Borderline personality disorder is connected with the mental health of the patient and is usually seen in the way the patient perceives himself or herself. This has a deep impact on the brain and overall functioning of the patient. It leads to problems in the personal life and relationships of the patient. These problems are usually triggered by a fear of abandonment. Let us explore the signs and symptoms of this condition to understand it in a better manner:

1. Discouraging Attitude: One of the earliest signs of this disorder includes having an attitude that is very discouraging. This attitude may remain limited to the patient or may extend to the people around him or her.

2. Self-Identity: This disorder has a marked impact on the self-identity of the patient. There is usually a rapid decline in the way the patient may view himself or herself. A self-deprecating attitude will usually be seen among patients suffering from this condition, where the self-esteem hits an all-time low along with low self-confidence.

3. Relationships: Whether it the patient's personal relationships, family, friends or work based relationships, there will be a sharp decline in the quality of interactions that the patient indulges in, due to this disorder. The interactions and dynamics of all relationships will usually take on an intense turn as the patient will have varied unfounded concerns that come from the fear of abandonment. This usually stems from some form of childhood trauma triggered by parental separation or loss.

4. Impulsive Behavior: Patients suffering from this disorder will also display impulsive behavior that may lead to gambling, and other risky behavior. This kind of behavior can usually lead to accidents and losses as well as further lowering of the sense of self-esteem that the patient may experience. Also, abuse and binge eating are some of the symptoms of this kind of behavior.

5. Suicidal threats: There may be threats of suicide by patients who are suffering from this disorder. This usually happens because most of these patients end up feeling lost and empty, which makes them think that their life and all its activities are completely futile. If you happen to meet someone who consistently talks about how useless he or she is and how nothing in life seems to have a purpose, then you may want to recommend this person to a psychiatrist as these are the earliest signs and symptoms of borderline personality disorder.

6. Mood swings: The patient will also suffer from intense mood swings. These could last up to several days and even weeks. These mood swings could go from happiness to severe anxiety and even shame.

Signs and Symptoms of Borderline Personality Disorder

One of the common ailments in the elderly people is the Parkinson s. A progressive disorder, when left untreated, results in worsening of the symptoms. Hence, it is essential to understand the treatment options available to manage the condition effectively. You may be suggested surgical therapies if medication is not effective enough to treat the symptoms.

Surgical treatment options can be beneficial for patients who are suffering from symptoms, but they do not help with treating the disease. In the past, surgical methods like Thalamotomy and Pallidotomy were used to destroy brain cells that contributed to the symptoms. While these methods are still used, they are very rare and situational.

Deep Brain Stimulation (DBS), an FDA-approved procedure, has become much more popular as it is much safer and does not involve invasive surgery. Instead of destroying brain cells like traditional methods, DBS involves sending electric pulses to the affected brain cells to reduce the symptoms. It is not a treatment procedure, but a means of bringing down the severity of Parkinson s to allow better and more comfortable treatment.

Deep Brain Simulation   Who are the right candidates?
Deep Brain Simulation is commonly used for Parkinson  s disease, but it is not recommended for everyone. It is a preferred method of treatment for people who have had Parkinson s for at least four years but have complications which include long periods of time where medications do not work, or symptoms return, uncontrolled and involuntary movements or the freezing/stiffness in the body.

Deep Brain Simulation is not recommended for those who have Dementia as it can lead to memory problems. The general rule of thumb that neurosurgeons follow is that Deep Brain Simulation can help with symptoms that do not get better with medication. DBS can help reduce medication requirements for patients as well as reduce the side effects that may occur due to medication.

Disorder specialists and neurosurgeons can conduct tests to determine if DBS is going to be effective for a patient before going ahead with such a procedure. An extensive assessment is necessary to understand the symptoms, the effect of Parkinson's drugs and also brain imaging is done. All of the expected benefits are then evaluated for the patients, and if the procedure can help alleviate the symptoms, DBS is given a green signal by neurosurgeons and patients can undergo the procedure.

How Does Deep Brain Simulation Work?
Deep Brain Simulation is a very complex procedure. Brain cells communicate with the rest of the body through electric signal, and these become irregular and do not work properly when affected by Parkinson's. DBS smoothens the functioning of these brain cells and reduces symptoms through electric pulses through the implantation of a medical device known as neurostimulator which is also referred as brain pacemaker.

But, as with any treatment procedure, DBS has potential risks and side effects, hence discuss with neurosurgeon thoroughly to access the suitability.

Adopting Deep Brain Stimulation For Parkinson's disease

Saif and Kareena show you how to bridge the age gap perfectly in relationships

There?s a lot to learn from the love story of the 10th nawab of Pataudi, Saif Ali Khan, and the Bollywood actress, Kareena Kapoor. Despite the 13 year age gap between them, the two have a very strong and mature relationship. So what keeps the two sticking together through thick and thin? here?s how saif and Kareena have bridged the age gap to emerge as a powerful couple.

1. They know that age is just a number

For saif and kareena the 13-year difference is not an issue. They know that what matters, in the end, is not how old you are but the kind of personality you have. Both saif and kareena have a mature personality, and they gel perfectly well with each other. This is the reason why they are able to connect and maintain a strong and healthy relationship.

2. They care about each other?s family

Kareena has a very strong relationship with Sharmila Tagore, Saif?s mother. Not only that, Kareena has also made sure she is on good terms with saif?s children from his previous marriage as well. Accepting each other?s family and past is a very important step in making a relationship work. Not only that, their families act as a support group for them, which helps them going on despite the difference of years between them.

3. They share common interests

Another thing that makes their relationship work is the fact that they share several common interests, which help them in coming closer and making their bond stronger. Saif and Kareena often go on trips together, attend cricket matches together and make it a point to go out for regular romantic dinner dates.

4. They respect each others? views 

Nothing could be more important in a relationship than respecting each other?s decisions. The pataudi family tradition had women changing to Islam after marriage, with even Sharmila Tagore converting after her marriage. However, Kareena did not want to, and Saif fully supported her decision. Even their marriage ceremony was a mishmash of their differing religions. So, if you want your relationship to work, be very open and accepting of each other?s differences and views.


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Saif and Kareena Show How to Bridge the Age Gap Perfectly in Relationships

Parkinson s disease is a disorder involving the nervous system. It can start with a mere tremor of one hand and advances to slow movement and stiffness. The face might show little no symptoms in the beginning but the speech might become slurred. With every passing day, the condition worsens. This condition has no permanent cure but the symptoms can be improved with proper medication.

What are the symptoms?
Some unmistakable symptoms include the following:

A sudden shaking of the limb. A sudden tremor of the hand is a very common symptom of this disease.
A stiffness of the muscles that can limit the range of motion and sharp pain.
The posture of the body might get compromised. Often balancing problems are witnessed among many patients.
There could be problems with speech leading to soft, slurry or quick speech. The speech in some cases can become monotonous devoid of inflexions.
Parkinson s disease can lead to slow movement and makes performing of simple tasks difficult.
Patients often find writing very difficult
What are the possible causes of Parkinson s disease?

Specific genetic mutation can lead to Parkinson s disease in folks who have a family history of Parkinson s disease. Certain variations of the gene increase the risk of this disease
Exposure to certain environmental factors or certain toxins can trigger Parkinson s disease in an individual.
Certain cells in the brain known as Lewy bodies can trigger Parkinson s disease.
A certain kind of protein cells within the brain known as alpha-synuclein can trigger the Parkinson s disease in an individual
What are the risk factors?

Heredity: Having an immediate family member or a close relative suffering from Parkinson s disease can increase the risk of getting this disease in an individual
Age: Although not a prime risk factor, but an individual over the age of over 60 have an increased risk of getting this disease
Toxins: Exposure to pesticide or certain herbicide increase the risk of Parkinson s
Sex: Men are more likely to get Parkinson s disease than women
What is the medication for Parkinson s disease?

Carbidopa-levodopa: This is a natural chemical that gets passed to the brain and is converted to dopamine by the body. The benefits of this medication might reduce with increased symptoms.
Carbidopa-levodopa infusion: A popular drug in this category is known as the Duopa. It is administered directly into the small intestine in the form of gel through a feeding tube.
MAO-B inhibitors: Drugs from this group include rasagiline and selegiline. This is a powerful medicine. Many patient experiences hallucination during the initial days of consuming these drugs.
Anticholinergics: This medication is mainly used to counter tremors of the limbs in the early stage of the Parkinson s disease.

Parkinson's Disease - What Are The Risk Factors?

Depression is possibly regarded as the first sign of Alzheimer s disease. According to a research, the connection between Alzheimer s disease and depression is very interesting. It has been found that the life of people who are suffering from dementia is affected in 2 different ways. Individuals who have suffered from depression in their lives are at a greater risk of developing dementia. It has also been observed that people suffering from dementia also have depression. The health condition should be treated immediately because if it is ignored it can damage the quality of life and result in worst conditions like memory loss. Temperament, as well as behavioral changes, may precede memory problems in people with the disease.

Risk factor of dementia
The significant risk factor for dementia or common form of Alzheimer s is developing depression at a younger age. The other reasons for the link are not very clear, however, it has been speculated that the inflammation that occurs in depression is a contributing factor to the Alzheimer s disease. The risk of dementia also increases with certain proteins which spiral with depression. The common signs of Alzheimer s disease include lack of appetite, sadness, agitation, weight loss, and anxiety. People suffering from this condition are unable to tell if they are depressed, but their actions help in communicating a message. It is always better to seek the assistance of a physician as doctors can make use of tools to assess the neurological disorder.

Best way to treat patients with Alzheimer s
The best way to treat patients suffering from dementia and who are depressed is to engage them in activities. It is important that they step out and do some exercises. They should go out in the sunshine. It is necessary to engage them in activities and conversations and help them to lead a higher quality of life. Some of the symptoms of dementia and depression are alike but not all of them. The major symptoms of depression include feeling tired most of the times, feeling restless, irritable, feeling worthless/guilty, unplanned weight gain and trouble in focusing. These symptoms often occur for more than 2 weeks or longer.

Difficulties caused by Alzheimer s disease
In the case of Alzheimer s disease, it becomes very difficult for the individual to communicate, learn or remember mainly because the damage is caused to the brain. Due to the brain damage, there is a possibility of changes in the personality and moods of individuals suffering from this health condition. The quality of life is affected by depression as well as Alzheimer s disease. Hence, it is always better to treat the condition immediately. For that reason, it is very important to set up a pleasant environment around and help patients suffering from this condition by helping them do enjoyable tasks and make them feel positive about life.

Alzheimer's Disease & Depression - How They Are Related?

Depression is recognized as a mood disorder characterized by the prolonged feeling of sadness and loss of interest in otherwise regular activities. The symptoms include loss of sleep and appetite, loss of interest, persistent feeling of sadness and lowered self-esteem. These symptoms should last for a minimum of 4 weeks for the individual to be diagnosed with depression. Sometimes, at its later stages, depression can also be accompanied by suicidal tendencies.

How it can be treated?

Role of anti-depressants: Depression has become rather common in the present day scenario. The treatment varies from prescription drugs to therapy. People who have depression are usually given mood enhancers and anti-depressants. Antidepressants are medicines used to help people who have depression. With the help of these depression medications, most people can achieve significant recovery from depression. Most antidepressants are believed to work by slowing the removal of certain chemicals from the brain. These chemicals are called neurotransmitters (such as serotonin and norepinephrine). Neurotransmitters are needed for normal brain function and are involved in the control of mood and in other responses and functions, such as eating, sleep, pain, and thinking. Antidepressants help people with depression by making these natural chemicals more available to the brain. By restoring the brain s chemical balance, antidepressants help relieve the symptoms of depression. Specifically, antidepressant drugs help reduce the extreme sadness, hopelessness, and lack of interest in life that are typical in people with depression. However, these are but short-term solutions to depression and don t necessarily cure the individual completely. For the treatment to be effective, the drug intake must be combined with therapeutic techniques to solve the problem at the root level.
Therapy: Different therapeutic techniques are used to treat depression depending majorly on the individual, the cause of depression and general history and state of mind. Research suggests that client centered therapy and cognitive behavioral therapy are a good start with an average case of depression. The therapists usually incorporate several other methods based on the client s need to get maximum effect. Adlerian techniques, where individuals are made to comprehend the thoughts and emotions which influence their lifestyles and adopt a more productive and positive way of life, are rather helpful with most clients who suffer from depression.
Note
Depression is a fairly common mental health disorder today, affecting a large population. Depression must be acknowledged as a proper mood disorder and not just a passing phase. It is completely curable with proper medicine and therapeutic sessions. The individual is able to move over the feelings of unhappiness and lack of interest with proper care and acceptance from loved ones in addition to therapy and the drugs, of course.

Depression - Is it Curable?

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