Grief is a complex emotion that may give you side effects like guilt and make you struggle as you try to get through your everyday life. It is usually caused by some loss in life which may have to do with relationships, work or any other reason like a chronic physical ailment or disability. Complicated grief disorder is a condition where the extreme level of grief impairs a person and how he or she behaves in his or her daily life. It can have a debilitating effect and make a person helpless when it comes to dealing with everyday functions. It may continue for more than six months after the loss, and may even lead to depression and anxiety, among other complications.

Let us cast a glance of how this may be dealt with.

Psychotherapy: Cognitive-behavioral therapy and other forms of therapy can often help people who are suffering from this form of prolonged grief. With this kind of therapy, a patient can actually find an outlet to discuss the various emotions that the bereavement has brought on, and how he or she is not able to cope. The therapist, in this case, is usually a psychiatrist or a psychologist, who can then help in reprogramming the attitude of the patient so as to curb the grief and move on with life by embracing daily functions.
Group Therapy: In many cases, group therapy may also work. It is a natural human tendency to be grateful for what we have when we get to hear of higher and greater adversities. And when we see people suffering from those adversities actually taking steps to get over it, we can also get hugely motivated to do the same with our own lives. This is why group therapy is a powerful mechanism that many doctors and psychiatrists recommend for dealing with complicated grief therapy. This does not even need to be a formal therapy session. It can even be a club or a get together of people who have been through a similar problem.
Medication: In some extreme cases, the patients may be prescribed some antidepressants as well as beta blockers that can put their emotions right until they can deal with them in a better manner. Such medicines also help in numbing that part of the brain so that the patient may function in a more normal manner. Yet, care must be taken that the patient does not get addicted to such kind of medication.
Change of Focus: Travelling or picking up a new hobby can also have a positive effect on the person suffering from this condition. It can help in triggering the production of dormant hormones in a more normal way so that the patient may function in a more normal way, without the debilitating grief.


How To Deal With Complicated Grief Disorder?

Neurological disorders are an enigmatic bunch. There are various ongoing researches to identify the exact cause and how to treat them. While some argue that schizophrenia is a chronic brain disorder, others do not agree with it and debate that the origin is yet to be identified and the factors which produce it are yet to be identified.

Factors supporting it to be a brain disease are listed below.

Scan images (MRI and PET scans) of people who have had schizophrenia are different and have a reduced volume of grey matter, especially in the frontal and temporal lobes. In some people, this loss could be as high as 25%. Serial images have shown that the loss begins in the outer (parietal) region and gradually spreads to the rest of the brain. There is a strong correlation between the extent of this grey matter loss and the severity of the symptoms more the loss, worse the symptoms. Severe symptoms include hearing voices, psychotic thoughts, delusions, hallucinations and severe depression. This grey matter reduction does not depend on whether the person has undergone treatment or not for the condition. 

The counter argument is that grey matter loss is not seen in patients with schizophrenia alone. A number of neurological disorders, including normal ageing, manifest as grey matter loss on the scan images. Also, another consoling news is that this grey matter loss is completely reversible.

The way neurotransmitters respond to stimuli in people with schizophrenia is also slightly different. There are two variations to this debate: that schizophrenia is caused by excessive amounts of dopamine or increased sensitivity to dopamine. There are two proofs for this hypothesis first, dopamine suppressants are useful as antipsychotic drugs and secondly drugs which produce the same effect as dopamine can cause hallucinations similar to those seen in schizophrenics. There could be other neurotransmitters involved too, but the dopamine connection is more strongly established.

The electrical activity of the brain as seen in EEG is very different and abnormal in schizophrenic people. This reduced brain activity is another indication of the fact that schizophrenia is another brain disorder. There is also a strong genetic component to schizophrenia. Family history correlation is also very strong. The correlation extends to the point that where there is a neurologic disorder in the first-degree relatives, the chances of developing schizophrenia is increased.

There are specific genes, mutations of which are also attributed to schizophrenia. While the risk factors are in place (as mentioned above), the environmental conditions (brain infections, head trauma, family/social stressors and toxins can all lead to the manifestation of the symptoms. With medications and support therapy, both prevention and symptom management are possible.

Schizophrenia - Is It Really a Brain Disease?

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

Alcohol Withdrawal Syndrome is the name given to the symptoms seen in you if you consume heavy doses of alcohol frequently and then suddenly quit or reduce your alcohol intake considerably. These symptoms may surface anytime between six hours to a few days after you last drank.

Common symptoms of alcohol withdrawal syndrome:

Hallucinations
Fever
Nausea
Tremors
Anxiety
Vomiting
Immense sweating
Insomnia
High blood pressure
Sweating

All these symptoms may worsen over a few days and may even last till a few weeks.

What is the root cause?

Alcohol arouses your nervous system. In case you are a heavy drinker, your body gradually gets dependent on alcohol, and cannot adapt too easily to the lack of alcohol after you have abruptly quit. This is the root cause of Alcohol Withdrawal Syndrome (AWS).

Who is at risk?

You are at the maximum risk of AWS if you are an alcohol addict, or you cannot gradually cut down on its intake.

How do doctors diagnose AWS?

Usually, doctors will search for a few symptoms in you, like irregular heart rate, dehydration, fever, and tremors or minor fits. A toxicology screen also helps your doctor finding out the levels of alcohol in your body.

How is AWS treated?

Treatment depends on the severity of the symptoms. Usually are:

1. Home Care-

Mild symptoms of AWS can be treated at your home. You need to go for your regular routine checkups and tests. You may also have to go to rehabilitation programs for recovering alcoholics.

2. Hospitalization-

If your symptoms are more severe, you may have to be treated in a hospital, where you will be monitored and kept on a fluid diet to help prevent dehydration.

