Schizophrenia is a psychiatric disorder in which a person s mood, knowledge, thought and several other characteristics gets disturbed. We can notice most of the adults and old people with few symptoms of schizophrenia, which are most commonly left unidentified. The exact cause of schizophrenia is not yet known. The person feels that they are being constantly watched, they feel the presence of someone or something, which is not actually there. They are always suspicious and think that other people are gossiping and thinking about them.

Possible causes of Schizophrenia
Though the exact cause of schizophrenia is not known there are few factors, which contribute to the cause of schizophrenia.

    Genetic factors: People with a family history of schizophrenia are at higher risk of getting schizophrenia.
    Environmental factors: Environmental factors include excessive stress during pregnancy or later stages of life. Several other factors during pregnancy and childhood are responsible for causing schizophrenia. These factors are:
        Decreased oxygen level during delivery due to premature birth or prolonged labour
        Parental loss or separation in early stages of life
        Parental exposure to virus or during infancy
        Childhood physical or sexual abuse
        Abnormal brain structures and brain chemistry

Sings and symptoms of schizophrenia

    Hallucination: To see, feel or hear anything that really does not exist is known as hallucination.
    Delusion: A thought or belief of a person, which is either false or impossible in reality is known as delusion.
    Thought and speech disturbances: The thought process and speech of a schizophrenic will be disorganized, due to which he or she  will fumble or is distracted as they are unable to align their thoughts.
    Difficulty in concentrating: It is difficult for people suffering from schizophrenia to concentrate on the task at hand.
    Erratic behaviour: People suffering from schizophrenia tend to behave erratically, either they will be too jumpy or will be perfectly still for hours at a stretch. Most people belief that those who are suffering from schizophrenia are often violent in nature, which actually is not the case.

Treatment for schizophrenia
Schizophrenia can be treated, if identified at an early stage. . It is best advised to consult a psychiatrist the moment you spot the symptoms. Anti psychotic drugs, self help behaviour change, counselling and rehabilitation are few treatment modalities available for schizophrenia.

Schizophrenia: Can Genetics be the Reason Behind it?

Pain management is an issue that stares back at mankind, irrespective of the underlying health condition. Whether it is a headache or a back pain, burn or fracture, heart attack or cancer, pain is always a symptom. In some cases like migraines, cancer, etc., the pain is chronic and the patient needs to be constantly on the vigil to know when an attack will ensue. This has also put high pressure on the medical fraternity to identify ways that can provide relief to these people. Various methods have been identified, and one of them is the electrotherapy.

What is done?
A few electrical impulses are directed at the area of the pain using a hand-held device. This is similar to providing electric shocks of mild intensity to the affected area (forehead, low back, neck, etc.). What this does is stimulate the nerve endings, improves circulation and muscle strength and promotes bone growth and tissue repair. The end result of all this is overall improved functioning and pain relief. Depending on the actual condition, the sessions will have to be repeated. In some patients, the electrotherapy is used in conjunction with other therapy so that they can go about their routine exercise and pain relief.
The sessions may also have to be repeated as most often these are used in individuals with chronic pain. They are also helpful in providing relief during the acute attacks.

How does it work?
The most common form of electrotherapy is known as TENS, which stands for transcutaneous electrical nerve stimulation. The area to be treated is cleansed with spirit and then small sticky pads are applied through which the electricity is passed. A hand-held device is used, through which electrical impulses are passed to the skin, which stimulates the nerve cells to provide relief from pain. It causes a vibrating and tingling sensation in the treated area. It is believed that it blocks the nerve impulses and therefore provides pain relief. Another theory states that they promote the release of endorphins which are natural painkillers; it is also very effective in case of migraine and sciatica and neck pain where the chronic pain is coupled with acute spurts.

With narcotic painkillers having various side effects, techniques like electrotherapy are gaining popularity. A small catch also is that it does not work for everybody and in most people with back pain, fibromyalgia, and migraines, requires repeat sessions for relief. The cost of each session also needs to be considered against the extent of relief achieved. However, for those whom it works, it is a very good technique for chronic pain control.

Electrotherapy - How It Can Help In Managing Pain?

When it comes to the effects of alcohol, the liver is the most talked about the organ. However, this is not the only part of the body affected by alcohol. Alcohol can also affect your cardiovascular health. This effect is determined largely by the quantity of alcohol being consumed. In restricted amounts, alcohol can in fact be beneficial but in large amounts, it can be the cause of a number of heart health issues. Let s take a look at both sides of the coin.

The Good
For women over the age of 45 years, drinking a small amount of certain types of alcohol such as red wine can be good for the heart. It protects the heart against damage to the arteries by increasing the good cholesterol levels. This prevents the narrowing of arteries by reducing the amount of fat deposited on the arterial walls. Good cholesterol also helps lower the level of bad cholesterol and fights against its ill effects.

