state use and let's all try to stay. in shape next to. the literature invites us to see people in particular and then i like to see myself as the kids find strength growing up. my own going to. work or find. the books on you tube. welcome to in good shape coming up on the show. dental care why whitening toothpaste should be used with caution. and acids are proton pump inhibitors bad for your health. and personality disorders and the social problems these mental

illnesses can cause. hello would like them to in good shape have you ever met people who really just love one person themselves. who really just a daw one person themselves. who every single thought is just about one person. themselves. those people are called in the house it's nurses to be fascinating but also really in the way that such people still normal see breasts the limit there are many personality disorders not only narcissism there is for example a source of compulsive behavior histrionic be borderline paranoia. i'm

going to meet with psychotherapist leave father i do have a lot of questions i want to ask her. hello dr cottle what's the correct definition of a personality disorder personality disorders are pervasive patterns of feelings for what it leaves symptoms and behaviors and they deviate from. healthy individuals. but the name of the words disorder implies that something's broken isn't always just they get it sometimes these traits also have some positive effects for instance patients with what i personally has or of every sensitive to certain stimuli in their surrounding or every creator or patients or narcistic personality disorder very much related to achieve a lot and they really push with so that stayed with us or personality disorder

what's that about. the 9 diagnostic criteria for instance patients with one of them personality disorder might have problems in their sense of identity they may. harm themselves they might have those who side affords experience intense anger disassociated sometimes and have changes in their social relationships mental disorders are not uncommon but it's very rare that people talk about it it's like a to boot but you should talk about it like the next woman we met know an extreme part and she was suffering from depression and she hurt herself and she didn't know what's wrong with her until she found out borderline personality disorder. in the past dominick to my knees illness ruled her life these days she has it under control. the young woman from munich has been suffering from borderline personality disorder or b p d for 16 years now typical symptoms or a lack of self-esteem and extreme mood swings and this is not the christmas where

you are happy or ecstatic when you're sad you're devastated and sometimes those feelings can alternate within minutes it sounds exhausting but it is. she ended up resorting to alcohol a bottle of vodka a day was soon the norm then she began cutting herself with a razor the pain helped distracted from the ceaseless mental stress she was experiencing by leaving what was fun she was utterly exhausting i was leading a double life the side i show to the world was functional everything seemed fine i finished high school i went to university that wasn't a problem but inside it was a different story altogether it cost me so much energy to keep up the facade but i was convinced that i was at fault and that i was simply weak and there was nothing anyone could do any way i hear. then 5 years ago dominic decided to try and get help she was diagnosed with borderline personality disorder the diagnosis was a relief and

a new beginning these days she visits schools to talk to students about the condition as witty forgiven him suicide was a topic that was with me throughout all my life simply because my greatest desire was to shut off my head which was constantly terrorizing me but suicide isn't something you can do quietly my mother would have noticed if i just disappeared so the main reason i didn't commit suicide was because of her because of my family. dominic isn't shy about talking in a group like this about her vulnerability about the ups and downs she's experienced and how she deals with her condition. you said your last therapy session is coming up soon does that mean you're healed or will you continue in some other form because i'm hired i'm not exactly healed but my therapist and i decided to leave longer breaks between our sessions i've learned to deal with it and i've learned so much and acquired so many tools to help myself that i don't really need her support anymore how. therapy has helped amina keep her demons in check and her friends and

family supporter instead of alcohol she noticed some sports instead of withdrawing and harming herself she's open with others about ariel notice in her blog and in a new book. this is what you're in moments when i realize wow i've come really fun i know it's a good feeling. and of course to be able to do this is something a lot of us have forgotten to be proud of yourself but it's actually pretty nice. dominic to manet hopes that in future psychological problems like b.p. d. will no longer be a to do subject and the chief can say she did her part. she does quite a good job of think so let's talk about borderline personality disorder there are a lot of people suffering from it's and if you take a look into the yellow press you see that there are famous people among them like britney spears robbie williams and justin bieber so far successful people are they

successful because of the borderline personality disorder on his behalf 1st of all i can't say whether these people that you mentioned have a personality disorder however if a patient of a personality disorder is successful then it's because of their competencies and their resources and not because of the symptoms that are going along with personality disorder personality disorder itself is what i respect or process is a very hard to diagnose borderline personality disorder i mean look a lot of people just freak out in stressful situations but they don't everybody this isn't just a bottle of disorder in order to diagnose borderline personality disorder we do diagnostic interviews like. it's good and there are 9 diagnostic criteria and a patient has to pull for a certain amount and has to suffer and then the patient has personality disorder diagnosed you mentioned anger and that is only one of those diagnostic criteria but

more diagnostic criteria say angry that their mood swings as well as what else is there they have mood swings they have problems of their identity moreover they use they're doing self harm they have suicide of what about those suicidal souls and self harm why do patients with the bottom line and at the hurting themselves well one aspect is the self harm the other one is suicidal for its self harm is used in order to reduce high internal tension and suicide affords are very often they have to function to cope with a difficult stressful situation. so if everything is getting too much and suicide affords help to there to get out of this many patients with a borderline personality disorder in the relationship and it's kind of hard for them and for their partners because i'm on the one hand they are very afraid of

being the band and the do you have any advice for the partners of a bottle of patients had to cope with this is i think information is very important for instance to get some. counseling or to go to some of the self-help groups for their people would have thought i am patients and moreover it's very important to offer a stable relationship but to also to set boundaries so when should patients with borderline personality disorder seek professional help and. well usually when there's a crisis for instance when partners are leaving or when they have. their perceived frequent ruptures and their friendships and then they seek for people i would train with them certain kinds of skills for instance stress tolerance emotional regulation mindfulness and social competencies and skills there it helps them to regulate their emotions and to have better relationships with good

if you are called mary she suffers from borderline personality disorders and she wrote that she always bites into hot chili pepper and the tension becomes unbearable how can this help by using chili or other distress tolerance because it helps them to their own regulate their emotions you use it in therapy as well as we have certain kind of kenney's to taste if you want you can try one of those can you see the assertion was that this you. think you are good reasons. and this is. a. it's hard yes it's hard for someone who's not tense but i was what if you would be a patient with borderline personality disorder. you experience high tension and if the tension around 6570 and those kind of candies help you to regulate your

emotions so i can concentrate on our talk right now because it's very very hard so let's watch the next report in greek mythology there was a son of god the name of and he fell in love with his own reflection in the river and there's a possibility disorder called narcissism one patient. self centeredness low empathy and the need for admiration are common traits of narcissists but behind the facade things are often quite different and as has announced a 60 personality disorder which affects his relationships with other people for the whole amount. was very demanding i expected a lot from people and was easily disappointed when those expectations weren't met i argued a lot made accusations and couldn't accept any kind of praise i always thought people were making fun of me because i thought i wasn't lovable or good enough i'm

just not enough. as a child he received little more for approval from his parents his father left the family when he was young his mother preferred his younger sister later not felt abandoned. by them what i've. tried to make my mother happy to get warm from defection but i couldn't get what i needed. to harbor. later on and also struggled in school and was often bullied. i was already showing signs of narcissism back then i'm sure i tried to bribe people into being my friend by saying i did invite them to my birthday party i'll give them candy if they let me play with them and i thought that might be a way to get friends. wants you to be liked but often felt rejected after high school he was dismissed from an apprenticeship and became suicidal during

a stay in hospital he realized he needed help. i was really suffering and i didn't want to suffer anymore i wanted to handle my life better and not rip people the wrong way that was my main problem. i suffered because people were constantly annoyed by me. thanks to years of therapy is now coping much better he understands the roots of his problems and why he's always struggled. want to be loved and they'll do almost anything to achieve that if it doesn't happen and it looks like they won't get what they need to get angry hateful and aggressive but that's basically a desperate cry for help. if you don't know they're not suspect ground you probably think they were very unpleasant people but if you know them then you realise it's just their way of seeking love and approval they never learnt any different.

and as has written a book about his own experience and is now training to be a non medical practitioner. he's also started working with others suffering from narcissism helping them identify the causes of the condition change their behavior another gate every day life. because i've been through it and i know what it's like when you think no one understands you are going to be ones against you everything you say you do is wrong i know exactly what it's like but i managed to sort myself out and now i want to help others. today laying out under his says that there at the has solved his problem and he's optimistic about the future. nasa says the model me enough with themselves and dogs centric and they can fit into others they've got some positive aspects as well to

christan over mother who will do snail steve jobs for example very successful losses is there such a thing as a good narcissism. first of all i cannot say that those pieces people they've been mentioned have been as a stick personality disorder or are now cystic and 2nd i wouldn't use the word good narcissism i would rather say that every personality trait has advantages and disadvantages so for instance narcissists are charming they have. their outgoing they're motivated to achieve a lot but on the other hand. they get angry easily or they're frightened when there's a conflict and i had to sit around and vent to those personality traits in losses and become problematic usually problems arise when there's a crisis for instance if the person who has the drop or the wife divorces from the husband yeah then they usually seek psychotherapy mistake to look into

relationships narcissists capable of loving and being loved i think that every human being has a certain capability of loving and yet it's very important to differentiate narcissistic personality disorder from antisocial personality disorder. many patients of my own they report that they sometimes have feelings of love and empathy for us what about those in the social disorder patients and what's the difference between this and also says they have some real problems of empathy patients with and antisocial personality disorder and very often their problems of the law as they. hurt other people also physically and usually does is not the case of patients with narcissistic personality disorder but there are problems but there are some patients who have both disorders at the same time is there something like an ideal partner far enough assist. well idea is

a complicated word but there are 2 different hypothesis one hypothesis that narcissists rather search for so-called trophy partners meaning a partner that is success for that as who is good looking. because trophy partners. helping to maintain the south invented you but does another a few really stating that narcissistic problems rather look for insecure partners meaning someone who they can. or move. in order to have a higher self esteem. there are some studies and they control the masses this rather than for narcissistic populace earlier yes ok so. if you're not in the us as to and if you don't like to be trusted partner how can you deal with the narcissist in nutrition ship you go to a viewer who writes get out as fast as you can out of the sedation ship has

suffered for years only after the separation i was able to be happy well when you're in a relationship it's very important to state your meats and your wishes reputably and if the other one doesn't. respond to it then maybe it might be a good idea to leave the relationship and the narcissist when should he or she. seek the help of a psychotherapist patient narcissistic personality disorder can always come to psychotherapy usually they're coming when it has a crisis but it's better to come before here in order to seek immediate help and can you heal narcissism. i think it's not about meaning it's more about understanding yourself better and to create maybe a handbook for yourself in order to better their daily situations but it can get better we know that. after 2 years of seeing

patients again only 50 percent of the patients do for the diagnostic criteria for narcissistic personality disorder meaning that the symptoms get less severe over time. and his psychotherapy went up to tell the truth i like myself a lot but i'm not a narcissist because there's something i like more your e-mails. on an upcoming show we'll be talking about antibiotics they're prescribed more frequently than ever but resistance is also on the rise what are the consequences and are there alternatives to send your questions to in good shape at d w dot com just write antibiotics in the subject line we look forward to hearing from you. all your questions make me happy in the really left of them but please don't send in any questions about white teeth because everything you would like to know is in the next report. they are all the rage

toothpaste that make your teeth gleaming white. teeth a bit brighter and feel cleaner but where some people clean their teeth too much. we have a growing number of patients who are obsessed the teeth are very important to them . hygiene might be a top priority for them but they clean too intensely they claim a tooth for long periods of time sometimes too long. cleaning your teeth to intensively can damage them the neck of the truth near the gums is especially vulnerable and toothpaste. that contains lots of abrasives can scratch the packaging really offers information on how much abrasive a product contains but there are some clues. whitening toothpaste are especially abrasive i know a brace of sarin there when i see bleaching or whitening on the package conversely

toothpaste made for sensitive teeth usually have very little abrasive material that means any tooth paste made especially for sensitive teeth is the kind to use if people don't want to scratch their teeth. those who do want to whiten their teeth should be careful and only use whitening toothpaste for short periods of time around one or 2 weeks. demonstrates another important factor how much pressure is needed. pressure can increase any abrasive effect actually no more than 70 to 100 grams of pressure should be applied that's really not much. that's not easy to do you don't always have a scale on hand so just make sure you can try it on one of the surface the bristles are not completely bent they should be able to glide easily. electric toothbrushes often have a pressure sensor they warn users with a light signal. another factor in cleaning teeth

with abrasive toothpaste what was on the menu before brushing any of the things i've eaten and drunk are acidic fruits fruit juices and other things you never think about like energy drinks so young that they make the tooth enamel softer and i can damage my teeth that's why it's good to take a half hour break to drink one or 2 glasses of water and then brush your teeth. clean and white teeth are fine just not at any price. proton pump inhibitors those drugs have been used for years. to treat gastritis and. recently many scientists claim that those blocks could have serious side effects and could cause the disease it's. created for. try to. take a closer look. i'd like an orange juice in you. for a long time having

a drink in a cafe was the last thing barbara harman wanted to do. people called me barbara suffered from chronic heartburn a symptom of acid reflux. left if i'm sure my stomach couldn't take juice or other acidic foods i always felt it repeat on me and it burns it's like having a small fire burning inside of you. it was very uncomfortable. but one tablet a day has restored her quality of life for the last 11 years she's been taking proton pump inhibitors a medicine that regulates the acid forming cells in the stomach inhibiting gastric acid secretion but she still needs regular checkups and has a stomach and does. every 3 years. it would be much better of course if

i didn't have to take anything like like hills which i don't like taking because i think they all have side effects on the kidneys for example and if you don't need pills you should take them. on is not the only one with concerns gastroenterologist ducked under. is confronted every day by patients worried about the dangers of proton pump inhibitors. very often come across patients who are doing well with the medicine but stop using it because they were afraid of developing osteoporosis. proton pump inhibitors early age to cause kidney failure pneumonia and cardiovascular disease. is also a gastroenterologist he's been researching proton pump inhibitors for years he

thinks the warnings are exaggerated. we basically know that the risks that are published are based on databases that don't necessarily reflect the most recent information. means there might be some statistical differences. but those are not clinically relevant. however new warnings are being published all the time such as dangerous interactions with certain cancer drugs professor corp says doctors are aware of these risks and just need to take them into account. to coding to new estimates half of the patients who take proton pump inhibitors don't actually need to. 11 years after her acid reflux diagnosis barbara harman still needs her pills that's the result of her most recent stomach endoscopy. but her doctor has

advised her to cut her dosage in the future she'll only need a tablet every other day. that's it for today see you next week and until then let's all try to stay in good shape. it was just also.

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