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Overview

Agitation: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Agitation, or agitated depression, is a fairly serious medical condition pertaining to mental health. Its main symptoms include restlessness and anger, as opposed to the lethargy that is such as well-known characteristic of depression. This condition also occurs commonly in people suffering from bipolar disorder and schizophrenia. Agitation can be verbal (such as shouting at others) or physical (such as getting into a fight, hitting someone, breaking things).Intervening early during the onset of an episode can help prevent it from escalating. There are three main ways of treating agitation: medication, therapy, and electroshock treatment (for extreme cases). Doctors may prescribe a combination of mood stabilizers, antidepressants, and antianxiety medications to help counter the agitation felt by the patient. Therapy is largely recommended in most mental health scenarios. Through therapy, patients can learn to recognize and counter their triggers, which can help prevent the onset of agitation. Cognitive behavioural therapy is often used to work through behaviours and feelings in order to change the way the patient behaves at a given moment, which also helps reduce the severity of the agitation. Finally, electroshock therapy can also be used as a treatment for agitation, though this is only meant for extreme cases and not all patients.

How is the treatment done?

Once agitation has been diagnosed, your treatment can start immediately. Your doctor will begin by prescribing a certain set of medications or a single one (as needed) along with the correct dosage. The dosage generally varies from patient to patient. Furthermore, the dosage amounts can be set at a smaller level and then increase to a certain point as the days go by. This is because certain medications cannot be taken straight away at a high dosage as they may cause further mood swings. More often than not, in cases where mental health is concerned, you will be required to visit your doctor every week or every two weeks, depending on the severity of the problem. As the treatment itself is gradual (often, it takes almost a week just for the medications to begin taking effect!), this helps your doctor gauge your progress and whether any adjustments are needed. He or she will also continually ask you about side effects and your emotional state to confirm whether the medication is a right fit for you. Don’t be alarmed if you face mild side effects initially as these medications are meant to stabilize a lot of the symptoms of agitation and it takes a while for your body to adjust to them. When it comes to therapy, it also starts as soon as you are diagnosed. Your therapist and psychiatrist may not be the same doctor, and that is all right. The goal with therapy is to gain a deeper understanding of the environmental elements that can trigger your agitation and bring an episode on so it is important to be honest during your sessions. Therapy, as a treatment, usually just involves a lot of talking and self-analyses, which can help you not only understand yourself better, but also control your emotions in a more effective manner. Electroshock therapy takes place in a hospital or any other safe medical environment. Unlike what is shown in the movies, electroshock treatment is not violent and patients are often sedated to prevent them from feeling pain. A bite is inserted into the mouth so that the tongue isn’t bitten off and the shock is administered to the temples in the desired amount. The patient wakes up in his or her own bed and does not recall the procedure due to the sedation. The procedure helps stabilize electrical synapses in the brain, which can control your agitation.

Who is eligible for the treatment? (When is the treatment done?)

Patients who have been suffering from the symptoms of agitation for at least three consecutive weeks are eligible to be treated via any of the methods mentioned above. Almost all patients begin by taking medications and going through therapy. It is only in extreme cases that electroshock therapy is recommended, and only if all other alternate forms of therapy do not work effectively.

Who is not eligible for the treatment?

A person who suffers from agitation very sporadically, or suffers from it due to specific external causes such as stress over work or studies is not usually eligible for treatment, unless the episodes are severe and worrying. Remember that everyone experiences certain levels of agitation in their lives and this does not necessarily mean that the case is clinical.

Are there any side effects?

As is the case with most medicines, there are certain side effects that one needs to be vary of. Lorazepam is a drug that is commonly used to treat agitated depression, however its side effects can lead to the development of respiratory depression. Haloperidol has a few side effects as well such as akathisia, acute dystonic reaction, and a decrease in the seizure threshold. Olazapine can lead to some weight gain over time. There are no specific side effects of therapy. Electroshock therapy can lead to confusion and problems with the memory (though memory problems do go away a few months after the treatment is over), headache, jaw pain, nausea, and muscle aches. These can be treated with the help of medicines.

