Manic depression, also known as bipolar disorder in recent days, is a major mood disorder characterized by hypomanic or manic episodes (deviation from one's usual mood along with abnormally high energy levels). Mania involves sleeplessness, along with psychosis, hallucinations, rage, grandiose delusions or paranoia. Mania or hypomania isn t usually harmful to the patient and they might exhibit increased capacity for work and creativity. Depressive episodes however, can be debilitating and often life threatening as the person becomes self-destructive and suicidal in many instances. 

The extent of mood swings can vary from extreme to very mild. They can occur progressively or suddenly and might last for few days to weeks. Patients affected by bipolar disorder may experience disturbances in thinking apart from depressive or manic episodes. Distortions of perception and impaired social functioning are also not uncommon. The cause of bipolar disorder is not fully understood like most mental health conditions and is often thought to be hereditary.

The extent of the seriousness of the bipolar symptoms varies from person to person. In some people, the disorder is not full blown and they don t exhibit all the symptoms. Others who aren t that lucky might have to be hospitalized multiple times in their lives as the symptoms creep into their work and personal life and make living a normal life a tough challenge. 

Psychotic symptoms such as disorganized thinking, hallucinations and delusions might make a person do things that demand the urgency of hospitalization to keep them safe from their suicidal impulses. These symptoms might need to be urgently addressed by a psychiatrist and with the help of medications, the person might be able to regain control of their lives.

The symptoms of bipolar disorder are many and can be mainly categorized into two (sometimes overlapping) categories of mania or hypomania and depression:

Manic symptoms include: 

Grandiose delusions (delusion of grandeur) 
Racing thoughts which are often disconnected
Sense of euphoria or false elation
Irritability without cause
Hampered social functioning
Increased sexual inclination and risky sexual behavior
Hyperactivity
Increase in talking volume or speed
Impaired judgment
Reduced sleep requirements owing to extra energy levels
Increased productivity and creativity
Depressive symptoms include:

Abnormal eating patterns like over or under-eating to the extent of severe medical complications accompanied by drastic changes in weight
Difficulty in concentration, making decisions and remembering
Lack of energy or fatigue 
Contemplating about death for prolonged periods of time and suicidal behavior
Oversleeping, insomnia or early awakening
Persistent pessimism 
Irritability and restlessness
Feeling of hopeless and negative attitude
Mood stabilizers, such as lithium are commonly employed to treat bipolar disorder. Anti convulsants, benzodiazepines and anti psychotics can also be used in the treatment. Along with medications, support from family and friends is of the utmost importance as they need to help provide all the support required in making the person functional and healthy.

Manic Depressive Disorder - 11 Signs to Help You Spot it 

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?

Smith and Mackie (2007) term self-esteem as a set of positive or negative opinions about oneself. Self-esteem is an important predictor of success in career, relationships, marriage and public life. People who are depressed have a very low self-esteem about themselves. They think of themselves as good for nothings and persons having a nil value. There are three states of self-esteem. They are;

Shattered: An example of a person having shattered self-esteem is when he says,  I am old and useless to do this kind of work . This person sees himself as an absolutely useless person.
Vulnerable: In this state, a slight embarrassment or defeat may expose the vulnerable side of the person. Otherwise, such persons have a positive frame of mind.
Strong: People in this state are very strong emotionally. Defeats, embarrassments etc. do not affect them. These people have a very high sense of self-esteem.
Psychologists, however, have prescribed several ways through which one can improve one s self-esteem.

How to improve one s self-esteem

Control your thoughts- Watch out what your inner critic is saying to you. Every time you hear its voice, ask yourself- would this be the way your best friend would speak to you? If your inner critic is being merciless on you all the time, you need to silence it.
Focus on the good things that happen to you- Everyday, write at least 3 good things that happened to you. Avoid the obstructive or harmful things that came your way. Focus on the happier side of the day. Do not dwell upon the negatives.
No need to be perfect- In the quest to be perfect, many people lose control of themselves. It probably must do with the pressures of modern life where achievement is the be all and end all. But, not everyone can be perfect. Rather, focus on the effort or process. This way, you will be better able to appreciate yourself as a person.
Accept mistakes- Often we fail to realise that mistakes come to us masked as opportunities. But, we are too fixated by the mistakes we commit. We are obsessed with the thought,  Why did I commit this mistake?  rather than,  How to avoid this particular mistake? . If we learn how to avoid committing mistakes, we will tremendously improve our self-esteem.
Experiment with new skills- Try out new skills and then improve upon them. For example, you may pick up music and track your achievement levels. If you continually improve yourself in this new skill, you will obviously set new benchmarks. Give credit to yourself after achievement of every new milestone.
Accept your limits- You are no superman. You have your own limits. Once you accept your limitations, you will stop blaming yourself for all the wrongs that are happening to you. 

Self Esteem - How Can You Improve It?

Do you have someone who is passive-aggressive in your life? Perhaps your parents, your siblings, your partner or your friends? It can be difficult to handle such a person. When two people, who are having a healthy relationship with each other are angry with each other, they show anger, they say that they are upset, they discuss things and sort things out. There are so many different ways to express anger. But when it comes to a person with passive-aggressive behaviour, it is not going to be the same when they are angry. This is basically a way to express anger indirectly, as they are unable to or uncomfortable to express their feelings and anger openly.

They need help, and it is you who will be able to help them get out of this pain or anger. Here are six steps to changing someone's passive-aggressive behaviour:

When there is an argument going on between both of you or when one of you is angry, do not say something or do something negative. This will make them shut down completely and they will never open up. It may also happen that the situation gets worse. So, take some time and calm down.
Do not go for any guesswork. You are trying to help someone to get over his/her passive-aggressive behaviour. You need to know what they actually feel. So, ask them how they feel and if they have anything to say about it. This can help them open up.
Brainstorming can be one of the best steps. Yes, if you think that you often argue on some common point, then you need to come up with a solution for it first. Ask for their opinion, make a list of all the points and try to make it as detailed as possible.
Check out the pros and cons of your opinions. When you are done with brainstorming, you need to consider each opinion or decision you made in order to make sure that both of you are comfortable with it.
Choose a win-win situation. In other words, pick up those solutions which make both of you happy.
Execute your opinion or plan and evaluate if it is working for you. If plan A does not work for you, then you can still consider the other options that you left behind to draft a plan B.
Communication is very important and when you are able to communicate well, you will be able to get what you actually need. You should start to think that your feelings are valid and learn to enjoy how good it feels when others value your feelings. Open up and talk!

Passive Aggressive Nature - 6 Things You Can Do To Help!

Speech therapy is a very distinct form of science that is often misunderstood by people in general. While the benefits of such a therapy is countless, people misinterpret what the therapy actually involves and what it does not. If you are avoiding speech therapy due to the following reasons, you should stop doing so as these are nothing but fabricated myths.

Speech therapy is all about talking: Do not think that speech therapy only involves talking with the therapist. The therapy focuses on the overall communication skills of a person, which definitely involves the speech but also the intricacies of articulation and body language. Sign aids and comprehension skills are also paid attention to in such a therapy session. So, if you feel that you have a problem regarding any one of these aspects, you need to visit a speech therapist.
Speech therapy is uninteresting: Nothing can be further from the truth than this. In fact, a visit to a dentist can be boring, but a visit to a speech therapist will always involve interesting activities such as tongue twisters. The therapists often treat children, which means that their offices, house toys, and other games designed to indulge the minds of infants as well.
A qualified speech therapist is needed for the therapy: Another myth, which needs to be dispelled, is that only a qualified speech therapist can help improve the speech of a person. In fact, any person who has a vast knowledge of diction, linguistic insight, and knowledge of grammar can help people with speech impairment. So, before visiting the doctor, the adults in the family should try and clear out the impairment themselves.
Speech therapy fixes issues in the snap of a finger: As with any kind of treatment, speech therapy does not work like magic. It is a continuous and long process that needs to be followed through. The pace of this treatment depends on the patient. Some patients are more receptive to this therapy than others. So, there is no guideline for the treatment of all speech-impaired individuals and one needs to be treated and allowed to get better at their own pace.
Your child will automatically learn perfect speech: If your child suffers from a speech impairment, do not delay a therapy session by thinking that he/she will automatically learn to speak better as they grow up. This way of thinking is not beneficial and hinders the eventual treatment for the impairment. The speech therapist can help you better if you bring your child to him/her as soon as you detect an issue. 

Don't Let These Myths Turn You Off From Speech Therapy

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!

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