Borderline personality disorder (BPD) is a type of personality disorder characterized by an ongoing pattern of varying moods, self-image and behaviour. This often results in impulsive actions and problems in relationships and at work. You may experience intense episodes of various emotions like anger, depression and anxiety that may last for a few hours to a few days.

Diagnosis of BPD
If you experience the following 10 symptoms for a long time or if they have had a huge impact on your daily life, you may say that you are suffering from BPD:

Feeling of being abandoned. You feel that people may abandon you and are constantly worried about that. You would do anything to stop it.
Frequent mood swings. You experience intense emotions that last from a few hours to a few days. E.g. You suddenly start feeling low and depressed after feeling very happy and confident for a while.
Lack of identity. You don t know who you are and do not have a strong sense of your being.
Unable to sustain relationships. You find it very hard to retain relationships and make new ones.
You feel empty from within all the time.
Make impulsive decisions and show sudden reactions. You do things to harm yourself like binge eating, drug abuse or driving dangerously.
You inflict pain on yourself or have suicidal feelings.
You have anger issues which are very difficult to control.
You get paranoid or dissociate when you re stressed.
You experience all your emotions very intensely be it anger, happiness or sadness.
Self-Care - How can you help yourself?
If you start feeling overwhelmed, focus on one feeling at a time. It will help channelize your energy and thoughts into finding a solution for that emotion. Different therapies help different people at different times. You are the best judge to decide what benefits you the most.

Follow these tips to get through the various emotions that you may experience.

When you are angry and frustrated
Rip a newspaper
Hit a pillow
Listen to your favourite music
Go for a walk or do some vigorous exercise
When you are depressed and lonely
Wrap yourself in a blanket and watch your favourite movie or TV show.
Write all the negative feelings on a piece of paper and tear the paper.
Use positive affirmations to comfort yourself.
Cuddle a pillow/pet/soft toy
When you are tensed and anxious 
Try to shift your focus to something else like music, yoga or meditation.
Take a deep breath, use relaxation techniques and focus on your breaths.
Take a warm bath to help soothe your mood.
When you want to harm yourself
Rub ice over the parts where you want to hurt yourself.
Take a cold-water bath to cool yourself.



Borderline Personality Disorder (BPD) - Tips To Help You Diagnose The Problem!

Multiple sclerosis refers to disabling disease of the central nervous system, where the body s immune system eats away the protective layer sheathing the nerve fibres and disrupts communication between the brain and the rest of your body. 

Often, multiple sclerosis is associated with impaired cognitive functioning. Cognitive changes have direct functional consequences on your quality of life, ranging from occupational activities to professional career and personal life. In addition to it, a complex interplay between cognitive impairment and mental disorders like anxiety and depression, which negatively affect the normal course of life.

Rehabilitation Psychology works through various techniques and aims to ease the impact of cognitive changes on everyday life rather than simply defining their severity and nature.

Rehabilitation Psychology Approach to Multiple Sclerosis

The goal of Psychological Rehabilitation programs is to improve and preserve mental and physical abilities, as well as help patients adapt to changes in functioning. 

A team of specialists   consisting of a psychologist, physician, physiotherapist, speech-language pathologist, and an occupational therapist   works together in order to offer you well-rounded support and care. These specialists have years of experience and expertise in the management of symptoms of multiple sclerosis.

The rehabilitation program helps you address the following problems related to multiple sclerosis  

Spasticity

Fatigue

Sleep disorders

Chronic pain

Walking difficulties

Bladder and bowel issues

Changes in movement

Difficulty swallowing food

Mood disorders, like depression

Speech problems

Cognitive changes

Anxiety and uncertainty about the disorder

How Rehabilitation Programs Can be Helpful?

Since multiple sclerosis affects each person differently, Rehabilitation Psychology provides tailor-made treatment to patients.

The team of specialists work closely with the patients to evaluate their health needs, track progress, address pain, and teach them strategies essential to cope with the chronic disease.

Occupational therapy is directed toward patients with mobility problems. The therapy helps you with daily tasks, such as dressing, cooking, and learning ways to manage personal hygiene. 

Rehabilitation strategies for speech-language problems help maximize your abilities to cope with cognitive functions.

Multiple sclerosis is a lifelong condition and can be challenging as it progresses. Many people require constant support, care and motivation to get through the tough phase. Rehabilitation Psychology is just the way to combat the psychological effects of multiple sclerosis. You should communicate your concerns to a doctor, and learn all you can about the disease. 



 Rehabilitation Psychology In Management Of Multiple Sclerosis!

Grief is a complex emotion that may give you side effects like guilt and make you struggle as you try to get through your everyday life. It is usually caused by some loss in life which may have to do with relationships, work or any other reason like a chronic physical ailment or disability. Complicated grief disorder is a condition where the extreme level of grief impairs a person and how he or she behaves in his or her daily life. It can have a debilitating effect and make a person helpless when it comes to dealing with everyday functions. It may continue for more than six months after the loss, and may even lead to depression and anxiety, among other complications.

Let us cast a glance of how this may be dealt with.

Psychotherapy: Cognitive-behavioral therapy and other forms of therapy can often help people who are suffering from this form of prolonged grief. With this kind of therapy, a patient can actually find an outlet to discuss the various emotions that the bereavement has brought on, and how he or she is not able to cope. The therapist, in this case, is usually a psychiatrist or a psychologist, who can then help in reprogramming the attitude of the patient so as to curb the grief and move on with life by embracing daily functions.
Group Therapy: In many cases, group therapy may also work. It is a natural human tendency to be grateful for what we have when we get to hear of higher and greater adversities. And when we see people suffering from those adversities actually taking steps to get over it, we can also get hugely motivated to do the same with our own lives. This is why group therapy is a powerful mechanism that many doctors and psychiatrists recommend for dealing with complicated grief therapy. This does not even need to be a formal therapy session. It can even be a club or a get together of people who have been through a similar problem.
Medication: In some extreme cases, the patients may be prescribed some antidepressants as well as beta blockers that can put their emotions right until they can deal with them in a better manner. Such medicines also help in numbing that part of the brain so that the patient may function in a more normal manner. Yet, care must be taken that the patient does not get addicted to such kind of medication.
Change of Focus: Travelling or picking up a new hobby can also have a positive effect on the person suffering from this condition. It can help in triggering the production of dormant hormones in a more normal way so that the patient may function in a more normal way, without the debilitating grief.


How To Deal With Complicated Grief Disorder?

Have you ever noticed bar and clubs promoting energy drinks? You may have also bought energy drinks and alcohol, and tried mixing them. But what you don't probably know is consuming energy drinks with alcohol can be much riskier than drinking only alcohol. Since, very few people drink alcohol neat, a small shot of alcohol is usually mixed with juices, colas or more recently energy drinks to make a cocktail. While it is well-known fact that the sugar in these mixers is responsible for increasing the effect of alcohol on the body and weight gain associated with drinking, when energy drinks are mixed with alcohol, it can have an even more lethal effect on our bodies.

Studies show that this mix causes the brain to react in a similar way to how it behaves when in contact with cocaine. It can also cause permanent brain damage. This is because it stimulates the release of a protein cell known as FosB. This protein has the ability to permanently change the chemical connections inside the brain.

Some of the short-term effects of combining alcohol with energy drinks are:

Digestive troubles
Nausea
Loss of appetite
Depression
Hallucinations
Erratic sleep patterns
Violent behavior
Many of these effects can be a result of alcohol consumption as well and hence, it may not be attributed to the energy drinks being used as mixers. Regular consumption of such cocktails can increase your body s tolerance of this combination and make a person drink more. This can lead to long-term effects such as:

Malnutrition
Respiratory problems
Tooth decay and abcesses
Psychosis
Liver damage
Kidney troubles
Heart palpitations
Consuming alcohol tends to make a person feel sleepy and tired. However, when this alcohol is mixed with energy drinks, the caffeine in the energy drinks keep the person feeling energized and masks the effect of alcohol. This leads to a condition known as being  wide-awake drunk . In such a situation, the person begins to underestimate how much alcohol he or she is consuming. This creates a false sense of security and hampers with their judgement, balance and coordination. It also increases the risk of behaving erratically and getting into dangerous situations.

In addition to caffeine, energy drinks also have a high sugar content. A small can of energy drink can contain up to 30 grams of sugar. This is equivalent to about half the ideal amount of sugar one should consume in a day. The effect of consuming so much sugar is a fluctuation in blood sugar levels. If this fluctuation persists for a long time, it could lead to conditions such as diabetes and insulin resistance. Thus, along with understanding the ill effects of alcohol, it is also necessary to keep the effects of mixers in mind while concocting cocktails for your next weekend bash. 

Alcohol With Energy Drinks - Why It Should Never Be Mixed?

Problems with the arteries and veins present in the hands or legs can lead to vascular disorders. The arteries carry blood from the heart to other parts of the body in order to deliver nutrients and oxygen. The veins carry the blood back to the heart, after the nutrients have been used up. If these blood vessels of the arteries or veins become blocked or narrowed, it can lead to a vascular blockage.

A vascular blockage that occurs in the hands or legs comes under the category of Peripheral Artery Disease or PAD. These type of disorders are less common in the upper extremities of the arms or hands than in the lower extremities of legs. Few of the signs for the same are:

Pain and difficulty in movement due to decreased blood flow
Numbness or weakness of leg or fingertips
Sores on the toes or feet
If the blockage is deep, symptoms of redness, swelling, extreme pain or cramping can be experienced
Abnormal color changes in the fingertips
Ulcers or wounds that don t heal
Skin sensitivity problems when in cold temperatures
How can it be diagnosed?
The blockage can be detected by various methods namely-

Physical Examination   Your doctor may find decreased pulse at armpit, wrist or fingers, full veins, masses, wounds or gangrene.
Doppler or Ultrasound examination to determine the blood flow in the arteries and veins
MRI Scan of the affected area to pay special attention to the blood vessels
Cold Stress Test
Arteriography to show clear blood vessel details
Angiography to map blockages and narrowing of the arteries
What are the Risk Factors for Peripheral Artery Disease?
An individual is at risk for developing vascular blockages in the hands or legs if one or more of the following factors are present:

Smoking
Diabetes
Heredity Factors   A personal or family history of blood vessel disease
High blood pressure
High cholesterol
Aging   People aged above 50 years and older are more prone to vascular blockage
Can it be treated?
Treatments for vascular blockage can vary depending on the age, cause of the blockage, intensity and overall well-being.

Treatments can include:

Self-care   Reducing risk factors and making lifestyle changes to quit smoking, sedentary life or diabetes, blood pressure and cholesterol management can reverse symptoms of vascular disease.
Medications   A variety of drugs can be prescribed to lower the risk and progression of narrowing blood vessels or prevent blood clotting.
Interventional Procedures   Minimally invasive surgery like saloon angioplasty, stenting or removal of artery plaque build-up.
Surgery   If the blockage is severe, surgery may be performed to lessen the vessel narrowing, reconstruct the artery or tie it off, depending on the circumstances.

Pain in the Hands or Legs!

Pain management is an issue that stares back at mankind, irrespective of the underlying health condition. Whether it is a headache or a back pain, burn or fracture, heart attack or cancer, pain is always a symptom. In some cases like migraines, cancer, etc., the pain is chronic and the patient needs to be constantly on the vigil to know when an attack will ensue. This has also put high pressure on the medical fraternity to identify ways that can provide relief to these people. Various methods have been identified, and one of them is the electrotherapy.

What is done?
A few electrical impulses are directed at the area of the pain using a hand-held device. This is similar to providing electric shocks of mild intensity to the affected area (forehead, low back, neck, etc.). What this does is stimulate the nerve endings, improves circulation and muscle strength and promotes bone growth and tissue repair. The end result of all this is overall improved functioning and pain relief. Depending on the actual condition, the sessions will have to be repeated. In some patients, the electrotherapy is used in conjunction with other therapy so that they can go about their routine exercise and pain relief.
The sessions may also have to be repeated as most often these are used in individuals with chronic pain. They are also helpful in providing relief during the acute attacks.

How does it work?
The most common form of electrotherapy is known as TENS, which stands for transcutaneous electrical nerve stimulation. The area to be treated is cleansed with spirit and then small sticky pads are applied through which the electricity is passed. A hand-held device is used, through which electrical impulses are passed to the skin, which stimulates the nerve cells to provide relief from pain. It causes a vibrating and tingling sensation in the treated area. It is believed that it blocks the nerve impulses and therefore provides pain relief. Another theory states that they promote the release of endorphins which are natural painkillers; it is also very effective in case of migraine and sciatica and neck pain where the chronic pain is coupled with acute spurts.

With narcotic painkillers having various side effects, techniques like electrotherapy are gaining popularity. A small catch also is that it does not work for everybody and in most people with back pain, fibromyalgia, and migraines, requires repeat sessions for relief. The cost of each session also needs to be considered against the extent of relief achieved. However, for those whom it works, it is a very good technique for chronic pain control.

Electrotherapy - How It Can Help In Managing Pain?

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