Alcohol also reduces the ability of platelets to stick together by increasing the amount of fibrinogen produced by the liver. Thus, it prevents the formation of blood clots an in turn heart attacks caused by them.

The Not so Good
The ill effects of alcohol consumption overshadow its benefits. Drinking heavily over an extended period of time can increase your risk of heart disease. It increases blood pressure that can further trigger a stroke or heart attack. Alcoholism can also lead to weight gain that again causes an increase in blood pressure.

Excessive alcohol consumption also weakens the heart muscles. This condition is known as cardiomyopathy. As the heart muscles grow weaker, they cannot pump blood efficiently and the heart may fail and cause premature death.

Binge drinking can cause a condition known as Holiday Heart Syndrome. It is characterized by severe pain in the center of the chest, increased blood pressure, irregular heartbeats and breathlessness. It may make the person feel as though they were experiencing a heart attack. The term was coined as this condition was seen more commonly during the holiday season when people tend to drink more heavily.

Thus, if you want to enjoy a long, healthy life, avoid alcohol or drink in moderation. For women, this means one drink a day while for men; consumption should be limited to two drinks a day. If you have an existing heart condition or a history of strokes, alcohol should be avoided completely. In case you have a concern or query you can always consult an expert & get answers to your questions!

Alcohol Intake and Heart Health - Know The Link!

Loss and grief are two unfortunate partners where the latter follows the former. While the type of grief or the nature of the loss may differ from person to person, there are five distinct stages of loss and grieloss and grief are two unfortunate partners where the latter follows the former. While the type of grief or the nature of the loss may differ from person to person, there are five distinct stages of loss and grief that all people universally go through, when faced with such a situation. Here are the five stages of this process and the different ways in which one can cope with each stage.

Denial and isolation:

In this phase, the patient usually ends up blocking out the words as well as the thoughts and reactions that surround this sad event, which can lead to a numbing action of the brain. While we all do this in some measure during such situations, some people take it especially hard by acting as if nothing has happened at all. If this phase does not come to pass within a short frame of time, then psychological and medical intervention may be required.

Anger:

When a person begins to acknowledge the loss, there is a sense of unfairness which can lead to frustration and anger that is basically the way the person may be dealing with the re-emergence of the pain and the fact that it is here to stay. Therapy and sedation may be required if this frustration and repeated spells of tantrums carries on for a prolonged period. Do not hesitate to talk things out rather than flaring up at this point, as the unchangeable has already happened.

Bargaining:

In this phase, desperation enters the mind of the patient where a lot of'what ifs' come up. The patient begins to question what if things had been done differently and other such aspects. If not dealt with in an engaging manner and with empathy, this phase can lead back to anger and frustration.

Depression:

Private mourning of the loss and regret to do with the practical aspects like loneliness and the cost of the loss can strike at this stage. Here, the patient must be made aware of rights as well as the people around him or her who can help out to prevent this depression from becoming a full-fledged condition.

Acceptance:

In this final stage, the patient becomes more accepting of this new reality. Yet, even this must be taken up cautiously as a grief stricken heart may lead to a variety of mental ailments in the long run.

The way to deal with these stages is with therapy and proper guidance where the patient is allowed to channel all the thoughts and anger before accepting the situation. Do not hesitate to ask for counselling and embrace the changes in your life without regret, guilt and depression. F that all people universally go through, when faced with such a situation. Here are the five stages of this process and the different ways in which one can cope with each stage.

Denial and isolation: 

In this phase, the patient usually ends up blocking out the words as well as the thoughts and reactions that surround this sad event, which can lead to a numbing action of the brain. While we all do this in some measure during such situations, some people take it especially hard by acting as if nothing has happened at all. If this phase does not come to pass within a short frame of time, then psychological and medical intervention may be required.

Anger:

When a person begins to acknowledge the loss, there is a sense of unfairness which can lead to frustration and anger that is basically the way the person may be dealing with the re-emergence of the pain and the fact that it is here to stay. Therapy and sedation may be required if this frustration and repeated spells of tantrums carries on for a prolonged period. Do not hesitate to talk things out rather than flaring up at this point, as the unchangeable has already happened.

Bargaining:

In this phase, desperation enters the mind of the patient where a lot of'what ifs' come up. The patient begins to question what if things had been done differently and other such aspects. If not dealt with in an engaging manner and with empathy, this phase can lead back to anger and frustration.

Depression: 

Private mourning of the loss and regret to do with the practical aspects like loneliness and the cost of the loss can strike at this stage. Here, the patient must be made aware of rights as well as the people around him or her who can help out to prevent this depression from becoming a full-fledged condition.

Acceptance:

In this final stage, the patient becomes more accepting of this new reality. Yet, even this must be taken up cautiously as a grief stricken heart may lead to a variety of mental ailments in the long run.

The way to deal with these stages is with therapy and proper guidance where the patient is allowed to channel all the thoughts and anger before accepting the situation. Do not hesitate to ask for counselling and embrace the changes in your life without regret, guilt and depression.

Coping with Grief and Loss: The Five Stages

When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of the current lifestyle diseases from diabetes to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.

The statistics around tobacco abuse are extremely startling and can be read below:

A total of about 90 trillion rupees are spent on various tobacco products.
About 1.4 trillion is spent on healthcare-related to conditions caused by tobacco abuse.
India has about 120 million tobacco users.
More than 7 million people die every year due to tobacco usage.
The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.

This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.

In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating  Smoking Kills  or  Smoking is injurious to health. 
Marketing campaigns are shown in the movie theatres at the beginning of movies which depict the hazards of tobacco
Smoking is banned in most public areas, and warnings are on display.
Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
Schools and colleges do not have tobacco selling within 100 meters of the campus.
The price increase ensures that not everybody has easy access to cigarettes.
Celebrities promote quitting tobacco and smoking by talking about their personal stories.
How can a healthcare professional help you?

A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support. 

What should a healthcare professional do?

Identify people who smoke 
Motivate them to quit or think about quitting
Refer a person who smokes for treatment and support
Support ongoing abstinence
What is the right smoking cessation strategy?

Ask: Every smoker to visit a healthcare professional
Advice: Urge the smoker to leave smoking
Assess: Assess whether the person is willing to quit in 30 days
Assist: Plan and help Rx Quit
Arrange: Arrange a follow-up through phone or SMS or in-person
What is that people who smoke need help with?

First and  the foremost challenge are the withdrawal symptoms 
Urge to smoke and borderline depression with a possibility of relapse
People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?

Behavioural support is of proven efficacy
Can be delivered in different formats
Face-to-face
Telephone
Internet
Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)

There are no real contradictions related to NRT
No drug interactions 
Side effects, if there are any are localized e.g.
Taste of oral products
Hiccups with the mouth spray 
Skin irritation with patch 
Treatment for quitting Nicotine  - Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion. 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

Bipolar disorder is also known as maniac depression. This usually sets in low and high moods in a person along with change in energy and sleep.
People with bipolar disorder tend to have periodical changes; sometimes they are over happy and other times they might feel sad, depressed and hopeless. Between these changes they are normal. The highs and lows are considered as extreme poles of moods, thus the name bipolar disorder.
Manic term is used when a person with bipolar disorder is highly excited and feels confident. Also, feelings of irritability and recklessness along with irrationality might occur. Some people with mania might have a hallucination that is they see and hear things that are not there, along with delusions. 
The term hypomania is used to describe mild symptoms of mania, in which a person does not have hallucinations and delusions and the symptoms do not interfere with their daily life. Similarly, the term depressive is used to describe a person's time when they feel depressed or sad. 
Symptoms of Bipolar Disorder
The highs and lows in a bipolar disorder do not follow any set pattern. One might feel manic or depressed for hours or days or weeks, months and even years together before they actually switch to a happy mood. The severity depends from person to person and also changes with time by becoming less or more severe.
Symptoms of mania or the high are extreme excitement, change from being happy to angry and irritable along with restlessness, speech is rapid with low concentration, less sleep and increased energy, high se drive, grand plans, alcohol and drug abuse and impulsiveness.
Symptoms of low or depressive phase are lethargy, worthlessness, feeling of sadness and hopelessness, lowered concentration, irritability, loss of sleep or excessive sleeping, loss of appetite and suicidal tendencies.
Diagnosis of Bipolar Disorder:
In case someone exhibits symptoms of bipolar disorder, then talking to a psychiatrist or a doctor helps. Doctors ask questions related to the mental illness and the associated concerns. Diagnosis is basically recognizing the symptoms of the person, whether they are due to some underlying cause or mood swings because of excessive alcohol. The symptoms have to be noted and the duration for which they last along with the severity should all be noted. The most obvious symptoms are that of lows and highs in mood and changes in behavior, energy, sleep and thoughts.
Consulting a doctor or talking to family and friends helps to differentiate the symptoms of bipolar disorder from unipolar disorder.
Treatment:
Medicines which involve mood stabilizers such as lamotrigine, valproate, lithium, carbamazepine and antipsychotics such as olanzapine, quetiapine should be taken. Psychotherapy is also recommended.

Bipolar Disorder - What It Means

Don't wait any longer, manage your Addiction Specialist online with a Lybrate doctor today

Consult for Addiction Specialist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES