Obsessive-compulsive disorder (OCD) is a mental health condition characterised by, as its name suggests, obsessions and compulsions. It should, however, be noted that official psychiatric diagnosis differentiates if from obsessive-compulsive personality disorder (OCPD), which regardless of its name is not characterised by actual obsessions and compulsions. OCD is anxiety based condition, which can be successfully attended to in psychotherapy or counselling. When faced with OCD in a therapy room, the condition itself is not hard to diagnose and differentiate from other conditions, however, people presenting with OCD will sometimes tend to hide their symptoms from the therapist due to the sense of shame.
A corporate executive that spent half of her life chasing her career, getting one promotion after the other and moving up the corporate ladder, only to find out—usually in her thirties—that she in fact never achieved what she wanted, whilst her life is slipping by. She wakes up anxious, not knowing what she is doing, where she is going and slightly doubting that she knows what she wants to achieve. She cannot take pleasure in fruits of her hard work although she can afford to. She sees younger generation as competition and starts wondering how long she can keep this up. And what then? When? She can no longer relate to the little girl that sat on her daddy’s shoulders, pulling his hair as they walked through the zoo.
Narcissism and narcissistic personality disorder seem to be quite latent personality presentations—they are not commonly presented in therapy as the core presenting problem that a client will present when they come in for treatment. Often times, hence, narcissistic personality disorder is undiagnosed, which goes even more so for narcissism in general.
Is narcissist a modern day standard and is narcissism on the rise in cosmopolitan world today? At least the latter is often a question and the answer is also simple. But I guess the straightforward answer would not really be enough. The next question is why is that so, why is it happening and why?
Mental health statistics for UK in 2016 in terms of search results reveals that anxiety and depression are still the leading mental health conditions people search for. Other mental health topics that dominate are stress, bipolar, bereavement, panic attacks, trauma, burnout, suicide, addiction and obsessive-compulsive disorder (OCD).
Panic attacks and panic disorder are usually associated with anxiety. However, a panic attack should not be mixed with anxiety, even though they will most often present themselves together.
Anxiety and panic attacks are, like depression, common mental health presentations in therapy. Panic attacks will not accompany all cases of anxiety, however, it’s highly unlikely for them to be present with clients that do not suffer from anxiety. They are especially common with social anxiety. We need to take all this into account when treatment takes the form of psychotherapy or counselling.
Anxiety and depression are often considered hand in hand. When we talk about one, we often pin the other to it. When dealing with these two mental health manifestations within NHS, it is not a rare occasion that they will also be diagnosed together by GPs. And even though it might seem that sometimes depression will be accompanied by anxiety, the problem is much more complex than meets the eye.