Chronic health disorders like schizophrenia affect not only the patient, but also the life of their care givers. Though schizophrenia can be treated to improve the patient's quality of life, it cannot be cured. Hence, it falls on the care giver's shoulders to watch out for symptoms of this disease and manage the person and their disorder. What should one do in such a case?

1. Educate yourself: the first step towards looking after a person with schizophrenia is to know the symptoms of the disease. With treatment, these may become better or worse so if you notice any change in the symptoms, bring it to your doctors notice at once.

2. Reduce stress: your goal as a schizophrenic person's caregiver should be to give them a calm environment and boost their confidence. Stress has a negative effect on all people and in schizophrenics this effect is much worse. Hence reduce stress and create an effective support system and structured environment for your loved one.

3. Do not ask the patient to change'his reality: when a person is suffering from schizophrenia, you should not force them to change their behaviour and reality, in order to adjust in the society at large. You should rather support the patient to accept his reality, to be at peace, since there is a very strong genetic component involved in its aetiology. Also, it is important that, both the patient and the family in particular should opt for regular counselling sessions.

4. Regular exercise: schizophrenics need not be cooped up in the house all day. Encourage the patient to go outside and exercise regularly. Exercise reduces stress and produces endorphins that make a person feel energized and happy. This should be complemented by a healthy diet. Minimize the amount of carbs and sugar intake and increase the amounts of omega 3 fatty acids in the patient's diet.

5. Join a support group: joining a support group is a very good idea for both the patient and the caregiver. For the patient, this provides a form of social interaction and for the caregiver is a platform to meet people with similar first hand experiences

6. Encourage treatment: convincing a schizophrenic person to seek treatment can be quite challenging. Suggest treating symptoms of the disorder such as insomnia and lack of energy rather than the disease itself to make the patient feel more comfortable. Give the patient options to choose from to make them feel more in control of the situation.

7. Monitor medication: once the treatment has started, ensure that the patient sticks to the prescription. Maintain a regular schedule by using weekly pill boxes and alarms. Also keep an eye on the possible side effects of these medicines. Ensure that your doctor has a complete list of medicines that the patient takes so that there is no chance of medicines interacting negatively with each other.

8. Prepare for crisis situations: it is always a good idea to have an emergency plan in place. Keep emergency contact details of all the doctors and therapists at hand along with the address and phone number of the closest hospital. Share your situation with friends and family so that in case of an emergency, they can be relied upon to take care of your children and other dependants.

Living with Schizophrenia

Post-traumatic stress disorder is a serious mental health condition that can affect every aspect of a person s life. With proper management, therapy and support, this disorder can be successfully treated. 

PTSD Causes 
Researchers usually believe that post-traumatic stress disorder is not caused by any one single factor. Rather, a variety of predispositions and risk factors, work together that leads to the development of PTSD following a traumatic event. The most commonly cited causes are:

Genetic Factors: Anxiety disorders are hereditary and PTSD also tends to run in families. People having first-degree relatives struggling with any anxiety disorder are at a higher risk of developing the disorder themselves. While it is not a definitive cause for PTSD, exposure to a traumatic event does make a person more vulnerable to developing the disorder.
Environmental Causes: Those having a history of trauma or stress are more susceptible to PTSD than those who do not have a similar history. Children growing up in families marred by addiction problems are more predisposed to such a condition.
Brain Structures: Certain areas of the brain that are believed to regulate fear and emotions are varied in people diagnosed with this condition as compared to them who have not developed PTSD after a traumatic event.
Psychological Factors: People struggling with certain types of mental disorders, notably depression and anxiety are at a greater risk of developing post-traumatic stress disorder.

PTSD is caused due to exposure to a traumatic incident or frightening event such as sexual assault, natural disaster, war, accidents or the threat of death/death or any grave illness to one s self or a dear one. Post-traumatic stress disorder is a lifelong consequence of any such extreme traumatic event that affects a person s ability to deal with such an incident.

Most of the times, people having been exposed to trauma develop feelings of shock, fear, anger, anxiety and guilt.
These reactions are completely normal in regard to an unnatural event and eventually fade over time. A person diagnosed with PTSD develops unusual strong feelings post such an event that they hinder the person from leading a meaningful (normal) life. Sadly, the symptoms of PTSD don t fade with time and these feelings amplify till the person is so overwhelmed that they are unable to function.
This disorder can occur at any age. It has even been observed during the first year of an individual s life. Symptoms generally begin to appear by the first three months following the traumatic incident but it can also start showing up months or years later.
Certain individuals who have been exposed to a disturbing experience might develop symptoms of PTSD directly after experiencing such an event. This is known as acute stress disorder. People having acute stress disorder experience a varying amalgamation and duration of the symptoms, but most of them usually recover within three months of the causative event.
Some people with an acute stress disorder experience prolonged periods of symptoms that may be triggered by memories of the traumatic incident.


Post Traumatic Stress Disorder - 4 Things That Can Lead To It!

Asperger's syndrome has been found to affect people at a tender age. The augmented impacts of this syndrome are felt as you grow up. It is a neurological disorder falling under the scope of autistic spectrum disorders. However, it is a milder form of autism and has similarly unidentifiable causes. A person afflicted with asperger's syndrome will not exhibit stark signs of the disorder. These persons are usually smart and brilliant but face issues in communicating or interacting socially. 

Factors that may result in this disorder: 

A) genetic factors could also afflict you with such a syndrome. Thus, it is important to carry your family history while consulting a doctor.
B) certain changes in a person's brain could create trouble. 
C) your body could be susceptible to external toxins: many times bacteria and viruses from a polluted environment can lead you to such a serious neurological condition.

Ways to diagnose asperger's syndrome: 
1. A doctor would concentrate on your child's speech- language development can hint at many underlying health issues. Your child might fail to process speech around him or her which impairs its own speech.

2. Exchanges in a social setup could be indicative of something- children or adults could find social 
Gatherings challenging. They feel awkward to interact with friends, relatives and colleagues. It takes a lot of effort on their part to exchange basic pleasantries. A doctor will be able to deduce from such symptoms.

3. Facial expressions while conversing could help diagnosis- a person's facial expressions tell a lot about how they formulate or feel about things. Their words, at the same time, could be contrary. Counselors lay stress on frequent sittings to closely note the gestures made by a patient. 

4. Comprehension and coordination capabilities- your child or loved one might find it difficult to handle motor regulated appliances. Comprehending instructions could also be a test. People suffering from asperger's syndrome face problems in understanding simple things. 

5. Responding to change will also be taken into consideration- patients trying to cope with this syndrome are usually not open to change. They take a very long time to adapt to a given way of life; a sudden change will thwart their idea of normalcy.

Causes and Diagnosis of Asperger's Syndrome

Both schizophrenia and autism are considered to be neurological disorders resulting from atypical neural development, occurring due to a variety of causes. Both these disorders have a genetic predisposition that may be due to environmental factors. However, there are a few basic differences between the two disease conditions.

Autism is also known as Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder characterized by a spectrum of abnormal behaviour. They include persistent deficits in social communication and interaction, along with restricted and repetitive patterns of behaviour, interests or activities.

Signs of autism in babies

By 6 months - No social smiles or other warm, joyful expressions; limited to no eye contact
By 9 months - No sharing of vocal sounds
By 12 months - No babbling or use of gestures to communicate; not responding to one s name when called
By 16 months - No use of words
By 24 months - No meaningful or two-word phrases
Signs of autism at any age

Avoids eye contact and wants to be alone
Finds it difficult to understand other people s feelings
Speaks very less or has delayed language development
Echolalia - Repeats words or phrases
Cannot accept change in routine or surroundings
Performs repetitive behaviours like flapping or rocking
Has restricted interests and hobbies
Reacts unusually intense to sounds, smells, tastes, lights, colours etc.
Schizophrenia
Schizophrenia is a neuropsychiatric disorder that begins during late adolescence and early adulthood. It is characterized by delusions, hallucinations, disorganized speech and behavioural changes that cause social and occupational dysfunctions.

Signs of Schizophrenia

The symptoms of schizophrenia are usually observed between ages 16 and 30, such as e.g. delusions, hallucinations, thought disorders, movement disorders etc.
Delusions are false beliefs of the patient that may take many forms like delusions of persecution or grandeur. You may feel somebody is controlling you or may think you have extraordinary powers and abilities.
Hallucinations are when the patient hears voices more than seeing, feeling, tasting or smelling random things, which are not actually there.
Thought disorders are when the person jumps from one subject to another for no logical reason.
Some negative symptoms i.e. these are symptoms which are normally present in a healthy individual, but are absent in a schizophrenic patient. E.g. absence of facial expressions, lack of motivation etc.
Cognitive symptoms affect the individual s thought process. They can be positive or negative based on their expression. E.g. poor  executive functioning  which deals with the ability to understand information and make decisions using them, finding it difficult to focus etc.
Although both Autsim spectrum disorder and schizophrenia are interlinked in their causes and neurological background, the symptoms for each disorder are different. 
Consult your physician if you happen to observe any of these symptoms in your loved ones.

Autism & Schizophrenia - What Is The Difference?

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


A new relationship involves a lot of weighing from both the sides. Learn what really matters to win people over in this post. When you want to build a new relationship, whether it is for work, business, personal, marriage, friendship etc there are several factors that help take off and bloom the relationship. These factors are broadly the same in different age groups as far as psychological impact matters. Some of the most important influential factors from a psychological point of view have been highlighted here. 

1. Presentation- When you want to draw someone into relationship with you for any reason, it is important that you present yourself at you best levels be it physical or mental. Like they say that the first impression is the best impression, your display of you strengths creates an impression that helps people decide what they want to do with you. This doesn't mean you should hide all your weaknesses but highlighting your strengths is as important as making your weaknesses clear. Always learn to put your best foot forward as sometimes that itself may not be enough. You can't really send your neighbour for your job interview!! There are many instances when people send different photographs in their applications and different ones appear for the exams. This is mere cheating and not winning.

2. Plan – Let people know what you want to do with them and what they can they can do with you. No one can say they don’t have a plan. There is always some plan. Knowing it strengthens why you want to have that relationship in the first place. Otherwise it's like something which is there but you can never want to do anything with! When you are honest with your plans and they workout as you described it, it creates confidence in relationship or else it is destroyed forever. You can cheat a person with your plans once, not forever.

3. Possibilities- Will this relationship bring me trouble? Obviously nobody wants to get into a relationship with anybody that brings them trouble be it physical or mental. Next question is whether it will benefit me? Small or big depends on person's needs. Some relationships neither bring us trouble nor benefits us, such relationships are better than the ones which can cause harm.

4. Potential – Question. Does this relationship you are trying to develop have any possibilities of growth a few or many years down the line. Obviously we have a lot of friends who wither by passing of time. Does this relationship have an expiry date irrespective of how well or bad it goes? Like when we join college we know for sure that the friends will be with us till the duration of the course and that's it. We will know that if we study together it will help us achieve great grades in college and hence a great life later. These kind of growth possibilities or possibilities of deterioration are important to be well aware of and will naturally decide the course of relationships.

5. Progress – No matter what our initial assessments are, how the relationships helps us fare in the outside world will ultimately decide the future of any relationship. Loss, sorrow, tragedy, degradation in any aspect of life, insults, injury, loss of health etc will never help any relationship continue or last.

6. Partnerships – When we want to build a relationship with someone, the best way to do it is to obviously partner with that person in as many activities as possible. The more interested a person is the more activities that person will involve you in and try to do it with you. This type of partnership activities, be it spending a few hours in the evening, or a few minutes on phone, or an association of months or years are a foolproof way to show you are interested. Conversely a person who doesn't partner with you in anything is extremely unlikely to ever have any sort of relationship with you. Partnership in activities is the only way to show and know that you are interested or the other person is interested respectively. After all chasing the moon, stars and rainbow are activities of people who don’t realize its out of their reach. Sensible people are busy with what their eyes see, hands feel, ears listen, tongue tastes and thinking perceives as appropriate.

7. Positioning attitudes- As a tree bends with the winds to prevent from cracking, we all have to be flexible with our attitudes towards each other. Being too rigid about our protocol on how relationships should run irrespective of the reality and circumstances of the person we are having a relationship with is naturally going to break relationships. After all a doctor who heals and prevents all illnesses is better than a doctor who abuses his patients for falling ill but never does anything for them. Eg: You get bed and good food in a hotel as well as at your home. A hotel will provide food only on payment of money, but family will provide it whenever your hungry. Hence hotels can never expect the same emotions as family can, and this is as natural as it should be. Hence be careful what you want from a relationship. Whether you want to be treated as a hotel or family is entirely how you play yourself with others. After all only families can expect loyalty not hotels.

8. Politeness- In any relationship, many years down the line, what our long term memory retains is how comfortable we were in that relationship. Even if we profit from a particular relationship, the fact that it shook us mentally and emotionally will never allow us to go back or retain that relationship. Life is short and the only thing that matters is to spend it comfortably. Not destroy our peace for some benefit that destroys our peace of mind.

9. Personation- While sending a representative of your organization for a client meeting may work in business, you cant really send a representative to meet you wife or kids at home. In personal relationship, lack of your physical presence obviously means that you don’t have time for them. In any relationship, individuality matters a lot. Just imagine, if all actors acted exactly the same in movies, why would you prefer any particular one over the other as your favourite? The nuances and differences in our personalities are what makes us all unique. We are not robots from a particular brand to behave exactly the same way. If a person in a relationship doesn't sense your individuality you are wasting their time by trying to have a relationship with them, especially a personal one.

10. Positive reinforcement- When we get into a relationship, it is important that we feel good about ourselves and what we are doing. If you feel like a shoplifter entering a shop, you will not feel good about that relationship. When a shopkeeper welcomes us, shows us his products, tells us their details and provides all the explanations on how we will be well off with the product, provides his guarantee for it, confirms its essence, many people buy it even if they don’t compulsively need it. It’s the same in relationships. On the same side if a shopkeeper is arrogant, avoidant, abusive, insulting etc you are very unlikely to buy anything in that shop because you are not sure that the shopkeeper means any good and will be happy with the shopkeeper s product. The experience of buying is as important as the product we buy. Nobody is happy about something they got when they weren't treated the right way or is interested in retaining it when they don’t get good service for it.

11. Persistence on all Ps – Obviously when we want relationships to last, we need to be persistent on all the above P's. Otherwise it wont take long for a relationship to be counted in “once upon a time”!! A simple conversation even if for a few minutes every now and then when you need it may make it seem that you are still there for a person. Without even that people may even find it hard to remember that they even had something to do with you sometime before keeping in mind the the numerous activities we involve daily to maintain our lifestyles.

“KNOWING IS DOING AND NOT KNOWING IS UNDOING EVEN IF DOING!”

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

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How To Win Over New Relationships

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