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Psychotherapy Health Feed

How To Get Success From Couples Therapy?

Dr.Manish Borasi 88% (125ratings)
MD - Psychiatry, MBBS
Psychiatrist, Bhopal
How To Get Success From Couples Therapy?

Everyone desires to have a partner who can be their strength, a person who can help them sail through when the going gets tough. A perfect, love filled, hassle free relationship tops the priority list of most people. Of late, the ideal "made for each other" couples have become a thing of the past. Stress, work pressure, the mad rush to be at the pinnacle is taking a serious toll on a person's physical and mental health.  
     Many relationships have gone kaput due to irreconcilable differences. At times, the problem is not about infidelity, but compatibility. Love is there, but understanding is long gone. Under such circumstances, a therapist or a marriage counsellor comes as a ray of hope. Couples therapy has been instrumental in getting many relationships back on track.     
     Couples therapy cannot miraculously solve the complications and compatibility issues. For a relationship to work, both the partners need to make a conscious and sincere effort. The following tips, can go a long way to make the couples therapy work.

-  No one is born perfect: To err is human. Imperfections will be there. The trick is to create and enjoy small perfect moments out of the imperfections. Do not fall for fairytale love stories. Believe it or not, even fairytale love stories come with their own set of imperfections. Couples therapy amalgamated with this fact can work wonders for your relationship.

- An experienced therapist or counsellor will make the therapy much more effective. Thus, choosing the right therapist becomes a determining factor in the overall success of the therapy.

- A wise man had once said; do not hide anything from your doctor and lawyer. If you want the therapy and your relationship to work, open up to the therapist. Be transparent and honest. To chalk out an effective therapy, the therapist needs to know every detail.

- Couples therapy without the involvement of both the partners is meaningless and futile. The partners need to express their point of view. It helps a great deal to ease out the tension and awkwardness between the couple. 

- Couples therapy does not always guarantee 100% success. A lot of factors go into its success. A therapist is no magician. This should not demoralise you. Set realistic goals, be patient with the therapy. With time, things will change for the better.

-  Be regular with the sessions. Work can wait, but a relationship, once lost, will be gone forever. Give your relationship the time and priority it deserves. A therapist knows what work for your relationship. Both the partners should participate in the activities assigned by the therapist. The activities, if practiced diligently, will do your relationship, a world of good.  Every relationship goes through a lean phase. Consult a therapist before it spoils your relationship. Reach us out at to know everything about couples therapy.
 

2897 people found this helpful

Seasonal Affective Disorder (SAD) - How To Tackle It?

Dr.Indranil Saha 92% (226ratings)
MBBS, MD Psychiatry, DPM Psychological Medicine
Psychiatrist, Kolkata
Seasonal Affective Disorder (SAD) - How To Tackle It?

Are you suffering from seasonal depression triggered by the change in season? This condition is known as a seasonal affective disorder or SAD and primarily occurs during the winter. It usually starts when the days start getting colder and shorter. SAD requires treatment as it limits an affected person’s ability to smoothly carry out his or her everyday activities. Here are the several methods by which SAD can be treated or dealt with:

  1. Light therapy boxes: Light therapy boxes emit light which mimics sunshine in a particular way. This helps in recovery from SAD. The light from these therapy boxes are brighter than normal light bulbs and are of various wavelengths. The patient is required to sit in front of a light box for a period of 30 minutes every day. As a result, the circadian rhythms of the body get stimulated and the natural release of melatonin is suppressed. Light therapy is very effective when undertaken in the morning after waking up. It is a very common treatment used to cure SAD.
  2. Dawn simulators: Dawn simulators help in the management of SAD. These are devices which work as alarm clocks. However, instead of waking you up abruptly by means of a beep or loud music, they produce light which increases in intensity gradually, just like the sun. There are several models of dawn simulators which are available in the market. You should choose a dawn simulator, which uses a full spectrum light. This form depicts natural sunlight. For people with mild SAD, dawn simulators are as effective as light therapy.
  3. Consult a doctor: SAD is a type of depression and it is recommended that you consult a psychiatrist. Several screening questions are asked to a patient to determine his/her level of depression. A doctor will also observe whether your depression is because of SAD or any other factor.
  4. Antidepressants: In case, psychotherapy or light therapy fails to cure your SAD and the accompanying depression, you should take prescribed antidepressants. These medicines might help in overcoming your seasonal depression. Try to avoid medicines which make you feel sleepy. If you have SAD, you should take antidepressants every winter and not just during the winters when you feel the blues.

It is very important for you to recognise the symptoms of SAD when they start showing and consult a doctor immediately. This will prevent the symptoms from escalating and you will be able to get early treatment.

3454 people found this helpful

Avoiding Mingling With People - Could It Be A Sign Of APD!

MBBS, MD - Psychiatry
Psychiatrist, Delhi
Avoiding Mingling With People - Could It Be A Sign Of APD!

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. PsychotherapyCognitive 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.
1312 people found this helpful

Couples Therapy - Know Utility For It!

Psychiatrist, Mumbai
Couples Therapy - Know Utility For It!

Everyone desires to have a partner who can be their strength, a person who can help them sail through when the going gets tough. A perfect, love filled, hassle free relationship tops the priority list of most people. Of late, the ideal "made for each other" couples have become a thing of the past. Stress, work pressure, the mad rush to be at the pinnacle is taking a serious toll on a person's physical and mental health.      

Many relationships have gone kaput due to irreconcilable differences. At times, the problem is not about infidelity, but compatibility. Love is there, but understanding is long gone. Under such circumstances, a therapist or a marriage counsellor comes as a ray of hope. Couples therapy has been instrumental in getting many relationships back on track.          

Couples therapy cannot miraculously solve the complications and compatibility issues. For a relationship to work, both the partners need to make a conscious and sincere effort. The following tips, can go a long way to make the couples therapy work.

- No one is born perfect: To err is human. Imperfections will be there. The trick is to create and enjoy small perfect moments out of the imperfections. Do not fall for fairytale love stories. Believe it or not, even fairytale love stories come with their own set of imperfections. Couples therapy amalgamated with this fact can work wonders for your relationship.

- An experienced therapist or counsellor will make the therapy much more effective. Thus, choosing the right therapist becomes a determining factor in the overall success of the therapy.

- A wise man had once said; do not hide anything from your doctor and lawyer. If you want the therapy and your relationship to work, open up to the therapist. Be transparent and honest. To chalk out an effective therapy, the therapist needs to know every detail.

- Couples therapy without the involvement of both the partners is meaningless and futile. The partners need to express their point of view. It helps a great deal to ease out the tension and awkwardness between the couple. 

- Couples therapy does not always guarantee 100% success. A lot of factors go into its success. A therapist is no magician. This should not demoralise you. Set realistic goals, be patient with the therapy. With time, things will change for the better.

- Be regular with the sessions. Work can wait, but a relationship, once lost, will be gone forever. Give your relationship the time and priority it deserves. A therapist knows what work for your relationship. Both the partners should participate in the activities assigned by the therapist. The activities, if practiced diligently, will do your relationship, a world of good. Every relationship goes through a lean phase.

Consult a therapist before it spoils your relationship. 
 

4986 people found this helpful

Somatic Symptoms - When To Consult A Psychiatrist?

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Somatic Symptoms - When To Consult A Psychiatrist?

Somatic Symptoms is also known as Somatization Disorder or Somatoform Disorder. It is a type of mental disorder which causes many bodily symptoms. The symptoms may or may not be noticeable for medical treatment. However, they normally cause excessive levels of distress. The symptoms may be related to one or more body organs and body system.

Some of them could be:

  1. Neurologic problems

  2. Pain

  3. Sexual symptoms

  4. Gastrointestinal complaints

In most cases, people experience Anxiety Disorder along with Somatic Symptom Disorder.

Symptoms of Somatic Symptoms Disorder (SSD)

One of the most common symptoms of SSD is pain and fatigue. However, there are other symptoms as well that exist like excessive behavioral and emotional changes, which cause chronic mental issues. Apart from pain and fatigue, people with SSD often feel excessive thoughts, like:

  1. They constantly worry about illness

  2. They view normal physical sensation as a symptom of some serious disease

  3. They have a feeling that treatment and medication is not adequate

  4. They think that normal sensations are harmful and threatening

  5. They think that physical activities may damage the body

  6. They keep checking their body abnormalities often

  7. They are sensitive to medication and unresponsive to any treatment

Causes of Somatic Symptom Disorder

The reason behind Somatic symptom disorder is still not clear. However, over the years, researchers have come to identify some causes that might lead to Somatic Symptoms Disorder. They are as follows:

  1. Biological and genetic traits might cause this

  2. Too much negativity in one’s personality

  3. Paying more attention towards pain and be regularly concerned about it

  4. Some past Trauma or stressful event can also have a negative effect

  5. Severe Anxiety

Treatment of Somatic Symptoms Disorder

The treatment of somatic symptom disorder involves therapy, medication, or a combination of both, depending upon the condition of this disorder.

