Dementia is a dreaded psychological disorder in which the brain cells begin to deteriorate. It is different from regular senility. When the brain cells stop doing their work, it affects the brain function. This leads to a gradual loss of memory. At the same time, the person may also experience changes in personality as well as declining cognitive abilities, all of which are linked to the faculty of memory. Dementia usually affects senior citizens. However, it may happen to the young as well.

What are the Causes of Dementia?
Dementia may be prompted by -
  Alzheimer s Disease
  Huntington Disease, a degenerative disorder
  Vascular dementia
  Atherosclerosis
  HIV
  Multiple Sclerosis
  Pick s Disorder
  Parkinson s Disease
  Encephalitis, both viral and bacterial
  Lewy Body Disease
  Brain Tumour
  Progressive supranuclear palsy
  Chronic Subdural haematoma
  Wilson s Disease
  Neurosyphilis

Dementia in Siddha -
Siddha is an ancient and indigenous branch of medicinal science that was developed in Tamil Nadu. Siddha aims to get to the root of any ailment and eliminate it from the source instead of simply trying to eradicate the symptoms. Siddha believes that the human body primarily consists of three humours- Kapha, pitta and Vata. As long as the right balance is maintained, the human will be healthy. But if the balance goes out of whack or if the quantity of one humour exceeds the others, then that will make a person vulnerable to diseases.
When there is a Vata imbalance in the mind, a person s memory begins to fail him/her.

According to Siddha, a person who has contracted dementia will exhibit the following symptoms -
  Forgetfulness
  Difficulty with recollection and reasoning
  Confusion and disorientation
  Inability to make plans
  Impaired judgement
  Anxiety
  Depression
  Hostile behaviour
  Losing interest in everything around him/her
  Disturbed sleep
  Restlessness
  Hoarding
  Delusion or hallucinations (in advanced stages of dementia)

The approach of Siddha towards neuropsychiatry revolves around the concept of  Kayakarpam    a mode of treatment that can slow down ageing and deterioration of the brain cells. Treatment of dementia consists of -
  Skinned ginger soaked in honey
  Paddy rice mixed with ghee
  Amaranth cooked ghee, salt and pepper
  Aloe Vera
  Black nightshade

Treatment of dementia also includes  thokkanam . Medicinal oils are messaged onto certain parts of the body to activate the Varma points. This will release the  praana vayu - the force of rejuvenation. Siddha also recommends regular meditation top slow down the progression of dementia.

Allopathy has not yet come up with a cure for dementia. But, Siddha can help. Moreover, Siddha medicines are safe and can be consumed without fearing side effects.

Dementia - Getting It Treated With Siddha!

Being a perfectionist is not wrong until it does not stop you from working according to your priorities. However, when you struggle to go on with your regular routine and seem to concentrate on one particular thing, again and again, it is time you seek expert advice.

Obsessive-compulsive disorder or OCD is a medical term that refers to obsessions or excessive thoughts leading to compulsions of repetitive behaviours. A person suffering from OCD usually has recurring thoughts that he or she has no control over, which leads to developing uncountable urge of repeating behaviours over and over.

The condition is long-lasting and chronic, and when not attended to as early as possible, usually brings in difficulties to the patient in leading a normal life. Continue reading to know about its symptoms and how it can be diagnosed.

Symptoms
The symptoms of OCD can be divided into two types, symptoms of obsession and the other is symptoms of compulsion.

Obsession Symptoms:

Spending more than normal time on one s obsessions, which results in disrupting one s social, professional, and personal activities.
Having the same images, urges, and thoughts again and again which the patient has no control over.
Losing the control over his/her anxiety and anger and acting on the urge of harming others or one s self.
Having unwanted and inappropriate sexual thoughts, especially developing obsessions with incest and homosexuality.
Being extremely obsessive and concerned about the fear of contamination that includes threats from the germs, dirt and even body fluid.
Compulsion Symptoms:

Constant cleaning and washing, especially washing one's own hands again and again.
In cases of mental compulsions, tendency to repetitively review events mentally, repetitive praying for harm prevention, etc.
Repetitively checking of the body parts or things around to be sure that nothing has happened to them.
Repeating routines such as reading the same page over and over.
Diagnosis
Diagnosis of obsessive-compulsive behaviour may consist one or various medical examinations that include,

Physical examination: Physical examination is performed in order to eliminate the probability of the presence of any other complications or illnesses.
Psychological evaluation: Psychological evaluation is all about discussing the feelings, thoughts, symptoms, and behaviour of the patients.
Laboratory-based tests: Usually, a complete blood count or CDC is included in the lab tests where the presence of drug or alcohol and the function of the thyroid is analysed.
Reference to the OCD diagnostic criteria: This step includes referring to the standard OCD diagnostic criteria to determine whether the patient is suffering from OCD or not.
Affecting people of all ages, OCD traps its victims in a cycle of compulsions and obsessions. Though a complete cure to this illness has not yet been discovered, still, with right treatment at the right time can be very effective in controlling of the symptoms while helping the patient to lead a normal life.

Depending upon the condition of the patient, the severity, and type of OCD, a psychiatrist can offer the best treatment in the form of therapies or talk sessions, or medications or a combination of both.

A Brief Overview Of Obsessive-Compulsive Disorder, Its Symptoms, And Diagnosis!

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely  up,  elated, and energized behavior (known as manic episodes) to very sad,  down,  or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

Bipolar I Disorder  defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
Bipolar II Disorder  defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
Cyclothymic Disorder (also called cyclothymia)  defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
Other Specified and Unspecified Bipolar and Related Disorders  defined by bipolar disorder symptoms that do not match the three categories listed above.
The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.

Mania-

Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.

The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals. 

You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
 
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
 
If you become manic, you may notice that you are:

Emotional:

very happy and excited
irritated with other people who don't share your optimistic outlook
feeling more important than usual. 
Thinking:

full of new and exciting ideas
moving quickly from one idea to another
hearing voices that other people can't hear.
Physical:

full of energy
unable or unwilling to sleep
more interested in sex.  
Behaviour:

making plans that are grandiose and unrealistic
very active, moving around very quickly
behaving unusually
talking very quickly - other people may find it hard to understand what you are talking about
making odd decisions on the spur of the moment, sometimes with disastrous consequences
recklessly spending your money
over-familiar or recklessly critical with other people
less inhibited in general.
If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong   although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues   and with other people's feelings. 

Depression- 

The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:

Emotional:

feelings of unhappiness that don't go away
feeling that you want to burst into tears for no reason
losing interest in things
being unable to enjoy things
feeling restless and agitated
losing self-confidence
feeling useless, inadequate and hopeless
feeling more irritable than usual
thinking of suicide.  
Thinking:

can t think positively or hopefully
finding it hard to make even simple decisions
difficulty in concentrating. 
Physical:

losing appetite and weight
difficulty in getting to sleep
waking earlier than usual
feeling utterly tired
constipation
going off sex. 
Behaviour:

difficulty in starting or completing things   even everyday chores
crying a lot   or feeling like you want to cry, but not being able to
avoiding contact with other people.
Causes:

Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as  neurotransmitters .
Treatment Methods:

Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.

Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.

Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.

Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).

Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications.

Bipolar Affective Disorder - Symptoms and Treatments

Do you have a family member or a close friend who is suffering from obsessive compulsive disorder? Obsessive Compulsive Disorder (OCD) is a disorder, which causes anxiety, and is also known as anxiety disorder. The disorder is featured by continuous, uncontrollable and unpleasant thoughts. OCD causes a patient s mind to get stuck on a certain inclination. Obsessive thoughts and compulsive behavior patterns indicate OCD.
Dealing with an OCD patient

After the initial diagnosis, a patient with OCD enters the stage of acute treatment. The treatment aims at coping with and overcoming the symptoms of OCD.

Education: Patients with OCD should get to know as much as possible about the disorder they are suffering from. You should help an OCD affected patient by providing them the opportunity to read about the disease, and talk to other patients, along with regular appointments with a clinician. A treatment plan has to be developed. OCD patients in an acute treatment stage should be taken to a doctor every week, in order to discuss their progress.
Therapy: Therapy helps them cope with the symptoms of OCD. Cognitive behavioral psychotherapy is undertaken for treating patients with OCD. This mode of treatment gives the patients psychological tools, which help them resist the ill effects of the condition.
Medication: Medicines are not required for all OCD patients. Some patients diagnosed with the condition are prescribed selective serotonin re uptake inhibitor or SSIs for dealing with the symptoms of OCD. The medicines should be taken for a period of three to four weeks before any results are experienced. 12 weeks are required for a patient to know whether the medicines are working or not. An SRI is ineffective in some cases, and you may be prescribed a non-selective serotonin re uptake inhibitor like Clomipramine. This affects the serotonin, but has positive impacts on other neurotransmitters in your brain.
Family support: Family members play an important part in helping OCD patients manage their condition by providing constant support, staying calm, and being educated about the condition. OCD patients should be treated with affection and should be complimented often. The observations of the patient by family members help a doctor in determining the patient s condition. As a family member or close friend, you must never be critical about the patient or state negative comments about his condition. Such feedback causes the patient s condition to worsen. Family members should discuss all problems they face regarding the patient to a doctor.
Patients who have completed OCD treatment require monthly check ups with a doctor for six months. A year of cognitive therapy is required to be carried out, along with the intake of prescribed medicines.

Obsessive Compulsive Disorder - How To Handle It?

India is all set to celebrate its 75th Independence Day on 15th August 2021. This day marks the Independence of our country from the British. So, every year the Independence Day is celebrated throughout the country with great fervour. So, this Independence Day, let's take a pledge and abide by the fact that we will take up small measures to restore our health. Below are few healthy habits that we must follow.

Freedom to be ourselves: By having the freedom to be ourselves, basically refers to the idea of having certain choices without being bound by any kind of limits, social stigma or pressure. People should have the independence to do anything that they want to do. Going deep into it, it is basically having the freedom to grow and attain the level that people want to achieve, in an unrestricted manner. This would only be possible if one is allowed to make experiments with their choices.

Constant progress towards a fulfilling life: Today s world is filled with a variety of stress. We are always in a hurry to catch up with our goals and meeting our targets. So, in pursuit of all this, there is every possibility that we might lose out to make time for ourselves and our relationships.

So, this Independence Day, we must take a pledge and abide by the fact that we will take up small measures to restore our health and rejuvenate our relationships and this constant progress will enable us to achieve something big in life. Now let us talk about certain healthy habits that we must follow in order to be free from diseases or health problems.

Healthy breakfast: A nutritious and healthy breakfast is of utmost importance as it provides us with the much-needed energy to carry out our activities throughout the day. A healthy breakfast is one which includes fruits, eggs, a portion of oats or barley to have a great mix of protein, fat, vitamins, minerals and carbohydrates
A good night s sleep: Research has shown that a sufficient sleep at night is essential towards getting an efficient mind, as it helps to bring forth improvements in cognitive skills, sharpens memory and keep gastrointestinal disorders away. Ideal sleep hours for women should be 8-9 hours and for men, 7-8 hours should be ideal.
Fluid intake is important: Drinking 8-10 liters of water every day carry great benefits for one s health and well-being. Water helps to remove toxins, makes the skin glow and people don t feel dehydrated.
Exercising daily is good for you: Staying fit and healthy in this competitive world is a must. Fitness cannot be attained only having healthy food but doing exercise on a regular basis is also essential. So make sure to make time for working on your cardio, abs, legs, chest, so that on an overall basis, you are fit and fine. Walking, jogging, cycling and doing normal free hand exercises can help in attaining good health.
Avoid long gaps in-between meals: Generally, we tend to have three big meals, breakfast, lunch and dinner. In the midst of these three, the normal gap is of 5 to 6 hours, which often leads to a drop in our blood sugar level. Ideally, which should be avoided and in place, a habit of eating something healthy after every 2 or 3 hours should be adopted.
Restore your health with a cup of Green Tea: Green Tea has great health benefits as it is filled with antioxidants, which ensures brain to function better and thus lower the chances of getting plagued by cancer. It also makes the body system free from toxins. One cup of green tea in the morning or taking it even at the end of the day is ideal. Make sure not to have more than 2-3 cups every day as it can lead to stomach problems, restlessness and insomnia.
Wash your hands frequently: A number of diseases and health ailments spread from unhygienic habits and that is something which is in our control. We should encourage people around us, such as kids, household help, relatives to wash their hands from time to time. This will help us in controlling the spread of diseases.
The above-mentioned habits are only indicative, however, there are many more that we should adapt according to our health requirements.

Independence Day Special - Let's Take A Pledge To Stay Healthy & Embrace Healthy Habits!

Schizophrenia is a severe, chronic mental disorder that affects an individual s ability to think and make decisions, as well as relationships and emotions. The illness is characterized by experiences or unrealistic thoughts, disorganized behaviour and speech, reduced participation in routine activities. A person diagnosed with schizophrenia also experiences difficulty concentrating and memorizing things.

Schizophrenia does not have a definite cure. However, psychological rehabilitation can help the patient manage the symptoms of the illness, and improve the quality of life. This is where psychosocial therapy steps in.

Rehabilitation Psychology for Schizophrenia

Rehabilitation Psychology is a speciality of Psychology that utilizes psychological skills, knowledge, and theories to evaluate and treat people diagnosed with disabilities and chronic health issues in order to maximize functional ability, independence, social participation, and overall health.

A rehabilitation psychologist individualizes services to address different patients with varying health conditions. In order to meet this goal, the discipline adopts a holistic approach and considers individuals within a broad social context.

Different Treatment Approaches

Rehabilitation psychology follows these techniques to address mental disorder like schizophrenia in people  

Individual Psychotherapy   a psychologist/therapist teaches the patient how to deal with their behaviours and thoughts. Patients learn more about the ailment and its effects   and how to distinguish between what is real and what is not. The therapy may also help them manage day-to-day life.

Cognitive Behaviour Therapy   CBT can help the patient change the way they think or behave. A psychologist can show them how to deal with hallucinations and voices. After a couple of CBT sessions, you may be able to identify what triggers psychotic episodes   delusions and hallucinations   and prevent or reduce them.

Cognitive Enhancement Therapy   CET teaches individual ways to recognize triggers, social cues better, and improve memory and attention, and the ability to organize thoughts. The therapy combines group sessions and computer-based brain training.

Social Skills Training aimed towards improving social interactions and communication
Rehabilitation procedures such as problem-solving support and job counselling

Even if the above techniques are able to improve the condition, a schizophrenic person will likely need to continue with special care and education on how to become part of the community. 




How Effective Is Rehabilitation Psychology In Managing Schizophrenia?

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