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One depends on the existence and availability of the reflection to produce the emotion of self-love pristiq 50 mg cheap. The absence of a "compass" discount pristiq 50 mg overnight delivery, an "objective and realistic yardstick", by which to judge the authenticity of the reflection. In other words, it is impossible to tell whether the reflection is true to reality - and, if so, to what extent. The popular misconception is that narcissists love themselves. He who loves only impressions is incapable of loving people, himself included. But the narcissist does possess the in-bred desire to love and to be loved. If he cannot love himself - he must love his reflection. Thus, driven by the insatiable urge to love (which we all possess), the narcissist is preoccupied with projecting a loveable image, albeit compatible with his self-image (the way he "sees" himself). The narcissist maintains this projected image and invests resources and energy in it, sometimes depleting him to the point of rendering him vulnerable to external threats. To a narcissist, love is interchangeable with other emotions, such as awe, respect, admiration, attention, or even being feared (collectively known as Narcissistic Supply). Thus, to him, a projected image, which provokes these reactions in others, is both "loveable and loved". The more successful this projected image (or series of successive images) is in generating Narcissistic Supply (NS) - the more the narcissist becomes divorced from his True Self and married to the image. I am not saying that the narcissist does not have a central nucleus of a "self". All I am saying is that he prefers his image - with which he identifies unreservedly - to his True Self. The narcissist, therefore, is not selfish - because his True Self is paralysed and subordinate. The narcissist is not attuned exclusively to his needs. On the contrary: he ignores them because many of them conflict with his ostensible omnipotence and omniscience. He does not put himself first - he puts his self last. He caters to the needs and wishes of everyone around him - because he craves their love and admiration. It is through their reactions that he acquires a sense of distinct self. In many ways he annuls himself - only to re-invent himself through the look of others. He is the person most insensitive to his true needs. The narcissist drains himself of mental energy in this process. This fact, as well as his inability to love human beings in their many dimensions and facets, ultimately transform him into a recluse. His soul is fortified and in the solace of this fortification he guards its territory jealously and fiercely. He protects what he perceives to constitute his independence. His convoluted mind comes up with the most elaborate contraptions in lieu of answers. Why should people indulge the narcissist, divert time and energy, give him attention, love and adulation? He feels that he deserves whatever he succeeds to extract from others and much more. Actually, he feels betrayed, discriminated against and underprivileged because he believes that he is not being treated fairly, that he should get more than he does. There is a discrepancy between his infinite certainty that his is a special status which renders him worthy of recurrent praise and adoration, replete with special benefits and prerogatives - and the actual state of his affairs. To the narcissist, this status of uniqueness is bestowed upon him not by virtue of his achievements, but merely because he exists. Herein lies a paradox, which haunts the narcissist: he derives his sense of uniqueness from the very fact that he exists and he derives his sense of existence from his belief that he is unique.

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Counselors use the film purchase pristiq 50 mg visa, as well as many education professionals who deal with high-risk teens in their teaching environments buy 50mg pristiq mastercard. Check out the Cut: Teens and Self Injury website to view a trailer, read reviews, or purchase a DVD. These self injury movies provide insight into these disturbing behaviors as well as possible hope for those entangled in the secret and largely unacknowledged world of self mutilation and harm. Both those who engage in self injury and those who do not may want to look at self harm pictures. For those who engage in this sort of behavior, the pictures may intensify or trigger their compulsion to cut, burn, or otherwise inflict injury upon themselves. Other people may view self mutilation pictures in an attempt to understand why teens and others self-injure or even for research purposes. These self harm images may dredge up memories of past self harming sessions, guilt, self loathing, and other negative thought patterns that make people feel compelled to self injure again. Some people engage in self injuring activities like cutting to help themselves cope with these feelings. But the truth is, each time you say those things, you do it again in an attempt to obtain the temporary relief it gives you. Self mutilation photos may not be suitable for certain vulnerable individuals. As these self-harm pictures and photos indicate, there are many ways to self-harm. Where do self-injurers come up with some of these ideas? Sometimes from pro self-injury websites or they are "inspired" by movies about self-injury or celebrities who self-harm. Reading or hearing the thoughts of another person who struggles with feelings of being emotionally overwhelmed can provide comfort and a place for recovery to begin. Self harm quotes can also offer people outside the secretive culture of self harm insight into the phenomenon. If self-injurers can gain a better perspective on why they self-harm and hurt themselves; and outsiders can garner some sort of understanding into the psyche of these people, perhaps healing can come of it. Check out these self injury quotes from a website owned and operated by Daniel, a 21 year old native of New Zealand. He says he chose the quotes because they have a lot of meaning to him and, although penned by others, speak his own truth. They represent the battles through which I have gone, and I am proud because those battles I have won. We should be congratulated on having found a way of surviving. To wear it on my body tells what words cannot explain. How you hurt yourself on the outside to try to kill the thing on the inside. The site owner does not include credit for the origins of the quotes, but they provide frank insight into the minds of self-injurers. Some come from books, celebrities who self-harm or movies about self-injury, others from individuals with some sort of connection to self harm ??? either through a loved one or from personal experience. Marie"Scars on our souls frequently lead to scars on the outside from self-inflicted wounds. Together we can empower one another and move toward healing. Perhaps your child, best friend, or loved one inflicts harm upon him or herself. It might help to keep a journal of your thoughts in digital or written format. The biggest myths about self-injury stem from misinformation. It is very easy to misunderstand self-injury if you do not suffer with the problem yourself. Even many self injurers do not understand exactly why they cut themselves or engage in other types of self-harm. Because of the nature of self injury, people tend to jump to very quick conclusions. Self Injury is NOT a series of failed suicide attempts, as this article on self-harm and suicide explains. Those who self injure do so more to "cope" than as a way out, a way of dying. It is true that many self injurers contemplate suicide as an extreme option. Many do suffer with the same kinds of illnesses (ie, bipolar, depression, borderline personality disorder) that those who commit suicide do. However self injury is not done with the intention of killing oneself.

Should I be convincing her she is depressed or supporting her stand? She does seem depressed to me from time-to-time generic pristiq 100 mg, due to her eating disorder and complications stemming from it pristiq 50mg with amex. Crawford: The medications can frequently be helpful for anorexic patients regardless of whether depression is present. And to everyone in the audience, thank you for your participation and your questions. I want to again urge you need help recovering from you eating disorder, please take it seriously. Sacker joined us to discuss the medical risks of eating disorders (anorexia and bulimia), which range from hair loss, kidney failure, electrolyte imbalance, esophageal rupture, loss of menstrual period, to heart failure. He also commented on the problems that the audience shared, including how eating disorders affect fertility and pregnant women and problems with diet pills. What if you abused ipecac syrup, or abuse diuretics, or have been abusing laxatives? To find out what these behaviors can result in, read the transcript below. Our topic tonight is "The Medical and Psychological Risks of Eating Disorders. Ira Sacker, director of the Eating Disorders Program at Brookdale Medical Center and co-author of the book, Dying To Be Thin. Sacker is also the founder of HEED, "Helping To End Eating Disorders," a support and information organization based in New York. Am I right in assuming that most people do NOT die from an eating disorder, but are more likely to suffer from different medical complications as a result of having anorexia or bulimia? Some of the medical complications of anorexia include hair loss, kidney failure, electrolyte imbalance, esophageal rupture secondary to vomiting, and loss of menstrual period, resulting in possibilities of osteoporosis and infertility. There are also cardiac complications which can result in sudden death. Sacker: Additional complications include ruptured blood vessels in eyes, all of the cardiac and renal complications, as well as multiple ulcers of the esophagus and stomach. David: If one starts engaging in disordered eating behaviors, how long does it take for medical complications to arise? David: On the average though, are we talking about a few weeks or a few months, or many months, even years before any serious medical complications arise? Sacker: Certain complications, like hair loss and loss of menstrual period, may occur rather soon, but other complications such as osteoporosis or heart and kidney disease, may not been seen at first, therefore giving the person a false sense of health. David: The reason I asked that question is because there are many people suffering from eating disorders who think "this will never happen to me. You think that you are in control initially, but then realize that you actually have no control at all. Sacker: Purging causes increased pressure which can be transmitted to the chambers of the eye. BurnhamBuggirl: How long can you go without a period before you are infertile? Sacker: The earlier the diagnosis is made, and the earlier the malnutrition is corrected, the greater the chance of full recovery of fertility. David: Can one become permanently infertile as a result of prolonged anorexia or bulimia? It is baffling to me that my body would sacrifice the protein each month. Take this as a sign from your body that it wants you to get the help you so desperately need. Sacker: If you are restricting, rather than bingeing and purging, then you are engaging in anorexic behavior. David: Some of the medical problems we are discussing tonight are explained in some detail on the Peace, Love and Hope Eating Disorders site here at HealthyPlace. David: What about the psychological problems that can result from having an eating disorder? Sacker: Some of the psychological problems include depression, isolation, mood swings, suicidal ideation, social withdrawal, feelings of rejection, unworthiness, loneliness, and obsessive compulsive behavior. David: Are some of these disorders, like depression or mood swings, a result of possibly a situation the person finds themselves in or is it because of an imbalance in the brain chemicals? Sacker: The first step is admitting that there is a problem, then you must realize that eating disorders are not all about food. Once this is accomplished, you can slowly begin to process the emotions behind the behaviors.

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