23 min

167 SelfWork: Is It OCD, GAD, Bipolar, BPD or Perfectly Hidden Depression (PHD)‪?‬ The SelfWork Podcast

    • Mental Health

There are certain diagnoses that may be co-occurring with perfectly hidden depression (PHD) or could be confused with PHD. And the last thing I want is for anyone to label themselves PHD or identify with PHD and stop there – when instead, you may need to recognize that you're experiencing another type of psychological issue that warrants understanding and even treatment. Those diagnoses are Bipolar II disorder, Obsessive Compulsive disorder, Generalized Anxiety Disorder and Borderline Personality Disorder. We'll talk today about what traits PHD and these other disorders have in common and what makes them distinct from one another.
The listener email for the week comments on my habit of including research and ideas from other people on SelfWork -- and I respond about the "why" of that choice on my part.
Important Links:
The INFJ personality category or the Myers-Briggs
Don't Panic by Reid Wilson
Understanding the Borderline Mother by Christine Lawson
Bipolar II Disorder Meets criteria for a current or past hypomanic episode And meets criteria for a current or past depressive episode: A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least four consecutive days and present most of the day, nearly every day, and including at least three of the following symptoms:
Inflated self-esteem or grandiosity Decreased need for sleep More talkative than usual or pressure to keep talking Flight of ideas or subjective experience of racing thoughts Distractibility Increase in goal-directed activity (socially, at work or school, or sexually) or physical agitation. Excessive involvement in activities with high potential for painful consequences (e.g., buying sprees, foolish investments, sexual indiscretions) Five or more of the following symptoms present during the same two-week period:
Depressed mood most of the day, nearly every day Markedly diminished interest or pleasure in all or almost all activities Significant unintended weight loss or change in appetite Insomnia or hypersomnia Being physically agitated or listless Fatigue or loss of energy Feelings of worthlessness or excessive/inappropriate guilt Diminished ability to think or concentrate, or indecisiveness Recurrent thoughts of death, recurrent suicidal ideation, a suicide attempt, or a plan for suicide  
At least one of the symptoms is either depressed mood or loss of interest or pleasure.
 
Generalized Anxiety Disorder Excessive anxiety or worry, occurring more days than not for at least six months, about a number of events or activities Difficulty controlling the worry The anxiety or worry is associated with at least three of the following symptoms: Restlessness or feeling on edge Being easily fatigued Difficulty concentrating or mind going blank Irritability Muscle tension Sleep disturbance  
Obsessive-Compulsive Disorder This disorder is characterized by the presence of obsessions, compulsions, or both. The obsessions or compulsions are time consuming (i.e., take more than one hour per day) or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Obsessions:
Recurrent and persistent thoughts, urges, or images that are experienced  as intrusive and unwanted and, in most individuals, cause marked anxiety or distress The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion) Compulsions:
Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, silently repeating words) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly The behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing

There are certain diagnoses that may be co-occurring with perfectly hidden depression (PHD) or could be confused with PHD. And the last thing I want is for anyone to label themselves PHD or identify with PHD and stop there – when instead, you may need to recognize that you're experiencing another type of psychological issue that warrants understanding and even treatment. Those diagnoses are Bipolar II disorder, Obsessive Compulsive disorder, Generalized Anxiety Disorder and Borderline Personality Disorder. We'll talk today about what traits PHD and these other disorders have in common and what makes them distinct from one another.
The listener email for the week comments on my habit of including research and ideas from other people on SelfWork -- and I respond about the "why" of that choice on my part.
Important Links:
The INFJ personality category or the Myers-Briggs
Don't Panic by Reid Wilson
Understanding the Borderline Mother by Christine Lawson
Bipolar II Disorder Meets criteria for a current or past hypomanic episode And meets criteria for a current or past depressive episode: A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least four consecutive days and present most of the day, nearly every day, and including at least three of the following symptoms:
Inflated self-esteem or grandiosity Decreased need for sleep More talkative than usual or pressure to keep talking Flight of ideas or subjective experience of racing thoughts Distractibility Increase in goal-directed activity (socially, at work or school, or sexually) or physical agitation. Excessive involvement in activities with high potential for painful consequences (e.g., buying sprees, foolish investments, sexual indiscretions) Five or more of the following symptoms present during the same two-week period:
Depressed mood most of the day, nearly every day Markedly diminished interest or pleasure in all or almost all activities Significant unintended weight loss or change in appetite Insomnia or hypersomnia Being physically agitated or listless Fatigue or loss of energy Feelings of worthlessness or excessive/inappropriate guilt Diminished ability to think or concentrate, or indecisiveness Recurrent thoughts of death, recurrent suicidal ideation, a suicide attempt, or a plan for suicide  
At least one of the symptoms is either depressed mood or loss of interest or pleasure.
 
Generalized Anxiety Disorder Excessive anxiety or worry, occurring more days than not for at least six months, about a number of events or activities Difficulty controlling the worry The anxiety or worry is associated with at least three of the following symptoms: Restlessness or feeling on edge Being easily fatigued Difficulty concentrating or mind going blank Irritability Muscle tension Sleep disturbance  
Obsessive-Compulsive Disorder This disorder is characterized by the presence of obsessions, compulsions, or both. The obsessions or compulsions are time consuming (i.e., take more than one hour per day) or cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Obsessions:
Recurrent and persistent thoughts, urges, or images that are experienced  as intrusive and unwanted and, in most individuals, cause marked anxiety or distress The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion) Compulsions:
Repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, silently repeating words) that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly The behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing

23 min