Question:
I was recommended by your website by my
year coordinator. He suggested for me
to look into "fractured enjoyment" --
(not a diagnosis but something you go
in depth about). However there is not a
lot about this on the site (only a few
lines). I found many things from your
website that related to my symptoms and
diagnosis. I have severe anxiety, and
possible depression. I am very much a
perfectionist and I always aim for the
highest. People tell me I aim too high
and that is what makes me stress out so
much.
For the following questions I can say
yes to all of them, especially the
first one. I'm not sure what the second
one means? The third one, I have to do
the work myself especially in group
presentations, I have to make sure that
everything goes through me first before
submitting in assignments, etc. I have
to have everything perfect.
1. Are you a
perfectionist to the point where it
keeps you from getting things done?
2. Are you a pack rat?
3. Do you have trouble trusting other people to do
things because you're sure they'll mess
it up?
The same for GAD, I can truly
say that is how I am always.
4. Are you nervous more than
you're not?
5. Do you always feel scared?
6 Does your mind
never shut off, and has been that way
since you were a child?
May you please
tell me more about "fractured
enjoyment"???
Dr. Heller's Answer:
"Fractured enjoyment" is a genetic
depression characterized by living
between not quite depressed and not
quite happy all throughout life. I go
into it in the
"Biological Unhappiness"
book.
Regarding the GAD and OCPD, most
patients do extraordinarily well on
BuSpar (buspirone) followed by high
doses of Prozac (fluoxetine), usually
60-80mg daily.
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