The feeling of instability is the crux of borderline personality disorder. This condition usually begins in early adulthood and is worst at its onset. As a person ages, borderline personality disorder usually improves and becomes easier to handle. For a person with borderline personality disorder, everything from their relationships to their moods, thinking and behaviour is unstable and constantly changing. This can be frightening but thankfully, this condition can be treated.

As with any other personality disorder or health issue, the earlier a condition is diagnosed, the easier it is to treat. Hence, it is important to understand the signs and symptoms of this disorder. This disease manifests itself in different ways in each person but some symptoms are commonly experienced. These include:

Fear of abandonment: No one likes to be alone, but people suffering from borderline personality disorder are terrified of being abandoned. Even something as simple as being stood up at a meeting, can make such a person extremely anxious. It can also lead to relationship problems by making the person seem clingy and jealous about their partner.
Unstable relationships: For a person suffering from this disorder, relationships are either perfect or failures. Hence their relationships are extremely passionate but very short lived and they often feel disappointed by their partners.
Unstable self-image: People suffering from this disorder may feel very confident one day and feel the opposite on the next. Though everyone has shifting views of their identity form time to time, for people suffering from this personality disorder, theses shifts are extreme. It can often lead to frequent changes in jobs, friend circles, relationships, goals and values. It can also cause changes in their understanding of sexual orientation.
Impulsive behaviour: People who display self-destructing and attention seeking behaviour may suffer from this condition. This disorder has been often associated with alcoholism, drug abuse and recklessness.
Suicidal behavior: People suffering from this disorder may often be associated with behaviour that physically harms them. They are also capable of following through on suicidal threats.
Mood swings: Extreme fluctuations in emotions and moods are a common experience or people suffering from borderline personality disorder. These mood swings usually start only a few minutes of a few hours unlike depression and other anxiety disorders.
Suspicion about everyone around: Borderline personality disorder can make a person struggle with suspicious thoughts about everyone around them and make them paranoid. They often feel out of touch with reality and can feel spaced out when under stress.

Borderline Personality Disorder - Signs and Symptoms!

Speech therapy is a very specific field of medicine where the therapists deal with speech disorders in children and adults, which may be a result of certain mental or personality disorders. These doctors can be essential when it comes to teaching a child how to articulate better and also to be more expressive of his/her feelings. Here is a look at a few of the benefits of a speech therapist in the life of a child suffering from speech impairment.

Improvement of articulation skills: Articulation refers to the movement of the mouth, lips and tongue in such a manner so as to form and pronounce a word properly. Aside from the movement of the mouth, voice modulation also falls within the purview of articulation. A child suffering from speech impairment cannot perform this activity as easily as a healthy child does. This is where a speech therapist comes into play. These specialists can ensure that the child s mouth movement and voice modulation can be in perfect harmony to form words normally.
Language skills: Some form of mental disorders severely limit the number of new words or grammar rules that a child can learn. A speech therapist can aid such children in learning the basic rules of grammar and apply these rules when they speak out. So, it is quite likely that the therapists may also act as teachers for the children and improve their overall vocabulary.
Improvement of listening skills: Difficulty in speaking can sometimes also lead to difficulty in understanding what others are saying. So, if your child has a speech impairment, it may mean that he has problems understanding what you say to him. In such a circumstance, the speech therapist can, for instance, help your child understand the difference between a question and a statement. In the long run, the listening skill will help your child comprehend you better.
Reduction of stammering: Stuttering and stammering are forms of speech impairment that many children suffer from. However, such impairments can be easily rectified by undergoing a few sessions with a speech therapist. The therapist can clear your child s speech and ensure that the stammering disappears by the time he/she grows up.
Treat certain vocal conditions: Your child may be unable to speak clearly due to an issue with his/her vocal chords. If that is the case, speech therapists can sometimes help your child with the same. Abnormal vocal resonance can also be corrected by these specialists. 

How Speech Therapy Can Help Your Child Be More Expressive?

Schizophrenia is a severe, chronic mental disorder that affects an individual s ability to think and make decisions, as well as relationships and emotions. The illness is characterized by experiences or unrealistic thoughts, disorganized behaviour and speech, reduced participation in routine activities. A person diagnosed with schizophrenia also experiences difficulty concentrating and memorizing things.

Schizophrenia does not have a definite cure. However, psychological rehabilitation can help the patient manage the symptoms of the illness, and improve the quality of life. This is where psychosocial therapy steps in.

Rehabilitation Psychology for Schizophrenia

Rehabilitation Psychology is a speciality of Psychology that utilizes psychological skills, knowledge, and theories to evaluate and treat people diagnosed with disabilities and chronic health issues in order to maximize functional ability, independence, social participation, and overall health.

