exhibiting one s genitals to strangers, having sex with children who have not attended puberty 2 P a g e M A N A S

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1 Cnfused Thinking Grwing inability t cpe with daily prblems and activities Prlnged depressin, sadness r irritability (2 weeks/mre) Abrupt changes in frame f mind extreme happiness t extreme sadness Excessive fears, wrries and anxieties Strng feelings f anger/guilt Scial Withdrawal aviding family and friends Dramatic changes in eating and sleeping habits (t much/t little) Inapprpriate reactins t stimulus (i.e. laughing at a funeral, indifference t crucial situatins) Hallucinatins: Hearing/seeing things which are nt really there Delusins: false belief despite invalidating evidences Suicidal thughts Numerus unexplained physical ailments (Headache, bdy ache, chest pain, Irritable Bwel Syndrme etc.) Denial f bvius prblems Substance use/abuse utside the individual s nrmal patterns Disinterest in activities that were previusly surces f enjyment Deteriratin/abandnment f persnal hygiene 1 P a g e M A N A S

2 Recurrent disturbing thughts, images r impulses Repetitive behavirs r mental acts such as cnstantly washing hands, cunting numbers r straightening things Obsessed with cleaning rituals Dubting thers excessively withut adequate reasns Excessive dependence n thers Hurting neself Recurrent absence f fantasies and desire fr sexual activity Recurrent extreme aversin t, and avidance f, genital sexual cntact with a sexual partner Premature ejaculatin/delayed rgasm in men Persistent delay in, r absence f, rgasm fllwing nrmal sexual excitement in wmen Recurrent, intense, sexually arusing fantasies, sexual urges, r behavirs invlving the use f nn-living bjects (shes, female undergarments..) dressing like ppsite sex, beating neself/thers, peeping int ther s bedrm/seeing smene undressing withut their knwledge, exhibiting ne s genitals t strangers, having sex with children wh have nt attended puberty 2 P a g e M A N A S

3 In lder children and adlescents: (Age 10-18) Decline in academic perfrmance (failing grades, skipping classes, r getting int truble) Prblem in studying Expressin f feelings f wrthlessness Having mre truble than usual in cncentrating Inability t cpe with prblems and daily activities Withdrawing frm the family, friends/activities that have been enjyable in the past Changes in eating and sleeping habits (t much/t little) Excessive cmplaints f physical ailments (frequent stmachache, headache etc.) Excessive fears, wrries and anxieties Excessive self-cnsciusness and anxiety in scial situatins Emtinal distress (unhappiness, anger, anxiety) Defiance f authrity, truancy, theft, and/r vandalism, setting fires Preccupatin with bdily inadequacies (e.g. physical appearance), excessive fear f weight gain Thughts f death Frequent utbursts f anger Alchlism/Drug abuse/drug misuse Bed wetting Recurrent disturbing thughts, images r impulses Repetitive behavirs r mental acts such as cnstantly washing hands r straightening things 3 P a g e M A N A S

4 In Yunger Children: (Age 5-10) Changes in schl perfrmance Pr grades despite strng effrts Truble remembering things Excessive wrry r anxiety (i.e. refusing t g t schl r bed) Excessive behaviral prblems such as impulsivity and pr frustratin tlerance Excessive sadness, fear, anger etc. Hyperactive Fidgets with hands and feet/struggle t sit in a place fr a while Inability t pay attentin/cncentrate Withdrawal frm family and friends Weight lss Thughts f suicide Persistent nightmares Persistent disbedience t authrity, bullying, stealing, fire setting Frequent Temper tantrums Significant difficulty in writing (spelling, reversing letters), reading, mathematics (difficulty slving rdinary, simple prblems) etc. Persistence f childlike behavir, pssibly demnstrated in speaking style Truble understanding scial rules and custms such as taking turns, r waiting in line Failure t appreciate and avid dangerus situatins such as playing in the street, r tuching a ht stve 4 Page MANAS

5 In Infants: (Belw 5) Delayed develpment such as sitting, crawling, standing, walking, r talking (Mile stnes) Difficulty learning new infrmatin/skills despite cntinuus effrt and repetitin (E.g. rhymes, clrs, letters etc.) Repetitive mtr mvements such as hand r finger waving N eye cntact with mther and nt smiling back Persistent preccupatin with bjects and disinterested in peple A lack f curisity r interest in the wrld arund them Nt able t fllw directins N sign f initiating speech Unable t crdinate letters and sunds Lss f previusly acquired skills like scial skills, mtr skills, language skills etc. Nte: All the given symptms may lk very familiar and nt t be cnfused fr any mental disrder and warrants cnsultatin with the expert psychlgist/psychiatrist fr further treatment. 5 P a g e M A N A S

6 D Yu Knw?! Physical and Mental Health Issues caused by STRESS 1. Hypertensin/high bld pressure 2. Crnary Heart Disease, Heart Attack 3. Strke 4. Gastrintestinal prblems: Peptic ulcers, blated stmach, Irritable Bwel Syndrme 5. Migraine/Tensin Headache 6. Allergy 7. Arthritis 8. Back Pain 9. Insmnia (sleep difficulties) 10. Infectius Diseases due t suppressin f immunity system by stress (cmmn cld, Tb etc.) 11. Lack f appetite/excess appetite 12. Skin Diseases 13. Lack f sexual desire 14. Depressin 15. Cancer 16. Emtinal disrders: Anxiety, Fear, Anger etc. 6 P a g e M A N A S

7 Fr Wmen (In additin with abve issues) 1. Irregular perids 2. Increase in Pre-Menstrual syndrme (PMS) symptms 3. Hair lss 4. Increase in acne (especially during times f stress like exam time) 5. Decreased chances f pregnancy 6. Weight gain (thrugh craving fr sweets) - excess fat depsits especially in stmach 7. Increase in symptms f menstrual prblems like Fibrids, Plycystic Ovaries - PCOS, Plyp etc. 7 P a g e M A N A S

8 Indirect Symptms f Stress r Unhealthy Cnsequences f Stress 1. Increasing Smking/Alchl cnsumptin/drug Abuse 2. Increased use f prescribed medicatins t reduce tensin 3. Use f sleep/televisin as an escape 4. Increased use f ver-the-cunter aids fr sleeping r relaxing 5. Increased cnsumptin f cffee, tea, clas, r chclate 6. Seeing medical dctr fr tensin-related health prblem 7. Irratinal spending sprees 8 P a g e M A N A S