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Personality Disorder Tips

Attachment Disorder - Know How It Affects A Person!

Dr. Vinesh Chandramaniya 90% (70 ratings)
MD - Psychiatry, Diploma in Psychological Medicine-DPM, MBBS Bachelor of Medicine and Bachelor of Surgery, Post Graduate Diploma in Sexology, Certificate Course in Sex Therapy and Counselling
Psychiatrist, Mumbai
Attachment Disorder - Know How It Affects A Person!

While most children share a strong bond with their parents, especially the mother, some infants are unable to establish lasting relationships with their parents or caregivers. This is known as attachment disorder. It is a rare yet serious condition as it affects the child’s relationships at a later stage and also triggers delinquent behavior. Children, who have been abandoned, orphaned or are victims of abuse are the most vulnerable to this condition.

What causes attachment disorder?
The exact cause for attachment disorder is not yet understood. However, researchers have put together a number of viable hypotheses for this. One such hypothesis suggests that when needs of a child are ignored or when he begins to feel unwanted, the child begins to expect hostility, negativity and rejection. This is a learnt response and the child begins to feel that his needs are unwanted. With time, these responses make the child untrusting and he withdraws into himself to avoid social contact. This affects the development in the brain and causes attachment problems that affect the child’s personality and future relationships.

Risks associated with it
Some children are at a higher risk of attachment disorder than others. This includes

  • Children born to parents with mental conditions or anger management problems
  • Children born to a mother suffering from post partum depression

Symptoms
There are two types of attachment disorders; inhibited and disinhibited.

  1. Inhibited attachment disorder: Children suffering from inhibited attachment disorder are likely to be:
    • Detached
    • Withdrawn
    • Unresponsive to comforting ie. they shun all types of relationships and generally do not get along with their peers or caregivers.
  2. Disinhibited attachment disorder: On the other hand, children suffering from disinhibited attachment are likely to:
    • Seek attention
    • Display inappropriate behavior
    • Frequently break social boundaries
    • Be inappropriately familial and attached to selective figures.

Additionally, children suffering from either type of attachment disorder are manipulative, destructive, moody and lack compassion and remorse.
Effects of attachment disorder
If not managed properly in its early stages, this disorder can continue into adulthood. This leads to:

  1. Relationship problems with peers, friends and family members
  2. Low self esteem
  3. Depression
  4. Anger management
  5. Academic problems
  6. Unemployment
  7. They are also at a high risk for drug abuse and alcohol addiction
1 person found this helpful

Ways Borderline Personality Disorder Can Manifest!

Dr. Rakhi Anand 90% (184 ratings)
PhD - Clinical Psychology, Diploma in Clinical and Community Psychology, MA - Clinical Psychology, BA - Psychology
Psychologist, Delhi
Ways Borderline Personality Disorder Can Manifest!

One of the most common personality disorders, BPD or borderline personality disorder often remains undiagnosed or repressed and gets passed off as mood swings or a volatile disposition. However this disorder is much more than just mood swings as it can seriously affect the quality of a person’s life. The primary manifestation of this disorder is in the way you think about yourself and others which result in the work that you need to do on a daily basis.

How does BPD manifest in your life?
The most common ways Borderline personality disorder can manifest in your life is with extreme mood swings or emotions, a discernable pattern in relationships becoming unstable after sometime, impulsive behavior, and a self–image which is distorted. BPD thus affects how you view yourself, how you feel about others and you resultant behavior in general. Some of the typical signs and symptoms of borderline personality disorder are mentioned below.

Persistent feelings of emptiness

  1. Anger in inappropriate or unnecessary places, losing your temper very frequently, resulting in physical fights
  2. Fearing abandonment intensely, whether it is real or imagined and thus going huge lengths to stop it from happening
  3. Extreme instability in relationships which may cause a partner to be liked one moment and then hated the next
  4. People with BPD also tend to be suicidal which is often caused by the fear of rejection or separation
  5. Engaging in risky and impulsive behaviors such as
    • Engaging in unsafe sex despite being aware of the implications
    • Splurging money on gambling
    • Leaving a good job suddenly
    • A tendency to indulge in drugs
    • Binge eating
    • Reckless driving
    • Suddenly terminating a healthy and positive relationship
  6. Sudden changes in values and self-identity and goals and feeling low about yourself as a result

Causes of Borderline personality disorder
In most cases borderline personality disorder can’t be exactly attributed to a single cause and in most cases, is a combination of factors. While genetic or hereditary predisposition can cause BPD it may also be triggered by other factors. Also, not curbing mal-traits in young children or encouraging such behaviors may lead to BPD as they grow up. Some of the factors that contribute to BPD are

  • Genetics
  • Abnormalities in the brain
  • Childhood incidents which were stressful
  • Personality traits which have worsened

If you think you have been displaying some of the symptoms for a fairly prolonged period, it is advisable that you visit a mental health professional for counseling and start with therapy as advised by them.

Borderline Personality Disorder (BPD) - Tips To Help You Diagnose The Problem!

Dr. Shashi Bhushan Kumar 83% (10 ratings)
MBBS, MD - Psychiatry
Psychiatrist, Delhi
Borderline Personality Disorder (BPD) - Tips To Help You Diagnose The Problem!

Borderline personality disorder (BPD) is a type of personality disorder characterized by an ongoing pattern of varying moods, self-image and behaviour. This often results in impulsive actions and problems in relationships and at work. You may experience intense episodes of various emotions like anger, depression and anxiety that may last for a few hours to a few days.

Diagnosis of BPD
If you experience the following 10 symptoms for a long time or if they have had a huge impact on your daily life, you may say that you are suffering from BPD:

  1. Feeling of being abandoned. You feel that people may abandon you and are constantly worried about that. You would do anything to stop it.
  2. Frequent mood swings. You experience intense emotions that last from a few hours to a few days. E.g. You suddenly start feeling low and depressed after feeling very happy and confident for a while.
  3. Lack of identity. You don’t know who you are and do not have a strong sense of your being.
  4. Unable to sustain relationships. You find it very hard to retain relationships and make new ones.
  5. You feel empty from within all the time.
  6. Make impulsive decisions and show sudden reactions. You do things to harm yourself like binge eating, drug abuse or driving dangerously.
  7. You inflict pain on yourself or have suicidal feelings.
  8. You have anger issues which are very difficult to control.
  9. You get paranoid or dissociate when you’re stressed.
  10. You experience all your emotions very intensely be it anger, happiness or sadness.

Self-Care - How can you help yourself?
If you start feeling overwhelmed, focus on one feeling at a time. It will help channelize your energy and thoughts into finding a solution for that emotion. Different therapies help different people at different times. You are the best judge to decide what benefits you the most.

Follow these tips to get through the various emotions that you may experience.

  1. When you are angry and frustrated
    1. Rip a newspaper
    2. Hit a pillow
    3. Listen to your favourite music
    4. Go for a walk or do some vigorous exercise
  2. When you are depressed and lonely
    1. Wrap yourself in a blanket and watch your favourite movie or TV show.
    2. Write all the negative feelings on a piece of paper and tear the paper.
    3. Use positive affirmations to comfort yourself.
    4. Cuddle a pillow/pet/soft toy
  3. When you are tensed and anxious 
    1. Try to shift your focus to something else like music, yoga or meditation.
    2. Take a deep breath, use relaxation techniques and focus on your breaths.
    3. Take a warm bath to help soothe your mood.
  4. When you want to harm yourself
    1. Rub ice over the parts where you want to hurt yourself.
    2. Take a cold-water bath to cool yourself.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3865 people found this helpful

5 Tips To Deal With Borderline Personality

Dr. Vikas Khanna 87% (533 ratings)
BDS, Certification In Hypnotherapy, Certification In N.L.P, Certification In Gene & Behavior, Psychology At Work
Psychologist, Delhi
5 Tips To Deal With Borderline Personality

If someone in your family or your partner is suffering from Borderline Personality Disorder, your mental health is at stake too. You will have to take care of yourself and your emotional needs first. Life can be frustrating for you all the time. But, you need to identify your ‘feel good’ activities and take some time out of your daily life to relax and calm down. Remember, you can succeed in the critical task of appeasing or pleasing your dear one with BPD, only when you are at peace with yourself first. Destress yourself to fight back the depression or emotional drainage caused by handling a BPD patient.

