Living with a spouse who has a mental illness can be challenging and overwhelming. It’s important to understand how to navigate through these difficulties while also providing support and care for your partner. We’ll explore various aspects of living with a spouse with mental illness, including signs to look out for, risk factors, coping strategies, and seeking professional support.

Mental illness can affect anyone, including your spouse. It can manifest in various forms, such as depression, anxiety, bipolar disorder, schizophrenia, or personality disorders. Recognizing the signs and symptoms of mental illness in your spouse is the first step toward providing them with the support and help they need.

What to Expect When Mental Illness Enters a Marriage

Living with a spouse with mental illness can feel like building a house during an earthquake. The ground keeps shifting, and you’re just trying to hold the walls up. You love them, but you’re also tired, confused, and wondering if you’re doing enough. Here’s a quick snapshot:

• Mental illness affects 1 in 5 adults in the U.S. (See Georgia mental health stats)
• You can’t fix your spouse, but you can support them.
• It’s okay to need help yourself especially from a therapist who gets it.
• Relationships can survive this, but not without effort from both sides.

This journey isn’t about being perfect. It’s about learning how to love with both hands—one reaching toward them, and one keeping yourself steady.

Recognizing the Signs of Mental Illness in Your Partner

Mental illness doesn’t always walk in wearing a name tag. It creeps in quietly. Sometimes it looks like anger. Other times, it’s silence. You might see your partner lose interest in things they once loved. Or they cry without a clear reason. Or sleep too much. Or barely sleep at all. Here are some common signs:

• Depression: sadness, no energy, wanting to disappear, read more about signs it may be deeper than just sadness
• Anxiety: worry that doesn’t stop, even when everything’s fine, including physical symptoms like dizziness or shortness of breath
• Bipolar disorder: mood swings like a rollercoaster, up one day, down the next , especially when left undiagnosed
• BPD or Narcissism: fear of being left, constant fights, blame games, or emotional extremes , learn more here

Imagine your partner’s mind like a radio stuck between stations. The static gets loud, the voices mix, and it’s hard to think clearly. If something feels off for weeks, not just days, it’s time to pay attention.

How Mental Illness Affects Relationships

Think of your relationship like a dance. When your partner is struggling mentally, the rhythm changes. You might find yourself doing all the steps. All the chores. All the emotional lifting. And it’s exhausting. Mental illness can:

• Make intimacy hard, both emotionally and physically.
• Turn you into a caregiver instead of a partner.
• Bring shame and isolation, because no one really talks about this stuff.
• Create misunderstandings, when your partner pulls away, it may not be personal.

You might feel guilty for being frustrated. Angry for not feeling seen. Scared things won’t get better. All of that is normal. But remember: the illness is the problem, not your partner. You’re not dancing alone. You’re just moving to a different beat right now. And if you’re feeling isolated or emotionally drained, you don’t have to carry it alone.

Understanding Your Partner’s Condition

You’re trying to fix a car, but you don’t know how the engine works. That’s what it’s like trying to support your partner without understanding their mental illness. You can love them deeply, but love alone won’t explain why they shut down, lash out, or sleep for 14 hours straight. Each condition has its own “personality”:

• Depression can feel like your partner’s joy got stolen, especially in high-functioning depression, where it’s hidden behind smiles.
• Anxiety is like living with a constant alarm bell ringing, with symptoms like dizziness or racing thoughts.
• PTSD is when the past keeps crashing into the present, often tied to trauma from childhood or bullying.
• Bipolar disorder may feel like riding a rollercoaster with no seatbelt, learn more about the signs and symptoms here.
• Borderline Personality Disorder (BPD) can bring emotional storms out of nowhere, especially when paired with narcissistic traits.

Learning about their diagnosis helps you respond with empathy, not confusion. Read a book. Watch a video. Ask their therapist (with permission). The more you know, the less personal it feels.

What You Can Do (Without Becoming Their Therapist)

Here’s a secret no one tells you: you’re not supposed to carry it all. You can be supportive without becoming their emotional doctor. Start with this:

• Listen when they talk, but don’t feel pressure to fix.
• Say things like, “I’m here” or “That sounds hard.” That’s enough.
• Encourage them to see a therapist. Offer to help them find one or go with them, you can start here.
• Don’t diagnose. You’re not WebMD. You’re their partner.

Think of yourself like a lighthouse. You shine steady. You don’t jump into every crashing wave,they have to swim too. Your love matters. But so does your mental health especially when you’re supporting someone else daily.

Communicating With a Spouse Who’s Mentally Ill

Talking can feel tricky. Sometimes they shut down. Sometimes they explode. It’s like playing a game where the rules keep changing. Here are a few things that help:

• Use “I” statements. Try: “I feel worried when you don’t talk to me,” instead of “You never talk.”
• Choose your timing. Don’t bring up serious stuff when they’re deep in an episode.
• Stay calm. If they’re yelling, you staying quiet is power, not weakness.
• Be honest but kind. Truth without blame works better.

Think of communication like tuning a radio. You may have to adjust the dial a few times, but when you find the right frequency, you can finally hear each other again.

Rebuilding Connection and Intimacy

Mental illness can make your relationship feel more like roommates than soulmates. Hugs become rare. Dates vanish. And you might miss the little things, like laughing over burnt toast or cuddling during a movie. But intimacy isn’t just about sex or big romantic gestures. It starts small:

• Holding hands when words don’t work.
• Leaving a kind note in their bag.
• Sitting next to them, even in silence.

Think of rebuilding connection like planting a garden. You don’t dump water on it once and expect roses overnight. You show up. You tend. You wait. And slowly, the closeness comes back especially when you acknowledge the emotional weight you’re both carrying.

Practicing Self-Care Without Guilt

You can’t pour from an empty cup. If you’re burned out, everyone suffers, including the person you’re trying to help.

Signs you’re running on fumes:

• You snap easily over small things.
• You dread coming home.
• You feel numb, tired, or hopeless, most of the time.

Now, self-care doesn’t have to be bubble baths and yoga (unless you love that). It can be:

• Walking alone to clear your mind.
• Journaling to make sense of your emotions.
• Saying “no” to things that drain you.

You matter. Your mental health matters. You’re not selfish for needing time to recharge. You’re protecting your emotional reserves and that’s smart.

Getting Professional Help for Your Partner

You can’t drag someone to healing, but you can walk beside them when they’re ready. If your spouse is open to it, professional help can make a world of difference. Think of therapy like a GPS. It doesn’t drive the car for you, but it helps you figure out where to go. And sometimes, that’s everything.

Here are some options:

• Outpatient treatment (weekly therapy, group sessions, medication), learn more about outpatient mental health care.
• Inpatient programs (for when safety or stability is at risk).
• Teletherapy (for partners who feel safer talking from home).

Start small. Say, “Would you be open to talking to someone?” or “Can I help you find a therapist?” You’re not pushing, they still get to choose. But you’re giving them a map when their world feels like a maze.

Getting Help for Yourself

You’re holding a lot. And even superheroes need backup. Getting help isn’t a sign of failure. It’s what smart people do when the weight is too heavy for one pair of hands. Whether your partner accepts help or not, you still can. Try this:

• Talk to a therapist. You get a space that’s all yours to unload, even if you’re just coping with the stress alone.
• Join a support group. There are others out there who get it.
• Tell one trusted friend. Sometimes, just being heard helps you breathe again.

If your partner won’t get help, you still can. That’s not betrayal. That’s survival.

Can Your Marriage Survive Mental Illness?

Let’s be honest, some days it feels like everything’s falling apart. The love is still there, but it’s buried under pills, missed appointments, and tears you didn’t expect to cry.

Can your marriage survive this?
Yes. But not on love alone. It takes:

• Willingness from both of you.
• Tools like therapy, boundaries, and communication.
• Patience more than you think you have.

Some couples grow stronger through the storm. Others part ways with respect. Either path can be healthy. A surviving marriage isn’t about avoiding struggle, it’s about choosing to fight for each other and yourselves.

If you’re still unsure, you can explore more about navigating relationships and mental health to help guide your next step.

Stories From the Trenches: Real Couples, Real Struggles

You’re not alone, even if it feels like you are. All over the world, people are quietly holding their homes together while their partners battle inner storms. On Reddit, in YouTube comments, in therapy circles, you’ll find stories like yours.

• “My husband has schizophrenia. I’ve learned to love him through the symptoms, not just around them.”
• “I didn’t think I could stay. Then she let me in, just a little. We started again, together.”
• “I didn’t stop loving her. I just had to start loving myself too.”

Your journey is your own. But you’re walking a path many others understand. Even seeking support for co-dependency can help you step into clarity.

Mental Health Resources for Spouses and Families

Good news, you don’t have to do this alone. There are people and places ready to help, even when you’re not sure what kind of help you need. Here are some places to start:

• Novu Wellness – Explore outpatient treatment options or connect with a therapist near you in Georgia.

Whether you need answers, someone to talk to, or just a place to vent—help is out there. You don’t have to carry this alone anymore.

Conclusion

Let’s take a breath, because if you’ve made it this far, you’ve already shown something powerful: love. Not the fluffy kind. The real kind. The kind that stays when things get messy. But here’s the truth you can’t ignore: you deserve peace too.

Loving someone with mental illness doesn’t mean you stop taking care of yourself. It doesn’t mean you keep giving until you disappear. You’re allowed to need space, rest, help, and joy. You’re allowed to say, “This is hard,” and still choose love or choose to walk away.

Whatever path you take, just know this: you’re not failing. You’re feeling. You’re fighting. And that means you’re doing just fine.

And when you’re ready, help is waiting here just for you.

Have you ever heard someone talk about a “psych ward” or “mental hospital” and wondered if they’re the same thing? Well, you’re not alone! Even adults get confused about this. Think of it like this: when you get hurt badly, you might go to an emergency room. But if your body needs extra care for a long time, you stay in a regular hospital. It’s similar with our minds.

Sometimes people feel really sad, scared, or confused and need help quickly that’s when a psych ward helps, like in situations involving a 1013 hold. Other times, they might need care and support for a longer period that’s where a mental hospital comes in. Let’s explore exactly how they’re different and clear up the confusion!

Psych Ward vs Mental Hospital (What’s The Difference?)

What Is a Psych Ward?

Think about when you fall off your bike and hurt yourself badly. You’d go straight to the emergency room, right? A psych ward is kind of like that, but for your feelings and thoughts. It’s a special area inside a regular hospital that helps people who suddenly feel very upset, scared, or confused. People usually stay there for a short time, from a few days to maybe a couple weeks. The main job of the psych ward is to help people calm down, feel safe, and get immediate support.

Doctors, nurses, and counselors work together to make sure people feel better quickly, so they can go home safely again. Sometimes, people are placed under a 1013 hold in Georgia if they’re a danger to themselves or others. It’s often a first step before beginning outpatient mental health treatment.

What Is a Mental Hospital?

Now imagine your bike accident left you needing extra help to get strong again like physical therapy over weeks or months. Mental hospitals are a bit like therapy for your mind. They’re special buildings made just for helping people who need more time and attention to feel better. These hospitals offer different kinds of therapy, like talking to counselors, art therapy (painting your feelings!), and even group activities where people learn together.

