Causes and symptoms of Catatonic depression

Catatonic depression is a kind of depression which is characterized by prolonged periods of speechlessness and motionlessness. It is described as a state of mind that is caused by neurogenic and motor inabilities caused due to dysfunction of various neurotransmitters like glutamate and dopamine. People who suffer from a severe case of this condition, even have difficulty in performing simple regular tasks. For example, the act of eating breakfast may take a span of hours.

Some of the common symptoms of this condition are:

- Feelings of sadness
- A change in appetite causing gain or loss of weight
- Difficulty in concentrating and thinking
- Feelings of restlessness, worthlessness, and guilt
- Fatigue
- Irritability
- A loss of interest in any activity
- Trouble sleeping
- Attempts at suicide
- Cynicism and negativism
- Agitation
- Unusual and abnormal movements
- An inability to move and difficulty in speaking
- A refusal to eat or drink due to extreme anxiety

The major causes of catatonic depression are:

1. Abnormal neurotransmitter production

Irregularities in the production of neurotransmitters are believed to be one of the major causative factors of this type of depression. These neurotransmitters present in the brain help cells to communicate with each other. Serotonin and norepinephrine are the neurotransmitters which are mostly associated with this type of depression.

2. Dopamine irregularities

Another reason for this condition is believed to be the irregularities in dopamine, glutamate, and gamma-aminobutyric acid neurotransmitter systems. Underlying neurological, physical, psychiatric or psychological conditions are accompanying issues.

Administering antidepressants or using electroconvulsive therapy are some of the known ways of treatment which have proved effective for getting relief from catatonic depression.



What Makes Catatonic Depression so Impairing?

Depression is spreading at a fast pace in modern India due to many reasons like poor diet, lifestyles, poor social support system and having too many unrealistic expectations from themselves and other people in their lives. It can affect the rich and the poor and any age group also. According to World Health Organisation, 1 in every 10 people suffer from depression. Due to the social stigma attached to it, most people remain undiagnosed and hence suffer from it silently. This is a huge waste of human potential and capability. Some common symptoms of Depression include:

Appetite loss or an increased hunger,
Insomnia or Oversleeping,
Pervading feelings of worthlessness, helplessness and hopelessness,
Anger and Irritability,
Intense physical, emotional and mental fatigue,
Self hatred for making mistakes and not coming up to the expectations of self or other people
Risky Behaviour like rash driving, addictions, dangerous sports,
Problems in Concentration, Memorising and Focussing
Unexplained aches and pains, stomach-aches, Back pain or Headaches
Sudden loss of Interest in Daily Activities, Hobbies. Work
Suicidal Thoughts or Attempts

Here are some basic tips to beat the blues.

Recognising and Conquering Self Criticising Inner Voice:
You would have heard this harsh voice which often reprimands you for making mistakes, or doing something silly or taking any risks. Often this voice would have said, "Its always your fault"," You are capable of nothing"," You are always making mistakes", "Only bad things have happened in my life", " My life is Over". These are called self destructive negative thoughts which can interfere and distract you from your daily activities and a general sense of confidence, power, wellbeing and balance. Depressed people often associate themselves with a negative image of self and of the world, which is very incapacitating and makes the person feel guilty, angry, worthless, hopeless and helpless. The trick is to combat this inner thinking process with evidence to disprove it and support the evidence with logical and rational reasoning and seeing the whole picture with its positives rather than focussing on the negative parts only. For eg.."Good things have also happened in my marriage"," I can learn from my mistakes and do things differently next time"," I have achieved many things in life so I am capable and intelligent"," Life is not over yet, there is hope because I am still alive". such statements are compassionate and help in restoring lost confidence, faith and hope which is vital to beat depression blues.

Be Active:
During depression, physical energy takes a beating as a person goes through an emotionally low phase. People who don't exercise regularly are more prone to depression as the body and mind lacks in blood circulation and "feel good" neuro chemicals called Endorphins. When you are feeling down in the dumps, exercising, yoga, gym, cycling, aerobics, dance can help in elevating the heart rate and thus increasing the blood circulation and elevating the moods. Cycling to work, using the stairs, walking just a little bit as a  daily small goal can be beneficial as energy levels can be very low in depression. Getting the sun on the back bone which carries many nerves is also important and helps in chemical synthesis in combating depression.

Be Social:
Man is a social animal by evolutionary process. We tend to feel better in harmonious social communities for our social and psychological wellbeing. Identify people who are well meaning and supportive of your condition. Don't withdraw from the society, thought hat may be the easiest and logical thing to do in depression. Meeting people with similar interests as yours, people who value you for who you are and some people who are funny and can make you laugh will be of immense importance for boosting your self esteem and self worth. See if some one can benefit from your care..caring for others is a huge booster of self worth and self esteem. Having a pet and caring for it can be another activity that you can look into. Watching comedy shows, movies, laughing at your own mistakes or other people mistakes can be a wonderful way to look at life more objectively. Don't take yourself and other people too seriously..everyone makes mistakes and nobody is perfect.


By no means is this list complete. Please look around and find more tips that can help in beating the blues. If Depression is caught in its early stages then its completely curable. Please don't self diagnose and take medications. Get it diagnosed with a psychiatrist or a psychologist. Cognitive Behaviour Therapy, Stress management, Marital Counselling, Meditations and relaxation techniques, Spirituality are very powerful in dealing with depression too.

3 ways to combat depression

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?

Anger is one of the most common negative emotions, in that when a person is upset or frustrated over somebody or something, it manifests as anger. Though we may not notice on a routine basis, there are various forms of anger and it has a lot of negative effect on the overall physical and emotional health. Some people also are more prone to feel angry and manifest it openly, who is known as  short-tempered.  Read on to know more about anger and how to manage anger effectively.

In today s world though, you cannot throw a fit of rage and say it is because of your short-tempered nature. There are extreme instances of violence triggered by anger, so it is necessary to learn to conquer your anger. 

DIFFERENT PEOPLE RESPOND TO ANGER IN DIFFERENT WAYS, COMMONLY AS:

Verbal anger: The person who is angry, abuses the other person or sometimes throws rage at a totally different person to vent out the anger. 
Passive anger: Though these people are less expressive when angry, they show their anger through sarcasm directed at the person who induced anger. 
Self-inflicted Anger: These people inflict anger on themselves through self-harm acts like minor cuts, bruises, beating oneself, digging nails into their flesh or burns to release their anger.
SYMPTOMS OF ANGER AND AGGRESSION 
We may respond to anger in physical and psychological ways such as those listed below:

Anger   physical responses: increased heart rate and blood pressure, sweating, muscle tension, clenched jaw 
Anger   psychological responses: feelings of frustration, feelings of rejection, feelings of mistreatment, hostility towards some people 
Aggression: shouting at people (e.g. family, colleagues, strangers, physical violence (e.g. hitting, punching people or slamming doors), ignoring or socially excluding others (passive aggression)
WHY ARE SOME PEOPLE SHORT-TEMPERED
Some people really are more impetuous than others. They get aggressive more easily and more intensely as compared to others. There are also those who don't show their anger in loud ways but are chronically irritable and grumpy. People who are easily angered don't always curse and throw things; sometimes they get off socially, sulk, drink/smoke or get physically ill.

Easily angered people generally have what we call as "A low tolerance for frustration, aggravations and hassles of daily living" and sometimes overreact to the many common problems of daily living. They feel that they should not be subjected to frustration, annoyance, or inconvenience. They can't take things in stride, and are particularly infuriated if the situation in some way seems illogical: for example, such people might be miffed on being corrected for even a minor blunder. 

HOW ANGER AFFECTS OUR LIVES

Physical effects of anger: Anger triggers the body s  fight or flight  response. Other emotions that trigger this response include anxiety, fear and excitement. The adrenal glands flood the body with stress hormones, such as adrenaline and cortisol. The brain shunts blood away from the gut and towards the muscles, in preparation for physical exertion. Heart rate, blood pressure and respiration increase, the body temperature rises and the skin perspires. The mind is sharpened and focused.

Health problems with anger: The constant flood of stress chemicals and associated metabolic changes that go with recurrent unmanaged anger can eventually cause harm to many different systems of the body. Some of the short and long-term health problems that have been linked to unmanaged anger include: 

Headache 
Insomnia 
Digestion problems, such as abdominal pain 
Increased anxiety 
High blood pressure 
Depression 
Heart attack 
Stroke 
Skin problems, such as eczema
IMPACT OF ANGER ON OUR RELATIONS

Anger at home: Anger is a normal emotion but not being able to control your anger at home can damage your personal relationships. When you get angry, it stresses your partner out and breaks the trust in your relationship. When it comes to children, shouting at them can confuse them and make them afraid of you. In the long run, this can affect their social skills.
Anger at the workplace: Getting angry at your workplace can reduce your productivity and harm your relationships with your colleagues. The angrier you get in the office, the more your colleagues and clients will avoid you. Thus, you may risk missing out on crucial teamwork projects that can affect your career growth. A reputation for anger can also make you a target for revenge and lawsuits.
Anger in society: Nobody wants to interact with a person who has a reputation for getting easily offended and angered. Thus the angrier you get, the more your friends will keep away from you. This can be quite frustrating and can make you an even angrier person. Uncontrolled anger can also lead to physical outbursts that can put you in trouble with the law.
Anger is a strong and powerful emotion. If it isn t handled appropriately, it may have destructive results for you and those closest to you. Uncontrolled anger can lead to arguments, physical abuse, physical fights, self-harm and assault. On the other hand, well-managed anger can be a useful emotion that motivates you to make positive changes

ANGER MANAGEMENT - SUGGESTIONS FOR LONG-TERM ANGER MANAGMENT 
The way you typically express anger may take some time to modify. Suggestions include:

Keep a diary of your anger outbursts, to try and understand how and why you get mad. 
Learn relaxation techniques, such as meditation or yoga. 
Consider assertiveness training, or learning about techniques of conflict resolution. 
See a counsellor or psychologist if you still feel angry about events that occurred in your past. 
Exercise regularly.
BENEFITS OF REGULAR EXERCISE IN MOOD MANAGEMENT
People who are stressed are more likely to experience anger. Studies have documented that regular exercise can reduce stress levels and improve one's mood. This may be because physical exertion burns up stress chemicals, and it also boosts production of mood-regulating neurotransmitters in the brain, including endorphins and catecholamines.

