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Dear sir / madam, 1. A 51 year old single introvert man. First time fall in love at the age of 48 with a married woman with a child. And he married that woman secretly, not in front the society. But after one year when the relationship came in front the society, as he lost his image he became totally silent and disturb. He donot try to contact that woman. But he was anxious to know about her whereabouts. 2. He is a man who talks with people very calmly and only few words. He is a man of few words. He is very careless about his daily needs. 3. He is very punctual about his work, and too much determined to his goal. 4. He has no good relationship with his other relatives. He doesn't take any bodies help, and too much introvert person. 5. His behaviour heart's people those who love him. But he is careless about it. If somebody ask him any personal questions he becomes totally silent. And avoids him. 6. This person is having a small ngo which is not running in a good position and he is trying his level best for its improvement. But he is careless about the relationship. 7. When from the woman side her relatives asked about there relationship, he said 90% was done all by the woman and he is responsible only 10%. But as he loves her child very much, so he doesn't want to cut the relationship. He blames the woman for everything in front her relative. 8. When that woman asked the man what did he said, are everything true, he became ashamed and speechless. She did not informed anybody about there secret marriage. And from that day that man became totally silent. But he is trying his level best for the improvement of his organization. 9. One or two friends he was having with whom previously he talk about the relationship, but now he totally stop talking on this topic. 10. He do not respond to phone calls, and remain silent. 11. He is too much involved with the child of that woman. 12. Now when that woman get frustrated with the relationship and ask him that she wants to cut the relationship, from all the side he begin to cry, or do something miserable. 13. He doesn't want to cut the total relationship and he doesn't want to grant the relationship also. 14. When the woman plea let me know clearly what do you want so that I can set my mind and live my life, he doesn't says anything just silent and acts as if the woman is not keeping her promise which they took while they married secretly. 15. Whenever he gets stressed this man go out of his home open. Three times he had done this before and after one or two days he returned home again. Without saying anybody anything. Last time police was informed. 16. He was in treatment for 5 to 6 years of nerve problem, as his left hand shakes slightly. But now his hand shakes more frequently. Before one year for this problem he went to the psychiatrist and the doctor said he is having no nerve problem, he is suffering from heavy depression. And he needs proper treatment. But after three times he stopped going to the doctor, now sometime he take the medicine of depression and sometimes not. 17. He always go to the doctor with that lady, but now as there the relationship is not present might be he is not ready to go to the doctor. Now please say me doctor what type of character is this man. Does he is really suffering from depression? what should the woman do? what is going to happen with this person if the woman leave him? does the man still loves that woman? or how should the woman tolerate his behaviour, one day he seems too good and within the next hour he might be treble. But he is doing his office, doing all the work of his organization. But not atall caring about the relationship, but when the woman wants to end the relationship, he behave madly. Please answer me and advice me what should the woman do? still the woman loves that man a lot. I am that unfortunate woman. And he is not ready to marry to any other woman also. He is very careless about his life also. But very particular about his organization.
Borderline Personality Disorder (BPD) is a mental illness. A patient suffering from BPD maintains unstable relationships with other people, shows inappropriate emotional reactions and possesses suicidal or self-harm tendencies. It is purely a personality disorder caused due to multiple factors. Patients suffering from BPD may find it difficult to stay alone. They fear abandonment and loneliness. Yet they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life.
It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with BPD.
Symptoms of Borderline Personality Disorder:
The signs of suffering from BPD are listed below:
- Intense and frantic effort to avoid abandonment or loneliness
- Unstable relationships with people and changing the attitude towards them drastically. It can change from being in immense love with each other to intense hatred.
- Developing paranoid thoughts and having dissociative feelings-The patient often lacks the feeling of self and suffers from identity crisis.
- Suicidal feelings and attempts
- Tendency to cause self harm or destruction by drug abuse, driving irresponsibly or be having unprotected sex
- Reflecting intense depression
- Chronic boredom
- Sudden anger and hostility
Causes for Borderline Personality Disorder: Borderline Personality Disorder can be caused due to multiple reasons. Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.
Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for BPD. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.
Diagnosis: There is no particular clinical test that can diagnose BPD. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.
Treatment: The treatment of BPD involves three steps- psychotherapy, medications and support from peer and family. Dialectical Behavioral therapy, cognitive behavioural therapy and psychodynamic psychotherapy are used in treating the patient. There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
The key to ‘good’ intervention for any individual with autism may often be understanding the condition, understanding the unique ways in which individuals with autism think and learn, accepting their autism as a vital, vibrant part of their being and then approaching the intervention, the teaching of skills, and / or changing of behaviours, from that paradigm of understanding and acceptance. What most people with autism need are intervention plans that spring from a rock solid understanding of autism, provide them with structure and predictability and incorporate good behavioural principles in the teaching.
On the basis of a functional assessment by a competent professional, intervention plans are tailored based upon the individual strengths and needs of each specific child.
The intervention plan may use one or a combination of some of the scientifically proven effective techniques such as:
Treatment and Education of Autistic and related Communication handicapped CHildren Method(TEACCH) emphasizes on using skills that children already possess to enable them to become independent. Organizing the physical environment, developing schedules and work systems, making expectations clear and explicit, and visual materials are effective in developing skills and allowing people with autism to be independent of direct adult prompting.
Applied Behaviour Analysis (ABA)emphasizes on one-to-one sessions in discrete trial (DTT) format to develop cognitive, social, behavioral, fine motor, play, social and self-help skills. The technique involves structured presentation of tasks from most simple to more complex, breaking them down into small sub-skills and teaching each sub-skill, intensely, one at a time. It involves repeated practices with prompting and fading of prompts to ensure success. It uses rewards or reinforcement to help shape and maintain desired behaviours and skills.
Verbal Behavior Analysis (VBA) is an addition to ABA and is also based on breaking down and teaching language in functional units unlike the teaching of language based on grammar. In addition to teaching at the table top, teaching in (and with) the natural environment (NET) is important.
Picture Exchange Communication Systems (PECS) is built on the fact that non-verbal children with autism may attempt to spontaneously use objects to communicate. People with autism tend to be visual learners, and a visual means of communication can help them to understand and use the process of communication. PECS aims to teach spontaneous social-communication skills by means of symbols or pictures and the teaching relies on behavioural principles, particularly reinforcement techniques. Behavioural strategies are employed to teach the person to use functional communicative behaviours to request desired objects. The requesting behaviour is reinforced by the receipt of the desired item.