Folks might stay in a mental hospital for weeks or even months, depending on how they’re feeling. The goal is simple: helping them heal, find balance, and return home healthier and happier. Some people with conditions like high-functioning depression or complex PTSD may benefit from longer-term care in mental hospitals.

Mental Hospital vs Psych Ward: Similarities and Differences

Similarities Between Mental Hospitals and Psych Wards

Both psych wards and mental hospitals have one big job and that is helping people feel better mentally and emotionally. Both places have doctors, nurses, therapists, and caring staff ready to listen and offer support. They’re safe places where people don’t have to feel embarrassed or afraid to ask for help. Both use therapy, medicines, and special programs to improve people’s mood and help them manage difficult emotions. And importantly, both places promise privacy and respect your feelings.

Think of them like teammates working towards the same goal: helping minds heal. Whether you’re dealing with bipolar disorder symptoms or recovering from self-harm urges, both spaces provide compassionate support.

Mental Hospital vs Psych Ward: Key Differences Explained

But even teammates have different skills, right? Psych wards are for short visits like when your mind needs immediate attention. Mental hospitals, on the other hand, are for longer stays when you need extra support and time to heal fully.

Psych wards handle emergencies (like when someone feels extremely sad or scared suddenly), while mental hospitals have programs for slow and steady recovery. Another difference is the space: psych wards are smaller sections within hospitals, but mental hospitals are entire buildings dedicated only to mental health.

Think of psych wards like firefighters, rushing in fast to help. Mental hospitals are more like teachers, taking their time to help you learn and grow stronger. Whether someone is facing panic disorder symptoms or managing PTSD with DBT therapy, choosing the right place can make a big difference.

Reasons People Might Go to a Psych Ward or Psychiatric Hospital

Have you ever felt really sick, like when you have a high fever, and your parents decide it’s time to visit a doctor? Our minds can feel sick too. People go to a psych ward or mental hospital when their feelings or thoughts become very strong, scary, or confusing. Maybe someone feels so sad or worried they can’t handle it alone. Or maybe they’re seeing or hearing things that aren’t actually there. Some people even feel they might hurt themselves or others.

For example, imagine your mind is like a cup of water; normally it’s easy to hold. But sometimes, the cup fills up too much and spills over. That’s when someone needs extra help from caring doctors and therapists to feel better again. This can happen during serious mental health episodes, like PTSD-related panic attacks or when someone is dealing with bipolar disorder and intense mood swings.

How Do I Know if I Need to Go to a Psych Ward or Mental Hospital?

Our bodies give us signs when they’re not feeling well, right? A tummy ache means you ate too much candy. A headache might mean you’re tired. It’s the same with your feelings and thoughts. If you feel extremely sad or scared, or if your thoughts get confusing or scary and won’t go away, that’s a sign your mind might need help.

Maybe you’ve stopped sleeping, or eating, or you’ve felt very angry for a long time. Maybe you feel like hurting yourself or others. Think of these feelings as alarms like the smoke alarm in your house. They’re loud signals telling you it’s time to talk to a grown-up or a mental health professional who can help you find out if you need more care.

Sometimes, being placed under a 1013 mental health hold in Georgia can be the first step to getting urgent help. Other times, signs like high-functioning anxiety may show up quietly and still mean you need real support.

The Truth About Psych Wards and Mental Hospitals

Have you ever seen movies or cartoons showing psych wards or mental hospitals as scary or creepy places? Well, those movies are wrong! Imagine thinking dentists are mean just because you watched a silly cartoon, it’s not true. It’s the same thing with psych wards and mental hospitals.

In reality, these places are safe, welcoming, and filled with kind people who want to help. They are like hospitals for your feelings, where caring nurses, doctors, and therapists help you feel safe, calm, and healthy again. Many people who go there say it was one of the best choices they’ve made.

So let’s remember: needing help is brave, not embarrassing, and these places can help people get their smiles back. In fact, some patients say that treatments like EMDR therapy for anxiety or DBT for PTSD completely changed their lives.

How to Choose Between a Psych Ward and Mental Hospital

So how do you know which place is right if someone’s mind needs care? It’s actually pretty simple. First, think about how serious or urgent the problem is. Is it an emergency, like a fire alarm ringing loudly in your house? That’s when you pick a psych ward, they’re like firefighters who rush quickly to help. But what if the problem feels slower, bigger, and needs more attention, like rebuilding a house after a storm? Then you’d choose a mental hospital, where doctors have more time and programs to help you get stronger.

Remember, talking to a grown-up, counselor, or mental health doctor helps a lot. They know exactly how to help you choose the best place. If someone is facing a mental health crisis, like compounded grief or PTSD from bullying, they may benefit from different types of inpatient care depending on severity and need.

How to Find the Right Inpatient Mental Health Treatment

Finding the right help for mental health is like shopping for shoes, you want a comfortable fit that suits your needs. First, ask lots of questions. Are the doctors and therapists friendly with patient? Do they listen carefully? Check if the place has good reviews, just like you’d check reviews for a new video game.

It helps to talk to your family, teachers, or your regular doctor; they can help you make smart choices. And always remember, just like shoes, there’s no “one-size-fits-all” mental health place. It’s okay to look around and choose carefully, because feeling safe and comfortable helps your mind heal faster.

Look for centers that offer personalized options like psychedelic therapy for PTSD or specialized outpatient programs depending on your location and condition.

How to Get Psychiatric Care: Admission and Intake Explained

Getting help for your mind might sound confusing, but it’s actually simple just like checking into a hotel when your family goes on vacation. When someone arrives at a psych ward or mental hospital, doctors and nurses meet with them and ask questions. They want to know how you’re feeling, what you need, and how they can help you best. Your family might fill out some forms, just like your parents do at the doctor’s office.

If it’s urgent, they’ll help right away. If it’s planned, they’ll talk with you about what to expect. And don’t worry, everyone is there to make things smooth, safe, and friendly, helping your mind feel better step-by-step. If someone is admitted for bipolar disorder treatment, or they’re going through grief during the holidays, staff will know how to provide the right care from the very beginning.

How to Prepare for a Psych Ward or Psychiatric Hospital Stay

Going somewhere new can make anyone a bit nervous, right? It’s like starting at a new school, you’ll feel better if you’re prepared! So, pack comfy clothes, pajamas, your favorite cozy socks, and maybe a notebook or book to keep you company. Don’t forget your toothbrush! Talk to your parents about your worries, they can help you feel safer.

Remember, it’s totally okay to feel unsure or ask lots of questions. Writing down what you’re feeling before going helps too, like drawing a map before a journey. This way, you’re ready, calm, and confident about getting the help your mind needs. People staying for longer treatments, like those for complex PTSD or chronic sleep deprivation issues, benefit from feeling as comfortable as possible during their stay.

The Role of Family Support During Psychiatric Inpatient Care

Family support during your mental health treatment is like having your own personal cheerleading team. Just like cheering you on during a big soccer game or school play, family members can help encourage you, listen to your feelings, and remind you you’re not alone.

In psych wards and mental hospitals, families are often invited to visit, talk to the doctors, and join counseling sessions. This teamwork helps everyone understand your feelings better. It makes healing faster and easier, because nothing feels safer than knowing people who love you are right there beside you. Whether you’re coping with a bipolar parent or helping a loved one with co-dependency and control issues, family involvement makes a big difference in recovery.

Alternatives to Psych Wards and Mental Hospitals

Did you know there are other ways to help your mind besides psych wards or mental hospitals? It’s true! It’s like choosing different flavors of ice cream, not everyone likes the same one. Some people join special programs where they visit counselors a few times a week, then go home afterward. This is called outpatient care.

There’s also telehealth, where you talk to a therapist through video on a phone or computer, like FaceTiming a friend. These options give you help without needing to stay overnight somewhere new. It’s about choosing what’s comfortable and right for you, because feeling safe and relaxed helps your mind heal faster.

Alternatives like intensive outpatient programs or learning the difference between IOP and standard outpatient care can give you flexible support while staying close to home.

Benefits of Mental Health Treatment Centers

Mental health treatment centers can feel like special schools designed just for your feelings. Think about it, regular schools teach math or reading, right? Mental health centers teach people how to handle big emotions like sadness, worry, or anger. You get help from caring adults who are like teachers for your mind. They show you cool things like art therapy (imagine painting your feelings!), fun group activities, and even calming mindfulness exercises.

The best part is that you meet new friends who understand exactly how you feel. When you leave, you take home new skills, happier feelings, and a stronger, braver you. Some programs may include options like EMDR for anxiety or DBT for PTSD, which teach practical emotional skills in supportive environments.

Conclusion

Choosing mental health care is just like choosing the perfect backpack for school, it needs to feel right, fit your needs, and help you carry your feelings comfortably. Whether it’s a psych ward for quick help or a mental hospital for longer support, each has its special job. Always talk to your parents, teachers, or counselors about your worries. They can help you decide what fits best.

Asking for help means you’re smart and brave, not weak or silly. With the right support, you’ll feel better in no time, ready to smile and enjoy each day again! Whether you’re considering inpatient care options or exploring therapy in Georgia, knowing your choices makes all the difference.

Imagine if going to therapy didn’t mean leaving home or staying in a hospital. What if you could get help, talk to someone, and learn to feel better, while still going to school, work, or hanging out with your dog? That’s what outpatient mental health treatment is all about. It’s like having a coach for your brain.

You show up, get support, and go back to your day. Simple. No hospital beds, no scary stuff. Just real help, real life. We’re going to break it all down, what outpatient treatment means, how it works, who it helps, and why it might be just what you need. Ready? Let’s get into it.

What Is Outpatient Mental Health Treatment?

Outpatient mental health treatment is like going to school for your feelings. You don’t move in or sleep there. You just show up, get the help you need, and go home. It’s therapy, support, and sometimes medication, all without putting your life on hold.

Think of it this way: inpatient care is when things are really intense, and you need 24/7 help (like being in a hospital). Outpatient care is for when you’re struggling, but still okay to stay at home, go to work, or keep your daily routine. You might see a therapist once a week, join group sessions, or meet with a doctor about medication.

It’s flexible. It’s real. And it’s built around you. It’s also a great option for people dealing with high-functioning depression or living with a spouse with mental illness.

Types of Outpatient Mental Health Services

Not all outpatient programs are the same. Some are chill. Others are more like boot camp for your emotions. Here’s the breakdown:

Standard Outpatient Therapy (OP)

This is the classic one-on-one therapy. You might see a counselor once or twice a week. Great if you’re dealing with stress, anxiety, or life just being a little too much.

Intensive Outpatient Program (IOP)

Think of this as part-time healing. You go several times a week, maybe for a few hours each day. It’s more support without having to press pause on your life. Want to explore more? Check out the best IOP treatment in Suwanee, GA or the difference between IOP vs. standard outpatient.

Partial Hospitalization Program (PHP)

This is like a full-time job for your mental health. You go most days of the week for long sessions. But you still sleep in your own bed at night. It’s for people who need more structure but don’t need a hospital stay.

Some programs are made just for teens, new moms, veterans with PTSD, or people dealing with trauma like delayed-onset PTSD. So whatever you’re going through, there’s likely a version made just for you.

