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Hello Sir, my sister is suffering from mental disorder since 2008. First treatment was given by Delhi doctors in psychiatric department and made one file also. Doctors recommended two tablets Olienz 10 mg &zapiz 5 mg and suggested you have to take for whole life but after some days she was overcome by the problems and she left to take these dose. After 2 years she was attacked by the mental disorder then she take these medicines and got relief. It's repeating many times. Sir what should I do please suggest me.

MBBS, DPM
Psychiatrist, Bangalore
Hello Sir, my sister is suffering from mental disorder since 2008. First treatment was given by Delhi doctors in psyc...
Dear Safraz, By now, you know that your sister needs these medicines for whole life so that she will not be attacked by the disease again. How to make her take regularly after overcoming the problem? You need to discuss with her, your parents, if she is married with her husband and her friends. If nothing works out, you can request the doctor for long acting injectables. Oleanz is available as 2-4 weekly long acting injectable.
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What Makes Mental Illness Scary?

MBBS, D.P.M, MD, PLAB, MRCPsych
Psychiatrist, Mumbai
What Makes Mental Illness Scary?

For centuries, mental illness has sparked many negative emotions amongst us ranging from fear, shame, guilt and pity.

Being a mental health professional, I have been closely connected to those with mental health issues and their loved ones. As a professional, I would say that being mentally ill is not the end of the world. However, it is not easy either. Sometimes I wonder, given a choice between a physical illness and a mental illness what will opt for? almost as a reflex, I say that physical illness is many times better that mental illness. But, if I pause and give this a thought, I wonder if my fears about being mentally unwell is justified.

Why are we all afraid of being mentally ill or scared of people with mental illness? there are many factors that sets mental illness apart from physical illness. Let us try to look into these factors closely and see if we can understand why is being mentally ill so different from any other illness.

 Fear of loss of control:

The biggest fear that mental illness brings in us, is the fear of a loss of control. If we lose control over our mind, well there is nothing much that we have a control on. We can no longer regulate our thoughts, emotions, behaviour and actions. But, is this actually true? if a person is suffering from mental illness, for instance depression, does he not a have a control over his behaviour and actions? a person with physical illness such as stroke is unable to control his body movements, his speech as well as loses bladder control and thus experiences an equally apprehensive loss of control.

Being mentally unwell is no doubt distressing and disabling, but the extend of disability depends on the severity of illness. Barring few severe mental illness, people with mental illness are still able to regulate themselves and have a control over their minds to varying extent.

Fear of never being well again:

Another fear that haunts people who are mentally unwell is will they ever be well again?

A person who has schizophrenia may have to continue the medications for life but so does someone who has diabetes. Majority of mental illnesses are for a short span of time and they can be effectively treated. The second category is those illnesses that come and go in episodes. For e. G, you may have depressive episodes or someone with bipolar disorder may have episodes where they have manic or depressive phases. However, in between these episodes they might be able to lead a productive life. There is a category mental illness which is severe, lasts for life and needs to be managed forever but so is the case with a lot of physical illnesses that are chronic, disabling and needs life long treatment.

Fear of medications that are used in psychiatric disorder

Every single medication that has ever been used can have some or other side effects, even the placebos. If you look into the side effect profile of even commonly used medications like flu medicine, you will be scared to use it. So, what sets the medications used for mental illness apart from their counterparts?

The general perception is that these medicines are addictive, have a lot of side effects, they will make you drowsy and sleepy and that once started it has to be taken for life. There are a vast range of medications that we use in psychiatry like antidepressants, antipsychotics, mood stabilizers, anti-anxiety and sleeping tablets. As far as addictive potential is concerned, only a small fractions of these medication are actually addictive (for instance sleeping tablets). Most of the medications that are used to treat mental health disorders are not addictive. For using the addictive medicine, there are guidelines and recommendations to prescribe them so as to ensure that the person taking them does not get dependent on it.

Like any other medication, these medicines do come with side effects. However, there are many newer medicines available today with minimal side effects. And if a person develops a side effect with one of the medications, there is always an option of adjusting the dose or substituting the medicine.

Thinking about the durations of treatment, how long the medications needs to be continued depends on a lot of factors like the severity of illness, response to treatment and existing psychosocial support. Like any other long standing illness such as hypertension or diabetes which requires long term treatment, medications for mental health disorders may need to be taken for a long term, but not necessarily for life.

Fear of being locked down

The picture of being mentally ill, especially in a developing country like india is portrayed as someone who is tied and isolated in a mental institution. Only a minority of people who have mental illness need hospitalization at some point in their lives. The reason why a mentally ill person needs to be in hospital can be if there is a grave risk to their life or a risk to others due to their mental illness. Admissions are usually for a short term or for as long as it is needed.