Here are few things that can help you have a better life while being in a relationship with a person suffering from BPD:

1. Don’t isolate yourself: You must be in touch with people you like to be with. You need emotional support from friends and family to deal with life. Spending some quality time with friends and family members can add little happiness to your life. It will boost up your energy level to fight back the dark side of life. You must remember that you have a life as well.

2. Take care of your health: Sometimes, relatives of BPD patients forget to take care of their physical health. They forget basic stuffs like having proper meals, exercising, etc just because they are caught-up in a stressful relationship. But, remember you can help your loved one better only when you are physically fit.

3. Manage stress: Don’t get anxious or depressed with the ongoing stress in your life. It will only add to your existing problems. Keep your nerves cool to have a better life for yourself as well as your sweetheart with BPD.

4. Believe in the 3c’s formula: Well, it is a formula recommended by most of the mental health practitioners. Don’t blame yourself for the irrational behaviour of your friend or dear one. The patient with BPD is solely responsible for his or her destructive behaviour or abnormal outburst. You will have to remember these 3c’s: I didn't cause it; I can't cure it; and I can't control it.

5. Careful communication: You have to be very careful while communicating with BPD patients. Don’t argue or try to convince them, when they are already in a disturbed frame of mind or agitated. They might end up getting destructive. Listen to their words carefully and patiently. Occasional nodding in between a conversation is advisable to let them feel assured about the fact that they are being heard and understood.

Don’t forget to acknowledge their feelings. It is also important that you stay calm when the patient is angry and has turned destructive.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3967 people found this helpful

Borderline Personality Disorder - Signs and Symptoms!

D.N.B. Psychiatry, Diploma In Psychological Medicine (Psychiatry), MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Navi Mumbai
Borderline Personality Disorder - Signs and Symptoms!

Borderline personality disorder is connected with the mental health of the patient and is usually seen in the way the patient perceives himself or herself. This has a deep impact on the brain and overall functioning of the patient. It leads to problems in the personal life and relationships of the patient. These problems are usually triggered by a fear of abandonment. Let us explore the signs and symptoms of this condition to understand it in a better manner:

  1. Discouraging Attitude: One of the earliest signs of this disorder includes having an attitude that is very discouraging. This attitude may remain limited to the patient or may extend to the people around him or her.
  2. Self-Identity: This disorder has a marked impact on the self-identity of the patient. There is usually a rapid decline in the way the patient may view himself or herself. A self-deprecating attitude will usually be seen among patients suffering from this condition, where the self-esteem hits an all-time low along with low self-confidence.
  3. Relationships: Whether it the patient's personal relationships, family, friends or work based relationships, there will be a sharp decline in the quality of interactions that the patient indulges in, due to this disorder. The interactions and dynamics of all relationships will usually take on an intense turn as the patient will have varied unfounded concerns that come from the fear of abandonment. This usually stems from some form of childhood trauma triggered by parental separation or loss.
  4. Impulsive Behavior: Patients suffering from this disorder will also display impulsive behavior that may lead to gambling, and other risky behavior. This kind of behavior can usually lead to accidents and losses as well as further lowering of the sense of self-esteem that the patient may experience. Also, abuse and binge eating are some of the symptoms of this kind of behavior.
  5. Suicidal threats: There may be threats of suicide by patients who are suffering from this disorder. This usually happens because most of these patients end up feeling lost and empty, which makes them think that their life and all its activities are completely futile. If you happen to meet someone who consistently talks about how useless he or she is and how nothing in life seems to have a purpose, then you may want to recommend this person to a psychiatrist as these are the earliest signs and symptoms of borderline personality disorder.
  6. Mood swings: The patient will also suffer from intense mood swings. These could last up to several days and even weeks. These mood swings could go from happiness to severe anxiety and even shame.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4151 people found this helpful

Borderline Personality Disorder - Know How You Can Understand It In A Better Manner!

