Signs of mentally unhealthy woman. Types of mental disorders in women

Psychosis is a serious psyche disorder, such deep violation The mental, emotional and affective components are considered rather dangerous for patients.

The disease is manifested by B. harsh change patient behavior, loss of adequate attitude to life and others, in the absence of a desire to perceive existing reality. At the same time, they interfere with the awareness of the presence of these very problems, a person cannot eliminate them independently.

Due to the emotional component, hormonal explosions and exposure, in women and other mental disorders There are two times more often than (7 against 3%, respectively).

What are the reasons and who risks most of all?

The main reasons for the development of psychosis in female people are as follows:

One of the main reasons is the increased emotional excitability or the presence of a similar disease in the family of a woman, the mother, sister, that is, the genetic component.

Who is in the risk group

The root cause of the appearance of psychosis often becomes the abuse of alcohol and subsequent intoxication of the body. In most cases, alcoholism is most susceptible to men, so the female sex suffers from much less often and transfer it faster and easier.

But there is also a reason that is characterized only for women, which increases the risk of the disease. This pregnancy and the birth of a child. TO physical factors The appearance of psychosis B. this case You can attribute toxicosis, avitaminosis, reduction of the tone of all organism systems, various diseases Or complications due to complex hatching and childbirth.

Psychological belongs - fear, experiences, increasing emotional sensitivity, unpreparedness to become a mother. At the same time, the postpartum mental violation occurs more often than during pregnancy.

Features of behavior

For a woman with mental disorders, such changes in behavior and livelihoods are characteristic (more than symptoms noticeable from the side, the most sick and non-coming, that it is ill):

  • lack of stability, which often leads to or scandals;
  • the desire to burn out from communicating with colleagues, friends and even close;
  • there is a thrust for something unrealistic, supernatural, interest in magical practices, shamanism, religion and similar directions;
  • the emergence of various fears, phobias;
  • reduced concentration, inhibited mental activity;
  • decay of forces, apathy, unwillingness to show any activity;
  • sharp mood change without visible reasons;
  • violations of sleep mode, can manifest itself both in excessive drowsiness and in insomnia;
  • decrease either complete absence Desire to eat food.

If the woman itself was able to detect some signs of psychosis, or their loved ones noticed, then it is necessary to urgently apply for qualified help.

Variations in mental state

Psychosites can be divided into two large groups:

  1. Organic. In such cases, this is a consequence physical disease, Secondary disorder after disorders in the work of the central nervous and cardiovascular systems.
  2. Functional. Such violations are initially due to the psychosocial factor and the presence of a predisposition to their occurrence. These include violations of the process of thinking and perception. Among others, the most common:, schizophrenia ,.

Separately, it is possible to allocate, it appears in 1 - 3% of women in the first months after the birth of a child, unlike a more common postpartum depression, the psychotic deviation does not pass itself and requires treatment under qualified observation of specialists.

Symptoms:

  • reduced appetite I. fast loss weight;
  • constant anxiety, sharp mood swings;
  • the desire for isolation, refusal to communicate;
  • violation of self-esteem;
  • thoughts about the commitment of suicide.

Symptoms are manifested individually, some may have during the day after delivery, others in one month.

The reasons for this type of psychotic deviation can be different, but they are not fully investigated by scientists. It is reliably known to be patients who have a genetic predisposition.

Female psyche can accompany various statesthat provoke violations in the work of the whole body of a woman.

Violation of the power, activity and recreation, emotional tensions, adoption of medicines. These factors "beat" by nervous, cardiovascular, respiratory, digestive and vascular, respiratory, digestive and endocrine systems. Manifestation concomitant diseases Individually.

Who to ask for help?

Self-medication in this case is contraindicated. Do not also contact familiar doctors of various specialties, psychologists, folk healers. Treatment should only conduct state or private doctor - Psychotherapist having high qualifications!

Unfortunately, a woman suffering from psychosis cannot seek help itself, because he does not notice the signs of his illness. Therefore, responsibility falls on loved ones and relatives. To seek help to the doctor need as early as possible.

A specialist will conduct a survey of the patient, will send for additional analyzes and according to their results, treatment and necessary drugs will prescribe.

Treatment can be held in a hospital with the participation of medical staff, or at home. In the treatment at home, a mandatory security measure will be a concern for the baby with the smallest intervention of the mother (in the case of the postpartum fault of the psyche). Nanny or relatives should take these care for themselves before the disappearance of all the symptoms of the disease in the patient.

Treatment usually consists of a complex, which includes:

  • medicines usually this;
  • psychotherapy - Regular sessions with a psychotherapist and a family psychologist;
  • social adaptation.

The patient does not immediately realize immediately, take its condition to the end. Relatives and friends must be patient to help a woman return to a normal lifestyle.

The effects of the absence of therapy are extremely unfavorable. The patient loses its relationship with reality, its behavior becomes inadequate and dangerous not only for his own life and health, but also for others.

The person is inclined to suicide, it can become a victim or cause of violence.

How to prevent mental failure?

Preventive measures include:

Prevention should be a priority, especially in those women who are subject to emotional failures or have a hereditary predisposition to psychotic disorders.

The weak floor is more prone to a gland associated with the psyche. Emotional Involvement B. social life And natural sensitivity increases the risk of developing diseases. They need to diagnose them in time to start proper treatment And return life to the usual bed.

Mental diseases in different age periods of women

For each age period (girl, girl, woman), a group of the most likely mental illness is determined. At these critical stages of development, situations occur most often to develop development.

Girls are less susceptible to mental illness, as opposed to boys, however, they are not insured against school phobias, attention deficit. They have increased risk of appearance anxiety disorders And disorders associated with learning.

Young girls in 2% of cases may be victims of premenstrual dysphoria after the first case of bleeding in menstrual period. After puberty, the girls are 2 times more exposed to the development of depression than the young men.

Women who are in a group of patients with mental disorders, do not pass drug treatment when planning. By this they provoke the emergence of relapses. After giving birth, the likelihood of signs of depression, which, however, can escape without medical treatment.

A small percentage of women still develop psychotic disorderswhose treatment is complicated limited quantity allowed drugs. For each individual situation, the degree of benefit and risk from medication treatment during breastfeeding is determined.

Women from 35 to 45 years in the risk area of \u200b\u200bdisturbing disorders, they are subject to changes in mood, and are not insured against the appearance of schizophrenia. Reducing the sexual function can happen due to antidepressants.

Menopause changes the familiar life of a woman's life, her social role and relationships with loved ones. From care of their children, they switch to the presence of their parents. This period is associated with depressive moods and disorders, but officially the connection of the phenomena has not been proven.

In the elderly, women are susceptible to the appearance of dementia and complications of somatic pathologies mental disorders. This is due to the duration of their lives, the risk of developing dementia (acquired dementia) is growing proportion to the number of years lived. Older women who take a lot and suffering from somatic diseases, more than the rest are inclined to obey.

Those who for 60 should pay attention to the symptoms of paraffrenation (severe shape of delusional syndrome), they are in the zone of the greatest risk. Emotional involvement in the life of surrounding and loved ones in the midwives when many are completing their life Pathmay cause mental disorders.

The division of the existence of a woman for periods allows doctors from the variety of diseases with similar symptoms Allocate the only true one.

Signs of mental disorders in girls

IN childhood development nervous system It happens continuously, but unevenly. However, peak mental Development At 70%, it is for this period that the personality of the future adult is formed. It is important in time to diagnose the symptoms of certain diseases from a specialist.
Signs:

  • Reduced appetite. It occurs with sudden changes in the power mode and when coercive meals.
  • Increased activity. Differs with sudden forms of motor arousal (bouncing, monotonous run, croutons)
  • Hostility. It is expressed in the child's confidence in a negative setting towards it surrounding and loved ones, not confirmed by facts. It seems such a child that everyone is laughing at him and despise him. On the other hand, he himself will show unfavorable hatred and aggression, or even fear towards his relatives. It becomes rude in everyday communication with relatives.
  • Painful perception of physical disadvantage (dysmortophobia). The child chooses a slight or seeming lack of appearance And with all their might trying to disguise it or eliminate, even referring to adults with a request for a plastic surgery.
  • Game activity. It comes down to monotonous and primitive manipulation of objects not intended for the game (cups, shoes, bottles), the nature of such a game does not change over time.
  • Painful looping on health. Excessive attention to your physical state, complaints about fictional.
  • Repeating word movements. They are involuntary or intrusive, for example, the desire to touch the subject, roll up, tang.
  • Violation of mood. The state of longing and meaninglessness of what is happening does not leave the child. It becomes fuse and irritable, the mood does not improve for a long time.

  • Nervous state. The change of hyperactivity on lethargy and passivity and back. Bright light and loud and unexpected sounds are heavily tolerated. The child can not long strain his attention because of what it suffers from studying. It can be visited in the form of animals, frighteningly looking people or to hear the voices.
  • Disorders in the form of repeated spasms or cramps. The child can freeze for a few seconds, while palene or rolling his eyes. The attack can manifest in shuddering shoulders, hands, less often like squats. Systematic walking and talking in a dream at the same time.
  • Disorders in everyday behavior. The excitability is associated with aggression expressed in the tendency to violence, conflicts and rudeness. Unstable attention against the absence of discipline and motor dismissal.
  • A pronounced desire to harm and subsequent receipt from this pleasure. The desire for hedonism, an increased suggestibility, a tendency to leaving the house. Negative thinking together with vitality and omble against the background of a general tendency to cruelty.
  • Painful-abnormal habit. Blooming nails, pulling hair from the hair of the skin and at the same time a decrease in psychological stress.
  • Obsessive fears. Day forms are accompanied by redness of the face, increased sweating and heartbeat. At night, they are shouting and crying from frightening dreams and motor anxiety, in such a situation the child may not recognize loved ones and dismissed from someone.
  • Violation of reading skills, letters and accounts. In the first case, children with difficulty correlate the appearance of the letter with sound or hardly recognize images of vowels or consonants. When withdrawing (letter disorder), it is hard for them to write what they are pronounced out loud.

These signs are not always a direct consequence of development. mental illnessBut require qualified diagnostics.

Symptoms of diseases characteristic of adolescent period

For teenage girls, nervous anorexia and bulimia, premenstrual dysphoria and depressive states are characteristic.

To anorexia that respected on nervous soilinclude:

  • Denial of an existing problem
  • Painful-obsessive feeling excess weight With his visible absence
  • Eating standing or small pieces
  • Violated mode
  • Fear to score overweight
  • Depressed mood
  • Angleness and unreasonable syradiability
  • Passionate cooking, cooking for family meals without personal participation in the meal
  • Avoiding general receptions Food, minimal communication with loved ones, long staying in the bathroom or sports outside the house.

Anorexia causes physical disorders. Due to weight reduction, problems begins with menstrual cycle, arrhythmia appears, felt permanent weakness And pain in the muscles. The attitude towards itself depends on the volume of the dropped weight to the dialed. Pick man nervous anorexia inclined to be biased to evaluate its condition up to the onset of no return.

Signs of nervous bulimia:

  • The amount of food consumed at a time exceeds the norm for a person a certain set. Slices of food are not chewed, but quickly swallow.
  • After a meal, a person deliberately tries to cause vomiting to clean the stomach.
  • In behavior, the mood differences are dominated, closeness and impairment.
  • A person feels his helplessness and loneliness.
  • Overall disabilities and lack of energy, frequent diseases , upset digestion.
  • Destroyed tooth enamel - Consequence frequent vomitingwhich contains gastric juice.
  • Increased salivation glands on cheeks.
  • Decitment of the problem.

Signs of premenstrual dysphoria:

  • The disease is typical for girls forming premenstrual syndrome. He, in turn, is expressed in depression, gloomy mood, unpleasant physical sensations and uncomfortable psychological state, plasticity, violation of the usual mode of sleep and meals.
  • The dysphoria occurs 5 days before the start of menstruation, and on the first day ends. The girl during this period is completely defocused, nothing can focus on, she overcomes fatigue. The diagnosis is put if the symptoms are bright - expressed and interfere with a woman.

Most of the teenage diseases develop on the basis nerve disorders and features of puberty.

Postpartum disorders of psyche

In the field of medicine, 3 negative psychological states Genuineers:

  • Neurotic. There is an aggravation of the problems with the psyche, which were still at the end of the child. This ailment is accompanied by an oppressed state, nervous exhaustion.
  • Traumatic neurosis. It appears after long and difficult gods, subsequent pregnancies are accompanied by fear and anxiety.
  • Melancholy with brought ideas. A woman feels a feeling of guilt, may not recognize close and see hallucinations. This disease is a prerequisite for the development of a manic depressive psychosis.

Mental disorder can manifest itself in the form:

  • Invalued state and plasticity.
  • Unreasonable anxiety, a feeling of concern.
  • Irritability and excessive activity.
  • Distribution of others and feeling.

  • Species of speech and lowered or elevated appetite.
  • Outlusion in communication or desire to burn out from all.
  • Confusion in consciousness and lack of concentration.
  • Inadequate self-esteem.
  • Thoughts about suicide or murder.

In the first week or a month later, these symptoms will be felt in the event of the development of postpartum psychosis. Its duration is equal to four months on average.

The middle-aged period. Mental agens developing on the background of the onset of menopause

In the period of menopause there is a reverse development hormonal glands Sexual secretion, this symptom is most pronounced in women from 45 to 50 years. Turns the cell renewal. As a result, those diseases and disorders begin to manifest themselves, which were missing completely or hidden.

Mental diseases characteristic of the period of menopause are developing or 2-3 months before the final completion of the cycle of menstruation or even after 5 years. These reactions are temporary, most often this:

  • Mood swings
  • Concern about the future
  • Increased sensitivity

Women at this age are prone to self-criticism and dissatisfaction with themselves, which entails the development of depressive sentiment and hypochondriad experiences.

With physical discomfort during a climax associated with blood ties or fainting, hysterics appear. Serious disorders against the background of menopause develop only in women who originally had such problems

Psyche disorders in women in the senile and prediction period

Involutionary paranoid. This psychosis appearing during the involution is accompanied by delusional thoughts in combination with the unreasonable memories of traumatic situations from the past.

Involutionary melancholy is characteristic of women since 50 years. The main prerequisite for the appearance of this disease is the depression anxious and delusional. Typically, the involutionary paranoid appears after changing the lifeguard or stressful situation.

Dementia of late age. The disease is an acquired dementary, which over time is enhanced. Based on clinical manifestationsAllocate:

  • Total dementia. In this embodiment, perception is reduced, the level of thinking, the ability to creativity and solve problems. There is an erase of the facets of the person. A person is not able to critically evaluate himself.
  • Lacooner dementia. Memory disabilities occurs when the level of cognitive functions is preserved. The patient can critically evaluate itself, the personality is basically unchanged. This disease is manifested in syphilis of the brain.
  • These diseases are anxious sign. Mortality of patients with dementia after a stroke is several times higher than those who escaped this fate and did not become weak.

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Treatment of psyche disorders to share for medication and complex psychotherapy. For food disorderscharacteristic of young girls will be effective to combine these methods of treatment. However, even if most of Symptoms coincides with the disorders described, before carrying out any kind of treatment, it is necessary to consult with a psychotherapist or psychiatrist.

Asthenium is a whole complex of disorders characterizing statiya Mental disorder. The patient begins to quickly tire, exhausted. Performance decreases. There is general lethargy, weakness, mood becomes unstable. Frequent headaches, sleep disruption and permanent feeling fatigue - requiring detailed consideration. It is worth noting, asthenia is not always the main sign of mental disorder and rather refers to a non-specific symptom, as it may occur in somatic diseases.

Suicidal thoughts or deeds are a reason for emergency hospitalization of the patient in a psychiatric clinic.

The state of obsession. The patient is beginning to attend special thoughts, from which it is impossible to get rid of. The feeling of fear, depression, uncertainty and doubts are strengthened. The state of obsessions can be accompanied by certain rhythmic actions, movements and rituals. Some patients carefully and die for a long time, others - repeatedly check if the door is closed, whether the light, iron, etc. are turned off.

Affective syndrome is the most common first sign of a mental disorder, which is accompanied by a resistant change in mood. Most often, the patient has a reduced mood with a depressive episode, much less often by mania, accompanied by a high mood. For effective treatment Mental disorder Depression or mania disappear last. On the background affective disorder There is a decrease. The patient has difficulty making decisions. In addition, depression is accompanied by a number of somatic: disruption of digestion, feeling heat or cold, nausea, heartburn, belching.

If a affective syndrome accompanied by mania, the patient is present increased mood. Pace mental activity Multiple times accelerates, go to sleep for a minimum of time. Excess energy can be changed by sharp apathy and drowsiness.

Dementia is the last stage of mental disorder, which is accompanied by a resistant reduction in intellectual functions and dementia.

