تحميل كازينو التطبيق http://northernarchitecture.com/?art=%D9%85%D9%83%D8%A7%D9%81%D8%A2%D8%AA-%D8%B9%D9%84%D9%89-%D8%A7%D9%84%D8%A7%D9%86%D8%AA%D8%B1%D9%86%D8%AA-%D8%A3%D8%B9%D9%84%D9%89-%D9%83%D8%A7%D8%B2%D9%8A%D9%86%D9%88&ca0=3e مكافآت على الانترنت أعلى كازينو cara daftar sbobet live casino http://fgfinland.fi/?node=Demolition-Squad-peliautomaatti&f74=eb Demolition Squad peliautomaatti http://www.modelocontrato.net/?art=%D9%81%D8%AA%D8%AD%D8%A9-%D9%85%D8%A7%D8%B1%D8%AF%D9%8A-%D8%BA%D8%B1%D8%A7&d8b=8e فتحة ماردي غرا
Bloody Fingernail Picking
You’re busy picking a juicy spot on your finger — or a spot on the side of your thumb that’s constantly callused and easy to pick. Only minutes later, after moving on to other things, you notice blood pooling in your cuticle. You ball up a kleenex around your hand to staunch the flow and keep your clothes from getting stained.
Bloody Toenail Picking
You’re picking your big toenail, right inside corner where the nail is chipped and softer than the rest of the toenail. The sensation is really satisfying — until you tear off such a piece of the nail so large hat the skin its attached to rips off as well, causing a sharp pain. Seconds later the blood begins pooling
Drawing your own blood can be a sign that your compulsive picking habit is going to far. Whether you’re deliberately trying to harm yourself, or just absent-mindedly picking out of boredom or anxiety — picking to the point of bleeding can indicate a serious problem with psychological roots.
People suffering from compulsions to pick their fingers, skin, hair, etc. are usually “in it” for various reasons. Though many of these reasons border on the irrational, one particularly strange motivation is the deliberate seeking of physical pain.
Pain as Pleasure in Compulsive Pickers
Those who engage in deliberately destructive behavior like picking the fingernails and cuticles with the goal of causing themselves pain are said to be engaging in self-harm. When the “weapon” is a knife or sharp object — and not just the pinching fingers of the opposite hand — we nickname these people “cutters”.
Pain Caused by Compulsive Picking
Pickers who are not out for the thrill of painful sensations from their picking may still have a complicated relationship with pain:
Though its a mouthful to say — Selective Serotonin Reuptake Inhibitor drugs (better known as “SSRIs”) — are the godsend of millions of people with anxious, depressed, and obsessive-compulsive tendencies.
Among the most successful SSRIs are:
- Paxil — known as the safest SSRI drug on the market
- Zoloft — the oldest of the SSRIs
- Prozac — the 800-pound gorilla of the SSRI market, so popular that the brand-name has moved into the English insult lexicon (i.e. “You’re so cranky — did you skip your Prozac today?”)
- Inositol — a very exciting drug that has proven benefits specifically for compulsive skin pickers and dermatillomaniacs
- Lamotrigine — also an exciting SSRI with potential benefits for compulsive finger pickers
A vicious ingrown toenail is a common physical side-effect of compulsive toe picking. Those suffering from compulsive finger picking usually think nothing of diverting their attention from the fingernails to the toenails and toenail folds . Its the toes that are most susceptible to ingrown nails due to several reasons:
- Poor nail care — usually cutting the nail too deeply, or at a poor angle
- Traumatic damage to the toe — such as a bad stub
- Poorly fitting shoes, or predisposition to an ingrown nail due to the formation of the foot
- Picking!!! — brittle nails that are weakened and flaked from a fungal infection are tempting targets to pick at. If the extruding corners of the nail plate are removed through picking then one’s nails are at increased risk of growing in.
The medical term for ingrown nail — onychocryptosis — doesn’t hint at the pain and disfigurement that it can cause. This is one malady you want to avoid since the serious cases may require surgical removal of the entire nail.
The least you can do to avoid an ingrown nail caused by picking is to avoid picking the corners of the nail. Focus instead on other areas. Or better yet, focus on kicking the habit entirely.
Obsessive compulsive behavior in celebrities is nothing new– we all know the famous OCD freaks in history (e.g. Howard Hughes). But its both surprising and — in a way — heartening to know that people who have achieved great things in their public careers have the same problems us mortals do. Here’s a short list of famous OCD-ers:
- Howard Hughes — the legendary and eccentric aviator/engineer, industrialist and entertainment mogul. He was memorably depicted in the file “The Aviator” as obsessed with cleanliness and hand-washing.
- Alec Baldwin — he announced on an episode of the Conan O’Brian show that he suffers from the urge to move and organize objects in his home — a classic OCD.
- David Beckham — the hunky English soccer player is compelled to arrange his personal objects in pairs and straight lines. He gets antsy when his “football blokes” goof on his compulsions by messing with his routine.
- Joey Ramone — the late singer of the punk-rock band The Ramones memorialized his decades-long battle with OCD in the song “Like A Drug I Never Did Before“.
- David Sedaris — The American writer and humorist was obsessed in his childhood with licking various objects in his daily life, whether light switches (!) or mailboxes on his walk home from school. He claims that taking up cigarette smoking cured his habit…
- Howard Stern — revealed in his book Miss America — as well as several times on his radio program — that he suffered from a germ phobia, which caused him to obsessively clean his hands.
- Nikola Tesla — a Serbian inventor and electrical engineer was obsessed with (of all things!) the number three.
OCD is truly a disease that strikes the lowly and the powerful without discrimination.
An unrealistic and misguided striving for perfect skin tone is a frequent cause of compulsive skin picking (aka dermatillomania). Similarly, a striving for perfect cuticles, knuckles, or fingernails is a common cause of compulsive finger picking.
The mark of most great men and women in history — especially in the arts and sciences — is that they strive to improve, to “perfect” their skill or knowledge. They are perfectionists.
But then there is the unhealthy strain of pathological perfectionism. To those with this problem, perfectionism an invisible monster speaking nagging thoughts in the brain like an unwanted guest…
- “I’m not showing my face at the party this weekend until my skin is perfect” (procrastination)
- “I only earned a B+ in Physics this semester — I’m a total idiot” (self-deprecation)
- “I can’t believe I ruined my diet with that ice cream cone — I can’t do anything right” (all-or-nothing thinking)
Needless to say, the unrealistic and impossible goals that perfectionists set for themselves frequently lead to failure, which only bring about feelings of shame and anxiety. Even clinical depression can result.
For those compulsive finger or skin pickers who are finally making the effort to kick the habit — whether with the help of various psychological treatments, antidepressant drugs or natural remedies — its very important to remember to take things one step at a time, and not fall into the perfectionists trap. Don’t be surprised if you “fall of the wagon” and pick once in a while. Success takes time — the important thing is to keep at it and work those unwanted “mental guests” out of your mind for good.
Social anxiety lies at the extreme end of a very common social problem: discomfort and nervousness in social situations. Even the most well-adjusted person can feel anxious or self-conscious in group settings. But when this anxiety reaches debilitating levels it becomes a true phobia that needs treatment.
Social Anxiety is a common psychological “trigger” for obsessive compulsive behavior such as compulsive finger picking. For example, a person may handle a stressful social situation better if he focuses on an automatic action like picking his fingers. He may pick inconspicuously in public — in the middle of the stressful situation — or else wait until he’s alone later and to perform finger picking as a ritual to “cool off” and relax. Either way, social anxiety acts as a trigger for his compulsive behavior.
If social anxiety is the “trigger” — i.e. the cause — of your finger picking, pursuing various psychological treatments to get to the bottom of what’s causing the anxiety is the best way to tackle the problem.
On the other hand, finger and skin-picking can itself be a trigger for social anxiety. For example if a person has badly callused finger pads or a bloody hangnail, this can trigger public anxiety over being “discovered” and ridiculed for such self-harming behavior.
If finger picking is the trigger — i.e. the cause — of your social anxiety, then pursuing behavior modification or stimulus control techniques to control the amount picking you do will help relieve your anxiety.
Ritual is an important part of life. Rituals exist in interpersonal relations, religion, politics, sex — whether in the workplace, at home or in the public sphere. Rituals serve a rational purpose in society. But the kind of ritualistic habits that impulsive skin pickers have are anything but rational.
Classic OCD rituals include repetitive counting, blinking, checking (i.e. checking that “things are OK”) and hand washing. For an OCD sufferer, ritual means a repetitive, systematic behavior performed to neutralize or prevent anxiety. But compulsive finger picking can be just as ritualistic as the more classic OCD rituals.
Finger-picking rituals you might recognize
- Its 6:30 am, the baby wakes you up to play. You take her downstairs, and after 20 minutes of utterly boring kiddie games (playing blocks, reading kiddie books, etc.) , you decide its time for your morning picking ritual. Dig in!
- After a nice nighttime shower or bath, you relax in your room. Perhaps you watch some TV, while you intently pick at the callused skin around your toenails. The skin peels off ever-so-easily after being softened from exposure to water.
- 90% of your workday is spent in one high-stress meeting or conference call after another. Though some people blow off nerves by playing a game of video solitaire or IM-ing their friends, you quietly concentrate on your cuticles, picking strips of skin from them.
In the arsenal of psychological treatments for compulsive picking, Exposure and Response Prevention (ERP) is a treatment method used by behavioral psychologists as well as cognitive and cognitive-behavioral therapists for a variety of anxiety disorders, not just compulsive finger picking but also full blown obsessive compulsive disorder.
In a nutshell, ERP involves repeatedly exposing yourself to the object of your obsessions — a juicy cuticle perhaps — and then being challenged not to pick! May sound simple, but for those who’ve been picking their fingernails, skin and other body parts for a long time it is quite a challenge.
Think of it as immunotherapy for your own personal impulse control disorder. Just like getting injected with trace amounts of influenza to strengthen your body against the real thing — with ERP you get brief, intense “injections” of those intense emotions related to your picking:
- Fear of being imperfect — of having blemished or un-smooth skin
- Loathing of the psychological discomfort of not picking — i.e. you don’t “feel normal” unless you pick
The people most interested in seeing you recover from your compulsive picking habit are, in order of most-to-least concern:
Those closest to you emotionally are your best allies in conquering a compulsive skin picking or finger picking habit. But depending on your relationships with these people, they can also be a hindrance — even a cause — of a chronic picking habit.
Your therapist — on the other hand — is a professional paid to be on your side and solve your problems. For those nervous about the potential cost of a psychotherapist — the value of the strictly professional relationship you will have with your therapist should weigh heavily when making the decision to go ahead with therapy for compulsive picking.
Mental health professions span the gamut from:
- Behaviorists – these therapists focus on tactical methods to reduce undesired behaviors (dermatillomania, trichotillomania, nail biting, etc). Behavior Modification, Stimulus Control, Habit Reversal Training, Exposure and Response Prevention (ERP) — these are all behavior-focused regimens meant to eliminate or reduce unwanted compulsive behavior.
- Cognitive Therapists — a more process-oriented discipline, the cognitive approach focuses on the thoughts and “cognitions” that are associated with compulsive behaviors.
- Hybrid Therapists — Taking a holistic approach to treating impulse control and anxiety disorders, Cognitive Behavioral Therapists combine the best and most effective techniques from the behavioral and cognitive disciplines.