Suffer in Silence: A Dark Mafia Romance (Malvagio Mafia Duet Book 1)

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Paskins Z, Sanders T, Hassell AB (2013) What influences patients with osteoarthritis to consult their GP about their symptoms? a narrative review. BMC Family Pract 14:195–195. https://doi.org/10.1186/1471-2296-14-195

You may be feeling a lot on the inside, but most of the time, you would hide it from others. Sometimes, you even hide it from yourself. Thus, you appear flat and un-emotional. This is very different from the ‘dramatic’ expression someone with ‘classic BPD’ may exhibit. People think that you are doing well, and may not reach out as you struggle in isolation. A report for the Adolescent Mental Health programme finds that, and I quote, “in cohesive neighbourhoods defined as a place where people know their neighbours, adolescent wellbeing and mental health are stronger”. We have already announced that we will be creating a new offence of encouraging or assisting self-harm and I will work with my colleagues to see what else we can do where we might be falling short. You could say, "Hey, I need to be around other people tonight. Would you be up for a Netflix binge?" The ability for you to recognize your need, and build up the courage and skills to actually reach out is a huge part of finding support and getting through a tough time.Dahlberg H, Dahlberg K (2003) To not make definite what is indefinite. A phenomenological analysis of perception and its epistemological consequences. J Humanist Psychol 31:34–50. https://doi.org/10.1080/08873267.2003.9986933 We are also making greater use of talking therapies which were pioneered in England and have now been emulated across the world.

The symptoms will become even more resistant. We’ll stop being people and turn into pain. Symptoms will get much more complex. Kvale S (1983) The qualitative research interview: a phenomenological and a hermeneutical mode of understanding. J Phenomenol Psychol 14:171–196. https://doi.org/10.1163/156916283X00090 This does not mean the therapy is ‘bad’ or not working; but it is worth sharing how you feel with your therapist. Hopefully, they will have an understanding of Complex Trauma/ CPTSD and the inhibition defense that comes from that. Together, you can hopefully slowly get used to taking up space for yourself, and trusting your organic expressions, rather than relying on external directions)

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Deep inside, you may feel that your emotions are wrong, you are ‘too much’ for others, your existence itself is a burden, or you don’t deserve a place in the world. You would rather be in pain than affect other people, so you hold everything in. But there are currently too many gaps when it comes to data around suicide prevention that means we don’t currently have a clear picture in certain areas for example, any link between suicide and ethnicity. There are two specific reasons why: we’re afraid of being judged, and above all, showing our vulnerability. Because in this ruthless world it’s the strong personalities that win. The ones that put up with everything, don’t complain, and instead are models of optimism and self-confidence. I talked earlier about how we need to do more to reach middle aged men, who are at greatest risk. Men of that age typically find it harder to build social connections than women and I’ve been really inspired by groups like Men in Sheds which give men a place to meet like-minded people and share their concerns.

I want it to be 100%. Not 75%. Because too many people suffer in silence, based on outdated ideas of what it means to be a man. Collis D, Waterfield J (2015) The understanding of pain by older adults who consider themselves to have aged successfully. Musculoskelet Care 13:19–30. https://doi.org/10.1002/msc.1083 So we will be publishing a new 10-year mental health plan. At the moment we have a call for evidence asking for people’s views and shortly afterwards we will be publishing a new 10-year suicide prevention plan. Perhaps deep down, you do not feel you deserve time, attention, and care from others; Perhaps when you do show your vulnerabilities, you are plagued with guilt and shame, so you would rather hold things in. As time goes by, you become good at camouflaging— saying what others need to hear and presenting yourself in a socially acceptable way.Men in the lowest socioeconomic groups, who live in some of the most deprived areas, are up to 10 times more at risk of suicide than those in the highest socioeconomic groups, in other words those living in the most affluent areas. Exploring your mindBlog about psychology and philosophy. Articles and opinions on happiness, fear and other aspects of human psychology. You feel like you are living in a movie or a dream, or are living someone else’s life. You might have forgotten a big part of your life story and suffer from partial amnesia, not able to string together a coherent narrative of your life. Do you spiral into crushing depression or tend to isolate yourself at the slightest mistake you feel you have made in your interactions with people?

Gillsjö C, Schwartz-Barcott D, Bergh I, Dahlgren LO (2012) Older adults’ ways of dealing with daily life while living with long-term musculoskeletal pain at home. J Appl Gerontol 31:685–705. https://doi.org/10.1177/0733464810397540 The Samaritans – doing amazing work – answer a call for help every 10 seconds and tragically, around every 90 minutes someone dies from suicide in the UK. When we look across the last decade and look at government initiatives like the previous Suicide Prevention Strategy, no matter how well intentioned, the trends have broadly been going in the wrong direction. Last Monday would have been my brother Tariq’s birthday. I say it would have been because Tariq is no longer with us. He took his own life. I know that people are facing real strains over the cost of living. There is a huge cost of living challenge now for so many people. The older adults’ experience a need to be taken seriously when expressing their worries and fears related to pain. The feeling of not being taken seriously undergirds the sense of being forced to suffer in silence. Fear of the futureEach person is unique, and no one’s depression is the same as someone else’s. We have to find our own path to get ourselves out of the hole. Of course, sometimes drug treatments are necessary and effective, especially when coupled with therapy. Also indispensable in the process of recovery is support from your loved ones. That is where we sometimes find the biggest problem.