The brain contains numerous nerve cells which help in its normal functioning. Epilepsy or seizures occur when there is a disruption in the activity of the nerve cells in the brain. A neurological disorder of the CNS (Central Nervous System), epilepsy can affect all and sundry, irrespective of their age, sex and ethnicity. However, children and aged people (above 60 years) are more susceptible to the condition. A study suggests approximately 10 million people in India suffer from epilepsy.

Types of Epilepsy
Based on the activity of the brain that causes an epileptic attack, Epilepsy can be of two types - Focal or Generalized
Focal Epilepsy: An epileptic attack triggered by unusual activities restricted to a particular area of the brain.

In some cases, focal epilepsy may result in unconsciousness. A person may also lose awareness and become unresponsive (keeps staring into space), a condition termed as Focal Dyscognitive Seizures. A person with this condition may behave strange, such as walking in circles, chewing or rubbing their hands.
In another type of focal epilepsy known as Focal seizures without loss of consciousness, a person does not lose consciousness. In such cases, there may be sudden and involuntary jerking of the arms or the legs. There may also be dizziness or a tingling sensation.
Generalized Epilepsy: Here, the seizures or epilepsy result from unusual activities throughout the brain. Generalized epilepsy, may, in turn, be of the following subtypes

Tonic seizures: This affects the muscles of the legs, arms, or the back, causing them to stiffen and tighten up.
Atonic seizures: Here, a person may suddenly fall down due to loss of muscle control. The condition is also known as Drop Seizures.
Absence seizures: Mostly affecting children, the affected person may lose awareness (temporary) and behave strangely such as staring into spacing, smacking their lips, or blinking their eyes continuously.
Clonic seizures: They are characterized by sudden and continuous jerking movements of the arms, face, and neck muscles.
Tonic-clonic seizures: Here, a person may suddenly lose consciousness. There are violent shaking and stiffening of the body. Some people may even be seen biting their tongue.
Myoclonic seizures: In this arms, and legs of a person suddenly twitches and jerks.

What triggers an Epilepsy?
Epilepsy may be an outcome of the following factors

Medical conditions such as stroke or even brain tumors may affect the normal activities of the brain, thereby resulting in epilepsy. Diseases such as Viral Encephalitis, AIDS or Meningitis act also act as a trigger, accelerating the chances of epilepsy.
Developmental disorders such as Neurofibromatosis or Autism can also trigger epilepsy.
In some cases, epilepsy may be a genetic predisposition. Thus, a person with a family history of epilepsy may suffer from the condition.
Epilepsy may also be an outcome of a prenatal brain injury due to oxygen deficiency or an infection to the mother.
People with dementia may also suffer from an epileptic attack.

Epilepsy - Know The Most Common Types!

Bipolar disorder is a mental disease that is characterized by sudden changes in mood. People suffering from the condition may experience severe episodes called mania and the disorder can even cause depression among patients. Bipolar patients can also have difficulty maintaining relationships in their personal life, due to the unpredictable nature of their moods and behaviour.

Risk factors for bipolar disorder

Bipolar disorder is associated with a number of risk factors such as the following:

  Genetics - People who have a family history of the condition. Particularly, if an individual s siblings and parents suffer from the disorder, they face a greater risk.
  Environment - Stressful or traumatic events can lead to bipolar disorders as well. For instance, the death of a loved one may push people off the edge and lead to the mental affliction.
  Brain structure - People with certain brain structures may be at a higher risk from the bipolar disorder



Symptoms of bipolar disorder

Three main symptoms characterize bipolar disorder- mania, hypomania and depression. Each of these symptoms can lead to rapid mood swings in a person suffering from bipolar disorder.

  Mania

Mania is an episode where the person suffering from the disorder starts to feel extremely high in terms of emotion. They become hyperactive, excited and even euphoric. During such an episode, people are also liable to engage in drug use.

  Hypomania

Hypomania is similar to mania but is not as severe. Hypomania only affects people suffering from bipolar II disorder. Even though hypomania may not be noticeable to people around the patient, the person affected may notice an unexpected change in their moods.

  Depression

Depression is just opposite of what mania is. It manifests a feeling of hopelessness, lethargy, remorse. Suicidal thoughts also accompany most cases of depression. Even though depression can be caused as a separate condition, people affected with bipolar disorder undergo periodic depression and mania, which can be even more difficult to handle.

Treatment for bipolar disorder

Contemporary medicine does not have a cure for bipolar disorder as of now. However, with proper medication and therapy, a patient suffering from the mental illness can manage the symptoms and reduce the mood swings. Aside from medications, such as antipsychotics, antidepressants and mood stabilizers, patients may be prescribed psychotherapy as well.

Cognitive behavioural therapy and psycho-education are vital parts of the treatment. The former is basically a talk therapy session between the psychologist and the patient, while the latter looks to educate the patient and their families about the bipolar disorder and ways of living with the condition.

Creating a strict routine for daily life activities can also help deal with the disorder and reduce the symptoms.

Mood Swings - Are They The Signs Of Bipolar Disorder?

Trouble with speech arises from a number of issues in the brain or the nerves that are responsible for the control of the larynx, vocal cords and facial muscles. Muscular disorders end up affecting the teeth, mouth and jaws which in turn will invariably impair speech. Sometimes many of the health conditions are present since childbirth whereas others might occur because of infections, injury, tumors and metabolic diseases.
There are different kinds of speech disorders; they are -

Aphasia is the inability to comprehend language in any form (written, spoken) and generally takes place because of disturbances in the brain.
Dysarthria is the condition that makes articulation difficult for patients suffering from it. Symptoms associated with dysarthia are difficulty swallowing and slurred speech.
Spasmodic dysphonia makes speaking a difficult job because of recurrent muscle spasms. These muscles affected in this disorder control the vocal chords, and therefore your speaking ability.
As most of the cases of speech disorders start to show early on in childhood, how can you tell if your child needs speech therapy?
Here are five signs that you should keep an eye out for:

There is a distinctive lack in social mixing or interactions. Children who are not able to comprehend and effectively respond to what you say need to be evaluated.
By the time the baby is twelve months old, she or he would be able to create words. By the time they turn eighteen months old they are able to connect words. If the ability to create such words or make gestures or sounds are absent or are markedly reduced in your child then you need the help of a speech therapist.
Parents are capable of understanding what their child says by the time they turn one and a half to two years old. If this is not the case then you will have to seek the help of a therapist.
If your baby is nearly three years old and is still incapable of uttering simple words such as  Daddy sleep ,  mommy hungry  then you might need external help.
If your precious baby is significantly facing trouble with consonants such as  ma   ba ,  pa  at the age of two or is incapable of making sounds such as  k  or  g  then your child most likely has a speech disorder. You should get him evaluated at the earliest.

5 Telltale Signs That Your Child Needs Speech Therapy!!

5 signs that you or your loved one may have bipolar disorder

Bipolar disorder is a condition where the patient may go through certain periods of extreme happiness and joy which is known as mania. On the other hand, there may be other periods where the patient may be extremely sad and depressed and even suicidal.

In some individuals, these phases may last quite long whereas, in others, they may change very quickly. However, there are certain common symptoms displayed by patients with bipolar disorder. Let's look at a few of them.

Feeling extremely happy, to the point of being careless

Certain patients, at the onset of bipolar disorder, will feel extremely happy and have their sense of judgment hampered. When patients feel very elated without proper context, or for very small reasons, it could be an indication that the person is experiencing mania.

Feeling extremely depressed

Similarly, on the other end of the spectrum, if a person feels extremely depressed without an appropriate reason, it may be due to bipolar disorder. Also, the severity of depression and the length of time for which a person experiences it is also an indicator of the condition.