TEACHING CHILDREN HOW TO EXPRESS ANGER
Expressing anger appropriately is a learned behaviour. Suggestions on helping your child to deal with strong feelings include:

Lead by example. 
Treat your child s feelings with respect. 
Let them know that anger is natural and should be expressed appropriately. 
Teach practical problem-solving skills. 
Encourage open and honest communication in the home. 
Explain the difference between aggression and anger. 
Teach your child different ways of calming and soothing themselves. 
Punish aggression or violence, but not appropriately expressed anger.

Kill The Anger Before It Kills You!

Are you a 'What-If' person? Kill anxiety in 4 easy ways

Thinking about dangers and risks is a normal phenomenon, it helps us to stay alert and to become a good problem solver. It’s only when worrying gets out of a person’s control, it turns into a problem. If a person is constantly preoccupied with “what-if " and keeps imagining worst-case scenarios, worry actually turns into the cause for high pulse rate, insomnia, poor mental and physical health. 

Here are 4 simple steps to cope with anxiety and worry.

1. Breathing technique: The first thing to do when you get anxious is to take deep breath. Deep breathing is a powerful anxiety-reducing technique because it activates the body’s relaxation response. Try slowly inhaling to a count of 5, filling your belly first and then your chest, gently holding your breath to a count of 5, and slowly exhaling to a count of 5 and repeat several times.

2. Accept that you’re anxious: Remember anxiety is just a feeling, like any other feeling, by reminding yourself that anxiety is simply an emotional reaction, you can start to accept it. Acceptance is critical because trying to eliminate anxiety often worsens it. But accepting your anxiety doesn’t mean liking it or resigning yourself to a miserable existence. It just means you would benefit by accepting reality as it is – and in that moment, reality means 'anxiety' you are feeling.

3. Question your worries. When people are anxious, most of the time their brains start coming up with all sorts of unrealistic ideas, which most likely will never occur. To avoid unnecessary worry, one should ask himself / herself a few questions like:
- Is there a reason to believe something is wrong?
- What evidence is there that something is wrong?
- If the worst possible outcome happens, what would be so bad about that?
- What are the options I can use to handle the situation at hand?


4. Focus on right now: When people are anxious, they are usually obsessing about something that might occur in the future. It is important that when a person becomes anxious, he/she takes a deep breath and pay attention to what’s happening right now, around them. Even if something serious is happening, focusing on the present moment will improve your ability to manage the situation.

If you would like to consult with me privately, please click on 'Consult'.

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Are you a 'What-If' person? Kill anxiety in 4 easy ways

Personality refers to the enduring and habitual patterns of behaviour, cognition, emotion, motivation and ways of relating to others. In simpler terms, it's the persona we have for the world to see and interact with. If these patterns or ways of relating with others become nonadaptive or pathological, a personality disorder develops.

Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.

The symptoms begin to appear from early childhood but they take a serious form only when one reaches adulthood. Issues with behavior and emotion are difficult to treat, people suffering from this illness should be willing to spend a lot of time and be dedicated towards his/her recovery. Through treatments and therapies, they do make significant improvements over time.

Causes

The exact cause of borderline personality disorder is not known but various reasons have been hypothesised as possible aetiology. Neuro-chemical disturbance in the brain, genetic vulnerability, some kind of childhood trauma like abandonment, death, neglect and/ or sexual abuse are probable causes of the disease. Prolonged and chronic stress/ anxiety may also lead to triggering of BPD symptomatology in vulnerable individuals later in life.

Symptoms

Prolonged dysthymia/ sadness
Feeling lonely/ misfit
Emotional dysregulation or Frequent mood swings
Significant interpersonal issues
Self-Injurious behaviour like making cuts in skin, burning, pricking etc

These symptoms are warning signs of borderline personality disorder and should be paid attention to:

Abandonment issue - People suffering from BPD have serious abandonment issues. They have an intense fear that they would be left alone and often act out to restrict their love ones from leaving. Sometimes their strategy is to not get too close to protect themselves from being left alone, so they appear aloof.
Disturbed self-image - People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
Dysfunctional relationships - It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak.
Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common.

Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional Psychotic states are other possible symptoms of BPD.

Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life.

All about Borderline Personality Disorder

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