Schizophrenia is a severe, chronic mental disorder that affects an individual s ability to think and make decisions, as well as relationships and emotions. The illness is characterized by experiences or unrealistic thoughts, disorganized behaviour and speech, reduced participation in routine activities. A person diagnosed with schizophrenia also experiences difficulty concentrating and memorizing things.

Schizophrenia does not have a definite cure. However, psychological rehabilitation can help the patient manage the symptoms of the illness, and improve the quality of life. This is where psychosocial therapy steps in.

Rehabilitation Psychology for Schizophrenia

Rehabilitation Psychology is a speciality of Psychology that utilizes psychological skills, knowledge, and theories to evaluate and treat people diagnosed with disabilities and chronic health issues in order to maximize functional ability, independence, social participation, and overall health.

A rehabilitation psychologist individualizes services to address different patients with varying health conditions. In order to meet this goal, the discipline adopts a holistic approach and considers individuals within a broad social context.

Different Treatment Approaches

Rehabilitation psychology follows these techniques to address mental disorder like schizophrenia in people  

Individual Psychotherapy   a psychologist/therapist teaches the patient how to deal with their behaviours and thoughts. Patients learn more about the ailment and its effects   and how to distinguish between what is real and what is not. The therapy may also help them manage day-to-day life.

Cognitive Behaviour Therapy   CBT can help the patient change the way they think or behave. A psychologist can show them how to deal with hallucinations and voices. After a couple of CBT sessions, you may be able to identify what triggers psychotic episodes   delusions and hallucinations   and prevent or reduce them.

Cognitive Enhancement Therapy   CET teaches individual ways to recognize triggers, social cues better, and improve memory and attention, and the ability to organize thoughts. The therapy combines group sessions and computer-based brain training.

Social Skills Training aimed towards improving social interactions and communication
Rehabilitation procedures such as problem-solving support and job counselling

Even if the above techniques are able to improve the condition, a schizophrenic person will likely need to continue with special care and education on how to become part of the community. 




How Effective Is Rehabilitation Psychology In Managing Schizophrenia?

Being a perfectionist is not wrong until it does not stop you from working according to your priorities. However, when you struggle to go on with your regular routine and seem to concentrate on one particular thing, again and again, it is time you seek expert advice.

Obsessive-compulsive disorder or OCD is a medical term that refers to obsessions or excessive thoughts leading to compulsions of repetitive behaviours. A person suffering from OCD usually has recurring thoughts that he or she has no control over, which leads to developing uncountable urge of repeating behaviours over and over.

The condition is long-lasting and chronic, and when not attended to as early as possible, usually brings in difficulties to the patient in leading a normal life. Continue reading to know about its symptoms and how it can be diagnosed.

Symptoms
The symptoms of OCD can be divided into two types, symptoms of obsession and the other is symptoms of compulsion.

Obsession Symptoms:

Spending more than normal time on one s obsessions, which results in disrupting one s social, professional, and personal activities.
Having the same images, urges, and thoughts again and again which the patient has no control over.
Losing the control over his/her anxiety and anger and acting on the urge of harming others or one s self.
Having unwanted and inappropriate sexual thoughts, especially developing obsessions with incest and homosexuality.
Being extremely obsessive and concerned about the fear of contamination that includes threats from the germs, dirt and even body fluid.
Compulsion Symptoms:

Constant cleaning and washing, especially washing one's own hands again and again.
In cases of mental compulsions, tendency to repetitively review events mentally, repetitive praying for harm prevention, etc.
Repetitively checking of the body parts or things around to be sure that nothing has happened to them.
Repeating routines such as reading the same page over and over.
Diagnosis
Diagnosis of obsessive-compulsive behaviour may consist one or various medical examinations that include,

Physical examination: Physical examination is performed in order to eliminate the probability of the presence of any other complications or illnesses.
Psychological evaluation: Psychological evaluation is all about discussing the feelings, thoughts, symptoms, and behaviour of the patients.
Laboratory-based tests: Usually, a complete blood count or CDC is included in the lab tests where the presence of drug or alcohol and the function of the thyroid is analysed.
Reference to the OCD diagnostic criteria: This step includes referring to the standard OCD diagnostic criteria to determine whether the patient is suffering from OCD or not.
Affecting people of all ages, OCD traps its victims in a cycle of compulsions and obsessions. Though a complete cure to this illness has not yet been discovered, still, with right treatment at the right time can be very effective in controlling of the symptoms while helping the patient to lead a normal life.

Depending upon the condition of the patient, the severity, and type of OCD, a psychiatrist can offer the best treatment in the form of therapies or talk sessions, or medications or a combination of both.

