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Obsessive Compulsive Disorder Treatment
Treatment of Abnormal Behaviour
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Blessed are the parents whose children enjoy going to schools. Some parents have to sweat it out to convince and cajole their kids into going to schools. Every morning brings in a new struggle. You will often come across kids who hate going to schools. From complaining of a headache to stomach aches, they will try everything under the sun to give the school a miss. With time, however, things get under control, much to the parent's relief.
The situation gets dicey when children continue to panic, get stressed out at the mere thought of going to school (for a longer duration of time). With time, things get more and more complicated. A situation as critical as this is known as School Refusal Behavior. School refusal can affect children, adolescents, and even teenagers.
Factors that trigger school refusal behavior:
School refusal in children may be an amalgamation of many factors:
- In some children, the problem may be due to ADHD (Attention Deficit Hyperactivity Disorder). It is a common behavioral disorder that affects many children and even teenagers. In ADHD, children find it a herculean task to concentrate or to pay attention in class. Needless to say, this affects a child's overall performance in class. The fear of getting rebuked and punished (by teachers) may trigger school refusal in such children.
- Many parents set unrealistic goals for their children. They want their children to be the best. What they fail to realize is that in doing so, they end up suffocating the kids. In few extreme cases, the pressure to excel in academics grips them with an unknown fear. They start avoiding classes. They get panic attacks at the mention of schools.
- There are some menaces which can make life miserable. Being bullied in school (by classmates or seniors) is one such issue. As time progresses, the situation may get so unbearable that the child at the receiving end starts showing signs of school refusal.
- Children with undiagnosed and untreated depression, stress, and anxiety may show signs of school refusal. Such kids prefer to stay within themselves. They don't enjoy social gatherings or interacting with people much.
- Some children want to be with their parents all the time. Going to school would mean being away from parents. Thus, they look for excuses to avoid schools.
The symptoms characteristic of school refusal behavior include
- Irritability, inflexibility, and anger.
- Nausea, headache, stomach ache, vomiting.
- The affected child may show signs of separation anxiety.
- Sleep disturbance.
- Tantrums in the morning.
Diagnosis and Treatment:
School refusal needs to be dealt with as early as possible since the longer the child stays away from school, the more difficult it will become for him/her to return to school.
- The Screen for Child Anxiety Related Emotional Disorders (SCARED).
- The Children's Manifest Anxiety Scale.
- The Child Behavior Checklist.
Parents, physician, and school authorities should together chalk out a plan to deal with the situation.
- Cognitive therapy can produce fruitful results.
- Any student subjected to bullying should bring it to the notice of their parents and teachers.
- Parents should not pressurize their child to over perform.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Borderline Personality Disorder is purely a personality disorder caused due to multiple factors. An individual suffering from BPD maintains unstable relationships with other people, shows inappropriate emotional reactions and possesses suicidal or self-harm tendencies. Individuals suffering from BPD may find it difficult to stay alone. They fear abandonment and loneliness. Yet they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life.
It usually starts affecting the individual's life from early adulthood. It, however, seems to improve with age. The individuals also have distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with BPD.
Symptoms of Borderline Personality Disorder:
The signs of suffering from BPD are listed below:
- Intense and frantic effort to avoid abandonment or loneliness
- Unstable relationships with people and changing the attitude towards them drastically. It can change from being in immense love with each other to intense hatred.
- Developing paranoid thoughts and having dissociative feelings-The individual often lacks the feeling of self and suffers from identity crisis.
- Suicidal feelings and attempts
- Tendency to cause self harm or destruction by drug abuse, driving irresponsibly or be having unprotected sex
- Reflecting intense depression
- Chronic boredom
- Sudden anger and hostility
Causes for Borderline Personality Disorder: Borderline Personality Disorder can be caused due to multiple reasons. Usually it has been found by researchers that it occurs to individuals who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the individual's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.
Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for BPD. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.
Treatment: The treatment of BPD involves three steps- psychotherapy, medications and support from peer and family. Dialectical Behavioral therapy, cognitive behavioural therapy and psychodynamic psychotherapy are used in treating the individual. There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
Bipolar disorder is one of the conditions which most people are aware of. However, not many can truly understand. Lets see some signs that inform a person of possible bipolar disorder in a child or a teenager:
While most kids go through a series of ups and downs on a regular basis, in the case of a child who has bipolar disorder, both the ups and downs can be characterised by relative extremes. Not only does the mood of the child change, but also there are other changes which take place. These changes affect the sleep cycle as well as the clarity of the affected child’s intuition and the level of energy that is displayed. The set of people who are at the highest risk of developing bipolar disorder are those who have reached their late teen years and are entering adulthood.
There are ways to treat bipolar disorder, but the fact remains that it stays for life.
When a person has bipolar disorder, the manic phase may result in him or her acting happy or silly in an unusual manner, at least for a person who is around that age. In addition to this, a short temperedness may be displayed and there are problems in getting proper sleep. It is important to keep in mind the fact that in the manic phase, the person is quite likely to commit risky actions. As such, one must keep an eye on his/her affected child.
On the other hand, over the course of the depressive phase, the patient is likely to feel guilty and cut down on the amount of food that is eaten. There is a general loss of energy and even activities, which normally seemed engaging and fun may seem to have lost their allure during this phase. In some cases, thoughts of death and suicide may also be considered.
As a parent, it is important to be aware of the fact that bipolar disorder may not necessarily occur on its own. In fact, there are quite a few cases when it occurs with Attention Deficit Hyperactive Disorder (ADHD). It, in fact, has been seen that ADHD (Attention-Deficit/Hyperactivity Disorder) has spurred the success of a few sportsmen, like Michael Phelps. Having said that, it is important that we make efforts and ensure that such disorders do not affect the minds of people. Treatment is especially important as bipolar disorder can also lead to substance abuse and in extreme cases untimely death. If you wish to discuss any specific problem, you can consult a psychiatrist.
Do you have a family member or a close friend who is suffering from obsessive compulsive disorder? Obsessive Compulsive Disorder (OCD) is a disorder, which causes anxiety, and is also known as anxiety disorder. The disorder is featured by continuous, uncontrollable and unpleasant thoughts. OCD causes a patient’s mind to get stuck on a certain inclination. Obsessive thoughts and compulsive behavior patterns indicate OCD.
Dealing with an OCD patient
After the initial diagnosis, a patient with OCD enters the stage of acute treatment. The treatment aims at coping with and overcoming the symptoms of OCD.
- Education: Patients with OCD should get to know as much as possible about the disorder they are suffering from. You should help an OCD affected patient by providing them the opportunity to read about the disease, and talk to other patients, along with regular appointments with a clinician. A treatment plan has to be developed. OCD patients in an acute treatment stage should be taken to a doctor every week, in order to discuss their progress.
- Therapy: Therapy helps them cope with the symptoms of OCD. Cognitive behavioral psychotherapy is undertaken for treating patients with OCD. This mode of treatment gives the patients psychological tools, which help them resist the ill effects of the condition.
- Medication: Medicines are not required for all OCD patients. Some patients diagnosed with the condition are prescribed selective serotonin re uptake inhibitor or SSIs for dealing with the symptoms of OCD. The medicines should be taken for a period of three to four weeks before any results are experienced. 12 weeks are required for a patient to know whether the medicines are working or not. An SRI is ineffective in some cases, and you may be prescribed a non-selective serotonin re uptake inhibitor like Clomipramine. This affects the serotonin, but has positive impacts on other neurotransmitters in your brain.
- Family support: Family members play an important part in helping OCD patients manage their condition by providing constant support, staying calm, and being educated about the condition. OCD patients should be treated with affection and should be complimented often. The observations of the patient by family members help a doctor in determining the patient’s condition. As a family member or close friend, you must never be critical about the patient or state negative comments about his condition. Such feedback causes the patient’s condition to worsen. Family members should discuss all problems they face regarding the patient to a doctor.
Patients who have completed OCD treatment require monthly check ups with a doctor for six months. A year of cognitive therapy is required to be carried out, along with the intake of prescribed medicines. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
Children with attention deficit hyperactivity disorder – ADHD/ADD may be difficult to parent. They may have trouble understanding important directions. Children with attention deficit hyperactivity disorder – ADHD/ADD are usually in a constant state of activity.
This can be a constant struggle for parents at home leading to a lot of personal frustration (for parents) as well as a chaotic atmosphere at home everyday.These children can also be difficult to handle at school, leading to constant complaints from teachers and peers. You may need to change your home life a bit to help your child. Here are some tips to handle children with ADHD:
- Organize your schedule at home. Set up fixed times for waking up, playing, eating, doing homework, doing chores, watching TV or playing video games and going to bed.
- Set up house rules. Make the rules of behavior for the family simple, clear and short. Rules should be explained clearly. It’s important to explain what will happen when the rules are obeyed and when they are broken.
- Be positive. Tell your child what you want rather than what you don’t want. Reward your child regularly for any good behavior–even little things such as getting dressed and closing doors quietly. Children with ADHD need to be praised for good behavior.
- Make sure your directions are understood. First, get your child’s attention. Look directly into his or her eyes. Then tell your child in a clear, calm voice specifically just what you want. Ask your child to repeat the directions back to you. Then congratulate your child when he or she completes each step.
- Make sure someone watches your child all the time. Because they are impulsive, children with ADHD need more adult supervision than other children their age. Make sure your child is supervised by adults all day.
- Watch your child around his friends. It’s hard for children with ADHD to learn social skills and social rules. Be careful to select playmates for your child with similar language and physical skills. Invite only one or two friends at a time at first. Watch them closely while they play. Reward good play behaviors often.
- Help with school activities. School mornings may be difficult for children with ADHD. Get ready the night before–lay out school clothes and get the book bag ready. Allow enough time for your child to get dressed and eat a good breakfast. It would also be a good idea to collaborate with the teacher who could help your child deal with academic difficulties and handle mis-behaviour with extra care.
- Set up homework routine. Pick a regular place for doing homework. This place should be away from distractions such as other people, television and video games. Break homework time into small parts and have breaks.
- Focus on effort, not grades. Reward your child when he tries to finish school work, not just for good grades. You can give extra rewards for earning better grades. If you wish to discuss about any specific problem, you can consult a psychiatrist.
Depression is a serious yet common mental health problem that can affect all age groups ranging from young children to the elderly. It is found to be more common among women when compared to men. It can take a toll over one’s peace of mind, physical health, interpersonal relationships as well as job performance (or academic performance). What is deceiving is, the person can also be functioning well, in which case, it can go unnoticed, leading to grave consequences. The good news is that depression is treatable and individuals are able to function much better with treatment. Affected individuals feel sad most of the time. He/she loses the ability to enjoy/be happy.
As a result of this, the daily activities that he/she participates in do not seem to appeal to him/her anymore. This is especially true in the case of socialising. The affected person will just seem to drop out of social circles. This can be said to be ironic because it is times like these when the individual with depression is in need of friends the most!
The individual seems to have an overriding belief that the status quo will not be altered by anything and he or she will be stuck in a rut in perpetuity. In other words, depressed people experience a perennial feeling of helplessness. Negative thoughts can also drive one to commit suicide.
A lot of people who have depression tend to experience a loss of energy. As a matter of fact, this is quite the case with men who enter a phase of depression, as the symptoms which are displayed by them can contrast sharply to those displayed by women. One of the reasons for men tending to report a higher chance of this than women is the fact that they are less likely to express feelings of self loathing. Rather, they usually talk about sleep problems and a loss of interest in things that once they might have found to be interesting or even captivating. They also gradually get quite irritable.
When it comes to women, guilt is quite likely to be felt. They may also sleep a lot longer than what is considered to be normal. Eating habits are a better indication of the presence or absence of depression than most people would realise. Overeating is one of the prime signs, especially in the case of women who are depressed. This leads to them putting on weight, as the rise in the intake of food is compounded by a drop in the amount of healthy physical activity. On the other hand, many may also experience loss of appetite, which over a period of time can even lead to weight loss. Some women who are depressed also complain of aches and pains in the body.
A few individuals who are depressed also complain of weird experiences, like being able to hear voices calling out to them, abusing them in dirty language, asking them to hurt themselves (hallucinations). Some may be found to be extremely suspicious about people around them. If you wish to discuss about any spIfecific problem, you can consult a psychiatrist.