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!

Is there anybody you know who uses internet excessively in a day, like for playing video games, visiting porn sites, for online shopping, using Facebook or visiting different chatting sites again and again? Is his or her excessive internet usage interfering with daily life, interpersonal relationships, work, school, etc.? If the answer is yes, then maybe he or she is suffering from internet addiction.

Internet addiction is a growing social issue which is being debated worldwide. Internet has become an inseparable part of our daily living. Problematic use of internet can lead us to various mental and physical problems. Surveys in the United States and Europe have indicated alarming prevalence rates between 1.5 and8.2percentages respectively.There are some criteria to classify and diagnose internet addiction disorder. 

The following 5 criteria are required to diagnose internet addiction:

The individual remain preoccupied with the internet (thinks about previous online activity or anticipate next online session)

Needs to use internet with increased amounts of time in order to achieve satisfaction.

Has made unsuccessful efforts to control, cut back, or stop internet use.

Is restless, moody, depressed, or irritable when attempting to cut down or stop internet use.

Has stayed online longer than originally intended.

Additionally, at least one of the following must be present:

Risked the loss of a significant relationship, job, educational or career opportunity because of the internet.

Lying to conceal the extent of involvement with the internet.

Use internet as a way of escaping from problems or of relieving a dysphoric mood (like; feelings of helplessness, guilt, anxiety, depression)

There are different models available to explain the causal factor of internet addiction disorder. A comprehensive model of the development and maintenance of internet addiction by Winkler & Dorsing which takes into account socio-cultural factors, biological vulnerabilities like genetic factors, abnormalities in neurochemical processes, psychological predispositions and specific attributes of the internet to explain excessive engagement in internet activities.

Apart from the above discussed points, there are two significant psychological issues commonly seen in this group; one is a strong tendency to escape from the reality is there among internet addicts. These individuals find difficulty in facing the real world may be due to certain conflict issues which evoke stress and anxiety in them. Involvement with technology and internet becomes a way out to get rid of the discomfort. Another psychological issue is the tendency to control the environment. Humans have a tendency to get a control over everything and it is a fact that we can't control other persons and situations. Internet addicts are involved in this compulsive behaviour may be because it is easy to get a control of technology and internet than the real world which is more threatening for them.

Impact of problematic usage of internet on social relationships has become alarming nowadays. The habit of surfing the internet continuously can be destructive indirectly. Even it has been seen that people drift away to the point that he/she cannot interact with people. Constant preoccupation with internet is damaging one s social skills. People are losing touch with their life and their self-identity. Nowadays people don t take effort to establish face to face conversations, as many easy ways are available over internet, like chat messengers, email, etc. The constant effects of addiction to internet can lead an individual to such situations that involve various mental and behavioural problems like. Depression, anxiety, substance abuse, etc. The absence of social interaction also can lead to various physical effects on individual s brain chemistry and the general physical health.

There has been lots of debate on which treatment modality is effective for the treatment of Internet Addiction Disorder. In many cases, multimodal treatments have been employed. It has been seen that there are lots of underlying psychological problems found in internet addicts, like anxiety, depression, etc. In such cases medications are also considered to be effective.

Apart from pharmacological interventions, different psychotherapeutic models are found to be very helpful in treating internet addiction like cognitive therapy, behaviour therapy, art therapy, family therapy, skill building training, etc. Studies have found cognitive behavioural therapy, in particular, is very effective and can bring better outcome among this group.

Internet Addiction - A Thriving Issue!

You may think that it is just a harmless drink or two at the end of the day to help you relax. it's just a few drinks when you get together with friends. or it's just that you need to get rid of the office stress. We all need to catch a break sometimes, which makes our favorite brand of drink our best friend. Trouble starts when 'a drink or two' moves to a level where you can't hold the drink anymore. It affects your ability to think straight and take decisions that you may regret in retrospect. Alcoholism not only has serious health consequences but also can ruin your life and relationships. Don't tread down the path of self destruction, or this is what you'll find:
1.        Conflict: It is not a coincidence that fights are common when one or both partners are caught up with alcohol abuse. It is said that if there is too much alcohol in your system, it hampers with your ability to make rational decisions. It allows you to become inconsiderate about others, and give more importance your addiction over their requirements. It, to an extent, numbs you to what others feel, and makes you drink even more.
2.        Financial loss: Alcohol costs money. And the more you spend to keep up with your addiction, the more money flows out of your monthly household expenses, monthly savings and retirement plans. And this money literally goes down the drain. Like any other addiction, once you start alcohol abuse, you need it everyday. Drinking may go on to impact your ability to hold on to your job as no one will eventually want to hire someone who has alcohol on their breath at 9 am during client meetings. Alcohol is a strict restriction in certain professions where you may put other people at risk. At the very best, you'll be left with a warning. At the worst, you'll lose your job and end up with no work and no money to support your addiction.
3.        Accident prone: In 2014, 9,967 people died in drunk driving crashes - one every 53 minutes. This may sound only like a statistic to you - until you speak to the families who lost their loved ones or have to see them suffer through loss of limbs or brain function to bear lifelong suffering. And as far as you are concerned, you may end up seeing the wrong end of a prison. Such things have a profound impact on your relationship - many of which fail to last through the ordeal. 
4.        Infidelity: You've seen it a thousand times in movies - which actually might get reflected in reality, if you wake up next to someone whose name you don't know. 
5.        Infertility: Alcohols and babies don't mix. Too much alcohol intake can stop women from making and keeping a baby. 
6.        Divorce: An alcoholic husband or wife is a valid ground of mental trauma applicable in a divorce. 

6 Ways How Alcohol Abuse Can Ruin Your Relationship

Neurological disorders are an enigmatic bunch. There are various ongoing researches to identify the exact cause and how to treat them. While some argue that schizophrenia is a chronic brain disorder, others do not agree with it and debate that the origin is yet to be identified and the factors which produce it are yet to be identified.

Factors supporting it to be a brain disease are listed below.

Scan images (MRI and PET scans) of people who have had schizophrenia are different and have a reduced volume of grey matter, especially in the frontal and temporal lobes. In some people, this loss could be as high as 25%. Serial images have shown that the loss begins in the outer (parietal) region and gradually spreads to the rest of the brain. There is a strong correlation between the extent of this grey matter loss and the severity of the symptoms more the loss, worse the symptoms. Severe symptoms include hearing voices, psychotic thoughts, delusions, hallucinations and severe depression. This grey matter reduction does not depend on whether the person has undergone treatment or not for the condition. 

The counter argument is that grey matter loss is not seen in patients with schizophrenia alone. A number of neurological disorders, including normal ageing, manifest as grey matter loss on the scan images. Also, another consoling news is that this grey matter loss is completely reversible.

The way neurotransmitters respond to stimuli in people with schizophrenia is also slightly different. There are two variations to this debate: that schizophrenia is caused by excessive amounts of dopamine or increased sensitivity to dopamine. There are two proofs for this hypothesis first, dopamine suppressants are useful as antipsychotic drugs and secondly drugs which produce the same effect as dopamine can cause hallucinations similar to those seen in schizophrenics. There could be other neurotransmitters involved too, but the dopamine connection is more strongly established.

The electrical activity of the brain as seen in EEG is very different and abnormal in schizophrenic people. This reduced brain activity is another indication of the fact that schizophrenia is another brain disorder. There is also a strong genetic component to schizophrenia. Family history correlation is also very strong. The correlation extends to the point that where there is a neurologic disorder in the first-degree relatives, the chances of developing schizophrenia is increased.

There are specific genes, mutations of which are also attributed to schizophrenia. While the risk factors are in place (as mentioned above), the environmental conditions (brain infections, head trauma, family/social stressors and toxins can all lead to the manifestation of the symptoms. With medications and support therapy, both prevention and symptom management are possible.

Schizophrenia - Is It Really a Brain Disease?

Ending one s life is terrible. But often, instead of analysing the patient s mental condition at that time, we tend to judge them. The most common cause for suicides is undoubtedly depression. Adverse social or financial conditions often contribute to the mental condition of patients. However, a recent paper published in the journal Neuropsychopharmacology might change the way we think about suicides. Lena Brundin and her co-workers have come to the conclusion in the paper titled  Role of inflammation in suicide: from mechanism to treatment,  that our immune system can trigger off suicidal thoughts and tendencies. Let us find out how.

There is proof that certain medicines that are used to treat cancer patients can affect the immune responses. This in turn can trigger off suicidal tendencies.
Certain injuries can lead to brain disorders which are related to inflammatory responses that might be responsible for some changes in behaviour often leading to suicidal thoughts.
Just like certain medications trigger of suicidal thoughts, there are some that might diminish them like Lithium. It is used to treat bi-polar disorder. What it does is decrease immune related chemicals. Another drug has proved to be very effective in reducing suicidal thoughts and tendencies   Ketamine. Ketamine, like Lithium, has been found to block certain chemicals that are related to immune response.
Though the whole topic is still under extensive research, it can perhaps be concluded that certain drugs have the ability to lessen suicidal thoughts and depression because they block some chemicals that are related to immunity.
The suicidal mentality is very complex. It requires not just medicines, but counselling, empathy, love and understanding. Often, many patients cannot come out of their depression, resulting in therapy sessions that are fruitless. In those cases, medicines that might reduce the negative thoughts and moods will come handy. It will help the patient initially to deal with the situation and start with a lot of positivity. Every year, almost one million deaths occur due to suicide. Not only does it leave behind survivors who attempt to kill themselves but also broken families that struggle to get over the death. If this research is successful, several people will benefit from it, all over the world.

Suicidal Tendencies - Can Your Immune System Influence it?

Smartphone Addiction is a Sign of Depression

There are some people who just never seem to get off the phone. They would be looking at their phones all the time, messaging, using social networking sites or simply clicking their pictures or playing games. A study suggests that addiction to the smartphone is linked to and serves as a sign of depression.

The study reveals that individuals who have been diagnosed with some form or degree of depression tend to use their phones more. In fact, smartphone addiction is correlated to clinical depression. So, if your teenage son or daughter or someone you know have been using their phones too often, then this might be a red signal towards depression.

Smartphone addiction can be seen as a compulsive behavior and is typically noticed among depressed people. At the same time, it can result in depression as well. People who are prone to developing depression symptoms may also use their phone more often. Their excessive usage and smartphone addiction may actually make them irritable and sad, looking at photos of others, noticing other people’s lives may make them feel that their lives aren’t perfect. This can in turn lead to feelings of extreme sadness, cause depression or even suicidal thoughts.

So, make sure that you keep a tab of how often people use smartphone in your family. If you suspect behavioral changes with smartphone addiction, consider getting a consultation with a psychologist or counsellor.

If you would like to consult with me privately, please click on 'Consult'.

Your Addiction To Smart Phone Reveals Something Shocking About You!

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