Medication:

One of the common medicines used to cure this disease is antidepressant. These help in reducing anxiety and stress. They work best with a combination of some physical exercise and healthy diet. However, one needs to consult a doctor before taking these medicines, as they may have side effects. Also, medication alone might not do any good and it is better if it is accompanied by a Psychotherapy as well.

Psychotherapy

Psychotherapy is also known as talk therapy. It is one of the most effective way to cure and reduce anxiety. Usually doctors advise this therapy for patients which are in beginning stages of SSD. Such a therapy is aimed at identifying the root cause of SSD and then addressing those. A lot of times, a psychologist might find that there could be a past event that might cause constant negative thoughts, that leads to SSD. In such cases, the expert will work on getting over those negative thoughts. In some cases, the expert might also choose to prescribe medication, especially in the extreme cases, so as to instantly bring down the stress and depression levels.

Conclusion:

Somatic Symptoms Disorder is a worrying condition. This can cause both an emotional as well as physical problems. If someone sees symptoms that might indicate the presence of Somatic Symptoms, then he / she should immediately consult an experienced medical professional. An expert will be able to evaluate the exact condition and then devise the plan of action based on that.

3722 people found this helpful

Sexual Aversion Disorder (SAD) - How To Administer It?

Dr.Rishabh Kumar Rana 96% (1594ratings)
MBBS, MD - Community Medicine, CCIP
Sexologist, Dhanbad
Sexual Aversion Disorder (SAD) - How To Administer It?

As surprising as it may sound, this disorder is rather common than a rare phenomenon. A lot of men bring their wives/partners to the sexologist, claiming their partners”have no interest in sex”.

The patient gets evaluated with lots of tests and some times are given Injections of testosterone by some dubious practitioners. The partner may have to consume a whole list of drugs, undergo surgeries or suffer domestic violence or face divorce threats/verdict. All this because people are not aware of what we call, Sexual Aversion Disorder. There may not be anything wrong physically or with the hormones with these patients.

What is SAD?

SAD, also known as Sexual Aversion Desire is most commonly described as a feeling of disgust, fear and phobia, revolt, revulsion and lack of genuine interest in sex. Despite what people name it, Sexual Aversion Disorder is not just a common and mood-related downfall in one's sexual desire, rather, it is more about active avoidance and a strong feeling of dislike towards any sexual activity which would otherwise be termed normal for other people.

Other sexual disorders differ from the Sexual Aversion Disorder in a tiny little fact and that is, SAD does not only include a lack of interest, it also comprises of the feeling of disgust and fear (just like a phobia) for any type of sexual activity.

Different patients have different types of aversions such as:

Some might not like to see the genitals of their partner

Some do not like the smell of the ejaculations or genital organs

Some do not like kissing, hugging, cuddling, or mutual masturbation

? And for some, the fear grows to a complete hatred for intercourse as a whole

A person may become so obsessed with the fear/phobia for sexual activity, that he/she may take every gesture from the partner as demand for sex and may avoid all intimacy or communication between the partners. In the long term, aversion for sex might jeopardize their relationship, the bonding and finally the marriage itself.

What causes the SAD and are there any noticeable symptoms included?

Clearly, Sexual Aversion Disorder is a psychological disorder with a few physiological causes that might be an underlying reason. But the greatest factor which becomes the reason for a person developing an aversion such as this is due to some traumatic past experiences or perhaps issues with the partner itself.

If the cause is interpersonal with the partner, it is likely that the patient is capable of sexual fantasies and imagery. This person avoidance may be situational.

In the case of an abusive past, such as physical violence, rape, molestation even verbal abuse or bad parenting, the patient will need extensive therapy as well as the emotional support of the partner.

However, it is important to remember that no person can be branded as suffering from SAD unless he/she has been evaluated or any other causes have been ruled by an expert sexologist.

Also, SAD can be treated very well, with extensive psychotherapy, marital counselling and cognitive behavioural therapy. The results are very promising. The couple should really be motivated to work on their issues.

1769 people found this helpful

Is emdr (eye movement desensitization and reprocessing) useful only for flashbacks? Is it used for desensitizing stressful events also, that are not flashbacks? I have been searching for an emdr specialist in delhi without success. Wish to get in touch with an emdr specialist.

