Personality refers to the enduring and habitual patterns of behaviour, cognition, emotion, motivation and ways of relating to others. In simpler terms, it's the persona we have for the world to see and interact with. If these patterns or ways of relating with others become nonadaptive or pathological, a personality disorder develops.

Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.

The symptoms begin to appear from early childhood but they take a serious form only when one reaches adulthood. Issues with behavior and emotion are difficult to treat, people suffering from this illness should be willing to spend a lot of time and be dedicated towards his/her recovery. Through treatments and therapies, they do make significant improvements over time.

Causes

The exact cause of borderline personality disorder is not known but various reasons have been hypothesised as possible aetiology. Neuro-chemical disturbance in the brain, genetic vulnerability, some kind of childhood trauma like abandonment, death, neglect and/ or sexual abuse are probable causes of the disease. Prolonged and chronic stress/ anxiety may also lead to triggering of BPD symptomatology in vulnerable individuals later in life.

Symptoms

Prolonged dysthymia/ sadness
Feeling lonely/ misfit
Emotional dysregulation or Frequent mood swings
Significant interpersonal issues
Self-Injurious behaviour like making cuts in skin, burning, pricking etc

These symptoms are warning signs of borderline personality disorder and should be paid attention to:

Abandonment issue - People suffering from BPD have serious abandonment issues. They have an intense fear that they would be left alone and often act out to restrict their love ones from leaving. Sometimes their strategy is to not get too close to protect themselves from being left alone, so they appear aloof.
Disturbed self-image - People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
Dysfunctional relationships - It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak.
Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common.

Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional Psychotic states are other possible symptoms of BPD.

Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life.

All about Borderline Personality Disorder

Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction.

Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the well being of his victim, and hence may lash out verbally and sometimes physically. Such things done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger.


	Acknowledge it: the first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong, but acknowledging the fact that your reaction to the situation can be channeled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying'you are wrong to react like this, you can say'i understand what you are feeling. Is there a way we can resolve this situation'
	Recognize the signs: once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 10 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end.
	Find ways to let it go: not all arguments end in closure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time.


If you or someone you know is suffering from anger management issues, consult a doctor today.


How To Control Extreme Anger

Have you ever noticed bar and clubs promoting energy drinks? You may have also bought energy drinks and alcohol, and tried mixing them. But what you don't probably know is consuming energy drinks with alcohol can be much riskier than drinking only alcohol. Since, very few people drink alcohol neat, a small shot of alcohol is usually mixed with juices, colas or more recently energy drinks to make a cocktail. While it is well-known fact that the sugar in these mixers is responsible for increasing the effect of alcohol on the body and weight gain associated with drinking, when energy drinks are mixed with alcohol, it can have an even more lethal effect on our bodies.

Studies show that this mix causes the brain to react in a similar way to how it behaves when in contact with cocaine. It can also cause permanent brain damage. This is because it stimulates the release of a protein cell known as FosB. This protein has the ability to permanently change the chemical connections inside the brain.

Some of the short-term effects of combining alcohol with energy drinks are:

Digestive troubles
Nausea
Loss of appetite
Depression
Hallucinations
Erratic sleep patterns
Violent behavior
Many of these effects can be a result of alcohol consumption as well and hence, it may not be attributed to the energy drinks being used as mixers. Regular consumption of such cocktails can increase your body s tolerance of this combination and make a person drink more. This can lead to long-term effects such as:

Malnutrition
Respiratory problems
Tooth decay and abcesses
Psychosis
Liver damage
Kidney troubles
Heart palpitations
Consuming alcohol tends to make a person feel sleepy and tired. However, when this alcohol is mixed with energy drinks, the caffeine in the energy drinks keep the person feeling energized and masks the effect of alcohol. This leads to a condition known as being  wide-awake drunk . In such a situation, the person begins to underestimate how much alcohol he or she is consuming. This creates a false sense of security and hampers with their judgement, balance and coordination. It also increases the risk of behaving erratically and getting into dangerous situations.

In addition to caffeine, energy drinks also have a high sugar content. A small can of energy drink can contain up to 30 grams of sugar. This is equivalent to about half the ideal amount of sugar one should consume in a day. The effect of consuming so much sugar is a fluctuation in blood sugar levels. If this fluctuation persists for a long time, it could lead to conditions such as diabetes and insulin resistance. Thus, along with understanding the ill effects of alcohol, it is also necessary to keep the effects of mixers in mind while concocting cocktails for your next weekend bash. 

Alcohol With Energy Drinks - Why It Should Never Be Mixed?

Humans are social animals who thrive on reciprocality. It is in our basic nature to be socially courteous, and the word 'No' feels like a conflict that warns a potential relationship. Many of us tend to comply with every single request that is put forward to us by our peers, family, or at the workplace by our superiors. We choose to take up more jobs than we can efficiently handle and put unnecessary stress on ourselves even at the cost of our time and well-being. Must we always do that? 

Why is it so hard to say 'No'?

People have the notion that saying 'No' can come across as rude or uncaring. You may feel that you are letting someone down by turning down their request or risking a relationship. But, it has mostly to do with your self-confidence than your relationships with people. It may branch from overbearing parents, high expectations set by your peers and mentors or experiencing parenthood yourself and setting unreasonable standards for yourself. Childhood influences are usually the biggest cause of people always saying  yes  all the time.

People who have low self-confidence tend to value their own needs less than the needs of others. Saying 'No' feels rude, and no one wants to be impolite.

Well... saying 'No' does not mean you are being rude or disagreeable.

At the end of the day, it is more about how you say 'no', rather than just saying the word 'No'. Saying 'No' is about valuing and respecting your own time and priorities. 

How to start saying say 'No'?
If you want to take a step back and start saying 'No' to make sure your own needs are valued, here s what you need to do.

Refuse politely, when it seems not possible: Do not overcomplicate responses and try to be as simple in your responses as you can be. If you are asked to do something, and you want to say 'no', try to be polite in your body language and state that it is not convenient for you at the moment and that you would rather get back to it later.
Seek time before committing: The transition from saying  yes  all the time to saying no does take time! Start to give yourself more time and ask people to get back to you later. This way you can begin to build more self-confidence and learn to say no over time. This also allows you to evaluate your response instead of immediately saying yes or no to the person asking the favor or task.
Do not feel guilty: Deep down if you want to do a favor, you can go ahead with it, but you should also understand that it is okay to say no, and there is no need to associate guilt with it. You should set boundaries and allow people around you to understand how much favors they can ask you for instead of presenting you with an endless amount of favors from you.
Set your boundaries: Refusal does not amount to rejection as you have just as much right to say  no  as the person who is asking the favor from you. You are simply turning down a request, and in most situations, there is a middle ground for compromises where both you and the requester can be satisfied. If you have limited time to fulfill a request, let the person know and help out only as much as you can without overstepping your boundaries.
Bringing in these changes can help you be more self-confident, and at the same time enable you to say no when you need to without weighing yourself down with expectations and fear or rejection.

Simple Steps To Help You Say No!

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?

Alcohol consumption is a common problem in our society. Ranging from economic issues, to strained relationships, to neglect, to abuse, it can lead to multiple problems. The key point is that in many people, it may go completely unnoticed. While different people could have different tolerance levels, there are some definitions to qualify someone as having  alcohol problem'. 

Alcohol consumption resulting in blood alcohol levels of 0.08 or more; some men might need about five drinks and women might need four drinks to reach this level. When any individual is compelled to drink up to five drinks on a day regularly, it is considered to be a problem. 

Symptoms

If you are suspecting that your friend or relative could be having a potential drinking problem, look out for the following symptoms: 

Constant, strong craving for drinking 
Unable to control their urge to drink alcohol 
Inability to succeed in efforts to reduce or stop alcohol usage 
Drinking more than the intended quantity on most occasions 
Spending extra effort in terms of time and money to lay their hands on alcohol 
Strained relationships at work or at home
Health issues including liver failure, poor overall health, intestinal problems, etc. 
Failure to see that their health (physical and emotional) is affected by drinking 
Failure to acknowledge that there is a drinking problem (denial mode) 
Stealing or lying in an attempt to get money for alcohol 
Being violent towards spouse or children or even strangers to get alcohol and/or money for alcohol 
Not very reliable in assigning tasks or fulfilling responsibilities 
Ability to hold more than their regular quantity of drinks, over a period of time, capacity to tolerate more alcohol 
Constantly seen in the company of people who enjoy alcohol 
What should you tell your friend/relative? 

Admit the problem

Stay away from people who drink with you or encourage you to drink
Space out drinks, drink with food, and drink enough water as it will reduce the amount of alcohol getting into the body
Involve close friends and family for emotional support
Enroll for a detox program
Get into exercise, sports, photography which are both creative and productive ways to improve your quality of recreation and life

Alcohol Problems - How To Know If Your Relative / Friend Is Suffering?

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