When is your pain chronic?

Your pain is chronic if it last for more than a period of six months. Chronic pain is a long-term pain whose nature can vary from mild to excruciating, and it may trouble you either continuously or at short and regular intervals. Chronic pain is so dangerous that it does not only cause discomfort and inconvenience but also robs you entirely of your capacity to work for a long time.

Chronic pain can occur in a number of organs of the human body like head, joints, back, shoulders, neck etc. In fact, pain in any part of your body can turn into chronic pain. Here are a few symptoms that can help you identify if what you are going through is, in fact, chronic pain:

- persistent and severe body pain

- burning sensation accompanied by the body pain

- fatigue and sleeplessness

- weak immune system

- stiff and sore joints

The 4 types of chronic pain disorders that you should be aware of are:

1. Nociceptive pain

The pain that affects the soft tissues of the body such as the skin and the muscles or the organs that have sensory nerves present in them is called nociceptive pain. The sensory nerves, known as nociceptors can detect the stimuli of pain and send information to the brain and the spinal cord for interpretation. The pain could be either somatic (originating in the outer body) or visceral (originating in the internal organs).

2. Neuropathic pain

This pain is caused when the nerves stop functioning normally. It is caused due to nerve disturbances that result in pain stimuli being spontaneously transmitted to the brain and spinal cord. If you are suffering from this type of chronic pain disorder, you will feel a sharp, shooting and stabbing pain. Neuropathic pain can also be caused due to the formation of neuroma (abnormal growth of the nerve tissue).

3. Psychogenic pain

The pain that is caused by psychological disorders like depression and anxiety is known as psychogenic pain. Sometimes this pain can be accompanied by physical complications like fatigue, body pain and muscle weakness.

4. Idiopathic pain

The pain that exists even though there is no physical or psychological cause for it is known as idiopathic pain. This pain is more common in people who have suffered from a pre-existing painful disorder. Some common examples of idiopathic pain are fibromyalgia (intense pain all over the body) and tmj disorders (pain in the jaw area).

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Why does PAIN occur? Understand the Mechanism of Pain

Your Pain is Chronic if it Falls Under These 4 Types of Chronic Pain Disorders!

OCD or obsessive compulsive disorder is a mental condition, which traps people in a cycle of repetitive thoughts that push them to do repetitive behaviors. As the name states, the obsession over certain things compels them to do it over and over again. These actions will only help you feel relieved for a short time and soon the cycle starts back again.

Symptoms of OCD
The symptoms of OCD are classified into two groups, one for the obsessive behavior and the other for compulsive behavior. Some of the common symptoms for these are mentioned below:

Obsessive behaviors
As the name states this means obsessing over certain things, which varies from person to person. Some of the things could be:
1. Being scared about making mistakes
2. The fear of being embarrassed in public situations
3. Constantly being scared about contamination by germs, microbes or dirt
4. Doubts about sure and simple situations and the need to be constantly reassured about them

Compulsive behaviors
The obsessions usually results in compulsive behaviors, which you may need to perform to reassure and relieve yourself of the anxiety temporarily. Some of these may include:
1. Trying to constantly arrange things in a certain way and still not being satisfied
2. Thoughts, words and images being stuck in your head throughout the day that may keep you disturbed and cause to lose sleep
3. You may even repeat specific words or actions multiple times as a measure of self reassurance.
4. Hoarding of items, which have no value

Causes of OCD
Biological factors: Certain chemical imbalances in the brain may lead to OCD, which may happen due to hormonal or biological changes. In fact certain infections are also known to trigger OCD in people.
Environmental factors: Certain types of mental trauma have been known to trigger OCD as well, such as
1. Office, school, college or other work related stresses over a long period of time
2. The passing away of a near and dear one
3. Relationship problems
4. Repressed abuses from earlier in life

Treatments
Most treatments of OCD are categorized into two types: 
Cognitive behavioral therapy: This is a counseling based therapy where you may be slowly asked to face your fears and overcome them over a period of time.
Medications: Antidepressants, inhibitors, or antipsychotic drugs or relaxants in various combinations may be used to treat OCD.
Electroconvulsive therapy: Only in the rarest of cases would doctors consider electroconvulsive therapy, if the patient is a danger to themselves or others around them.


Causes, Symptoms and Treatments of OCD

Neurological disorders are an enigmatic bunch. There are various ongoing researches to identify the exact cause and how to treat them. While some argue that schizophrenia is a chronic brain disorder, others do not agree with it and debate that the origin is yet to be identified and the factors which produce it are yet to be identified.

Factors supporting it to be a brain disease are listed below.

Scan images (MRI and PET scans) of people who have had schizophrenia are different and have a reduced volume of grey matter, especially in the frontal and temporal lobes. In some people, this loss could be as high as 25%. Serial images have shown that the loss begins in the outer (parietal) region and gradually spreads to the rest of the brain. There is a strong correlation between the extent of this grey matter loss and the severity of the symptoms more the loss, worse the symptoms. Severe symptoms include hearing voices, psychotic thoughts, delusions, hallucinations and severe depression. This grey matter reduction does not depend on whether the person has undergone treatment or not for the condition. 

The counter argument is that grey matter loss is not seen in patients with schizophrenia alone. A number of neurological disorders, including normal ageing, manifest as grey matter loss on the scan images. Also, another consoling news is that this grey matter loss is completely reversible.

The way neurotransmitters respond to stimuli in people with schizophrenia is also slightly different. There are two variations to this debate: that schizophrenia is caused by excessive amounts of dopamine or increased sensitivity to dopamine. There are two proofs for this hypothesis first, dopamine suppressants are useful as antipsychotic drugs and secondly drugs which produce the same effect as dopamine can cause hallucinations similar to those seen in schizophrenics. There could be other neurotransmitters involved too, but the dopamine connection is more strongly established.

The electrical activity of the brain as seen in EEG is very different and abnormal in schizophrenic people. This reduced brain activity is another indication of the fact that schizophrenia is another brain disorder. There is also a strong genetic component to schizophrenia. Family history correlation is also very strong. The correlation extends to the point that where there is a neurologic disorder in the first-degree relatives, the chances of developing schizophrenia is increased.

There are specific genes, mutations of which are also attributed to schizophrenia. While the risk factors are in place (as mentioned above), the environmental conditions (brain infections, head trauma, family/social stressors and toxins can all lead to the manifestation of the symptoms. With medications and support therapy, both prevention and symptom management are possible.

Schizophrenia - Is It Really a Brain Disease?

Do you have someone who is passive-aggressive in your life? Perhaps your parents, your siblings, your partner or your friends? It can be difficult to handle such a person. When two people, who are having a healthy relationship with each other are angry with each other, they show anger, they say that they are upset, they discuss things and sort things out. There are so many different ways to express anger. But when it comes to a person with passive-aggressive behaviour, it is not going to be the same when they are angry. This is basically a way to express anger indirectly, as they are unable to or uncomfortable to express their feelings and anger openly.

They need help, and it is you who will be able to help them get out of this pain or anger. Here are six steps to changing someone's passive-aggressive behaviour:

When there is an argument going on between both of you or when one of you is angry, do not say something or do something negative. This will make them shut down completely and they will never open up. It may also happen that the situation gets worse. So, take some time and calm down.
Do not go for any guesswork. You are trying to help someone to get over his/her passive-aggressive behaviour. You need to know what they actually feel. So, ask them how they feel and if they have anything to say about it. This can help them open up.
Brainstorming can be one of the best steps. Yes, if you think that you often argue on some common point, then you need to come up with a solution for it first. Ask for their opinion, make a list of all the points and try to make it as detailed as possible.
Check out the pros and cons of your opinions. When you are done with brainstorming, you need to consider each opinion or decision you made in order to make sure that both of you are comfortable with it.
Choose a win-win situation. In other words, pick up those solutions which make both of you happy.
Execute your opinion or plan and evaluate if it is working for you. If plan A does not work for you, then you can still consider the other options that you left behind to draft a plan B.
Communication is very important and when you are able to communicate well, you will be able to get what you actually need. You should start to think that your feelings are valid and learn to enjoy how good it feels when others value your feelings. Open up and talk!

Passive Aggressive Nature - 6 Things You Can Do To Help!

Binge drinking is a problem that has been noticed nowadays in many teenagers and youngsters. Whether it is at an event or a party, drinking high doses of alcohol in one sitting is known as binge drinking. 

Binge Drinking in Women Is Different from Men 

Binge drinking for men is the consumption of more than five alcoholic beverages in one sitting. But the case is different for women. For women binge drinking is defined as a woman consuming more than four alcoholic beverages in a single sitting. Also, it has been found in a survey that almost 75% of the binge drinkers are college students. Among these, the ratio of men is much higher than women. 

What Leads to Binge Drinking? 

Lack of control: One of the most common reasons is, of course, the lack of control. When such a person comes in contact with alcohol, they tend to over drink because they have no control over their drinking. 
The weekend fun: Secondly, another reason is seen in the case of youngsters between the age of 18 years to 35 years. These are youngsters who have a tendency of meeting friends and going out on weekends after the week s toil. They know that after this weekend they will be able to enjoy their favorite bottle only in the next weekend. Hence, they binge drink. 
Results of Binge Drinking 

It becomes difficult to check how much alcohol will affect a person, because it depends on various factors, such as height, weight, age and also at times, alcohol tolerance of the person. But of course, there are some common results of binge drinking. Some of such results are: 

Unintended and unprotected sex leading to pregnancy or even STD in some cases 
Accidents that may lead to severe injuries and even death at times
Physical or mental assault of others that the person may regret later on. 
When Is Help Required? 

When the person has a habit of driving after drinking, neglecting family and doing harm to others as well, help is surely needed. Here, short 4-5 sessions with a therapist may help. A regular drinking habit is no doubt a reason to worry. But binge drinking is another reason that can lead to bigger problems and hence, needs to be examined closely too.

Does Your Friend/Relative Have Binge Drinking Problems?

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 

Don't wait any longer, manage your Adult Psychiatrist online with a Lybrate doctor today

Consult for Adult Psychiatrist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES