Borderline personality disorder (bpd) is a mental illness. A patient suffering from bpd maintains unstable relationships with other people, shows inappropriate emotional reactions and possesses suicidal or self-harm tendencies. It is purely a personality disorder caused due to multiple factors. Patients suffering from bpd may find it difficult to stay alone. They fear abandonment and loneliness. Yet they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life.

It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with bpd.

Symptoms of borderline personality disorder.

The signs of suffering from bpd are listed below:

Intense and frantic effort to avoid abandonment or loneliness
Unstable relationships with people and changing the attitude towards them drastically. It can change from being in immense love with each other to intense hatred.
Developing paranoid thoughts and having dissociative feelings-the patient often lacks the feeling of self and suffers from identity crisis.
Suicidal feelings and attempts
Tendency to cause self harm or destruction by drug abuse, driving irresponsibly or be having unprotected sex
Reflecting intense depression
Chronic boredom
Sudden anger and hostility
Causes for borderline personality disorder.

Borderline personality disorder can be caused due to multiple reasons. Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.

Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for bpd. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.

Diagnosis.

There is no particular clinical test that can diagnose bpd. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.

Treatment.

The treatment of bpd involves three steps- psychotherapy, medications and support from peer and family. Dialectical behavioral therapy, cognitive behavioural therapy and psychodynamic psychotherapy are used in treating the patient. There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed.

A Guide to Borderline Personality Disorder

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?

Anger is an ordinary and is an expressed reaction to an attack, perceived danger or fear. It has been very useful in our struggle for survival. The brain distinguishes the danger and the body is provoked and energized to respond with battle or fight. Once in a while, obviously, it gets out of hand. A few people, unmistakably, see dangers where there are none or where the risk is negligible. Their bodies get provoked improperly. They could use some assistance in understanding the signs that trigger their reactions and discover approaches to improve control.

Health problems: There are some individuals who encounter so much anger that they cannot control their drive to strike out at other people. This is isolated and separated from the issue of alcohol and medication misuse. It is imperative to recall that in case that you are a person who effectively gets angry and has outbursts, you can hurt your health.

Aerobics: Many of us are aware of the advantageous impacts that workout has on one s well-being and health. Various studies exhibit that every day exercise, particularly a program that includes aerobic exercise, can counteract or lessen feelings of anger or depression. Aerobic exercises, much like cardio activities, such as running, brisk walking, swimming and bike riding gets a person out of breath while expanding the pulse and heart rate.

Muscle relaxation: Muscle relaxation requires you to concentrate on straining and unwinding specific muscle groups in your body, so that it can divert you from your sentiments of anger. Moreover, it is great for mitigating nervousness and pressure, which can likewise ease angry emotions. This activity additionally attempts to help you rest when your emotions are running high. Concentrate on a specific muscle group, for example, the muscles in one hand. While breathing in profoundly and gradually, crush the muscles as hard as you can and keep up that pressure for five seconds. For instance, straining your hand muscles would include shaping a tight clench hand. Concentrate on that gathering of muscles and make an effort not to unintentionally tense the surrounding muscles.

30 minutes: There is a lot to be gained even from a 30 minute routine at the gym, in the recreation center or at home. If you have any sort of medical condition, or if you are not sure about the condition of your health, you must consult your doctor. When you get medicinal freedom for activities, it helps arranging and using a work out timetable of no less than thrice each week.

All things considered, you do not have anything to lose except excess weight, depression and now, perhaps even anger. Along these lines, in case that you need to better deal with your anger as it emerges, a great workout might be the correct approach.

How Workout is the Best Way to Get Over Your Anger?

 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!

What is Addiction?

Addiction is a condition in which individual engages in using a substance or seeking a behaviour which leads to rewarding effects in the brain and it reinforce the individual to repeat the using or seeking behaviour again and again. Addiction develops gradually over a period of time and due to the repetition of same pleasure seeking pattern individual become physically and psychologically dependent on the substance or to any other object at the center of addiction.

People can get addicted to many substances like, alcohol, nicotine, drugs, solvents, etc. In case of these substances, physical and mental dependency both can occur. There are other objects and behaviours which also activate brain reward system in the same way and can make people dependent on them, like gambling, shopping, videogames, watching pornography, etc. But in case of these objects or behaviours, psychological dependency can be more prominent.

It has been seen that there are lots of other mental problems found among individuals suffering from any kind of addiction, like anxiety, depression, personality disorders, psychosis, etc. Individual who is addicted to a substance or an object or behaviour indulge into compulsive pattern of seeking the same inspite of their detrimental consequences. Consequences of addiction can be seen on person s health, personal life, occupational life and social life. Addiction can lead to severe unmanageability in one s life.

Especially when it comes to substances, like alcohol, nicotine or any kind of drugs, we must understand how the tolerance level of the brain develops? Tolerance develops when an individual no longer responds to a substance in the way he/she did at first. So, it takes a higher dose of the substance to achieve the same effect as when the individual first used it. This is why people with substance use disorders use more and more of a drug to get the  high  feeling that they seek.



A blog posted by an alcoholic:

 I always wished I could drink like other people. But I never could. I thought it was the third drink that got me into trouble. If I only had two, then I d be fine. Thing is, once I put that first drink to my lips, I could no longer accurately predict what would happen next. I might go home, but I might not.

You d think if I made it home, then my drinking was a success. Wrong! If I made it home after two drinks, there was an insatiable need raging within me and I was gonna take it out on you.  After all, you re the reason why I had to come home. I would punish my family by being silent, or mean, or emotionally distant.

Looking back, it was never intentional. I didn t purposely choose not to go home.  I didn t leave the house with a suitcase containing a fresh set of clothes, a tooth brush and my cosmetics. Seriously, I was only going out for  a few. 

If anybody can relate to this or can understand this, he or she can understand tolerance, powerlessness and unmanageability.

How to recover from addiction?

To be an addict can t be anybody s choice, but recovery can be one s choice. The first key step to come out of your addiction is developing acceptance. For a person to admit their powerlessness in addiction to drugs or alcohol or to any other object at the center of addiction is a monumental first step to recovery. Powerlessness means the person do not have any control over his/her use of substance. Powerlessness may indicate weakness and helplessness; some may think it fosters a victim mentality. Acceptance starts developing when a person admit that he or she is powerless over the substance or object at the center of addiction and their life have become unmanageable because of that.

Addiction is a disease and recovery is not an easy process. Individuals who are already into the grip of addiction need to seek help. One cannot go through the journey of recovery alone. There is a myth that addiction is a habit and one can get out of it if he or she has the  Will Power . It s actually not true. To get out of the disease you need to develop  Skill Power , like skills to understand your physical and psychological mechanisms when it comes to the substance or the object of addictions, skills to handle cravings, skills to be assertive enough to manage social cues, skills to deal with day to day life stressors, etc. And in this process of developing skills and maintaining your recovery you need help of professionals.

A complete treatment program has three important approaches. First one is psychopharmacological (medicine) approach, second is psychotherapeutic approach and the third one is the 12 step program of alcohol/narcotics anonymous. A combination of psychotherapies along with the basic essence of 12 step program can bring greater outcomes in individual suffering from addiction.

Understanding Addiction And The Key Steps To Recover From It!

While we all know substance abuse is a social issue and learning that a loved one is affected by the problem can be nearly heart-breaking. It is definitely not something that can be easily accepted. At the same time, the affected individual needs all your love and attention and more importantly support to get through the situation. It is important to not show anger or frustration at the person but to empathize and help them get out of the situation. 

Read on to know some of the ways in which you can play an active role in supporting your loved one under such circumstances. This involves both of you coping with the situation at hand, as well as helping the person come out of the abuse. 

Educate yourself: When you are trying to help a person, you should know in detail about the substance that was being used and its ill effects. This gives you greater credibility, unlike the person who got carried with the happy feeling it gave and got into abuse. 
Ensure safety: This is both for the affected individual and yourself. With the required substance not being available, the person could look at harming either self or others, especially ones who are trying to get them out of the abuse. Though the intent is to help, they are looked at as people who are depriving the feel-good feeling produced by the substance, which is no longer easily available. Therefore, ensure safety. 
Talk openly: In the beginning, be a good listener. Once you get their confidence, make them understand that the entire situation is making you upset and perhaps angry or frustrated too. Get them to focus on your proposal of getting out of the habit together. If they are willing then this can ensure greater success in quitting the habit. Get to understand how exactly the habit developed including the people responsible for it, the circumstances leading to it, and the various chemicals that were used. The duration and frequency are also important. Tell them it is okay and that you will both get out of it with each other s support. 
Participate in therapy sessions: Individual counseling will work effectively for the primary client, but it is also important for family members to get involved. The counselor also would need support beyond the few counseling hours for completely getting rid of an individual s habit. Therapy can help you learn how to manage the issues back at home. 
Find your  me-time : With all that is going on, you will need some time for yourself to just be. Eat well, stick to your workouts, sleep well, keep your friends, and make time for your hobbies. These will ensure you are in good shape to support the affected individual. It is not possible for you to help another person when you are not in great shape yourself.

Substance Abuse - How Should You Cope With Someone Going Through It?

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