We all have mood swings but not all mood swings have the same intensity. People who have extreme mood swings ranging from depression to manic highs are said to be suffering from bipolar disorder. These extreme moods are known as episodes and usually, last for a few days or even a few weeks. A person suffering from bipolar disorder could have an episode several times a year. This is a very common psychological problem and can affect both children and adults. Though it cannot be cured, this disease can be managed with medication.

There are no known causes for bipolar disorder but genetics may play an important role in triggering Bipolar Disorder. Hence, if a parent or sibling suffers from this condition, you have a risk of developing it as well. An imbalance in the neurotransmitters in the brain may also play a part in the development of this condition. Stress or traumatic events like the loss of a loved one can also increase your risk of suffering from this condition. Given that mood swings affect almost each one of us, bipolar disorder can be difficult to diagnose. Some of the things to look out for are:

Change in self-esteem
Unusual talkativeness or quietness
Being increasingly prone to distractions
Decreased need for sleep
Agitation
Recklessness in terms of spending decisions, relationships etc
It must be kept in mind that a person must display at least 4 of the above symptoms simultaneously to be diagnosed as bipolar. Also, none of these symptoms should be a result or side effect of any kind of medication, drugs, alcohol or other intoxicants.

There are four main types of bipolar disorder:

Bipolar I: In such cases, the person has at least one episode of elevated moods and associated abnormal behaviour in his or her life. This may be preceded or followed by depressive episodes.
Bipolar II: In these cases, the person must have suffered from at least one depressive episode. It is very similar to bipolar I except that in bipolar II the highs never reach the manic stage.
Rapid Cycling: Some people can have 4 or more manic and depressive episodes a year. In such cases, they are said to be rapid cycling. This condition affects 10-20% of bipolar cases.
Mixed Bipolar: Usually, bipolar patients show mood swings that alternate between manic and depressive moods. However, sometimes a person may experience both elation and depression simultaneously or in rapid succession of each other. These cases are known as mixed bipolar.
Once diagnosed, bipolar disorder can be managed with a combination of medication and psychotherapy. In some cases, electroconvulsive therapy may also be needed.

All About Bipolar Disorder

Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material. 

Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.

Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.

Procedure:

In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision

Local anesthesia is given in the area that needs to be operated
A biopsy needle is inserted into the fractured space with the help of an X-ray
The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
The needle is removed and the incision is covered with a bandage
Usually the patient is sent home in an hour s time unless the overall condition is really bad
There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
There is also improvement in mobility while doing daily chores
The pain relief can last up to 3 years after the procedure
Returning back to normal activities takes about 3 to 4 days after the procedure
When to use this procedure?

Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:

Osteoporosis
Cancer metastasis
Myeloma
Spinal hemangiomas
Traumatic fractures
Benefits of using vertebroplasty for managing pain 

Minimally invasive
Effective way to get relief
Improves mobility
Cost-effective
Reduces need for long-term use of painkillers
Stabilizes the spine and prevents further collapse

Vertebroplasty - How It Can Help Manage Pain?

4 Life Lessons to Learn from Kangana Ranaut

Despite being an outsider in the industry, Kangana Ranaut has made her mark in Bollywood. The 'Queen of Bollywood' bagged the National Award in the best actress category for the third time for her double act in the commercial hit Tanu Weds Manu Returns. Ranaut is one of the highest paid actresses in India and is known for playing emotionally intense roles in films like Gangster and Woh Lamhe. But behind the fame and the glory, lies a story of struggle and constant perseverance. Kangana's rise to fame did not happen overnight, and her travails and triumphs have quite a few important lessons stored for all of us.

Here are 4 inspiring life lessons to take away from Kangana's real life story.

1. Be Yourself

Accept yourself and embrace the person you are. Making desperate attempts to fit in a social circle or trying to make people like you could turn depressing. Be yourself and don't compromise on your identity and be afraid to have a mind of your own. Kangana has constantly inspired us to be rebellious and to question stereotypes and sexism.

'People in the industry treated me like I didn't deserve to be spoken to and I was some unwanted object. I couldn't speak English fluently and people made fun of me for that. So dealing with rejection became a part of life...Today, when people say that I have made it and made it on my own.'

She said on an interview with Daily News and Analysis

2. Deal with your relationship problems

Stop tolerating abuse. Your partner is supposed to love and support you and not hurt you physically or emotionally. Don't be afraid of getting out of a relationship. It might be difficult and hard to deal with but it's best to get over with and start afresh. Ranaut was in a relationship with Aditya Pancholi, which turned sour after he assaulted her. Later she was also in a relationship with Adhyayan Suman and Nicholas Lafferty, an English doctor, which did not last either, but she always moved on with her head held high, personifying dignity.

3. Beat the odds

There might situations when your family does not support your career choices but don't let that stop you from going ahead with it. Believe in yourself and work hard on your goals. Kangana Ranaut inspires us to not give up easily. In spite of being an industry outsider, Ranaut made her mark with remarkable performances in Fashion, Queen, Woh Lamhe and Tanu Weds Manu. She quit pursuing medical and went for modeling instead and refused to take financial aid from her father. In short, don't give up on your dreams no matter how difficult it gets.

4. There is no end to learning

You can always continue with your interests even if you have a very busy professional life. Make time for your hobbies and interests as they expand your outlook. Ranaut learns Kathak as she enjoys dancing and considers it as a form of therapy. She also did a course on the technical aspects of filmmaking from New York Film Academy. She did not let her stardom affect her personal interests and wants to have a normal life.

'I don't want to lose my rights as a common person to learn and grow'

She said on an interview with Filmfare.



4 Life Lessons to Learn from Kangana Ranaut

Post-traumatic stress disorder (PTSD) can occur after one has been in an accident or has faced an event that has left a scar in their memory. The accidental trauma overpowers you with sentiments of misery and weakness, which in turn can trigger PTSD. Here are a few ways in which you can get over the trauma.

Tip 1: Get moving

Exercise can help your nervous system relax and be unstuck on the trauma by discharging endorphins.
Rhythmic exercises that use both your arms and legs, instead of concentrating on your trauma, can help you divert your mind. Eg. walking, running, swimming etc.
Exercises like mountain climbing, boxing, weight lifting, or combative training can make it simpler to concentrate on your body developments and make you stronger.
Plan to exercise for 30 minutes every day or if it is less demanding, three sets of 10-minute workouts are also good.
Tip 2: Self manage your nervous system

Discovering that you can change your arousal framework and quiet yourself down can specifically question the feeling of vulnerability, which is a typical symptom of PTSD.
Careful breathing is a fast approach to calm yourself down. Take 60 breaths, centering your concentration.
Similar to how particular sights, actions or smells can transport you back to the traumatic event, so can sensory information rapidly calm you down. The key is to locate the sensory information that works for you.
Reconnecting to uncomfortable feelings and emotions without getting to be overpowered by them can have a positive effect on your brain to adjust your state of mind.
Tip 3: Connect with others
Once the reflex has been activated, face-to-face association with people who make you feel protected and safe is the fastest and the best method for bringing your nervous system into its right place. The kind backing of others can be important to your recovery. Search for someone you can converse with for a long period of time, somebody who will hear you out without judging you or constantly being occupied. That individual might be your better half, a relative, a companion, or an expert advisor.

Tip 4: Make healthy life changes

The side effects of PTSD can be difficult for your body. So it is important to deal with yourself and build up a healthy lifestyle.
Take out some time to relax. For example, meditation, deep breathing, back rub, or yoga can initiate the body's relaxation reaction and get rid of the side effects of PTSD.
Stay away from liquor and medications. When you are dealing with troublesome feelings and traumatic memories, you might want to opt for elf-cure with liquor or medications. Eat a healthy diet. Begin your day with breakfast, and keep your energy up and your mind clear with adjusted nutritious meals for the entire the day.
Get enough rest. Lack of sleep leads to outrage, irritation and grumpiness. Sleep for at least seven to nine hours each day.

Accident Trauma - How To Get Over It?

Speech therapy helps in improving the speech, understanding the language skills, and also help in communicating in non-verbal ways such as listening and taking turns. Speech therapy treats various kinds of communication and swallowing problems.

Children with Cleft Palate are diagnosed with an opening in the upper tissue palate in the mouth. This condition causes Velopharyngeal dysfunction (VPD) which results in excessive airflow from the nose while speaking. Although it can be corrected with surgery, the patient will still be affected by VPD.

Speech therapists help in this condition by assisting the patient with speech and language skills. The speech therapy for such a patient can be categorized as auditory feedback and articulation practice.

Auditory Feedback

Before involving the patient with any speech therapy, it is essential for the patient to understand the difference between normal voice and nasal voice output.

For this purpose, the child is instructed to use a tube to listen to the voice of the normal person. To understand the difference, one end of the tube is then held near the ear of the child and the other is held near his nasal and then he is instructed to make sounds so that he understands the nasal voice.

After this understanding, the different approaches to speech therapy starts.

Articulation Practice

This is usually where speech therapy begins. In this practice, the different type of condition is understood that relates to different speech organs. The understanding of different vowels, consonants and related sounds is taught to the child for making the speaking sound less nasal.

Some of the methods for achieving these sounds are:

Pharyngeal Plosives: This sound is produced when the tongue is moving backward. The practice of making  ng  sound, and dropping the tongue and producing  k  sound.

Pharyngeal fricatives: When the tongue retracts but is not able to make contact with the pharyngeal wall is when this sound is produced. The speech therapists make the child learn the techniques of making sounds of  t ,  ts ,  ch , or  sh , and provide feedback for learning the proper positioning of the tongue.

Nasal Plosives: This sound usually occurs when the tongue is positioned improperly and it obstructs the vocal tract. A speech therapist may make the child yawn so that the back of the tongue is pushed down, and feel as the mouth stretches.

Palatal-Dorsal Productions: It occurs due to the malocclusion of the teeth. Practicing sounds like  t ,  d ,  n ,  k ,  g , and  ng  often helps in such condition.

Take Away
Cleft Palate is generally developed due to improper growth while the child was in the womb. The difficulty of producing proper sounds when there is excessive airflow in the mouth can be overcome by training and practicing certain sounds, as instructed by a speech therapist.

 Cleft Palate - How Efficient Is Speech Therapy?

Are you aware of the schizophrenia and the adverse effects it inflicts on a person? Schizophrenia is a chronic and extremely severe mental disorder that affects how a person thinks, behaves, and feels. Schizophrenia patients seem like they are not aware of reality. The condition requires lifelong treatment, even after the symptoms leave. There are various types of treatments, which are used for schizophrenic patients. The treatment is usually guided by an experienced psychiatrist. 

The various modes of treatments are as follows:
Medications: Medications are very important for the treatment of schizophrenia, and antipsychotic drugs are most commonly used. They help in managing the symptoms by affecting dopamine. Treatment using antipsychotic drugs aims at managing the symptoms effectively. Antidepressants and anti-anxiety drugs are also used for treatment. Several weeks are required for these medicines to show results. Most of the medications used for schizophrenia treatment are associated with severe side effects and are thus avoided by many people. The patient s cooperation with treatment determines the choice of drug.

First generation antipsychotics: These medicines are associated with adverse neurological side effects, such as the possibility of developing tardive dyskinesia, which is an irreversible movement disorder.
Second generation antipsychotics: These medicines are preferred because of the lower risk of adverse side effects on the body than first generation medicines.
Psychological interventions: When the patient s psychosis decreases, psychological and psychosocial interventions are required. They include the following:

Individual therapy: Psychotherapy is important for normalizing a patient s regular thought patterns. Learning about ways to deal with stress, and identifying warning signs can help patients manage their condition better.
Social skills training: This aims at improving a schizophrenic person s social interactions, communication and his/her ability to take part in daily activities.
Family therapy: Family therapy is important for educating the families of schizophrenic patients about the disorder, and let them know about the ways to deal with it.
Vocational rehabilitation and supported employments: Most people with schizophrenia need some kind of daily living support. Programs are offered by several communities and self-help groups for helping schizophrenic people with housing, jobs, crisis situations. With proper treatment, most schizophrenic people manage to deal with their symptoms and illness.

Hospitalization: During emergency or crisis periods of extreme symptoms, a patient may need to be hospitalized to get proper nutrition, basic hygiene, sufficient sleep, and safety.
Electroconvulsive therapy or ECT is carried out for schizophrenic patients who do not respond to drug treatment. This therapy is also beneficial for patients who have got depression. It is recommended for you to consult a doctor on experiencing any symptom of schizophrenia.


Schizophrenia - Different Modes Of Treatment That Are Followed!

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