Fear of not being understood by others

How can someone understand what I am going through if they have not experienced it themselves? fear of not being understood is something that refrains a mental ill person from sharing how they are feeling with their friends and family. It is hard, as a lot of people are not comfortable and are scared to talk to people about their mental health problems. This lack of understanding emerges from the lack of awareness about mental illness and the most effective way to increase the awareness is by talking about it.

Stigma

Last but not the least, there is this whole issue of stigma that is attached to being mentally ill. This stigma can affect various domains of the lives of people with mental illness. It can affect their personal relationships, their jobs as well as their social lives. A lot people are discriminated on the grounds of mental illness and I believe that is what makes being mentally ill so scary. Majority of people are not able to sustain a job or form a lasting relationship not because of the mental illness itself but because of the stigma associated with it.

It is high time that we deal with the emotions that comes with the term mental illness. Once we as a society are able to fight the fear, shame and guilt that is linked with being mentally ill, it will be far more easier to treat mental illness as well as live with mental illness.

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Sir, One of my relatives female aged 23 have effected psychologically when she studying B.Tech (civ). Due to the above she discontinued the Graduation and taking medicine I.e. Oleanz 5, Topamed 25, spira 20: at night and tab Licab 300, Topamed 25 at morning since last two years but if the tablet s is not taking even two days then she will be very severely effected and can't leave the tablet s. Now my question is whether the psychology is the curable disease or not? If curable disease then what treatment is best allopathy or homeopathy? Please advise me the right way to cure the patient.

MBBS, D.P.M, MD, PLAB, MRCPsych
Psychiatrist, Mumbai
Sir,
One of my relatives female aged 23 have effected psychologically when she studying B.Tech (civ). Due to the abov...
Dear Sir Many mental health disorders needs a long term treatment and for some the treatment may need to continuing for life. Its just like any other illness like high blood pressure where you need to continue medicines for a long term. The right way to treatment is not to stop or alter the medicines without consultating her psychiatrist. I am not aware of the details of her illness but I will recommend that you see her psychiatrist for a detailed discussion so that she and the family is aware of her illness, the signs and symptoms, how to avoid triggers as well as have a detailed discussion about the treatment plan. Thanks.
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Hi, Can I take Celith 300 ie lithium carbonate tab twice a day Epitic 50 ie Lamotrigine tablets once a day.

MBBS, DPM
Psychiatrist, Bangalore
Hi, Can I take Celith 300 ie lithium carbonate tab twice a day Epitic 50 ie Lamotrigine tablets once a day.
Dear lybrate-user, Are you taking both Celith and Epitic as mood stabilizers for bipolar disorder? If so, please take both. Sometimes lithium carbonate helps well to control mania but not depression. Lamotrigine controls depression well.
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I am on lithium 900 mg daily. From last 4 months I am having pressure on my head and face. I am having Neck pain and feels like some band around my head. Feels like little bit intoxicated. My serum level was 0.85 in april. I consulted with my psychiatrist. He referred me to ENT specialist. But there we find nothing. Sometimes I got better for 15 days then again the same problem. Please help.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am on lithium 900 mg daily. From last 4 months I am having pressure on my head and face. I am having Neck pain and ...
Neck PainThis is cervical pain (neck pain) and that's the reason the pain radiates until the shoulder blades. If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression. Cervical spondylosis – chronic condition with radiating pain As your rightly said you have to go for traction and also you can do IFT. Please consult the near by therapist for quick relief. Since you have pain for more than 10 years it is suggestible to go for cervical muscle strengthening exercise. Use collar will definitely be helpful for him to maintain the good posture. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm.
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Please suggest. What is the best time to take LAMEZ. I am also taking except 60 along with INTALITH CR 450.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Please suggest. What is the best time to take LAMEZ. I am also taking except 60 along with INTALITH CR 450.
Dear lybrate-user. Thanks for the question. Lamez 100 mg Tablet is used in the treatment of seizures and mania. Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Lamez 100 mg Tablet may be taken with or without food, but it is better to take it at a fixed time. Talk to your psychiatrist for more. Take care.
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Causes And Symptoms Of Genetic Sexual Attraction!

MD - General Medicine
Sexologist, Nashik
Causes And Symptoms Of Genetic Sexual Attraction!

In the realm of sexual relations, Incest is one of the longing social taboos. In order to curb this social taboo, many governments have introduced law banning incest. Basically, this is a sexual relationship between those who are blood-related, which is also called as Consanguineous relationship. This is also called as Genetic Sexual Attraction (GSA) which can be between siblings, half siblings, donor children, adoptees, biological mother and father, nephew and so on. This is a social evil, and experts have some remedies so that you can deal with genetic sexual attraction.

Causes:

According to an article published in Spanish Magazine AFIN in July 2013, separation of siblings for quite a long time is one of the known causes for genetic sexual attraction. At the same time, the magazine points out that there are instances that even those who are not separated have this mania of genetic sexual attraction. Some of the other interesting aspects of GSA can be explained as follows:

  1. It is said that children who grow in close proximity since their childhood develop reverse sexual attitude or imprinting with their siblings, parents and with other consanguineous relationships. This reverse sexual attitude actually suppresses sexual desire with consanguineous relationship. This theory is also called as Westermarck Effect. This can be the pointer to the question How to deal with Genetic Sexual Attraction because consanguineous relationship separated for years may not have the Westermarck Effect.

  2. It is pointed out that when siblings who are separated for long duration of time are sexually mature when they meet each other. In other words, they were not members of the nuclear family, and this long absence can attract each other for a closer relationship. In addition to this, the siblings are biologically and mentally so grown up that they have made their own hard imprint of their character, taste and so on. It is a combination of these factors that makes them an exception to the Westermarck effect.

Symptoms of GSA:

Extreme awareness about the other person, hard desire to stay or talk, distractible behavior, unnecessary talking, holding hands or touching or making use of every opportunity to have some kind of physical contact, daydreaming are some of the known symptoms of GSA.

Remedy Available:

One of the ideal remedies for those suffering from GSA is to seek help of appropriate medical fraternity in the earliest possible time. This is one of the most ideal approaches to deal with genetic sexual attraction. It is also suggested that you should ensure that the siblings meet at regular intervals. This can help the siblings to have Westermarck Effect. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

5960 people found this helpful

Genetic Sexual Attraction - Causes And Symptoms

MBBS, MD - Community Medicine, CCIP
Sexologist, Ranchi
Genetic Sexual Attraction - Causes And Symptoms

In the realm of sexual relations, Incest is one of the longing social taboos. In order to curb this social taboo, many governments have introduced law banning incest. Basically, this is a sexual relationship between those who are blood-related, which is also called as Consanguineous relationship. This is also called as Genetic Sexual Attraction (GSA) which can be between siblings, half siblings, donor children, adoptees, biological mother and father, nephew and so on. This is a social evil, and experts have some remedies so that you can deal with genetic sexual attraction.

Causes:

According to an article published in Spanish Magazine AFIN in July 2013, separation of siblings for quite a long time is one of the known causes for genetic sexual attraction. At the same time, the magazine points out that there are instances that even those who are not separated have this mania of genetic sexual attraction. Some of the other interesting aspects of GSA can be explained as follows:

  1. It is said that children who grow in close proximity since their childhood develop reverse sexual attitude or imprinting with their siblings, parents and with other consanguineous relationships. This reverse sexual attitude actually suppresses sexual desire with consanguineous relationship. This theory is also called as Westermarck Effect. This can be the pointer to the question How to deal with Genetic Sexual Attraction because consanguineous relationship separated for years may not have the Westermarck Effect.

  2. It is pointed out that when siblings who are separated for long duration of time are sexually mature when they meet each other. In other words, they were not members of the nuclear family, and this long absence can attract each other for a closer relationship. In addition to this, the siblings are biologically and mentally so grown up that they have made their own hard imprint of their character, taste and so on. It is a combination of these factors that makes them an exception to the Westermarck effect.

Symptoms of GSA:

Extreme awareness about the other person, hard desire to stay or talk, distractible behavior, unnecessary talking, holding hands or touching or making use of every opportunity to have some kind of physical contact, daydreaming are some of the known symptoms of GSA.

Remedy Available:

One of the ideal remedies for those suffering from GSA is to seek help of appropriate medical fraternity in the earliest possible time. This is one of the most ideal approaches to deal with genetic sexual attraction. It is also suggested that you should ensure that the siblings meet at regular intervals. This can help the siblings to have Westermarck Effect. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

3375 people found this helpful

How To Deal With Phobia Of Genetic Sexual Attraction?

MD
Sexologist, Srinagar
How To Deal With Phobia Of Genetic Sexual Attraction?

In the realm of sexual relations, Incest is one of the longing social taboos. In order to curb this social taboo, many governments have introduced law banning incest. Basically, this is a sexual relationship between those who are blood-related, which is also called as Consanguineous relationship. This is also called as Genetic Sexual Attraction (GSA) which can be between siblings, half siblings, donor children, adoptees, biological mother and father, nephew and so on. This is a social evil, and experts have some remedies so that you can deal with genetic sexual attraction.