A rehabilitation psychologist individualizes services to address different patients with varying health conditions. In order to meet this goal, the discipline adopts a holistic approach and considers individuals within a broad social context.

Different Treatment Approaches

Rehabilitation psychology follows these techniques to address mental disorder like schizophrenia in people  

Individual Psychotherapy   a psychologist/therapist teaches the patient how to deal with their behaviours and thoughts. Patients learn more about the ailment and its effects   and how to distinguish between what is real and what is not. The therapy may also help them manage day-to-day life.

Cognitive Behaviour Therapy   CBT can help the patient change the way they think or behave. A psychologist can show them how to deal with hallucinations and voices. After a couple of CBT sessions, you may be able to identify what triggers psychotic episodes   delusions and hallucinations   and prevent or reduce them.

Cognitive Enhancement Therapy   CET teaches individual ways to recognize triggers, social cues better, and improve memory and attention, and the ability to organize thoughts. The therapy combines group sessions and computer-based brain training.

Social Skills Training aimed towards improving social interactions and communication
Rehabilitation procedures such as problem-solving support and job counselling

Even if the above techniques are able to improve the condition, a schizophrenic person will likely need to continue with special care and education on how to become part of the community. 




How Effective Is Rehabilitation Psychology In Managing Schizophrenia?

Post-traumatic stress disorder (PTSD) is an abnormal condition of the mind that develops when a person is exposed to certain traumatic events in life such as accidents, sexual assault or warfare.

The major symptoms of PTSD are:

Reliving the traumatic experience over and over again; this leads to severe and long-term mental distress.
Recurring dreams about the events.
Provocation of traumatic thoughts by the slightest event that causes distress to the individual.
Avoiding memories and thoughts that might remind them of the event.
Developing a negative view of themselves and the world.
Developing social or specific phobias.
Treatment

Medication and antidepressants: Medicines such as paroxetine, sertraline and selective serotonin reuptake inhibitor (SSRI) help the individual address insomnia-related problems that occur due to PTSD and suppress nightmares.
Psychotherapy: This form of therapy is used to cure both mental health conditions (such as obsessive-compulsive disorder, anxiety and depression) as well as emotional problems that result from PTSD. Skilled mental health experts are needed for this form of treatment to be administered. They would listen to each individual patiently and provide effective strategies to give solutions to the problems. Some of these therapies are:
Cognitive Behavioural Therapy: This therapy enables the individual to adapt to changes and recognize thought patterns which lead to irrational and negative behaviour and actions.
Exposure therapy: This therapy causes the affected individual to first become anxious by exposing him/her to the traumatic memories, situations and objects by simulating them. The therapy helps the person to overcome his/her fears and become comfortable in the same environment that had previously caused fear and anxiety.
Group therapy: This popular and effective form of therapy allows the individual to share his/her feelings, fears and thoughts with a group of people who have themselves experienced similar trauma in their lives. Sharing such experiences helps reduces stress levels.

Post Traumatic Stress Disorder - Ways It Can Be Managed!

Anger is a type of feeling whereas aggression is a type of behaviour. However, the two are frequently confused with each other. At different times individuals use their anger as a reason to act in an aggressive way. Here are a few differences between anger and aggression:

Anger is an acceptable feeling simply like bliss or sadness. Everybody feels angry once in a while. However, numerous individuals deny that they ever feel angry. For others, they have a tendency to wind up being angry to conceal different sentiments and emotions, for example, hurt and sadness. Angry sentiments can discharge endorphins, which are very powerful chemicals inside the body. This rush of energy can help individuals to alleviate themselves from feeling sad or hurt. Nonetheless, covering these very basic and fundamental feelings with anger is not a sound and healthy coping mechanism. Feeling angry is all right, however, the practice that people show when they feel angry may fall into the category of aggression. Anger is a very normal and typical feeling.

Aggression, on the other hand, is a decision. Just because you feel angry and furious does not give you the authorization to treat others poorly. Forceful practices tend to scare the other individual into doing something whether they need to or not. At the point when individuals carry on forcefully, they do not recognise the other individual's sentiments or necessities. Rather, they want the other individual to give in. There are a bunch of approaches to carry on aggressively and it might turn out to be physically injurious. Verbal types of aggression involve making threats or demands. It might incorporate verbally abusing or putting the other individual down. Physical types of aggression may incorporate tossing things, breaking things, hammering things, or physical assaults.

Aggressive conduct can be separated into different classes. These include instrumental aggression and receptive aggression. Instrumental aggression is objective guided aggression in which harm to another is not the essential objective, despite the fact that it can be an optional consequence of the activity. Another sort of aggression is called responsive aggression. Once in a while, it is referred to as hostile aggression. Responsive aggression is conduct that has harm as its primary and in some cases secondary objective. As a rule, this activity is because of an apparent unfairness, insult, or wrongdoing.

Anger is an impermanent emotional state brought on by disappointment and frustration. Aggression, on the other hand, is a regular attempt to hurt a person or to destroy property. In evaluating the conduct, try to make out the difference between anger and aggression that demonstrates emotional issues so as to lead a more normal and well-adjusted life. One can also take the help of anger management or therapy for better evaluation of the source of anger and its surrounding feelings. 

How to Differentiate Between Anger and Aggression?

 I have a severe stomach ache, I feel like vomiting ... Mom, please!! I can't go for exam.
 I read it! I knew it all ... But I just blacked out.  
 I just couldn't write! My hands were trembling.  
 I messed up this question! I can do nothing right... I can never succeed in life!!  

It's not uncommon for students to experience such problems before/ during an exam.

Most of us suffer from some degree of anxiety when we prepare or sit for an examination. Examination usually leads to a lot of tension and anxiety commonly known as examination phobia. Examination phobia or Examophobia is a mental disorder found in most of the students. When exams arrive, students become extremely worried and make plans about how to study, how to perform better and get good grades. Some students find exams so difficult that the phobia makes them sick as they simply find themselves unable to cope up with the exam fear. There may be sweating, palpitations that disturb so much that one cannot think straight and end up messing up the paper. Also, in subsequent exams, it becomes worse and the fear intensifies. The person may end up feeling a failure, feeling guilty and may even be suicidal! 

Anxiety is a normal human feeling that is part of life and can often serve as a good form of adrenaline. However, in few people, this adrenaline rush exceeds normal limits and at times may lead to some negative consequences.

Exam anxiety is:

1. Excessive worry about upcoming exams 
2. Fear of being evaluated 
3. Apprehension about the consequence 
4. Experienced by many normal students

POSSIBLE CAUSES 
(I) Environmental Causes

1. High expectations of parents 
2. Parents imposing their ambitions on children 
3. Parents competing for higher social status through child's scores 
4. Constant comparison with other kids 
5. Fear of teachers 
6. Insulting remarks from teachers

(II) Poor studying styles: 
1. Inefficient:

1. Irregular coverage of the entire syllabus 
2. Trying to memorize the course book 
3. Binge learning 
4. Studying all-night right before exams

2. Ineffective:

1. Reading without understanding the topic 
2. Unable to recollect the material 
3. Not making revision notes 
4. Not revising

(III) Psychological factors:

1. Feeling little or no control over the exam situation (rather than knowing and applying exam strategies) 
2. Negative thinking and self-criticism 
3. Irrational thinking about exams and outcomes 
4. Irrational beliefs  If I don't pass, my (family/boyfriend/girlfriend/friends) will lose respect for me  
5. Irrational demands  I have to get at least 98% or I am worthless.  
6. Catastrophic predictions  I'll fail no matter what I do there s no point.  
7. Low Self-esteem 
8. Fear of failure

SYMPTOMS OF EXAM ANXIETY 
The symptoms can range from minor nervousness to a panic attack, which can ruin the test. But whatever the level of your anxiety, learning to keep yourself calm and managing the fear of sitting for an examination is what it takes to come out with flying colors.

1. Physical symptoms. Headache, nausea, diarrhea, excessive sweating, shortness of breath, rapid heartbeat, lightheadedness and feeling faint can all occur. Test anxiety can lead to a panic attack, which is the abrupt onset of intense fear or discomfort in which individuals may feel like they are unable to breathe or having a heart attack. 
2. Emotional symptoms. Feelings of anger, fear, helplessness and disappointment are common emotional responses to test anxiety. 
3. Behavioral/Cognitive symptoms. Difficulty concentrating, thinking negatively and comparing yourself to others are common symptoms of test anxiety.

HOW TO PREPARE WELL FOR AN EXAMINATION 
Fortunately, there are several methods that you can adopt to reduce your examination stress, which will not only help you to get higher grades but also improve your overall mental health.

1. Regular Studies Develop good study habits- ATTEND classes regularly, finish all the assignments on time, make notes properly and be an actively engaging student in school. Leave plenty of time to revise so that you don't have to do last minute cramming. Giving yourself adequate time will help to boost your confidence and reduce any pre-exam stress as you know you have prepared well. Instead of waiting for the eleventh hour, start studying as and when the academic year commences. With a good amount of time before hand, you will certainly feel more relaxed as you have plenty of time to give-in your best. 
2. Exercise Matters - It is of paramount importance to maintain mental, psychological and physical health to ace any exam. Exercising regularly, deep breathing and  pranayama  help in improving one s cognitive faculties, that results in lesser anxiety and simultaneously better grades in the tests. 
3. Don t Undermine the Importance of Diet - Be careful about your diet during the exams. A diet lacking in essential nutrients can put a major dent in your preparations; make you feel nauseated, SLEEPY OR overstressed during the crucial hours. 
4. SLEEP WELL - Adequate sleep is also vital. SLEEPING TOO LESS OR TOO MUCH CAN ALSO HAMPER YOUR ABILITIES 
5. Support - Take short breaks in between and spend some quality time with your family; share your feelings and state of mind with them. Spending time with the family can turn out to be a major stress buster. 
6. Set a Study Time: Lastly, drawing up a schedule will help you make the most of your study time. Set aside a time for your studies and follow it meticulously. Keep it flexible so that you can make the necessary adjustments. 
7. Stay focused: Concentrate on your studies, not others during the examination time. Avoid talking with other students about the subject before an examination. 
8. Use Mnemonics: Mnemonics are the techniques of memorization. You can make chart, rhymes or phrase to memorize your lessons. 
9. Practice Deep Breathing Regularly - Meditation is one of the best medicine that can reduce your anxiety. Make a habit to Meditate at least 10 minutes per day. It surely increases your concentration power. 
10. Consult Psychologist: If your anxiety becomes uncontrollable, don t hesitate to consult a psychologist or therapist. CBT (Cognitive Behavioural Therapy) is pretty effective in treating anxiety disorders. It helps to change your thought process and negative beliefs. Performance or test anxiety is highly treatable so you can get absolutely get a better result.

HOW TO ATTEMPT THE EXAMINATION IN BEST POSSIBLE WAY 
(I) ON THE DAY OF EXAM

1. Get a restful, uninterrupted sleep the night before so you wake up refreshed and revitalized the day of the exam. 
2. Have a healthy breakfast but strictly avoid oily and heavy food 
3. Recheck your required stuff (pen, pencil, compass box, eraser, admit card, watch etc) before leaving home. 
4. Take the water bottle along with you to the examination hall. 
5. Avoid touching new/left-out topic at the last moment. 
6. Aim to reach the examination hall well in time. 
7. Avoid being part of Before-exam peer discussions on How well-prepared or unprepared others are! The classic  Tera kitna ho gaya  question followed by undue comparisons can be a complete confidence killer. So Beware !! 
8. If feeling tensed, take deep-long breaths and engage in positive self-talk; reminding yourself that you prepared best to your ability and tell oneself   I CAN DO IT  

(II) IN THE EXAMINATION HALL

First of all, fill the required information on the answer sheet. 
Read the instructions carefully to figure out if you have a choice of questions, no. of questions to be attempted etc. 
Read the question paper thoroughly before u begin writing and mark the questions under 3 categories: (a) Easy (b) Manageable (c) Difficult 
Manage your time: This is where you strictly need to stick to the plan:
Before you begin, allocate time for each question based on the marks it carries and difficulty level. 
If you are not able to complete an answer within planned time-frame, leave some space and move onto the next question. 
Always divide time in such a way that you are left with some time at the end to go back over incomplete answers and revise/recheck. 
Always try to attempt all the questions. 
Attempt the Easy questions first, followed by Manageable and Difficult questions at last. That way you stay secure, calm and confident. 
Avoid writing too lengthy answer just because you know it well.
5. Presentation:

a. Handwriting should be neat & readable. 
b. Instead of very long paragraphs, put your answer point-wise. 
c. Wherever possible, illustrate the information via Flowcharts/diagrams etc. 
d. Highlight: underline or highlight the main points using pencil / coloured markers but you should keep it for last spare moments.

(III) TIPS FOR PARENTS: 
Encourage your kids! Parents have the ability to address underlying fears that may be present with test-taking. At a deep level, even subconsciously, a student may fear failure for a variety of reasons. There could be a fear of looking dumb to friends, of not getting into the best school, or of not meeting parent s expectations. A great help is for parents to reinforce their unconditional support and encouragement to the child. Parents, let your children know that their grade does not determine their worth. Believe in your child. 

Help them get over the myth that  Success in exam is a predictor of success in life . 

Good marks = Great job. 
Poor marks = End of life!!

In short,  There are no secrets to success. It is the result of Time Management, Hard work and Learning from mistakes 

Say Goodbye To Exam Phobia!

Don't wait any longer, manage your Cognitive Consultant online with a Lybrate doctor today

Consult for Cognitive Consultant - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES