Schizophrenia affects over 1% of the world s population and affects the way a person thinks, feels and behaves. In most cases, it is diagnosed when a person is between the ages of 16 to 25. This condition can be hereditary and is said to affect men more often than women. Schizophrenia is characterized by an inability to distinguish between real and imaginary which can lead to delusions, social withdrawal, hallucinations and other forms of social and occupational dysfunction.

Schizophrenia affects different people in different ways. On the basis of the type of symptoms exhibited, this disease has been categorized into 5 sub types. These are:

Paranoid schizophrenia: This type of schizophrenia is characterized by delusions and hallucinations that may make the person exhibit paranoid behaviour. These people often feel like they are being watched or followed and may have delusions of grandeur. They may also get angry quickly on minor issues and show signs of anxiety and hostility.
Disorganized schizophrenia: In such cases, the person may behave in ways that are difficult to understand or speak in broken sentences and have difficulty structuring a sentence. They may also display inappropriate behaviour and react in ways not suitable to the occasion. People suffering from disorganized schizophrenia may also neglect their personal hygiene.
Catatonic schizophrenia: People suffering from catatonic schizophrenia may swing between immobility and periods of rapid movement. They may stay quiet for hours or talk rapidly repeating everything they hear. These people have a high risk of harming themselves as they are usually unable to look after themselves and complete daily activities.
Undifferentiated schizophrenia: People suffering from this type of schizophrenia exhibit behaviour that fits into more than one type of schizophrenia. From time to time they may have hallucinations, suffer from delusions or display catatonic behaviour and disorganized behaviour or speech.
Residual schizophrenia: Even though a person may not be currently showcasing any signs of schizophrenia, they are said to have residual schizophrenia. Such people need to have had at least one schizophrenic episode. These people may exhibit symptoms later or be in complete remission.
With schizophrenia, an early diagnosis can make treatment easier and hence if you notice anyone exhibiting signs of schizophrenia, you must advise them to seek medical help immediately. Schizophrenia cannot be cured but it can be managed with a combination of typical or atypical medication and cognitive therapy. The latter can be in the form of self-help groups, housing and employment programs, counselling and therapy. 

Types Of Schizophrenia - How Can They Be Dealt With?

Becoming a parent is one of the greatest joys in life. It is a magical feeling to hold your child in your arms for the first time. However, as your child grows up, you will notice certain behavioural changes that can be difficult to control or withstand. Temper tantrums are common in children. A child uses tantrums to vent frustration and anger, which he/she feels toward a person or a situation.

While such temper tantrums may lead you to lose your temper, remember that children do not have the same emotional maturity as that of an adult. Therefore, rather than being strict to your child, here are some ways to deal with temper tantrums.

1. Don t try to calm your child: Temper tantrums are often attention seeking in nature. Therefore, you will make it worse if you try too hard to calm your child while he/she is throwing such a tantrum. Instead, choose to ignore the behaviour and go about doing your job. However, keep an eye out to check that your child does not do anything to harm himself/herself or others during this time. You should also verbally clarify that such behaviour is not acceptable.

2. Speak softly but with resolve: Many parents seem to think that shouting at their kids helps against temper tantrums. It does not. In fact, the more your child shouts, the more softly you should interact with them. When you shout you give your child the opportunity to shout - they do this so that they can be heard. Instead, be stern. Sometimes offering a choice can help your child feel as if he/she is in control of the situation.

3. Empathize with your child: Seeing the world from your toddler s perspective is no easy task. This is why parents often think that a temper tantrum is meaningless. However, in most cases, a child s temper tantrum is rooted in the inability to perform a task or articulate his/her wishes. As a parent, you need to devise alternate forms of communication with your child, so that he/she can express feelings better.

4. Give them some space: Rather than scolding your child for throwing a tantrum, let him/her express their frustration. This is similar to the concept of adults venting undesirable feelings. However, tell your kids to express frustration in a non-destructive way. This approach helps your child become emotionally stronger, as they learn to deal with sadness and anger in their own way, without requiring support from elders.

You need to understand that all children throw temper tantrums at one time or another. How you handle the situation determines how your child will deal with frustration and sorrow in later parts of their life.

Parenting Tips To Tackle Temper Tantrums In Children!

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)

PTSD or post traumatic stress disorder is a confusion that develops in a few people who have encountered a shocking, unnerving, or dangerous event. It is natural to be scared during and after a traumatic event. Fear triggers numerous brief and instant changes in the body to protect us from the threat or to stay away from it. Here are a few myths and facts about PTSD:

Myth 1: Everyone who has been through a life threatening event will develop PTSD.
Fact: In reality, a great many people who are exposed to such events will not get PTSD in most of the cases, and a lot of them see a decrease in the symptoms gradually over the months or even days. The number of individuals who may be diagnosed after an event that can result in PTSD ranges from under ten percent of people after twelve months of exposure to general trauma. Where as, thirty seven percent of the individuals are exposed to deliberate trauma.

Myth 2: People who are weak, get PTSD.
Fact: It is not clear why a few people get PTSD and others do not. Women are twice as prone to be determined to have it than men are, however, women will probably have numerous mental issues since they will probably look for help, and accordingly get an analysis. Individuals who are presented to interpersonal injury, for example, rape or fighting, will probably have more pronounced PTSD symptoms than survivors of mishaps, accidents or natural disasters.

Myth 3: After a specific measure of time, one should be over the trauma.
Fact: Depending on the nature of the trauma, it might stick around. Furthermore, in some cases, a person may seem to get over it. However, something triggers the recollections and they get tormented by symptoms again. Additionally, as individuals age, the movement that keeps the long-term memory far away from the brain, starts to diminish, exposing the person with seasoned recollections.

Myth 4: The trauma was such a long time ago that it is past the point where it is possible to recover from the trauma.
Fact: The good news is that it is never past the point where it is possible to address your shock or trauma. In fact, most of the patients are middle-aged child sexual abuse survivors. There is a great deal of reasons that somebody would hold back from getting treatment, yet the decades isolating them from their trauma are not an obstruction by any means.

Myth 5: I should have the capacity to handle this myself.
Fact: Frequently it takes more strength to get help than to battle alone, especially for specific events. Cases of individuals who might be particularly hesitant to connect include men who have been conditioned by the society to not express sentiments or show helpless. Marginalised people have a more troublesome time looking for somebody who can relate to them. 

Myths and Facts About PTSD!

Addiction not only includes physical things we consume, such as drugs or alcohol, but also includes virtually anything, such abstract things as gambling to seemingly harmless products, such as chocolate, etc. In other words, addiction may refer to a substance dependence (e. G. Drug addiction) or behavioral addiction (e. G. Gambling addiction).

Causes

There is a link between the repeated uses of an addictive substance and how the human brain experience pleasure, its use has a nice reward, leading to further and more frequent use. The addictive substance, be it nicotine, alcohol or some drug actually causes physical changes in some nerve cells in the brain. After a while, the user of the potentially addictive substance does not get the same pleasure and has to increase the dose, as his/her body's tolerance to it increases. Eventually, the user no longer experiences pleasure from the substance and takes it simply to prevent withdrawal symptoms taking the substance just makes them feel normal. When tolerance increases, the risk of addiction is much greater.

Signs and symptoms

A person starts to show symptoms when a person takes the substance, such as nicotine, alcohol etc. And has given a serious attempt to stop, but is unable to do so because of the withdrawal symptoms. The body of an addict will go in withdrawal state when once the level of the substance abused is below a certain level. When a person goes in withdrawal state it will show signs, such as craving, bouts of moodiness, bad temper, poor focus, extreme temperament, poor focus, continuous feeling of depression, emptiness, frustration, anger, bitterness and resentment. Apart from these the addict will also display symptoms such as increased appetite, insomnia, constipation, and diarrhea. Withdrawal caused by some substances can also trigger signs like violence, seizures, hallucination, sweating and trembling, etc. However, the addiction continues despite health problem awareness. An addicted person commonly feels they need their drug in order to deal with their problems.

Investigation of addiction

Blood test is advised to determine whether the substance is still in the blood (whether the substance has been taken recently). Dsm criteria for substance dependence that is a patient diagnosed with substance dependence (an addiction) must meet criteria laid out in the dsm (diagnostic and statistical manual of mental disorders), a manual published by the american psychiatric association.

What you can do?

Acknowledge the problem and consult for help from an expert. Family members must be supportive in creating a congenial environment for the addicted person.

Role of homeopathy in management of addiction

The first step for the addicted person is to acknowledge that there is a substance dependency problem (addiction problem). The next step is to get help. In most of the world there are several support groups and professional services available. Treatment options for addiction depend on several factors, including what type of substance it is and how it affects the patients. Typically, treatment includes a combination of inpatient and outpatient programs, counselling (psychotherapy), self-help groups, pairing with individual sponsors, and medication.

Talking of medication, homoeopathy definitely has a major role to play in the de-addiction journey of a'patient. Over the years it has been seen that homeopathy has produced tremendous results in such cases. People have approached for quitting alcohol, smoking, drugs, etc. And majority of them have been wonderfully helped by homoeopathy. Those who haven't achieved desirable results have either lacked willingness or conviction on their own part, or have had a non-congenial and non-co-operative environment at home and work place. For any de-addiction plan to be successful for a patient these 2 factors are the most important. A willing person with a co-operative and supportive environment is much more receptive and responsive to the medical treatment.

The commonest attacking area for any addictive substance is the central nervous system (cns). The substance inhibits the release of neurotransmitters, which are responsible for carrying nerve impulses. Once these neurotransmitters are inhibited in their normal functioning, a person develops delayed nervous responses and irregular nerve impulses leading to addiction. It is a vicious circle. So, as the centre of attack is the cns, a medical system that boosts and strengthens the cns would automatically prove beneficial in such dreadful cases. Homoeopathy is that very medical science! the homoeopathic medicines are absorbed through the nerve root endings of the tongue and directly hit the cns. There are some very powerful homoeopathic medicines, which have the ability to shake up the cns and work in a normal manner as it is used to be. These homoeopathic medicines, thus have the ability to develop control and also the power to abstain from the substance in later stages of the treatment.

But the first and foremost attempt is made to manage the withdrawal symptoms. It is the fear of the withdrawal symptoms only that a patient may lose conviction and confidence in him and give in to the indulgence once again. This is where the role of family and friends also comes in. When the struggle of 1 man becomes fight for the whole team; chances are very high of coming out victorious. There are brilliant medicines in homoeopathic science, which can help the person in managing and fighting with the withdrawal symptoms with ease. Medicines like nux vomica, kali phos, arsenic album, coffea cruda, aconite, gelsemium, argentum nitricum, ipecac, acid sulphurosum, caladium, daphna indica, quercus, etc. Have proved to be extremely effective in helping a person wean off completely of the addictive substances.

Mind the mind

Over the past two issues, we took up the burning problem of addiction as a mental illness, explored its, nature and probable causes that go into the making of an addict. The current issue is aimed at spreading awareness about the available evidence based psychological treatments for de-addiction.

1. Psychotherapy: also called as'talk therapy, is aimed at helping the patient to understand the link between their thoughts, feelings and behaviour so that the maladaptive ones can be replaced with more adaptive and productive processes. Interventions in terms of cognitive behaviour therapy (cbt), motivation enhancement therapy (met) and behaviour therapy are efficient in the treatment of addiction behaviour.

2. Craving control: use of certain medicines and behavioural techniques can help a person deal with the intense feelings of craving when it seems too much to bear. It gives a sense of greater control to the person over the substance, which in turn motivates him/her to stay away from using the substance. Many people report that they tend to continue the abuse the substance since they are unable to handle the period of intense craving, which can come all of a sudden.

3. Relapse prevention: arguably it is the most important component of de-addiction program. Leaving the substance is not that hard, but staying away from it is the most difficult part as reported by many patients with addiction. To ensure that the person stays clean and healthy without the substance, they are taught some techniques like asking for help whenever they feel the need to do the substance or staying away from potentially, dangerous situations, like going to party where alcohol is available. With therapy, the individual gains more confidence in his/her own abilities rather than depending on the substance for facing life situations. In addition to this, they also start enjoying their life without the substance. Both the patient and his/her family play an important part in this process hence they are educated about it and are advised regarding appropriate ways of ensuring sobriety for the patient.

4. Alcoholics anonymous (aa): it is a self-hellp group in which ex-alcoholics come together and share their experiences, for instance how they got into drinking, how it affected their life and now how they are maintaining their sobriety. These are mostly weekly sessions and have been found to be very effective in supporting the recovery of alcoholics to stay motivated and be clean without the use of alcohol. Similar to aa, there is na (narcotics anonymous for drug addicts) and al-anon (for the family members and friends of problem drinkers).

5. Yoga and exercise: a healthy daily routine with yoga or regular exercise promotes feelings of general well-being and ensures healthy mind and body. It detoxifies the body faster and even helps in recovering from the damage caused due to excessive substance use.

6. Social skill training: an important aspect for being away from drugs/alcohol is the ability to say no to such offers from others. Assertive behaviour, healthy communication pattern and good problem solving ability are skills that are taught to assist the person to stay healthy without feeling the need to take the substance.

One of the simplest, yet very powerful principles of staying healthy is'one day at a time! instead of making any long-term plans for staying sober, which might seem over-whelming and extremely difficult, just plan for that very day and decide to be clean without the substance.

Addiction: Signs and Symptoms

According to most experts, depression and diabetes have been intricately connected in a vicious cycle. While the prolonged and sustaining nature of diabetes directly makes one vulnerable to the bouts of depression, doctors tend to locate traces of depression in the family history of an individual in order to diagnose the roots of diabetes. It won't be too far-fetched to state that both causes as well as affects the other.

If you have diabetes, either type 1 or type 2, you have an increased risk of developing depression. And if you're depressed, you may have a greater chance of developing type 2 diabetes. The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive effect on the other.

How diabetes and depression correlated? 
There are myriad ways in which diabetes affects depression and vice versa. 

Firstly, tackling such a long drawn disease and its various pitfalls might cause a lot of anxiety to one and lead to depression. Whereas on the other hand, depression reduces the zeal to live and thus results in poor lifestyle choices which in turn causes weight gain, unhealthy food habits, physical inactivity. As we are well aware, all these have the potential to wreak havoc for any patient of diabetes. 

Similarly, diabetes ushers in various other health complications, adversely impacting one's productivity. This may cause depression in a lot of people. 

On the flipside, depression impedes one's ability and enthusiasm to work or communicate, this in turn intervenes with one's monitoring of diabetes. Since these two extremely malevolent diseases have such close connections, medical science recommends ways to grapple with both. The rigors of managing diabetes can be stressful and lead to symptoms of depression.

Diabetes can cause complications and health problems that may worsen symptoms of depression.

Depression affects your ability to perform tasks, communicate and think clearly. This can interfere with your ability to successfully manage diabetes.

Treatment

Depression is just like any other illness, it can be treated. Treatment can lift the depression and improve diabetes control.

Looking after your diabetes will help decrease the risk of getting depression. If you already have depression, good diabetes management will help lessen the negative impacts it can have. Depression is no different to any of the other complication of diabetes. It is a genuine illness for which you need to seek help and support from health professionals.

The treatment for depression and diabetes involves a coordinated approach that monitors both diabetes control and the symptoms of depression. It is about finding the treatment that works best for each person. For example, people with diabetes and mild depression may find that regular physical activity improves depressed moods and also helps control blood glucose levels.

Helping yourself.

If you suspect you might have depression, take control of your health by:

Going to a doctor or other health professional
Getting involved in social activities
Engaging in regular moderate physical activity
Learning about depression and diabetes
Very particular about medicines prescribed for diabetes
Eating healthily and including a wide variety of nutritious foods
Achieving and maintaining healthy weight
Limiting your alcohol intake
Getting help, support and encouragement from family and friends
Asking your doctor to check your blood pressure, cholesterol and blood glucose levels.

Diabetes and Depression

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