Chronic health disorders like schizophrenia affect not only the patient, but also the life of their care givers. Though schizophrenia can be treated to improve the patient's quality of life, it cannot be cured. Hence, it falls on the care giver's shoulders to watch out for symptoms of this disease and manage the person and their disorder. What should one do in such a case?

1. Educate yourself: the first step towards looking after a person with schizophrenia is to know the symptoms of the disease. With treatment, these may become better or worse so if you notice any change in the symptoms, bring it to your doctors notice at once.

2. Reduce stress: your goal as a schizophrenic person's caregiver should be to give them a calm environment and boost their confidence. Stress has a negative effect on all people and in schizophrenics this effect is much worse. Hence reduce stress and create an effective support system and structured environment for your loved one.

3. Do not ask the patient to change'his reality: when a person is suffering from schizophrenia, you should not force them to change their behaviour and reality, in order to adjust in the society at large. You should rather support the patient to accept his reality, to be at peace, since there is a very strong genetic component involved in its aetiology. Also, it is important that, both the patient and the family in particular should opt for regular counselling sessions.

4. Regular exercise: schizophrenics need not be cooped up in the house all day. Encourage the patient to go outside and exercise regularly. Exercise reduces stress and produces endorphins that make a person feel energized and happy. This should be complemented by a healthy diet. Minimize the amount of carbs and sugar intake and increase the amounts of omega 3 fatty acids in the patient's diet.

5. Join a support group: joining a support group is a very good idea for both the patient and the caregiver. For the patient, this provides a form of social interaction and for the caregiver is a platform to meet people with similar first hand experiences

6. Encourage treatment: convincing a schizophrenic person to seek treatment can be quite challenging. Suggest treating symptoms of the disorder such as insomnia and lack of energy rather than the disease itself to make the patient feel more comfortable. Give the patient options to choose from to make them feel more in control of the situation.

7. Monitor medication: once the treatment has started, ensure that the patient sticks to the prescription. Maintain a regular schedule by using weekly pill boxes and alarms. Also keep an eye on the possible side effects of these medicines. Ensure that your doctor has a complete list of medicines that the patient takes so that there is no chance of medicines interacting negatively with each other.

8. Prepare for crisis situations: it is always a good idea to have an emergency plan in place. Keep emergency contact details of all the doctors and therapists at hand along with the address and phone number of the closest hospital. Share your situation with friends and family so that in case of an emergency, they can be relied upon to take care of your children and other dependants.

Living with Schizophrenia

What is avoidant personality disorder?

Feelings of inadequacy for long durations and being extremely sensitive to what others think of you is a disorder called avoidant personality disorder symptom. Such feelings of inadequacy in turn push the person to become isolated from the society and the person avoids people, work, and other activities. Social and occupational functioning is affected as the person is extremely sensitive and has very low self-esteem. Symptoms of avoidant personality disorder are:

1. Avoiding social interactions: people suffering from this disorder avoid almost all sorts of interpersonal contact since they lie with the fear of rejection, disapproval and criticism.

2. Avoiding risks: they avoid taking personal risks or being involved in activities which seem new, because they fear that they will embarrass themselves.

3. Socially unplugged: they are not willing to get involved with individuals unless they are absolutely certain of being liked by the person.

4. Preoccupied with negative perception: the idea of being criticized or rejected in social functions is so deep within their psyche that they are often preoccupied with only this thought in their minds.

5. Inferiority complex: people suffering from avoidant personality disorder consider themselves as good for nothing, unappealing, and inferior to everyone else.

6. Avoid intimacy: they are always reluctant to get into intimate relationships because they feel that they will be shamed and ridiculed. Because of such fears, they let go of relationships where they would have been genuinely cherished too.

The only treatment possible for this disorder is psychotherapy. While some people opt for long term therapy, most people usually visit a psychotherapist only when they feel overwhelmed with their fear and emotions.

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6 Signs of Avoidant Personality Disorder, 2nd Most Common Psychiatric Disorder

Anorexia nervosa is a type of eating disorder, which falls under the category of psychological disorders. The patient becomes extremely thin and has an unreal perception of body weight. This unreal perception involves a fear of becoming fat. The primary symptoms are fasting, an aversion for food, obsessive thought about weight loss etc.

Here are the usual treatments for anorexia nervosa according to the progression of the disease.

Medications: The first thing your doctors will do is prescribe medications to make sure that the patient has come back to a health condition, which is stable. This is because anorexia causes heart problems, depression and osteoporosis among other physical complications. The doctor will be giving separate medications for all of them. Once you start feeling better, the doctor will stop giving you medications. Sometimes medication also has to be given for malnutrition or starvation if the disease has set in far too deep.
Counselling: The primary type of counselling, which will take place is nutritional counselling. Dietitians can help you with this, as they teach healthy eating patterns and know how to make you follow it therefore, this is a crucial part of the recovery process which should not be neglected.
Therapy: Firstly, therapy and counselling are different treatment procedures. The main difference between the two is the focus of the treatment. Therapy is done by psychologists who help deal with what causes your hate of eating and try to eliminate these mental issues while counselling is done by counsellors who are there to help sort out your eating disorders. 
Nutritional rehabilitation: This is a more serious form of counselling. The counsellors generally try unconventional methods at this stage to make sure that you are eating properly and will eat properly in the future. This is because by this stage the progression of the disease is more serious and weight has to be gained immediately.
Starvation treatment: By this stage, nutrition has to be given in the form of fluids and you will be having severe health problems all of which need medication.

Anorexia Nervosa - 5 Ways it Can be Treated!

Living with epilepsy can be highly challenging. This is a medical condition that can be controlled with medications in most cases, but it might not be useful for all patients due to severe side effects. It is estimated that up to 30% people who have epilepsy face this issue, and in such cases, surgery might be considered as an option.

This condition typically results in seizures which is a result of sudden electrical activity in the brain. So, certain complicated epilepsy operations on the brain can help patients with their seizures and contain their symptoms.

The goal of epilepsy surgeries involves removing part of the brain that causes these seizures and disrupting parts of the nervous system in the brain that contribute to the same. The procedure also involves the installation of a device that helps control the side effects of epilepsy.

When is surgery not an option for epilepsy?
Doctors would accurately identify the part of the brain that is causing seizures as the first step. These parts are known in medical terms as the  seizure  focus. This area should not be related critical functions of the brain like movement, sensation, and language involved   else surgery would not be possible.

Surgery is not viable when seizures are severe and impair bodily movement or if the patient has serious medical conditions (like cancer or heart diseases).

Common Surgery Options Available

Lesionectomy: This is one of the most commonly used procedures. This form of surgery involves the surgeon removing brain lesions from the brain or areas of injury due to malformed blood vessels or tumors. These injuries can often cause seizures and epilepsy and can be treated effectively with lesionectomy.
Lobe resection: This is another form of treatment which is possible only if the epilepsy is located in one of the four parts of the brain   the temporal lobe. It is quite common in younger people and can easily be treated by expert neurosurgeons by removing the brain tissues that are causing epilepsy.
Multiple Subpial Transections: While the above methods involve cutting out brain tissues, sometimes such surgeries just might not be possible due to other complications. If the parts of the brain cannot be cut out, surgeons tend to adopt Multiple Subpial Transections. This procedure can help control seizures without requiring cutting out parts of the brain. Small intersections are made in the brain to disrupt the impulses from affected brain cells that cause seizures, and they do not affect normal brain activity. It helps leave all abilities intact in patients and aids in treatment very effectively.
So, if you are just fed up with dealing with the seizures, consult your doctor who will be able to advise on the course of action depending on the history and medical condition.

Epilepsy - Is Surgery An Option?

Aphasia is a communication disability that can result from damage or injury to those parts of the brain that process language. It can happen due to stroke, brain tumors, accidents, or brain infection. A brain injury which damages parts of the brain that deal with language can also bring on Aphasia. Aphasia can also be caused by dementia such as Alzheimer s disease. Aphasia is sometimes also a symptom of epilepsy or other neurological disorders.

It s more common in older adults, especially after a stroke. What happens in Aphasia is that the affected person is unable to understand or use words. He or she may also:

Have difficulty speaking and finding the "right" words to express themselves verbally
Have problems understanding conversation
Have problems reading and comprehending written words
Have problems writing words
Is unable to calculate or use numbers
Has a tendency to use gibberish words as a part of speech
There are various types of Aphasia, differing in certain important ways from each other.
Aphasia can also be mild or severe. With mild Aphasia, the patient is able to converse, though he may not be able to find the right word or may not understand complex conversations.
However, in severe Aphasia, a person may lose his ability to communicate completely which means he can t speak or understand any conversation and may also not be able to read or write.

Three things that aid Aphasia recovery are

Speech Therapy
Family Support
Persistence
Treatment for Aphasia depends on factors like:

Age
Cause of brain injury which causes Aphasia
Type of Aphasia
Position and size of the brain lesion causing Aphasia
If the Aphasia is due to a brain tumor, surgery to remove the tumor affecting the language centre can treat Aphasia.
For a person who s got Aphasia due to a stroke, sessions with a speech-language specialist are very effective. The therapist teaches the patient ways to communicate using stuff that doesn t involve speech.
He uses the following to help the patient communicate without words:

Props
Drawings and pictures
Teaching patient to speak slowly and be calm when talking.
Treatment techniques
The speech therapist uses these two main techniques to tackle Aphasia:

Substitute skill model: This uses a prop like a writing board to help with spoken language.
Direct treatment model: This approach uses specific exercises to help patients
Copy and recall therapy (CART): This approach uses repetition and recall of certain words during speech therapy.
Visual communication therapy (VIC): This involves the use of index cards to represent various components of speech.
In addition, Aphasia patients are also trained in the use of hand gestures to aid in communication as a part of  Visual Action Therapy (VAT) .

Aphasia - Factors That Put You At Risk!

For years I have been practicing as a psychotherapist in different parts of the world and what I have noticed is that no matter what kind of relationship or marriage a couple are in, when they end up in my office it's always for the same reason: they want to be happier, healthier and more-connected even though the issues can vary - money, sex, infidelity, in-laws, children etc.

Despite this each relationship is completely subjective and no clear cut rules can be executed on it, yet following certain guidelines may help proceeding happily in a relationship.

If you are struggling in your relationship (and if you are reading this article there is a big chance you are unless you are one of my friends..or both) you might find it helpful to follow some of these ideas:

1. Love yourself

You must love yourself before you can love another. By accepting yourself and fully being what you are, your simple presence can make others happy. Accepting yourself fully as you are and showing yourself this same unconditional love will provide protection, healing, and confidence to work on your shortcomings.

2. Adopt a positive lifestyle

There are many different ways in which you can embrace a more positive lifestyle - practice affirmations, express gratitude, meditation, exercise... just find something that helps you unwind and enjoy life. And most importantly - keep doing these things repeatedly.

3. Empathize with your partner

The ability to empathize is what inhibits us from just going through life doing whatever we want, without any regard for others. It is what makes compromise in a relationship possible. If I realize that something I've done has hurt you (because I can empathize with your pain or unhappiness) I will hesitate to do that again.

4. Take responsibility: Don't try to figure out who's right

When couples come for therapy, one or both tend to think that the primary problem is their partner. Both people co-create the climate of the relationship. And both need to do some things differently to create the marriage or relationship they both really want. If your intention is to create a more positive world for yourself and those around you, it's up to you to have the thoughts, moods, and actions that will create that world.

5. Stay connected

When there is distress in the marriage or relationship, one or both usually feel some emotional disconnection. Frequently, sexual passion diminishes as well. (However, sometimes one partner will try to increase frequency of sex in an effort to feel connected.). And often, people will busy themselves with work or kids instead, or do other things to either try to feel connected or to avoid being alone with the person with whom they feel the pain of disconnection

6. Express thoughts, feelings, and wishes 

Resentment can build when couples sweep things under the rug, so be vulnerable and don't bury negative feelings, but try to express them in a respectful way.

Opening up to your partner can make you feel vulnerable and exposed, but it is the most important part of an intimate relationship. In Daring Greatly, Dr. Brene Brown defines vulnerability as uncertainty, risk, and emotional exposure. Given this definition, the act of loving someone and allowing them to love you may be the ultimate risk. Love is uncertain. It's risky because there are no guarantees and your partner could stop loving you. Exposing your true feelings may mean that you are at a greater risk for being hurt or criticized.

7. Try new things together

Boredom can be a major obstacle to lasting romantic or companionate love.

Psychological research has suggested that couples who experience the most intense love are the ones who enjoy participating in new or challenging 'self-expanding' activities together.

8. Preserve your independence

Dr Perel, in her popular TED talk explains that neediness and caretaking in long-term partnerships - which can easily result from looking to the partnership for safety, security and stability - damper the erotic spark. But if couples can maintain independence and witness each other participating in individual activities at which they're skilled, they can continue to see their partner in an ever-new light.

If after trying the above you are still struggling with your relationship, make sure you go and see a couple therapist.

Two couples talking in one couple's living room...

One says to the other, 'The work being done on your marriage.. are you having it done or are you doing it yourselves?'



8 Tips To Rev Up Your Relationship With Your Partner

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