Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation. After first seizure MRI and EEG may help to know whether you have the risk of second seizure or not.

All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:

You must take medications exactly as your doctor has prescribed.
Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
You should never stop taking the medicines.
In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.
Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.

When to Seek Medical Help for Epilepsy

Life has its ups and downs, but often we hold on to the downs for much longer than the actual event. While the trigger or anger, pain and hurt are beyond our control, the amount it can affect us is well within reach. Here are a few ways to cope better with emotional upsets.

Give yourself a window to be upset: Be realistic and give yourself a time frame to give in to your emotions. Whether, angry, sad or frustrated tell yourself that you have only 1 day to be upset. In a way, this will diffuse the anger and frustration and once this time is over, you can start planning ahead.
Take responsibility: Try analysing what you may have done to make the other person react in the way he or she did. Focus on what you could have done better and you will find yourself feeling more empowered.
Get physical: Exercise and other forms of physical activity decrease stress hormones and increases the productions of endorphins or happy hormones that elevate the mind. Exercising also gives you time to focus on yourself without distractions.
Express yourself: Whether it s through art or writing, find an outlet for your emotions. This keeps it from being bottled up inside and gets the pain and frustration out of your system.
Breathe: Breathing techniques like ujayii and anulom vilom can help calm the mind down when it is troubled and upset. These breathing techniques also keep your emotions from escalating.
Get company: It is never a good idea to isolate yourself when you re feeling blue. Instead, find people who you can open up to and share your thoughts with. This will give you a fresh perspective on what is going on.
Look at both sides: No event is ever completely bad. No matter what may be troubling you look at both the good and bad sides of it. This can help minimise your loss and make it easier to let go of the problem.
Do something different: The best way to get your mind off something is to give it something else to focus on. If you re troubled by something that happened at work, go for a drive or play a sport. Similarly, if you re having relationship trouble, go out with a few friends or read a book to take your mind off it.
Visualize: Imagine the person or the event that is upsetting you as an object in your mind and visualise it melting away. Remind yourself that the anger or frustration you are feeling is worse than the person or event itself.
Clean up: Organise your desk, your room or start cleaning up space around you. This will take attention away from whatever is troubling you and give you something to do.

Are You Emotionally Upset? 10 Ways to Get Over it!

MISUNDERSTANDINGS AND ARGUMENTS? CHANGE THEM INTO FLOWING CONVERSATION
Conflicts and misunderstandings occur at all levels of interaction – at work, among friends, within families and between relationship partners. When conflict occurs, the relationship may be weakened or strengthened. Thus, conflict is a critical event in the course of a relationship. Arguments  and misunderstandings  can cause resentment, hostility and perhaps the ending of the relationship. If it is handled well, however, it can be productive – leading to deeper understanding, mutual respect and closeness. The health of any relationship is gauged by how the conflicts are resolved, rather than the number of conflicts between the participants. 
Conflicts run all the way from minor, unimportant differences to disputes which can threaten the existence of a relationship. Conflicts with a loved one or a long-term friend are, of course, different from negotiating with someone who does not care about your needs, like a stranger or a salesperson. 

 Principles that underscores all successful conflict resolution. 
1. Both parties must view their conflict as a problem to be solved together so that both parties have the feeling of winning.
2. Each person must participate actively in the resolution and make an effort and commitment to find answers which are as fair as possible to both. 

We may get so caught up with our own immediate interests that we damage our relationships. If we disregard the position of the other person, if fear and power are used to win, or if we always have to get our own way, the other person will feel hurt and the relationship may be wounded. Similarly, if we always surrender just to avoid conflict, we give the message to the other person that it is acceptable to be bullied and our needs don’t matter. Our feeling of self-worth suffers, resentment surfaces, and we feel frustrated in the relationship. Instead, it is healthier if both parties can remain open, honest, assertive and respectful of the other position. Mutual trust and respect, as well as a positive, constructive attitude, are fundamental necessities in relationships that matter.

SOME EFFECTIVE STRATEGIES TO HOLD EFFECTIVE COMMUNICATIONS:
1. INITIAL AGREEMENT: The other person may be very angry with you and may be having loads of evidence to prove himself right. At that time, instead of arguing your position, simply agree at that time because there will be a grain of truth if nothing else. This doesn’t mean that you are giving up your values and principles. Sometimes its important to diffuse the emotional charge before working out on the differences. Sometimes its ok to “lose” individually in order to “win” together in the end.
2. EMPATHY: Sometimes putting yourself  in the other persons shoes and seeing the problem from their perspective helps build bridges. You could say,” I feel that you must be very upset with me for behaving like that with you, I should have been more considerate”. Half the battle is won and the other participant feels validated and will be more willing to listen to your tale of woes more amicably.
3. ASK QUESTIONS: When you ask questions, it shows that you care and are interested to resolve the problem at hand. Please note that while asking questions, be watchful of your words and tone. Asking exploratory  questions about the other persons thoughts and feelings rather than probing and insulting questions can take you miles on the way to effective resolution. For eg. “Is there anything that you would like me to know about this problem”?
4. USING “I” STATEMENTS: Take responsibility for your own thoughts and feelings rather than blaming the other person for making you feel like that. This decreases the chance that the other person will become defensive. For example, “I feel pretty upset that this thing has come between us.” This statement is much more effective than saying, “You have made me feel very upset.” 
5. COMPLIMENTS: Find something nice and genuine to say about the other person, even if the other is angry with you. Show a respectful attitude. For example, “I genuinely respect you for having the courage to bring this problem to me. I admire your strength and your caring attitude.” 

A RATIONAL APPROACH TO RESOLVING CONFLICTS:
Here is a model that may help in resolving interpersonal conflicts. 
1. Identify the Problem. Have a discussion to understand both sides of the problem. The goal at this initial stage is to say what you want and to listen to what the other person wants. Define the things that you both agree on, as well as the ideas that have caused the disagreement. It is important to listen actively to what the other is saying, use “I” statements and avoid blame. 
2. Come Up With Several Possible Solutions. This is the brainstorming phase. Drawing on the points that you both agree on and your shared goals, generate a list of as many ideas as you can for solving the problem, regardless of how feasible they might be. Aim toward quantity of ideas rather than quality during this phase, and let creativity be your guide.
3. Evaluate These Alternative Solutions. Now go through the list of alternative solutions to the problem, one by one. Consider the pros and cons of the remaining solutions until the list is narrowed down to one or two of the best ways of handling the problem. It is important for each person to be honest in this phase. The solutions might not be ideal for either person and may involve compromise. 
4. Decide on the Best Solution. Select the solution that seems mutually acceptable, even if it is not perfect for either party. As long as it seems fair and there is a mutual commitment to work with the decision, the conflict has a chance for resolution. 
5. Implement the Solution. It is important to agree on the details of what each party must do, who is responsible for implementing various parts of the agreement, and what to do in case the agreement starts to break down. 
6. Continue to Evaluate the Solution. Conflict resolutions should be seen as works in progress. Make it a point to ask the other person from time to time how things are going. Something unexpected might have come up or some aspect of the problem may have been overlooked. Your decisions should be seen as open to revision, as long as the revisions are agreed upon mutually. 

Keep in mind that differences will come up in any relationship just because you two are different individuals with different perspectives, ideologies, attitudes and perceptions. Too much similarity in personality and working styles may be comforting but can be very boring and uninspiring overtime. On the other hand, differences can bring change, novelty and an added spice to the relationship. Two very different people can pool their different strengths and work together as a stronger team. Though, extreme differences may overtime sour the relationship and make living or working together difficult. You also need to look out for an emotionally or physically abusive relationship, which is based on power differential rather than respect and trust. A person may then choose to opt out after an amicable “goodbye” or "agree to disagree".























Manic depression, also known as bipolar disorder in recent days, is a major mood disorder characterized by hypomanic or manic episodes (deviation from one's usual mood along with abnormally high energy levels). Mania involves sleeplessness, along with psychosis, hallucinations, rage, grandiose delusions or paranoia. Mania or hypomania isn t usually harmful to the patient and they might exhibit increased capacity for work and creativity. Depressive episodes however, can be debilitating and often life threatening as the person becomes self-destructive and suicidal in many instances. 

The extent of mood swings can vary from extreme to very mild. They can occur progressively or suddenly and might last for few days to weeks. Patients affected by bipolar disorder may experience disturbances in thinking apart from depressive or manic episodes. Distortions of perception and impaired social functioning are also not uncommon. The cause of bipolar disorder is not fully understood like most mental health conditions and is often thought to be hereditary.

The extent of the seriousness of the bipolar symptoms varies from person to person. In some people, the disorder is not full blown and they don t exhibit all the symptoms. Others who aren t that lucky might have to be hospitalized multiple times in their lives as the symptoms creep into their work and personal life and make living a normal life a tough challenge. 

Psychotic symptoms such as disorganized thinking, hallucinations and delusions might make a person do things that demand the urgency of hospitalization to keep them safe from their suicidal impulses. These symptoms might need to be urgently addressed by a psychiatrist and with the help of medications, the person might be able to regain control of their lives.

The symptoms of bipolar disorder are many and can be mainly categorized into two (sometimes overlapping) categories of mania or hypomania and depression:

Manic symptoms include: 

Grandiose delusions (delusion of grandeur) 
Racing thoughts which are often disconnected
Sense of euphoria or false elation
Irritability without cause
Hampered social functioning
Increased sexual inclination and risky sexual behavior
Hyperactivity
Increase in talking volume or speed
Impaired judgment
Reduced sleep requirements owing to extra energy levels
Increased productivity and creativity
Depressive symptoms include:

Abnormal eating patterns like over or under-eating to the extent of severe medical complications accompanied by drastic changes in weight
Difficulty in concentration, making decisions and remembering
Lack of energy or fatigue 
Contemplating about death for prolonged periods of time and suicidal behavior
Oversleeping, insomnia or early awakening
Persistent pessimism 
Irritability and restlessness
Feeling of hopeless and negative attitude
Mood stabilizers, such as lithium are commonly employed to treat bipolar disorder. Anti convulsants, benzodiazepines and anti psychotics can also be used in the treatment. Along with medications, support from family and friends is of the utmost importance as they need to help provide all the support required in making the person functional and healthy.

Manic Depressive Disorder - 11 Signs to Help You Spot it 

Depression is more than just feeling low or down. It is a serious illness that is caused by various changes in the brain chemistry. There are a lot of factors that cause depression, which range from genetics to change in hormone level, stress, grief, medical conditions and other life circumstances. All these can lead to depression and that is something which does not go away on its own. However, there are a few efficient ways through which patients can deal with depression. These are as follows:

Exercise: Taking a brisk walk for fifteen to twenty minutes every day can be very healthy, not only for your body,  but also for your mental health as well. Dancing, jogging, cycling and yoga are alternatives as well. Although, people who are depressed might not feel like doing any of those things, but one should try to do them anyway. Once a person gets into the exercising routine, they will start noticing the change in their mood. Deep breathing, yoga exercises and meditation can also help people feel better and less depressed.
Anti-depressants: Three brain chemicals that are responsible for handling your mood are norepinephrine, serotonin and dopamine. During depression, the brain circuits that make use of these chemicals stop working properly. In this case, antidepressants can be very useful. These tweak the chemicals that run through the brain and help improve your overall mood.
Psychotherapy: It is a method through which therapists find out a person s everyday stressors. This therapy is a powerful treatment for depression. Combining psychotherapy with medications can be even better and more effective. This also makes the symptoms easier to take. When a person talks about his feelings and problems with a stranger, it can help him or her release certain amount of stress.
Social support: Talking to a friend or attending group therapies has proven to be beneficial. However, it is important that the person you talk to is someone who you will feel comfortable around. Therefore, it could be someone you know or someone who empathises with you. This is possible either with your close ones or group therapies where the people you talk with, have been going through the same problem you have.
Meditation: Calmness and meditation can help you channelize your positive energy and thoughts over the negative ones. It can help a person see new perspective, develop forgiveness and compassion. Much like exercise, meditating briefly can help you gain immediate effects. It helps a person get over depression. This happens over time. One might not be successful in releasing their stress at once. It is a process that takes time.
The treatment that you get for your depression will depend on the kind of depression that you have. Some might get psychotherapy while others might get antidepressants or for some, exercise could be enough. 

Depression - 5 Ways to Deal With It!

Can true love happen more than once?

The world revolves around love. Our movies, books, stories, ambitions, desires, anything and everything, is guided by the magical power of love. Shahrukh khan famously said in his movie kuch kuch hota hai, that 'love can only happen once'. Is that true or, can true love happen more than once?

The question occurs more often than not when someone is going through a breakup, or when people wait and stay single, guided by the belief that there is only one perfect person for everyone, who would give them a happily ever after.

Let's see what truth really is.

There is no set algorithm or formula to say how many partners one can actually sustain in a lifetime. That depends on the idea of love individually for different people. Some people after a failed relationship give up the fight, and give up on the idea of love too, thinking that they had gotten once chance, and they blew it. While on the other hand, some people move on from one relationship to another, investing equally in every relationship, and never losing hope on finding their happiness.

The notion of just one love per lifetime may have been imbibed in us by the society that promotes monogamy. Insisting that it is morally correct for a couple to always stand by each other, no matter how incompatible they may be.

But the more pressing reason for the above notion is fear. The fear of falling in love again, and losing at it again, stops many people from even considering that as an option. There is a comfort in thinking that you tried your hand at love, but failed, and thus, never trying again will never let you suffer from the inexplicable pain that the failed love left you with.

However, we as humans, having the ability to connect with our family and friends, are designed to love more than one person in our lives. So it is clear that we are capable of falling in love again. As they say, there are plenty of fish in the sea, and truly so.

There are many people out there who you will be able to connect with, feel immensely happy around, and feel at home with. The thought that there is only one perfect person for everyone is not just restrictive, but also unhealthy. If you feel too damaged to love again or too scared to love even for the first time, try to look at the feeling logically than emotionally. Try to assess your compatibility with the person; see if your interests match, see what differentiates you both that'll help you both grow; see if you are able to picture a future with them, and so on.

Sometimes our past baggage or our fears clog our judgment. We all deserve second chances in life, and hence, we deserve a second, or even a third or fourth chance at love. So, do not stop at one failed relationship. Go out and seek love again in a person who is able to provide you with a more fulfilling and emotionally satisfying relationship.

If you would like to consult with me privately, please click on 'consult'.

Is Shahrukh correct when he says 'Love can happen only once'?

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