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. And 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 in a healthier way 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: 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 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.

BPD is often about 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 own 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. The next minute, they might feel sad, angry, or scared and they 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

• Very strong 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 really 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 actually 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, 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. And 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 exciting, 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 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 from 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. In fact, 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

If it gets too much, call GCAL or a mental health professional in Georgia. You’re not giving up—you’re calling in backup. And sometimes, that’s the most loving thing you can do.

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.

ment website. Print it. Share it. Stick it on your fridge. When crisis hits, you’ll already have a plan in place.

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 actually 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.earn 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 like emotional brakes. 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 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. And 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 got 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 absolutely 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 own skin.

Maybe your genes started the story. Maybe anxiety filled in some of the first pages. But the pen? It’s still in your hand. 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.

Are bipolar and borderline personality disorder the same? These two complex mental health concerns share several characteristics, but there are also a number of key differences between them.

If you or a loved one are struggling with mental health head over to our admissions page or call us today or to learn more on how Novu Wellness can help!

Types of Bipolar Disorder

There are three versions of bipolar disorder: bipolar I disorder, bipolar II disorder, and cyclothymic disorder. These versions are differentiated by which of the following symptoms a person experiences:

• Manic episodes: These are periods of elevated mood and confidence (to the point of grandiosity, increased energy, and decreased need for sleep. During a manic episode, a person may launch new projects, take on additional responsibilities, and act in an impulsive, reckless manner. To qualify as a manic episode, these symptoms must be present most days, most of the day, for at least a week.
• Hypomanic episodes: A hypomanic episode is similar to a manic episode, with two distinctions. Symptoms may not be as severe, and they won’t last as long. To meet the criteria for a hypomanic episode, a person must experience symptoms for four consecutive days.
• Major depressive episodes: These are the opposite of manic episodes. During a major depressive episode, a person may experience low mood, diminished confidence, lack of motivation, and little to no energy. Major depressive episodes, which last for at least two consecutive weeks. Can also involve abnormal sleep patterns, a pervasive sense of hopelessness, and recurring thoughts of death and dying.

Here’s how the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) defines the three types of bipolar disorder:

• Bipolar I disorder: This version involves manic episodes. People who have bipolar I disorder may also have major depressive episodes, but they are not a requirement for this diagnosis.
• Bipolar II disorder: This type of bipolar disorder is characterized by hypomanic episodes and major depressive episodes.
• Cyclothymic disorder: People who have this type will experience hypomanic and major depressive symptoms. These symptoms will occur on and off over a period of at least two years. They will not endure long enough at any one time to qualify as either a full hypomanic or major depressive episode.

Symptoms of Borderline Personality Disorder

Borderline personality disorder, or BPD, is characterized by instability and impulsivity, particularly in a person’s mood, self-image, and relationships. 

As established in the DSM-5, a person must exhibit at least five of the following nine criteria to be accurately diagnosed with BPD:

1. Frantic efforts to avoid being abandoned, even if there have been no indications that this is likely to occur
2. A pattern of intense but unstable relationships, during which the individual alternately idealizes and devalues the other person
3. Frequent changes in self-image or sense of self
4. Impulsivity in two or more areas that can be sources of substantial harm. Such as spending, gambling, binge eating, sex, reckless driving, and substance use
5. Recurrent threats, gestures, or behaviors related to self-harm or suicide
6. Periods of extreme anxiety or irritability, which can last from a few hours to a few days
7. Persistent feelings of emptiness
8. Inappropriate outbursts of anger, which can include physical violence
9. Occasional periods of paranoia or dissociation (the sense of being detached from their mind, body, or environment)

Similarities and Differences Between Bipolar and Borderline Personality Disorder

Though these are clearly separate conditions. There are understandable reasons why many people wonder, are bipolar and borderline personality disorder the same? As we will discuss below, these reasons include similarities in symptoms, effects, and risk factors.

Similarities

Similarities between bipolar disorder and BPD include:

• Both are complex, oft-misunderstood mental health disorders.
• Bipolar disorder and borderline personality disorder can both involve dramatic mood swings, impulsivity, and recklessness.
• People with both conditions may have difficulty with anger management.
• Both disorders can undermine a person’s ability to form and maintain relationships.
• Bipolar disorder and BPD are both associated with increased risk of substance abuse and addiction.
• Abuse, neglect, and other adverse childhood experiences (ACEs) can be risk factors for both conditions.
• Bipolar disorder and borderline personality disorder are both treatable. When a person with either disorder gets the right type of help, they can learn to manage their symptoms and achieve improved quality of life.

Differences

Of course, the reason that bipolar is not the same as borderline personality disorder is because there are several key differences between the two conditions, such as:

• Bipolar disorder is a mood disorder, which means that its symptoms primarily cause fluctuations in how a person feels. BPD is a personality disorder, which means that its characteristic features are persistent maladaptive behavior patterns. 
• Though trauma can be a risk factor for both conditions. Having a history of trauma is much more common among people with BPD than among those with bipolar disorder. The relationship between BPD and trauma is so significant that some experts have called for it to be reclassified as a trauma spectrum disorder instead of a personality disorder. 
• Bipolar disorder is twice as common as borderline personality disorder. According to the National Institute of Mental Health (NIMH), the past year prevalence of bipolar disorder among American adults is 2.8%. While the past year prevalence of BPD among the same population is 1.4%. 
• BPD is much more likely to require inpatient mental health treatment. For example, though borderline personality disorder affects about 1.4% of the general public. In a typical year, studies have found that people with BPD may represent more than 40% of those who are receiving inpatient care.

Find Treatment for Bipolar Disorder and Borderline Personality Disorder in Atlanta

As we noted when discussing the similarities between bipolar disorder and borderline personality disorder, both are treatable conditions. If you or someone that you care about have been affected by either of these illnesses, Novu Wellness Center is here to help.

At our outpatient treatment center in Atlanta, Georgia, your options include a partial hospitalization program (PHP), and intensive outpatient program (IOP), an evening IOP, and a virtual (online) IOP. In every one of these programs, you or your loved one can expect to receive personalized care. As well as compassionate support from a team of highly skilled professionals.

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

At Novu Wellness in Sugar Hill, Georgia, we understand that bipolar disorder is a complex condition that deeply affects individuals and their families. One common question we encounter is whether bipolar disorder is genetic. Research indicates that genetics significantly influence the likelihood of developing bipolar disorder, although they are not the only contributing factor. This raises questions about how genetics influence the disorder and what other factors might also play a role in its development. This article aims to explore the genetic factors of bipolar disorder, other contributing causes, treatment options, and how we can support you or your loved one in managing this condition. 

Bipolar Genetics

Research indicates a significant genetic component to bipolar disorder. Studies show that if a parent or sibling has bipolar disorder, the chances of developing it are much higher compared to the general population. Genetic studies have identified several genes that may increase susceptibility to the disorder, but no single gene causes the condition by itself. Instead, it’s believed that a combination of genes and environmental factors triggers the onset of bipolar disorder, such as:

Family History

Bipolar disorder frequently appears in families, highlighting a genetic link. If you have a close relative, like a parent or sibling, who has bipolar disorder, your own risk of developing the disorder increases compared to someone without this family history.

Genetic Studies

Research into bipolar disorder points to specific genes that might be involved. It’s a polygenic condition, which means several genes contribute to its development. These genes are thought to affect how neurotransmitters work, which in turn influences brain pathways and overall brain function.

Neurochemical Imbalance

One of the hallmarks of bipolar disorder is an imbalance in neurotransmitters, including serotonin, dopamine, and norepinephrine, all crucial for regulating mood. Genetics are believed to play a role in these imbalances, affecting how these chemicals are processed in the brain.

Brain Structure and Function

There are notable differences in the brain structures and functions of those with bipolar disorder. Some of these differences could be genetically driven, although environmental factors may also have an impact. These structural changes can influence the brain’s ability to process emotions and respond to external stimuli effectively.

Other Causes of Bipolar Disorder

While genetics play a crucial role in the development of bipolar disorder, they are not the sole factor. Other influences can trigger or exacerbate the condition, especially in individuals who are genetically predisposed. Some of those influences can be found in:

Environmental Factors

Stressful life events, trauma, or ongoing stress can precipitate episodes of bipolar disorder. These environmental stressors may activate underlying genetic predispositions, leading to the manifestation of symptoms.

Substance Abuse

The misuse of substances like alcohol and drugs can intensify the symptoms of bipolar disorder and, in conjunction with genetic susceptibility, may heighten the risk of developing the condition.

Medications

Certain medications, such as antidepressants or corticosteroids, are known to trigger manic or depressive episodes in people who are genetically predisposed to bipolar disorder.

Biological Clock and Circadian Rhythms

Alterations in circadian rhythms and the body’s internal biological clock can contribute to the mood swings associated with bipolar disorder. Genetic factors might make an individual more vulnerable to these disruptions.

Hormonal Changes

Hormonal shifts, such as those experienced during puberty, pregnancy, or menopause, can impact the onset or exacerbation of bipolar episodes, influenced by both environmental and genetic factors.

Infections and Immune System

Emerging research indicates a potential link between infections, immune system irregularities, and bipolar disorder, although the exact connections remain unclear and are a subject of ongoing study.

Treating Bipolar Disorder

Bipolar disorder arises from a complex mix of genetic, environmental, and neurobiological influences. While a family history of the disorder may increase risk, it is not determinative; many individuals diagnosed with bipolar disorder have no family history of it.

While bipolar disorder cannot be cured, it is manageable with proper treatment. Diagnosis and treatment plans are typically crafted based on a comprehensive assessment that includes genetic, clinical, and environmental considerations, aiming to tailor the most effective strategies for each individual. Treatment for bipolar disorder typically involves a combination of medication and psychotherapy. Medications may include mood stabilizers, antipsychotics, and antidepressants to manage the various phases of the disorder. Psychotherapy, such as cognitive-behavioral therapy (CBT) or family-focused therapy, helps patients and their families understand and cope with the disorder. 

