Borderline personality disorder (BPD) is a type of personality disorder characterized by an ongoing pattern of varying moods, self-image and behaviour. This often results in impulsive actions and problems in relationships and at work. You may experience intense episodes of various emotions like anger, depression and anxiety that may last for a few hours to a few days.

Diagnosis of BPD
If you experience the following 10 symptoms for a long time or if they have had a huge impact on your daily life, you may say that you are suffering from BPD:

Feeling of being abandoned. You feel that people may abandon you and are constantly worried about that. You would do anything to stop it.
Frequent mood swings. You experience intense emotions that last from a few hours to a few days. E.g. You suddenly start feeling low and depressed after feeling very happy and confident for a while.
Lack of identity. You don t know who you are and do not have a strong sense of your being.
Unable to sustain relationships. You find it very hard to retain relationships and make new ones.
You feel empty from within all the time.
Make impulsive decisions and show sudden reactions. You do things to harm yourself like binge eating, drug abuse or driving dangerously.
You inflict pain on yourself or have suicidal feelings.
You have anger issues which are very difficult to control.
You get paranoid or dissociate when you re stressed.
You experience all your emotions very intensely be it anger, happiness or sadness.
Self-Care - How can you help yourself?
If you start feeling overwhelmed, focus on one feeling at a time. It will help channelize your energy and thoughts into finding a solution for that emotion. Different therapies help different people at different times. You are the best judge to decide what benefits you the most.

Follow these tips to get through the various emotions that you may experience.

When you are angry and frustrated
Rip a newspaper
Hit a pillow
Listen to your favourite music
Go for a walk or do some vigorous exercise
When you are depressed and lonely
Wrap yourself in a blanket and watch your favourite movie or TV show.
Write all the negative feelings on a piece of paper and tear the paper.
Use positive affirmations to comfort yourself.
Cuddle a pillow/pet/soft toy
When you are tensed and anxious 
Try to shift your focus to something else like music, yoga or meditation.
Take a deep breath, use relaxation techniques and focus on your breaths.
Take a warm bath to help soothe your mood.
When you want to harm yourself
Rub ice over the parts where you want to hurt yourself.
Take a cold-water bath to cool yourself.



Borderline Personality Disorder (BPD) - Tips To Help You Diagnose The Problem!

How Smoking Impacts Your Organs

As you inhale cigarette smoke, about 7000 carcinogens stir the crevices of your body. In India, about 3,00,000 people die every year due to smoking-related issues.

Here's a list of 5 such organs, which are the most affected by cigarette smoke.

1. Your lungs - Your lungs are probably the first organs to bear the wrath of cigarette smoke. Majority of the lung cancer cases are due to smoking. Other diseases include bronchitis and emphysema. This smoke paralyzes the cilia lining the inner walls so much so that it overproduces mucous. When the mucous builds, respiration suffers. Asthma and cancer follow.

2. Your Skin - Your skin also gets affected up to a huge extent if you smoke. You could have deep circles under your eyes, wrinkles on your skin, and stretch marks, if you continue smoking over time. Also, there lies the risk of major health issues like skin warts, psoriasis, skin cancer, and wounds, which may take longer to heal.

3. Your Penis - Studies revealed that you can take longer for an erection and find it difficult to maintain it if you are a heavy smoker. Studies have also revealed that men who quit smoking had longer and firmer erections.

4. Your Liver - Smoking increases the chances of you suffering from liver cancer dramatically. According to studies, half of the liver cancer cases are due to smoking. Obesity can also take place if you're a heavy smoker.

5. Your Eyes - Smoking affects your eyes to the extent of making you blind. Partial vision loss, glaucoma, cataracts, dry eye syndrome, and diabetic retinopathy are some of the other diseases you are susceptible to if you smoke.

Despite the negative effects, quitting smoking can save you from all of these potential health hazards.

Here are some ways to help you quit smoking.

1. Nicotine Replacement Therapy - There are a few nicotine replacement tools in the form of nicotine nasal sprays and nicotine inhaler, which you can use to quit smoking.

2. Chew on something - You should try to chew on some candy, or a gum, or anything crunchy and satisfying once you start getting restless for a cigarette or any other form of nicotine. That usually helps.

