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?

What happens when you are addicted to a chemical substance? You lose control of your life. It doesn t matter what you are addicted to alcohol, nicotine or drugs the effects are the same. It is usually not easy to get rid of an alcohol and/or nicotine addiction. Most people find it difficult to give up these substances even after years in de-addiction therapy. Hence, it s prudent to let Ayurveda, the ancient science of healing handhold us in getting rid of addictions. 

Cigarette smoke contains over 4,000 chemicals, including 43 known cancer-causing (carcinogenic) compounds and 400 other toxins. These cigarette ingredients include nicotine, tar, and carbon monoxide, as well as formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT. Perhaps this list of ingredients that are found in cigarettes is enough to make you want to quit smoking for good! - Lowell Kleinman, M.D., and Deborah Messina-Kleinman, M.P.H 

Addiction - The Ayurvedic View
Ayurveda considers alcohol and nicotine consumed in large quantities as  Visha  or toxic. According to Ayurveda, alcohol has the following properties-

Light or Laghu
Hot or Ushna
Sharp or Tikshna
Drying or Visada
Rough or Ruksha
Expensive or Vikaasa
Swift or Aasuga
Sour or Amla
Subtle or Sookshma
These properties are all opposite to the qualities that ojas possesses. Ojas has all life-giving properties and alcohol and nicotine have life-negating qualities.

Why do humans get addicted to alcohol and nicotine?
Human brain produces Dopamine normally and what alcohol does is to activate the nervous system to promote dopamine formation. The brain thus remembers the taste of alcohol and nicotine by creating special cells called receptor cells. As a person increases the quantity of alcohol, these cells also increase in numbers. When the person wants to give up his addictions these receptor cells agitate and create withdrawal symptoms with unpleasant and even dangerous symptoms.

De-addiction - Ayurveda Way
De-addiction treatments in Ayurveda comprise the following:

Purification therapies or Panchkarma: These are used for getting rid of all toxins present in the patient s body. These must always be done under the supervision of an ayurvedacharya as they are quite potent. After Panchakarma, the patient is given vomiting therapy or Vamana, followed by purgative therapy or Virechana, Basti or enema therapy and administration of Nasya or nasal drops therapy. All these help in detoxifying the body and mind and prepare the patient for further de-addiction ayurvedic treatments like Rasayana therapies which nourish and strengthen the body after Panchkarma. For treatment of addictions, Rasayana treatments include changes in diet and use of oral herbal medicines both.
Herbal medicines used in de-addiction: A range of herbal medicines and their combinations are used in the treatment of addictive problems in Ayurveda and these are to be consumed orally. Ayurveda prescribes Chamomile and Ashwagandha in combination to heal the lungs. These help in cleansing lungs of smoke- related problems. Doctors also prescribe congestion relieving herbs like ginger and pepper mixed with honey or lemon. 
In addition, herbs to improve memory, concentration and to fight depression are also given. These are:

Shankhpushpi
Kanphool or dandelion
Brahmi
Ashwagandha
In addition, herbs to treat sleep disturbances like Jatamansi, Sarpgandha, Brahmi and Jaiphal are also prescribed. Since most addicts have impaired liver function, herbs that improve liver function like Aloe Vera, Punarnava, Long pepper, Kutki, Tulsi are given to revive the liver.

Ayurvedic View on Alcohol and Nicotine De-addiction

When you get a compliment'smart thinking or you are intelligent or that was intelligent of you, you definitely feel good. These comments fill us with confidence, admiration and pride and we want it to happen to us again and again. But owing to a busy schedule and long working hours it might not be possible. Having said this, it does not mean that a person cannot stay intelligent throughout. This can be easily achieved by regular meditation. Regular meditation and yoga helps the mind to be more reflective and efficient.

Here are reasons how yoga and meditation lead to an intellectual learning and growth:

 Utilizes the brain: almost everyone uses one half of their brain more and this leads to imbalance. Meditation is believed to sync the left and the right hemispheres, thereby allowing neural connection and great processing power. When logical left and creative right brains start working in harmony, then solving problems becomes easy; and it also increases creativity, deep thinking comes to be known of and concentration and focus magnifies. Highly successful people usually display whole brain synchronization.
 Functional capabilities of brain enhance due to meditation: research backs it that meditation increases the gray matter thickness of the brain regions, thus making the brain smarter, bigger and faster. This is very similar to doing physical exercise which makes the muscles denser and stronger. The increase in functional capabilities of brain is based on the concept of neuroplasticity, which states that our intelligence is not based on genetics and there are some things which can be done to improve the way our brain works. Meditation is a good brain enhancer with an ability to increase intelligence.
 Beneficial brainwave patterns can be seen: meditation can help to guide the brainwaves into beneficial frequencies. The frequencies: alpha, theta and delta when guided can show case a myriad of benefits including idea generation, creativity, cognitive functioning, and intellectual capacity. Meditation helps to transform these beneficial states of mind and help boost the iq.
 Develops intuition and insights: these are generally obtained through listening and developing to the inner voice. Thus meditation forms to be the basic key to tap these latent abilities. The intelligence can be mapped through tests and quizzes and is valuable at each level to stimulate insights and creativity. As per some people, inner intelligence, is considered to be the most important and best success in the world. Successful people including steve jobs have stated that their super revolutionary ideas and business acumen came through their intuition.
 Meditation helps in improving both short and long term memory: the key memory areas hippocampus and frontal lobe show increase in activity during meditation. By stimulating these areas, the short and long term memories are improved.

Can Yoga Improve Your IQ?

Depression is recognized as a mood disorder characterized by the prolonged feeling of sadness and loss of interest in otherwise regular activities. The symptoms include loss of sleep and appetite, loss of interest, persistent feeling of sadness and lowered self-esteem. These symptoms should last for a minimum of 4 weeks for the individual to be diagnosed with depression. Sometimes, at its later stages, depression can also be accompanied by suicidal tendencies.

How it can be treated?

Role of anti-depressants: Depression has become rather common in the present day scenario. The treatment varies from prescription drugs to therapy. People who have depression are usually given mood enhancers and anti-depressants. Antidepressants are medicines used to help people who have depression. With the help of these depression medications, most people can achieve significant recovery from depression. Most antidepressants are believed to work by slowing the removal of certain chemicals from the brain. These chemicals are called neurotransmitters (such as serotonin and norepinephrine). Neurotransmitters are needed for normal brain function and are involved in the control of mood and in other responses and functions, such as eating, sleep, pain, and thinking. Antidepressants help people with depression by making these natural chemicals more available to the brain. By restoring the brain s chemical balance, antidepressants help relieve the symptoms of depression. Specifically, antidepressant drugs help reduce the extreme sadness, hopelessness, and lack of interest in life that are typical in people with depression. However, these are but short-term solutions to depression and don t necessarily cure the individual completely. For the treatment to be effective, the drug intake must be combined with therapeutic techniques to solve the problem at the root level.
Therapy: Different therapeutic techniques are used to treat depression depending majorly on the individual, the cause of depression and general history and state of mind. Research suggests that client centered therapy and cognitive behavioral therapy are a good start with an average case of depression. The therapists usually incorporate several other methods based on the client s need to get maximum effect. Adlerian techniques, where individuals are made to comprehend the thoughts and emotions which influence their lifestyles and adopt a more productive and positive way of life, are rather helpful with most clients who suffer from depression.
Note
Depression is a fairly common mental health disorder today, affecting a large population. Depression must be acknowledged as a proper mood disorder and not just a passing phase. It is completely curable with proper medicine and therapeutic sessions. The individual is able to move over the feelings of unhappiness and lack of interest with proper care and acceptance from loved ones in addition to therapy and the drugs, of course.

Depression - Is it Curable?

Speech therapy helps in improving the speech, understanding the language skills, and also help in communicating in non-verbal ways such as listening and taking turns. Speech therapy treats various kinds of communication and swallowing problems.

Children with Cleft Palate are diagnosed with an opening in the upper tissue palate in the mouth. This condition causes Velopharyngeal dysfunction (VPD) which results in excessive airflow from the nose while speaking. Although it can be corrected with surgery, the patient will still be affected by VPD.

Speech therapists help in this condition by assisting the patient with speech and language skills. The speech therapy for such a patient can be categorized as auditory feedback and articulation practice.

Auditory Feedback

Before involving the patient with any speech therapy, it is essential for the patient to understand the difference between normal voice and nasal voice output.

For this purpose, the child is instructed to use a tube to listen to the voice of the normal person. To understand the difference, one end of the tube is then held near the ear of the child and the other is held near his nasal and then he is instructed to make sounds so that he understands the nasal voice.

After this understanding, the different approaches to speech therapy starts.

Articulation Practice

This is usually where speech therapy begins. In this practice, the different type of condition is understood that relates to different speech organs. The understanding of different vowels, consonants and related sounds is taught to the child for making the speaking sound less nasal.

Some of the methods for achieving these sounds are:

Pharyngeal Plosives: This sound is produced when the tongue is moving backward. The practice of making  ng  sound, and dropping the tongue and producing  k  sound.

Pharyngeal fricatives: When the tongue retracts but is not able to make contact with the pharyngeal wall is when this sound is produced. The speech therapists make the child learn the techniques of making sounds of  t ,  ts ,  ch , or  sh , and provide feedback for learning the proper positioning of the tongue.

Nasal Plosives: This sound usually occurs when the tongue is positioned improperly and it obstructs the vocal tract. A speech therapist may make the child yawn so that the back of the tongue is pushed down, and feel as the mouth stretches.

Palatal-Dorsal Productions: It occurs due to the malocclusion of the teeth. Practicing sounds like  t ,  d ,  n ,  k ,  g , and  ng  often helps in such condition.

Take Away
Cleft Palate is generally developed due to improper growth while the child was in the womb. The difficulty of producing proper sounds when there is excessive airflow in the mouth can be overcome by training and practicing certain sounds, as instructed by a speech therapist.

 Cleft Palate - How Efficient Is Speech Therapy?

Excess of anything is never healthy and the same applies in the case of alcohol. Alcohol experts have come to a conclusion that drinking too much alcohol reduces affects negatively in both the genders.

Alcohol Myth Busted

Since time immemorial, people have considered alcohol to be an aphrodisiac. However, this myth has been busted time and again by the side effects of excessive alcohol. On the contrary, alcohol is known to induce depression after consumption.

Alcohol, if consumed in unnatural quantity over a period of time can turn conditions like 'brewer's droop', which otherwise might be temporary into permanent impotence. Alcohol addiction is a cardinal sin for couples planning on having a baby. Women, whose bodies are much more sensitive and complex than a man's body, react greatly to even a small quantity of alcohol. Even government's guidelines on low-risk alcohol consumption unit do not guarantee no harm, and people are known to have taken much longer time to get pregnant and irregularity in their menstrual cycles even after abiding by the government's guidelines.

What Is Moderation?

No one is asking you to completely cut down on alcohol. But moderation should then be a religion for all the drinkers. Moderate drinking includes no more than 2 drinks per day (US. Centre for Disease Control and Prevention). The explanation is that your liver can act on alcohol at one standard size drink an hour, so heavy drinking means that too much alcohol for the liver to handle and hence unhealthy toxins are released in the body having an adverse effect on the sex life.

Some of the more common problems caused by alcohol in a couple's sex life are:

Long-term erectile dysfunction: The most common of all the problems, erectile dysfunction can most commonly be attributed to heavy drinking. 60% of men who are alcohol addicts are known to be suffering from loss of sexual appetite.

Ruined Families and relationships: Alcohol can be considered one of the biggest inducers of divorce among couples. It makes people less caring and more and more involved in their drinking antics. 90% of domestic violence incidents include alcohol.

Side effects of smoking: Drinking is usually accompanied by cigarettes and a cocktail of these two substances can be a deadly weapon against your sanity. For men below 40, erectile dysfunction primarily happens because of excessive smoking.

STDs: Alcohol consumption helps people shed their inhibition and cases of unprotected sex increases. It increases your chances of actually getting an STD. 50% of all impromptu sexual encounters happen in the presence of alcohol and 60% STD spread when alcohol is also in the picture. Young adults who consume alcohol at an alarming rate are 7 times more likely to indulge in unprotected sexual intercourse.

Hence, we see that alcohol addiction does not compliment healthy sex life and therefore people must toe in line at the right time to ensure the wellbeing of their lifestyle and sexual activities.

Alcohol And Its Effect On Sexual Life

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