Doctor in Kiran Institute Of Ent Mental Health & Neurosciences(kiemhans)
Significant improvement in low mood, decreased interest and interaction, guilt after taking medication. Thanks for it and will recommend u to visit him for similar symptoms.
Great experience with the consultation with him. Feeling relaxed and medications are very good. Recommending to visit him in any psychiatric problem.
Dr. Nafisa Parveen provides answers that are very helpful. Nice Doctor thank you for helping me
Borderline personality disorder is connected with the mental health of the patient and is usually seen in the way the patient perceives himself or herself. This has a deep impact on the brain and overall functioning of the patient. It leads to problems in the personal life and relationships of the patient. These problems are usually triggered by a fear of abandonment.
Let us explore the signs and symptoms of this condition to understand it in a better manner:
- Discouraging Attitude: One of the earliest signs of this disorder includes having an attitude that is very discouraging. This attitude may remain limited to the patient or may extend to the people around him or her.
- Self-Identity: This disorder has a marked impact on the self-identity of the patient. There is usually a rapid decline in the way the patient may view himself or herself. A self-deprecating attitude will usually be seen among patients suffering from this condition, where the self-esteem hits an all-time low along with low self-confidence.
- Relationships: Whether it the patient's personal relationships, family, friends or work based relationships, there will be a sharp decline in the quality of interactions that the patient indulges in, due to this disorder. The interactions and dynamics of all relationships will usually take on an intense turn as the patient will have varied unfounded concerns that come from the fear of abandonment. This usually stems from some form of childhood trauma triggered by parental separation or loss.
- Impulsive Behavior: Patients suffering from this disorder will also display impulsive behavior that may lead to gambling, and other risky behavior. This kind of behavior can usually lead to accidents and losses as well as further lowering of the sense of self-esteem that the patient may experience. Also, abuse and binge eating are some of the symptoms of this kind of behavior.
- Suicidal threats: There may be threats of suicide by patients who are suffering from this disorder. This usually happens because most of these patients end up feeling lost and empty, which makes them think that their life and all its activities are completely futile. If you happen to meet someone who consistently talks about how useless he or she is and how nothing in life seems to have a purpose, then you may want to recommend this person to a psychiatrist as these are the earliest signs and symptoms of borderline personality disorder.
- Mood swings: The patient will also suffer from intense mood swings. These could last up to several days and even weeks. These mood swings could go from happiness to severe anxiety and even shame.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Depression or clinical depression is a very common, yet serious mental disorder. It causes extreme symptoms that impact how you feel, think, and handle everyday activities, for example, sleeping, eating or working. One must demonstrate symptoms for at least two weeks to be diagnosed with depression.
Psychological weakness to depression is a tendency to concentrate on one's negative state of mind and to think about it regularly. It appears to have a contagious impact, where this vulnerability to depression can rub off and make you more prone to create depressive side effects yourself.
Here are a few ways in which depression can be contagious:
- The negative psychological group of three: There are three fields in which depressive thinking is negative. Discouraged people see themselves, others and their future through dim and dark glasses. Eventually, you start to agree with the person undergoing depression. Their bad mood can bring you down to their emotional level.
- Negative energy: Just walking into the same room as the person in depression can sink your energy levels. Now and again you avoid conversations with them. You might feel like your positivity is being drawn out which also makes you vulnerable.
- Being socially isolated: The depressed patient might never want to leave the house and prefers to stay in, alone. There are times when the person that is with them, tends to isolate himself or herself, as well. Taking them to social gatherings can be a challenge. Other people in the patient’s life tend to stay away since the dark cloud tends to appear contagious to them also.
- Learned defenselessness: There is a depressive phenomenon named "learned powerlessness." When individuals are genuinely depressed, attempting to do anything feels overwhelming. For instance, for quite a long time, one might have shared household responsibilities, In the end, however, one tends to have forgotten his capacity and responsibility to see what should have been done and deal with it. When this pressure is put on the other person, he or she feels tense and is more prone and vulnerable to depression.
- Submissive and dominant interactions: An episode of depression and misery is usually activated by a prevailing dominant-submissive interaction. This may include being told what to do or a decision in which someone is dominated and tends to give up on what he or she wanted. For instance, your hostile relation with your boss gets you fired. This can act as a trigger to your already existing negative environment.
Since depression is a very common mental disorder, one should look out for signs and symptoms in themselves as well as around them. For patients undergoing depression, it is beneficial to see a psychiatrist or a therapist to vent out their negative emotions since therapists are trained to handle such an environment.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Addiction can be considered as a behavioural change where a craving for something specific intensifies to such an extent that the consequences are ignored. Addiction controls the brain by diverting it in such a way that it registers only pleasure and does not give any importance to other standard drives like motivation and learning. In general, breaking up an addiction is difficult, but it is not impossible and with strong determination, addiction can be broken.
Effects of Addiction
In general, people are subjected to addiction will not have self-control over what they do. If addiction is not treated or diagnosed on time, it may reach harmful proportions. Addiction is not only related to consumption of drugs and alcohol. It may include other habits too, that cannot be controlled. Sometimes even having a particular craving for a fruit or a vegetable can be termed as an addiction. Among other things, the most harmful can be the usage of drugs, sexual pleasures and other effects that over a period of time can become uncontrollable.
How a person can get addicted?
A human brain registers all types of pleasures in the same way they register a joy from a psychoactive drug, sexual encounter, monetary rewards or a satisfying meal. When any of these things happen, the human brain releases a neurotransmitter dopamine in the nerve cells. If these habits become regular, the enzymes will be released in high quantities leading to the addiction problem.
Drugs usage leads to addiction within a short period of time. Consumption of almost all types of drugs, starting from nicotine to heroin leads to a powerful surge of dopamine in the nucleus accambance leading to high addiction. Addiction is not exactly a disease, but it is a condition that can occur at any age. It is likely to occur more during the young age where the required maturity is yet to be gained. So it is advisable to be careful during your adolescent period as this is the time when you are more vulnerable.
There are various medical tests to detect drug use by the person but so fas as Addiction is concern it is a pattern of drug use which affect behaviour, causes withdrawal, tolerance, craving ects.
Treatment of Addiction
In Acute phase, detoxification is done in which withdrawal symptoms are addressed. Detoxification may last upto 3 to 4 weeks depending upon severity of symptoms and amount of drug use. Later in maintenance phase basically craving, behavioural changes is handled along with insight building psychotherapy is used. In case you have a concern or query you can always consult an expert & get answers to your questions!
Geriatric psychiatry focuses on the psychological as well as biological aspects of normal ageing, the effects of chronic and acute physical illness and the psychosocial considerations of the primary psychiatric disturbances of older age. The medical practitioners of this branch of psychiatry focus on early intervention, offering continuous care, applying new therapies and also accessing clinical research protocols.
Importance of geriatric psychiatry
The rising number of senior individuals, indicates that we need better understanding of how the process of aging affects the mental health of a person. Common ailments like depression, dementia and stroke are likely to affect a person as he grows old. Such people become helpless in the face of odds and struggle to function normally or to cope with.
Common signs of a mentally affected aged person
Most people over the age of 65 become susceptible to a host of mental and physical illnesses, therefore it is important that we must know the signs of geriatric psychiatry so that we can prevent both patients and caregivers. Signs which can help you indentify such an issue
- Threatening the safety of the caregivers with objects at their disposal.
- Thinking about and even trying to end their lives
- Behaving in such a manner that it becomes challenging for the family members and the caregivers.
- Showing symptoms which become hard to diagnose as well as treat.
- Constantly interfering in the activities of other people.
- Shouting and becoming violent.
- Saying that they do not require any help even though they are ailing or are in an unsafe condition.
The geriatric psychiatrists are professional experts dealing with the health conditions of such affected elderly people. They aim to help those suffering from chronic depression, anxiety, schizophrenia, late life addiction disorders and many other problems which may even include physical problems.
Ways to treat the affected individuals
- Older people may have different social, mental and physical needs than younger people. The geriatric psychiatrists understand this and aim to offer a comprehensive solution to all the problems faced by the affected individuals.
- The treatment plan include medical treatments for the underlying physical conditions and also gives support for the mental issues by listening to as well as responding to the needs and demands of the sufferer.
- A comprehensive treatment program typically comprises of medications, family support, social help, environmental concerns and other things as applicable to help the person live as healthily as possible.
If any of your loved ones is suffering from these problems, you should immediately seek medical aid. In case you have a concern or query you can always consult an expert & get answers to your questions!
I am suffering from cold & cough all weather &with noses blocked & tears from eyes .Please tell me something for that.
Schizophrenia affects over 1% of the world’s population and affects the way a person thinks, feels and behaves. In most cases, it is diagnosed when a person is between the ages of 16 to 25. This condition can be hereditary and is said to affect men more often than women. Schizophrenia is characterized by an inability to distinguish between real and imaginary which can lead to delusions, social withdrawal, hallucinations and other forms of social and occupational dysfunction.
Schizophrenia affects different people in different ways. On the basis of the type of symptoms exhibited, this disease has been categorized into 5 sub types. These are:
- PARANOID SCHIZOPHRENIA: This type of schizophrenia is characterized by delusions and hallucinations that may make the person exhibit paranoid behaviour. These people often feel like they are being watched or followed and may have delusions of grandeur. They may also get angry quickly on minor issues and show signs of anxiety and hostility.
- DISORGANIZED SCHIZOPHRENIA: In such cases, the person may behave in ways that are difficult to understand or speak in broken sentences and have difficulty structuring a sentence. They may also display inappropriate behaviour and react in ways not suitable to the occasion. People suffering from disorganized schizophrenia may also neglect their personal hygiene.
- CATATONIC SCHIZOPHRENIA: People suffering from catatonic schizophrenia may swing between immobility and periods of rapid movement. They may stay quiet for hours or talk rapidly repeating everything they hear. These people have a high risk of harming themselves as they are usually unable to look after themselves and complete daily activities.
- UNDIFFERENTIATED SCHIZOPHRENIA: People suffering from this type of schizophrenia exhibit behaviour that fits into more than one type of schizophrenia. From time to time they may have hallucinations, suffer from delusions or display catatonic behaviour and disorganized behaviour or speech.
- RESIDUAL SCHIZOPHRENIA: Even though a person may not be currently showcasing any signs of schizophrenia, they are said to have residual schizophrenia. Such people need to have had at least one schizophrenic episode. These people may exhibit symptoms later or be in complete remission.
With schizophrenia, an early diagnosis can make treatment easier and hence if you notice anyone exhibiting signs of schizophrenia, you must advise them to seek medical help immediately.
Typical and Atypical Antipsychotic Agents
Commonly prescribed typical antipsychotics include:
- Haldol (haloperidol)
- Loxitane (loxapine)
- Mellaril (thioridazine)
- Moban (molindone)
- Navane (thiothixene)
- Prolixin (fluphenazine)
- Serentil (mesoridazine)
- Stelazine (trifluoperazine)
- Trilafon (perphenazine)
- Thorazine (chlorpromazine)
Commonly prescribed atypical antipsychotics include:
- Abilify (aripiprazole)
- Clozaril (clozapine)
- Geodon (ziprasidone)
- Risperdal (risperidone)
- Seroquel (quetiapine)
- Zyprexa (olanzapine)
Most psychotropic medications produce the best results when paired with some type of psychotherapy. Medication can be of great service in helping a person treat and overcome debilitating symptoms, but pills by themselves cannot address behaviors, emotions, and root causes of mental health issues. If you are prescribed an antipsychotic medication, please consider finding a therapist you trust to help you learn more about what you are experiencing and to help you develop coping strategies to improve the quality of your life.
Schizophrenia cannot be cured but it can be managed with a combination of typical or atypical medication and cognitive therapy. The latter can be in the form of self-help groups, housing and employment programs, counselling and therapy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Social anxiety is the term used to portray an extreme state of shyness. Everyone feels on edge in certain social situations, yet for a few people it can be somewhat more extraordinary and overwhelming. For instance it might influence their decision to attend a university, do a certain job or even their love life to some extent. Situations where individuals regularly encounter social nervousness include:
- Public speaking
- Conversing with power figures
- Conversing with a gathering of individuals or a person
- Eating in broad daylight
- Any performance based circumstances
However, there are a few ways in which one can overcome social anxiety. These include:
- Getting rid of unhelpful thoughts: The way that we see or perceive things affects our social anxiety. A number of these musings happen outside of our control, and can be negative or unhelpful. It is hence essential to recollect that they are only thoughts, and are not really truths. Despite the fact that we may trust a ton of our unhelpful thoughts when we are socially anxious, we need to address them since they are generally built on wrong assumptions.
- Increasing external focus during social interactions: When we are socially on the edge, we have a tendency to invest a great deal of our energy in focusing on our own sensations. This is because we expect that our tension is noticeable to others. For instance, we may invest energy attempting to judge whether we are sweating, shaking, or blushing. This technique aggravates things even more. This is because we tend to overestimate how obvious our tension is and this obviously makes us feel much more unsure. Additionally, by concentrating on ourselves, we are kept from completely focusing on the discussions around us. This normally makes it even harder to participate and we wind up connecting less than we could or should have.
- Getting rid of avoidance and safety behaviours: When we are socially restless, we have a tendency to dodge social circumstances (e.g. parties; little gatherings, requesting a discount and so forth). In any case, if we continue maintaining a strategic distance from the situations we fear, we will never find the opportunity to explain to ourselves that we can handle them and our certainty stays low. At whatever point socially anxious people do enter the situations they fear, they tend to utilise safety practices (e.g. staying close to a good friend at a gathering; remaining silent when in a gathering to avoid looking absurd and foolish).
The most ideal approach to diminish your anxiety towards social circumstances is to continuously stand up to them, without depending on safety practices. Obviously, going up against social circumstances or situations can be overwhelming, particularly given that our anxiety levels frequently increase when we do so. Therapy can also be used to get over these tendencies.
Stress can be defined as the way in which human body responds to any kind of threat or demand. When you feel stressed, the central nervous system releases some “stress hormones” like cortisol and adrenaline which trigger the whole body for urgent action. For successful stress management, you will have to practice techniques that particularly work for you. This is because what may work for others may not be as helpful for you and vice versa. Also the way, stress manifests itself differs from individual to individual. However, practicing these basic techniques may help.
Find out the habits that make you stressful:
- It is absolutely easy to know what is making you feel helpless and stressed out and this is the first thing you must do for yourself.
- You should now try to ignore your thoughts, sadness and behaviors that constantly make you stressful. By doing this, you will be able to understand whether it is really the demand from different aspects of your life or it is you who is contributing to the stress.
- You may start maintaining a stress journal where you will jot down what has made you stressful and how you felt about it and finally, how you reacted. You can continue keeping it until you see significant improvements.
Eliminate unhealthy habits with healthy coping strategies:
- Relax and contemplate about how you try to manage stress presently. Do you take any medications and how far are they effective in managing your stress?
- There are some people who resort to smoking, taking anti-depressants, withdrawing from family and loved ones, sleeping more than needed and taking out the stress on other people. You should also consider the long-term effects of your present coping strategies.
- If you find that your coping strategies are not quite effective, it is probably time to change and replace them with healthy habits.
Get up and start moving:
- Physical activities can help you to a great extent when you are willing to cope up with the daily stress. That doesn’t mean you will have to become an athlete to reduce stress.
- Spending an hour doing free hand exercises or even at the gym can be considerably beneficial.
- This is because when you perform some physical activity, it releases endorphins which are known as “happy hormones.” This can boost your mood and burn out the frustration and anger that are putting you down.
- Start following these easy steps today to see desirable reduction in stress levels.