3. Relaxation techniques - If you are resisting tobacco strongly, it can be very stressful indeed. Take a break from whatever you are doing and go out for a walk, practice muscle relaxation, yoga or deep breathing to keep the craving out of the way.

4. Get involved in some physical work - Getting involved in some work will surely go a long way in reducing your craving. You can also try out physical exercises like squats, running, or jogging. Otherwise, you can also indulge in some needlework, or anything, which involves concentration or physical work.



Why Smoking Impacts Your Crucial Organs the Most?

Anger is one of the most common negative emotions, in that when a person is upset or frustrated over somebody or something, it manifests as anger. Though we may not notice on a routine basis, there are various forms of anger and it has a lot of negative effect on the overall physical and emotional health. Some people also are more prone to feel angry and manifest it openly, who is known as  short-tempered.  Read on to know more about anger and how to manage anger effectively.

In today s world though, you cannot throw a fit of rage and say it is because of your short-tempered nature. There are extreme instances of violence triggered by anger, so it is necessary to learn to conquer your anger. 

DIFFERENT PEOPLE RESPOND TO ANGER IN DIFFERENT WAYS, COMMONLY AS:

Verbal anger: The person who is angry, abuses the other person or sometimes throws rage at a totally different person to vent out the anger. 
Passive anger: Though these people are less expressive when angry, they show their anger through sarcasm directed at the person who induced anger. 
Self-inflicted Anger: These people inflict anger on themselves through self-harm acts like minor cuts, bruises, beating oneself, digging nails into their flesh or burns to release their anger.
SYMPTOMS OF ANGER AND AGGRESSION 
We may respond to anger in physical and psychological ways such as those listed below:

Anger   physical responses: increased heart rate and blood pressure, sweating, muscle tension, clenched jaw 
Anger   psychological responses: feelings of frustration, feelings of rejection, feelings of mistreatment, hostility towards some people 
Aggression: shouting at people (e.g. family, colleagues, strangers, physical violence (e.g. hitting, punching people or slamming doors), ignoring or socially excluding others (passive aggression)
WHY ARE SOME PEOPLE SHORT-TEMPERED
Some people really are more impetuous than others. They get aggressive more easily and more intensely as compared to others. There are also those who don't show their anger in loud ways but are chronically irritable and grumpy. People who are easily angered don't always curse and throw things; sometimes they get off socially, sulk, drink/smoke or get physically ill.

Easily angered people generally have what we call as "A low tolerance for frustration, aggravations and hassles of daily living" and sometimes overreact to the many common problems of daily living. They feel that they should not be subjected to frustration, annoyance, or inconvenience. They can't take things in stride, and are particularly infuriated if the situation in some way seems illogical: for example, such people might be miffed on being corrected for even a minor blunder. 

HOW ANGER AFFECTS OUR LIVES

Physical effects of anger: Anger triggers the body s  fight or flight  response. Other emotions that trigger this response include anxiety, fear and excitement. The adrenal glands flood the body with stress hormones, such as adrenaline and cortisol. The brain shunts blood away from the gut and towards the muscles, in preparation for physical exertion. Heart rate, blood pressure and respiration increase, the body temperature rises and the skin perspires. The mind is sharpened and focused.

Health problems with anger: The constant flood of stress chemicals and associated metabolic changes that go with recurrent unmanaged anger can eventually cause harm to many different systems of the body. Some of the short and long-term health problems that have been linked to unmanaged anger include: 

Headache 
Insomnia 
Digestion problems, such as abdominal pain 
Increased anxiety 
High blood pressure 
Depression 
Heart attack 
Stroke 
Skin problems, such as eczema
IMPACT OF ANGER ON OUR RELATIONS

