I need Help, But i am afraid

Part A

According to the DSM-IV-TR criteria for diagnosing a major depressive disorder (cautionary statement) one of the following two elements must be present for a period of at least two weeks:

1. Depressed mood, or
2. Anhedonia

Yes to Depressed mood. Unsure what Anhedonia means.

Part B

It is sufficient to have either of these symptoms in conjunction with five of a list of other symptoms over a two-week period.

These include:

1. Feelings of overwhelming sadness and/or fear, or the seeming inability to feel emotion (emptiness). Yes

2. A decrease in the amount of interest or pleasure in all, or almost all, daily activities. Yes

3. Changing appetite and marked weight gain or loss. No

4. Disturbed sleep patterns, such as insomnia, loss of sleep, or excessive sleep (hypersomnia). Yes

5. Psychomotor agitation or retardation nearly every day. Yes

6. Fatigue, mental or physical, also loss of energy. No

7. Intense feelings of guilt, nervousness, helplessness, hopelessness, worthlessness, isolation/loneliness and/or anxiety. Yes

8. Trouble concentrating, keeping focus or making decisions or a generalized slowing and obtunding of cognition, including memory. Yes.

9. Recurrent thoughts of death (not just fear of dying), desire to just "lie down and die" or "stop breathing", recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for completing suicide. Yes

10. Feeling and/or fear of being abandoned by those close to one. Yes

Part C

The Patient Health Questionnaire is a faster, two question questionnaire.

"During the past month, have you often been bothered by:"

1. "little interest or pleasure in doing things?" Yes
2. "feeling down, depressed, or hopeless?" Yes

If either question is positive, then the SALSA questionnaire should be used for more certainty.

A positive test is one of the above answers positive and two of the answers below positive:

1. "Sleep disturbance nearly every day for the last 2 weeks?" Yes

2. "Have you experienced little interest or pleasure in doing things nearly every day for the last 2 weeks (Anhedonia)?" Yes

3. "Have you experienced Low Self esteem nearly every day for the last 2 weeks?" Yes

4. "Have you experienced decreased Appetite nearly every day for the last 2 weeks?" No

--Checklist diagnosed for depression-- Positive.

Personal

I have some symptoms which i felt not listed or taken under account of previously.

1. Self-loathing.

2. A decrease in self-esteem.

3. Sensitivity to noise.

4. Fear of 'going mad'.

5. Change in perception of time.

6. Possible behavioral changes, such as aggression and/or irritability.

7. A feeling that something bad is going to happen soon.

8. Avoiding social situations or being late often.

9. Feeling that you will never get better (hopelessness)


I believe as a child i had

a. Loss of appetite. (Until late primary school, primary 5)

b. Irritability. I am still suffering from it.

c. Sleep problems, such as recurrent nightmares. I am still suffering from it.

d. Learning or memory problems where none existed before.

I had poor memory and poor grades for post primary, primary and tertiary education.
Secondary education had a slight improvement due to my urge to rid myself of the bad company and sufferings at normal academic level to reach express level.

e. Significant behavioral changes; such as withdrawal, social isolation, and aggression.

I am a social withdraw person with few friends and rarely talk even with my family members.

Since tertiary education failed friendships at year one, i had been in social isolation for my time spend in year two and my current final year. I stay at home for extended periods of time and avoided going out for social acivites.

I may have depressive disorder which i am afraid to admit and seek treatment.

I want to show to my family that i can do as well as my cousins and childhood friend in life.

I want others to respect me and not treat me as a retarded patient.

I want to stop medication or visits to the IOH Insititute of health which i been to while i am in primary school years.

I am afraid to seek treatment

My Symptoms of Clinical Dependency

I always feel there is something amiss with myself, i seek to find an answer for myself, sometimes i think i had some symptoms of clinical dependency.

I have Low self-esteem, frequent anxiety and verbal hostility towards others, even my close friends and relatives. I often stay at home for extended period of time because i fear the outside world and fear of crowds.

My poor social performance and rigid interpersonal behavior had lead to few friends, i had one good friend in primary school. It is the only friend i have in those five years, at primary five we quarrel and went out own ways.

My last year at primary school was lonely, i spend time walking around school, going to the school library and trying to act like i was busy to my family members. I sepend lots of time reading comics at the school ibrary.

I feel like i am a ghost of my past, drifting around without aim or target, my childhood friend and cousins had progress much better then me in both academic and personal lifestyle.

I had poor grades since i start schooling, poor in sports, few friends and fewer close friends, no girlfriends or close female friends, poor in communication and self presentation.

I should be suffering from this dependency.

Psychological dependency is a dependency of the mind, and leads to psychological withdrawal symptoms (such as cravings, irritability, insomnia, depression, anorexia).

Addiction can in theory be derived from any rewarding behavior, and is believed to be strongly associated with the dopaminergic system of the brain's reward system.

Some claim that it is a habitual means to avoid undesired activity, but typically it is only so to a clinical level in individuals who have emotional, social, or psychological dysfunctions ( psychological addiction is defined as such), replacing normal positive stimuli not otherwise attained.

It is considered possible to be both psychologically and physically dependent at the same time. Some doctors make little distinction between the two types of addiction. However, the cause and characteristics of each of the two types of addiction is quite different, as is the type of treatment preferred.

Psychological dependence could be from activities and behavioral patterns that can be considered addictions, if they are harmful, for me it would likely be Internet use, usage of computers.

Minnesota

The history of Minnesota is the story of a U.S. state shaped by its original Native American residents, European exploration and settlement, and the emergence of industries made possible by the state's natural resources.

Minnesota achieved prominence through fur trading, logging, and farming, and later, railroads, flour milling and iron mining. While those industries remain important, the state's economy is now driven by banking, computers and health care.

Fort Snelling played a pivotal role in Minnesota's history and in the development of the cities of Minneapolis and Saint Paul.

The first settlers followed herds of large game to the region during the last Ice Age, and from them descended the Anishinaabe, the Sioux, and the other Native American inhabitants. Fur traders from France arrived during the 1600s. Europeans, moving west during the 1800s, drove out most of the Native Americans.

Fort Snelling, built to protect United States territorial interests, brought early settlers to the area. Early settlers used Saint Anthony Falls for powering sawmills in the area that became Minneapolis, while others settled downriver in the area that became Saint Paul.

Minnesota became a part of the United States as the Minnesota Territory in 1849, and became the 32nd U.S. state on May 11, 1858.

After the upheaval of the American Civil War and the Dakota War of 1862, the state's economy started to develop when natural resources were tapped for logging and farming. Railroads attracted immigrants, established the farm economy and brought goods to market.

The power provided by Saint Anthony Falls spurred the growth of Minneapolis, and the innovative milling methods gave it the title of the "milling capital of the world."

Moorgate

Moorgate was one of the minor gates of the old London Wall. Though the gate itself was demolished in 1761, the name survives as a major street in the heart of the City of London.

The street connects the city to Islington, and was constructed around 1846 for the formation of new approaches to London Bridge.

The name "Moorgate" derives from the surrounding area of Moorfields, which was one of the last pieces of open land in the city. Today this region is a financial centre, and is home to several of the United Kingdom's major investment and commercial banks.

The street also showcases historic and contemporary office buildings, including the Guildhall and the Moorhouse.

Chew Valley Lake

Chew Valley Lake is a large reservoir in the Chew Valley, Somerset, England, and the fifth-largest artificial lake in the United Kingdom (the largest in south-west England), with an area of 1,200 acres.

The lake, created in the early 1950s and opened by Queen Elizabeth II in 1956, provides much of the drinking water for the city of Bristol and surrounding area, taking its supply from the Mendip Hills. Some of the water from the lake is used to maintain the flow in the River Chew.

Before the lake was created, archaeological investigations were carried out that showed evidence of occupation since Neolithic times and included Roman artefacts. The lake is an important site for wildlife and has been dedicated as a Site of Special Scientific Interest and a Special Protection Area.

It is a national centre for birdwatching, with over 260 species recorded, including some unusual sightings. The lake has indigenous and migrant water birds throughout the year, and two nature trails have been created.

The flora (plants) and fauna provide a variety of habitats and include some less common plants and insects. Some restricted use for recreational activities is permitted by the owner, Bristol Water, including dinghy sailing and fishing, primarily for trout.

Olm

The Olm or Proteus (Proteus anguinus) is an amphibian that lives in the subterranean waters of the Dinaric karst from the Soča river basin near Trieste in Italy through southern Slovenia and southwestern Croatia to Herzegovina.

It is the only species in the genus Proteus, the only European species of the family Proteidae, and the only European cave-dwelling caudate. It is also called the "human fish" or "humanfish", because of its human-like skin, Cave Salamander, or White Salamander.

This animal is most notable for its adaptations to life in the complete darkness of its underground habitat. The Olm's eyes have atrophied, leaving it blind, while its other senses, particularly those of smell and hearing, are acute.

It also has no skin pigmentation. In contrast to other amphibians, the Olm is wholly aquatic, not only breeding underwater but living its entire life there. This is possible due to their retention of larval characteristics, such as external gills, into adulthood.

The Olm swims by eel-like twisting of its body, assisted only slightly by its poorly developed legs.

It is a predatory animal, feeding on small crabs, snails and occasionally insects. It does not chew its food, instead swallowing it whole.

The Olm is resistant to long-term starvation, an adaptation to its underground habitat. It can consume large amounts of food at once, and store nutrients as large deposits of lipids and glycogen in the liver.

When food is scarce, it reduces its activity and metabolic rate, and can also reabsorb its own tissues in severe cases. Controlled experiments have shown that an Olm can survive up to 10 years without food.

Carson Wayne Newton

Carson Wayne Newton is an American singer and entertainer based in Las Vegas, Nevada.

He performed over 30,000 solo shows in Las Vegas over a period of over 40 years, earning him the nickname Mr. Las Vegas.

His best known songs include the kitschy "Daddy Don't You Walk So Fast" (1972) and his signature song, "Danke Schoen" (1963).

Newton achieved nationwide recognition on September 29, 1962, when he and his brother performed on The Jackie Gleason Show.

He would perform on Gleason's show 12 times over the following two years.

Many other entertainment icons such as Lucille Ball, Bobby Darin, Danny Thomas, George Burns, and Jack Benny lent Newton their support. In particular, Benny hired Newton as an opening act for his show.

After his job with Benny ended, Newton was offered a job to open for another comic at the Flamingo Hotel, but Newton asked for, and was given, a headline act.

In 1994, Newton performed his 25,000th solo show in Las Vegas.

In 1999, Newton signed a 10-year deal with the Stardust, calling for him to perform there 40 weeks out of the year for six shows a week in a showroom named after him.

In 2005, in preparation for the eventual demolition of the casino, the deal was, from all reports, amicably terminated; Newton began a 30-show stint that summer at the Hilton.

In 2001, Newton succeeded Bob Hope as “Chairman of the USO Celebrity Circle.” In January 2005, Newton started a reality television show on E! called The Entertainer. The winner got a spot in his act, plus a headlining act of their own for a year.

And recently during player introductions at the 2007 NBA All-Star Weekend in Las Vegas, Newton sang Elvis Presley's "Viva Las Vegas."

Newton is currently performing with a full band at casinos and major venues throughout 2007 across the United States.

Newton will be the Grand Marshall of the 80th Annual Shenandoah Apple Blossom Festival in Winchester, Virginia, May 1st through May 7th, 2007. He cancelled a sold-out show to join the Festival.

He will be featured on the new season of Dancing with the Stars.

Edmund John Millington Synge

Edmund John Millington Synge was an Irish dramatist, poet, prose writer, and collector of folklore.

He was a key figure in the Irish Literary Revival and was one of the cofounders of the Abbey Theatre.

He is best known for the play The Playboy of the Western World, which caused riots in Dublin during its opening run at the Abbey.

Although he came from an upper-class Protestant background, Synge's writings are mainly concerned with the world of the Roman Catholic peasants of rural Ireland and with what he saw as the essential paganism of their world view.

Synge suffered from Hodgkin's disease, a form of cancer that was then untreatable. He died just weeks short of his 38th birthday and was at the time trying to complete his last play, Deirdre of the Sorrows.

One Nice Photo

Hey i found one new photo~



http://i31.photobucket.com/albums/c397/jasontaiki/car.jpg

02 Sept

Take a Look at the new items from recently released raid encounters