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Borderline Personality Disorder - Know How You Can Understand It In A Better Manner!

Borderline personality disorder is connected with the mental health of the patient and is usually seen in the way the patient perceives himself or herself. This has a deep impact on the brain and overall functioning of the patient. It leads to problems in the personal life and relationships of the patient. These problems are usually triggered by a fear of abandonment.

Let us explore the signs and symptoms of this condition to understand it in a better manner:

  1. Discouraging Attitude: One of the earliest signs of this disorder includes having an attitude that is very discouraging. This attitude may remain limited to the patient or may extend to the people around him or her.
  2. Self-Identity: This disorder has a marked impact on the self-identity of the patient. There is usually a rapid decline in the way the patient may view himself or herself. A self-deprecating attitude will usually be seen among patients suffering from this condition, where the self-esteem hits an all-time low along with low self-confidence.
  3. Relationships: Whether it the patient's personal relationships, family, friends or work based relationships, there will be a sharp decline in the quality of interactions that the patient indulges in, due to this disorder. The interactions and dynamics of all relationships will usually take on an intense turn as the patient will have varied unfounded concerns that come from the fear of abandonment. This usually stems from some form of childhood trauma triggered by parental separation or loss.
  4. Impulsive Behavior: Patients suffering from this disorder will also display impulsive behavior that may lead to gambling, and other risky behavior. This kind of behavior can usually lead to accidents and losses as well as further lowering of the sense of self-esteem that the patient may experience. Also, abuse and binge eating are some of the symptoms of this kind of behavior.
  5. Suicidal threats: There may be threats of suicide by patients who are suffering from this disorder. This usually happens because most of these patients end up feeling lost and empty, which makes them think that their life and all its activities are completely futile. If you happen to meet someone who consistently talks about how useless he or she is and how nothing in life seems to have a purpose, then you may want to recommend this person to a psychiatrist as these are the earliest signs and symptoms of borderline personality disorder.
  6. Mood swings: The patient will also suffer from intense mood swings. These could last up to several days and even weeks. These mood swings could go from happiness to severe anxiety and even shame.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4492 people found this helpful

Can Preferred Social Isolation Be A Sign Of Avoidant Personality Disorder?

Dr. Ajay Nihalani 86% (105 ratings)
Member of the Royal College of Psychiatrists, United Kingdom (MRC Psych), MD - Psychiatry, MBBS
Psychiatrist, Ghaziabad
Can Preferred Social Isolation Be A Sign Of Avoidant Personality Disorder?

Don’t like social gatherings? Have you always been the one who avoids family get together? If your answer is affirmative, then you are probably suffering from Avoidant personality disorder (APD).  Avoidant personality disorder is a psychological condition wherein, one feels extremely shy. Becoming overly sensitive to rejection and developing feelings of inadequacy are common signs of this disorder. This disorder can lead to problems in your work life and relationships. 

Symptoms
With APD, the commonly surfacing symptoms would include disapproval and disregard of situations and people, rejection and embarrassment. It generally gets very difficult for the one to get acquainted with new people and form intimate relationships. One generally ends up misinterpreting people’s comments and criticism thus, feeling angry and frustrated all the more. 

Causes
The exact cause of APD has not been established yet. It is believed that environmental and genetic factors play a role in this disorder. People who are inherently shy and reserved are usually prone to developing this psychological anomaly. 

How do you treat APD?
In order to treat APD, you can opt for the following modes of treatment:

  1. Psychotherapy: Cognitive behavioral therapy is a treatment option for APD wherein, the doctor counsels on how to change one’s thinking patterns and thought process, thus, influencing his/her actions.
  2. Psychodynamic psychotherapy: Psychodynamic therapy involves you becoming aware of the unconscious thoughts. It helps you figure out how your past experiences frame your behavior. Your past emotional pains can be resolved with this technique so that you can move ahead with your life. 
  3. Medications: Anti-depressant medications used to treat depression and anxiety can be used to treat APD.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3657 people found this helpful

Psychological FIrst Aid

Dr. Kaartik Gupta 85% (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.

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 86% (47 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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