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Personality Disorder Health Feed

Psychological FIrst Aid

Dr. Kaartik Gupta 86% (23 ratings)
M.Phil - Clinical Psychology, M.Sc Psychology (Clinical), BA - Hons Psychology
Psychologist, Delhi
Psychological FIrst Aid

We are all well aware about the physical first-aid. The white box with a red cross on top which contains all the necessary things like cotton, band-aid, dettol, etc. required for healing a physical injury and preventing any further injury. However, not many people are aware of a similar concept called Psychological First-Aid which involves humane, supportive and practical help to fellow human beings suffering serious crisis events. The World Health Organization (WHO) had even declared “Psychological First-Aid” as the theme for World Mental Health Day, 2016 which is celebrated every year on 10th October.

What is Psychological First Aid (PFA)?

It is a technique for providing support and care to a person who has just experienced crisis situation like - been involved in or witnessed an accident, terrorist attack, death of a loved one or suicide to help them deal with and recover from the traumatic event. Providing a helping hand in time can prevent the person from getting traumatized, his/her functioning getting disrupted, keep a check on maladaptive coping methods like excessive use of drugs or alcohol, or even taking an extreme step like attempting suicide.

Who can provide PFA?

Usually it is done by mental health professionals, rescue volunteers, disaster management workers but it would be good if teachers, medical practitioners, health care providers and religious organizations also learn this so that the service providing group expands and more people can be professionally assisted in dealing with crisis in an appropriate manner. Anyone who is trained in PFA can provide it and help the affected person function and cope better. 

Themes involved in PFA

  • Provide practical care and support in a non-intrusive manner
  • Assess what the person needs and his/her concerns
  • Help people to address basic needs (eg.- food, water, information)
  • Protect them from any further injury/harm
  • Listen to people but do not pressurize them to talk
  • Comforting people and helping them to feel calm
  • Seek professional help for further assistance if required.

I am in a relationship with a girl aged 26. She has acute borderline personality problem. She is from a separate family, she lived with her mother and her mother left her and her mother is missing from last 2 months. Now she is living with her father and elder brother. They are not affectionate to her. She has stated treatment from 1 week. Our marriage date is 19th nov, 2018. Doctor is diplomatic in this case. I am exhausted. What should I do?

Dr. K V Anand 93% (22492 ratings)
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
I am in a relationship with a girl aged 26. She has acute borderline personality problem. She is from a separate fami...
Dear Friend, Thanks for the question. Borderline Personality Disorder is a mental disorder characterised by unstable moods, behaviour and relationships. The cause of borderline personality disorder isn't well understood. Diagnosis is made based on symptoms. Symptoms include emotional instability, feelings of worthlessness, insecurity, impulsivity and impaired social relationships. Treatments include talk therapy or, in some cases, medication. Hospitalisation helps if symptoms are severe.
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Borderline Personality Disorder - A Guide!

Ms. Sheetal Bidkar 84% (52 ratings)
International Certified Addiction Professional
Psychologist, Mumbai
Borderline Personality Disorder - A Guide!
If you are a woman and have faced childhood trauma, you are very likely to develop borderline personality disorder. True or false? Take this quiz to know now.
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312 people took this quiz

Depersonalization Disorder: What You Need To Know?

DPM, MBBS
Psychiatrist, Gandhidham
Depersonalization Disorder: What You Need To Know?

Person suffering from depersonalization disorder often feels detached from their thoughts and also have a strange feeling that you are being separated from your emotions and your body. Feeling disconnected from his or her surrounding environment is one of the main symptoms of depersonalization disorder. An affected person might feel like an alien, live in a world of fantasy and fear of getting crazy or depressed, anxious and panicky. A patient with depersonalization disorder does not lose his contact with reality and realizes that his perceptions are unreal. This health condition is a form of dissociative disorder, where the brain gets affected.

Treatment: People seeking treatment for depersonalization disorder are primarily concerned with the associated symptoms such as anxiety and disorder. Treatment is required when the disorder is recurring or long lasting, and when the symptoms cause severe distress. The aim of the treatment is to eliminate all causes of stress when the symptoms show up. The method of treatment depends on the nature of the triggers and on the severity of the symptoms. Here is a list of the most effective treatment methods:

  1. Psychotherapy: Psychotherapy is an effective treatment procedure for depersonalization disorder. Psychological techniques are used to help an affected person recognize his feelings and for communicating his thoughts to a therapist. Thoughts which may lead to depersonalization experience are expressed by a person in this process. Cognitive therapy is utilized for changing dysfunction thought patterns in an affected person.
  2. Medication: There are no medicines for the general treatment of depersonalization disorder. Several medicines are used to treat the symptoms. In patients who experience depression and severe anxiety, antidepressant and antianxiety medicines may be prescribed. Antipsychotic medicines are also used to cure disordered thinking and improper perception of reality.
  3. Family therapy: Family therapy educates the affected person's family about the disorder, its causes and the family members learn how to recognize the symptoms.
  4. Creative therapy: Creative therapies, such as art therapy or music therapy, enable a patient to recognize and express his feelings better in a creative and safe way.
  5. Clinical hypnosis: This process involves intense relaxation, concentration and focus of attention in order to achieve an altered state of consciousness. This makes a patient more aware, and he can explore his thoughts and feelings, which have been absent from his conscious mind.

Complete recovery from depersonalization disorder is possible for most of the patients. The symptoms go away by themselves after treatment. Treatment makes a person more effective in dealing with stress or trauma, which might act as triggers for further recurrence of this disorder. Treatment is necessary and avoiding treatment might cause severe complications later. It is recommended to consult a doctor for the best treatment measures. In case you have a concern or query you can always consult an expert & get answers to your questions!

2444 people found this helpful

Kleptomania - How To Manage It?

Dr. Rajiv Arora 88% (46 ratings)
MD - Psychiatry
Psychiatrist, Amritsar
Kleptomania - How To Manage It?

Kleptomania is a form of psychiatric disorder. It is a difficult disorder, and an affected person experiences a lot of shame, remorse, stress or feels guilt, which are associated with stealing. It is categorized as an impulse control disorder which affects the behavior of a patient. Kleptomania may be associated with obsessive-compulsive disorder. The patient develops an impulse to steal and cannot control this impulse and later feels guilty.

Here are several tips which you can use in order to deal with kleptomania.

  1. Understanding the situation: It must be clearly understood that a kleptomaniac person does not steal with the intention of becoming rich. It is done only for mental satisfaction and to pacify the urge of stealing that comes from within to an affected person. The patient usually does not care about the object he steals, but he only cares about the act of stealing. Usually, kleptomaniac patients steal insignificant things. When an affected patient becomes extremely nervous or fearful, they tend to steal an object. After the act, they feel much better and relieved. Later, a feeling of guilt arises in the person about his stealing act.
  2. Treat the affected person gently: A kleptomaniac person requires love, care and great understanding from his/her loved ones or family members in order to recover. The problem and the situation must be recognized and perceived carefully. A person close to the patient should deal with him gently and try to make him understand. In many situations, a kleptomaniac may be aware of his actions but does not confess to avoid harassment.
  3. The situation is different from stealing: It must be kept in mind that the actions of a kleptomaniac cannot be exactly termed as stealing. Stealing is an organized activity done by conscious individuals in order to gain something material or money related. Kleptomania is an act of impulse which a patient conducts for psychological satisfaction. The patients are fully aware that stealing is not the right thing, but yet they cannot control their impulse to steal.
  4. Treatment procedures: Once a kleptomaniac person accepts that they are suffering from a disorder, professional help must be taken. Cognitive Behavior Therapy is the primary treatment for kleptomania. This includes aversion therapy where a distraction is created when a person develops the impulse to steal an object. Systematic desensitization is another process where a patient is made to imagine a scenario to get over the urge of stealing. Covert desensitization makes a patient imagine negative impacts of the stealing act such as arrest or harassment.

The social life of a kleptomaniac becomes very difficult and both the patient, and his family are subjected to a lot of trouble and harassment. Necessary measures must be taken for kleptomania. In case you have a concern or query you can always consult an expert & get answers to your questions!

2605 people found this helpful
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Language Disorder - What Type Of Treatment Should You Get?

Dr. Praditi Choudhary 88% (58 ratings)
Advance Diploma Child & Guidance Counselling, Post Graduate Diploma In Clinical Psychologist
Psychologist, Jodhpur
Language Disorder - What Type Of Treatment Should You Get?

Language disorder is commonly known as language impairment, it is a common childhood disorder, which makes it difficult for kids to understand what the people around them are saying to them and to face difficulty in following simple directions, it also includes difficulty in expressing the thoughts and feeling through speech.

Language disorder can be classified as:

  1. Receptive language disorder: This disorder makes it difficult to understand what the other person is saying to the one suffering from it.
  2. Expressive language disorder: Kids suffering from it are not able to express themselves and their thoughts.
  3. Mixed receptive expressive disorder: These kids have combined symptoms of receptive language disorder and expressive language disorder, making it difficult to understand and to make someone else understand.

Symptoms of language disorder:

  1. Difficulty in understanding: The ones suffering from language disorder, finds it difficult to understand what the people around them are saying.
  2. Limited vocabulary: It is one of the prominent symptoms, in which the vocabulary of the kids is very limited as compared to other kids of that age.
  3. Trouble learning new things: Learning new things is a difficult task for the kid suffering from language disorder
  4. Repeat usage of certain phrases: Kids tend to use the same phrase again and again, which is one of the basic symptoms.
  5. Frustration: As the kid is either not able to understand or to make other understand or both, kids with this disorder tend to remain more frustrated in comparison to other kids, as they are unable to do things. 
  6. Sentences which do not make sense: Making incomplete or senseless sentences is a key indicator of language disorder.

What you should do?

  1. Speech therapist: The treatment may include speech therapy, in which the speech therapist will work towards building the vocabulary and improving the grammar of the kids suffering, making the kids more confident and feel good about themselves.
  2. Psychotherapy: If the kid is also suffering from emotional issues because of the language disorder, then one should also undergo Psychotherapy, as it not only improves the morale of the patient, but also provides the guidance on how to keep improving further from the language disorder.
  3. Positive Atmosphere: The kids suffering from such a disorder should be made comfortable enough to enjoy their being, giving plenty of time to your young ones is the best way to cure such disorder, so one should always communicate well with his kids and make them learn new things, sing to them, listen to various sounds, show different pictures, colours, shapes to make them learn.
  4. Parental Support: The parents should also understand the issue well, be patient, and should support the kid to work out on the disorder. Parents should also interact with other parents, who have been there, to learn more about the language disorders and how their kids overcome the disorder.

As language disorder is one of common issue in kids, this can be managed and cured well to improve after all the required knowledge and best practices to follow. In case you have a concern or query you can always consult an expert & get answers to your questions!

2731 people found this helpful

Borderline Personality Disorder - Causes And Symptoms

Dr. Swarajit Ghosh 86% (21 ratings)
MBBS, Structure of Intellect learning Specialist
Psychiatrist, Delhi
Borderline Personality Disorder - Causes And Symptoms

Personality refers to the enduring and habitual patterns of behaviour, cognition, emotion, motivation and ways of relating to others. In simpler terms, it's the persona we have for the world to see and interact with. If these patterns or ways of relating with others become nonadaptive or pathological, a personality disorder develops.

Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.

The symptoms begin to appear from early childhood but they take a serious form only when one reaches adulthood. Issues with behavior and emotion are difficult to treat, people suffering from this illness should be willing to spend a lot of time and be dedicated towards his/her recovery. Through treatments and therapies, they do make significant improvements over time.

Causes

The exact cause of borderline personality disorder is not known but various reasons have been hypothesised as possible aetiology. Neuro-chemical disturbance in the brain, genetic vulnerability, some kind of childhood trauma like abandonment, death, neglect and/ or sexual abuse are probable causes of the disease. Prolonged and chronic stress/ anxiety may also lead to triggering of BPD symptomatology in vulnerable individuals later in life.

Symptoms

  • Prolonged dysthymia/ sadness
  • Feeling lonely/ misfit
  • Emotional dysregulation or Frequent mood swings
  • Significant interpersonal issues
  • Self-Injurious behaviour like making cuts in skin, burning, pricking etc

These symptoms are warning signs of borderline personality disorder and should be paid attention to:

  • Abandonment issue - People suffering from BPD have serious abandonment issues. They have an intense fear that they would be left alone and often act out to restrict their love ones from leaving. Sometimes their strategy is to not get too close to protect themselves from being left alone, so they appear aloof.
  • Disturbed self-image - People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
  • Dysfunctional relationships - It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak.

Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common.

Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional Psychotic states are other possible symptoms of BPD.

Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life.

1 person found this helpful

Borderline Personality Disorder - When To Seek Help?

Dr. Indranil Saha 92% (162 ratings)
MBBS, MD Psychiatry, DPM Psychological Medicine
Psychiatrist, Kolkata
Borderline Personality Disorder - When To Seek Help?

Borderline Personality Disorder (BPD) is a mental disorder with side effects of enthusiastic fits like sudden, wild and eccentric emotional episodes and scenes. Individuals experiencing BPD are unreliable about their picture and character and face trouble in keeping up a steady mental self-image and interpersonal connections. This issue is generally acquired by different variables like domestic mishandle, youth disregard and absence of affection from the parents in there young age.

Some of the most common symptoms of BPD include:

  1. Fear of rejection
  2. Unsteady and short-term relationships
  3. Poor self-image
  4. Tendency to cause self-harm

Here are some of the homeopathic solutions for treating BPD with varying signs and symptoms:

  1. BPD with sudden burst of outrage: Chamomilla is among the top common homeopathic medications for patients of BPD who usually get furious and irritated, without considering the sentiments of the other people. The sudden upheavals of outrage on account of inconsistency or when the sentiments are harmed can be best cured by homeopathic solution Chamomilla. This cure is also of great help to patients who believe that they cannot remain calm. It is useful for the people who need to do everything according to their desire and get irritated if their desire is not satisfied.
  2. BPD with sudden emotional episodes: Crocus Sativus is the most basic homeopathic medication for sudden mind-set changes in patients of BPD. The patient has a sudden and regular change in feelings from outrageous reactions to misery. The patient requiring the homeopathic drug Crocus Sativus is blissful and warm in one minute and the very next minute, he or she suddenly blasts out into outrage. The patient soon feels frustrated about their conduct. Homeopathic medicine Valeriana is additionally useful for managing sudden emotional episodes in patients of BPD.
  3. BPD with symptoms of touchiness: Sepia is a fantastic homeopathic drug for BPD patients who get disturbed over no reason and feel anxious. Just their own particular assessment matters for such patients and they cannot stand to be restricted. Another side effect alongside fractiousness for this homeopathic prescription to be used is a feeling of dislike towards family and being repelled for any work, be it mental or physical.
  4. BPD patients with ruinous and hasty conduct: Nux Vomica is the top characteristic homeopathic solution to manage any hasty conduct of BPD patients who are delicate and need to constrain things as they feel. In case they are restricted, such patients have dangerous driving forces like the motivation to crush their significant other, to tear things and to toss their child. If someone invades their space, they can take severe actions to claim that space back. In case you have a concern or query you can always consult an expert & get answers to your questions!
4206 people found this helpful

Paranoid Personality Disorder - Know The Signs!

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Paranoid Personality Disorder - Know The Signs!

There are a number of mental disorders and conditions that may affect the psyche of a person, due to various reasons including hormonal changes, environmental factors and even genetic conditions. Paranoid Personality Disorder is one such condition that gives rise to eccentric behavioral patterns. This may make the individual seem odd or even strange to others. Here are the signs, causes and various forms of treatment available for this condition.

Symptoms and Signs: Most of the individuals suffering from this disorder will be completely convinced that there is nothing wrong with their behavior and everyone around them are conniving against them with ulterior motives of bringing them down. This will make them highly suspicious individuals with intense trust issues. They also become angry and violent very soon and usually do not have a justified reason for such temper tantrums. These individuals will also be detached and isolated socially, with hardly any friends and relationships. They will also have trouble seeing their own problems and flaws, which can keep them from having meaningful relationships.

Causes: The causes of this disorder are not known as yet. There is much ongoing research in this field. It is widely believed that this disorder is born due to a combination of biological factors and other environmental factors that may have conditioned the brain in a negative manner. Chemical and hormonal imbalances are known to be at the core of many such disorders. Also, it may be seen in people who come from a family of Schizophrenic individuals. Trauma experienced during one's childhood can also lead to the onset of this disorder.

Treatment: One of the most effective forms of treatment for this disorder includes therapy. Talk therapy or CBT which is also known as Cognitive Behavioral Therapy is a form of discussion based therapy that can help the individual in talking about his or her feelings. These are then analysed in a clinical setting with the intervention of a trained psychiatrist or psychologist who will help the individual in pointing out abnormal behavior. This kind of therapy also helps in reaching the root cause of the issue that may have caused this condition in the first place. By doing so, there is a better chance of treating this cause and thus changing the attitude of the patient. This will help in steering the individual towards more normal behavior in the long run. This kind of therapy will have to take place over a long period of time before the results begin to show up in the day to day living and functioning of the individual. Anti-depressants and antipsychotics may also be prescribed. In case you have a concern or query you can always consult an expert & get answers to your questions!

4148 people found this helpful
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