Bipolar disorder is a mental disease that is characterized by sudden changes in mood. People suffering from the condition may experience severe episodes called mania and the disorder can even cause depression among patients. Bipolar patients can also have difficulty maintaining relationships in their personal life, due to the unpredictable nature of their moods and behaviour.

Risk factors for bipolar disorder

Bipolar disorder is associated with a number of risk factors such as the following:

  Genetics - People who have a family history of the condition. Particularly, if an individual s siblings and parents suffer from the disorder, they face a greater risk.
  Environment - Stressful or traumatic events can lead to bipolar disorders as well. For instance, the death of a loved one may push people off the edge and lead to the mental affliction.
  Brain structure - People with certain brain structures may be at a higher risk from the bipolar disorder



Symptoms of bipolar disorder

Three main symptoms characterize bipolar disorder- mania, hypomania and depression. Each of these symptoms can lead to rapid mood swings in a person suffering from bipolar disorder.

  Mania

Mania is an episode where the person suffering from the disorder starts to feel extremely high in terms of emotion. They become hyperactive, excited and even euphoric. During such an episode, people are also liable to engage in drug use.

  Hypomania

Hypomania is similar to mania but is not as severe. Hypomania only affects people suffering from bipolar II disorder. Even though hypomania may not be noticeable to people around the patient, the person affected may notice an unexpected change in their moods.

  Depression

Depression is just opposite of what mania is. It manifests a feeling of hopelessness, lethargy, remorse. Suicidal thoughts also accompany most cases of depression. Even though depression can be caused as a separate condition, people affected with bipolar disorder undergo periodic depression and mania, which can be even more difficult to handle.

Treatment for bipolar disorder

Contemporary medicine does not have a cure for bipolar disorder as of now. However, with proper medication and therapy, a patient suffering from the mental illness can manage the symptoms and reduce the mood swings. Aside from medications, such as antipsychotics, antidepressants and mood stabilizers, patients may be prescribed psychotherapy as well.

Cognitive behavioural therapy and psycho-education are vital parts of the treatment. The former is basically a talk therapy session between the psychologist and the patient, while the latter looks to educate the patient and their families about the bipolar disorder and ways of living with the condition.

Creating a strict routine for daily life activities can also help deal with the disorder and reduce the symptoms.

Mood Swings - Are They The Signs Of Bipolar Disorder?

Previously known as multiple personality disorder or simply split personality disorder, dissociative identity disorder is a very serious and unpleasant form of dissociation. It is based on the lack of connection, or rather a discontinuity in thought, action, feeling, memory or even a misplaced sense of identity. It is usually considered to be a result of severe traumatic experiences in early childhood, varying from extremely physical to repeated emotional or sexual abuse. It is thought to be a self-defense mechanism where the person dissociates himself from any such experience or situation that would deem to be harmful to his or her conscious self. It is, however, not to be confused with schizophrenia.

Symptoms

There are innumerable indicators that point towards dissociative identity disorder. Some of them include:

1. Severe depression
2. Sleeping problems such as insomnia or sleep apnea
3. Alcohol or drug abuse
4. Anxiety attacks and phobias
5. Suicidal tendencies
6. Abnormal rituals and compulsions
7. Visual or auditory hallucinations
8. Self-persecution and self-sabotage tendencies
9. Time-loss and amnesia
10. Mood swings
11. Headaches and migraines
12. Inability to remember important personal information
13. 'Switching' of identities

Causes

The main causes of split personality disorder are unfortunately still unclear and vague, although 99% of persons who suffer from this disorder have a severe traumatic history or background. The causes need not be physical or sexual abuse. It could also stem from emotional abuse like insistent neglect. Studies have also showed that children may become dissociative, if their parents are either too strict or unpredictable.

Symptoms and Causes of Split Personality Disorder

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?