A Brief Overview Of Obsessive-Compulsive Disorder, Its Symptoms, And Diagnosis!

Depression is more than just feeling low or down. It is a serious illness that is caused by various changes in the brain chemistry. There are a lot of factors that cause depression, which range from genetics to change in hormone level, stress, grief, medical conditions and other life circumstances. All these can lead to depression and that is something which does not go away on its own. However, there are a few efficient ways through which patients can deal with depression. These are as follows:

Exercise: Taking a brisk walk for fifteen to twenty minutes every day can be very healthy, not only for your body,  but also for your mental health as well. Dancing, jogging, cycling and yoga are alternatives as well. Although, people who are depressed might not feel like doing any of those things, but one should try to do them anyway. Once a person gets into the exercising routine, they will start noticing the change in their mood. Deep breathing, yoga exercises and meditation can also help people feel better and less depressed.
Anti-depressants: Three brain chemicals that are responsible for handling your mood are norepinephrine, serotonin and dopamine. During depression, the brain circuits that make use of these chemicals stop working properly. In this case, antidepressants can be very useful. These tweak the chemicals that run through the brain and help improve your overall mood.
Psychotherapy: It is a method through which therapists find out a person s everyday stressors. This therapy is a powerful treatment for depression. Combining psychotherapy with medications can be even better and more effective. This also makes the symptoms easier to take. When a person talks about his feelings and problems with a stranger, it can help him or her release certain amount of stress.
Social support: Talking to a friend or attending group therapies has proven to be beneficial. However, it is important that the person you talk to is someone who you will feel comfortable around. Therefore, it could be someone you know or someone who empathises with you. This is possible either with your close ones or group therapies where the people you talk with, have been going through the same problem you have.
Meditation: Calmness and meditation can help you channelize your positive energy and thoughts over the negative ones. It can help a person see new perspective, develop forgiveness and compassion. Much like exercise, meditating briefly can help you gain immediate effects. It helps a person get over depression. This happens over time. One might not be successful in releasing their stress at once. It is a process that takes time.
The treatment that you get for your depression will depend on the kind of depression that you have. Some might get psychotherapy while others might get antidepressants or for some, exercise could be enough. 

Depression - 5 Ways to Deal With It!

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

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

Panic disorder is a condition that strikes without reason or caution and can be serious. Indications of panic disorder usually include sudden attacks of panic and anxiety, in addition to physical side effects, such as sweating and a pounding heart. During a fit of panic, the reaction is based on the circumstances, which may not be threatening in general, but triggers a feeling of panic. After some time, a person with a panic disorder builds up a consistent fear of having another fit of anxiety, which can influence the every day functioning and lifestyle in general. Panic disorder usually occurs alongside other conditions like depression, liquor abuse, or drug abuse.

You might experience the ill effects of a panic disorder if you:

Encounter frequent, unforeseen fits of anxiety that are not attached to a particular circumstance or event
Stress over having another fit of anxiety
Are trying to avoid the places of your precious panic attacks
The most common symptoms of a panic disorder are as follows:

Trouble relaxing and feeling uneasy most of the time
Beating heart or abdominal pain with a feeling of nervousness
Serious irrational and emotional fear
Feeling as if you are out of breath
Feeling as if you are being choked or smothered
Dizzy spells
Trembling or shaking
Sweating constantly
Feeling nauseous or having a stomach ache
Shivering or numbness in the fingers and toes
Sudden chills or hot flashes
A fear that you are losing control or are about to die
While a single panic attack may just last a couple of minutes, the impact of the experience can leave a long lasting impression and make you susceptible to more such attacks. In case you have this issue, the repetitive fits of panic take an emotional toll. The memory of the fear that you felt during these attacks can affect your self-confidence and cause interruption to your regular day-to-day existence. In the end, this prompts to the following panic disorder effects:

Expectant uneasiness: Instead of feeling like yourself in the middle of panic attacks, you feel tensed and on edge. This uneasiness originates from a dread of having future attacks of anxiety. This fear is seen more often than not, and can be extremely disabling at times.
Phobic avoidance: You start to stay away from specific circumstances or situations. This might happen since you are maintaining a strategic distance because of your previous panic attack. On the other hand, you may stay away from areas where escape would be troublesome or help would be inaccessible in case you had a fit of panic.
Medicines: Medicines can be used to control or decrease a majority of the side effects of panic disorder. Even if medicines do not form a part of the main treatment, when combined with other treatments, medicines are very effective. Eg. therapy and lifestyle changes.

Panic Disorder - 12 Signs You Are Suffering From it!

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