عروس البحر الأبيض

عروس البحر الأبيض

Tuesday, April 23, 2019

Intolerance of Uncertainty (IU) - 2

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3712497/

IU is a characteristic predominantly associated with generalized anxiety disorder (GAD); however, emerging evidence indicates that IU may be a shared element of emotional disorders.

They state that worrying helps them to problem solve, prepare for potential outcomes, prevent negative outcomes from occurring, and minimize emotional reactions to negative outcomes

Worry, is thought to reduce distress over uncertainty and its associated affects (Greco & Roger, 2003) and increase, at least the perception of, control over future outcomes

It is not surprising that GAD and OCD have received most of the attention in the IU literature. Distress related to uncertainty and the use of cognitive and behavioral strategies to reduce or manage anxious arousal related to feared potential outcomes and increase one's perception of certainty and control are core elements of GAD and OCD that are implicated in the development and maintenance of both disorders.
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https://www.verywellmind.com/intolerance-of-uncertainty-therapy-for-gad-4134611

Intolerance of Uncertainty in GAD

To address this gap in understanding fears in GAD, researchers in Quebec, Canada developed a model in the early 1990s that consists of four components.
The most important component is known as IU, and is thought of as a higher-order process that leads directly to worry through three other processes:

1. Positive beliefs about worry. Positive beliefs about worry refers to holding the belief that worry is helpful in some way. In this context, worrying is a way for you to gain certainty.

2. Negative problem orientation. Negative problem orientation refers to when you feel helpless to solve problems, view problems as threatening, or as barriers or obstacles, and doubt your ability to solve problems.

3. Cognitive avoidance: Cognitive avoidance refers to the behavior of only dealing with problems when absolutely necessary.

People with GAD are thought to have higher intolerance of uncertainty than those with other anxiety disorders. They have a belief system in which uncertainty is viewed as stressful, unfair, upsetting, and to be avoided.

In this model, when you worry, you are trying to reduce feelings of uncertainty. If you worry that you might be late for an appointment, you will leave much earlier than necessary to be absolutely certain you get there on time.

Since it is the uncertainty of events, and not some aspect of them in particular that triggers your worry, what you worry about through the day will change. In the morning, you might be worried about making it to a dentist appointment on time, while by evening you could be fretting about making a decision over which cell phone plan to choose.

In this way, worry is a tactic you use to try and mentally plan and prepare for any possible outcome, especially bad ones. However, the worry in generalized anxiety disorder can be so severe that it becomes a problem itself.

Are You Intolerant of Uncertainty?

The following thoughts and behaviors reflect intolerance of uncertainty. Ask yourself if any of these apply to you:
• You look for information and solutions to every possible problem you may face.
• You require perfect solutions that must have a 100 percent chance of working.
• You seek reassurance from others that everything will be okay, and get second and third opinions on medical matters.
• You make lists, double-check, refuse to delegate tasks, or over-prepare to manage uncertainty.
• You think that uncertainty means something bad will happen.
• You feel it is irresponsible or dangerous for there to be uncertainty in your life.
• You avoid new situations out of fear of uncertainty.
• You procrastinate, keep predictable routines, or ask others to make decisions for you.
• You feel that you can't tolerate not knowing the outcome of a situation.
• You feel that you would rather know for sure that the outcome of a situation will be bad, than be left not knowing the outcome.

Daily Habits

• exercise
• meditate
• Tai chi
• Deep breathing
• Massage
• keep a journal,
• cultivate gratitude,
• wake up early,
• do the most important task first thing in the morning,
• write 1,00 words a day,
• set priorities for your day,
• pray,
• smile at people,
• text a friend,
• stretch,
• eat whole foods,
• speed read,
• track your spendings,
• read a book for 3 minutes a day,
• watch one TED talk a day,
• study scriptures,
• learn one new thing every day,
• do a random act of kindness,
• floss your teeth,
• manage your budget,
• drink water,
• do one thing out of your comfort zone,
• sleep long enough,
• relax

Relaxation techniques to reduce stress

Rather than choosing just one technique, experts recommend sampling several to see which one works best for you. Try to practice for at least 20 minutes a day, although even just a few minutes can help. But the longer and the more often you practice these relaxation techniques, the greater the benefits and the more you can reduce stress.