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)

In order to determine whether a person is having a drug problem, there are several signs, which can be interpreted to know about the exact drug abuse state of a person. Drug abuse requires immediate attention before it becomes more problematic. There are several patterns and stages of drug use that have been listed below:

1. Hard drug use: Heroin, cocaine and methamphetamine fall under the category of hard drugs and are the most dangerous drugs. There are severe effects on the health and behavior of a user of hard drugs. Some people use these kinds of drugs for recreational purposes, but some can get addicted just after using them once. Such people usually isolate themselves from society and possess a high-risk behavior.

2. Frequent drug use: Frequency alone cannot determine whether a person is addicted to a certain drug. Some people may take drugs only once and twice a week, but still suffer from acute addiction. Frequency of drug use may indicate tolerance and a person may require more with each day. Frequent drug users usually keep on continuing the habit and it is hard for them to quit.

3. Early drug use: Some people start taking drugs at an early age during adolescence, and they are likely to develop severe drug problems later in life. People who take drugs before the age of fifteen turn out to be addicts as they grow up. The earlier a person uses drugs, the earlier he becomes addicted. Early drug use is a common phenomenon in today's world.

4. Solitary drug use: Using drugs and addictive substances while a person is alone may result in fatal addiction and various problems in life. Teenagers using alcohol, marijuana and cigarettes are prone to serious drug problems during adulthood. Solitary drug users are usually poor in studies and have a violent or abusive behavior.

5. Escapist drug use: Many people use drugs for dealing with stress, several problems in life or for building self esteem. These are used as a substitute for escapism, which allows a person to escape from reality to a place where nothing bothers them and they can be at peace. Such people are likely to develop drug problems. Some people may experiment with drugs just for the sake of trying, but slowly they may like it and get addicted. This causes several problems in life, and a drug problem arises. Such drug problems may affect the health in many severe ways.

Drugs are used in several patterns. All people do not use drugs in the same pattern and frequency. The pattern of drug use by a person lets the doctor determine the level of drug abuse he is on, or if he is addicted.

Patterns of Drug Abuse

Asperger's Syndrome or Asperger's Disorder is a neurotypical condition that affects the development of the child the effects of which continue into adulthood. This condition typically shows up as difficulties faced by the patient when it comes to social interactions as well as other nonverbal means of communication. It should not be confused with autism as the patient has no speech and cognitive development delay. 

Asperger's syndrome can show up as restricted and repetitive patterns in the behaviour of the patient. It lies at the higher end of the autism spectrum and the signs are usually less obvious. Here are a few ways with which you can effectively deal with someone who is suffering from this disorder.

1. Routine: The patient suffering from this condition will need a certain kind of stability as it is very difficult to predict what will happen in the near future or to even plan for it. The best way to tackle this scenario is with the help of a proper routine that can help the patient achieve some kind of control over the situation surrounding him or her so that he or she is better equipped and more capable of handling normal functioning and social situations as well.

2. Information: It is also a good idea to help these patients in looking at and in processing information. While normal people may easily be able to discard insignificant or unimportant information, the brain of the patient suffering from asperger's syndrome does not allow him or her to do so. In many cases, the patient is not able to filter the important and the unimportant information. This can debilitate many functions. So, it is important to be present to help the patient in making decisions and processing information that is actually relevant to his or her functioning.

3. Learning: One of the most crucial things to remember with the Asperger's patient is that they tend to understand and process things when they have a visual presentation rather than being told verbally. So showing them things practically in the proper manner is the right way to help them learn and process situations in a correct way. This will prevent them from doing things in the same old way even when their brains tell them that it will lead to wrong results.

4. Physical Abilities: Poor motor skills as well as lack of proper organisation skills are traits that usually characterise these patients. It is important to make them aware of this during games and activities that require management as well as use of social skills. For example, football and other such activities can be introduced in the routine. This will promote interaction with the team in order to play and enjoy the game.

How to Deal With a Patient Suffering From Asperger's Syndrome?

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