internal or external conflict?
in the book a walk to remember is jaime having leukemia a internal or external conflict? explain why please
evil doesn't really exist. it's a religious concept. 
 
the potential to do bad stuff though... that exists both within and outside.
autonomic movements are caused due to some inner causes like
changes in turgor pressure , growth movements etc
paratonic movements are caused by external stimulations like
water, chemicals, light, gravity etc a person's memory is actually made of different parts and each part has different possible causes for memory loss. in general, memory problems can occur from alcohol abuse, mood disorders, psychosis, stress and anxiety, psychological trauma, head injuries and dementia. however, at your age, you may simply have too much to think about and this may cause problems with "working memory". see more... is that why you broke up? who knows why he's doing that You know this question could be answered either way. "Yes, he might be", or "no he really cares". Let's assume he likes talking with you and seeing you at the visitation. He likes that you are showing him attention. There is a chance that this relationship can grow beyond where it would have if he was out. Maybe you get to know each other better and he becomes more into you. Life is too short, you have to let this play out.


I'm sure you have great instincts (your inner feeling already knows), you have to trust yourself enough to make the right decision. Give it some time, try not to be too hard on yourself. He might be a rascal and a dirty dog too, but I vote for giving it a try and see how it plays out. You are in control of this relationship and every inmate knows this fact. Since the inmate loses control of what goes on in the outside world and he will often try to keep that control over the phone or letters. Just trust yourself and what you see and feel. different cells in the body have different instructions or marching orders as to how they are to grow and function. sometimes clumps of cells with diverse marching orders form a tumor and mature into very different types of tissue. one type is called a dermoid cyst. these can contain a variety of different tissues including hair. see more... A. It’s difficult to assess the seriousness of this on the basis of only a letter so let me just share a couple of thoughts.

People by nature tend to fall somewhere on a scale from introvert to extrovert. It may be that at least part of this is that you are on the introvert end of the scale. There is nothing wrong with that! But, the larger culture celebrates extroverts. In high school, the general idea is that everyone is supposed to be outgoing and popular. Of course, not everyone can be. Not everyone wants to be. So let’s at least assume that part of what goes on is that you have a more restrained approach to life. One thing that supports this is that you do have a couple of close friends and that seems to be enough for you.

As for being out with others: I wonder if you have developed the skills you need to be comfortable out in the social world. Introverts can and do learn how to manage social situations enough so that they can be successful in their careers and can find loving relationships. Notice that I said “skills”. Skills are behaviors you can learn (like how to make small talk, how to be an active listener, how to be a good communicator, etc.). As you get more practiced in these skills, you will be more comfortable being with people for longer periods of time. But you will still need your alone time to “recover” from a lot of social interaction.

The line in your letter that does worry me is your statement that you can spend hours holed up in your room and in bed. Yes, you may need time to recharge your social batteries but it would do a lot more for your self-esteem if you would use that time to pursue an interest or to do something to make the world a better place. Think about ways to support a cause or candidate or to educate yourself about something you are genuinely interested in. You will feel better about yourself than if you just hang out wondering if there is something wrong with you. An important bonus is that it will give you more to talk about when you are with people.

I hope this is helpful. I wish you well.  
 Dr. Marie

I Want or Need to Be Alone @a myfibroteam member 

how nice of you to say that. i, like many others, have asked god why? why am i the one who has this painful, incurable illness? why am i the one with major depressive disorder? why am i the one that was sexually assaulted so many times? why am i the one who has had to take care of my sister’s children, help them pay for their educations, and support them as they navigate the waters of this crazy world we live in? why me? i made a conscious decision a few years ago, when my lifelong emotional scares got out of control, that i would make one of the answers to those questions be “to help others navigate through this thing called life”. if i can help just one person feel less alone, or like someone cares, or like there is hope after all i will have succeed at life. if i can help just one person fight back instead of giving in my life has a purpose. as a result, this normally very private person has gradually learned to be very open. i am not ashamed of the things that happened...disappointed or angry yes but not ashamed. i talk openly about how major depressive disorder has affected my life and how i’ve been able to come to terms with it. i talk openly about close brushes with suicide and what worked to get me back to a better place mentally. i talk a little less openly about the impact sexual assault had on every aspect of my life (that one is harder because i’m still working on some of the emotions and reactions around it). i talk openly about the changes i’m having to make as fibromyalgia makes itself more and more obvious in me. i’m not perfect. i still get angry and upset. i still get frustrated. i still feel hopeless sometimes. i feel all the negative emotions everyone else does but if i can help just one person, i will have a reason for all i’ve gone through. perhaps people on this site are that reason. it is my deepest hope that others don’t have to suffer as i have but, if they have, i want to use my god-given caregiver heart to help them through. 

may god bless and keep you. 

shirley A.  I’m sorry that this is happening to you. I have worked with many families who have faced a similar situation. Your predicament is fairly common. As you noted, the law prohibits forcing someone into treatment unless a case can be made that they are a danger to themselves or to others. Imminent danger standards, make it very difficult for many people to receive help until something happens.


I would recommend becoming educated about your potential options. Start by googling “Georgia and involuntary commitment laws.” You should be able to find good information about civil commitment options in your state. According to my research, for inpatient treatment, an individual would have to meet the following criteria:


1. pose an imminent danger to self/others, evidenced by recent overt acts or expressed threats of violence OR are
2. unable to care for their own physical health and safety so as to create an imminently life endangering crisis and in need of involuntary treatment.



For outpatient treatment, a person must meet the following criteria:


1. based on treatment history or current mental status, requires outpatient treatment in order to avoid imminently becoming an impatient AND
2. is unable to voluntary seek or comply with outpatient treatment.


You might try contacting your local mental health crisis team. They may be willing to come to the home, evaluate your mother’s condition and assist her in obtaining treatment.


You should also explore guardianship laws in your state. If possible, consult a guardianship attorney to determine if anything can be done to assist your mother. At 71, it’s possible that she’s experiencing a mix of [mania](https://psychcentral.com/disorders/manic-episode/) and potentially dementia. Guardianship may be an option.


I would also recommend consulting the local National Alliance on Mental Illness (NAMI) groups in your state. Here is a [link](https://namiga.org/) to the NAMI organization for your state. NAMI offers free support groups in communities across the country for individuals caring for loved ones with serious mental illness. They can help you to navigate the mental health system. Contact them for support and assistance.


I hope these ideas assist you in helping your mother. Please write again if you have additional questions.


Dr. Kristina Randle



How Do We Get My [Bipolar](https://psychcentral.com/disorders/bipolar/) Mania Mom to Go Get Help? More than likely, you're experiencing Compassion Fatigue which is defined as   
 a condition characterized by emotional and physical exhaustion leading to a diminished ability to empathize or feel compassion for others, often described as the negative cost of caring. It is sometimes referred to as secondary traumatic stress.  
  
Google it, and take the test online to see if you suffer from it vs. burnout; there is a big difference. Here is an article on the subject:  
  
https://www.goodtherapy.org/blog/psychpedia/compassion-fatigue  
  
Here's a link to the Compassion Fatigue test for helpers:  
  
https://www.michvma.org/resources/Documents/Prof.%20Competencies/2017%20Proceedings/figley%20self%20assessment%202.pdf  
  
Please don't ever think of yourself as a horrible, careless person! We are all human and as such, have our breaking points, especially after care giving for years on end. Don't think of yourself as some being that should be able to handle all that's thrown at you without breaking down........that's not realistic or healthy. Nor is it realistic or healthy for you to be in such a position to be a personal caregiver to a mother who's been so sick for so long. A nursing home is staffed with teams of caregivers who work around the clock precisely so that one or two people don't have to suffer the tremendous burden that you and your father have been suffering. You're only two people doing the job of a large TEAM of people; so it's no wonder you're feeling this way.  
  
Wishing you the best of luck in finding peace and joy for yourself amidst the duties you've taken on. the ecological rift: capitalism’s war on the earth - the ecological rift: capitalism’s war on the earth by john bellamy foster, brett clark, and richard york is a non-fiction novel originally published in 2010. this book explores the current environmental issues that humanity is facing.