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Make a wise investment at Melrose Gait Melrose Gait in Galashiels is a welcoming new development offering a wide range of two, three, four and five bedroom homes. Galashiels lies in the narrow valley of the Gala Water, close to its meeting with...
Borderline personality disorder (BPD) has made its way into the lexicon, thanks in part to the brave openness of comedian Pete Davidson, who revealed on SNL's Weekend Update a couple years ago that he had been diagnosed with the disorder. But while more and more people are becoming aware of BPD, it's still widely misunderstood. Unlike anxiety or depression, which are often talked about and recognized, BPD is a mental health disorder with a much more complicated diagnostic process and a wide range of symptoms.
We spoke with mental health professionals who explained what BPD is and its symptoms. If you think you may have borderline personality disorder, be sure to visit a psychiatrist or other health professional who can properly make the diagnosis. For more information on resources and treatment, visit the New York-Presbyterian Borderline Personality Disorder Resource Center or the National Alliance on Mental Illness (NAMI).
What Is Borderline Personality Disorder?
"Borderline Personality Disorder is a mental health diagnosis that is broadly characterized by instability and inability (exaggerated changes in mood) in one's emotions, attachment to others, and sense of self," licensed clinical psychologist Giulia Suro, PhD, told POPSUGAR. "It's often difficult to pin down because there are usually at least one or two other diagnoses present," she explained, including PTSD or an anxiety disorder.
Unlike depression disorders, anxiety disorders, or bipolar disorders, which are each their own classification of disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), BPD is a personality disorder. Dr. Suro said people may not take personality disorders as seriously as other mental illnesses. "Often, [BPD] is stereotyped in a negative light and a picture is painted of a hysterical woman or vindictive girlfriend," she explained. "However, BPD is an incredibly severe mental illness."
Although people may be more familiar with depression and anxiety disorders, personality disorders - which are a separate classification in the DSM-5 - aren't as often discussed. Other personality disorders include antisocial personality disorder, avoidant personality disorder, narcissistic personality disorder, and schizotypal personality disorder.
"Borderline personality disorder involves disruptions of mood and behavior that are generally triggered by external stresses, real or misperceived," explained David M. Reiss, MD, a psychiatrist in private practice in Boston, San Diego, and New York City. People with other mental illnesses, such as depression or bipolar disorder, have moods and symptoms that are more based on brain chemistry than external triggers, he explained.
Symptoms of Borderline Personality Disorder
Pinpointing the symptoms specific to BPD is tough since BPD is usually present with other mental illnesses, such as anxiety, depression, or bipolar disorder. In general, people with BPD may experience intense mood swings and view things in extremes, such as all good or all bad, according to the National Institute of Mental Health (NIMH). Other signs and symptoms include effort to avoid physical or emotional abandonment, unstable self-image, pattern of unstable relationships with friends and family, impulsive and often dangerous behavior, chronic feelings of emptiness, difficulty trusting, and problems controlling anger.
According to the NIMH, people with BPD may become angry and stressed over seemingly ordinary events, such as minor separations from people (i.e. traveling on a business trip). "While it may take one person a long time and an extreme situation to get to a nine or 10 in terms of anger, someone with BPD may shoot up the intensity scale due to something objectively small," Dr. Suro said. Like other mental illnesses, BPD varies from person to person and no two people experience BPD the same way. Some people may only have a few symptoms while others have many.
How Borderline Personality Disorder Is Diagnosed
There is no one test to diagnose BPD and diagnosis must be done by a mental health professional after a comprehensive clinical interview. The DSM-5 criteria for diagnosing a personality disorder, and diagnosing BPD in particular, is complex. To diagnose BPD, several criteria must be met, including:
But while there are certain boxes to check for a proper diagnosis according to the DSM-5, Dr. Reiss said adhering strictly to the DSM-5 isn't always viable for treating an actual patient with BPD. "Basically, you can go by this number of symptoms or that number of symptoms or this combination, but what I'd like to say is that it's great for insurance companies, but it's lousy for diagnosing people," he explained. "When I'm really diagnosing someone, I'm looking at how they function in life." He added that the best way to diagnose a full-blown borderline personality disorder is not if the patient meets a certain number of the criteria but if the symptoms are chronically present and problematic.
"There's some people who can fall into it, but then have the ability to realize and pull themselves out and I would describe that as having borderline traits as opposed to a personality disorder," Dr. Reiss explained. "So it is a spectrum and there's no clear place where on that spectrum it becomes a disorder as opposed to traits." Overall, he evaluates each patient individually and determines a diagnosis based on how problematic his or her behavior is on the ability to function.
"The bottom line is when I'm working with someone clinically, I don't go by the diagnosis - I go by what they're presenting," he said. "So whether I make the diagnosis on paper is really dependent on what we're working with in the treatment."
Risk Factors For Borderline Personality Disorder
"The cause of BPD is multifactorial with research indicating that genetics and environmental factors both play a big role," Dr. Suro said. Although it's tough and inaccurate to pinpoint exact instances that could trigger BPD, there are some risk factors associated with the disorder. Some of these include having a family history of BPD, and brain factors; people with borderline personality disorder may have structural or functional changes in the brain that affect impulse control and emotions, according to the NIMH. There are other environmental, cultural, and social factors that impact someone's susceptibility to having BPD, such as trauma, and unstable childhood, or abandonment.
To develop BPD, Dr. Reiss explained, "you probably need some degree of biological vulnerability and some degree of external stress," he said. "But whether that's 90/10 or 50/50 in either direction really depends on the individual and the individual's underlying biochemistry and life stresses."
How Borderline Personality Disorder Is Treated
Borderline personality disorder is typically treated with a combination of medication and psychotherapy. Dr. Reid said therapy is needed to tease out the symptoms of BPD and separate it from other coexisting disorders and is key in managing and treating BPD long-term, although which therapy and which medication to use are highly individualized from person to person.
"The best way I can put it is that you treat the person, not the diagnosis," Dr. Reiss said. To make matters more complicated, people with BPD tend to cycle through symptoms and can be more open to therapy and intervention at differing times. In fact, Dr. Reiss said he sees a lot of what he calls "polypharmacy," where patients are on a little bit of everything - antidepressants, mood stabilizers, antipsychotics - as opposed to deliberately taking medication to target specific symptoms at the right times. Dr. Reiss prefers prescribing a low-level antidepressant as a "safety net" and antianxiety medication that's not a benzodiazepine (Xanax, Valium, Klonopin) since benzodiazepines can be addictive, especially for people with BPD, he said.
If the patient is experiencing mood swings or dysphoria (profound state of unease), they may be prescribed mood stabilizers, or antipsychotic medication, which may help with other symptoms of BPD. What medication you take and when you should take it should be determined by your doctor.
"The idea of using irreverence or confrontation - interventions that you wouldn't normally use in a typical therapy - is essential in dealing with borderline," he explained. "A lot of times I can engage a person on that level; a person who's pretty borderline will engage on respecting my irreverence and my willingness to just use whatever language I feel comfortable with and they feel comfortable with, which is very different from a more classical therapy."
Borderline personality disorder is still widely misunderstood, but it's nothing to be ashamed of or stigmatized. It is estimated that 1.6 percent of the US population has BPD, but that number could be as high as 5.9 percent, according to NAMI. And while it may take some trial and error to come to a proper diagnosis and seek proper treatment, help is available. People with BPD can go on to live happy, successful lives.
If you or a loved one need mental health help or treatment, the National Alliance on Mental Illness (NAMI) has several resources, including a helpline at 1-800-950-6264. You can also text "NAMI" to 741741 or email email@example.com
With collaborative robots proliferating, we wanted to know who’s using these robots and what tasks they’re doing. Design News caught up with Walter Vahey, executive vice-president at Teradyne, a company that helps manufacturers gear up their automation. Vahey sees a real change in the companies that are deploying robotics. For years robots were tools only for the largest manufacturers. They required expensive care and feeding in the form of integrators and programming. Now, collaborative robots require configuration rather than programming, and they can be quickly switched from task to task.
Vahey talked about robot companies such as Universal Robots (UR) which produces robot arms, and MiR, a company that produces collaborative mobile robots. He explained how they’re putting robotics in the hands of smaller manufacturers that previously could not afford advanced automation. The difference is that these robots are less expensive, they can be set up for production without programming, and they can be quickly reconfigured to change tasks.
We asked Vahey what’s different about collaborative robots and what he’s seeing in robot adoption among smaller manufacturers.
Design News: Tell us about the new robots and how they’re getting deployed.
Walter Vahey: Companies such as Universal Robots and MiR are pioneering the robot space. They’re bringing automation to a broad class of users and democratizing automation. For small companies, the task at hand is to figure out how to fulfill their orders. It’s particularly challenging to manufacturers. In a tight labor market, manufacturers are facing more competition, growing demand, and higher expectations in quality.
Manufacturer can plug UR or MiR robots in very quickly. Everything is easy, from the specs up front to ordering to quickly arranging and training the robot. There’s no programming, and the robots have the flexibility to do a variety of applications. Every customer is dealing with labor challenges, so now they’re deploying collaborative robots to fulfill demand with high quality.
The whole paradigm has shifted now that you have a broader range of robot applications. You can easily and quickly bring in automation, plug it in ,and get product moving in hours or days rather than months. That’s what’s driving the growth at UR and MiR.
The Issue of Change Management
Design News: Is change management a hurdle?. Does the robot cause workforce disruption?
Walter Vahey: We really haven’t seen that as an issue. The overwhelming need to improve and fulfill demand at a higher quality level helps the manufacturers deploy. It outweighs other challenges. We help with the deployment, and the manufacturers are making the change easily.
We grew up as a supplier of electronic test equipment. Since 2015, we’ve entered the industrial automation market with a focus on the emerging collaborative robot space. We see that as a way to change the equation for manufacturers, making it faster and easier to deploy automation.
Design News: What about return on investment? Robotics can be a considerable investment for a small company/
Walter Vahey: The customers today are looking for relatively short ROI, and we’re seeing it from 6 months to a year. That’s a no brainer for manufacturers. They’re ready to jump in.
We work hard to make deployment less of an issue. We have an application builder, and we use it to prepare for deployment. The new user may have a pick-and-place operation. They choose the gripper, and we guide them to partners who make it easy to deploy.
The application builder helps the customer pick the gripper. The whole object is to get the customer deployed rapidly so the automation doesn’t sit. With MiR, the robot comes in, and we find an easy application for the mobile device. We take the robot around the plant and map it. We’ve work to guide customers through an application quickly and make the robot productive as soon as possible.
There are hundreds of partners that work with UR and MiR, providing grippers and end effectors. We have a system that customers can plug into. Customer can look at grippers from a wide range of companies. We’re not working just on the robot deployment. We work to get the whole system deployed so they can quickly get the ROI.
What Tasks Are the Robots Taking On?
Design News: Who in the plant is using the robots, and what tasks are involved?
Walter Vahey: There is a range of users. To be effective at training a robot and configuring it, the people best suited for it are the ones most aware of the task. To get the robot to be effective you have to know the task. By and large, the person who has been doing that task is best suited to train the robot. That person can then train other robots. Nobody’s better suited to do it than the people who know what needs to be done.
The tasks are broad set of applications. We automate virtually any task and any material movement. It’s not quite that simple, but it’s close. With UR, we’re doing machine learning, grinding, packing, pick-and-place, repetitive tasks, welding. It’s a very broad set of applications. In materials it’s also very broad. Parts going from a warehouse to a work cell, and then from the work cell to another work cell, up to a 1000-kilo payload. We’re moving robots into warehousing and logistics space, even large pieces of metal. The robots are well suited for long runs of pallets of materials.
Rob Spiegel has covered automation and control for 19 years, 17 of them for Design News. Other topics he has covered include supply chain technology, alternative energy, and cyber security. For 10 years, he was owner and publisher of the food magazine Chile Pepper.
|Cache||Obtaining a wide range of information from physicians, caregivers and nurses about patient condition, treatment plans, and suggested activities.|
From Experience Nurses Healthcare agency - Fri, 26 Apr 2019 01:54:07 GMT - View all Powell, WY jobs
|Cache|| 10:00 am Pacific-Transformation and Change Radio with Dr. Kathy Obear: Choose Courage ~ Speak Your Truth ~ Live On Purpose: Recognizing and Owning Our Privilege: Why is it so hard for so many? A Conversation with Dr. Alejandro Covarrubias! Join me and Dr. Alejandro Covarrubias to engage others to explore and own their privileged identities. We will discuss a wide range of issues, including: Why is it so hard for so many to acknowledge their privileged identities? Why is it critical that people “own” their privilege? What are some approaches that help others more effectively identify and explore their privilege? What could be different if most everyone in organizations acknowledged their membership in both their marginalized and privileged identities?
11:00 am Pacific-he Dr. Pat Show: Talk Radio to Thrive By!: Retirement Savings-Horgan! Insurance Fraud-Scafidi! Halloween Activities-Amado! Homeownership Grants-Barkley! Rhian Horgan will talk about the best st|
From apocalyptic tales to studies on Shakespeare and Alzheimer's, Jean Hegland's novels cover a wide range of topics. Her book "Into the Forest" was rejected by 25 different publishers but went on to bring her international success and be adapted to the silver screen. Hegland tells us about writing and the place of humans in the world.
|Cache||NEWBORN babies come with a wide range of “surprises” for new parents. But one that can leave new mums and dads completely baffled – and terrified – is when their baby girl has a “mini period”. Many parents are left stunned and make a dash to A&E when...|
|Cache||This position is responsible for a wide range of fiscal, clerical and administrative tasks to ensure policies and procedures set forth by Federal, State and… $13.73 - $17.70 an hour|
From State of Wyoming - Tue, 24 Sep 2019 02:59:38 GMT - View all Casper, WY jobs
About the team Delivering Deal Value (DDV) is a market leading team that assists Corporate and Private Equity (PE) clients in a wide range of high imp
About the teamDelivering Deal Value (DDV) is a market leading team that assists Corporate and Private Equity (PE) clients in a wide range of high impa
Autodesk's Maya is one of the industry's most popular design suites, and likewise, its built-in Arnold is one of the most popular renderers. Both solutions are used for TV, movies, architecture, gaming, and even VFX. Join us as we explore both viewport and rendering performance with a wide range of CPUs and GPUs.
Apple today released 2019's free upgrade to macOS 10.15, aka "Catalina."
Available from the Mac App Store, where the upgrade was tagged at nearly 5GB or as an even larger direct download - up to 8GB from its predecessor - Catalina is free and can be installed on a wide range of Macs. Apple posted a full list of the compatible hardware here.
Mac owners currently running 2018's Mojave (10.14) can upgrade by choosing Software Update from the System Preferences window. However, machines running High Sierra (10.11), Sierra (10.12) or High Sierra (10.13) must upgrade from the Mac App Store. Those few customers still relying on the ancient Lion (10.7) or Mountain Lion (10.8), must first upgrade to El Capitan before upgrading from there to Catalina. (Good luck.)
The internet of things (IoT) brings with it a wide range of IT security headaches, along with compliance nightmares — and turf wars.
Internal problem No. 1: Departments that typically have little to no interactions with IT are now directly ordering corporate IoT devices. Maybe you've got Facilities purchasing IoT door locks or Maintenance buying a ton of IoT light bulbs. Given that those departments have been purchasing door locks and light bulbs for as long as anyone can remember and have never needed IT or security's signoff, this can be a problem.
Internal problem No. 2: In many ways, IoT devices (think of devices for tracking pallets on ships or for monitoring where every fleet car is and how fast it's been driven) are very different from anything else that IT or security has dealt with. The units are capturing data that has never been tracked before — Hello, Compliance. Go away, GDPR regulator — and in different ways, such as bypassing enterprise LANs and cloud networks and using internal antennas to directly communicate.
|Cache||Water-energy nexus in the UAE in relation to climate change and adaptation policy scenarios
Water and Energy systems that were once considered disparate, are coupled in many ways. Generation, transmission and distribution of each system relies on the other system. The interaction becomes significantly stronger in economies dependent on desalination for their water resources. One such country is the United Arab Emirates. The water-energy nexus faces serious challenges under climate change as cooling needs and outdoor water demands rise. This thesis models the impact of climate change on the water-energy nexus in the UAE. It explores a set of climate change adaptation policy scenarios and quantifies their respective economic, water and energy savings. Hence, it provides an analytical assessment of the nexus that can inform data-driven policy making. This thesis views the nexus through a qualitative lens and a quantitative lens. The qualitative piece presents the organizational mapping and structuring of the UAE institutions across the water-energy-climate nexus.; It highlights gaps in cross-sectoral interactions that need to be overcome for a sustainable future. The second piece presented in this thesis is analytical in nature. It uses two specialized water and energy softwares called the Water Evaluation and Planning System (WEAP) and the Long-range Energy Alternatives Planning System (LEAP) and couples them together to model the nexus. The water-energy nexus model is tested for different individual and aggregate adaptation policy scenarios to assess a wide range of effects on the nexus. These scenarios are also run for six sub-regions within the UAE (Abu Dhabi, Al Ain, Western region, Dubai, Eastern region and Fujairah) to understand the underlying demand sectors driving the water-energy nexus in these sub-regions. The results of this extensive scenario analysis have informed policy recommendations for long-term planning of the water-energy nexus in the UAE.; Important findings from this study include the huge savings potential from indoor consumption reduction (up to 1200 million cubic meters of water and 60 million gigajoules of electricity per year by 2060) and the need for irrigated land regulation (saves up to 700 million cubic meters of water and 5 million gigajoules of electricity per year by 2060) in the UAE. The sub-regional analysis highlights the need for sub-regionalized policy goals that govern regions based on their demand differences.
This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.; Thesis: S.M. in Technology and Policy, Massachusetts Institute of Technology, School of Engineering, Institute for Data, Systems, and Society, Technology and Policy Program, 2018; Cataloged from student-submitted PDF version of thesis.; Includes bibliographical references (pages 82-85).
Discover this fine series of geometric illustrations created by studio Creanet. Founded by Jose Moreno, creanet is a multidisciplinary design studio based in Málaga, Spain. The studio specializes in a wide range of graphic design, branding, and editorial projects. In addition to the commissioned work, they still like to realize personal projects. The following series […]
|Cache||Ysgol Tir Morfa is anall age special school in Rhyl that caters for a wide range of pupils withadditional learning and complex medical needs.|
From Indeed - Mon, 16 Sep 2019 07:22:35 GMT - View all Rhyl LL18 jobs
|Cache||Four weeks ago, USPTO director Andrei Iancu gave a keynote address at a Brussels conference on standard-essential patents (SEP) strategy. That event, organized by commercial conference organizer Premier Cercle, covered a wide range of SEP-related topics (unlike my upcoming conference, which is focused on the #1 hot-button issue, component-level licensing).After explaining the importance of standards, Director Iancu recalled the 2013 joint statement with the USPTO on SEP remedies. Mr. Iancu, without attributing this view to any particular organization or person, said that the 2013 policy statement has been interpreted "as putting the thumb on the scale against injunctive relief for FRAND-encumbered standard essential patents in most cases." And he then mentioned the recent decision of the DOJ Antitrust Division, under Antitrust Assistant Attorney General Makan Delrahim, to withdraw their agency's support for that joint statement.In that Brussels speech, Mr. Iancu…|