3. Medications

You can also be treated with sedatives.

Do you recover fully?

Usually, chances are that you will fully recover from AWS. If you quit drinking, take your medicines on time, and lead a healthy life thereafter. However, sleep disturbances and fatigue may persist. But, if you have severe symptoms of AWS, you should seek medical care as soon as possible to prevent any further fatal complications.

All you need to know about Alcohol Withdrawal Syndrome (AWS)

Schizophrenia has been recognized as a mental disorder that combines symptoms like hallucinations with distorted thinking and others like fright and severe paranoia. This condition is one that gets progressively worse over time and leads to delusional thinking. Oversleeping and complaining of fatigue are usually the earliest signs of this condition's onset. Eventually, it becomes a debilitating factor in the life of the patient, who will not be able to function in a normal way due to the severe symptoms.

Read on to know more about the types and causes of this condition:

Genetic Causes: Schizophrenia may be caused due to genetic factors and it may be a learned or inherited disorder. It is known to affect patients who have a parent or a sibling who may have suffered from this condition. Yet, one must also remember that Schizophrenia can only be influenced by genetics, and not determined by the same.
Environmental Causes: When there has been an exposure to a viral infection during the pre natal stage, the patient is susceptible to this condition. Also, it may affect children who have been subject to the loss of a parent or separation at an early age. Physical and emotional abuse in one's childhood may also bring on this condition. Low level of oxygen at the time of birth is one of the causes of this condition in many patients.
Anomalies in Brain Structure: When the brain ventricles of the patient are enlarged, he or she may be prone to this condition. Also, anomalies in the temporal lobes and amygdala have links with the onset of this condition.
Types: A wide variety of mental and medical conditions can manifest with psychotic symptoms that must be considered in the differential diagnosis of schizophreniform disorder. These include psychotic disorder due to another medical condition or its treatment; delirium or major neurocognitive disorder; substance/medication-induced psychotic disorder or delirium; depressive or bipolar disorder with psychotic features; schizoaffective disorder; other specified or unspecified bipolar and related disorder; depressive or bipolar disorder with catatonic features; schizophrenia; brief psychotic disorder; delusional disorder; other specified or unspecified schizophrenia spectrum and other psychotic disorder; schizotypal, schizoid, or paranoid personality disorders; autism spectrum disorder; disorders presenting in childhood with disorganized speech; attention-deficit/hyperactivity disorder; obsessive-compulsive disorder; posttraumatic stress disorder; and traumatic brain injury.
Since the diagnostic criteria for schizophreniform disorder and schizophrenia differ primarily in duration of illness, the discussion of the differential diagnosis of schizophrenia also applies to schizophreniform disorder. 

Brief psychotic disorder. Schizophreniform disorder differs in duration from brief psychotic disorder, which has a duration of less than 1 month.

Residual Schizophrenia is a condition where the patient does not experience the various debilitating symptoms of the condition, and is on the road to recovery. Yet, even in this type of Schizophrenia, the patient will not really show any interest in life and the activities around him or her. Finally, the last type of Schizophrenia is Schizoaffective Disorder which is characterised by the symptoms of Schizophrenia as well as the symptoms of major mood disorders. When combined, this condition can lead to major complications and complex behavior.

A patient suffering from this condition will need to see a mental health specialist like a psychiatrist or a psychologist on an immediate basis. The treatment will be carried out on a long term basis for the results to start appearing.

Schizophrenia - Know the Causes Behind it

Anger is a type of feeling whereas aggression is a type of behaviour. However, the two are frequently confused with each other. At different times individuals use their anger as a reason to act in an aggressive way. Here are a few differences between anger and aggression:

Anger is an acceptable feeling simply like bliss or sadness. Everybody feels angry once in a while. However, numerous individuals deny that they ever feel angry. For others, they have a tendency to wind up being angry to conceal different sentiments and emotions, for example, hurt and sadness. Angry sentiments can discharge endorphins, which are very powerful chemicals inside the body. This rush of energy can help individuals to alleviate themselves from feeling sad or hurt. Nonetheless, covering these very basic and fundamental feelings with anger is not a sound and healthy coping mechanism. Feeling angry is all right, however, the practice that people show when they feel angry may fall into the category of aggression. Anger is a very normal and typical feeling.

Aggression, on the other hand, is a decision. Just because you feel angry and furious does not give you the authorization to treat others poorly. Forceful practices tend to scare the other individual into doing something whether they need to or not. At the point when individuals carry on forcefully, they do not recognise the other individual's sentiments or necessities. Rather, they want the other individual to give in. There are a bunch of approaches to carry on aggressively and it might turn out to be physically injurious. Verbal types of aggression involve making threats or demands. It might incorporate verbally abusing or putting the other individual down. Physical types of aggression may incorporate tossing things, breaking things, hammering things, or physical assaults.

Aggressive conduct can be separated into different classes. These include instrumental aggression and receptive aggression. Instrumental aggression is objective guided aggression in which harm to another is not the essential objective, despite the fact that it can be an optional consequence of the activity. Another sort of aggression is called responsive aggression. Once in a while, it is referred to as hostile aggression. Responsive aggression is conduct that has harm as its primary and in some cases secondary objective. As a rule, this activity is because of an apparent unfairness, insult, or wrongdoing.

Anger is an impermanent emotional state brought on by disappointment and frustration. Aggression, on the other hand, is a regular attempt to hurt a person or to destroy property. In evaluating the conduct, try to make out the difference between anger and aggression that demonstrates emotional issues so as to lead a more normal and well-adjusted life. One can also take the help of anger management or therapy for better evaluation of the source of anger and its surrounding feelings. 

How to Differentiate Between Anger and Aggression?

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

Consult for Neuropsychologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES