A traumatic injury refers to a serious brain injury that affects all the aspects of a person including his or her personality. This may be the result of a severe fall, a car accident, firearms etc. Unlike an injury to the arm or leg, no two traumatic injuries have the same effect. These injuries also do not heal like other injuries.

There are many different kinds of treatment options available for traumatic injuries. Initially, treatment aims at stabilizing the individual and assessing the scope of the injury. Acute treatment is used to minimize secondary injuries. In many cases, surgery is also required to prevent secondary injuries and to help maintain a steady flow of oxygenated blood to the brain. This relieves the internal swelling and pressure. It also minimized additional damage to brain tissue. Most patients also need rehabilitative care to get back to their normal life.

Surgical treatment is usually advised in the case of a traumatic head injury. However, in the case of internal brain injuries, this may not be the first preference. In such cases, an intracranial pressure monitoring device or a bolt is implanted to monitor pressure levels in the brain. Only then surgery may be required to drain bleeding in the skull cavity and to repair the torn tissues. Blood clots or hematomas will also need to be removed surgically. Sometimes, surgery may also be required to create a window in the skull so as to relieve internal pressure.

In severe cases, if there is extensive tissue damage, the damaged portion of the brain may be surgically removed. This creates space for the healthy brain tissue to heal. In the case of an open brain injury, surgery is the first course of treatment. In such cases, the doctor s first sim is usually to repair the fractured skull and remove damaged tissue. This minimizes pressure on the brain and also helps prevent secondary infections and injuries.

These surgeries are generally performed while the patient is under general anaesthesia. Recovering from a traumatic brain injury takes time and hospitalization is usually required for a few weeks. Once the injury has healed considerably, rehabilitation is then required to relearn basic skills. This may begin as an inpatient procedure and later be transferred to an outpatient exercise. The duration and type of rehabilitation required vary from case to case and depends on the type and severity of the injury. 

Does Surgery Help In Treating A Traumatic Injury?

Borderline personality disorder (bpd) is a mental illness. A patient suffering from bpd maintains unstable relationships with other people, shows inappropriate emotional reactions and possesses suicidal or self-harm tendencies. It is purely a personality disorder caused due to multiple factors. Patients suffering from bpd may find it difficult to stay alone. They fear abandonment and loneliness. Yet they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life.

It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with bpd.

Symptoms of borderline personality disorder.

The signs of suffering from bpd are listed below:

Intense and frantic effort to avoid abandonment or loneliness
Unstable relationships with people and changing the attitude towards them drastically. It can change from being in immense love with each other to intense hatred.
Developing paranoid thoughts and having dissociative feelings-the patient often lacks the feeling of self and suffers from identity crisis.
Suicidal feelings and attempts
Tendency to cause self harm or destruction by drug abuse, driving irresponsibly or be having unprotected sex
Reflecting intense depression
Chronic boredom
Sudden anger and hostility
Causes for borderline personality disorder.

Borderline personality disorder can be caused due to multiple reasons. Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.

Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for bpd. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.

Diagnosis.

There is no particular clinical test that can diagnose bpd. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.

Treatment.

The treatment of bpd involves three steps- psychotherapy, medications and support from peer and family. Dialectical behavioral therapy, cognitive behavioural therapy and psychodynamic psychotherapy are used in treating the patient. There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed.

A Guide to Borderline Personality Disorder

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

Depression is one of the complex physical and psychological disorders. The disease is characterized by loss of pleasure or interest, sadness, feelings of guilt, low self worth, disturbed sleep and appetite, poor concentration and feelings of tiredness. The common effect of this condition is leads to the decreased activity level in some parts of the brain. The disease is a mild one that causes little annoyance in daily life. But the extreme stages may lead to severe effects where the affected person may fail to participate in their social life. In rare cases severity of suicide is even possible.

Depression is diagnosed by these symptoms:

    Lack of interest or joy in activities
    Sadness or low mood levels
    Feel of guilt without any reason
    Pessimism
    Inferiority thoughts
    Slow thought process
    Irritability
    Slow in interpreting sensorial stimuli
    Slow physical reactions
    Slow physical processes or digestion.

Types of depression
It can be either be a single disease or the effect of other diseases. It can also be due to two or more factors. Based on the cause the disease, it has been divided into six types, which are

    Reactive depression: Caused due to psychological struggle and stress.
    Endogenous depression: Caused due to strain or lack of rest.
    Depression by physical disease: This is caused due to any physical disease such as Parkinson s disease, stroke, hypertension, heart disease, cushing s syndrome, mononucleosis, hypothyroidism neurotransmitters in the brain etc.
    Depressive consequence of unsound lifestyle: This is caused due to less exercise, too much alcohol, coffee or tea consumption, least intake of necessary nutrients, too much sugar intake and fat.
    Postnatal depression: This happens mostly in women after pregnancy and child birth.
    Seasonal affective disorder: This happen due to cold and dark seasons of the year. The lack of light is the factor for causing depression as well. 

Treatment of depression
Best way to treat depression is through Psychotherapy, also anti - depression medicines are usually prescribed to treat the effects of depression. But the intake of these types of medicines result in nervous disorder. However, the best way to treat is through environmental changes and positive and happy surrounds to the affected person along with psychological counseling.

6 Types of Depression! + How it Affects Us?

What is Addiction?

Addiction is a condition in which individual engages in using a substance or seeking a behaviour which leads to rewarding effects in the brain and it reinforce the individual to repeat the using or seeking behaviour again and again. Addiction develops gradually over a period of time and due to the repetition of same pleasure seeking pattern individual become physically and psychologically dependent on the substance or to any other object at the center of addiction.

People can get addicted to many substances like, alcohol, nicotine, drugs, solvents, etc. In case of these substances, physical and mental dependency both can occur. There are other objects and behaviours which also activate brain reward system in the same way and can make people dependent on them, like gambling, shopping, videogames, watching pornography, etc. But in case of these objects or behaviours, psychological dependency can be more prominent.

It has been seen that there are lots of other mental problems found among individuals suffering from any kind of addiction, like anxiety, depression, personality disorders, psychosis, etc. Individual who is addicted to a substance or an object or behaviour indulge into compulsive pattern of seeking the same inspite of their detrimental consequences. Consequences of addiction can be seen on person s health, personal life, occupational life and social life. Addiction can lead to severe unmanageability in one s life.

Especially when it comes to substances, like alcohol, nicotine or any kind of drugs, we must understand how the tolerance level of the brain develops? Tolerance develops when an individual no longer responds to a substance in the way he/she did at first. So, it takes a higher dose of the substance to achieve the same effect as when the individual first used it. This is why people with substance use disorders use more and more of a drug to get the  high  feeling that they seek.



A blog posted by an alcoholic:

 I always wished I could drink like other people. But I never could. I thought it was the third drink that got me into trouble. If I only had two, then I d be fine. Thing is, once I put that first drink to my lips, I could no longer accurately predict what would happen next. I might go home, but I might not.

You d think if I made it home, then my drinking was a success. Wrong! If I made it home after two drinks, there was an insatiable need raging within me and I was gonna take it out on you.  After all, you re the reason why I had to come home. I would punish my family by being silent, or mean, or emotionally distant.

Looking back, it was never intentional. I didn t purposely choose not to go home.  I didn t leave the house with a suitcase containing a fresh set of clothes, a tooth brush and my cosmetics. Seriously, I was only going out for  a few. 

If anybody can relate to this or can understand this, he or she can understand tolerance, powerlessness and unmanageability.

How to recover from addiction?

To be an addict can t be anybody s choice, but recovery can be one s choice. The first key step to come out of your addiction is developing acceptance. For a person to admit their powerlessness in addiction to drugs or alcohol or to any other object at the center of addiction is a monumental first step to recovery. Powerlessness means the person do not have any control over his/her use of substance. Powerlessness may indicate weakness and helplessness; some may think it fosters a victim mentality. Acceptance starts developing when a person admit that he or she is powerless over the substance or object at the center of addiction and their life have become unmanageable because of that.

Addiction is a disease and recovery is not an easy process. Individuals who are already into the grip of addiction need to seek help. One cannot go through the journey of recovery alone. There is a myth that addiction is a habit and one can get out of it if he or she has the  Will Power . It s actually not true. To get out of the disease you need to develop  Skill Power , like skills to understand your physical and psychological mechanisms when it comes to the substance or the object of addictions, skills to handle cravings, skills to be assertive enough to manage social cues, skills to deal with day to day life stressors, etc. And in this process of developing skills and maintaining your recovery you need help of professionals.

A complete treatment program has three important approaches. First one is psychopharmacological (medicine) approach, second is psychotherapeutic approach and the third one is the 12 step program of alcohol/narcotics anonymous. A combination of psychotherapies along with the basic essence of 12 step program can bring greater outcomes in individual suffering from addiction.

Understanding Addiction And The Key Steps To Recover From It!

India is all set to celebrate its 75th Independence Day on 15th August 2021. This day marks the Independence of our country from the British. So, every year the Independence Day is celebrated throughout the country with great fervour. So, this Independence Day, let's take a pledge and abide by the fact that we will take up small measures to restore our health. Below are few healthy habits that we must follow.

Freedom to be ourselves: By having the freedom to be ourselves, basically refers to the idea of having certain choices without being bound by any kind of limits, social stigma or pressure. People should have the independence to do anything that they want to do. Going deep into it, it is basically having the freedom to grow and attain the level that people want to achieve, in an unrestricted manner. This would only be possible if one is allowed to make experiments with their choices.

Constant progress towards a fulfilling life: Today s world is filled with a variety of stress. We are always in a hurry to catch up with our goals and meeting our targets. So, in pursuit of all this, there is every possibility that we might lose out to make time for ourselves and our relationships.

So, this Independence Day, we must take a pledge and abide by the fact that we will take up small measures to restore our health and rejuvenate our relationships and this constant progress will enable us to achieve something big in life. Now let us talk about certain healthy habits that we must follow in order to be free from diseases or health problems.

Healthy breakfast: A nutritious and healthy breakfast is of utmost importance as it provides us with the much-needed energy to carry out our activities throughout the day. A healthy breakfast is one which includes fruits, eggs, a portion of oats or barley to have a great mix of protein, fat, vitamins, minerals and carbohydrates
A good night s sleep: Research has shown that a sufficient sleep at night is essential towards getting an efficient mind, as it helps to bring forth improvements in cognitive skills, sharpens memory and keep gastrointestinal disorders away. Ideal sleep hours for women should be 8-9 hours and for men, 7-8 hours should be ideal.
Fluid intake is important: Drinking 8-10 liters of water every day carry great benefits for one s health and well-being. Water helps to remove toxins, makes the skin glow and people don t feel dehydrated.
Exercising daily is good for you: Staying fit and healthy in this competitive world is a must. Fitness cannot be attained only having healthy food but doing exercise on a regular basis is also essential. So make sure to make time for working on your cardio, abs, legs, chest, so that on an overall basis, you are fit and fine. Walking, jogging, cycling and doing normal free hand exercises can help in attaining good health.
Avoid long gaps in-between meals: Generally, we tend to have three big meals, breakfast, lunch and dinner. In the midst of these three, the normal gap is of 5 to 6 hours, which often leads to a drop in our blood sugar level. Ideally, which should be avoided and in place, a habit of eating something healthy after every 2 or 3 hours should be adopted.
Restore your health with a cup of Green Tea: Green Tea has great health benefits as it is filled with antioxidants, which ensures brain to function better and thus lower the chances of getting plagued by cancer. It also makes the body system free from toxins. One cup of green tea in the morning or taking it even at the end of the day is ideal. Make sure not to have more than 2-3 cups every day as it can lead to stomach problems, restlessness and insomnia.
Wash your hands frequently: A number of diseases and health ailments spread from unhygienic habits and that is something which is in our control. We should encourage people around us, such as kids, household help, relatives to wash their hands from time to time. This will help us in controlling the spread of diseases.
The above-mentioned habits are only indicative, however, there are many more that we should adapt according to our health requirements.

Independence Day Special - Let's Take A Pledge To Stay Healthy & Embrace Healthy Habits!

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