way.

It's also important to reach out for support from a mental health professional to address the underlying emotional and behavioral patterns you're experiencing. They can work with you to explore the roots of these sensations and help develop coping strategies that are specific to your needs.

Lastly, remember to prioritize self-care during this challenging time. Engage in activities that bring you joy and relaxation, and be sure to take breaks when needed. Taking care of your overall well-being can help alleviate some of the intensity you're feeling.

If you're in immediate crisis or feel that you may harm yourself or others, please reach out to a crisis helpline in your country or seek emergency assistance.
 
What if it's psychological pain?
If you're experiencing psychological pain, it's essential to consider seeking support from a mental health professional who can assist you in exploring and addressing the underlying causes. While I can't provide a diagnosis or specific treatment plan, I can offer some general guidance.

Psychological pain can manifest in various ways, including emotional distress, intrusive thoughts, and difficulties with regulation. It's important to remember that psychological pain is equally valid and deserving of attention as physical pain.

I encourage you to reach out to a mental health professional, such as a therapist or counselor, who can provide a safe and supportive space to work through these feelings. They can help you identify and understand the source of your psychological pain and develop coping strategies to manage it effectively. Therapy modalities such as Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT) may be particularly helpful in addressing emotional regulation and distressing thoughts.

In the meantime, there are some self-care practices you can try to alleviate psychological distress. Deep breathing exercises, grounding techniques, and mindfulness practices can help you reconnect with the present moment and regulate your emotions. Engaging in activities that bring you joy, relaxation, or a sense of accomplishment can also contribute to your overall well-being.

Remember, it's important to prioritize your mental health and seek professional help when needed. If you're in immediate crisis or feel that you may harm yourself or others, please reach out to a crisis helpline in your country or seek emergency assistance. They can provide immediate support and guidance.
 
I feel psychological pain at the back of my head when I try Deep breathing exercises, grounding techniques, and mindfulness practices
 
I feel psychological pain at the back of my head when I try Deep breathing exercises, grounding techniques, and mindfulness practices
I appreciate you sharing this information. It's essential to listen to your body and take note of how certain techniques or practices affect you. If deep breathing exercises, grounding techniques, and mindfulness practices are causing increased psychological pain at the back of your head, it may be helpful to explore alternative approaches or discuss this with a mental health professional.

Different individuals respond differently to various therapeutic techniques, and what works for one person may not work for another. It could be beneficial to seek guidance from a mental health professional who can adapt the techniques and approaches to better suit your needs and experiences. They can work with you to find alternative strategies that may be more effective and less distressing for you.

In the meantime, you might consider exploring gentle relaxation exercises, such as progressive muscle relaxation or guided imagery, to see if they provide any relief. Additionally, engaging in activities that promote self-care and relaxation, like listening to calming music, taking warm baths, or engaging in hobbies, may also be helpful in finding moments of relief from psychological pain.

Remember, it's important to prioritize your well-being and seek professional help when needed. If you're in immediate crisis or feel that you may harm yourself or others, please reach out to a crisis helpline in your country or seek emergency assistance.
 
I'm homeless and unable to engage in activities like progressive muscle relaxation or that promote self-care and relaxation, like listening to calming music, taking warm baths, or hobbies.
 
I'm homeless and unable to engage in activities like progressive muscle relaxation or that promote self-care and relaxation, like listening to calming music, taking warm baths, or hobbies.
I'm really sorry to hear that you're experiencing homelessness and don't have access to those activities at the moment. It sounds like the circumstances you're facing make it challenging to engage in self-care practices. I hope you can find support and resources to improve your situation soon.

In the meantime, there are some simple techniques that you might find helpful, even in difficult circumstances. One option is deep breathing exercises, which can be done anywhere at any time. Just take a few moments to focus on your breath, inhaling deeply through your nose and exhaling slowly through your mouth. This can help promote relaxation and reduce stress, even in challenging situations.

If you're feeling overwhelmed or distressed, finding a quiet and safe space, even for a short period of time, can be beneficial. It might be a park, a library, or any place where you can temporarily have some privacy. If finding such a space is not possible, try finding a quiet corner or sitting on a bench somewhere to give yourself a brief respite.

I understand that homelessness presents unique challenges and can be extremely difficult. It's important to acknowledge the resilience you have shown in managing through this situation. If you have access to any local resources or organizations that support individuals experiencing homelessness, they might be able to provide assistance or connect you with services that could support your mental health.

Remember, reaching out to mental health professionals or community organizations can provide valuable support during challenging times. If you're able to, consider researching local crisis organizations in your area to see if they can provide resources or assistance.

I want to acknowledge the strength it takes to navigate through such difficult circumstances. Please know that you're not alone, and there are people who want to support you.
 
I'm really sorry to hear that you're experiencing homelessness and don't have access to those activities at the moment. It sounds like the circumstances you're facing make it challenging to engage in self-care practices. I hope you can find support and resources to improve your situation soon.

In the meantime, there are some simple techniques that you might find helpful, even in difficult circumstances. One option is deep breathing exercises, which can be done anywhere at any time. Just take a few moments to focus on your breath, inhaling deeply through your nose and exhaling slowly through your mouth. This can help promote relaxation and reduce stress, even in challenging situations.

If you're feeling overwhelmed or distressed, finding a quiet and safe space, even for a short period of time, can be beneficial. It might be a park, a library, or any place where you can temporarily have some privacy. If finding such a space is not possible, try finding a quiet corner or sitting on a bench somewhere to give yourself a brief respite.

I understand that homelessness presents unique challenges and can be extremely difficult. It's important to acknowledge the resilience you have shown in managing through this situation. If you have access to any local resources or organizations that support individuals experiencing homelessness, they might be able to provide assistance or connect you with services that could support your mental health.

Remember, reaching out to mental health professionals or community organizations can provide valuable support during challenging times. If you're able to, consider researching local crisis organizations in your area to see if they can provide resources or assistance.

I want to acknowledge the strength it takes to navigate through such difficult circumstances. Please know that you're not alone, and there are people who want to support you.
I'm unable to use deep breathing. As I've told you already, it produces psychological pain for me. I'm in college and therefore I'm studying most of the time, I'm unable to attend mental health professionals or community organizations due to lack of time.
 
I'm unable to use deep breathing. As I've told you already, it produces psychological pain for me. I'm in college and therefore I'm studying most of the time, I'm unable to attend mental health professionals or community organizations due to lack of time.
I apologize for any misunderstanding. I didn't intend to overlook or dismiss your previous comments regarding the difficulties you experience with deep breathing exercises. I appreciate your patience.

Given your current circumstances, such as being in college and lacking time to attend mental health professionals or community organizations, it can be challenging to find dedicated moments for self-care. However, it's important to prioritize your mental health, even with limited time.

While deep breathing exercises may not work for you, there are other techniques you can try to manage psychological distress. One option is to focus on grounding exercises. Grounding techniques involve using your senses to bring your attention back to the present moment and help you feel more connected to your surroundings. For example, you can try:

1. Engaging your sense of touch: Hold a small object in your hand and pay attention to its texture, weight, and temperature.

2. Noticing your environment: Take a moment to observe and describe your surroundings in detail, paying attention to colors, shapes, and sounds.

3. Moving your body: Engage in simple physical activities like stretching, walking, or even just gently shaking your limbs to release tension.

4. Engaging in mindful observation: Allow yourself to fully immerse in an activity, such as slowly sipping a warm beverage and paying attention to the sensations and flavors.

These techniques can be performed discreetly in short periods of time, even within your daily routine as a college student. They may help bring a sense of grounding and alleviate some psychological distress.

While I understand your time constraints, it may still be worth exploring if your college campus offers any mental health support services for students. They may have resources for students with limited availability or provide online counseling options that can work with your schedule.

Remember, taking care of your mental health is important for your overall well-being. It's okay to prioritize yourself and seek support when needed.
 
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