At Novu Wellness, our approach is tailored to each individual’s needs, ensuring a comprehensive plan that addresses both the genetic and environmental aspects of bipolar disorder.

Contact Us For Support

Managing bipolar disorder is a lifelong journey that requires comprehensive and compassionate care. At Novu Wellness, we are dedicated to providing support and effective treatments for those affected by bipolar disorder and their families. If you or someone you love is struggling with symptoms of bipolar disorder, please reach out to us. Visit our website or contact us directly to learn more about our services and how we can assist in your or your loved one’s path to wellness.

Navigating life with bipolar disorder presents unique challenges, leading many to wonder about their eligibility for disability benefits. Despite progress in medication and therapy, mental health conditions like bipolar disorder can still significantly impair an individual’s ability to work. The fluctuating nature of bipolar disorder, with its cycles of remission and relapse, can make consistent employment challenging. 

Recognizing this, the Social Security Administration (SSA) includes bipolar disorder among the mental health conditions eligible for disability benefits. Individuals with bipolar disorder may benefit from consulting a skilled disability attorney, who can assess their unique circumstances and compile a compelling benefits application. Novu Wellness in Sugar Hill, Georgia, offers insights into understanding bipolar disorder as a disability and navigating the benefits process.

What Is Bipolar Disorder? Is it a Disability?

Bipolar disorder, a mental health condition marked by extreme mood fluctuations from high (mania or hypomania) to low (depression), significantly disrupts an individual’s daily life and overall well-being. It is estimated to impact around 4.4% of U.S. adults during their lifetime, with a vast majority, approximately 82.9%, experiencing severe impairment due to the condition. This level of impairment often hinders their capacity to maintain employment or function effectively in work settings. Like many other mental health disorders, individuals suffering from bipolar disorder might qualify for Social Security Disability benefits, designed to provide support for those whose conditions prevent them from working. 

According to the Americans with Disabilities Act (ADA), bipolar disorder can be considered a disability if it significantly hampers one’s ability to perform essential life activities, thereby making some individuals eligible for disability benefits.

Types of Bipolar Disorder

Bipolar disorder primarily presents in four main variations:

Bipolar I Disorder: The most intense form, characterized by manic episodes lasting a minimum of seven days or requiring hospital care, and depressive episodes generally persisting for two weeks.

Bipolar II Disorder: Features both depressive and manic phases, though the manic episodes are less severe.

Cyclothymic Disorder: Known as cyclothymia, it includes repeated instances of hypomanic and depressive symptoms over a period of at least two years.

Other Specified and Unspecified Bipolar and Related Disorders: Covers bipolar symptoms that don’t align with the specific criteria of the previously mentioned types.

Signs and Symptoms of a Manic Bipolar Disorder Episode

During a manic episode of bipolar disorder, individuals may experience heightened emotions, feeling exceptionally “up,” elated, or “high.” They often exhibit an increase in energy and activity levels, feeling “jumpy” or “wired,” which can lead to difficulty sleeping and an overabundance of rapid speech covering various topics. Agitation, irritability, and a sense that their thoughts are racing are common. There’s a belief in their ability to multitask extensively, which sometimes results in engaging in risky behaviors. 

Conversely, during a depressive episode, individuals might feel profoundly sad, down, or empty, with a significant drop in energy and activities. Sleep disturbances, either too much or too little sleep, a lack of enjoyment in activities, worry, and feelings of worthlessness are prevalent. They may face concentration issues, memory problems, changes in appetite, a general slowing down, and thoughts of death or suicide. 

While bipolar disorder presents a complex array of symptoms, medication and psychotherapy offer means to manage its impact, providing much needed relief and support to those afflicted.

Qualifying for Benefits with Bipolar Disorder

The Social Security Administration (SSA) recognizes certain medical and mental health conditions, including bipolar disorder, as significant impairments that could prevent someone from engaging in substantial work activities. For adults and children with bipolar disorder to be eligible for Social Security Disability Insurance (SSDI) benefits, they must present:

• Medical evidence of bipolar disorder diagnosis with at least three specific symptoms such as pressured speech, inflated self-esteem, or decreased need for sleep, among others.

• Significant restriction in one or more critical areas of mental functioning: comprehension and application of information, social interaction, focus and persistence, or self-management.

• Proof of the disorder being serious and persistent for at least two years, requiring continuous medical or psychological support and showing minimal capacity to adapt to environmental changes or demands.

Qualifying for SSDI due to bipolar disorder necessitates comprehensive documentation of the diagnosis, treatment history, and the disorder’s impact on daily functioning. Even if the explicit criteria aren’t met, individuals might still qualify if they cannot perform previous work or adjust to new work due to their condition. Given the fluctuating nature of bipolar disorder, documenting the inability to work due to symptom flare-ups is challenging but crucial for SSDI claims. Assistance from an experienced advocate is invaluable in navigating this process.

Contact Us For Support

If you or a loved one is struggling with bipolar disorder and seeking disability benefits, Novu Wellness is here to provide support and guidance. Our experts can help you navigate the complexities of your condition and the benefits application process. Contact us today to start your journey of healing and stable, supported living.