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Norman M.
Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2567
Experience:  ADHP(NC), DEHP(NC), ECP, UKCP Registered.
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Im a musician/performer, 42 yrs old and Im having difficulty

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I'm a musician/performer, 42 yrs old and I'm having difficulty concentrating and staying focused during my performances. The music which we perform is all memorized, so at critical and difficult parts, uncontrollable thoughts enter my mind and completely throws my concentration and i completely fall out of the piece of music we are performing. This is now effecting my job and my confidence to perform in front of an audience.
Does this symptom have a name and what can i do about it?
Thank you.
Submitted: 5 years ago.
Category: Mental Health
Expert:  Kelley replied 5 years ago.
<p>Hi,</p><p> </p><p>Thanks for using JustAnswer!</p><p> </p><p>It could be adult attention deficit disorder. Ususally this has been something that has been presant all of your life even if it was not diagnosed early on. It could also be some depression, which can cause lack of concentration. I would really suggest getting an evaluation from your medical doctor first to clear you medically and make sure that nothing medical is going on. If that is all clearn then I would suggest seeing a psychiatrist for a good evluation and to get started on some medications if needed. I hope this helps, please let me know if I can assist any further.    </p>
Kelley, Licensed Clinical Social Worker
Category: Mental Health
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Customer: replied 5 years ago.
Thank you. I also experience what i would call severe day dreaming, where my mind plays out random scenarios that is very difficult to control. They could be violent in nature or a random tangent, they last a few minutes at a time, but this happens several times a day. Mostly when i'm alone, driving, sitting at home, etc. Im singal, no kids, and am by myself (recluse/loner) much of my personal time.
This also ties into my lack of concentration/depression issues.
I may add i am in very good physical shape. Very athletic with excellent blood pressure.
U.S. Army active duty.
Customer: replied 5 years ago.
Relist: I still need help.
Along with the ADD/depression, i also experience mental scenarios which can be violent or random tangents/fantasies. Very difficult to control but only last a few minutes at a time, several times a day. Accompanied by mid to hi anxiety levels. Mostly happens when I'm alone, much of my personal time. I'm single, no kids, few friends, but in very good shape, excellent blood pressure/diet. Somewhat obsessive about conditioning and practicing my instrument.
I'm a Tallented musician in U.S. Army/ active duty.
Are all these symptoms from the same disorder or am i experiencing multiple disorders?
Expert:  Norman M. replied 5 years ago.

I've looked at my colleagues answer to your question, and I appreciate her view. However, I have a slightly different take on this.

I am inclined to think that you are suffering from Obsessive Compulsive Disorder, for the following reasons:

1. OCD is characterised by frequent intrusive thoughts and fantasises which often involve themes of a violent, or sometimes sexual nature. Usually, OCD sufferers do no (and do not really wish to) enact these thoughts in reality. The very existence of the thoughts in itself generates anxiety - as if your ability to concentrate is being taken away –

and the contents of the thoughts generate a similar response.

2. Very often, the sufferer tries to compensate for, or deal with the anxiety by carrying out compulsive behaviours – cleaning or tuning an instrument, perhaps, or obsessive practice fit well here.

Cogitive Behavioural Therapy is effective in helping control OCD, and can be used in conjunction with mediciation. Indeed, the use of the two together can be much more effective than either on their own.

Please have alook at this website:

http://ocduk.org/1/ocd.htm

Please have a word with your medics.

Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2567
Experience: ADHP(NC), DEHP(NC), ECP, UKCP Registered.
Norman M. and other Mental Health Specialists are ready to help you

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