How Outpatient Therapy Works

Okay, let’s say you’re ready to try outpatient therapy. What happens? First, you meet with someone, a therapist, counselor, or intake specialist. It’s kind of like a “get to know you” meeting. They’ll ask about how you’re feeling, what’s been tough lately, and what kind of help you’re looking for. No pressure. No right answers.

Next comes your treatment plan. That’s your roadmap. It might include therapy sessions, group meetings, or even talking to a psychiatrist about medication. If you’re wondering what to look for in a mental health therapist in Georgia or how to choose a facility near Lawrenceville, there are resources that can help.

Then you begin. You’ll show up (in person or online), talk, learn, maybe cry a little, maybe laugh a lot. It’s a space just for you to grow stronger, one step at a time.

And the best part? You get to go home after. Real support without pressing pause on your life. For those struggling with co-dependency and control issues or recovering from compounded grief, this type of care can be a game-changer.

Techniques Used in Outpatient Therapy

Outpatient therapy isn’t just “talking about your feelings”, though yes, that’s part of it. It’s also full of science-backed techniques designed to help you think better, feel better, and handle life without melting down like a grilled cheese in the sun. Here are some of the most common tools in the therapy toolbox:

CBT (Cognitive Behavioral Therapy)

It helps you catch those sneaky thoughts that make you feel bad and swap them for better ones. Like flipping the script in your brain.

DBT (Dialectical Behavior Therapy)

Great if your emotions feel too big. It teaches you how to ride the wave instead of drowning in it. DBT for PTSD is a strong example of how it’s used effectively.

EMDR (Eye Movement Desensitization and Reprocessing)

EMDR Sounds futuristic, but it’s used to help people process trauma in a safe way. No, they don’t hypnotize you. Learn more about EMDR for anxiety and how it works.

Mindfulness

Learning how to breathe, slow down, and stop your thoughts from running marathons at 3 a.m. It’s a common practice in many outpatient plans.

Medication Management

Some outpatient programs include doctors who check in about how your meds are working, if you need them. For example, Lamictal for anxiety may be part of your discussion. So no, it’s not all crying on a couch. It’s skill-building. And your therapist is like a personal trainer for your brain.

Who Can Benefit from Outpatient Therapy?

You don’t need to be “totally falling apart” to get help. Outpatient therapy is for anyone who feels stuck, overwhelmed, anxious, sad, numb, angry or just not okay. It can help with:

• Anxiety (when your brain acts like a full-time alarm system)
• Depression (when even brushing your teeth feels like climbing Everest)
• PTSD and trauma
• OCD, bipolar, and eating disorders
• Addiction recovery
• Big life stuff, breakups, grief, family drama, or losing direction

You don’t need a perfect diagnosis. If you feel like something’s off and life feels too heavy to carry alone, outpatient therapy is your backup team.

What Services Are Available in an Outpatient Setting?

Outpatient programs are like mental health buffets, you get a mix of services that fit your needs. Here’s what might be on the menu:

• Individual Therapy: Just you and a therapist, talking it out.
• Group Therapy: A bunch of people learning and healing together.
• Medication Management: Check-ins with a doctor or nurse to make sure any meds you’re taking are helping, not hurting. Learn more about medication support like Lamictal.
• Family or Couples Therapy: For healing relationships, not just yourself. It can be helpful for situations like coping with a bipolar parent or living with someone with mental illness.
• Support Groups: Ongoing peer groups that give you community and understanding. They can also provide guidance for those navigating co-dependency and control issues.
• Wellness Services: Some programs include yoga, nutrition advice, or even art therapy to help your whole self, not just your head.

Outpatient treatment is kind of like building your own mental health playlist. You get to choose what works and skip what doesn’t.

Benefits of Outpatient Treatment

Life doesn’t stop just because your brain is in a fog. That’s the beauty of outpatient therapy, it helps you heal while still living your life. Here’s what makes it awesome:

• You stay home. No hospital beds or weird cafeteria food.
• You keep your routine. Work, school, walking your dog? Yep, you can still do all that.
• It’s flexible. Morning sessions? Evening groups? Online therapy in pajamas? You’ve got options. Some programs, like IOP treatment in Suwanee, GA, even tailor schedules around your needs.
• It costs less than inpatient care. Like, a lot less. And options like standard outpatient vs. IOP help you find what fits your budget.
• It builds real-world coping skills. You learn how to handle stress while facing stress. It’s like practicing on the field instead of watching from the bench. This can be key for managing high-functioning depression.

So if you want support without flipping your whole life upside down, outpatient therapy might just be your best move.

Challenges and Considerations

Now, let’s not sugarcoat it, outpatient treatment isn’t perfect. There are a few bumps to watch for. But don’t worry, they’ve all got workarounds. You need to be safe at home. If you’re in crisis, outpatient might not be enough. But it’s a great next step after inpatient. For situations like being under a 1013 hold in Georgia, outpatient can be the follow-up care.

Distractions are real. Laundry, emails, crying babies. Life can pull your focus. Creating a quiet space (even a closet!) helps. Motivation might dip. It’s easy to cancel when no one’s making you go. That’s where setting reminders or having an accountability buddy helps. This is especially important when dealing with compounded grief or PTSD.

Getting there can be tough. No car? Try telehealth. Many programs offer video sessions that work from your couch. The point is: outpatient care works best when you work with it. It’s a team effort. And the team includes you.

Outpatient vs Inpatient Mental Health Treatment

Here’s the big question a lot of people ask: “Should I do outpatient or inpatient treatment?” Let’s break it down with a simple comparison:

Feature	Outpatient	Inpatient
Sleep at home?	Yes	No (you stay at the facility)
Keep work/school?	Usually	Not during treatment
Cost	Lower	Higher
Supervision	Part-time	24/7 care
Best for	Moderate symptoms, stability	Crisis, severe symptoms

If your life feels unmanageable or unsafe, inpatient is your lifeline. But if you’re holding it together (barely) and need tools, structure, and support outpatient is the sweet spot. And for those dealing with bipolar disorder or PTSD and memory loss, outpatient care can offer long-term tools without full hospitalization.

What to Expect on Your First Visit

Let’s talk about that first day. Because yeah, it can feel a little scary. Like the first day at a new school, but instead of math, it’s feelings. Here’s what really happens:

• You show up (or log in).
• Someone kind and professional greets you.
• They ask about how you’re feeling, your past, your goals.
• No judgment. No tests. No “wrong answers.”
• They’ll help create a treatment plan that fits you. Maybe it’s weekly therapy. Maybe it’s a mix of group sessions and medication support. Maybe it’s a deep breath and “let’s just start here.”

You don’t have to spill your life story all at once. Just showing up is brave enough for Day 1. And if you’re not sure where to begin, selecting a therapist in Georgia or understanding what outpatient care includes can guide you.

Cost of Outpatient Mental Health Services

Money talk. Not fun, but real. So let’s keep it simple. Outpatient therapy usually costs less than inpatient treatment. But it’s not always cheap. Here’s a rough idea:

• Individual therapy session: $75–$200
• IOP (Intensive Outpatient): $250–$500 per day
• PHP (Partial Hospitalization): $350–$800 per day
• BUT, don’t panic. There are ways to make it work:
• Insurance: Many programs are covered by private insurance, Medicaid, or Medicare.
• Sliding scale: Some places adjust the price based on your income.
• Payment plans: Ask! Lots of clinics will work with you.

Your mental health matters. There is a way to afford help sometimes it just takes asking the right questions. If you’re comparing options, this IOP vs standard outpatient guide or facility tips near Lawrenceville may help you make a smart, affordable choice.

How to Choose the Right Outpatient Program

Picking a mental health program isn’t like grabbing the first snack from the pantry. It matters. You want the right fit, not just the first option. Here’s how to start:

• Check credentials. Look for licensed therapists and accredited programs. If their site feels sketchy, trust your gut.
• Ask what’s included. Do they offer individual therapy? Group support? Medication help? More options like more support.
• Look at the schedule. Can you attend around work or school? If not, ask about evening or weekend options.
• Read reviews or testimonials. What are other people saying? Bonus if they have success stories on their site.
• Call and ask questions. Don’t be shy. It’s your mental health, they work for you.

If you’re in Georgia, clinics like Novu Wellness offer flexible outpatient services with both virtual and in-person options. Whether you’re in Roswell or Atlanta, you can find a program that meets your needs and doesn’t feel like a factory. Here’s a guide to outpatient treatment and how to choose a therapist in GA to help you decide.

FAQs About Outpatient Mental Health

Q: Can I still work or go to school while doing outpatient?
A: Yep! That’s kind of the whole point. Programs are built to fit into your life, not take it over. Outpatient treatment is designed for flexibility.

Q: Will anyone find out I’m getting therapy?
A: Not unless you tell them. Everything is confidential. Your mental health is your business.

Q: What if I feel worse before I feel better?
A: That happens sometimes. Healing isn’t a straight line, it’s more like a rollercoaster with a snack break in the middle. But it is worth it. Especially if you’re facing high-functioning depression or compounded grief.

Q: What if it doesn’t work?
A: Then you try something else. Therapy isn’t one-size-fits-all. Don’t give up after one session or one therapist.

Q: Do I need a diagnosis first?
A: Nope. If you’re struggling, you deserve support. No official label required.

Conclusion

Let’s end with this: you are not weak, broken, or beyond help. You’re human. And humans struggle sometimes.

Outpatient therapy gives you the support, tools, and space to get better without leaving your whole life behind. Whether you’re burnt out, anxious, grieving, or just done, there’s a path forward. And that path doesn’t require checking into a hospital or figuring it out all alone.

You deserve peace. You deserve healing. And outpatient treatment might be the first real step toward both. Learn more about how outpatient therapy works and take a look at real-life signs therapy could help.

So breathe. Reach out. And take that step. One call. One session. One win at a time.

Have you ever had a scary thought that you didn’t want but it just wouldn’t go away? Maybe you asked yourself, “Why did I even think that?” If that’s ever happened to you, you’re not alone. Some people get stuck with upsetting thoughts they don’t want. These thoughts can feel very real and cause a lot of worry.

This is something called Pure OCD, short for Pure Obsessional OCD. It’s a type of obsessive-compulsive disorder that mostly happens in your mind. You may not see any physical habits, like hand-washing or checking. But the person is still doing mental rituals, like trying to fix or fight the thought.

Pure O is often confused with anxiety or even depression because the symptoms can overlap. Some people may also experience high-functioning anxiety alongside it, which can make it harder to spot.

What is Pure Obsessional (Pure O) OCD?

Pure O OCD is a type of Obsessive-Compulsive Disorder. The “O” stands for obsessions, which are scary or unwanted thoughts that pop into your mind. These thoughts feel very real, even if you know they don’t make sense. What makes Pure O different is that most of the struggle happens inside your head. You won’t always see someone doing physical things, like checking the stove or washing hands. But the person may be doing mental rituals, like praying over and over or trying to “cancel” a thought.

Even though you can’t see it, Pure O is very real. It causes fear, stress, and confusion, and many people with it feel afraid to talk about their thoughts. But with the right help, like therapy in Georgia, it can get better.

Pure O vs. Other Types of OCD

Most people think OCD is all about cleaning, counting, or checking things again and again. That’s true for some, but not everyone. In Pure O, the obsessions are just as strong, but the person’s actions happen in their mind. For example, someone with traditional OCD might touch a doorknob five times.

Someone with Pure O might go over a scary thought 100 times in their head to feel safe. Here is an quick example:

• Traditional OCD: Did I lock the door? Still checks the door for 10 times
• Pure O OCD: What if I hurt someone? Repeat a prayer to feel okay

Both OCD types are painful. Both are real. The difference is mostly what you see vs. what you don’t.

Is Pure O Just OCD Without Compulsions?

Not at all! Pure O still has compulsions. They’re just harder to spot. Instead of doing something with their hands or body, the person is doing things mentally. They might repeat thoughts, go over “what-if” questions, or try to make the bad thought go away.

These are called mental compulsions, and they can be exhausting. People may also ask for reassurance, like “Do you think I’m a bad person?” or “I would never do that, right?” This is still part of the OCD cycle.

Pure O is sometimes confused with high-functioning anxiety or even depression, but it’s a unique struggle. So no, Pure O is not just obsessions. There are compulsions too, but they happen inside the mind. That’s why it often gets missed or misunderstood.

Symptoms and Examples of Pure O OCD

People with Pure O OCD get scary thoughts that don’t match who they are. These thoughts show up without warning and are very hard to ignore. The person might feel shocked, upset, or even guilty for having them. But here’s the truth: everyone gets weird thoughts sometimes. People with Pure O just get stuck on them.

Obsessions in Pure O OCD

Obsessions are thoughts, images, or worries that don’t stop repeating. Some common ones in Pure O include:

• “What if I hurt someone I love?”
• “What if I did something wrong and don’t remember?”
• “What if I’m a bad person?”
• “What if I’m not in love with my partner?”
• “What if I go to hell?”

These thoughts are not what the person wants. They often go against their values and make them feel afraid or confused. They may also overlap with themes found in high-functioning depression or complex PTSD when left untreated.

Mental Compulsions in Pure O OCD

Even if someone isn’t washing their hands or checking locks, they may be doing mental rituals to feel better. These are called mental compulsions. Here are a few:

• Repeating a phrase or prayer in their head
• Going over the thought again and again
• Asking others for reassurance (“You’d tell me if I was dangerous, right?”)
• Trying not to think the thought (which makes it come back stronger!)

These rituals may bring short-term relief, but they actually make OCD stronger over time, similar to patterns seen in anxiety-related dizziness and panic disorders.

Causes and Risk Factors of Pure O OCD

Doctors don’t know one exact cause of Pure O OCD, but there are a few things that can raise your risk:

• Family history: If someone in your family has OCD or anxiety, your chances may be higher. Learn more about genetic mental health risks.
• Brain chemistry: Problems with how the brain handles serotonin (a brain chemical) can play a part.
• Stressful events: Big life changes, scary events, or trauma may trigger OCD.
• Personality traits: People who are very careful, moral, or sensitive might be more likely to develop Pure O.

Remember: It’s not your fault. Pure O is a medical condition, not a choice. It can be treated with tools like EMDR for anxiety or mental health therapy in Georgia.

How Do I Know If I Have Pure O OCD?

If you keep having unwanted thoughts that make you feel scared, guilty, or anxious and you try to fight them in your head, you might have Pure O. These thoughts feel stuck. You may spend hours thinking about them, even if you don’t want to. If you feel like you always need to be 100% sure you’re safe or “good,” that could also be a sign.

It’s important to know that Pure O is not just overthinking. It’s a real mental health condition, and it can be treated. If your thoughts are getting in the way of your daily life, school, work, or relationships, it’s time to reach out for help.

Getting Diagnosed with Pure O

A trained mental health professional in Georgia, like a therapist or psychiatrist, can help you figure out if you have Pure O. They may ask questions about your thoughts, feelings, and how you try to cope with them. It’s okay to feel nervous or embarrassed. These experts won’t judge you. They’ve heard it all before.

Many people with Pure O wait too long to get help because they’re scared their thoughts make them a bad person. But these thoughts are symptoms, not secrets. Talking to a professional is the first step to feeling better.

Treatment Options for Pure O OCD

Pure O can feel scary, but there is help and many people recover with the right support. You don’t have to stay stuck in your head forever. Treatment can help you feel safe, calm, and in control again.

Therapy for Pure O (Including Exposure and Response Prevention)

The best treatment for Pure O is a type of therapy called ERP, or Exposure and Response Prevention. In ERP, you face your scary thoughts on purpose, but you learn not to do the mental rituals. Over time, your brain stops reacting with fear.

For example, if you’re afraid of hurting someone, your therapist might ask you to imagine the thought but not try to cancel it. This helps you learn that thoughts aren’t dangerous, and you don’t have to do anything about them.

Cognitive Behavioral Therapy (CBT) is also helpful. It teaches you how to handle your thoughts more healthily and is often used to treat both OCD and high-functioning depression.

Medications for Pure O

Some people with Pure O also take medication to help with their symptoms. Doctors often suggest SSRIs (a type of antidepressant) to calm down the brain’s worry center. These medicines won’t erase your thoughts, but they can make them feel less powerful. Common SSRIs include:

• Fluoxetine (Prozac)
• Sertraline (Zoloft)
• Fluvoxamine (Luvox)

These medications are also used for mixing benzos and antidepressants, which can be risky if not carefully managed. Medication works best when used with therapy. Always talk to a doctor before starting or stopping any medicine.

Coping Strategies for Pure O OCD

While therapy and medication are the most effective ways to treat Pure O, there are things you can do every day to help yourself feel better. These small steps can make a big difference over time:

• Let the thoughts be there. Don’t fight them. Just notice them and let them pass.
• Stop seeking 100% certainty. You don’t need to “prove” your thoughts are false.
• Label your thoughts. Say, “This is just an OCD thought. It’s not me.”
• Stay present. Use deep breathing, grounding exercises, or mindfulness techniques.
• Don’t avoid triggers. Facing what scares you (with support) helps retrain your brain.
• Limit reassurance. Try not to ask others for comfort over and over, it feeds the OCD cycle.

If your Pure O is tied to other conditions like high-functioning anxiety or past trauma, combining ERP with EMDR therapy may be especially helpful. You’re not alone in this. These tools can help you take back your peace of mind.

Conclusion

If you’ve been stuck with scary thoughts that don’t go away, and you’ve been fighting them in your mind, you’re not broken. You’re not alone. And you’re not the only one.

Pure O OCD is real, and it can be hard to live with. But the good news is that it can get better. With the right tools like therapy, support, and maybe medication, you can stop the cycle and feel peace again.

You don’t have to hide your thoughts. You don’t have to keep them a secret. Talking to someone can be the first step toward feeling like yourself again.

Need support in Georgia? We’re here to help at Novu Wellness in Roswell. Let’s take that first step together.

Have you ever known someone who makes you feel guilty for asking for help? Or someone who gets really upset when they think you might leave them? It can be confusing to tell if a person is dealing with covert narcissism or borderline personality disorder (BPD). Both can look the same on the outside, like mood swings, blaming others, or pulling away in relationships. But inside, they come from very different places.

One hides behind fake sadness to stay in control. The other feels real pain and fears being left alone. How to spot the difference, why it matters, and how these disorders affect people and their relationships. Whether you’re trying to understand someone’s mental health or yourself.

Up-to-Date Overview of BPD and Covert NPD

Borderline Personality Disorder (BPD) and covert narcissism are two mental health conditions that can seem very similar. People with either disorder may have big emotions, act in confusing ways, or struggle in relationships. But what causes those behaviors and what they feel inside is very different.

Borderline personality disorder is often about the fear of being left alone. Covert narcissism is about hiding low self-esteem behind guilt or quiet control. They both come from deep emotional pain, often from things that happened in childhood. Learning the difference can help people find the right kind of support and healing. It can also help you protect your feelings if someone you care about is struggling with one of these disorders.

What Is Borderline Personality Disorder (BPD)?

BPD is a mental health condition that causes strong emotions, fast-changing moods, and fear of being abandoned. People with BPD often feel like their emotions are too big to handle. One minute, they might feel really happy. They might feel sad, angry, or scared the next minute and don’t always know why.

They may get very upset if they think someone is going to leave them. Even small things, like a late reply or short message, can feel like rejection. They may say things they don’t mean or act in ways they later regret. Inside, they often feel empty, confused about who they are, and scared of being alone. It’s not because they want drama. It’s because their emotions feel like a storm that won’t stop.

Traits and Symptoms of BPD

• Powerful emotions that change quickly
• Fear of being left, even when no one is leaving
• Unstable relationships (loving someone, then pushing them away)
• Feeling empty inside
• Hurting themselves or acting without thinking
• Not knowing who they really are

Many people with BPD are kind and caring, but their emotions can feel too big to manage. That’s why therapy especially DBT (Dialectical Behavior Therapy) helps them learn how to stay calm and feel safer inside.

What Is Covert Narcissism?

Covert narcissism is a quiet kind of narcissism. These people don’t brag or show off like you might expect. Instead, they act sad, insecure, or overly sensitive. They may say things like “I’m just too broken” or “Nobody ever sees how much I give,” to make others feel bad for them. But deep down, they want attention and control just in a quiet, sneaky way.

They often feel jealous, angry, or like the world is unfair to them. But instead of yelling or acting loud, they use guilt or silence to make others feel sorry. This type of narcissism is hard to spot because it looks like low self-esteem. But it’s really about hiding a fragile ego and trying to stay in control without being obvious.

Similarities Between BPD and Covert Narcissism

At first glance, BPD and covert narcissism can look almost the same. People with both may seem very emotional, hard to understand, or quick to blame others. They may change their moods fast, have trouble in relationships, or act like victims. This can make it confusing to figure out what’s going on.

But just because two things look alike doesn’t mean they come from the same place. Both disorders may cause drama, pain, and hurt feelings, but the reasons behind the actions are very different.

Here are some things they have in common:

• Mood swings and strong emotions
• Fear of being alone or unloved
• Trouble keeping healthy relationships
• Feeling misunderstood or not good enough
• Acting in ways that hurt others (even without meaning to)

Many people with these disorders have gone through trauma or emotional pain in childhood. Learning the difference helps us respond with the right support not judgment.

Key Differences Between Covert Narcissism and BPD

Even though covert narcissism and BPD can look alike, they are very different on the inside. The main difference is what’s driving the behavior. One is about fear. The other is about control.

People with BPD often act from fear, especially the fear of being left. Their emotions feel like waves that crash too hard. People with covert narcissism act from shame. They want others to think they’re kind or caring, but deep down, they feel empty and want to stay in control. Let’s look closer at the key differences.

Self-Image

BPD: People with BPD don’t always know who they are. One day, they might feel confident, and the next, they feel like a failure.
Covert NPD: They pretend to be humble, but inside, they believe they’re special, even if no one else sees it. They want others to notice them without asking for it.

Behavioral Motivation

BPD: They act out when scared. If they think someone is leaving them, they might panic, cry, or get angry.
Covert NPD: They don’t show their emotions the same way. Instead, they use guilt, sadness, or silence to get attention or stay in control.

Empathy

BPD: They feel other people’s pain, sometimes too much. But their own emotions can be so strong, they may forget how others feel in the moment.
Covert NPD: They may act like they care, but often they don’t feel real empathy. Their “caring” can be used to make themselves look good or gain trust.

