We all have mood swings but not all mood swings have the same intensity. People who have extreme mood swings ranging from depression to manic highs are said to be suffering from bipolar disorder. These extreme moods are known as episodes and usually, last for a few days or even a few weeks. A person suffering from bipolar disorder could have an episode several times a year. This is a very common psychological problem and can affect both children and adults. Though it cannot be cured, this disease can be managed with medication.

There are no known causes for bipolar disorder but genetics may play an important role in triggering Bipolar Disorder. Hence, if a parent or sibling suffers from this condition, you have a risk of developing it as well. An imbalance in the neurotransmitters in the brain may also play a part in the development of this condition. Stress or traumatic events like the loss of a loved one can also increase your risk of suffering from this condition. Given that mood swings affect almost each one of us, bipolar disorder can be difficult to diagnose. Some of the things to look out for are:

Change in self-esteem
Unusual talkativeness or quietness
Being increasingly prone to distractions
Decreased need for sleep
Agitation
Recklessness in terms of spending decisions, relationships etc
It must be kept in mind that a person must display at least 4 of the above symptoms simultaneously to be diagnosed as bipolar. Also, none of these symptoms should be a result or side effect of any kind of medication, drugs, alcohol or other intoxicants.

There are four main types of bipolar disorder:

Bipolar I: In such cases, the person has at least one episode of elevated moods and associated abnormal behaviour in his or her life. This may be preceded or followed by depressive episodes.
Bipolar II: In these cases, the person must have suffered from at least one depressive episode. It is very similar to bipolar I except that in bipolar II the highs never reach the manic stage.
Rapid Cycling: Some people can have 4 or more manic and depressive episodes a year. In such cases, they are said to be rapid cycling. This condition affects 10-20% of bipolar cases.
Mixed Bipolar: Usually, bipolar patients show mood swings that alternate between manic and depressive moods. However, sometimes a person may experience both elation and depression simultaneously or in rapid succession of each other. These cases are known as mixed bipolar.
Once diagnosed, bipolar disorder can be managed with a combination of medication and psychotherapy. In some cases, electroconvulsive therapy may also be needed.

All About Bipolar Disorder

Marriage or any healthy relationship, is a bonding and not a binding. Finding the right person and living happily ever after is only true in fairy tales. In reality, once you find the right partner, maintaining and nurturing the relationship bond itself takes a lifetime and living happily solely depends on how you cultivate relationship with your partner.

Communication is one of the chief ingredients besides trust, understanding, love, care, companionship and empathy in a happy and successful marriage. And, failure to communicate is one of the foremost reasons for the failure of relationships. Do you say I love you and appreciate your partner or do you just criticise and complain about him/her all day long? Do you consider his/her ideas and feelings or always turn them down? To communicate effectively is to express yourself freely to your partner, convey your likes and dislikes, convey what turns you on and what doesn't! Unless and until you are vocal about your thoughts and feelings, how do you expect your partner to understand you? You feel frustrated and upset because things don't happen your way but have you tried to 'express' your way to your partner?

Lack of communication in relationships results in frustration, misunderstandings, unrealistic expectations, guilt and can create personal differences. It is difficult for people who share their lives with each other to coexist for long without having regular and smooth communication for oiling the machinery of the relationship.

Couples who communicate effectively are not always devoid of arguments. Arguments happen because there is a difference of opinion between the partners; which is a very normal thing. Arguments usually end in nasty and bitter manner. However, it is up to us to convert that unhealthy argument into a healthy one! Most of us indulge in these arguments to win; not to resolve the matter! What is important is the 'progress' in the matter at hand, not the victory.

Remember, not to engage in any serious discussion or disclosure when angry as you tend to lose balance and rational reasoning. The same holds true in a situation where your partner is not up to it. Receptivity is of utmost importance. A 'No' from a partner does not mean not now, not ever. It simply means I don't want to do that right now! Feeling free to say no if the request is unappealing at that point in time.

Communication cues that can help improve the quality of argument:

Remember, there is no blaming game! WHAT is Right is more important than WHO is right.
Use I statements instead of You always statements. Example I feel angry vs. You always humiliate me. When you use I statements, you're taking the onus on you.
Attack the issue; not each other!
Refrain from the 4 C's : Caustic (sarcasm), Compare, Condemn and Criticize.
Avoid mind-reading your partner and assuming things; instead express yourself verbally.
Using 'I feel' statements are better over You are ones. When you say I feel, you're taking the onus for your feelings and thoughts and avoiding direct blame on your partner.
Have an open mind. Minds are like parachutes; they work best when open. Be proactive and open to changes, alternatives and work effectively for resolving a conflict.
Stay away from Stereotyping (generalizing - all men are like that...) 'Gunnysacking; (nursing past grievances and bringing them up for review while trying to resolve a present conflict).
No engaging in 'Summarizing self-syndrome' where both partners continue to restate his/her stance and issues without actually listening to other and without understanding other's perspective, feeling frustrated.
Cut back on 'Catastrophizing' i.e. dwelling on the worst possible outcomes of a problem or risk that you face, to the point that even remote, unlikely disasters preoccupy your attention. Often, objectivity becomes clouded, and you may gradually begin to feel or act as though these unlikely events are really going to happen.
Get rid of 'Stereotyping'; (generalizing - all men are like..) and 'Gunnysacking' (cropping up issues from the past having no relevance to current problem).
Don't send double messages- statements which have two conflicting meanings. Keep it as simple and assertive as possible.
A mind is like a parachute, it doesn't work unless it is open. So have a broad perspective, try to understand your partner's perspective and try and arrive at a mutually agreeable decision that caters to well-being as a whole. Matrimony is the high sea for which no compass has yet been invented. What counts in making a happy marriage is not how much compatible you are, but how you deal with incompatibility. Marriage was, is and never will be perfect, Yet it is the happiest wrong we are doing on earth!

Are You Happily (n)Ever After?

Anger is good. It protects you. But intense, uncontrolled anger may destroy valuable relationships. Anger is a result of anxiety and fear. When we assume that our expectations will not be met, we become anxious. When we feel unsure about our own capabilities we become anxious. This anxiety creates fear. Anxiety comes from our beliefs. All beliefs can be modified.

Anger has lots of energy. Avoid arguments/confrontations when you are very angry. When you are very angry you are likely to use rough language which may damage your relations and you are likely to behave impulsively. All this you might regret later on. Following are a few techniques which will help you to manage your anger in difficult situations :

Sit down and have a glass of water, slowly. This will help you to calm down a little.
Avoid or go away from that room or situation. Tell the people concerned, that you are angry and would like to discuss it some other time.
Deep breathing exercises help a lot. Close your eyes, take 10 deep breaths, turn your attention towards your body. See what is happening to your body. Tell your body muscles to relax. If your heart is beating fast, if you are breathing fast, continue deep breathing, till it normalises.
Now understand what is making you angry. Understand your own anxiety and fear related to the issue.
Let the other person know how you are  feeling . Start your statements, I feel hurt/insulted/let down/neglected etc. when you do this , instead of saying  You hurt/neglect me . When you express your feeling in this manner, the other person does not feel blamed, which makes the other person more receptive.
Focus on the current issue, don t bring in past situations.
Tell the other person, what you want or expect, instead of telling what you do not want. E.G. Instead of saying  I don t want you to go out now , say  I would like you to stay at home today .
Listen carefully what the other person wants to tell you. Give others a chance to voice their opinions.
Make an eye contact and be firm but polite while communicating your point of view.
Understand everyone s responsibility in the situation. Try to see, what is your share in the problematic situation? Work on that.
Understand what change you want.
Have realistic expectations from others and also from yourself.

Anger Management - 12 Tips To Help You!

Children should be brought up with utmost care. A child should not be your centre of attraction only because it is incapable to fend for itself, but also because it is not half as aware as you are or could be about its problems. Parents punish their children for the slightest of their mistakes; they at times even threaten children to bring home a lesson. Patience and observation are two key things in good parenting. The foibles of your child might indicate at an underlying medical condition. Instead of fixating over the mistakes try and locate the root cause. Early diagnosis of autism can save your child from a bleak future.

The following are a few symptoms of autism in children:

Social interaction is a huge challenge: Children suffering from autism are usually noticed to live in a world of their own. They hardly listen to people around them or hardly talk. The presence of many people can scare them or make them conscious. When spoken to, they look away. They do not feel comfortable in revealing their joys or fears. Autistic children like to play alone; they are not interested in group activities with friends.
Difficulties in communicating their needs: Communication is the biggest problem autistic children seem to face regularly. They are not able to express their needs and emotions. If they are hungry they might scream or break things but not ask for food. They even fail to comprehend instructions and seem confounded by simple situations. Their speech could comprise of mumbling. Autism in children could make them develop a condition popularly known as echolalia under the effect of which they mouth words without knowing their meanings in an extremely strange tone.
An obsessive, repetitive behavior: Children with autism could be persistent in some of their actions. Their body gestures could be repetitive; for instance, they can continue flapping their arms for hours together. Children in certain cases are also very particular about routine. Quite strikingly, objects affect them and they might scrutinize an object meticulously.
Sensory problems: Light sound and touch can have a huge impact on children suffering from autism. Patches of light and shade intrigue them whereas high pitched sounds could depress or intimidate them. They usually prefer deep pressure touch and might not respond to anything else.

Autism in Children: Prevalent Symptoms

An event or an accident that leaves us overwhelmed can lead to post traumatic stress disorder, also known as ptsd. A particularly stressful situation or event that has created terror or been overly dramatic or dangerous can lead to stress and anxiety long after the individual has physically come out of the situation. This kind of a traumatic condition is usually what characterises ptsd. This condition is something that is persistent, and can linger on for a long time, calling for medical supervision and care. Here's a list of things you need to know about ptsd.


	Duration: post traumatic stress disorder usually lasts up to six months. Yet, there are cases where it lingers on and requires treatment for some particular types of symptoms or behavioural changes. Usually, the patient's behaviour is a result of one or more of the symptoms discussed below.
	Re-experiencing symptoms: these symptoms include flashbacks and life like re-imagination in the form of dreams and nightmares. In many cases, the patient may remember and re-experience the entire scene or series of events that have led to the trauma in the first place. This can be triggered by a memory or association with words, events and other such things that have to do with the memory of the traumatic episode.
	Avoidance symptoms: a traumatised patient may go out of his or her way to avoid things that are remotely close to the traumatic incident. They may fear a reoccurrence or a reminder of the event and may avoid addressing the trauma altogether. Patients suffering from this symptom may have created a mental block, and may not be able to remember the exact details of the event. They may also feel emotions like fear, guilt, depression and even worry, over the past incident which led to the trauma in the first place.&nbsp;
	Arousal symptoms: arousal or reactivity symptoms may trigger the same reactions that the person showed during the traumatic experience. These may include being on edge constantly in anticipation of a reoccurrence, or even getting startled by the slightest thing since the mind is already occupied with thoughts of the event, constantly. Anger and emotional outbursts may also be caused due to these symptoms.
	Mood symptoms: mood swings are the most common outcome of these symptoms. The patient may experience a complete lack of enthusiasm and drive to indulge in activities like hobbies and socialising. Also, the patient may end up harbouring feelings of negativity towards family, friends and strangers, besides going through phases of guilt and self blame for the occurrence of the traumatic event.


Ptsd can be a debilitating disorder in the emotional sense, and should be treated by a psychiatrist in case it lingers on for more than six months.


All About Post Traumatic Stress Disorder

In India, crimes against women have been on the rise; they might have always happened at the same rate but today's media have become more attentive towards these crimes by bringing them to the forefront. Recently, the devastating news of an Assamese higher secondary student being raped and killed has surfaced. Her floating decomposed body was not discovered until 4th of May when the incident itself occurred on 28th of April. If a rape victim dies, it is the most unfortunate consequence that the parents and the loved ones have to live with but there are numerous victims who survive and they can lead a normal life with guidance and care. Any occurrence of sexual assault not only leaves scars on the outside but also have deeper psychological and emotional effects. The emotional scars can manifest in the form of post-traumatic disorder, depression and suicidal tendencies. If you know anyone who has undergone such an experience, then read on to find out how you can help her get back to her life.

Medical Examination: Physical effects of rape can be adverse on the victim. Forced sexual assault causes bruising, wounds and vaginal bleeding and immediate medical attention is required to ensure safety. Subsequent medical tests should also be carried out to check for Urinary Tract infection, Sexually transmitted diseases (STDs) and uterine fibroids.

Therapy: Wounds of the flesh heal, but it takes a lot of time to recover from emotional damage and in some cases the survivors bear the burden of psychological scars all through their lives. They may see the incident as an assault to their souls and develop depression, post-traumatic disorder, borderline personality disorder, sleeping and eating disorder. The loved ones have to be understanding and be patient with them. One-on-one therapy or group therapy sessions can be very helpful. Talking about their emotions and resolving issues of anger, regret, pain, fear, guilt in a friendly, supported and understanding environment can help them reconstruct their self-image.

Counseling: Guilt and shame are two most common stigmas that most survivors have to deal with. They somehow blame themselves for the incident and regret any step they think that might have led to the incident. They become so consumed by the incident that they think the experience defines them, instead of their persona which is called dissociative identity disorder. In such cases counseling sessions can prove to be very beneficial. They need guidance to understand the situation and separate themselves from the incident. The survivors may feel weak and victimized, overpowered and violated; they may also think that they have lost control of their bodies. Counseling can assist to resolve such issues and help them empower themselves with time.
It is important to make the survivors realize that it is not the end of their lives. With a positive attitude, proper rehabilitation and counseling rape survivors can lead a normal, happy life.

Overcoming Sexual Harassment: You Are Stronger Than You Think

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