Causes:

According to an article published in Spanish Magazine AFIN in July 2013, separation of siblings for quite a long time is one of the known causes for genetic sexual attraction. At the same time, the magazine points out that there are instances that even those who are not separated have this mania of genetic sexual attraction. Some of the other interesting aspects of GSA can be explained as follows:

  1. It is said that children who grow in close proximity since their childhood develop reverse sexual attitude or imprinting with their siblings, parents and with other consanguineous relationships. This reverse sexual attitude actually suppresses sexual desire with consanguineous relationship. This theory is also called as Westermarck Effect. This can be the pointer to the question How to deal with Genetic Sexual Attraction because consanguineous relationship separated for years may not have the Westermarck Effect.

  2. It is pointed out that when siblings who are separated for long duration of time are sexually mature when they meet each other. In other words, they were not members of the nuclear family, and this long absence can attract each other for a closer relationship. In addition to this, the siblings are biologically and mentally so grown up that they have made their own hard imprint of their character, taste and so on. It is a combination of these factors that makes them an exception to the Westermarck effect.

Symptoms of GSA:

Extreme awareness about the other person, hard desire to stay or talk, distractible behavior, unnecessary talking, holding hands or touching or making use of every opportunity to have some kind of physical contact, daydreaming are some of the known symptoms of GSA.

Remedy Available:

One of the ideal remedies for those suffering from GSA is to seek help of appropriate medical fraternity in the earliest possible time. This is one of the most ideal approaches to deal with genetic sexual attraction. It is also suggested that you should ensure that the siblings meet at regular intervals. This can help the siblings to have Westermarck Effect. If you wish to discuss about any specific problem, you can consult a Sexologist.

5395 people found this helpful

11 Symptoms Of Manic Depressive Disorder!

MBBS, MD - Psychiatry, Senior Resident Psychiatrist
Psychiatrist, Ahmedabad
11 Symptoms Of Manic Depressive Disorder!

Manic depression, also known as bipolar disorder in recent days, is a major mood disorder characterized by hypomanic or manic episodes (deviation from one's usual mood along with abnormally high energy levels). Mania involves sleeplessness, along with psychosis, hallucinations, rage, grandiose delusions or paranoia. Mania or hypomania isn’t usually harmful to the patient and they might exhibit increased capacity for work and creativity. Depressive episodes however, can be debilitating and often life threatening as the person becomes self-destructive and suicidal in many instances. 

The extent of mood swings can vary from extreme to very mild. They can occur progressively or suddenly and might last for few days to weeks. Patients affected by bipolar disorder may experience disturbances in thinking apart from depressive or manic episodes. Distortions of perception and impaired social functioning are also not uncommon. The cause of bipolar disorder is not fully understood like most mental health conditions and is often thought to be hereditary.

The extent of the seriousness of the bipolar symptoms varies from person to person. In some people, the disorder is not full blown and they don’t exhibit all the symptoms. Others who aren’t that lucky might have to be hospitalized multiple times in their lives as the symptoms creep into their work and personal life and make living a normal life a tough challenge. 

Psychotic symptoms such as disorganized thinking, hallucinations and delusions might make a person do things that demand the urgency of hospitalization to keep them safe from their suicidal impulses. These symptoms might need to be urgently addressed by a psychiatrist and with the help of medications, the person might be able to regain control of their lives.

The symptoms of bipolar disorder are many and can be mainly categorized into two (sometimes overlapping) categories of mania or hypomania and depression:

Manic symptoms include: 

  1. Grandiose delusions (delusion of grandeur) 
  2. Racing thoughts which are often disconnected
  3. Sense of euphoria or false elation
  4. Irritability without cause
  5. Hampered social functioning
  6. Increased sexual inclination and risky sexual behavior
  7. Hyperactivity
  8. Increase in talking volume or speed
  9. Impaired judgment
  10. Reduced sleep requirements owing to extra energy levels
  11. Increased productivity and creativity

Depressive symptoms include:

  1. Abnormal eating patterns like over or under-eating to the extent of severe medical complications accompanied by drastic changes in weight
  2. Difficulty in concentration, making decisions and remembering
  3. Lack of energy or fatigue 
  4. Contemplating about death for prolonged periods of time and suicidal behavior
  5. Oversleeping, insomnia or early awakening
  6. Persistent pessimism 
  7. Irritability and restlessness
  8. Feeling of hopeless and negative attitude

Mood stabilizers, such as lithium are commonly employed to treat bipolar disorder. Anticonvulsants, benzodiazepines and anti psychotics can also be used in the treatment. Along with medications, support from family and friends is of the utmost importance as they need to help provide all the support required in making the person functional and healthy. If you wish to discuss about any specific problem, you can consult a psychiatrist.

2516 people found this helpful
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