Hypochondria, tactile and spectative hallucinations, delusional ideas, abuse psychoactive substances And - all this accompanies mental. Close relatives of the patient do not always understand immediately

pathological conditionsaccompanied by a violation of the perception of reality, behavioral disorders, deviations in the volitional, emotional and mental sphere. May be exogenous (caused by somatic diseases, injuries and stressful situations) or endogenous (genetically determined). Psychiatrists, psychotherapists and medical psychologists, in some cases, in cooperation with narcologists, neurologists, therapists, traumatologists and other specialties, traumaologists and doctors of other specialties are engaged in diagnosis, treatment and study of mental disorders.

Ah and b in g d e f h i j k l m n o p r s t u v w x y i all sections Hereditary diseases Urgent states Eye diseases Children's diseases Men's diseases Venerable diseases Female diseases Skin diseases Infectious diseases Nervous diseases Rheumatic diseases Urological diseases Endocrine diseases Immune diseases Allergic diseases Oncological diseases Diseases of veins and lymph nodes of hair disease diseases of the blood disease of the disease of the disease of the Dismolia of the Disease of the Disease of the Disease of the Heart and Vessels of the Disease of the Disease of the Disease of the Disease of the Disease of the Heart and Vessels Disease of the Tolstoy Intestine Disease, Horb

Sometimes it seems that close person gone crazy.

Or begins to go. How to determine what "roof went", and you did not seem?

In this article, you will learn about 10 major symptoms of mental disorders.

The joke goes in the people: "Mental healthy people No, there are no sustained. " It means that separate signs Psyche disorders can be found in the behavior of any person, and most importantly - do not fall into the manic lookout of the corresponding symptoms among others.

It is not even not that a person can become dangerous to society or himself. Some psyche disorders arise as a result organic lesion Brain, which requires immediate treatment. Deletion can cost a person not only mental health, but also life.

Some symptoms, on the contrary, are sometimes regarded by surrounding as manifestations of a bad nature, promiscuity or laziness, whereas in fact they are manifestations of the disease.

In particular, many do not consider the depression that requires serious treatment. "Gather! Stop to whine! You are a weakk, you should be ashamed! Stop dig in yourself and everything will pass! " - So exhort the patient close and familiar. And he needs help from a specialist and long treatmentotherwise not to buy out.

Offensive senile dementia or early symptoms Alzheimer's diseases can also take for an age reduction of intelligence or bad character, and in fact it is time to start looking for a nurse for supervision for the patient.

How to determine if it is worth worrying for a relative, a colleague, a friend?

Signs of psyche disorder

This condition may accompany any psyche disorders and many of somatic diseases. Asthenium is expressed in weakness, low performance, in mood drops, increased sensitivity. A person begins to cry, instantly annoyed and loses self-control. Often asthenia accompany sleep disorders.

Obsessive states

IN wide spectrum The obsessions include many manifestations: from constant doubts, with whom a person is not able to cope, to an insurmountable desire for cleanliness or committing certain actions.

Under the rule obsessive state A person can return home several times to check whether it turned off the iron, gas, water, whether the door was closed to the key. Obsessive fear The accident can force the patient to carry out some rituals who, by convincing the sufferer, can take trouble. If you notice that your familiar or relative is my hands with a clock, it became overly disgusting and all the time is afraid to get infected with anything - this is also obsession. The desire does not step on the cracks on the asphalt, the jokes of the tile, avoiding defined species Transport or people in the clothes of a certain color or view - also obsessive state.

Mood changes

Tosca, Depression, the desire for self-evidence, conversations about their own worthlessness or sinfulness, the death symptoms may also be about death. Pay attention to other manifestations of inadequacy:

  • Unnatural frivolity, carelessness.
  • Foolishness, not peculiar to age and character.
  • Euphoric state, optimism that does not have grounds.
  • Mensiness, spelliness, inability to concentrate, mesh thinking.
  • Heightened self-esteem.
  • Floating.
  • Strengthening sexuality, the extinction of natural shame, inability to restrain sexual desires.

You have a reason for concern if your close is beginning to complain about the appearance of unusual sensations in the body. They can be extremely unpleasant or just annoying. This is a feeling of squeezing, burning, the movements of "something inside", "rustling in the head." Sometimes such sensations may be a consequence of quite real somatic diseases, but often in the presence of a hypochondriatic syndrome.

Hypochondria

Expressed in manic concern own health. Surveys and test results can talk about the absence of diseases, but the patient does not believe and requires all new surveys and serious treatment. A person speaks almost exclusively about his state of health, does not get out of the clinic and requires attitudes towards himself as a sick. Hypochondria is often going hand in hand with depression.

Illusions

No need to confuse illusion and hallucinations. Illusions make a person perceive real objects and phenomena in distorted form, whereas with hallucinations a person feels something that does not actually exist.

Examples of illusions:

  • the pattern on the wallpaper seems to be a plexus of snakes or worms;
  • the dimensions of the items are perceived in a distorted form;
  • the knock droplets of the rain on the windowsill seems cautious steps of someone's scary;
  • shadows of trees turn into terrible creatures that crawl with frightening intentions, etc.

If the presence of illusions of strangers can not guess, then the susceptibility to hallucinations can appear more noticeable.

Hallucinations can affect all the senses, that is, being visual and auditory, tactile and taste, olfactory and common, as well as combine in any combination. The patient is all that he sees, hears and feels, it seems completely real. He may not believe that all this does not feel, do not hear, do not see others. Their perplexity he can perceive as a plot, deception, mockery, annoying that he does not understand.

For hearing hallucinations A person hears a different kind of noise, scraps of words or connected phrases. "Voices" can give commands or comment on every action of the patient, laughing at him or discuss his thoughts.

Taste and olfactory hallucinations often cause a feeling of unpleasant properties: disgusting taste or smell.

With tactile hallucinations, the patient seems to be that someone bites it touches, it stifles that insects are crawling on it, that some creatures are being introduced into its body and there are moving or eating the body from the inside.

Externally, the susceptibility to hallucinations is expressed in conversations with an invisible interlocutor, a sudden laughter or constant suspense of listening to something. The patient may all the time shake out something, screeching, inspecting himself with a concerned look or asking others if they see something on his body or in the surrounding space.

Rave

Dead states often accompany the psychosis. Brad is based on erroneous judgments, and the patient persistently retains his false conviction, even if there is obvious contradictions with reality. Dead ideas Prost superement, significance that defines all behavior.

Drain disorders can be expressed in erotic form, or in conviction in their great mission, in origin from a reasonable genus or aliens. The patient may seem to be that someone is trying to kill it or poison, drove or kidnap. Sometimes development dead state Preceded the feeling of the unreality of the surrounding world or self.

Template to collecting or non-harmony generosity

Yes, any collector may be suspected. Especially in cases where gathering becomes an intrusive idea, subordinates a person's life. This can be expressed in the desire to drag things into the house found on the garbage, accumulate products, not paying attention to the expiration date, or select street animals in quantities superior to the ability to provide them with normal care and proper content.

The desire to distribute all its property, the unlimited transrage can also be regarded as a suspicious symptom. Especially in the case when a person did not differ previously generosity or altruism.

There are people, noticeable and unavigible because of their own character. This is normal and should not cause suspicion of schizophrenia and other mental disorders. But if the inborn merry, the soul of the company, the family man and good friend Suddenly begins to destroy social tiesIt becomes unlikely, it shows coldness to those who have recently been to him the roads - this is a reason for concern about his mental health.

A person becomes sloppy, ceases to follow himself, in society can begin to behave shockingly - to make actions that are considered indecent and unacceptable.

What to do?

Very difficult to accept correct solution In the case when suspicions are arising in the impaired psyche from someone from loved ones. Perhaps a person is just a difficult period in life, and his behavior has changed that. Affairs will be applied - and everything will come back on their circles.

But it may be that the symptoms you have seen - the manifestation of a serious disease that must be treated. In particular, oncological diseases Brain in most cases lead to one way or another mental disorders. Delegation with the beginning of treatment can be fatal in this case.

In time you need to treat other diseases, but the patient itself may not notice the changes that happens to him, and only the closest can affect the state of affairs.

However, there is another option: the tendency to see in all surrounding potential patients The psychiatric clinic can also be a psyche disorder. Before calling an ambulance of mental psychiatric care for a neighbor or relative, try analyzing your own state. Suddenly start to start with ourselves? Remember the joke about the under-sustained?

"In every joke there is a row of jokes" ©

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