1. Breath focus. In this simple, powerful technique, you take long, slow, deep breaths (also known as abdominal or belly breathing). As you breathe, you gently disengage your mind from distracting thoughts and sensations. Breath focus can be especially helpful for people with eating disorders to help them focus on their bodies in a more positive way. However, this technique may not be appropriate for those with health problems that make breathing difficult, such as respiratory ailments or heart failure.

2. Body scan. This technique blends breath focus with progressive muscle relaxation. After a few minutes of deep breathing, you focus on one part of the body or group of muscles at a time and mentally releasing any physical tension you feel there. A body scan can help boost your awareness of the mind-body connection. If you have had a recent surgery that affects your body image or other difficulties with body image, this technique may be less helpful for you.

3. Guided imagery. For this technique, you conjure up soothing scenes, places, or experiences in your mind to help you relax and focus. You can find free apps and online recordings of calming scenes—just make sure to choose imagery you find soothing and that has personal significance. Guided imagery may help you reinforce a positive vision of yourself, but it can be difficult for those who have intrusive thoughts or find it hard to conjure up mental images.

4. Mindfulness meditation. This practice involves sitting comfortably, focusing on your breathing, and bringing your mind's attention to the present moment without drifting into concerns about the past or the future. This form of meditation has enjoyed increasing popularity in recent years. Research suggests it may be helpful for people with anxiety, depression, and pain.

5. Yoga, tai chi, and qigong. These three ancient arts combine rhythmic breathing with a series of postures or flowing movements. The physical aspects of these practices offer a mental focus that can help distract you from racing thoughts. They can also enhance your flexibility and balance. But if you are not normally active, have health problems, or a painful or disabling condition, these relaxation techniques might be too challenging. Check with your doctor before starting them.

6. Repetitive prayer. For this technique, you silently repeat a short prayer or phrase from a prayer while practicing breath focus. This method may be especially appealing if religion or spirituality is meaningful to you.

10 Relaxation Techniques That Zap Stress Fast

1. Meditate

A few minutes of practice per day can help ease anxiety. “Research suggests that daily meditation may alter the brain’s neural pathways, making you more resilient to stress,” says psychologist Robbie Maller Hartman, PhD, a Chicago health and wellness coach.

It's simple. Sit up straight with both feet on the floor. Close your eyes. Focus your attention on reciting -- out loud or silently -- a positive mantra such as “I feel at peace” or “I love myself.” Place one hand on your belly to sync the mantra with your breaths. Let any distracting thoughts float by like clouds.

2. Breathe Deeply

Take a 5-minute break and focus on your breathing. Sit up straight, eyes closed, with a hand on your belly. Slowly inhale through your nose, feeling the breath start in your abdomen and work its way to the top of your head. Reverse the process as you exhale through your mouth.

“Deep breathing counters the effects of stress by slowing the heart rate and lowering blood pressure,” psychologist Judith Tutin, PhD, says. She's a certified life coach in Rome, GA.

3. Be Present

Slow down.

“Take 5 minutes and focus on only one behavior with awareness,” Tutin says. Notice how the air feels on your face when you’re walking and how your feet feel hitting the ground. Enjoy the texture and taste of each bite of food.

When you spend time in the moment and focus on your senses, you should feel less tense.

4. Reach Out

Your social network is one of your best tools for handling stress. Talk to others -- preferably face to face, or at least on the phone. Share what's going on. You can get a fresh perspective while keeping your connection strong.

5. Tune In to Your Body

Mentally scan your body to get a sense of how stress affects it each day. Lie on your back, or sit with your feet on the floor. Start at your toes and work your way up to your scalp, noticing how your body feels.

“Simply be aware of places you feel tight or loose without trying to change anything,” Tutin says. For 1 to 2 minutes, imagine each deep breath flowing to that body part. Repeat this process as you move your focus up your body, paying close attention to sensations you feel in each body part.

6. Decompress

Place a warm heat wrap around your neck and shoulders for 10 minutes. Close your eyes and relax your face, neck, upper chest, and back muscles. Remove the wrap, and use a tennis ball or foam roller to massage away tension.

“Place the ball between your back and the wall. Lean into the ball, and hold gentle pressure for up to 15 seconds. Then move the ball to another spot, and apply pressure,” says Cathy Benninger, a nurse practitioner and assistant professor at The Ohio State University Wexner Medical Center in Columbus.

7. Laugh Out Loud

A good belly laugh doesn’t just lighten the load mentally. It lowers cortisol, your body’s stress hormone, and boosts brain chemicals called endorphins, which help your mood. Lighten up by tuning in to your favorite sitcom or video, reading the comics, or chatting with someone who makes you smile.

8. Crank Up the Tunes

Research shows that listening to soothing music can lower blood pressure, heart rate, and anxiety. “Create a playlist of songs or nature sounds (the ocean, a bubbling brook, birds chirping), and allow your mind to focus on the different melodies, instruments, or singers in the piece,” Benninger says. You also can blow off steam by rocking out to more upbeat tunes -- or singing at the top of your lungs!

9. Get Moving

You don’t have to run in order to get a runner’s high. All forms of exercise, including yoga and walking, can ease depression and anxiety by helping the brainrelease feel-good chemicals and by giving your body a chance to practice dealing with stress. You can go for a quick walk around the block, take the stairs up and down a few flights, or do some stretching exerciseslike head rolls and shoulder shrugs.

10. Be Grateful

Keep a gratitude journal or several (one by your bed, one in your purse, and one at work) to help you remember all the things that are good in your life.

“Being grateful for your blessings cancels out negative thoughts and worries,” says Joni Emmerling, a wellness coach in Greenville, NC.

Use these journals to savor good experiences like a child’s smile, a sunshine-filled day, and good health. Don’t forget to celebrate accomplishments like mastering a new task at work or a new hobby.

When you start feeling stressed, spend a few minutes looking through your notes to remind yourself what really matters.

Mr. Abdul-Rahman Baharee

- جدول المهام اليومية


- أسجل الأشياء الجديدة اللي أشعر بيها:
كثير من الوقت أشعر بضيق، مش طايقة حد ولا توتة، تهييج مفرط وطبع حاد، غضب



- أخري ردة الفعل ٣ دقايق لمدة ٥ أيام ، بعدين ٥ دقايق



- لا تضعي لنفسك قوانين، خليك مرنة

- ضعي أهداف وقييميها من ناحية المنفعة والخسارة على المدى القريب والبعيد

- نزلي سقف توقعاتك
- لو ركزت: أتقنت، أنجزت وتفننت، لا تضعي أهداف كثيرة لكي لا تتشتتي
- تذكري المرونة ثم المرونة ، ركزي على الأشياء اللي ممكن تفيدك وتقدمك أكثر

مش هستنى عشرة خمستاشر سنة

لخبطة ... دايما حاسة باكتئاب ... مش عارفة أتناسق معاه ... نفسي أشتغل بس مش عارفة إيه وفين ... أخدت الماجستير من سنة بالضبط ومن يومها قاعدة في البيت ... أنا عندي اكتئاب ... وحساسة قوي ... نفسي أبقى باردة ... 
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خدني الحنين بعد السنين جابني هنا ... هنا بلقى نفسي وروحي هنا ببقى أنا ....
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قررت أرجع أشخبط هنا تاني ... بيقولوا اعملي حاجة بتحبيها ، وأنا فعلا مش بحب أي حاجة ... سألت نفسي إيه اللي كنت بحبه زمان ... جايز قوي كنت بحب أكتب هنا عشان عارفة إن في حد مهتم لأمري بيقرؤه ... جايز ... بس كنت بتبسط قوي قوي ... حاجة كنت بحب أسمعها "نجحت رغم الضغوط "
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- I wish I can live a careless life without any kind of responsibility whatsoever...

- inner, silent tears

- رب صدفة خير من ألف ميعاد ...

- how paining it is to try and wear a formal face with someone who is supposed to be the closest...

- i miss writing painful thoughts of life events...

- Fadwa: plz dear never never تعايريه بحاجة قالها لك بالذات وهو متضايق ومعصب

- جميل أن تعرف أحدهم فترة جميلة من الزمن ثم ترحل قبل أن تصبح بينكما ذكريات مؤلمة... اشتياق...