Anger at home: Anger is a normal emotion but not being able to control your anger at home can damage your personal relationships. When you get angry, it stresses your partner out and breaks the trust in your relationship. When it comes to children, shouting at them can confuse them and make them afraid of you. In the long run, this can affect their social skills.
Anger at the workplace: Getting angry at your workplace can reduce your productivity and harm your relationships with your colleagues. The angrier you get in the office, the more your colleagues and clients will avoid you. Thus, you may risk missing out on crucial teamwork projects that can affect your career growth. A reputation for anger can also make you a target for revenge and lawsuits.
Anger in society: Nobody wants to interact with a person who has a reputation for getting easily offended and angered. Thus the angrier you get, the more your friends will keep away from you. This can be quite frustrating and can make you an even angrier person. Uncontrolled anger can also lead to physical outbursts that can put you in trouble with the law.
Anger is a strong and powerful emotion. If it isn t handled appropriately, it may have destructive results for you and those closest to you. Uncontrolled anger can lead to arguments, physical abuse, physical fights, self-harm and assault. On the other hand, well-managed anger can be a useful emotion that motivates you to make positive changes

ANGER MANAGEMENT - SUGGESTIONS FOR LONG-TERM ANGER MANAGMENT 
The way you typically express anger may take some time to modify. Suggestions include:

Keep a diary of your anger outbursts, to try and understand how and why you get mad. 
Learn relaxation techniques, such as meditation or yoga. 
Consider assertiveness training, or learning about techniques of conflict resolution. 
See a counsellor or psychologist if you still feel angry about events that occurred in your past. 
Exercise regularly.
BENEFITS OF REGULAR EXERCISE IN MOOD MANAGEMENT
People who are stressed are more likely to experience anger. Studies have documented that regular exercise can reduce stress levels and improve one's mood. This may be because physical exertion burns up stress chemicals, and it also boosts production of mood-regulating neurotransmitters in the brain, including endorphins and catecholamines.

TEACHING CHILDREN HOW TO EXPRESS ANGER
Expressing anger appropriately is a learned behaviour. Suggestions on helping your child to deal with strong feelings include:

Lead by example. 
Treat your child s feelings with respect. 
Let them know that anger is natural and should be expressed appropriately. 
Teach practical problem-solving skills. 
Encourage open and honest communication in the home. 
Explain the difference between aggression and anger. 
Teach your child different ways of calming and soothing themselves. 
Punish aggression or violence, but not appropriately expressed anger.

Kill The Anger Before It Kills You!

You Need to Read This To Stay Away From Depression!

Depression robs people of their energy, ability to focus and pleasure. It makes them lose the joy of doing anything. In advanced cases, people may also lose their will to live. Depression is caused by factors that are mostly psychological, although a few can be physical. Certain habits and ways of living also lead to depression.

Here are few habits you must avoid.

1) Lack of Exercise: Being inactive affects your state of mind and can lead to a feeling of being depressed. If you are inactive, you also become lazy or tend to eat more, due to lack of anything better to do. This may be even more depressing.

SOLUTION: Exercise ensures your physical and mental well-being. Whenever you feel depressed, remember to exercise. Even a 20 minute brisk walking makes your brain produce the 'feel-good' chemicals, which keeps you active and in high spirits. If this not possible then just use the stairs instead of the lift, or take a few rounds of your block at whatever pace you can do. Remember to be regular in your efforts.

2) Improper Diet: Eating foods regularly which are loaded with hydrogenated fats, refined sugars and processed foods increase blood sugar levels suddenly and then dip suddenly. Our bodies and minds become lethargic with such foods. These chemicals affect the limbic brain( emotional centre) directly, making us feel blue, irritated and fatigued.

SOLUTION: Eating healthy is not only good for your body but also your brain. Food stuffs that contain omega-3 fats are referred to as brain foods and lack of such foods makes you vulnerable to depression. Eat crap and you feel like crap! Since our bodies cannot manufacture omega-3 fats, it has to be sourced from foods such as coldwater fish and seafood. Eating whole grains, fibre, vegetables, fruits rich in carbs and plenty of water Eat healthy for a healthy mind.

3) Poor Sleeping Habits and Stress: If you constantly deprive yourself of sleep or oversleep, you create a situation that risks depression. Not getting the recommended 7-9 hours of sleep leaves you irritable, agitated or hyper vigilant. A person who hasn't slept enough cannot perform daily functions properly and may feel frustrated or begin to feel trapped. A sense of loss of control makes one feel depressed. Most people don't understand that just getting enough sleep can help in keeping depression at bay.

SOLUTION: Sleeping well has a restorative and rejuvenative action on the body and mind. The body repairs itself while sleeping, dreams are a way of expelling unwanted thoughts and emotions, people develop higher immunity when they sleep well, you have better cognitive functions. You will make sound decisions with fewer errors, concentrating and focussing will be easier. Tasks will seem easier and effortless. A good sleep leaves people feeling energised, happier and alert.

4) Isolation: the experience of being separated from others - may result from being physically removed from others, as when a person lives in a remote area, or it can result from the perception of being removed from a community, such as when a person feels socially or emotionally isolated from others. Social isolation is distinct from the experience of solitude, which is simply the state of being alone, usually by choice. Taking time to be alone can be a healthy, rejuvenating experience that allows us to reconnect with our own needs, goals, beliefs, values, and feelings. But when a person experiences too much solitude or feels socially isolated from others, he or she may develop feelings of loneliness, social anxiety, helplessness, or depression, among others. 

SOLUTION: Having an active social life with real and genuine people whom you gel with and have common interests is like an elixir of life. It infuses a person with a sense of wellbeing, safety, security and belonging, which is necessary for us humans. It forms social support not only in good times but also in tough times when we need help, support, suggestions and encouragement. A shared smile, a nod, a wink, laughter or story can go on a long way to make you feel uplifted.

5) Ruminating Constantly: Dwelling on negative thoughts each day, sets you up for depression. Constantly thinking of failure, loss, rejection or past events is harmful. Ruminating about something you cannot change not only makes you depressed but also drives you insane. It fosters feelings of helplessness, worthlessness and hopelessness, which are so common in depression.

SOLUTION:There are practical ways of fighting this problem, like keeping yourself busy and distracted, or just using an outlet to channel the feelings out of your system. Have a satisfying hobby to fill up your free time. Taking care of a pet, social work also helps people feel good about themselves. Use logic and rational reasoning to combat negative thinking patterns. Seeing meaning in a loss is very helpful too. Look at the positive and brighter side of each situation. Using humour to lighten some tough situations help keep the mental and emotional balance from tipping.

Have any further questions on depression or mental health? Click on consult privately to ask me.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.


You Need to Read This To Stay Away From Depression!

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?

5 signs that you or your loved one may have bipolar disorder

Bipolar disorder is a condition where the patient may go through certain periods of extreme happiness and joy which is known as mania. On the other hand, there may be other periods where the patient may be extremely sad and depressed and even suicidal.

In some individuals, these phases may last quite long whereas, in others, they may change very quickly. However, there are certain common symptoms displayed by patients with bipolar disorder. Let's look at a few of them.

Feeling extremely happy, to the point of being careless

Certain patients, at the onset of bipolar disorder, will feel extremely happy and have their sense of judgment hampered. When patients feel very elated without proper context, or for very small reasons, it could be an indication that the person is experiencing mania.

Feeling extremely depressed

Similarly, on the other end of the spectrum, if a person feels extremely depressed without an appropriate reason, it may be due to bipolar disorder. Also, the severity of depression and the length of time for which a person experiences it is also an indicator of the condition.

Lack of interest in activities which formerly interested you

You may suddenly lose interest in an activity that genuinely interested you earlier. This may include your profession or hobbies.

Loss of appetite during the depression phases

During the phases of depression or sadness, which may sometimes last for months, a person may rapidly lose weight due to lack of interest in food. Even for patients who have shorter cycles of changes lasting for only a few weeks, this will be noticeable.

Extreme restlessness and lack of sleep during the manic phases

When the person enters a manic or happy cycle, it may trigger over enthusiasm, restlessness and lack of sleep. This, like the depression phase, will also vary from patient to patient and may continue for the entire duration of the phase. A jump from a depression cycle into this phase will be definitely noticed by others.

If a few of these symptoms are detected, then the patient should be taken to a mental health professional for appropriate treatment as soon as possible.



5 signs that you or your loved one may have bipolar disorder

Don't wait any longer, manage your Relationship Counsellor online with a Lybrate doctor today

Consult for Relationship Counsellor - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES