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Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause?

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Practicing since : 1998
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i have endured a behaviour that other people are annoyed with, i dislike other people coughing, sneezing & whistling - these noises are high pitched in which my hearing is sensitive too, i wonder whether this behaviour is caused by the brain aneurysm/haemorrhage that i had back in 1986 in the XXXXXXX HOSPITAL?
Posted Sat, 7 Sep 2013 in Mental Health
 
 
Answered by Dr. Susanta Padhy 2 hours later
Hi

Thanks for the query

Brain aneurysm can recur even after years and can give rise to mental symptoms like irritability (I presume your low threshold for getting irritated in minor matters with people around you may be the reason for same, correct me if I am not right).

Alternatively, this can be a symptom of depression, too. We have to look for presence or absence of other depressive symptoms

Aneurysm recurrence (if any) will give rise to mass effect in brain; that in turn causes disliking for high pitched noises. It can better be identified by doing a brain imaging and audiometry, in consultation with neurologist and ENT Specialist

Please let me know which brain area was affected in 1986 and any other additional information that you want to discuss with

I am available for further clarification
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 13 hours later
the right side of the brain behind the temple where the operation occured towards the centre, the surgeon then said it was just a time bomb ready to explode that i was born with it.
would you be able to send me, via email, a letter regarding this behaviour as being associated with depression/anxiety, due to the fact that i had that brain surgery in 1986, suggesting that that was the cause of this behaviour, just so my team leader can support me this way. He has asked me to ask doctor to give me a letter which i will do but maybe i could ask you, i have to ask my hearing specialist for a letter too, he says it is a pchyiological problem.
 
 
Answered by Dr. Susanta Padhy 6 hours later
Thank you XXXXXXX mcdonald for coming back,

The statement you are mentioning ("the right side of the brain behind the temple where the operation occured towards the centre, the surgeon then said it was just a time bomb ready to explode that i was born with it") denotes perhaps that you had "congenital aneurysm" probably in temporo-parietal area of brain.

Usually, such issues can give rise to depressive/anxiety symptoms if they affect temporal or frontal lobe or if the aneurysm is active now (this can be detected in a fresh MRI Brain scan in consultation with a neurologist)

But, my feeling is that you might have independent depression-anxiety that can be treatable with antidepressants and some kind of psychotherapy (considering your kind of childhood relationship with mother)

Certificate provided by mail from an Indian doctor without direct examination may not be a valid one for the employer of your place. Moreover, I would suggest you, rather than trying for, how other people can understand your annoyance, by producing certificate or by any other means, it would be of utmost importance to understand yourself and you, that will help in the long run

Hope, I am understandable to you

Wish you good health
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 31 minutes later
Thankyou, i shall try & consider another mri in the near future, i have seen many counsillors, pschycologist, pschiatrist, they all say different things try different things, but none has worked not even flicking a rubber band on my wrist has worked, i try to be positive, if i am concentrating (like now typing this) is good but as soon as someone coughs/sneezes i lose that complete concentration then i am lost in what i am doing, concentration is lost completely, i am completely buggered, it does take a little while to get back on track (approx 5-10mins).

thankyou again, mm
 
 
Answered by Dr. Susanta Padhy 9 hours later
Have you tried any pills that are helpful in such possible depression or anxiety ?

Has any one applied some depression or anxiety questionnaire ?

Performing a psychometric test like "cognitive battery test" that actually can tell you to a reasonable level of confidence, that whether decreased concentration is due to depression or because of some lesion in brain

This is a common problem, treatable, possibly with medication with or without cognitive therapy or cognitive retraining techniques

Hope I was helpful to some extent
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 7 hours later
I have had pills in the past but they did not work (dont remember the name of it) , i have not had a questionaire given to me before.
 
 
Answered by Dr. Susanta Padhy 18 hours later
O.K, what about Performing a psychometric test like "cognitive battery test" ?

Alternatively there are various cognitive retraining techniques available that are effective in increasing the concentration, if there is no significant other cause evident, or even otherwise

Wish you a good health

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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 6 hours later
never heard of a psychometric test or cognitive battery test.
 
 
Answered by Dr. Susanta Padhy 4 hours later
"Cognitive battery test" comprises of a series of psychological tests that are being done by a clinical psychologist.

These series of tests assess the attention, concentration, memory and its different types, executive function etc; and tests the functions of all 4 lobes of brain (i.e frontal lobe, temporal lobe, occipital lobe, and parietal lobe).

In addition, undergoing these series of tests, can assist psychiatrist or neurologist or clinical psychologist to determine whether such problems are arising out of brain or mind

Hope now it is clear

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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 19 minutes later
thankyou for that, that is clear - i do understand what those tests are now, i shall discuss them next time i see gp, or someone in my anxiety recovery meeting (in which i attend once a month).
 
 
Answered by Dr. Susanta Padhy 4 minutes later
Thank you

I would suggest to discus these issues in detail with a specialist particularly clinical psychologist / psychiatrist or neurologist who can provide you insight in depth

Wish you a good health
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 11 minutes later
my gp suggested i see a pschiatrist (a person who is able to identify the problem but also who is able to write a letter for my employer who is trying to make me stop when i cant). the gp says he cant write letter & neither can a psychologist.
 
 
Answered by Dr. Susanta Padhy 47 minutes later
I would entirely agree with your GP

Usually, what I know of is that, for a certificate to be valid, it ought to be issued by the appropriate authority (and in your case appropriate authority would be a psychiatrist, who will partly take the report of clinical psychologist on cognitive function assessment, in to consideration, while he/she issuing the certificate

But, at the same time, keep in the mind that, obtaining a certificate from a psychiatrist and submitting to employer, employer should not consider you as "unfit" to work (you know different employers have different attitude, policy etc.)

I must appreciate your patience and desire to understand

Thank you and wish you good luck
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 34 minutes later
my employer could not even think that i be unfit to work, i work too hard & hardly ever taken a sickie off, i probably only have 1 or 2 days off a year as a sickie, but my employer (Team Leader) does have a strange attitude, he is a very manipulative person - just like my adoptive mother but in different ways. so yes i do understand.
 
 
Answered by Dr. Susanta Padhy 1 hour later
O.K, then fine, you best know your workplace situation. Moreover, it would be wise to take a balanced decision.

As a mental health professional, I am bound to think about my clients and share the possible hypothesis. This hypothesis is as below:

Nonetheless, the statement you wrote "my employer (Team Leader) does have a strange attitude, he is a very manipulative person - just like my adoptive mother but in different ways". That means, you need to ask yourself -- is that you are psychologically (unconsciously) equating "your "biological mother" (whom you may be assuming as "bad mother" {that so why perhaps you were adopted or she did not take your adequate care till adulthood}/ "bad step mother" with "team leader" ? is this psychological phenomena giving you a undue exaggerated perception that "team leader" is also a "manipulative / bad person" ? or in other words, simplistically, do your majority of people in your company think that your team leader is really a "manipulative person"

Hope I am not too complicated in saying this

But, this can be a "food for thought" for further discussion



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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 2 days later
my 'bad mothe' adopted me before she had her own 'biological kids', yes she did treat me badly, even my aunt had told me that she had noticed alot that 'bad mother' treated me badly, father did not even want to know what bad mother did. team leader - yes other members of team had experience with him being manipulative so i am not the only one. the similiarities are they both do not care about feelings or even want to listen to reason/or what i suggest for anything, anything to do with either sharing in work loads/participating in meetings, etc. but because i have this mental health problem it has made my anxiety worsen rather than better. 'bad mother' is something that other people see in her as being 'cold' towards them, with me i think she is jealous for reasons i am unsure -maybe because i am smarter than her in many small ways, i can read her a little bit by her behaviour & loud voice she uses (she likes to scream at me & tell me what to do/say all the time & what to wear - she took every XXXXXXX i earned during my first ten years of employment) i could not let her hurt me physically as i was afraid other people see damages - i am a very quiet, shy person but is very bubbly & friendly when other people are nice to me.
 
 
Answered by Dr. Susanta Padhy 14 hours later
Brief Answer:
Thank you, indeed, for detailed childhood history

Detailed Answer:
Thank you, indeed, for detailed childhood history in brief and must appreciate your level of psychological sophistication

May be as you are stating that, your "team leader" is perceived as manipulative by your fellow workmates but they are not emotionally affected or they are able to handle "team leader",s manipulative behavior.

That means there can be two possibilities, psychologically:

1. Your unconscious is perceiving "team leader" as "bad mother (i.e exploitative, uncaring, etc", which automatically (without your conscious awareness) giving rise to negative feelings to you in form of anxiety etc

2. May be you lack adequate social skill / assertiveness skill / problem solving strategy to handle cognitively / skillfully.

These two possible hypothesis are important in the management plan, if psychotherapy is planned

Hope this clears you better and guide you better for handling your issues
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 8 hours later
other fellow collegues just do what he says without much thought, whereas i go away & think about what he says but i sure know better, i do tell team support officer (person in charge below the team leader) she agrees with me sometimes or she will explain in detail a bit better.
but anyway your point 2 i do lack social skills & assertive skills - i have done a week end course on assertiveness it worked for a little while but now i feel i could not be bothered as it has been 11/12 years since i did the course (after i moved out of adoptive parents home - i moved out 13 years ago & feel great). i do solve problems well but not on a personal level i struggle a little on this part.
 
 
Answered by Dr. Susanta Padhy 5 hours later
Brief Answer:
repeating another course on assertiveness training

Detailed Answer:
The fact that you are mentioning " i do solve problems well but not on a personal level i struggle a little on this part" indicates that it has something to do with your personal life (I mean your issue of "bad mother" being identified with "team leader).

And, to substantiate our hypothesis, because team support officer is not "behaving ill" with you, so no problem with her, whereas, you are likely to react negatively, disproportionately, with team leaders a bit of "ill behavior".

Because as soon as team leader behaves ill with you, spontaneously, automatically, unconsciously, your mind go through cascade of negative childhood experiences with your "bad mother" giving rise to anxiety

It would clearly help repeating another course on assertiveness training
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 45 minutes later
ok, i might do another assertiveness course but i don't know when i will be able to as i am not quite financially secure, as you probably know, everything goes up but not the wage, so i am not sure when i will be able to do another course as they are quite expensive these days, my one whole pay is for the rent of rental place i am living in the other pay is for bills, direct debits & food then i only have a little bit left over (roughly on the $20 left over for other emergencies), so i dont really want to spent it too much unnecessarily.
 
 
Answered by Dr. Susanta Padhy 7 hours later
Brief Answer:
CBT (Cognitive Behavioral Therapy) might be of help.

Detailed Answer:
I understand your financial issues and respect this.

Till that time I would suggest that you ask two questions to yourself on the spot (i.e the situation that is problematic to you).

These two questions are this:

1. Were you appropriately assertive in this situation ?

2. Are you reacting to the team leader in little exaggerated manner ?

This is a principle of cognitive behavior therapy. I think this should help.
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 34 hours later
i am always trying to be positive with team leader, but i find he does not listen, i feel he does not believe in me as he always says he 'will support me' but when i tell him something he listens but then he ignores me & my decisions for anything so i just dont like to talk to him about anything.
 
 
Answered by Dr. Susanta Padhy 7 hours later
Brief Answer:
Rising beyond this dislike is the answer

Detailed Answer:
The way in which your team leader ignores you, you need to ignore your disliking towards team leader. Because your disliking is the block and once you start ignoring your disliking you can move beyond this

Be persistent in disliking to your dislike towards team leader.

Keep saying your views assertively, keep documenting these things on official record. This will help in preventing any damage from team leader side

Wish you good luck
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 15 hours later
ok, will try to do that. thankyou
 
 
Answered by Dr. Susanta Padhy 5 hours later
Brief Answer:
Thank you and wish you all the best

Detailed Answer:
Thank you and wish you all the best

I am sure and confident that if you genuinely understood our conversation and try, it will improve your psychological distress

Good luck !
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 14 minutes later
i will re-read everything & understand it properly, then i will try.
 
 
Answered by Dr. Susanta Padhy 36 minutes later
Brief Answer:
Thank you

Detailed Answer:
Thank you, once again
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 53 minutes later
Thank you, for your help.
 
 
Answered by Dr. Susanta Padhy 5 hours later
Brief Answer:
No mention, please, it is my duty

Detailed Answer:
No mention, please, it is my duty to clarify your issues.

Feel free to contact me if you need assistance in future.
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Follow-up: Have unusual behavior of disliking other people coughing, sneezing and whistling. Cause? 2 days later
will do thankyou
 
 
Answered by Dr. Susanta Padhy 3 hours later
Brief Answer:
Thank you

Detailed Answer:
Thank you, indeed for your patience
Above answer was peer-reviewed by
 
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