- بعض الأشخاص عبارة عن
Depressants
فتحتاج إلى
Anti-them
لتستمر حياتك ...

6th Session


• لم أجد العبارات الشرطية

• هيشتغل معايا على إني أبطل أكون عايزة الحاجة تبقى زي مانا عايزاها

• هيشتغل معايا على تأجيل البحث عن الدكتوراة

• هتعلم إزاي أخذ قرار من غير ما أقعد أفكر

• Totally sad and depressed when something I am expecting to happen, doesn't happen ... like when he tells me tomorrow we will do this and that but we don't out of his laziness ... e.g. tomorrow embassy, tomorrow start exercising ...

• Totally panick when something unexpected happens, eg on sunday morning, he said he has stomach ache and he will not go to work and we can go alone, buy he will pick toota up and I can come back whenever. I panicked and kept on thinking of possibilities.

• you said we will talk about "mind over mood" book
- أخطاء التفكير

5th Session


- ابحثي عن حساسية الغموض، معناها، موجودة فيا ولا لأ، ٣ أمثلة الأسبوع دة من حياتي، مواقف، مهام

- try windows in your timings, +- minutes
هطبخ في ساعة ونصف أو ساعتين، ما تخليش كل حاجاتك بالضبط
- مش لازم تعملي كل الحاجات اللي قلتي هتعمليها؛ لو ٦٠% بس، حلو قوي
- جربي كل موقف ايه اللي بيخليك تتأخري في اتخاذ القرار،
هل لأنه كبير وفي كذا شخص داخل فيه وبحاول يكون قرار مشترك
ولا عايزة أكون متأكدة منه ١٠٠%
ولا تحسي إنك عايزة تكوني مركزة فيه قوي ،
شوفي ايه اللي بيخليك تترددي

- جربي تتفقي مع حد تقابليه ٨ ، بس تروحي ٨ ونصف، اكسري الانضباط بزيادة والتوتر عند عدم الانضباط

- عايزة أتعلم أخد قرار من غير ما أقعد أفكر

- لو حسيتي إن التغييرات اللي بتعمليها smooth ، يعني مش فعالة، لازم تحسي بالتعب مع التغيير

- ابحثي عن العبارات الشرطية

- توتة لا تدرك الاعتذار، يعني إذا ضربتها بعدين اتأسفت، ما تدرك إلا إذا كان شي محسوس ... مع العمر بتدرك ...

- خلي تعليماتك لتوتة بسيطة وواضحة عشان تقدر تدركها

- اتركي الأشياء اللي بتتعمل للمتعة مفتوحة الوقت، ما تعامليها كإنها مهام يجب اتمامها

- هيشتغل معايا على إني أبطل أكون عايزة الحاجة تبقى زي مانا عايزاها

الشخصية الوسواسية


نمط من الكمالية التعنت وعدم المرونة. يكونون عرضة للإصابة بالاكتئاب في الظروف والأوضاع التي تتطلب الخروج عن الرتابة.

من المحتمل أن الشخصية القهرية قد واجهت انضباطا مفرطا أثناء سنين التطور.

تقديم النظام والتنظيم والمثالية والدقة على المرونة والانفتاح والكفاءة والفاعلية.

الاشتغال بالعمل والإنتاج عن الترويح عن النفس والعلاقات الشخصية.

• الاشتغال بالتفاصيل الصغيرة، وتتبُّع دقائق الأمور، والاهتمام بالقوائم والجداول الزمنيَّة إلى الحدِّ الذي يضيع معه لُبَّ الموضوع!

يشعرون بالقلق والتوتر الشديدين إن لم تسر الأمور على أكمل وجه، وذلك من وجهة نظرهم.

مِن أشق الأعمال على أصحاب الشخصية الوسواسيَّة: عملية اتخاذ القرار؛ فهي تجد صعوبةً بالغة في إدارة أولوياتها، وإيجاد أفضل الوسائل لأداء المهمات، السبب الذي من شأنه أن يفوتَ عليها العديد مِن الفُرَص.

