www.drjoecarver.comPer Dr. J---more on paranoia--
For information sake: How to know when the problem is getting too big.
(In case there are people coming to this site who are still living with an n
person/in an n-environment).
"Moderately high Dopamine levels make us on-guard, suspicious, and prone to misinterpret experiences in the environment. Known as an “idea of reference” in psychiatry, we begin thinking unrelated experiences are suddenly directly related to us. People observed talking across the street are now talking about us. As Dopamine increases, it can become so intense that we feel the radio, television, and newspaper contain secret messages directed at us from Hollywood or elsewhere. It’s as though we are attempting to incorporate/add everything we witness into our
life. Planes flying overhead are snapping pictures of us and motorists talking on cellular phones are calling in a report on us. Our mind speed increases and races in an attempt to add all we see into our life. In an attempt to make sense, we may become extremely religious, paranoid, or feel we are a very important person.
Increased Dopamine also increases the perception of our senses, as though turning up the volume in all our senses – hearing, vision, taste, smell, and touch. As Dopamine levels increase, the noises we heard loudly suddenly become auditory hallucinations. Our inner thoughts are now being heard outside our body. These “voices” begin talking to us, known to take different forms such as derogatory (putting you down), religious topics, command (telling you to do something), or sexual
content. Hallucinations (experiencing something that is not truly there in reality) will soon develop in all our senses. We may begin seeing faces in clouds, carpets, or patterns. We may sense the touch of spirits or movements inside our body. We may experience unusual smells or tastes.
High levels of Dopamine in the brain often cause us to lose our contact with reality. As though living in a science-fiction movie, we begin to develop unusual if not bizarre ideas about what is happening to us. With our paranoia, we may experience delusions (false beliefs) of persecution or may think we have super powers (delusions of grandiosity) and can predict the future or read minds. High levels of Dopamine are found in
Schizophrenia, drug intoxication, and other psychotic conditions where the ability to distinguish the inner world from the real world is impaired."
Treatment:
"Mildly elevations in Dopamine are associated with addictions such as narcotics, speed, and nicotine/smoking. Thus, medications used in the treatment of addictions actually block or lower Dopamine production. If a medication blocks dopamine, it also blocks the effects of the addicted substance as well as blocking the craving sensation. The medication to help smokers, Zyban, is actually the antidepressant Wellbutrin that
is known to block Dopamine.
Moderate to high levels of Dopamine, associated with severe psychiatric conditions such as Paranoia and Schizophrenia, are treated with medications that block or lower Dopamine in the brain. These medications, called antipsychotics, have been available for many years. Early antipsychotic medications however, lowered Dopamine through
ut the brain, including the Dopamine located in the motor/movement areas. For that reason, older antipsychotic medications produced motor/movement problems that looked like Parkinson’s Disease – short-step gait, fixed facial expression, tremors, poor balance, etc. Newer medications have fewer side effects in motor areas, as they are able to specifically target one type of Dopamine.
Dopamine levels typically change very slowly. Patients who develop Paranoia and/or Schizophrenia often experience a gradual increase in Dopamine levels over several years – also experiencing an increase in the severity of symptoms over those years. A typical high school or college student may develop a sense of being on-edge or unusual feelings, gradually becoming suspicious and feeling alienated, moving into
auditory hallucinations, and finally developing bizarre false beliefs delusions) of persecution or exaggerated self-importance over the next several years. Stress can often rapidly increase Dopamine, but it still rarely happens overnight.
When an individual becomes psychotic, paranoid, and hallucinates in only a few days, we must strongly suspect medication/drug intoxication or neurological events – something that could increase Dopamine levels dramatically and almost instantly. The prolonged use of amphetamines (speed) or steroids can produce a loss of reality and sudden paranoia. As it might happen, a construction worker taking “street” speed to increase his work productivity finds his hand or foot talking to him (auditory
hallucinations) and decides to cut it off. The sudden presence of psychosis (hallucinations, delusions, paranoia, etc.) in an individual with a history of prior normal adjustment would suggest the need for intensive medical and neurological workup."
Note: "prior normal adjustment" suggests we all may experience moderate bouts at some time in our lives and normally adjust back to a more normal state. When a person finds paranoia accelerating, and especially feeling out of control, or losing our grip on reality, it's time to see a doc.
Living with an n slash etc type person for so many years, during her adult
life, caused my mother to become psychotic and her dopamine levels can
easily be estimated.
Dr. JC's articles on "chemical imbalance" are very informative and to my recollection--accurate. He explains in easy to understand lay terms. Definately worth the read.
His description of GABA makes me think the narcissist is greatly lacking it!!
Endorphins are my favorite substances which are also released into the blood when we laugh-thus a reason to be addicted to it.
He lists a rule about thoughts: "Rule: Thoughts change brain chemistry." and he states: "Positive thinking works".
Thankyou, Bunny, for directing us to his site for information.