What are the post-treatment guidelines?

The main guideline for treating agitation is to follow the routine of taking the medicines as strictly as possible. Maintaining a specific time to take the medicines can help habituate it, leading to a lesser likelihood of forgetting and tampering with the progress of the treatment. With therapy, post treatment guidelines include patient specific guidelines that pertain to the therapy session. These are normally behavioural guidelines for both, the patient, and the people around him/her. Minimizing the exposure to triggers is also an important part of the post treatment process. Since the treatment and recovery is one that takes a while, the guidelines are usually meant to alter the lifestyle of the patient while the treatment is occurring, so that it can be sped up. With most variants of depression, including agitated depression, patients are advised to monitor and control their outlook once the medication period is over.

How long does it take to recover?

With most problems related to mental health, the recovery time really depends on the patient. With the constant use of medication, therapy, and other behavioural and lifestyle guidelines that are meant to help the patients, the frequency of the episodes can be largely reduced, and, if possible, eliminated entirely over a period of time. Patients suffering from the same disorder and taking the same medication can have varying recovery periods. In the case of mental health, it can be harmful to expect to get better by a specific time as it leads to undue pressure on the patient, leading to more stress and further problems.

What is the price of the treatment in India?

Most medications that your doctor may prescribe to you can range from Rs 150 – 300 for a single leaf. Medications that are designed for mental health are often more expensive than the ones designed for physical health and it’s a cost that one should be prepared for. The cost of therapy in India ranges from doctor to doctor however, it can fall anywhere from Rs 1,500 – 5,000 per hour, depending on who you are seeing. The cost of electro convulsive therapy ranges from Rs 500 – Rs 1000 per dosage and many private psychiatrists also administer this procedure in India.

Are the results of the treatment permanent?

The treatment of agitation is not permanent. There are many factors that can trigger agitation, even after being treated, which is why most doctors will advise you that it is extremely important to maintain a positive outlook. By continually questioning yourself, adding stress, and dwelling on negative thoughts and emotions, you can cause your agitation to come back in varying levels of severity. Agitation can also be caused by external events such as grieving over death, a stressful time period, or a traumatic event in life, which is why it’s important to always monitor and control your emotions.

What are the alternatives to the treatment?

If medication is not your cup of tea, you can opt for certain herbal remedies to counter the effects of agitation in your life. Certain essential oils such as the oils of clary sage, lavender, and myrrh are known for their antidepressant properties and can be used to stabilize your mood. Using these oils during a massage, or adding them to a diffuser and allowing their fragrance to spread through your room can help you combat depression and agitation. Practising yoga, meditation, and breathing exercises can also help you stabilize your mood. However, it is important to note that with most medical problems, it is extremely important to speak to a health care professional so that you are not putting yourself in any jeopardy.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: High Side Effects: Medium Time For Recovery: Medium Price Range: Rs. 150 - Rs. 300

Popular Health Tips

DEPRESSION - HOMOEOPATHY LET YOU LIVE WITH EASE

BHMS
Homeopath,
DEPRESSION - HOMOEOPATHY LET YOU LIVE WITH EASE
Persistent sadness and hopelessness.
A feeling of worthlessness, helplessness.
Tremendous amount of guilt.
Anxiety, irritability and agitation.
Desire to cry often
Loss of interest in daily activities.
Poor memory and concentration.
Change in sleep pattern.
Increase or decrease in appetite and weight.
Lack of energy and easy fatigue.
Thoughts of suicide or death.
8 people found this helpful

Relation between moon and cupping therapy

MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Delhi
Relation between moon and cupping therapy
Relation between moon and cupping therapy

According to Avicenna, the best time is by full moon at early morning. He also devised clear times during the month when the procedure is appropriate: “Some authorities advise against the procedure at the beginning of the lunar month, because the humors (bodily fluids) are not yet on the move or not in a state of agitation; he also was against performing it at the end of the lunar month, because at that period (of the cycle) the humors are less plentiful.” The tide of the seas due to the lunar pull begins to weaken from day 17 to 27 of the lunar calendar and the blood-flow slows down – during this time the Hijama therapist gets the best access to the old tissue in the blood that causes hardening, pain and illness, for example in the shoulder blades area or other areas of the back such as the neck or lower back prone to hardening of the tissue and muscle spasms.
Contact for cupping therapy in delhi: M 8287833547

Sorrow Management

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sorrow Management

Sorrow management 

In life one side is soorow and the other side is joy that is the very nature of life - dukha sukha. Touch your heart can you feel your heart beat, check it out and hear it. Hear a child's heart - dukha sukha, dukha sukha. Unfortunately for most adults it is dukha - dukha dukha - dukha. Try to see the humour if we have a sense of humour, we can lighten up the atmosphere of sorrow. So even in difficulties try to find joy and happiness.

Everything in the world is happening according to laws. We may call it the law of action by which we receive the results of our actions. Or we may have to resist that the lord gives everything. God gives the wisdom to bear it. The intelligent solution for a man of action is to accept it with equanimity.

Do your actions do your best learn to accept whatever result comes. The moment you accept the result it stops affecting. Agitation and grief no longer overwhelm you and you are able to plan out the future. Learn to deal with your sorrows, don't cover them or don't run away from them. Take them as a test and challenge, and you will discover a thrill and a sense of pride when you come out successful. Always remember whatever happens in life happens for the best. If you can keep this attitude with you sorrow cannot really touch you.

6 people found this helpful

Vulvodynia - Causes And Symptoms Of It!

Training in IVF / ICSI, Fellowship in Minimal Access Surgery, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Pune
Vulvodynia - Causes And Symptoms Of It!

Vulvodynia is generally identified as a condition which causes chronic back pain or vulvar pain but having no identifiable cause. The causes as well as the nature of the condition are very obscure, and until recent times, it had never been considered to be an actual pain syndrome. What is commonly affected is the vulva, or the external female genital organs, consisting of the clitoris, labia and the vaginal opening.

Generally, there are two types of vulvodynia:

  1. Generalized vulvodynia: this can mean pain in any part of the vulva occurring erratically at different times
  2. Vulvar vestibulitis syndrome: this is limited to the vestibule, or the vaginal opening. It has similar characteristics of a burn, and pain can be incurred only when contact is made, say during sexual intercourse.

Symptoms
Although not life threatening, signs and symptoms of vulvodynia can still cause a ton of problems for women. They can create much complication when it comes to daily activities as well as other feelings, like sexual frustration, agitation, depression and low self-esteem.

Symptoms can be very erratic and can occur once in a while or all the time. They may be limited to just one specific area or can affect the entire vulva, interfering with daily activities such as walking, exercising and sexual intercourse. Here are some common signs and symptoms:-

  1. A burning or stinging sensation
  2. An aching or throbbing sensation
  3. May swell and you may experience soreness;
  4. Severe itching and agitation

Causes
Because the causes are not identifiable, extensive research is still going on in order to decipher the nature of the syndrome. A few possible causes may include:

  1. Nerve irritation or injury
  2. Genetic abnormalities
  3. Muscle spasms
  4. Hormonal changes
  5. Abnormal responses to infections or traumatic injuries
  6. Hypersensitivity to yeast infections
  7. Allergies to certain chemicals or substances
  8. History of sexual abuse
  9. Frequent antibiotic use

If you wish to discuss any specific problem, you can consult a gynaecologist.

4398 people found this helpful

How Ayurveda is Useful in Preventing Lifestyle Diseases

Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
How Ayurveda is Useful in Preventing Lifestyle Diseases

With the increase in environmental pollution, professional work load, proliferating stress, unhealthy lifestyle choices and general dietary indiscipline, the incidence of lifestyle diseases like hypertension, diabetes, obesity and cardiovascular diseases has increased manifold over the last two decades.

Other commonly occurring lifestyle diseases include depression, joint pain, fatigue, arthritis, metabolic disorders, early degenerative changes, early aging, respiratory diseases and gynaecological disorders. Nearly all of them can be traced back to improper ingestion and nutrition, lack of calmness and focus, constant feeling of agitation, listlessness or jitteriness, sedentary or workaholic professional life, or inadequacy of physical exercise and leisure time.

  1. Ayurveda and its many uses have since then become important remedial procedures that more and more people are adopting to salvage their health. Its holistic view towards physiological and mental development has brought it to the forefront of non-medicinal remedies for various ailments and general malaise.

  2. Ayurveda also brings about visible psychological and spiritual changes in the subject, thus securing an all round development in one’s lifestyle.

  3. With proper and suitable lifestyle advice, dietary restrictions and daily-activity management, Ayurveda solves problems that people normally seek to solve with allopathic drugs. Not only is it more effective, Ayurveda therapies and treatments have zero to negligible side effects. The same can however not be said for pharmaceutical drugs.

  4. Panchakarma treatment is among the most popular of Ayurveda therapies and it is a rigorous process of detoxification and purification. It suggests and expects you to follow renewed diet charts and exercise routines even after the treatment is technically over.

  5. Other rejuvenation therapies include Rasayana, Dinacharya, Ritucharya that also help in bettering your lifestyle.

  6. These treatments help to keep your body-weight in check, hypertension at bay and enable you to be lighter, freer and happier in general.

  7. It assists in dealing with stress, anxiety, tension, agitation, irritability and misery in a healthier manner.

  8. Once you overcome these symptoms of decadent lifestyle that is all around us today, you will automatically rise above crippling lifestyle diseases better than others.

4751 people found this helpful

Popular Questions & Answers

Post consuming food, I start having multiple burbs, that causes chest pain, and agitation for continuous time period. The rate of burbs increases on consumption of dairy products.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Making sure you are chewing your food properly will reduce this. Do not gulp your foid. It causes gas and indigestion. Burping is from the air yu swallow. Eat slowly. Make sure food is fresh, soft, not junk, not packaged. Drink water in sips as you eat for few days. In morning. Take few drops of ginger juice, lemon juice punch of rock salt. Wash down with warm to hot water.

I have been suffering from Irritative Bowel for a very long time. Now it is really frustrating and keeps my bowel in agitation most of the times.Sometimes the stool is solid but most of the times motion is loose and frequent and I pass nearly three to four times daily. I need some help to restrict this motion to two times at the most and the motion is little solid.

MBBS, DGO (cal)
General Physician,
You visit a good Gastroenterologist and get a lower GI endoscopy done by a senior Gastroenterologist. After that take medicines according to them. Avoid much fiber in diet. May consult a Psychiatrist also who shall help to relieve your anxiety. Do Meditation everyday. Read good books - particularly on positive thinking - yes this is also a prescription. Sleep at least 7 hours per day. Early to bed and early to rise.

Well I have been facing some stress issues which is increasing day by day and now I have finalized to consult a psychologist. I don't have any idea where to start. But I want the solution. My stress is affecting my health and my social behaviour as well. I feel like shivering more often. Tend to forget things. Agitation and anger are regular. Mind doesn't coordinate with body.

masters in clinical psychology
Psychologist, Pune
Hi lybrate-user. your stress is the body's response to the demands of life & it also involves your emotions and mind which is eventually affecting your health try to talk about what issues have led to stress. Try relaxation techniques like deep breathing, meditation or involve some activity like yoga or dance whatever you like. Try to change your negative thought patterns if you have any, focus more on positive and keep doing reality testing to check if your nt making exaggerations or assumptions abt issues. Talk about what is stressing you more often to your dear one.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice