Do you have someone who is passive-aggressive in your life? Perhaps your parents, your siblings, your partner or your friends? It can be difficult to handle such a person. When two people, who are having a healthy relationship with each other are angry with each other, they show anger, they say that they are upset, they discuss things and sort things out. There are so many different ways to express anger. But when it comes to a person with passive-aggressive behaviour, it is not going to be the same when they are angry. This is basically a way to express anger indirectly, as they are unable to or uncomfortable to express their feelings and anger openly.

They need help, and it is you who will be able to help them get out of this pain or anger. Here are six steps to changing someone's passive-aggressive behaviour:

When there is an argument going on between both of you or when one of you is angry, do not say something or do something negative. This will make them shut down completely and they will never open up. It may also happen that the situation gets worse. So, take some time and calm down.
Do not go for any guesswork. You are trying to help someone to get over his/her passive-aggressive behaviour. You need to know what they actually feel. So, ask them how they feel and if they have anything to say about it. This can help them open up.
Brainstorming can be one of the best steps. Yes, if you think that you often argue on some common point, then you need to come up with a solution for it first. Ask for their opinion, make a list of all the points and try to make it as detailed as possible.
Check out the pros and cons of your opinions. When you are done with brainstorming, you need to consider each opinion or decision you made in order to make sure that both of you are comfortable with it.
Choose a win-win situation. In other words, pick up those solutions which make both of you happy.
Execute your opinion or plan and evaluate if it is working for you. If plan A does not work for you, then you can still consider the other options that you left behind to draft a plan B.
Communication is very important and when you are able to communicate well, you will be able to get what you actually need. You should start to think that your feelings are valid and learn to enjoy how good it feels when others value your feelings. Open up and talk!

Passive Aggressive Nature - 6 Things You Can Do To Help!

There are instances when a kid doesn t show the usual signs of development compared to their peers. Most parents take it casually thinking that their child will catch up in due course only to find a larger problem associated with it. It is therefore extremely important to discuss speech and language related delays with a medical practitioner to find out whether a child is immature or has a genuine problem which requires medical help. A child can show different signs as per age:

Different age group:

Within the first 12 months, a baby should be able to relate to his environment and make babbling and cooing sound. It is often observed that by month 9, a baby is capable of stringing sounds after seeing things. If a baby is intently watching objects, but is unable to make any sound, this may be an early symptom of speech or language related problem.
Between the 12th and the 15th month, a baby should be capable of making a wide array of sounds including few commonly used words. Babies should also be able to take few basic instructions and oblige those.
Between the age of 18th and 24th months, a baby becomes smart enough to pronounce anywhere in the range of 20 to 50 words. They also start combining words and make simple sentences. They should be capable of identifying common objects and remember their names.
By the age of 3, a toddler should be smart enough to combine 4-5 words and form sentences. Kids of this age also become smart enough to take straightforward instructions and perform them comfortably. Any deviation on this should be immediately reported to the Doctor.
What are the warning signs?
If a child between the age of 1-2 is not able to do the following things:

Fails to use gesture
Use more gesture than vocalising by the age of 18 months
Produce no voice by 18th-month
Fails to perform simple instructions
A child between the age of 2-3 needs evaluation if:

Capable of imitating words but isn t spontaneous in vocalising
Repeats certain words multiple times
The tone of voice is unusual compared to his peers
Possible causes of speech and language delay:

Problems with palate leading to oral impairments
Short frenulum restricting sufficient tongue movement to produce speech
Oral-motor problems leading to speech limitation
Problems related to hearing
Chronic infection of the ear leading to speech delay
What does the pathologist assess?

What can the child speak?
What can the child understand?
Oral-motor status
Clarity of speech
Post the above evaluation a pathologist directs a plan of action. Sometimes speech therapy sessions are recommended in order to improve kids  skill. For a motor related problem, a doctor can state a plan of action and limit the expectation of parents.

Speech & Language Delay - Spot The Signs!

Are you a 'What-If' person? Kill anxiety in 4 easy ways

Thinking about dangers and risks is a normal phenomenon, it helps us to stay alert and to become a good problem solver. It’s only when worrying gets out of a person’s control, it turns into a problem. If a person is constantly preoccupied with “what-if " and keeps imagining worst-case scenarios, worry actually turns into the cause for high pulse rate, insomnia, poor mental and physical health. 

Here are 4 simple steps to cope with anxiety and worry.

1. Breathing technique: The first thing to do when you get anxious is to take deep breath. Deep breathing is a powerful anxiety-reducing technique because it activates the body’s relaxation response. Try slowly inhaling to a count of 5, filling your belly first and then your chest, gently holding your breath to a count of 5, and slowly exhaling to a count of 5 and repeat several times.

2. Accept that you’re anxious: Remember anxiety is just a feeling, like any other feeling, by reminding yourself that anxiety is simply an emotional reaction, you can start to accept it. Acceptance is critical because trying to eliminate anxiety often worsens it. But accepting your anxiety doesn’t mean liking it or resigning yourself to a miserable existence. It just means you would benefit by accepting reality as it is – and in that moment, reality means 'anxiety' you are feeling.

3. Question your worries. When people are anxious, most of the time their brains start coming up with all sorts of unrealistic ideas, which most likely will never occur. To avoid unnecessary worry, one should ask himself / herself a few questions like:
- Is there a reason to believe something is wrong?
- What evidence is there that something is wrong?
- If the worst possible outcome happens, what would be so bad about that?
- What are the options I can use to handle the situation at hand?


4. Focus on right now: When people are anxious, they are usually obsessing about something that might occur in the future. It is important that when a person becomes anxious, he/she takes a deep breath and pay attention to what’s happening right now, around them. Even if something serious is happening, focusing on the present moment will improve your ability to manage the situation.

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

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Are you a 'What-If' person? Kill anxiety in 4 easy ways

When it comes to the brain and the iq, is bigger the better? does size really matter? is there really a connection between the size of your brain and intelligence? with the help of findings by neurologists 
And scientists, we seek to find out!

1. Ailments and the brain: scientists have found that children with autism have a brain that has grown in a disproportionate manner in the very first year of their life. This prevents the child from making connections with normal behaviour. On the other hand, children and adolescents who suffer from attention deficit hyperactivity disorder or adhd have shown signs of having a much smaller brain size. Many scientists have shown that the size of the brain shrinks as we age, and this does not have any visible effect on our cognitive abilities.

2. It's all relative: the size of the brain does not really have a bearing on the way a person's cognition gets shaped. Even large mammals like elephants and whales are finally hunted and tamed by humans who have smaller brains in comparison. The brain is made up of billions of neurons which need to function properly. It may be seen that scientists consider the brain mass in relation with the rest of the body so as to speculate about the cognitive abilities of the person. Why is this required? large animals need a well functioning and proportionate brain size to control and run their organs with proper cognition for satisfactory results, which is what we humans seem to have done.

3. Neanderthal brains: historically, the earliest man or the neanderthals are said to have had larger brains than we do. These people are believed to have brains that are at least 10% larger than the brains that we have in our modern times. The shape of their brain was different too. They were also heavily muscled people which had a bearing on the size and shape of the brain and bodies as well as the lean tissue within the brain. They also survived very successfully for a period of over 200, 000 years, which obviously points to some form of elevated cognition, as per many scientists.

4. Animals: while animals with small brains like lizards and reptiles do not perform too well on iq tests, the animals with bigger brains like elephants and dolphins perform much better. But the medium sized brains of monkeys, lemurs and other animals are said to perform in the best manner. The correlation between the body size and the brain does not seem to hold good here, as per various researches.

So the verdict as per medical science and research stands divided!

Is There an Association Between Brain Size and Intelligence?

This post-traumatic stress disorder is a mental health condition, which gets triggered by a terrifying event. It can happen either through experiencing it or by witnessing it. The symptoms include flashbacks of the events, nightmares leading to severe anxiety and thoughts related to the events, which you are unable to control. Going through traumatic events is quite normal and each and every individual goes through phases, where they encounter events filled with trauma and those who have long-lasting effect on their minds. If the symptoms get worse and go on to last for months and sometimes stretch up to years, then that might be of clear indication a person suffering from Post-traumatic Stress Disorder. 

Let us discuss about the symptoms in detail

The symptoms related to the Post-traumatic Stress Disorder might start within a month after coming across a traumatic sequence.
All these symptoms pose major problems in society, work situations and also in relationships. One s ability to go about doing any normal daily task might also get hampered.
Post-traumatic Stress Disorder symptoms are usually grouped into four types. Different symptoms of each type are:
Intrusive Memories: The symptoms are included under intrusive memories are

Utterly disturbing memories of any particular traumatic event on a recurring basis.
Feel as if you are reliving the traumatic sequence
Dreams which might upset or nightmares related to the horrifying incident.
Avoidance: Symptoms related to avoidance include, trying to avoid thinking or talking about a traumatic event and also avoid going to places or interacting with people, who might remind a person of a particular traumatic event.

Thinking pattern might turn negative: Symptoms of negative thinking patterns may include:You start thinking about yourself and the world in general negatively.There is a sense of hopelessness about the future.You start to get aloof from family and friends.

Physical and emotional reactions change: Symptoms of changes in physical and emotional reactions include

You tend to get scared easily
Unable to sleep peacefully
You cannot concentrate on a particular job
Sense of guilt and shame eats you from inside
Causes

Doctors are not really sure why people suffer from Post-traumatic Stress Disorder. Like most of the health problems, this disorder is in all probability caused by a mix of:

Stressful experiences which a person has to go through while bearing any severe trauma.
Mental health risks inherited, if any of the family members suffered from anxiety and depression.
A person s temperament.
Treatment

The treatment for this Post-traumatic Stress Disorder can help people to take control of their lives once again. Psychotherapy is the primary mode of treatment followed for getting rid off this problem. Along with this, medication can also take an active part in the healing process.  A combination of these treatments can help in improving the symptoms by:

Showing the skills on how to address the symptoms
Counselling, through which people would be made to think better about themselves and others.
Different ways to help cope up, in case the symptoms arise in future.

Post Traumatic Stress Disorder - Know The Detailed Symptoms Of The Problem!


A new relationship involves a lot of weighing from both the sides. Learn what really matters to win people over in this post. When you want to build a new relationship, whether it is for work, business, personal, marriage, friendship etc there are several factors that help take off and bloom the relationship. These factors are broadly the same in different age groups as far as psychological impact matters. Some of the most important influential factors from a psychological point of view have been highlighted here. 

1. Presentation- When you want to draw someone into relationship with you for any reason, it is important that you present yourself at you best levels be it physical or mental. Like they say that the first impression is the best impression, your display of you strengths creates an impression that helps people decide what they want to do with you. This doesn't mean you should hide all your weaknesses but highlighting your strengths is as important as making your weaknesses clear. Always learn to put your best foot forward as sometimes that itself may not be enough. You can't really send your neighbour for your job interview!! There are many instances when people send different photographs in their applications and different ones appear for the exams. This is mere cheating and not winning.

2. Plan – Let people know what you want to do with them and what they can they can do with you. No one can say they don’t have a plan. There is always some plan. Knowing it strengthens why you want to have that relationship in the first place. Otherwise it's like something which is there but you can never want to do anything with! When you are honest with your plans and they workout as you described it, it creates confidence in relationship or else it is destroyed forever. You can cheat a person with your plans once, not forever.

3. Possibilities- Will this relationship bring me trouble? Obviously nobody wants to get into a relationship with anybody that brings them trouble be it physical or mental. Next question is whether it will benefit me? Small or big depends on person's needs. Some relationships neither bring us trouble nor benefits us, such relationships are better than the ones which can cause harm.

4. Potential – Question. Does this relationship you are trying to develop have any possibilities of growth a few or many years down the line. Obviously we have a lot of friends who wither by passing of time. Does this relationship have an expiry date irrespective of how well or bad it goes? Like when we join college we know for sure that the friends will be with us till the duration of the course and that's it. We will know that if we study together it will help us achieve great grades in college and hence a great life later. These kind of growth possibilities or possibilities of deterioration are important to be well aware of and will naturally decide the course of relationships.

5. Progress – No matter what our initial assessments are, how the relationships helps us fare in the outside world will ultimately decide the future of any relationship. Loss, sorrow, tragedy, degradation in any aspect of life, insults, injury, loss of health etc will never help any relationship continue or last.

6. Partnerships – When we want to build a relationship with someone, the best way to do it is to obviously partner with that person in as many activities as possible. The more interested a person is the more activities that person will involve you in and try to do it with you. This type of partnership activities, be it spending a few hours in the evening, or a few minutes on phone, or an association of months or years are a foolproof way to show you are interested. Conversely a person who doesn't partner with you in anything is extremely unlikely to ever have any sort of relationship with you. Partnership in activities is the only way to show and know that you are interested or the other person is interested respectively. After all chasing the moon, stars and rainbow are activities of people who don’t realize its out of their reach. Sensible people are busy with what their eyes see, hands feel, ears listen, tongue tastes and thinking perceives as appropriate.

7. Positioning attitudes- As a tree bends with the winds to prevent from cracking, we all have to be flexible with our attitudes towards each other. Being too rigid about our protocol on how relationships should run irrespective of the reality and circumstances of the person we are having a relationship with is naturally going to break relationships. After all a doctor who heals and prevents all illnesses is better than a doctor who abuses his patients for falling ill but never does anything for them. Eg: You get bed and good food in a hotel as well as at your home. A hotel will provide food only on payment of money, but family will provide it whenever your hungry. Hence hotels can never expect the same emotions as family can, and this is as natural as it should be. Hence be careful what you want from a relationship. Whether you want to be treated as a hotel or family is entirely how you play yourself with others. After all only families can expect loyalty not hotels.

8. Politeness- In any relationship, many years down the line, what our long term memory retains is how comfortable we were in that relationship. Even if we profit from a particular relationship, the fact that it shook us mentally and emotionally will never allow us to go back or retain that relationship. Life is short and the only thing that matters is to spend it comfortably. Not destroy our peace for some benefit that destroys our peace of mind.

9. Personation- While sending a representative of your organization for a client meeting may work in business, you cant really send a representative to meet you wife or kids at home. In personal relationship, lack of your physical presence obviously means that you don’t have time for them. In any relationship, individuality matters a lot. Just imagine, if all actors acted exactly the same in movies, why would you prefer any particular one over the other as your favourite? The nuances and differences in our personalities are what makes us all unique. We are not robots from a particular brand to behave exactly the same way. If a person in a relationship doesn't sense your individuality you are wasting their time by trying to have a relationship with them, especially a personal one.

10. Positive reinforcement- When we get into a relationship, it is important that we feel good about ourselves and what we are doing. If you feel like a shoplifter entering a shop, you will not feel good about that relationship. When a shopkeeper welcomes us, shows us his products, tells us their details and provides all the explanations on how we will be well off with the product, provides his guarantee for it, confirms its essence, many people buy it even if they don’t compulsively need it. It’s the same in relationships. On the same side if a shopkeeper is arrogant, avoidant, abusive, insulting etc you are very unlikely to buy anything in that shop because you are not sure that the shopkeeper means any good and will be happy with the shopkeeper s product. The experience of buying is as important as the product we buy. Nobody is happy about something they got when they weren't treated the right way or is interested in retaining it when they don’t get good service for it.

11. Persistence on all Ps – Obviously when we want relationships to last, we need to be persistent on all the above P's. Otherwise it wont take long for a relationship to be counted in “once upon a time”!! A simple conversation even if for a few minutes every now and then when you need it may make it seem that you are still there for a person. Without even that people may even find it hard to remember that they even had something to do with you sometime before keeping in mind the the numerous activities we involve daily to maintain our lifestyles.

“KNOWING IS DOING AND NOT KNOWING IS UNDOING EVEN IF DOING!”

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

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.


How To Win Over New Relationships

Don't wait any longer, manage your Integrative Psychiatrist online with a Lybrate doctor today

Consult for Integrative Psychiatrist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES