don't tell me that that she never wrote. and the jointer come up in the morning blaming. resealed the symphony's of the hottest. problems coming. up on. bob you know. 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.

fellow 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 now since it's. in our system can be fascinating but also really in the us such people still call me quasi press the limit there are many personality disorders not only narcissism there is for example a source of compulsive behavior histrionic be borderline paranoia. i am going to meet with psychotherapists lead solder i do have a lot of questions i want to ask her. hello dr prata what's

a 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 negative sometimes these traits also have some positive effects for instance patients report own personality disorder every sensitive to certain stimuli in their surrounding or every creator or patients with narcistic personality disorder very much abated to achieve a lot and they really push for so so that stated with borderline disorder personality disorder what's that about. the 9 diagnostic criteria for instance patients a part of them personality disorder might have problems in their fence of identity they may do harm themselves they might have those who side of forte's experience

intense anger disassociate 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 it to boot but you should talk about it like the next woman we met know an extra pot 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 for a lack of self-esteem and extreme mood swings 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 help distracted from the ceaseless mental stress she was experiencing my leaving home was utterly exhausting and 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 from them 5 years ago dominic decided to try and get help she was diagnosed with borderline personality disorder diagnosis was a relief and a new beginning these days she visits schools to talk to students about the condition as with 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 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 any more how. therapy has helped dominic keep her demons in check and her friends and family supporter instead of alcohol she now does some sports instead of withdrawing and harming herself she's open with others about ariel notice in her

blog and in a new book. that's what you're in moments when i realize wow i've come really fast 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 point now you just. don't really hopes that in future psychological problems like b p d will no longer be your to view subject and that she can say she did her part she was quite a good job i think so let's talk about borderline personality disorder there are a lot of people suffering from it and if you take a look in the yellow press you see that there are famous people among them like britney spears robyn williams and. so far successful people are they successful because of the borderline personality disorder on display. i can't say whether these people that you mentioned have a personality disorder however if

a patient personality disorder is successful then it's because of their competencies and their resources and not because of the symptoms that are going along after a personality disorder personality disorder itself that's why their recent. ector process is a very hard to diagnose borderline personality disorder in that the lot of people who just freak out in stressful situation but they don't mean everybody this isn't just a bottle of disorder in order to diagnose borderline personality disorder we do diagnostic interviews like this of course good and their on line diagnostic criteria and a patient has to prefer a certain amount and has to suffer and a patient has a personality disorder diagnosed you mentioned anger and that is only one of those diagnostic criteria but more diagnostic criteria say agree that their mood swings as well as what else is there they have mood swings they are problems of their

identity moreover they use their doing self harm they have sweet side of what about those suicidal selves and self harm why do patients with a boy like him 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. 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 a 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 bend and do you have any advice for the partners of a bottle in place and had to cope with that as i think information is very important for instance to get some. counseling to go to some

of them self help groups for their people who are different but i am patient 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. well usually when there's a crisis for instance when partners are leaving when they have. their perceived frequent rupture in their friendships and then they seek therapy i would train of them certain kinds of skills for instance stress tolerance emotional regulation mindfulness and social competencies and skills it helps them to regulate their emotions and to have better relationships be good if you are called mary and 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 skills it helps them to their down regulate their emotions you use it in therapy as well as we have certain kind of kenney's to me taste if you want you can try one of those can you see yes this is that this year ok thank you. poppy. and this. it's hard yes it's hard for someone who loves god who is not tense but for some it was what if you would be a patient a borderline personality disorder then you experience high tension and if the tension is let's say around 6570 then those kind of candies help you to regulate your emotions so i can concentrate a lot of talk right now because it's very very hard to do so let's watch the next

report in greek mythology there was a subtle forgot the name of the houses and he fell in love with his own reflection in the river and there supposing the little disorder called narcissism he met one patient. slowly. and the need for admiration are common traits of narcissists but behind the facade things are often quite different and as has announced a cystic personality disorder which affects his relationships with other people. i 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 youngest sister layer not felt abandoned. by trying to make my mother happy and to get warmth and affection but i couldn't get what i needed. also struggled in school i was often bullied. i was already showing signs of narcissism back then 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. so chris. dodd 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 real people the

wrong way that was my main problem. i suffered because people were constantly annoyed by me. thanks to years of therapy later i know it is now coping much better he understands the roots of his problems and why he has always struggled. just 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 the ground you probably think they were very unpleasant people but if you know them then you realize it's just their way of seeking love and approval they never learned any different. and as has written a book about his own experience and is now training to be

a 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 the ones against you everything you say and 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 or not says that the repeat has solved his problem and he's optimistic about the future. losses to some of the old me enough with themselves and just centric and they can fit into others they've got some positive aspects as well to christina where neither does nails to jobs for example very successful also says is there such a thing as a good narcissism. first of all i cannot say that those people that you mentioned

have been as a stick personality disorder or are not the 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 had to sit around and vent to those personality traits and ostracism become problematic usually problems arise when there's a crisis going stones if the person was a drop or the wife divorces from the husband yeah then they usually seek psychotherapy is take to look into relationships and also says 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 a narcissistic personality disorder from anti-social personality disorder. many patients of my own they report that they sometimes have feelings of love and empathy for us what about those induced 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 they're problems of the law as well. 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 for narcissist. well idea is a complicated word but there are 2 different hypothesis one hypothesis is that narcissists rather search for so-called trophy partners meaning a partner that it

a success for that as who is good looking because trophy partners. helping to maintain their self inflicted you but does another a few really stating that partners rather look for insecure partners meaning someone whom they can dominate or who. in order to have a higher self esteem. that some studies and they control the masses father before narcissistic progress earlier yes ok so. if you're not in the us assist and if you don't like to be trusted partner how can you deal with a narcissist a new patient ship and we've got a viewer who writes get out as fast as you can out of this relationship 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 needs and your wishes rapidly 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 there's 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 you psychotherapy might help 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 essential questions to in good shape and d.-w. dot com just right antibiotics in the subject line we look forward to hearing from you. all your questions make me happy into 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. they do make teeth

a bit brighter and feel cleaner but beware 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 clean netty 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. toothpastes are especially abrasive i know a brace of sarin that 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 white need to paste 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 another 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. 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 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. but recently many scientists claim that those drugs could have serious side effects and could cause the disease it's every week created for. take a closer look. i'd like an orange juice and you. for a long time having a drink in a cafe was the last thing barbara harman wanted to do. it

before me barbara suffered from chronic heartburn a symptom of acid reflux. left to my stomach couldn't take juice or other acidic foods i always felt it repeats 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 thus could be every 3 years. i should not be and actually it would be much better of course if i didn't have to take anything like my pills 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 shouldn't take them. on with being personally

mentally sane ones barbara harman is not the only one with concerns. gastroenterologist dr under. is confronted every day by patients worried about the dangers of proton pump inhibitors. very often i 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. 'd 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. that means there might be some statistical differences. but those are not clinically relevant. and. the new warnings are being published all the time such as dangerous interactions with certain cancer drugs professor says doctors are aware of these risks and just need to take them into account. according to new estimates half of the patients who take proton pump inhibitors don't actually need to. 11 years after her acid reflux diagnosis and still needs her pills that's the result of her most recent stomach endoscopy. but a doctor has advised her to cut her dosage in the future she need a tablet every other day. that's it for today.

let's try to stay in good sick. i was just also.

in. the camel. classic recipe for success in the desert in doumani and it's the 1st and in every sense in a way if you take. the edge of the western sahara if it's a media and enterprising scariest moment i can't. help it it's a simple idea that's bringing hope to many. global 3000. 30 min.

hospital with visits into patients. for the longest time the floating hospital couple francisco was just a dream. now attends to patients along the amazon with no other access to medical. and saves lives. a sign of solidarity in a hospital ship on the amazon. in 60 minutes on a d.w.i. . but you are no one on. the length of. exposing injustice global news that matters to those who made 4 minds. i'm not laughing at the well i guess sometimes i am but i stand up and whipped up

a piece of german thinks deep into the german culture of looking at stereotypes of clades but if you think the future of the country that i now live. you don't seem to take it as gramma they are. it's all that they know i'm a joke join me to meet the gem and sunday w. post. frank food. international gateway to the best connection self in road and rail. located in the heart of europe you are connected to the whole world. experience outstanding shopping and dining offers and try our services. be our guest at frankfurt airport city managed by from a bought. this

is c.w. news live from berlin. a 2nd insider at the white house has reportedly told intelligence officials that u.s. president abused his power in a phone call to ukraine to corroboration from the new whistleblower it could strengthen the impeachment inquiry several house committees are looking into whether trump asked he have to investigate his main political rival in the 20.