
Addiction – Overconsuming – Self Obsession – Power and Greed – Instant Gratification – People Pleasing – Popularity – Co-dependency – Avoidance – Isolation

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Are you feeling Restless, Irritable, and Discontent?Are you feeling Restless, Irritable, and Discontent?
I would infer that you may be depleted in some area of your life. Generally, when I am having any of these experiences I can recognise that my basic needs, and possibly even transformative, needs are not met. My basic needs are food and water, adequate sleep, shelter and safety, social connection (belonging), and esteem needs (e.g., self-respect, self-worth, self-competence, mastery and achievement, integrity, sense of freedom and independence etc.). Perhaps only when all my deficiency needs are met, and I’m experiencing dissatisfaction with my growth needs, do I feel Restless, Irritable, and Discontent in this area of my life – however I assume some would argue that if I am feeling that way when attending to my growth needs, then I may have slipped back to Esteem Needs. You can look up Maslow’s Hierarchy of Needs for a visual representation if you like, using a search engine. Below is a GIF that I created to educate people on how we can buffer ourselves to vulnerabilities. It’s very telling to go into the body when we haven’t eat for a while, may be we’re running on caffeine, and you can feel the restlessness in the body. We have to fuel up when we’re hungry to buffer ourselves from becoming irritable and restless. If you’re feeling discontent with life, I would suggest a social activity, play time with friends, working on a project of some kind, or getting involved in your community.

Mortality DeterminantsMortality Determinants
Overall Global Leading Cause of Death
- Ischemic heart disease (coronary artery disease) – Still the #1 cause of death worldwide.
- Followed by: Stroke, chronic obstructive pulmonary disease (COPD), lower respiratory infections, and cancer (e.g., lung, liver, colorectal).
Breakdown by Category
By Age
| Age Group | Leading Cause(s) of Death |
|---|---|
| Infants (<1) | Neonatal conditions, birth complications, infections |
| Children (1–14) | Accidents (injuries), infections (low-income countries), cancers (e.g., leukemia) |
| Youth (15–24) | Road injuries, suicide, homicide (varies by country) |
| Adults (25–44) | Injuries (road, drug overdose), suicide, HIV/AIDS (in some countries), heart disease |
| Middle Age (45–64) | Heart disease, cancer (esp. lung, colorectal, breast), liver disease |
| Older Adults (65+) | Heart disease, stroke, cancer, Alzheimer’s disease |
By Gender/Sex
| Group | Leading Cause of Death |
|---|---|
| Cisgender Men | Heart disease, cancer (lung, liver), accidents |
| Cisgender Women | Heart disease, cancer (breast, lung), stroke |
| Transgender Individuals | Elevated risk from violence, suicide, and HIV/AIDS (especially trans women of color); limited large-scale data |
| Non-binary | Insufficient population-specific data, but risks often parallel those of trans populations or assigned sex at birth |
By Race/Ethnicity (Example: United States)
| Group | Top Causes | Unique Issues |
|---|---|---|
| White (non-Hispanic) | Heart disease, cancer, drug overdose | |
| Black or African American | Heart disease, cancer, higher stroke risk | |
| Hispanic/Latino | Heart disease, cancer, diabetes | |
| Native American | Accidents, liver disease, diabetes, suicide | |
| Asian American | Cancer (leading cause), stroke, heart disease |
Note: Disparities arise from systemic inequalities, access to care, and social determinants of health.
By Sexuality (LGBTQ+)
- Limited global data, but in many regions:
- Higher risk of suicide, mental health disorders, substance abuse, HIV/AIDS (especially among MSM and trans women).
- Discrimination and healthcare avoidance contribute to worsened outcomes.
- Common causes of death still include heart disease and cancer, with higher rates of premature death linked to stigma and healthcare disparities.
By Geographic Region
| Region | Leading Cause(s) |
|---|---|
| High-Income Countries | Heart disease, cancer, Alzheimer’s, stroke |
| Low- and Middle-Income Countries | Infectious diseases (TB, HIV), maternal mortality, stroke, heart disease |
| Africa | HIV/AIDS, malaria, lower respiratory infections |
| Asia | Stroke, heart disease, chronic lung disease |
| North America | Heart disease, cancer, drug overdose (opioid crisis) |
| Europe | Heart disease, stroke, cancer |
| Latin America | Violence (in younger adults), heart disease, diabetes |
By Profession
- Agricultural/farm workers: High injury rates, pesticide exposure, suicide
- Construction workers: Falls, injuries, exposure to toxins (e.g., asbestos)
- Healthcare workers: Infectious disease, burnout, mental health risks
- Military/first responders: Combat-related injuries, PTSD, suicide
- Office workers: Sedentary lifestyle risks (heart disease, diabetes)
Occupation-linked deaths often relate to environmental exposures, physical risks, or psychological stressors.
Conclusion:
Across almost all demographics, heart disease remains the leading cause of death, followed by cancer, stroke, and—in certain populations—accidents, suicide, or infectious diseases. However, the underlying causes (social, economic, political) differ significantly based on identity, geography, and profession.
Would you like this formatted into a chart, infographic, or specific to a country or report you’re working on?
Self-sabotage is self-sabotaging. Why would anyone do this?Self-sabotage is self-sabotaging. Why would anyone do this?
As I always like to say, there are as many reasons why people self-sabotage as there are people. A common theme is to protect the self from failure, feeling things we don’t want to feel, and to control our experiences.
One of the hidden culprits behind self-sabotage is the need for perfection and control. Self-sabotage has a strange way of helping us maintain the illusion that if only we had put in more effort or had better circumstances, everything would have worked out as it should. Social psychologists call this counter-intuitive strategy of regulating self-esteem ‘self-handicapping.’ It’s very seductive to engage in self-sabotage because the hidden payoff is high. It’s often easier to be a perfect whole rather than a real part. It’s a short-term solution that sidesteps the more arduous but ultimately more fulfilling work of individuation and self-realization. It takes risk, patience, suffering, and ultimately wisdom to come to the place where you can let go of self-sabotage and learn how to be real.
Behaviour is said to be self-sabotaging when it creates problems in daily life and interferes with long-standing goals. The most common self-sabotaging behaviors include procrastination, self-medication with alcohol and other drugs, comfort eating, and forms of self-injury such as cutting.
Self-sabotage originates in the internal critic we all have, the side that has been internalized by the undermining and negative voices we’ve encountered in our lives. This critic and ‘internal sabotuer,’ functions to keep the person from risking being hurt, shamed, or traumatized in the ways they had been in the past. While it keeps the individual safe, it does so at a very high cost, foreclosing the possibility of new, creative, and three-dimensional experiences. Like an addiction, self-sabotage insidiously lulls and deludes us into thinking that it has the answer. In fact, it is the problem masquerading as the solution. Nothing stops self-sabotage faster in its tracks than shining this particular light on it. Consciousness is true power. We need to let go of our illusions of omnipotence and perfection and see that it is only when we are real and imperfect that we can create a true work of art. Then and only then we can enjoy the gifts of being Real.
– Michael Alcée, Ph.D., Relational therapist/ Clinical psychologistArt: Bawa Manjit, Acrobat