• شخصية سريعة الغضب، تُثير سخطها الهفوات الصغيرة والعثرات غير المقصودة.

المعارضة غير المنطقية للسماح للآخرين بتنفيذ الأعمال بسبب اقتناعه بأنهم لن يؤدوها بشكل صحيح.

ومتشدد فيما يخص المسائل الأخلاقية والمثل والقيم.

لا تحب تفويض المهام إلى الآخرين، أو العمل مع الفريق، ما لم توضحْ لها خطة العمل وطريقة سَيْر الأمور بدِقَّة.

يماطل المهام خوفاً من عدم قدرته على إكمالها بشكل مثالي.

يَصعُب عليه الاسترخاء ومشاركة أفكاره ومشاعره.

يحب أن يكون المسيطر في علاقاته الشخصية والمهنية.

يحب القواعد والعمل.

شخصية شحيحة عاطفيًّا على نفسها وعلى الآخرين،؛ فتتسم علاقاتُها بالرسمية والجديَّة، فهي لا تمتدح أحدًا ولا تُجامِل بوديَّة، كما أنها لا تُعبِّر عن عواطفها رغم عُمْق العاطفة التي تتدفَّق بداخلها.

شخصية عنيدةٌ، متصلِّبة الآراء، تفرض على غيرها المعاييرَ التي تراها صوابًا، وتتوقع منهم الطاعة والانقياد!

مصابي هذا الاضطراب يجدون صعوبة في علاقاتهم مع الآخرين، وذلك لما يضعونه من متطلبات عليهم، سواء أكانوا أصدقاء أو أزواجا أو أبناء أو غير ذلك

Errors in Thinking

Once you recognize your thinking errors, you can begin trying to challenge those thoughts. Look for exceptions to the rule and gather evidence that your thoughts aren't 100% true. Then, you can begin replacing them with more realistic thoughts.

1. All-or-Nothing Thinking: Recognize the shades of gray, rather than putting things in terms of all good or all bad.

2. Overgeneralizing: Take notice of times when an incident may apply to only one specific situation, instead of all other areas of life.


3. Shoulds: People who break the rules make a person following these should statements angry. They also feel guilty when they violate their own rules.


4. Filtering Out the Positive: Filtering out the positive can prevent you from establishing a realistic outlook on a situation. Develop a balanced outlook by noticing both the positive and the negative.


5. Mind-Reading: makes inferences that aren't necessarily based on reality. Remind yourself that you may not be making accurate guesses about other people's perceptions.


6. Catastrophizing: When you begin predicting doom and gloom, remind yourself that there are many other potential outcomes.


7. Emotional Reasoning: Our emotions aren't always based on reality but we often assume those feelings are rational. It's essential to recognize that emotions, just like our thoughts, aren't always based on the facts.


8. Labeling: Labeling people and experiences places them into categories that are often based on isolated incidents. Notice when you try to categorize things and work to avoid placing mental labels on everything.


9. Fortune-telling: When you're predicting doom and gloom, remind yourself of all the other possible outcomes.


10. Personalization: When you catch yourself personalizing situations, take time to point out other possible factors that may be influencing the circumstances.


11. Unreal Ideal: Rather than measuring your life against someone else's, commit to focusing on your own path to success.

Informed him at 2nd session

• Pee pee till grade 8
• Colon issues
• Easily startled
• I love clapping and drumming
• I forcefully slam my head on the wall when angry___
• I become so angry when I tell someone to do something and they don't and then they ... محمد والخضار ، بيتعذبوا عشان ما سمعوا الكلام
• دايما قرفانة
• بشيل هم أجيب أكل قد ايش عشان ما يتبقى ، وباقي الأكل أوديه فين
• I become sooo angry when someone tells me he will do something, but he doesn't do it... will arrive in 10 minutes, but arrives much later, etc
• I am always scared of letting people down ...
• I do not admire people's looks or clothes, like a new dress or a nice haircut, I never like them and never email and say wow ! Every one does...
• My nerves are easily simulated, i don't accept criticism... I hate oppression...
•
• Mom has paranoid schizophrenia

GAD - اضطراب القلق العام

Homework of 1st session:


• ابحثي عن كل أعراض الشخصية الوسواسية
• ابحثي عن اضطراب القلق العام GAD





الاضطراب والتبرم والشعور بالضجر;

• الشعور بالإثارة أو الانفعال;

• نفاد الصبر;

الصعوبة بالتركيز

التوتر و الخوف من أخذ قرار خاطئ.

التعامل مع أي خيار على أنه سيؤدي إلى نتيجة سلبية.

السلوك التجنبي وعدم القدرة على الاسترخاء.

 العديد من مصابي هذا الاضطراب لا يذكرون متى كانت آخر مرة شعروا فيها بالاسترخاء أو الاطمئنان.

القلق المتواصل يجعل التركيز على شئون الحياة اليومية للمريض صعبا ويحس بالتشتت الدائم ويزداد أكثر عند التعرض لطارئ ما حتى لو كان بسيطا.

قد يكون المتعذر عليه ترتيب أولوياته بالنسبة لمشاكله وطرق التعامل معها.

قد يشكو المريض من مشاكل في الذاكرة حيث يقول لمن حوله (أين وضعت مفاتيحي أو ما الذي كنت سأعمله قبل قليل) وغالبا ما يكون سبب ذلك هو عدم القدرة على التركيز وتشتت الذهن وليس مشكلة أصيلة في الذاكرة.


العوامل التي تساعد على الإصابة به:
عيش طفولة صعبة، الإصابة بمرض شديد،
طبيعة حياة الإنسان وعمله وتركيبة عائلة والوسط المحيط به قد يشكل سببا قويا لبداية المرض 

Thursday, February 11, 2016

اشتقت إلى نفسي

تغيرات كثيرة تحدث في وقت صغير
اشتقت إلى الكتابة ، الشخبطة ، الخواطر
كتووووومة أنا ولا أجد متنفساً
اشتقت إلى القراءة وحب الإطلاع على الكتب واستنشاق عطرها
اشتقت إلى ما كنت أحب
ولم أعد أحب أي شئ

تغيرات تغيرات

أخرج ما لدي من مخزون تحفيز وأمل وإصرار على دفع الناس للأمام ولا يتبقى لي شئ
لم أفكر في نفسي يوماً
لم أسألها يوماً ما تُحب
لا أعرف ماذا تحب

أعرف أنني لا أحب أن أكون سبباً في ألم أي شخص
ولا يهمني إن قُمت بإيلام نفسي

high pain threshold... very high ... 
perfectionist ... OCPD ( I never knew it existed ) ... very true ...

psychology sessions... change ur thoughts & the way u see things ... stop blaming urself for others misery ... U R NOT the cause of people's pain, but u r the cause of ur own pain !

sigh !!

I miss, I cry, & then I pray ... Make them happy Oh Allah ! I feel that everyone is happy away from me , so I prefer staying out ...

I need to go to Heaven & meet all those I miss there ... but, I always am sure I deserve Hell ... painful ...

تغيرات تغيرات

memories memories haunting me ... I smile, then I cry, then I pray ...

injections ... pills ... toota ...

define love ? people r different in the way they express such a word ...

sometimes having such memories r my fuel for moving forward...

نحن إلى الماضي لأنه رحل ، ولو عاد لكرهناه

ppl look for logic ... y r u sad ? y r u depressed? give me some logic ? 
well, my only logic is " I have no clue ! " ...

I let hope grow in people but kill mine ... hopefulhopes for ppl, painfulpains on myself ....




Sunday, July 12, 2015

دائماً ما أعود

لا أعلم السبب ولكنني كل حين أقوم بفتح هذه المدونة لقراءة ما فيها أو ربما حذف البعض

أتكون الذكريات مجرد تدوينات وتمحى بمحوها ؟

لا أظن

لم أعد أكتب
لأن لا أحد يقرأ

Tuesday, February 24, 2015

اشتقت إلى

 الكتابة
القراءة
 نفسي
سعادة الماضي
ابتسامات الحنين
لهفة اللقاء

نحن نفر من قدر الله إلى قدر الله

نخشى شيئاً فنبتعد عنه فنلتقي بما هو أشد رعباً
 
ولكن هذه المرة ، لا نستطيع الابتعاد

الموعد الجنة يا راحة