A genetic disorder, Down s Syndrome is caused due to extra genetic material during cell division. It is the faulty arrangement of chromosomes which results in the Down s Syndrome. It approximately affects one in 800 births around the world, across a wide spectrum of race, gender, region, and socio-economy. Since it is a naturally occurring condition whose underlying cause cannot be controlled or regulated, there is nothing one can do to undo this condition. Instead, people with Down s Syndrome, because they are generally socially and intellectually underdeveloped, are equipped with learnings and interventions related to life-skills from very early in life and striving towards making them independent. Various therapies can be incorporated for improving the overall quality of life of the people born with Down s Syndrome.

Occupational Therapy and Down s Syndrome -

Development of motor skills is delayed in the children born with Down s Syndrome. This is due to their certain physical characteristics like low muscle tone (hypotonia), loose ligaments or ligamentous laxity making the joints extra flexible, and decreased strength.

The aim of the Occupational Therapy for children born with Down s Syndrome is to facilitate or enable the development of movement patterns optimally, as against accelerating the rate of development which is a general assumption. It helps in achieving developmental milestones in an efficient manner. Occupational Therapy hence helps children in developing a good or correct posture, aligning their foot properly for proper balance and movement, improving their walking pattern, and helping them generally through developing fine and gross motor skills for carrying out daily activities.

Moreover, Occupational Therapy helps in teaching self-care skills like getting dressed, eating, toileting writing, using a computer, etc. For teenagers, Occupational Therapy helps in identifying suitable skills, careers, jobs, and vocations to match with strengths, capabilities, and interests. Sensory integration activities help in teaching the child to produce an appropriate response to any situation, and in developing attention and concentration.

Occupational Therapy Assessment -

Children with Down s Syndrome have delayed gross and fine motor skills, and lack basic cognitive and communication skills among many other issues they face due to their condition. Occupational Therapy addresses all these shortcomings of development for comprehensive management of the disease.

Occupational Therapy checks the sensorimotor components like muscular tone, strength, endurance, coordination, balance, range of motion, hand function, and posture. It also checks the perceptual and cognitive components like memory, attention, figure-ground, and directionality. For checking social skills, areas like peer relationship, verbal and non- verbal communication, and group interaction are assessed.

According to the assessment results, intervention strategies and fun activities are devised for the child to promote optimal function of motor senses.

Take Away -

Down s Syndrome cannot be cured but can be managed through methods like Occupational Therapy which helps in teaching basic life skills for making the patients confident and independent to face the world on their own.

Down Syndrome - Know How Occupational Therapy Can Help!

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?

Psychiatric disorders like bipolar disorder or schizophrenia do not appear all of a sudden. There are small changes that happen to an individual over a long period of time until the disease fully develops. These signs and symptoms might be too subtle in the early stage for other people to notice until they become obvious. But an early detection of any irregularity proves to be more beneficial for the patient in the long run.

It is important to know the telltale symptoms of mental disorder to distinguish between what is regular and what is not.

Withdrawal
Everyone needs some quiet time to cool off and relax but if a person continuously withdraws him/herself from social occasions and avoids meeting or speaking to friends, it could be a sign that something is wrong. Losing interest in life, work and people are symptoms of depression and psychotic disorder.

Thinking problems
Having trouble concentrating, remembering, understanding and explaining oneself in a coherent manner are some common signs of mental disorder.

Anxiety
Excessive stress and anxious behavior for a prolonged period are not normal. Frequent heart palpitations, headache, shortness of breath, racing mind and restlessness are cries of help that need to be heard.

Emotional outbursts
Sudden dramatic outbursts for no apparent reason, frequent mood swings and feeling distressed are potent signs of mental illnesses. These kinds of behavior are seen as part of a person's nature and so they are often unnoticed.

Changes in appetite and sleeping patterns
Oversleeping may be a sign of depression and insomnia could be a sign of anxiety. Changes in appetite and not caring about oneself or the world are indicators of a mental problem.

5 Silent Signs Of A Psychiatric Disorder

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!

Schizophrenia is a neurological disorder that affects an individual s ability to feel, think, or behave properly. Schizophrenia makes it hard for a person to tell reality from fantasy.

The symptoms of schizophrenia are:

  Hearing voices in the head
  Hallucinations
  Fearfulness
  The urge to withdraw from society and social activities
  Difficulty concentrating

Although one can control the symptoms of schizophrenia with antipsychotic drugs, therapy can drastically improve their quality of life. The therapy combines both counselling and medication. Several types of therapy can help a schizophrenic. The most commonly practised are:

Cognitive Behavioral Therapy

This is a kind of interactive therapy session, which works only if a collective relation between the therapist and the individual suffering from schizophrenia is established. It is about analyzing the problem and setting goals to overcome it.

  The therapist focuses on the psychotic elements of schizophrenia (illusions and hallucinations) and helps the schizophrenic separate delusions and reality. It starts simply with learning to de-stress. CBT includes behavioural experiments, reality tests, cognitive restructuring.

  The schizophrenic is taught to avoid being confrontational and not to fear the psychotic experiences. Therapy helps strike a balance between the two extremes of psychotic and non-psychotic experiences.



Art Therapy

Art Therapy acts as a unique medium of expression for a schizophrenic.

  A person suffering from schizophrenia often finds it difficult to express himself/herself. With the patient guidance of a therapist, the individual uses paint, clay or other materials to voice their thoughts, feelings and fears.

  Art therapy also incorporates music, poetry, drama (any art form that the schizophrenic is comfortable with). Art Therapy works in groups as well. Interacting in a group teaches social skills. Communicating with people suffering from similar problems helps them get a better perspective and reduces the symptoms associated with the condition.

Family Therapy

Families are often confused about how to deal with the symptoms of schizophrenia. Family therapy is about establishing a bond between the schizophrenic and his/her family.

  Most importantly, bonding with the family helps gives an emotional boost to the individual. Knowing that she/he has the family s love and support brings down hallucinatory episodes. Surveys suggest that family therapy helps improve the quality of life for a schizophrenic.

Therapy can help suppress the terrifying hallucinations and illusions and help a schizophrenic cope with his/her condition. However, at the end of the day, what a schizophrenic needs more than therapy and anti-psychotic drugs are your understanding and support.

Schizophrenia - Symptoms And Therapeutic Treatments Of It!

In most Indian homes, a family is not complete with just one child. Until about a couple of decades ago, a family with a single child was very rare. The most common response would be 'with whom the child will play'. Between the siblings, there is always so much love. Starting from getting attention from the parent to education at all stages of life, this is one relationship which just grows and grows. While it definitely is a feel-good factor, scientifically too, it has been proven to have multiple benefits.

Read on to know some benefits of having siblings and how it can help you stay healthy and positive.

A constant companion: With a sibling around, there is no need to look for a play or study companion. There is always one available right in the same home. This provides for a happy, healthy equation with a lot of give and take that just extends through life.
Continuous learning environment: With a sibling around, the learning never stops. There is a constant teacher/mentor-student relationship with the elder one having an upper hand and trying to teach the younger one all sorts of things from using a chalk to spoon to math to magic.
Sharing begins at home: Whether it is your toys or colours, stationary or chocolates, siblings share a lot of stuff and so from a very young age, there is a behaviour that encourages sharing of all sorts of things. Studies have shown that children with siblings show a lot more sympathy and are more open to sharing things as compared to single children.
Builds selflessness: The next time you see two siblings, notice how the elder one is always so protective of the younger one. The elder one is willing to give up their chocolate just so the younger one smiles. Similarly, the younger one also would give up a toy so that the elder one is happy. This selflessness is ingrained in children with siblings, which extends into their other relationships too later in life.
Tougher individuals: Problem solving is something which gets built in early in life when children have siblings. This comes in handy later in life too, which makes them tougher individuals. They are also better skilled at negotiating, good at setting and achieving goals, managing relationships (both professional and personal), and are so more successful.
The relationship with a sibling just continues through life. The above are some pointers as to how having a sibling makes for a happy, healthier, and positive life. Anyone with a sibling would definitely vouch for these!!

How Having Siblings Can Keep You Positive and Healthy?

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