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!

Causes and symptoms of Catatonic depression

Catatonic depression is a kind of depression which is characterized by prolonged periods of speechlessness and motionlessness. It is described as a state of mind that is caused by neurogenic and motor inabilities caused due to dysfunction of various neurotransmitters like glutamate and dopamine. People who suffer from a severe case of this condition, even have difficulty in performing simple regular tasks. For example, the act of eating breakfast may take a span of hours.

Some of the common symptoms of this condition are:

- Feelings of sadness
- A change in appetite causing gain or loss of weight
- Difficulty in concentrating and thinking
- Feelings of restlessness, worthlessness, and guilt
- Fatigue
- Irritability
- A loss of interest in any activity
- Trouble sleeping
- Attempts at suicide
- Cynicism and negativism
- Agitation
- Unusual and abnormal movements
- An inability to move and difficulty in speaking
- A refusal to eat or drink due to extreme anxiety

The major causes of catatonic depression are:

1. Abnormal neurotransmitter production

Irregularities in the production of neurotransmitters are believed to be one of the major causative factors of this type of depression. These neurotransmitters present in the brain help cells to communicate with each other. Serotonin and norepinephrine are the neurotransmitters which are mostly associated with this type of depression.

2. Dopamine irregularities

Another reason for this condition is believed to be the irregularities in dopamine, glutamate, and gamma-aminobutyric acid neurotransmitter systems. Underlying neurological, physical, psychiatric or psychological conditions are accompanying issues.

Administering antidepressants or using electroconvulsive therapy are some of the known ways of treatment which have proved effective for getting relief from catatonic depression.



What Makes Catatonic Depression so Impairing?


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!”

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How To Win Over New Relationships

Genetics is a fascinating subject which has received much attention during present times in the field of medical science as it gives the solutions to many a puzzle. The same applies to the hard to pronounce medical term  schizophrenia  that refers to a mental disorder which disrupts the innate human ability to feel, express, behave, and think clearly.

The condition is a chronic illness, and the disorder may last for years or even a lifetime. Often considered to be the most disabling of mental illnesses, schizophrenia does not refer to multiple or split-personalities. It is more about psychosis where patients become unable to differentiate between reality and fiction.

How does the condition manifest itself?
The symptoms of schizophrenia are rendered into three categories. The positive signs include delusions, hallucination, movement disorders, and dysfunctional, and unusual ways of thought. The negative symptoms include the inability to experience happiness or pleasure in everyday life, reduced talking, and difficulty in sustaining or beginning any activity. While  positive  means exaggerating certain behavior in this context, the term  negative  does not imply bad behavior, but the absence of regular behavior patterns. Then follows the cognitive aspect (the subtlest behavior changes) which includes trouble in paying attention, or problems with using memory, etc.

What could be the possible causes?
There s no specific reason that may cause schizophrenia; however, some factors play an important role in making a person have this mental condition. Various environmental factors are suspected to be responsible for the condition; these may include viral infections, excessive exposure to toxins like marijuana, extreme stress, etc. In some instances, schizophrenia can occur solely due to abnormalities or chemical imbalances in the brain. Experts note that a history of schizophrenia in the family tree can increase the risk of schizophrenia in future generations.

Who can develop schizophrenia?
Schizophrenia can develop at any age. However, it is during the teenage years or the 20s when the condition takes effect. Though rare, it can sometimes invade the minds of children below five years of age.

How can it be treated?
There s no cure available for schizophrenia. However, the periods of recovery from this illness and its symptoms can be reduced through various possible treatments. These include medication and psychosocial therapy, supportive psychotherapy or cognitive behavioral therapy, electroconvulsive therapy, and psychosurgery. The administration of these procedures can reduce the chances of recurrence and relapse. Sometimes hospitalization may become necessary as a part of treatment to stabilize patients that do not have anyone to take care of them at home.

Modern medicine is yet to discover failsafe remedies for schizophrenia. Early diagnosis and treatment can reduce the condition in patients. Hospitalization can reduce the chances of a relapse and can prevent the mental condition from worsening. The moment any sign of schizophrenia is noticed, one is strongly advised to opt for psychological treatment. These actions can help to reduce disruptions in a patient s personal and social life.

Schizophrenia - How Does The Condition Manifests?

Body pain and Physiotherapy

Physiotherapy is an effective way to reduce various kinds of body pains. Physiotherapy includes massages, exercises, and heat treatments to relieve pain. This treatment is often recommended as the first option to treat back and neck pain. Physiotherapy is also used to rehabilitate patients after surgery. Different kinds of exercises included in this treatment are also useful to treat sports injuries.  Here are some steps that you can take to relieve your body pain incorporating physiotherapy.

Get appropriate help

It is important to properly diagnose your condition before going for physical therapy. Seek help from a professional and if he/she recommends physiotherapy then only opt for the treatment.

Reduce your severe pain before exercising

If you are in immense pain, work to alleviate the pain before engaging in exercises. Cold/ hot therapy, massage, manual manipulation are some of the methods that can slowly reduce the pain. These are all part of physical therapy.

Exercise

Exercising has numerous health benefits including relieving back pain. As you age, your back tends to get weaker; it is important to workout to prevent future backaches. Stretching, strengthening and low- impact aerobics are ideal for this issue.

You can also try water therapy as water has a therapeutic effect on pain and makes your movements much easier than on land.

Observe your body's reaction to physical therapy

When you have just had a back or neck pain episode and try physical therapy you will feel some initial discomfort, it is expected. After you acclimatize yourself with the routine all kinds of pain will gradually diminish. The initial pain due to physiotherapy is caused because your muscles are stiff and they are being stretched the way they are not used to. However if the pain gradually increases you are probably not right for that particular kind of physical therapy.



Body pain and Physiotherapy

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'.

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

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