A neurological disorder is characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of Physiotherapy in Epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.
It helps improve sensory awareness, response, balance, and coordination.
It helps to improve quality of movement and physical performance.
The Goals of Physiotherapy

To develop strength enough to support one s head upright
To have balance and motor control to maintain their trunk at midline
To use many different muscle groups
To assist necessary motion in their trunk and extremities
The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals
To understand what the patient is good at and does well
To focus on what he or she capable of doing rather than on what they can t do
To educate and provide awareness with a view to prevent injury. For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and wellbeing in this way can help reduce seizures. It can also help people feel more in control of their health. It also helps release  feel good  hormones into the brain, helps keep the muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. It can also increase the bone density. A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks resulted in a significant reduction in the number of seizures they had.

Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.

Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. Making new friends may help with any feelings of isolation. Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk. 

Role Of Physiotherapy In Treating Epilepsy!

Depression is more than just feeling low or down. It is a serious illness that is caused by various changes in the brain chemistry. There are a lot of factors that cause depression, which range from genetics to change in hormone level, stress, grief, medical conditions and other life circumstances. All these can lead to depression and that is something which does not go away on its own. However, there are a few efficient ways through which patients can deal with depression. These are as follows:

Exercise: Taking a brisk walk for fifteen to twenty minutes every day can be very healthy, not only for your body,  but also for your mental health as well. Dancing, jogging, cycling and yoga are alternatives as well. Although, people who are depressed might not feel like doing any of those things, but one should try to do them anyway. Once a person gets into the exercising routine, they will start noticing the change in their mood. Deep breathing, yoga exercises and meditation can also help people feel better and less depressed.
Anti-depressants: Three brain chemicals that are responsible for handling your mood are norepinephrine, serotonin and dopamine. During depression, the brain circuits that make use of these chemicals stop working properly. In this case, antidepressants can be very useful. These tweak the chemicals that run through the brain and help improve your overall mood.
Psychotherapy: It is a method through which therapists find out a person s everyday stressors. This therapy is a powerful treatment for depression. Combining psychotherapy with medications can be even better and more effective. This also makes the symptoms easier to take. When a person talks about his feelings and problems with a stranger, it can help him or her release certain amount of stress.
Social support: Talking to a friend or attending group therapies has proven to be beneficial. However, it is important that the person you talk to is someone who you will feel comfortable around. Therefore, it could be someone you know or someone who empathises with you. This is possible either with your close ones or group therapies where the people you talk with, have been going through the same problem you have.
Meditation: Calmness and meditation can help you channelize your positive energy and thoughts over the negative ones. It can help a person see new perspective, develop forgiveness and compassion. Much like exercise, meditating briefly can help you gain immediate effects. It helps a person get over depression. This happens over time. One might not be successful in releasing their stress at once. It is a process that takes time.
The treatment that you get for your depression will depend on the kind of depression that you have. Some might get psychotherapy while others might get antidepressants or for some, exercise could be enough. 

Depression - 5 Ways to Deal With It!

Marriage or any healthy relationship, is a bonding and not a binding. Finding the right person and living happily ever after is only true in fairy tales. In reality, once you find the right partner, maintaining and nurturing the relationship bond itself takes a lifetime and living happily solely depends on how you cultivate relationship with your partner.

Communication is one of the chief ingredients besides trust, understanding, love, care, companionship and empathy in a happy and successful marriage. And, failure to communicate is one of the foremost reasons for the failure of relationships. Do you say I love you and appreciate your partner or do you just criticise and complain about him/her all day long? Do you consider his/her ideas and feelings or always turn them down? To communicate effectively is to express yourself freely to your partner, convey your likes and dislikes, convey what turns you on and what doesn't! Unless and until you are vocal about your thoughts and feelings, how do you expect your partner to understand you? You feel frustrated and upset because things don't happen your way but have you tried to 'express' your way to your partner?

Lack of communication in relationships results in frustration, misunderstandings, unrealistic expectations, guilt and can create personal differences. It is difficult for people who share their lives with each other to coexist for long without having regular and smooth communication for oiling the machinery of the relationship.

Couples who communicate effectively are not always devoid of arguments. Arguments happen because there is a difference of opinion between the partners; which is a very normal thing. Arguments usually end in nasty and bitter manner. However, it is up to us to convert that unhealthy argument into a healthy one! Most of us indulge in these arguments to win; not to resolve the matter! What is important is the 'progress' in the matter at hand, not the victory.

Remember, not to engage in any serious discussion or disclosure when angry as you tend to lose balance and rational reasoning. The same holds true in a situation where your partner is not up to it. Receptivity is of utmost importance. A 'No' from a partner does not mean not now, not ever. It simply means I don't want to do that right now! Feeling free to say no if the request is unappealing at that point in time.

Communication cues that can help improve the quality of argument:

Remember, there is no blaming game! WHAT is Right is more important than WHO is right.
Use I statements instead of You always statements. Example I feel angry vs. You always humiliate me. When you use I statements, you're taking the onus on you.
Attack the issue; not each other!
Refrain from the 4 C's : Caustic (sarcasm), Compare, Condemn and Criticize.
Avoid mind-reading your partner and assuming things; instead express yourself verbally.
Using 'I feel' statements are better over You are ones. When you say I feel, you're taking the onus for your feelings and thoughts and avoiding direct blame on your partner.
Have an open mind. Minds are like parachutes; they work best when open. Be proactive and open to changes, alternatives and work effectively for resolving a conflict.
Stay away from Stereotyping (generalizing - all men are like that...) 'Gunnysacking; (nursing past grievances and bringing them up for review while trying to resolve a present conflict).
No engaging in 'Summarizing self-syndrome' where both partners continue to restate his/her stance and issues without actually listening to other and without understanding other's perspective, feeling frustrated.
Cut back on 'Catastrophizing' i.e. dwelling on the worst possible outcomes of a problem or risk that you face, to the point that even remote, unlikely disasters preoccupy your attention. Often, objectivity becomes clouded, and you may gradually begin to feel or act as though these unlikely events are really going to happen.
Get rid of 'Stereotyping'; (generalizing - all men are like..) and 'Gunnysacking' (cropping up issues from the past having no relevance to current problem).
Don't send double messages- statements which have two conflicting meanings. Keep it as simple and assertive as possible.
A mind is like a parachute, it doesn't work unless it is open. So have a broad perspective, try to understand your partner's perspective and try and arrive at a mutually agreeable decision that caters to well-being as a whole. Matrimony is the high sea for which no compass has yet been invented. What counts in making a happy marriage is not how much compatible you are, but how you deal with incompatibility. Marriage was, is and never will be perfect, Yet it is the happiest wrong we are doing on earth!

Are You Happily (n)Ever After?

Most people will give you a blatant No. And they are quite right to do so. But if you have been a habitual offender who can't unwind without their drink, pregnancy is going to be a big problem. So does the rule stand in all cases? What if you drank when you didn't know you were pregnant yet? What if you had a light drink here and there, will it literally spell disaster? Let's find out.

Contradictory advice everywhere: Most doctors will advice you to stay away completely from alcohol as soon as that first positive emerges in your test. Others may give you a little leeway and let you have an occasional drink. There are friends who'll confess to have cheated during their pregnancy and snuck in a beer or two and say that their kids turned out just fine. There are other friends will scorn on you for even thinking such a thing. Same goes for your relatives. Like all things in pregnancy, random advice will just not work.

How much can you drink? Let's assume that you are confident nothing will happen and want to be adventurous and give it a cautious try. Danish researchers have some good news for you. Some studies have shown that low to moderate consumption of alcohol does not harm the baby. In fact, in 2012, Danish researchers released a highly publicized study that found no major problems in children below 5 years whose mothers had consumed 1- 8 alcoholic drinks a week during pregnancy.

Unfortunately, not all research is made equal. With pregnancy, each mother, each child and progression of each pregnancy is different. It really has to be on a case by case basis and nothing can be taken on face value. Most people will still advise you to completely go off alcohol as there is 'no safe' amount during pregnancy. Some women have a larger quantity of the enzyme that breaks down alcohol. If a woman with lower levels of this enzyme drinks alcohol, it is more likely to harm her unborn child as the alcohol will remain in her bloodstream longer.

How alcohol can affect your child?

A number of disorders that can affect your child when in the womb and even after because of alcohol consumption. These disorders are collectively called 'Fetal Alcohol Spectrum Disorder'. It is characterized by increased risk in miscarriage and stillbirth. It can also result in the baby having low birth weight and increase problems with learning, speech, attention span, language and hyperactivity. Alcohol consumption may also affect girl child and a baby boy differently. While both may turn out to have aggressive and delinquent behaviour, girls are more likely to develop mental health problems too.

If you are unable to give up on alcohol, you need to immediately get professional help to overcome your addiction. Also note that the term 'non-alcoholic' beverage is misleading as they can contain trace amounts of it. Consult a doctor today on which drinks are safe for you.

Alcohol in Pregnancy: Is it Safe?

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

The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

Medication
Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

Surgery
Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
5. Surgery to remove half the brain's cortex or outer layer

Dietary changes
A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.

How to Deal with Severe Epilepsy

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