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The doctor is very patient and listened to my problems throughly. She has very good insight and gives proper solution. Unlike other doctors that I have met who are timebound and take sessions for about 30 mins only, this doctor attended to me for an hour. She is really a good doctor that I came across through lybrate. Thank you team lybrate. And lastly I would like to say a special thanks to Dr. Shraddha Banerjee for changing my life.
Dr. Shraddha Banerjee provides answers that are very helpful, knowledgeable, thorough, well-reasoned and helped me improve my health. Listened and answered my queries patiently and to the best of knowledge. I recommend
doctor is so knowledgeable and helpful she has given positive solutions on my issues.which is definitely gng to help me.tx
Are you at mid-20s or early 30s? Do you feel that your job is very stressful and you are not able to manage? Have you experienced too much struggle to maintain your love relationship? Sometime do you feel overburdened in life? If you have experienced any of these, facing unmanageability and remain mentally disturbed - then maybe you are suffering from Quarter Life Crisis.
The Quarter Life Crisis refers to the phenomenon that tends to consume young adults between the ages of 25-35 as they deal with the uncertainty building in their lives. It is supposed to be the time of opportunity and adventure, before mortgages and marriage have taken their toll. But struggling to cope with anxiety about jobs, unemployment, debt and relationships, many young adults are experiencing a crisis in their life, according to new research by British Psychological Society.
With emotional ups and downs and ins and outs young individuals of these age range can always feel on the verge of something. As early adulthood is a period marked by changes and growth physically, mentally and emotionally normal or small issues of life become more challenging for them and they face difficulty in coping. Young adults often faces mood swings and get stuck between extreme emotions, one bad day can make them fell like the world is toppling down and they often feel out of control.
Mood related symptoms commonly found among these individuals like bad mood or grumpiness which lasts longer than a few days, social withdrawal, continual anger, irritability or depression, dramatic changes in appetite or sudden weight loss or gain.
We now live in a world where success is measured by the income of our job, the house we acquire, or the merit of our CV. Expectations can be suffocating, expectations of our elders, our partner and also our own expectations related to our responsibility to life.
In a career survey by a British organisation in 2015, it has been found that 69% of young people were worried that they wouldn't be able to find employment, while 63% revealed that they were anxious about ending up in a “dead end “role.
Young adulthood is a period of transition, to become an independent adult. They desire to take all responsibilities and settle down in life. Many young adults embrace this transition period and enjoy the time spent exploring possibilities for the future. But some young people may find their entry into adult responsibilities overwhelming or confusing. This overwhelm and confusion, along with rapid changes in biological, psychological and social development, may help contribute to the development of major psychological problems or disorders, the rates of which are shown to increase for this age group.
As discussed above young people often face emotional turmoil which can make a person feel hopeless and truly out of reach. Unfortunately, less than half of young adults with a mental health condition get the help they need, maybe because they feel ashamed or embarrassed about their feelings and opening up to someone about them become difficult.
Consequences of mental health problems can include poor performance at work, lack of established friendship and much needed social interaction, substance or alcohol abuse, risky social behaviour leading to infectious diseases, and suicide. Help from mental health professionals is much advisable which can help them handling their emotional disturbances, relationship issues, work stressors and building up good coping skills.
Psychological assessment or Psychological test is a process of evaluating individual’s behaviour, personality, cognitive functioning and other different capabilities through different psychological tools and techniques. It provides a better understanding and insight into an individual’s mental functioning and personality integrations. There are two purposes of psychological assessments; one is to reach a diagnosis of the mental condition and second is to get a better picture of strength and weaknesses of the individual, individual’s mental functioning and dynamics of his/her personality, so that psychologists can address those concerned issues in following therapeutic sessions. Only a licensed psychologist is authorized to issue a report based on these assessments.
Psychological assessment is never focused on a single score or number. Every person has a range of competencies that can be evaluated through various methods; like, clinical interviews, clinical observations, conducting various psychological batteries and tools, etc. One point is very important before going for psychological evaluation, and that is to rule out the possibilities of a medical, disease or organic cause for the individual’s symptoms.