Manipulation Style

BPD: They might say or do hurtful things without thinking when they’re scared or overwhelmed. It’s not planned; it’s emotional.
Covert NPD: They may act sad, quiet, or helpless on purpose so others feel guilty and do what they want. It’s more sneaky and planned.

What Is a Borderline Narcissist?

Sometimes, a person can have both BPD and narcissistic traits. This is called a “borderline narcissist.” They may be full of strong emotions like someone with BPD, but also act controlling and self-focused like someone with narcissism.

This mix makes relationships very confusing. One moment, they cry and beg you to stay. The next moment, they blame you for everything and act cold. They might not even know they’re doing it. It comes from deep emotional wounds that were never healed.

These people often had very painful childhoods, where love came with conditions. They learned to survive by always trying to protect themselves, even if it hurts others.

Can BPD and Covert Narcissism Co-Occur?

Yes, they can happen at the same time. This is called comorbidity, and it’s more common than people think. Some people with BPD may also show signs of narcissism especially if they grew up feeling unloved, judged, or ignored.

When both are present, things get more complicated. These people may feel scared of being alone and act like they’re better than others. They may pull others in with charm or sadness, then push them away with anger or guilt.

This combo is hard to treat, but not impossible. The first step is getting the right diagnosis and working with a therapist who understands both disorders.

BPD and Covert Narcissism in Relationships

Being in a relationship with someone who has BPD or covert narcissism can be really hard. You might feel confused, drained, or like you’re always doing something wrong, even when you’re not. That’s because both disorders affect how people connect with others.

A person with BPD may be very loving one minute and very angry the next. They might get scared you’ll leave and do anything to keep you close or push you away first to protect themselves.

A person with covert narcissism may seem quiet or sad, but they can also make you feel guilty, ignore your feelings, or twist the truth to stay in control. They often act like they’re the victim, even when they’re the one causing harm.

Both types of relationships can leave the other person feeling unsure, hurt, and emotionally tired. If this sounds familiar, therapy for emotional manipulation can help you understand your role and set boundaries.

Do Narcissists and People With BPD Attract Each Other?

Yes, they often do, and the connection can be intense. At first, a person with BPD might feel like the narcissist finally “sees” them. The covert narcissist might enjoy the attention and emotional closeness the BPD person gives.

But over time, things get rocky. The BPD partner might become too needy for the narcissist, while the narcissist starts to pull away or blame the other person. This back-and-forth creates a painful cycle of chasing and rejecting.

These relationships are full of highs and lows. They might feel excited, but they’re often unstable and unhealthy unless both people get help.

Can These Relationships Ever Work?

It’s possible, but it takes a lot of work, therapy, and honest effort from both people. The person with BPD needs to learn how to handle strong emotions and build trust. The person with covert narcissism needs to stop using guilt or control and work on building real empathy.

For any relationship to work, both partners need to:

• Take responsibility for their actions
• Respect each other’s boundaries
• Get support from a licensed therapist
• Be willing to grow and change

These relationships are not easy. But with the right help, some people can learn to have healthier, more caring connections.

Are Covert Narcissists Codependent?

Yes, many covert narcissists can be codependent, but not in the way people usually think. They don’t show it by being clingy or needy on the outside. Instead, they act like they don’t need anyone, but deep down, they depend on others to feel good about themselves.

They often use sadness, guilt, or silence to keep people close. They may say things like, “No one ever cares about me,” so others feel bad and stay. This is a way to keep control in the relationship without asking directly.

Even though they seem quiet and hurt, covert narcissists still need attention, approval, and praise just like other narcissists. That need makes them emotionally dependent, even if they hide it.

How Are These Disorders Diagnosed?

Doctors and therapists use special tools and long talks to understand what someone is going through. These include interviews, checklists, and looking at behavior patterns over time.

But it’s not always easy to tell the difference between BPD and covert narcissism. Some people get misdiagnosed, especially at first. A person with BPD might be called “too emotional” or confused with bipolar disorder. A person with covert narcissism might look like they’re just sad or depressed.

That’s why it’s important to see a licensed therapist who understands both conditions. Diagnosis isn’t about blaming, it’s about finding the right path to healing.

Treatment for BPD and Covert Narcissism

Both disorders can be treated but in different ways. BPD is often helped with DBT (Dialectical Behavior Therapy). This teaches skills like calming down, dealing with big feelings, and handling relationships better.

Covert narcissism usually needs schema therapy or psychodynamic therapy, which helps the person understand where their behaviors come from and how to change them.

People with BPD often want help and are open to therapy, especially when they’re hurting. People with covert narcissism may not think anything is wrong. They might resist help or try to control the therapy process.

But with the right treatment and therapist, both disorders can be treated. Change takes time, but healing is possible.

What Healing Looks Like for Both

Healing from BPD or covert narcissism doesn’t happen overnight. It takes time, effort, and a lot of support. But small changes can lead to big progress.

Healing Signs	For Someone with BPD	For Someone with Covert Narcissism
Emotional Control	Staying calm during arguments	Admitting when they hurt someone
Communication Growth	Talking about feelings instead of acting out	Being honest about their need for attention
Relationship Skills	Building trust with others slowly	Learning to care about others’ feelings in a real way

Healing means learning new ways to think, feel, and connect. It’s not about being perfect, it’s about being better than before. With therapy, patience, and support, both BPD and covert NPD can be managed.

Social Media Myths and Realities

Today, lots of people talk about mental health on TikTok, Instagram, and YouTube. That can be helpful but also confusing. Some videos say that people with BPD are always “toxic.” Others act like all narcissists are evil. That’s not true.

BPD is often shown as drama or mood swings, but many people with BPD are kind and just overwhelmed. It’s important not to confuse BPD with bipolar disorder or depression.

Covert narcissism is sometimes confused with being shy or sad, but it’s really about hiding control behind guilt. If you’re unsure what you’re seeing, don’t rely on a post; talk to a therapist who understands both.

Mental health is complex. Labels don’t tell the full story. If you’re unsure about what’s true, trust real experts, not short videos.

FAQs About Covert Narcissism vs BPD

Can someone have both?
Yes. A person can show signs of both disorders. This is called comorbidity. It makes things more complex but can still be treated.

How can you tell the difference?
BPD is driven by the fear of being left. Covert narcissism is driven by shame and control. The way they act may look alike, but the reasons are different.

Are people with BPD manipulative?
Sometimes, yes, but it’s usually not on purpose. They act out of fear. Narcissists, especially covert ones, are more likely to plan their actions to stay in control.

Can either disorder be healed?
Yes! With therapy and support, people with BPD or covert narcissism can learn to change and build better relationships.

Conclusion

Having Borderline Personality Disorder (BPD) or covert narcissism doesn’t make someone a bad person. It means they’re carrying pain that may show up in confusing or hurtful ways. These disorders can be hard to live with and even harder to understand, but they are also treatable. With time, support, and the right kind of mental health therapy, healing is possible.

If you’re feeling overwhelmed or unsure whether you or someone close to you is struggling with BPD or covert narcissism, you don’t have to go through it alone. At Novu Wellness, our caring team of therapists in Roswell, GA, is here to help. We understand these complex disorders and provide therapy that supports real change step by step.

No matter where you are in your journey, we’re here to walk with you toward healing.

Ever heard someone say they got “1013” in Georgia and felt lost? Don’t worry, you’re not alone. A 1013 might sound like a secret code, but it’s a legal form used in mental health emergencies. It’s what doctors or police use when someone is in danger, like thinking about hurting themselves or others and needs help right away.

In Georgia, this form allows professionals to send a person to a hospital for evaluation, even if they don’t want to go. Sounds intense? It is. But it’s also meant to protect people during their darkest moments.

Let’s break it all down step by step. Knowing how a 1013 works could save a life if you or someone you love is struggling.

What Is a 1013 in Georgia Mental Health Law?

A 1013 (say it like “ten-thirteen”) is a form in Georgia that doctors, counselors, or police can fill out when someone is having a mental health crisis. Not just feeling sad but talking about suicide or self-harm, showing signs of psychosis, or acting in a way that could hurt themselves or others.

Once this form is signed, the person can be taken to a hospital, even if they don’t want to go. It’s not a punishment or a crime. It’s a way to keep someone safe when their mind is in danger mode. Think of it as an emergency timeout but for mental health.

What Is the Purpose of a 1013 Form?

The 1013 form exists to save lives. When someone is in crisis, they might not realize how much danger they’re in. They may say things like “I don’t care anymore,” or they might stop eating, talking, or sleeping. That’s not just a bad day. That’s a red flag.

The 1013 angel number lets a licensed professional step in and say, “Hold on. We need to pause and get this person some help fast.” It’s like hitting the brakes before a crash. The goal isn’t to lock someone away. The goal is to help them stabilize, feel safe, and eventually choose help for themselves, whether through outpatient mental health care, crisis intervention, or long-term therapy.

Who Can File a 1013 in Georgia?

You can’t just Google the form and fill it out for your neighbor. A 1013 has to be signed by a licensed expert like a doctor, psychologist, licensed therapist, or trained police officer. These people know how to spot a real mental health emergency.

Now, if you’re a friend or family member worried about someone, you can still help. You can call the Georgia Crisis and Access Line (GCAL) at 1-800-715-4225. They’ll talk to you, send a mobile crisis team if needed, and help get that person evaluated by a pro.

So, even though you can’t sign the form yourself, you can be the reason someone gets the help they need. And if you’re supporting someone in crisis, mental health therapy in Georgia can guide you through the next steps.

How Do I Know If Someone Needs a 1013?

Everyone has rough days. But needing a 1013? That’s a whole different level. If someone is talking about ending their life, hurting other people, or acting in a way that seems totally out of control, they might be in a mental health crisis. Here are some red flags:

• Saying, “I don’t want to live anymore”
• Hearing voices or seeing things that aren’t real
• Suddenly acting super paranoid or angry
• Doing risky things like wandering into traffic

If your gut says something’s wrong, trust it. You don’t need to have all the answers; just get help. Call GCAL or talk to a mental health professional in Georgia. A 1013 might be scary, but it’s better than letting someone suffer in silence.

What Happens After a 1013 Form Is Filed?

Once a 1013 is signed, things move fast. The person is usually picked up by police or an ambulance and taken to an ER or mental health facility. They don’t get to say no; it’s involuntary, which means they have to go even if they don’t want to. Here’s what happens next:

• A doctor checks them out
• They’re held for up to 48 hours (not counting weekends or holidays)
• A decision is made: Should they go home or stay longer for more care?

The whole idea is to keep them safe while doctors figure out what’s really going on. It’s not jail. It’s a mental health emergency plan to keep the person alive and stable.

What to Expect During the First 48 Hours of 1013

This part can feel confusing and scary for both the person in crisis and their loved ones. So, let’s walk through it. During those first 48 hours:

• The person may be scared, confused, or even angry
• They’ll be monitored by nurses and doctors
• They might get medication if needed
• They’ll be given food, water, and a place to rest

It’s not a vacation, but it’s not a prison either. It’s a pause, a place to breathe, calm down, and get help from trained mental health staff. Example: Imagine your brain is a car engine overheating. The 1013 is like pulling into a pit stop, cooling things down before the whole thing blows up.

What Happens After the 1013 Expires?

Once the 48-hour window ends, one of three things usually happens:

• The person is feeling better and gets discharged with a plan to follow up.
• The doctor files something called a 1014, which keeps them in treatment longer.
• If they still need help but not at the hospital level, they might be sent to outpatient care instead.

This is where recovery begins. It’s not about being “fixed” in two days. It’s about making sure they’re safe enough to take the next step. The hospital team will usually recommend therapy, medication, or support groups to help keep things stable.

How to 1013 Someone in Georgia (Legally and Safely)

You can’t just call 911 and say, “1013 my cousin, please.” There’s a process. Here’s how to do it right:

• Step 1: Call GCAL at 1-800-715-4225. They’ll ask questions and may send a mobile crisis team.
• Step 2: If the person is in immediate danger, you can also call 911. Tell them it’s a mental health emergency.
• Step 3: Once a licensed clinician or officer sees the danger, they can file the 1013.

Pro tip: Stay calm. Use facts. Say what the person said or did, not just “They’re acting weird.” The more info you give, the better the help they’ll get.

Georgia Mental Health Statistics & System Challenges

Let’s zoom out for a second. Georgia’s mental health system is overloaded, and the numbers prove it.

• Over 100,000 1013s were filed statewide last year
• Suicide is one of the leading causes of death for teens and young adults in Georgia
• Rural counties are especially hurting, with fewer crisis beds and longer wait times
• Some patients end up stuck in ERs for days, waiting for a hospital bed

Why? Because mental health isn’t treated like physical health in a lot of places. But Georgia’s working on it, and more funding, crisis teams, and community-based care are on the way.

The Difference Between a 1013 and a 1014

Okay, these numbers can feel like alphabet soup, but stick with me. A 1013 is the first step. It’s the emergency form that gets someone into the hospital for a quick checkup to 48 hours. A 1014 comes after. It’s filed by a doctor if they believe the person still needs help and longer treatment is required.

The 1013 is the emergency visit, and the 1014 is the hospital stay. The second form may involve court approval and can lead to longer involuntary hospitalization. Bottom line? The 1013 starts the process. The 1014 decides what happens next.

Is a 1013 the Same as the Baker Act?

Nope, they are not the same, but they’re cousins. The Baker Act is Florida’s version of Georgia’s 1013. People often use the terms interchangeably on social media, but each state has its own rules.

	1013 (Georgia)	Baker Act (Florida)
Hold Time	48 hours	72 hours
Form Name	1013	Baker Act form
Court Process	1014 (after)	Included in Baker Act flow
Common Mix-Up	Yes	Yes

So if your friend on TikTok says they were “Baker Acted” in Atlanta, they probably meant a 1013. Now you know!

What Are Your Rights During a 1013 Hold?

Just because you’re held involuntarily doesn’t mean your rights disappear. Georgia law protects you in the following ways:

• You have the right to know why you’re being held.
• You can speak with a lawyer if you want.
• You have the right to be treated with respect and dignity.
• The hospital must explain your treatment and options.

If you feel like your rights were ignored or you were mistreated, you can file a complaint with the Georgia DBHDD Office of Accountability. Being in crisis doesn’t mean you’re powerless. Your voice still matters, especially when you have support from licensed mental health professionals who advocate for your care and recovery.

Does a 1013 Stay on Your Record?

A 1013 isn’t a criminal charge, so it won’t show up on your police record or court file. But that doesn’t mean it’s invisible. It might:

• Show up in your medical records
• Be flagged during background checks for high-security jobs
• Affect your ability to purchase a firearm, especially under federal law

For example, if you apply for a job that requires mental health clearance or carry permits, a past 1013 may raise questions. That doesn’t mean you’ll get rejected; it just means you may need to explain what happened.

Tip: After discharge, ask for your paperwork. Keep it in case you need to clear things up later.

What to Expect After a 1013: Recovery and Support

Getting out of a 1013 hold can feel like waking up after a storm. You’re tired. Confused. Maybe a little embarrassed. But listen, you made it through. Now it’s time to rebuild. Hospitals usually set you up with:

• A therapist or psychiatrist for follow-up
• A medication plan (if needed)
• A list of support options like group therapy or hotlines

You have to show up. Healing doesn’t happen overnight, but with the right support, you’ll get there. Think of it like rehab for the brain. Slow and steady wins this race.

How Therapists Help Clients Recover After a 1013

This is where therapy shines. After a 1013, a good therapist won’t just ask, “How are you feeling?” They’ll help you:

• Unpack the crisis and understand what triggered it
• Learn how to manage overwhelming emotions
• Build a safety plan for the future
• Reconnect with family, friends, and purpose

Therapists in Georgia often work with people who’ve experienced trauma, anxiety, and crisis-level depression. One client once said, “My therapist gave me a flashlight in a very dark room.” That’s what therapy after a 1013 should feel like: someone walking beside you, not dragging you forward.

Benefits of Ongoing Mental Health Treatment

You made it through a crisis. Now what? That’s where ongoing treatment steps in, and trust me, it’s more than just weekly chats. Here’s what long-term support can do:

• Keeps your brain steady (like vitamins, but for your thoughts)
• Helps you recognize triggers before they explode
• Builds healthy habits like better sleep, boundaries, and communication
• Teaches you how to cope without crashing

Think of therapy as getting your car serviced. You don’t wait for the engine to catch fire, you go in for tune-ups. Mental health works the same way. Stay consistent, and you’ll stay in control.

Where to Find Mental Health Treatment in Georgia

Georgia has more options than you might think; you just need to know where to look. Start with:

• Georgia Crisis and Access Line (GCAL): Call 1-800-715-4225 (24/7)
• Outpatient therapy centers (like Novu Wellness)
• Community mental health clinics
• Mobile crisis response teams that come to your home
• Support groups like NAMI Georgia

If you’re in Roswell or Atlanta, Novu Wellness offers therapy for anxiety, depression, bipolar disorder, and more. You don’t need a crisis to get care. Start early. Heal strong.

Georgia’s Updated Mental Health Laws (2022–2025)

Georgia’s finally catching up. After years of struggling systems, the state passed the Mental Health Parity Act in 2022, and big things have happened since. Here’s what’s new:

• Insurance companies must treat mental health like physical health
• More mobile crisis teams to reach people faster
• New programs to keep people out of jail and get them into treatment
• Investments in crisis stabilization units across the state

Translation? If you need help, Georgia’s starting to build a better safety net. It’s not perfect, but it’s growing, and that’s good news for everyone.

Real-Life Stories: What It’s Like to Be 1013

Sometimes, facts aren’t enough. You want to know what it feels like. So, let’s hear it from real people who’ve been through it.

• One young woman on YouTube said she was 1013 after a suicide attempt. She felt terrified at first, but after getting the right meds and therapy, she calls it her “wake-up moment.”
• A Reddit user shared how their brother was hearing voices and pacing for hours. The 1013 helped him land in a hospital instead of a jail cell. Now? He’s back in school and thriving.

The stories aren’t always pretty, but they remind us: 1013 doesn’t mean the end. Sometimes, it’s the beginning.

How to Talk to Someone in Crisis Without Triggering a 1013

Talking to someone who’s spiraling can feel like walking on a tightrope. Say the wrong thing, and boom, panic. Say nothing, and you miss the chance to help. Here’s how to keep things calm:

• Use a soft voice and simple words
• Say things like: “You’re not alone,” or “Let’s figure this out together.”
• Avoid judging or threatening (“You’re crazy” = no good)
• Don’t promise things you can’t control

Frequently Asked Questions (FAQs)

Can I file a 1013 for someone?
Not unless you’re a licensed clinician or officer. But you can call GCAL to get the process started.

Does a 1013 mean someone’s crazy?
Nope. It means they’re in crisis. Big difference.

Will this show up in background checks?
It might not be a crime but a mental health event. Especially if you’re applying for jobs that involve security clearance or weapons.

How long does a 1013 last?
Up to 48 hours. After that, a doctor decides if further care is needed.

Can someone get 1013’d more than once?
Yes, but if that happens, it’s a sign they need stronger long-term support.

Can a 1013 happen over Zoom or telehealth?
Yes! Clinicians can assess virtually and still file the form; mental health care is evolving.

Conclusion

A1013 can feel scary. Whether you’ve been through it or you’re supporting someone who has, the process can shake you up. But here’s the truth: It’s not a failure. It’s a lifeline.

Sometimes, people need help before they’re ready to ask. The 1013 is one way to pause the chaos and offer that help, even when the person can’t see the way out yet. So if you’re here because someone you love is struggling or because you’re trying to understand your own story, know this:

You’re not broken. You’re human. And help is always within reach.

Ever wonder why your heart beats fast when you’re around people? Or why speaking up in class or talking to strangers feels like climbing a mountain with no shoes on? You’re not alone. Many people feel this way, and it’s called social anxiety. It’s more than just being shy. It can make everyday things feel scary, like saying “hi” or asking for help.

But here’s the big question: Were you born with it? Or did life just teach you to be afraid?

Some say anxiety runs in families, like curly hair or a sweet tooth. Others think it comes from life experiences. Therapy for high-functioning anxiety or genetic-related disorders like bipolar can share overlapping roots. Therapy in Georgia can help find the cause and, more importantly, ways to manage it. So, is social anxiety in your genes, or did you learn it?

What Is Social Anxiety Disorder?

Social anxiety disorder, or SAD, is when you feel super nervous, scared, or worried in social situations. It’s not just being shy. It’s a heavy kind of fear that makes it hard to talk, eat, or even walk in front of others without feeling judged. Here’s what social anxiety can look like:

• Feeling like everyone’s watching you, even when they’re not
• Worrying for days before a school project, party, or meeting
• Avoiding eye contact, blushing, or sweating during conversations
• Thinking you said something wrong even when you didn’t

It’s like a voice in your head saying, “They’re judging you!” over and over. Social anxiety is real, common, and you’re not alone. The good news? It can get better with the right help, like EMDR for anxiety. If you’ve ever felt dizzy when anxious, you’re not imagining it! Anxiety and dizziness are connected and can make social situations feel even harder.

Is Social Anxiety Genetic?

is social anxiety in your DNA? Can you inherit social anxiety?

Science says yes, kind of. If someone in your family has social anxiety or any kind of anxiety disorder, there’s a higher chance you might feel it, too. Studies show that your genes could be behind 30% to 50% of the risk. Let’s break that down:

Family Connection	Your Risk Level
Parent with SAD	Higher
Sibling with anxiety	Higher
No family history	Still possible

In fact, you may want to explore deeper questions like: Is bipolar disorder genetic? or can anxiety cause physical symptoms like dizziness or UTIs? These conditions often run in families, but they’re also shaped by how you grow up and what life throws at you.

Even if you’re genetically more sensitive to stress or fear, that doesn’t mean you’re stuck with it. With the right help, like personalized mental health therapy, you can change the path forward and learn how EMDR therapy for anxiety or other mental health approaches can guide that change.

How Social Anxiety Is Passed Through Families

Imagine growing up in a house where everyone whispers at the door, avoids visitors, and panics at phone calls. You’re not just picking up furniture from your family, you’re picking up behavior. Lets explore how social anxiety can travel down the family line:

• Learned behavior: If you see your parents avoiding social stuff, you might do it too.
• Emotional tone: If you grew up in a home full of stress or criticism, social situations can feel unsafe.
• Unspoken rules: Things like “don’t talk too much” or “what will people think?” can make you afraid of being yourself.

Now, mix those family habits with anxiety-related genetic traits, and the combo can be powerful. But here’s something powerful, too: awareness. Once you understand what you’ve picked up, you can choose what to keep and what to let go.

The Science: Genes Linked to Social Anxiety

Scientists have found a few genes that might play a role in social anxiety. These genes don’t guarantee you’ll have it, but they can make you more sensitive to stress, fear, or social rejection. Some key players:

• SLC6A4: This gene helps move serotonin around, your brain’s “feel good” chemical. If this gene isn’t working well, your brain might turn up the fear volume.
• COMT: Think of this one as emotional brake. When it’s not doing its job, emotions can go from 0 to 100 real fast.
• BDNF: This one helps your brain grow and stay flexible. Low BDNF levels can make anxiety harder to manage.

Still, it’s not about one “anxiety gene.” It’s more like a team of genes that together decide how jumpy your brain might be. And like any team, their behavior depends on the environment they’re playing in. That’s where life experience and genetics meet.

Temperament Traits That May Be Inherited

Some people are bold, while others take their time. This is temperament, and it can run in families. Liking alone time, feeling things deeply, wanting things to be perfect, or fearing judgment aren’t bad traits. But with stress they can lead to social anxiety.

If you look calm but feel anxious inside, you might have high-functioning anxiety. Being cautious isn’t wrong; it just means your brain likes to check the room first. Learn more in Is Social Anxiety Genetic?

How the Brain Works in Social Anxiety

Social anxiety changes how your brain handles fear. Your amygdala is like a smoke alarm. In social anxiety, it goes off too easily, even when there’s no danger. Serotonin helps you stay calm, but if there’s not enough, it’s harder to relax. Dopamine makes socializing fun, but low levels can make it feel like a chore.

Here’s a comparison:

Brain Function	Normal Setting	Social Anxiety Mode
Amygdala	Alerts you to real threats	Treats small risks like big ones
Serotonin	Helps you stay calm	Harder to relax
Dopamine	Makes socializing feel good	Makes it feel overwhelming

Good news? Your brain isn’t broken. It’s just been trained to panic. With time, support, and practice, it can learn a new pattern, especially with therapies like EMDR for anxiety and mindfulness-based approaches.

Is Social Anxiety Becoming More Common Today?

According to Georgia mental health statistics, social anxiety and other mental health issues are rising. Social media has a lot to do with it. We now live in a world where everyone’s life is on display. Perfect photos, viral videos, people “going live” while brushing their teeth. You’re expected to be on all the time.

Then came remote learning, Zoom calls, and long stretches of isolation during the pandemic. For a lot of people, social muscles get rusty. Talking in person now feels harder than ever. And let’s be real: scrolling through flawless lives while you’re sweating over saying “hi” at the grocery store? That does something to your brain. Here’s what’s making social anxiety more common:

• Constant comparison online
• Fear of being recorded or judged
• Pandemic-related social skill loss
• Culture of canceling instead of forgiving

Can You Grow Out of Social Anxiety If It’s Genetic?

Yes! Even if social anxiety runs in your family, you can change. Your brain can grow and rewire itself with practice. How?

• Therapy: Talking to a professional helps.
• Small social steps: Start with little things, like saying “hi.”
• New mindset: It’s okay to make mistakes!

Over time, socializing gets easier. You may have anxiety seeds, but you choose whether they grow or shrink!

What Treatments Help Override Your Genetics?

ou can’t change your DNA, but you can change how anxiety affects your life. The right treatments can help you take control.

Cognitive Behavioral Therapy (CBT) teaches you to challenge anxious thoughts and replace them with balanced ones. Exposure Therapy helps you face fears in small, safe steps until they don’t feel so scary. In some cases, medication like SSRIs or beta-blockers can ease symptoms. Mindfulness and relaxation techniques help calm both the mind and body, while Social Skills Training builds confidence in social situations.

At Novu Wellness, we offer personalized anxiety treatment to help you break the cycle, no matter where it started.

What to Say (and Not Say) to Someone With Social Anxiety

Supporting someone with high-functioning anxiety starts with understanding how deeply words can cut or comfort. If someone in your life has social anxiety, your words matter more than you think. What feels like a simple “just be yourself” to you might sound like “you’re not trying hard enough” to them.

Here’s what to say (and what to avoid) when supporting someone with social anxiety:

Avoid Saying	Helpful to Say
“You’re overreacting.”	“I get that this is hard. Want me to go with you?”
“It’s not a big deal.”	“You don’t have to talk. Just being there is enough.”
“Just push through it.”	“Take your time. No pressure.”

Social anxiety makes people feel judged. The best thing you can do is offer support and patience!

Myths About Social Anxiety That Need Busting

There are so many misconceptions about social anxiety, and they make it harder for people to ask for help. Let’s smash a few social anxiety myths, shall we? Because the internet is full of bad advice and worse assumptions.

Myth 1: “It’s just shyness.”
Truth: Shyness is a personality trait. Social anxiety is a disorder that can make life feel unlivable.

Myth 2: “It’ll go away on its own.”
Truth: Without support, it often gets worse. But with help? It can get better.

Myth 3: “You can’t have social anxiety if you’re outgoing.”
Truth: Lots of people are great actors. They laugh on the outside and panic on the inside.

Myth 4: “If your parents didn’t have it, you shouldn’t either.”
Truth: Genetics play a role, but trauma and life experience matter too.

Social anxiety doesn’t follow rules. It follows patterns, and patterns can be changed.

Finding Support in Georgia: Why Local Help Matters

Finding a therapist in Georgia who understands social anxiety can make a big difference. At Novu Wellness in Roswell and Alpharetta, our licensed therapists help you understand where your anxiety comes from, learn real tools to manage it, and rebuild confidence in social situations.

We offer support for teens, adults, and families because healing often starts with the whole system. You’re not too broken or too late, you’re just ready for change.

Is There a Genetic Test for Social Anxiety?

Is There a Genetic Test for Social Anxiety? Many people ask, “Can a test tell me if I got social anxiety from my family?” Short answer? Not yet. There’s no single test that says, “Yes, you have the social anxiety gene.” That’s because no one gene causes it. Social anxiety comes from a mix of genes and life experiences.

Some companies offer tests that look at how your body handles stress or uses brain chemicals like serotonin. But these tests can’t say for sure if you’ll have social anxiety. It’s kind of like checking the weather. A forecast may say it might rain, but that doesn’t mean it will. Your genes may raise your risk, but your choices, your environment, and your support matter more.

If you’re feeling anxious, the best first step isn’t a test, it’s talking to a therapist who understands. That’s where healing can begin.

Conclusion

Social anxiety may live in your genes but it doesn’t get to write your future. Yes, it can run in families. It can grow from years of silence, worry, or fear. It might have started when you were too young to understand it. Traits like overthinking or perfectionism may have passed down through generations. But here’s the truth: it’s not who you are.

• You are not the racing heartbeat in a crowded room.
• You are not the skipped party, the quiet message left unsent, or the pause before every “hello.”
• You are not broken. And you are not alone.

You are human, brave, growing, learning. And you deserve to feel safe in your skin.

Maybe your genes started the story. Maybe anxiety filled in some of the first pages. But the pen? It’s still in your hands. And with support like personalized anxiety treatment and therapy that fits your needs, the next chapter can be something entirely new.

Is panic disorder a disability? When left untreated, it can undermine a person’s ability to live a full, productive, and satisfying lifestyle. But is it disruptive enough to warrant additional protections under the law or supplemental financial support?

If you or someone you love is struggling with mental health and need support. Call us today or head over to our admissions page to start the journey to healing and recovery!

What Is Panic Disorder?

Panic disorder is a type of anxiety disorder. It is characterized by recurrent panic attacks, which are sudden surges of extreme fear, accompanied by distressing physical symptoms.

Signs & Symptoms

As established in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), panic attacks can involve symptoms such as:

• Racing heart rate
• Chest pain
• Excessive perspiration
• Trembling or shaking
• Feeling like you are being choked or smothered
• Stomach pain
• Nausea
• Hot flashes or chills
• Sense of detachment from your body, mind, and/or surroundings
• Concern that you are “losing you mind”
• Fear of death

Panic attacks often occur unexpectedly, with no obvious external trigger. They usually don’t last more than a few minutes, but during that time you can experience considerable anguish, to the point of becoming convinced that you are about to die.

Effects

Living through a panic attack can be excruciating. But the psychological pain of panic disorder isn’t limited to the times when an actual attack is occurring. Knowing that another one could occur at virtually any moment, with little to no warning, can cause you to be perpetually on edge.

Potential effects of untreated panic disorder can include:

• Diminished performance in school or at work
• Problems finding and keeping a job
• Difficulty forming and maintaining healthy relationships
• Financial challenges
• Withdrawal and isolation
• Onset or worsening of co-occurring mental health concerns
• Substance abuse and addiction
• Low confidence and poor self-esteem

Panic disorder can clearly have a profound negative impact on your life. But is it considered a disability in the eyes of the law? We’ll address that question in the next section.

Is Panic Disorder a Disability?

Is panic disorder a disability? This is a deceptively simple question that doesn’t have an equally simple answer. One key reason for this is that “disability” can mean different things in different contexts.

For the purposes of this post, we’re going to consider panic disorder and disability from the perspective of the U.S. government. Specifically, we’ll explore whether or not panic disorder would be considered a disability under the landmark Americans With Disabilities Act (ADA), and if it would qualify a person for disability-related benefits that are managed by the Social Security Administration (SSA)

Americans With Disabilities Act (ADA)

The ADA, which was signed into law in 1990, prohibits discrimination on the basis of disability in a range of circumstances, including:

• Employment
• Transportation
• Public accommodations
• Communications
• Access to state and local government programs and services

Several aspects of the ADA focus on physical disabilities, but the U.S. Commission on Civil Rights has confirmed that the law also covers those with psychiatric conditions.

In terms of employment, the ADA bars qualified organizations from engaging in employment-related acts of discrimination based solely on a person’s mental health status. This includes people who have panic disorder.

Companies that are subject to the ADA cannot fire, refuse to hire, demote, or fail to promote a person due to their mental illness, as long as the individual can fulfill the responsibilities of the job with or without reasonable accommodations.

For someone with panic disorder, reasonable accommodations could include making a position a remote or hybrid role, setting a flexible schedule, and allowing the employee to take unannounced breaks when panic attacks occur. 

The U.S. Equal Employment Opportunity Commission (EEOC) has posted a thorough overview of employee rights and responsibilities under the ADA, including how to request reasonable accommodations.

Social Security Administration (SSA)

The SSA manages two types of disability-related financial support programs:

• Social Security Disability Insurance (SSDI) offers monthly stipends to people who have a disability that will prevent them from working for a year or longer. To qualify for SSDI, you must have worked for at least five of the previous 10 years. 
• Supplemental Security Income (SSI) provides funds to people who have a disability or who are over 65. To qualify for this program, you must also have limited income and resources, meaning less than $2000 for individuals and less than $3,000 for couples.

