If someone in your family or your partner is suffering from Borderline Personality Disorder, your mental health is at stake too. You will have to take care of yourself and your emotional needs first. Life can be frustrating for you all the time. But, you need to identify your  feel good  activities and take some time out of your daily life to relax and calm down. Remember, you can succeed in the critical task of appeasing or pleasing your dear one with BPD, only when you are at peace with yourself first. Destress yourself to fight back the depression or emotional drainage caused by handling a BPD patient.

Here are few things that can help you have a better life while being in a relationship with a person suffering from BPD:

1. Don t isolate yourself: You must be in touch with people you like to be with. You need emotional support from friends and family to deal with life. Spending some quality time with friends and family members can add little happiness to your life. It will boost up your energy level to fight back the dark side of life. You must remember that you have a life as well.

2. Take care of your health: Sometimes, relatives of BPD patients forget to take care of their physical health. They forget basic stuffs like having proper meals, exercising, etc just because they are caught-up in a stressful relationship. But, remember you can help your loved one better only when you are physically fit.

3. Manage stress: Don t get anxious or depressed with the ongoing stress in your life. It will only add to your existing problems. Keep your nerves cool to have a better life for yourself as well as your sweetheart with BPD.

4. Believe in the 3c s formula: Well, it is a formula recommended by most of the mental health practitioners. Don t blame yourself for the irrational behaviour of your friend or dear one. The patient with BPD is solely responsible for his or her destructive behaviour or abnormal outburst. You will have to remember these 3c s: I didn't cause it; I can't cure it; and I can't control it.

5. Careful communication: You have to be very careful while communicating with BPD patients. Don t argue or try to convince them, when they are already in a disturbed frame of mind or agitated. They might end up getting destructive. Listen to their words carefully and patiently. Occasional nodding in between a conversation is advisable to let them feel assured about the fact that they are being heard and understood.

Don t forget to acknowledge their feelings. It is also important that you stay calm when the patient is angry and has turned destructive.

How to Deal with a Person Suffering from Borderline Personality?

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

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?

The number of people affected by hypertension is constantly on the rise. The most important concern with people developing hypertension is that it is not an isolated issue. It brings with it a host of problems, including higher chances of stroke, heart disease, diabetes, and kidney diseases. While there is no definite cure for hypertension, it is definitely possible to control it using the following measures.

Weight control: Greater the body mass index (BMI), higher is the chances of developing hypertension. Check with your doctor to know what the ideal weight is and try to maintain it. If overweight, losing even 10 pounds can make a big difference to your blood pressure.
Diet management: Excessive salt, calories, fat, and sugar are to be avoided. Sodium is one of the main culprits for increasing blood pressure and should be avoided. Include fruits and vegetables that are rich in potassium and magnesium. Reducing salt is another major way to control blood pressure. Fish oils with omega-3 fatty acids are extremely good for the health of the heart and so consult your doctor to include the right amounts in your diet. 
Exercise: A regular workout regimen can reduce the chances of developing blood pressure by up to 40% to 50%. This should not be misinterpreted as the need for vigorous workouts. Even small, regular physical activity daily goes a long way in controlling blood pressure.
Alcohol: While quitting alcohol is the best thing to do, for those finding it difficult to do so, cutting down on it plays a big role in controlling blood pressure. No more than a drink per day for women, and no more than two per day for men are recommended.
Stress management: Stress is one of the major causes for increasing blood pressure, and so managing stress is very important. Whether music or meditation, pick your stress buster and see your blood pressure lowered.
Medications: If you are already on a medication regimen, strictly adhere to the schedule. Consult your doctor before adding herbal supplements or dietary supplements. Taken individually, they may be good for health, but there are good chances of them interacting with your regular medications.
Monitor: Once you have been diagnosed with high blood pressure, have periodic check-ups with your doctor to ensure it is within the permissible limits. If beyond limits, immediately correct it.
As noted, hypertension is not an isolated issue and brings with it a whole lot of issues. Controlling it can help control the other issues that would follow and improve the quality of life.


Hypertension: 7 Best Ways to Control it

Do you believe that the world is a hostile place and you are a victim? Are you the one who often doubts his or her abilities? If so, you might be showing signs of low self-esteem. Interestingly, self-esteem has nothing do with your actual ability or talent. Your looks, weight or skills are not responsible for your low self esteem. It largely depends upon the fact that how you value yourself.

It has been observed in most cases that self-esteem is often affected by a number of reasons, including ill-health, unpleasant memories from the past, and termination of relationships. Low self-esteem is generally marked in survivors of physical or sexual abuse, victims of racial discrimination or people who have had a traumatic past life.

If you don t pay attention towards this issue, you might end up developing certain serious mental disorders. Low self-esteem is also the root cause behind the occurrence of mental disorders like borderline personality disorder, depression, etc. However, there is nothing to worry about it. There are certain simple things that are useful in building up your self-esteem.

Here s all that you need to do to start believing in yourself and be confident about your capabilities:

1. Remember your strong points: Make three separate lists of your strengths; achievements and your qualities that you admire. Take help from your friends, parents and other well-wishers for preparing these lists. These lists will help you in understanding your abilities and goodness. You will be able to believe in your strengths. You must read through these lists at least once daily.

2. Be positive: Optimism and a positive approach towards life are the key to success. Your self-esteem is influenced by the fact that how you look at life. Life is not a bed of roses. It is unavoidable that you will have to face critical situations or problems in life. But, what is important is to face them with courage and a faith in your own abilities. Be positive and stop developing negative thoughts about yourself. Get rid of thoughts like  I am a loser ;  I can t get rid of this problem ; etc.

3. Take care of your body: Your outward appearance sometimes works wonders in lifting up your inner-self and spirits. Keep yourself clean, trim your beard or hairs; cut your nails; don t forget to floss your teeth and maintain overall personal hygiene to develop a feeling of goodness.

4. Sleep well: A good night s sleep is essential for boosting up your self - esteem.

5. Eat right: A balanced diet is a key to good health. Eating the right food in the right way keeps your mental and physical health all right. Include minerals and vitamins in your regular meals. Avoid distractions like television or radio while taking meals.

6. Exercise: Regular workouts keep you away from mental-ill health.

7. Be cool and comfortable first: When it comes to your dressing, try to put on attires that you can carry well. Wear stuffs that you love the most.

How to Build your Self Esteem?

Deepika and Ranbir show you how to manage relationships against all odds

Relationships may or may not always pan out the way you expect them to. Be it with a friend, family member or your partner, certain relationships may end up getting bitter over time. The reasons for this may be tensions in the relationship, break-ups, lack of compatibility, infidelity, lack of attention to details, over familiarity and so on. Although such incidents may scar you forever, it is always possible to mend your relationships, if you intend to.

The first thing you can do is to try to build a new friendship, whether it’s with your ex-lover or anyone else  you may have had a fall-out with. Take for example, the former couple- Ranbir Kapoor and Deepika Padukone. These Bollywood celebrities have flawlessly transitioned from being ex-lovers to being good friends.

So how did they do it?
Through 3 simple ways Ranbir and Deepika were able to heal the past and forge a new and meaningful relationship:

1. They kept it formal while setting boundaries

Ranbir and Deepika comfortably worked with each other in several movies as on-screen lovers with no insecurities. The reason they were able to do this was because they had set clear emotional boundaries.
Being secure is essential for you to stop yourself from reliving the past. Setting clear boundaries may help you in accepting that things are different now and the relationship has changed. Both the concerned people must respect each other’s decisions in order to have cordial relations and not be uncomfortable in the other’s presence.

2. They accepted the differences between them

Ranbir and Deepika were only successful in maintaining a cordial relationship because they had embraced each other’s differences rather than attempting to change each other.
You can only do this by giving yourself a little time. You can personally try to accept how every individual has a set of distinct characteristics and then try to respect and accept them for it.

3. They were polite and lived in the present

Even after having a checkered history together Ranbir and Deepika chose to remain courteous and amicable towards one another. They only focused on the present scenario, instead of mulling over past grievances - The biggest reason why they are on such good terms.
You should try to forget the past and hope for an improved future. Whether you meet at a social or an official gathering, you must hold your ground, be professional and courteous towards the concerned person. Participating in loose gossip about the individual or acting petty doesn’t reflect well on your personality.
Also, living in the past is a sign of an unhealthy state of mind. Learn to let go, and move on.

By learning from the real-life example of Deepika and Ranbir, you too can balance all your relationships well, no matter what happens.

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

Lessons from Deepika and Ranbir on How to Manage Relationships Against All Odds

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