Types of psychological assessments or tests-
Psychological tests are a method to gauge various parameters of an individual’s mental functioning. There are various types of psychological tests and tools which helps in determining various aspects of a person’s behavior, cognition, personality, and other capabilities. Like medical tests such as X-rays and various types of blood tests help us to get a better picture of the condition of your body, similarly, psychological evaluations help us to get a better view of a person’s psychological functioning and if at all there is something wrong with it. Different assessment tools are available to measure different aspects of an individual, like:
Tests and batteries to measure one’s intellectual capabilities
Scales and batteries to measure memory functioning
Aptitude tests for children and adults
Questionnaire and Inventories to evaluate one’s personality
Rating scales to measure an individual’s current functioning
Projective technique tests
Psychological assessments can help in many ways, like:
It helps in reaching a diagnosis. We can check and challenge previous diagnosis, specify treatment related patient factors and get a different perspective cast over a complex patient.
Assessments can help to clarify that to what extent interventions are required.
We can get a comprehensive picture related to individual’s personality integrations, coping mechanisms, mental functioning or current symptom manifestations, which can further help us in planning the treatment strategies.
We can guide the individuals in choosing their career pathways.
Those individuals who don’t have any distinct psychopathology but still having some amount of stress or any other minor issues can be benefitted through these assessments. They can get a better insight to their strength and weaknesses of personality and can address the same with the help of a professional.
Assessments also help in early identification and further interventions of psychological problems.
Neuro-psychological assessments help in identifications of cognitive deteriorations in case of organic disorders.
We consider ourselves to be ‘modern and ‘open’ in our perspectives, thoughts and beliefs, but still, there are lots of issues that prevail in our society which people are not comfortable to talk about or afraid to discuss those issues openly with others. Issues related to sex, sexual desires, sexual orientations, sexual preferences are among those issues which are not easily discussed in our society.
Sex is the most basic of acts for human beings. It's an instinct we all are born with. Though people around the world remain hung over sex's moral and political implications, we all can come to at least one consensus that it is why we are alive today and our future generations will always depend on it in the first place.
A child, in his or her growing years, especially during adolescence, develops lots of curiosity related to sexual desires. The reason for it is also biological, as a child in this stage goes through various physical and hormonal changes and they start sensing these desires from inside. But when they try to express their queries, feelings or desires, our stigmatized society pulls them back. Gradually they develop a belief system that ‘sex' is something forbidden and not to be discussed openly.
Eventually, when they grow up and the time comes when they are supposed to address their own sexual needs, desires or impulses, they face challenges because of this inculcated belief systems.
Sexual Arousal Disorder: In this condition, both men and women can develop an aversion to and/or avoidance of sexual contact with their partner. Lack of sexual excitement and pleasure in sexual activity.
Sexual Desire Disorder: Lack or absence for some period of time of sexual desire or libido for sexual activity or of sexual fantasies.
Erectile Dysfunction: Inability to develop or maintain an erection of the penis.
Premature Ejaculation: In this condition, ejaculation occurs before the partner achieves orgasm. Men, in this condition, generally expresses that they have less or no control over ejaculation. The opposite condition to this is Delayed Ejaculation, where there is an inability for or persistent difficulty in achieving orgasm, despite sexual desire and sexual stimulation.
Orgasm Disorder: This condition is commonly found in women, characterized by persistent delays or absence of orgasm.
Sexual Pain Disorder: It is also commonly found among women and also known as Dyspareunia (painful intercourse) and Vaginismus (an involuntary spasm of the muscles of the vaginal wall causing difficulty in intercourse).
The cause behind these conditions can be sometimes physiological, but it has been seen that in most of the cases, there are some or other underlying psychological factors leading to those conditions.
Young adults, even in this era, find it difficult to talk about their sexual orientations, sexual preferences, their first intercourse, difficulty with sexual desires, difficulties or queries related masturbation or problem in ejaculation or any other sexual dysfunctionalities. One reason for this hesitation may be a ‘fear of rejection' that young adults face due to the inflexible social norms.
Many sexual issues that an individual face maybe because of some physical problems or a change in one's life circumstances. Causes of many sexual problems or disorders are also not well-known or understood. Treatments are available like medications or psychotherapeutic interventions, but to seek those help people should accept and open up with their concerns.
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 and 8.2 percentage respectively.There are some criteria to classify and diagnose internet addiction disorder.
The following 5 criteria are required to diagnose internet addiction:
The individual remains 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.
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 - 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 make efforts 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 have been lot of debates 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.
What is Addiction?
Addiction is a condition in which individual engages in using a substance or seeking a behaviour which leads to rewarding effects in the brain and it reinforce the individual to repeat the using or seeking behaviour again and again. Addiction develops gradually over a period of time and due to the repetition of same pleasure seeking pattern individual become physically and psychologically dependent on the substance or to any other object at the center of addiction.
People can get addicted to many substances like, alcohol, nicotine, drugs, solvents, etc. In case of these substances, physical and mental dependency both can occur. There are other objects and behaviours which also activate brain reward system in the same way and can make people dependent on them, like gambling, shopping, videogames, watching pornography, etc. But in case of these objects or behaviours, psychological dependency can be more prominent.
It has been seen that there are lots of other mental problems found among individuals suffering from any kind of addiction, like anxiety, depression, personality disorders, psychosis, etc. Individual who is addicted to a substance or an object or behaviour indulge into compulsive pattern of seeking the same inspite of their detrimental consequences. Consequences of addiction can be seen on person’s health, personal life, occupational life and social life. Addiction can lead to severe unmanageability in one’s life.
Especially when it comes to substances, like alcohol, nicotine or any kind of drugs, we must understand how the tolerance level of the brain develops? Tolerance develops when an individual no longer responds to a substance in the way he/she did at first. So, it takes a higher dose of the substance to achieve the same effect as when the individual first used it. This is why people with substance use disorders use more and more of a drug to get the “high” feeling that they seek.
A blog posted by an alcoholic:
“I always wished I could drink like other people. But I never could. I thought it was the third drink that got me into trouble. If I only had two, then I’d be fine. Thing is, once I put that first drink to my lips, I could no longer accurately predict what would happen next. I might go home, but I might not.
You’d think if I made it home, then my drinking was a success. Wrong! If I made it home after two drinks, there was an insatiable need raging within me and I was gonna take it out on you. After all, you’re the reason why I had to come home. I would punish my family by being silent, or mean, or emotionally distant.
Looking back, it was never intentional. I didn’t purposely choose not to go home. I didn’t leave the house with a suitcase containing a fresh set of clothes, a tooth brush and my cosmetics. Seriously, I was only going out for ‘a few.”
If anybody can relate to this or can understand this, he or she can understand tolerance, powerlessness and unmanageability.
How to recover from addiction?
To be an addict can’t be anybody’s choice, but recovery can be one’s choice. The first key step to come out of your addiction is developing acceptance. For a person to admit their powerlessness in addiction to drugs or alcohol or to any other object at the center of addiction is a monumental first step to recovery. Powerlessness means the person do not have any control over his/her use of substance. Powerlessness may indicate weakness and helplessness; some may think it fosters a victim mentality. Acceptance starts developing when a person admit that he or she is powerless over the substance or object at the center of addiction and their life have become unmanageable because of that.
Addiction is a disease and recovery is not an easy process. Individuals who are already into the grip of addiction need to seek help. One cannot go through the journey of recovery alone. There is a myth that addiction is a habit and one can get out of it if he or she has the ‘Will Power’. It’s actually not true. To get out of the disease you need to develop ‘Skill Power’, like skills to understand your physical and psychological mechanisms when it comes to the substance or the object of addictions, skills to handle cravings, skills to be assertive enough to manage social cues, skills to deal with day to day life stressors, etc. And in this process of developing skills and maintaining your recovery you need help of professionals.
A complete treatment program has three important approaches. First one is psychopharmacological (medicine) approach, second is psychotherapeutic approach and the third one is the 12 step program of alcohol/narcotics anonymous. A combination of psychotherapies along with the basic essence of 12 step program can bring greater outcomes in individual suffering from addiction.