Asperger Syndrome is an Autism Spectrum Disorder (or Pervasive Developmental Disorder) characterized by significant difficulties in social interaction along with restricted and repetitive patterns of behaviors and interests. Those with Asperger Syndrome, or AS, may exhibit a lack of empathy for their peers, clumsiness, and atypical use of language, though none of these symptoms are required for a diagnosis.1
The pain of coming to terms with having Asperger's is still very real for me right now. There is a tremendous sense of grief. Grief for all that I suffered through to try to be "normal" and grief for how short of "normal" I always have been. There is also great relief to know that I am not crazy and that not everything can be traced back to an abusive past in the sense that some of what I experience is not choice/emotional but neurons/physical. The greatest challenge I face right now is trying to figure out which is which. This is not easy.
One of the most common side effects of a number of antidepressant medications is loss of sex drive. I could forgive our friends at fine companies such as Eli Lilly, Bristol Meyers Squibb, and Pfizer if dry mouth, irritability, disrupted sleep patterns, loss of appetite, sloth, and social phobia were the sole issues related to the medications I take on a daily basis. However, it is the sex thing I find most challenging.
Anhedonia is the technical term for the inability to experience joy. When people are in the depths of depression, nothing touches them, not the most intensely pleasurable activities, not the most familiar comforts. They are emotionally frozen. In this state, people either have to get professional help or simply wait for weeks or months until the depression lifts by itself; nothing is going to make them feel better.
Schizophrenia is a mental illness which affects one person in every hundred.
Depression is perhaps the most common of all mental health problems, currently felt to affect one in every four adults to some degree. Depression is a problem with mood/feeling in which the mood is described as sad, feeling down in the dumps, being blue, or feeling low. While the depressed mood is present, evidence is also present which reflects the neurochemical or "brain chemistry" aspects of depression with the depressed individual experiencing poor concentration/attention, loss of energy, accelerated thought/worry, sleep/appetite disturbance, and other physical manifestations. When this diagnosis is present, the individual will exhibit at least five of the following symptoms during the depressive periods:
As a psychologist, I typically ask patients to describe the emotional state or social situation that brings them to my office. In 34 years of clinical experience, I've heard a variety of descriptions. Some individuals have researched their symptoms and may describe themselves as depressed, anxious, phobic, obsessive-compulsive, or anorexic. Others use common words or descriptions such as "I'm sad", "I worry too much", or "I'm paranoid!" Some are quite articulate and offer symbolic interpretations such as "My heart's been eclipsed" or "I've lost the wind in my sails".
Some patients describe family, social, or cultural circumstances as part of their emotional status and condition. I've heard "My family put the 'D' in dysfunctional" or "We have to use rent-a-cop at the Christmas Dinner". Some focus on a specific event or situation of concern such as "I'm going through a divorce" or "I'm worried about a surgery".
It's also common to encounter a description of their difficulties from a social or competency standpoint. Common interpretations of their condition might be "I'm not running on all cylinders" or "My light's gone out".
One label is often used to describe all the above – the presence of years of stress, a mental health condition, social problems, and an impairment in their ability to function effectively in the home or community. The description for this condition is often "Bad Nerves". "Bad Nerves" is patient's diagnosis - a description of several impairments and/or problems that are generally more complicated than any single clinical issue such as a phobia or depression. The term "Bad Nerves" doesn't suggest that the physical nerves, neurons, or nervous-system structure of the body is impaired. Shaking and tremors in the hands may be the most visual and observable symptom of "Bad Nerves" but the self-diagnosis suggests more than anxiety or tremors.
The term "Bad Nerves" is almost never used to describe situational depression, grief, or an emotional reaction to a specific stressor. Instead, the term "Bad Nerves" often suggests several different emotional, personal and social problems that have been active for many years. In some cases, it's difficult to identify when "Bad Nerves" started or what stressful events are involved. In other cases, an incident in the past may be identified as the starting point, suggesting the Bad Nerves began after a divorce, work injury, death of a loved one, or other significant trauma.
Psychologists use the Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition (DSM-IV) to describe mental health conditions. To be given a diagnosis of depression for example, a patient must have a depressed mood, reduction in interest/pleasure, weight loss or gain, sleep disturbance, physical agitation or chronic fatigue, feelings of worthlessness, impaired concentration, and recurrent thoughts of death or suicide. As I thought about what conditions, symptoms, and situations combine to produce "Bad Nerves", a list of criteria came to mind.
In my experience, the condition of "Bad Nerves" is actually a group of several factors that are present in the same individual. When these "Bad Nerves" factors are combined, they tend to be overwhelming and often make it very difficult for the individual to function effectively in their life. The following diagnostic criteria might be considered for a diagnosis of "Bad Nerves":
The individual with Bad Nerves feels overwhelmed. They often summarize their situation with "I don't know what to do…or where to start!" They also voice a sense of hopelessness and helplessness with "I've always been this way" or "Nothing I've ever done has helped".
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