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It’s important to have some time for yourself—for your responsibilities and the things you enjoy. Don’t use this time to participate in BDD rituals or provide excessive care for the person with BDD. Some family members feel they need to provide this care all the time. But by overprotecting the BDD sufferer and being overly involved in their life—without paying enough attention to your own—you can inadvertently communicate to them that they’re incapable of better functioning and can’t do things themselves. This can undermine their sense of confidence and self-worth. You may actually boost their feelings of self-confidence by encouraging them to do more on their own. You’ll also probably feel better yourself by taking a break from the BDD, which may make your support more effective. So don’t feel guilty about taking some time for yourself. If someone with BDD really  does require intensive care and very close monitoring – for example, because they’re so impaired, depressed, or suicidal-you probably need to get them more intensive  psychiatric care. At the same time, don’t avoid or give up on the BDD sufferer. Let them know that you care, support them, and want to help them overcome BDD.
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Let us now explore the psychological influence of how much sleep we think we need on how we actually sleep.

It is an age-old exercise to classify people into different groups; for example, tall and short, intelligent and not intelligent, hardworking and lazy, and so on. When we try to classify people on the basis of different behaviours we are in fact dealing with characteristics that may overlap between groups. There are two common types of sleep pattern:

* The lark type, who wakes up very early in the morning

* The owl type, who goes to sleep late at night but stays in bed all day

Of course, these two represent the extremes and there is a continuum of behaviour in between. In other words, there is a giant lark and a giant owl on opposite ends of the spectrum and many smaller larks and smaller owls in between. Most of us are a bit of a lark and a bit of an owl, depending on the circumstances.

The lark is a North American singing bird that sings very early in the morning. Lark types are normally short sleepers, believing sleep to be a waste of time. Thomas Edison, the great inventor, was certainly a lark. He slept only a few hours each night, so that he could have more time for his study and research. He probably wished that there was no such thing as sleep and that there were 25 hours on the clock.

The owl is the big eyed, round faced bird that we see sitting on the branches of a tree with the moon behind. Owl types hate to wake up in the morning. They enjoy sleeping and being in bed, even if they are already awake. They like to stay in their beds as long as possible.

Carl Jung (1875-1961), the famous psychologist, identified two types of personality: the extrovert and and introvert. Larks belong to the extroverts. They are ambitious, full of energy, perfectionists, and unable to tolerate laziness. They dislike being alone, and are attracted to the outside world rather than to their immediate surroundings, such as their bedrooms. There is a tendency to superficiality, and their happiness may depend on making a good impression on others. They are absolutely essential to any party.

Owls belong to the introverts. They enjoy being alone in their own world and are lost in large gatherings. They are tolerant and reserved, sensitive and not outspoken. They may be over-conscientious, pessimistic, and critical, always keeping their best quality to themselves. They may often possess unusual knowledge or great talent. They love to stay in their houses and their beds.

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This aggressive element is very deep-rooted; its beginnings can be seen in early infancy. Baby is happy when mother’s milk comes freely and easily, but if it does not come quickly enough or if it comes too quickly, he is frustrated, and in a moment we see anger in his face, and his aggression is vented in crying and generalized movements of his body.

Different children react differently to parental discipline. One child’s aggression may be aroused by a degree of discipline that would be easily tolerated by another. Anything which serves to make the child different from his fellows may arouse his aggression. Forced attendance at Sunday school, for example, or the failure of the parents to interest themselves in the matter, may worry the child and make him tense. When basic cultural or religious factors work to separate the family from others in the district, the child often suffers a smouldering aggressive reaction and his childhood may be marred by chronic anxiety and tension.

The adolescent is striving for adult status. He wants to be a man, and he is angered if he is still treated as a boy. He resents the controls which his parents and society exert over him for his well-being. This arouses aggression. To prove that he is grown-up he becomes defiant, and by his behaviour unconsciously sets about to show the world that no one can tell him what he must do. There may be impulsive and quite unpredictable displays of aggression which may take the form of unnecessary and inappropriate self-assertion. Such behaviour may alternate between the good-humoured and the vicious. The company of young men of his own age with impulsive aggression similar to his own provides an easy milieu for the dissipation of his aggression, and we have the genesis of the teen-age gang.

Sometimes the aggressive behaviour of the adolescent is easily explained. Recently a

long-haired youth of nineteen was brought to see me by his mother and father because he would not have his hair cut. When asked about it quietly, he said that he really did not care if his hair was short or long; but he was simply not going to be told when to have it cut by mother and father. He was merely expressing his right to make his own decisions. Like many youths, this lad was very tense because he felt constantly frustrated by his parents in his attempt to achieve adult status; his aggression was aroused and found expression in his behaviour and his way of wearing his hair. Many such lads lose their tension and come to behave in a more socially acceptable fashion when they realize what has been driving them to behave in this way.

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As I have already mentioned, it is possible to administer St John’s Wort with a variety of other anti-depressants and other medications in general. A survey of European colleagues who have treated collectively several hundred patients with St John’s Wort revealed no drug interactions noted to date except for potential problematic interactions with the MAOIs as noted above. At one point it was thought that St John’s Wort might itself be an MAOI and might exert its anti-depressant effects by that mechanism. If that were the case, it would be potentially dangerous to combine St John’s Wort with other anti-depressants. Fortunately this does not appear to be the case to any significant degree and St John’s Wort can be used freely with other anti-depressants. Furthermore, you need not worry that you will develop the extremely uncomfortable and sometimes dangerous high blood pressure reaction after eating cheese or drinking red wine, as can occur with those who are on an MAOI. There are no dietary restrictions whatsoever when you are on St John’s Wort.

As I mentioned above, you might be best off moving more gradually with dosages if St John’s Wort is used in combination with other anti-depressants or stimulants as these medications all act on the nerve cells in the brain and can enhance one another’s effects. While this is one of the desired goals of the exercise, namely to induce a more powerful anti-depressant effect than would be obtained on any of the medications alone, it is also a reason to increase dosages gradually to avoid the development of exaggerated and unduly unpleasant side-effects.

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