Lack of interest in activities which formerly interested you

You may suddenly lose interest in an activity that genuinely interested you earlier. This may include your profession or hobbies.

Loss of appetite during the depression phases

During the phases of depression or sadness, which may sometimes last for months, a person may rapidly lose weight due to lack of interest in food. Even for patients who have shorter cycles of changes lasting for only a few weeks, this will be noticeable.

Extreme restlessness and lack of sleep during the manic phases

When the person enters a manic or happy cycle, it may trigger over enthusiasm, restlessness and lack of sleep. This, like the depression phase, will also vary from patient to patient and may continue for the entire duration of the phase. A jump from a depression cycle into this phase will be definitely noticed by others.

If a few of these symptoms are detected, then the patient should be taken to a mental health professional for appropriate treatment as soon as possible.



5 signs that you or your loved one may have bipolar disorder

The number of children suffering from eating disorders are on the rise. Change in eating habits, stress, depression, low self-esteem, lack of control in life, anger and loneliness are some of the causes of eating disorders. Some genetic disorders could also be a reason for eating disorders.

Eating disorders may lead to several health conditions which may arise in case of abnormal eating patterns. The common modes of eating disorders in children are as follows:

Anorexia
Children who are affected with anorexia think they are very overweight in spite of actually being very thin. Anorexia affected children consume less than a thousand calories per day.
The treatment for anorexia nervosa generally includes a mix of mental treatment and regulated weight gain program. The best ways to deal with anorexia are:

1. Psychological Treatment: Different psychological treatments can be used to cure anorexia of different stages in children. They include cognitive analytic therapy, cognitive-behavioral therapy, interpersonal therapy and focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be provided.

2. Weight gain program: A weight gain program will guide an anorexic child to improve his diet habits and slowly gain weight. A patient is monitored carefully; the traits are recognized and a diet pattern is given, which is ideal for him.

Bulimia
Bulimia nervosa is another category of eating disorder. The main characteristic of this disorder is overeating in the highest level. Binge eating is observed, followed by attempts by the affected individual to lose weight. A bulimia affected child is constantly trapped in the cycle of overeating and then thinks about losing weight.

In spite of not liking the idea of binge eating for the fear of getting obese, a child affected by bulimia cannot follow this and continues binge eating. Later, they take extreme measures to lose weight. The primary methods to deal with bulimia are:

1. Psychotherapy: Psychotherapy or talk therapy includes examining the bulimia and related issues with an expert. It has been proven that psychotherapy restricts the symptoms of bulimia. The three modes of psychotherapy include, Cognitive behavioral therapy, Family-based therapy and Interpersonal psychotherapy

2. Medications: Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is one medicine that can be taken.

3. Proper diet plan: For bulimia affected children, having a proper balanced diet is very important. A diet expert should be consulted, who will make the most essential food pattern for the child. Undertaking a weight-loss program is also vital.

Binge eating
Similar to bulimia, binge eating includes out of control eating in huge quantities in a short period of time. The food is not vomited out, and binge eating causes obesity. Intense emotions are experienced in binge eaters. Binge eating in children can be treated with behavioral therapy, medications and psychotherapy.
Eating disorders are quite common in children who are yet to gain maturity. 

These disorders may lead to severe health consequences, which may affect a child physically and psychologically. A proper treatment is also essential to deal with these disorders.

How to Treat Eating Disorders in Children

The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person. 

Various risk factors that are associated with diabetes and depression are as follows- 

lack of physical activity
poor social environment
poverty
stress during pregnancy
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes. 

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin. 

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy. 

Various signs that can be observed in a state of depression are as follows: 

Complete lack of interest in doing any activity
Irritation or mood swings
Depressed mood
Disturbed sleep pattern
Changes in the appetite
Constant feeling of despair
Guilt Fatigue, weakness
Difficulty in concentration, transient memory loss
Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users. 

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

How Diabetes Can Lead To Depression?

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