Tag Archives: Loneliness

L – #AtoZChallenge on Mental Health

Hi and welcome to the letter L post in the #AtoZChallenge on mental health. I did not have the energy to schedule this post in advance, because I was extremely tired over th =e past few days. Sorry for that. Here goes.

Lethargy

This is quite a suitable word for today. Lethargy means being overly tired and also often being unresponsive, not very alert. Lethargy can be both a side effect of sychiatric medication and a symptom of psychotic disorders, although in that case it usually presents differently.

Loneliness

Loneliness and aloneness are pretty common among psychiatric patients. Some people’s mental illness causes them to self-isolate, while other people suffer from being isolated from others. To combat loneliness, many support organizations for people with mental illness have buddy programs that pair a client with a volunteer.

Long-Term Care

Many people with severe mental illness need care throughout their lives. Outpatient care, even if it’s for life, is covered through health insurance or community assistance. There are strict limitations on outpatient care and people need to be re-assessed regularly. In the Netherlands, the Long-Term Care Act only covers long-term inpatient treatment for the mentally ill and institutionalization or supported housing for people with other severe disabilities. People with mental illness who lived in supported housing when the Long-Term Care Act went into effect in 2015, have five years of transitional rights to supported housing care, after which they need to get re-assessed. They may then get approved for care through the Long-Term Care Act, which is essentially for life. People with other disabilities who lived in institutions or supported hosuign by 2015, got approved for the Long-Term Care Act automatically.

In the original draft of the Long-Term Care Act, people with psychiatric disorders were ineligible for long-term, institutional care. Eventually, they are now eligible only if they’ve been in inpatient mental health treatment for at least three years. I wonder what this means if I fail at living with my husband, since I have been an institution patient for over three years but didn’t apply for LOng-Term Care Act funding right away.

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Avoidant Personality Disorder (AvPD) #Write31Days

31 Days of Mental Health

Welcome to day 16 in the 31-day writing challenge on mental health. I am still tired and a lot is on my mind today. Still, I am resuming my writing on personality disorders today. After we’ve discussed the cluster B personality disorders (well, all except for borderline personality disorder, since I’ve discussed that a lot before), it’s now time to move on to cluster C. (I will discuss the personality disorders in cluster A after I write about psychosis and schzophrenia later this month.) People with cluster C personality disorders are predominately anxious or fearful. The most well-known personality disorder in this cluster, which I’ll discuss today, is avoidant personality disorder.

Avoidant personality disorder (AvPD) referst o a pervasive pattern of social inhibition, feelings of inadequacy and hypersensitivity to criticism. People with AvPD meet four or more of the followign criteria:


  1. Avoids occupational activities that involve significant interpersonal contact, because of fears of criticism, disapproval, or rejection.

  2. Is unwilling to get involved with people unless certain of being liked.

  3. Shows restraint within intimate relationships because of the fear of being shamed or ridiculed.

  4. Is preoccupied with being criticized or rejected in social situations.

  5. Is inhibited in new interpersonal situations because of feelings of inadequacy.

  6. Views self as socially inept, personally unappealing, or inferior to others.

  7. Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing.


Individuals with avoidant personality disorder avoid work, school or other activities that might lead them to be embarrassed or criticized. As a result, they often live an isolated life. When they do engage in social interacitons, they are often hypervigilant to the actions of others. This may in turn elicit criticism or ridicule, which then worsens the AvPD sufferer’s hypervigilance. For clarity’s sake: AvPD sufferers do want to have friends and often feel extremely lonely. The problem is they feel too anxious to attempt to make friends.

Avoidant personality disorder occurs in 2.4% of the population. It commonly co-occurs with social anxiety disorder (social phobia). It is not clear in fact whether social phobia and avoidant personality disorder are distinct conditions or essentially fall on the same spectrum.

Avoidant personality disorder may also co-occur with or be confused with panic disorder with agoraphobia, major depression, or dependent personality disorder, which I’ll discuss later on. It is often confused with autism spectrum disorders. After all, people with AvPD, especially if they already had social phobia when growing up, may have developed social skills problems because of their lack of involvement in social situations.

Loneliness in Autistic People #AtoZChallenge

Welcome to day twelve in the A to Z Challenge on autism. Sorry for being late to publish my post again. Today, my post deals with a common experience in autisitc people: loneliness.

Autistic people by definition have trouble forming friendships, especially with non-autistic people. For this reason, many autistic people feel isolated and lonely. I am no exception. Other than my husband, I have no close friends, though I have a ton of Facebook friends. Most I don’t really know.

in adolescence particularly, I felt lonely. I remember writing in my diary a month into starting secondary school that I realized everyone had built friendships already and I hadn’t. In elementary school, I had usually had one or two friends, though I had trouble interacting with them too. Most of my elementary school friends were themselves quite isolated too.

It is a myth that autistic people are not affected by loneliness. In fact, many adults with autism experience depression and low self-esteem because of their lack of quality friendships. However, depression and anxiety also commonly cause autistic people to feel lonely and to self-isolate. I, for one, did not attempt to socialize anymore after I realized I clung too much to peoople who didn’t in fact considier me a friend. By the end of eighth grade, I was seemingly fine with the fact that I had no friends, but was actually quite depressed.

Even autistics who do have friends, can feel lonely. This is because autistic people have a different perception of friendship than neurotypicals. For example, neurotypical people usually associate friendship with affection, companionship and intimacy. Autistic people often don’t experience these qualities, or experience them to a lesser degree, in their friendships. They may therefore be lonely because of having a poorer quality friendship. For example, I sometimes refer to some of my Facebook friends as actual friends in conversation, but I recognize that the relationship I have with them is not as close as that of other people with their friends.

There are many ways to cope with loneliness. For example, autistic people might want to connect to other autistic people. There are play groups for autistic children and social and support groups for teens and adults with autism in most urban areas. This not only will help autistic people connect to others, but they wil also be able to find someone whose experience is similar to theirs. Hence, they may feel less disconnected from their environments, which can also be a form of loneliness.

Of course, it is also important that autistic people develop their interpersonal skills. In the Netherlands, many mental health agencies provide specific programs for adults with autism, where they can also follow social skills training. This may help them build and keep friendships and thereby lessen loneliness.

Lastly, many autistic people find that pets can help them feel less lonely. I for one don’t have a particularly close connection to our two cats, but that is possibly because they’re at our apartment, where my husband primarily cares for them.