The Social Security Administration has verified that panic disorder is on its list of qualified disabilities. 

However, it’s important to remember that having a disability is just one of the requirements for SSDI and SSI. Depending on which program you are applying for, you may also need to have an appropriate work history (for SSDI) or have assets that don’t exceed certain limits (for SSI).

Finally, the process of accessing the benefits that these programs provide can be complex, and there’s no guarantee of approval. This isn’t meant to dissuade you from applying for benefits if you believe you qualify. It simply acknowledges the amount of time and effort that it can take.

Find Treatment for Panic Disorder in Atlanta

If panic disorder has been preventing you from living the life you deserve, Novu Wellness is here to help.

Our treatment center in Atlanta, Georgia, provides customized care at the partial hospitalization and intensive outpatient levels. Both of these programs are staffed by experienced professionals who take a holistic, trauma-informed approach to treatment. 

Working in active collaboration with your treatment team, you can learn to manage your symptoms, regain control of your thoughts and feelings, and make sustained progress toward improved quality of life. To learn more or to schedule a free assessment, please visit our Admissions page or call us today.

You suspect that someone you care about has been cutting themselves, but you’re not sure what to do next. It can be difficult to decide what to say to someone who is self-harming, yet you know that ignoring the problem won’t make it go away. The more you understand about what your loved one has been doing, the better prepared you’ll be to make a positive difference in their life.

If you or someone you love is struggling with self harm and need support. Call us today or head over to our admissions page to start the journey to healing and recovery!

What Is Cutting?

Cutting is one of several self-harming behaviors. People also sometimes refer to this category as self-injury, nonsuicidal self-injury (NSSI), and self-mutilation.

Regardless of the term, self-harm refers to intentionally inflicting pain or damage on your own body. In addition to cutting, other forms of self-harm include:

• Pinching or burning your skin
• Inserting needles or other sharp objects beneath your skin
• Pulling out your hair
• Punching yourself
• Hitting your head or other body parts against walls or other hard objects

In certain contexts, people can consider actions associated with eating disorders, such as extreme dieting or excessive exercise, as self-harm.

Research indicates that self-harm is most common among adolescents, especially girls in their early teens. However, people of all ages and genders have been known to engage in this behavior.

Why Do People Self-Harm?

If you’re unfamiliar with cutting or other types of self-harm. You may be at a loss as to why someone would intentionally hurt themselves like this. There’s no single cause of self-harm, but many people who purposefully injure themselves do so for reasons such as:

• The behavior is a symptom of bipolar disorder, borderline personality disorder, or another mental health condition.
• They feel that they have lost (or never had) control of their life. Intentionally hurting themselves is a way to assert some level of control.
• They are punishing themselves for what they believe to be an inherent flaw or because they feel they have failed at something.
• They have been experiencing a greater degree of stress or emotional turmoil than they can handle. Self-harm is a way of giving a physical presence to their psychological distress.

As indicated by the term nonsuicidal self-injury, people who engage in self-harm are not attempting to end their lives. However, a 2020 study in the journal Psychiatry Research determined that acts of intentional self-injury are “significant predictors of suicide attempts” among adolescents.

What To Say to Someone Who Is Self-Harming

In addition to deciding what to say to someone who is self-harming, it is also important to consider how to broach the topic, where the conversation should take place, and if other people should be involved.

Factors Influencing the Setting and Participants

These determinations can be influenced by a variety of factors, including your relationship with the person who has been self-harming. For example:

• If the person is your spouse, partner, or another adult who is very close to you, a private conversation in their (or your) home may be best. 
• If you discover that your child has been harming themselves, and you’re not a single parent, you may want to involve your spouse or partner in the discussion.
• If you are teacher and you see evidence suggesting that one of your students has been self-harming, you may want to first reach out to their parents as well as to their guidance counselor or the school nurse.

What to Say: Conversation Starters

Assuming that you have a close personal relationship with the individual, here are a few examples of what to say to someone who is self-harming:

• “I’ve noticed that you seem to have a lot cuts and bruises that don’t seem to heal, and I’m worried about you. What can you tell me about what you’re going through?”
• “You seem to be under a lot of stress lately, and I’m concerned that you might be struggling to manage it in a healthy manner. What can I do to help?”
• “There’s no easy way to say this, so I’m just going to come right out with it: I think you’ve been cutting yourself, and I’m really worried about you. What’s going on, and how can I help?”
• “You may not want to discuss this right now, but I need to let you know that I’m concerned about you hurting yourself. When you’re ready to talk about it, I’m here.”
• I know you’ve been dealing with a lot lately, and I think you’re self-harming as a coping strategy. I know it can be hard to talk about this, but we can’t ignore it. What’s been going on, and what can I do to help?”

Important Considerations for the Conversation

As you’re preparing for this conversation, here are a few other things to keep in mind:

• This should be a true conversation, not a lecture. That means you may be listening more than speaking. Pay attention to your loved one’s responses, as they can give you valuable insights into their current mindset.
• Don’t make accusations or issue ultimatums. Your friend or family member is in crisis. If you threaten or speak down to them, the most likely results will be that they will shut down and shut you out.
• This isn’t about you. You should mention the signs you’ve been seeing, and you should definitely reinforce that you love and support them, but the conversation should not focus on how afraid, concerned, or upset you are.
• If you’re worried that your loved one might be considering suicide, ask them. Bringing up this topic won’t “put ideas in their head” or elevate their risk of attempting to end their life. Instead, it can demonstrate to them that you truly care, and you’re willing to have uncomfortable discussions if they led to positive outcomes.

If you fear that your loved one is at imminent risk of suicide, call 911 or contact the 988 Suicide & Crisis Lifeline. You can access the Lifeline via their website or by calling or texting 988 from any phone in the U.S. This service is staffed 24/7 by trained professionals who can assess your situation and connect you with appropriate resources in your area.

Learn More About Treatment for Self-Harm in Atlanta

Depending on the extent of your loved one’s needs, they may benefit from outpatient treatment to help them overcome the urge to self-harm.

Novu Wellness offers personalized mental health services at the partial hospitalization (PHP) and intensive outpatient (IOP) levels, including evening IOP and virtual IOP options.

In each of these programs, your friend or family member can receive focused care and compassionate support from a team of skilled professionals. Working together, we can help them understand the root causes of their behavior and learn to manage their self-defeating compulsions.

To learn more about how we can help, or to schedule a free assessment for your loved one, please visit our Admissions page or call us today.  

Self-harm is an often misunderstood behavior that can be a sign of deep psychological distress or a symptom of a complex mental health disorder. When you know the warning signs for self-harm, you will be better prepared to recognize if someone you know is in crisis, so they can get the care they need.

If you or someone you love is struggling with self-harm or mental health challenges, don’t wait to seek help. Call us today, or visit our admissions page to take the first step toward healing.

What Is Self-Harm?

To recognize the warning signs for self-harm, it can first be important to review the variety of behaviors that can fall under this term. 

Self-harm, which is also called self-injury, self-mutilation, and nonsuicidal self-injury (NSSI), is the intentional infliction of physical damage or pain on your own body. Common acts of self-harm include:

• Pulling out your hair
• Cutting, scratching, biting, or burning your skin
• Inserting needles or other sharp objects underneath your skin
• Punching yourself
• Hitting your head or limbs against hard objects
• Exercising excessively
• Denying yourself food or water

As indicated by the NSSI term, self-harming behaviors are not intended to be suicide attempts. However, in some circumstances these behaviors can lead to accidental fatalities. Also, self-harm can be a precursor to suicidal thoughts or actions.

To underscore the danger of self-harm:

• According to the Centers for Disease Control and Prevention (CDC). Self-harm caused 660,000 emergency room visits in the United States in 2021.
• A May 2020 study in the journal Psychiatry Research found that more than 50% of people who intentionally injure themselves present a “significant suicide risk.”

Why Do People Harm Themselves?

People who intentionally self-harm may do so for a variety of reasons, such as:

• The behavior is related to depression, schizophrenia, bipolar disorder, or another mental health concern.
• They are attempting to punish themselves for what they believe to be a failure, character flaw, or some other personal shortcoming.
• They have been exposed to overwhelming stress or pressure. Or they are living with untreated trauma – and they are unable to cope in a healthy manner. Self-harm is a way of giving physical presence to their emotional distress.
• They believe that they have lost (or never had) control of their life. Inflicting injury or pain on their body is a way of establishing a modicum of control.
• They know they need help, but they are unable to put this knowledge into words. Self-harm is an attempt to signal to others that they are in crisis.

Self-harm is a treatable condition – but before a person can get help, they may need someone else to recognize the signs and intervene on their behalf. At Novu Wellness, we specialize in compassionate care and tailored treatment plans designed to address the underlying issues that lead to self-harm, helping individuals find healthier ways to cope and heal.

Warning Signs for Self-Harm

People who have been intentionally injuring themselves often go to great lengths to hide evidence of what they have been doing. This can make it difficult, but not impossible, to detect warning signs for self-harm.

If you suspect that a friend or family member has been harming themselves, keep an eye out for signs such as:

Physical Signs of Self-Harm

• Refusing to change clothes in front of other people
• Always wearing long sleeves and/or long pants, even in hot weather
• Frequently incurring injuries such as broken bones or serious bruising
• Having cuts, bruises, or sores that never seem to fully heal
• Having several unexplained scars

Warning signs for self-harm can also include behaviors that aren’t directly related to the harm itself, such as:

Behavioral Signs of Self-Harm

• Expecting perfection, and being extremely disappointed with themselves when they believe they have fallen short of this expectation
• Frequently making self-deprecating or self-critical remarks
• Exhibiting sudden and dramatic changes in mood, attitude, and energy
• Pulling away from family and friends, and spending substantial amounts of time alone

If someone that you care about has been exhibiting these types of signs, don’t ignore your suspicions. Here’s how you can help and what to say to someone who is self-harming, depending on your relationship with them:

• If they aren’t a friend or family member, the best approach may be to express your concerns to someone who is close to them.
• If they are a close friend or loved one, have a conversation about what you’ve been seeing. Emphasize your love and support, and be clear that you aren’t judging or criticizing them.
• Encourage them to consult with their primary physician or another qualified professional. This person can assess the situation and recommend appropriate treatment options.

Important note: If you fear that someone you know is at risk of suicide, you can contact the 988 Suicide & Crisis Lifeline online or by calling or texting 988 (from the U.S. only). 

This free resource is available 24/7. It is staffed by trained professionals who can provide actionable advice and connect you with appropriate resources in your area.

Find Treatment for Self-Harm At Novu Wellness in Atlanta

If someone that you care about has been engaging in self-harm, the Novu Wellness team is here to help.

Programming options at our mental health treatment center in Atlanta, Georgia, include a partial hospitalization program (PHP) and an intensive outpatient program (IOP), as well as evening and virtual IOP options. 

We will work closely with your loved one to assess the full scope of their needs. Then identify the programs and services that can put them on the path toward a healthier and more hopeful future. Every step of the way, they can expect to receive personalized care and comprehensive support from a team of experienced and compassionate professionals.

To learn more about how we can help, or to schedule a free assessment, please visit our Admissions page or call us today.