Dr.K V Anand 94% (34151ratings)
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
Is emdr (eye movement desensitization and reprocessing) useful only for flashbacks? Is it used for desensitizing stre...
Hello and welcome to Lybrate. I have reviewed your query and here is my advice. Eye movement desensitization and reprocessing (emdr) is a psychotherapy treatment that was originally designed to alleviate the distress associated with traumatic memories (shapiro, 1989a, 1989b). Shapiro’s (2001) adaptive information processing model posits that emdr therapy facilitates the accessing and processing of traumatic memories and other adverse life experience to bring these to an adaptive resolution. After successful treatment with emdr therapy, affective distress is relieved, negative beliefs are reformulated, and physiological arousal is reduced. I suggest telephonic counseling and online psychotherapy for you. You can contact me for further advice and treatment options. Let me know if I can assist you further. Take care.
1 person found this helpful
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Panic Disorder - What Causes It?

Dr.Robin Victor 92% (15ratings)
MD - Psychiatry, MBBS
Psychiatrist, Dehradun
Panic Disorder - What Causes It?

Panic disorder or panic attacks are common among people. We have come across this term many times before in our lives. So this article will deal with panic attacks and more about them.

What is panic disorder?
A panic attack is a sudden intense wave of extreme fear or anxiety which comes unexpectedly without any prior warning. There may not be any definite reason for the attack. It can also arrive when you are sleeping. The panic episodes usually stop after one but some people experience continuous episodes as well. Panic attacks are very dangerous to experience and it gives you a feeling of losing control or having a heart attack. A person who experiences panic attacks more often is said to have panic disorders.

Symptoms of panic disorder:
There are many important and identifiable symptoms related to Panic attacks and disorders. Let us have a look-

  • Feeling or a sense of great danger and panic will arrive all of a sudden. The person may feel that he or she is dying.
  • Critical fear of loss in control or even a feeling of death or heart attack.
  • Individuals facing a panic attack may tremble or become shaky and will sweat a lot. It will become hard for them to walk. Palpitations are very common symptoms of these.
  • It becomes hard to breathe and you will feel a sense of choking in the neck.
  • Chest pain, severe headache, feeling of nausea will follow the panic attacks or many people can even experience them beforehand.

Causes for panic disorder:
There is no particular or absolutely certain cause for a panic disorder. But there are some common ones which we will talk about.

  • Panic disorder can be inherited genetically from parents. If anyone of the parents has the tendency to panic disorders, then the child may also get the disorder.
  • Major stress in someone's life can result in a panic disorder. The mind needs to be fresh and active in a peaceful state as well. So when it gets too much stressed with something, panic attacks arrive.
  • Sometimes, panic attacks can even occur when there is a medical disorder in your brain.
  • Hypoglycemia or the condition of low blood sugar can also result in a panic attack in many individuals.
  • Many people experience panic attacks because of the overuse of stimulants like drugs, caffeine etc.

Some quick tips 
Panic attacks are sudden and unexpected. But there are a few things which you can do to prevent yourself from facing such a disorder.

  • Avoid smoking & drinking
  • Educate yourself on how to deal with stress 
  • Learn to control your breath will also feel you in such situations.
  • Try to learn relaxation techniques that will help you to relax at the time of a panic attack.

If no improvement with these tips meet a psychiatrist. He can provide treatment in the form of either psychotherapy (counselling) or medicines (which are safe and effective).

2182 people found this helpful

Loss of Vision & Disability - How Can Psychological Rehabilitation Help?

PHD Psychology
Psychologist, Chennai
Loss of Vision & Disability - How Can Psychological Rehabilitation Help?

Visual impairment is a decreased ability to see to a degree that causes disabilities or problems, not fixable by usual means, such as glasses. Loss of vision may be acquired and develop suddenly. It may affect one or both your eyes.

What Causes Loss of Vision/Disability?

Loss of vision and disability can result from the following –

  • Clouding of normally transparent eye structures

  • Abnormalities in the retina

  • Abnormalities in the nerves carrying visual signals to the brain from the eyes

Changes in vision may also occur due to conditions like glaucoma, macular degeneration and diabetic retinopathy

Can Psychological Rehabilitation Help Manage Visual Impairment?

Vision loss and disability often interfere with one’s functional ability in everyday tasks. Sometimes, the disability may be so devastating that it affects a person’s mental health and behaviour. Psychological Rehabilitation is designed to help such visually impaired people deal with disability or impairment. 

Psychological rehabilitation involves a wide range of methods that aims to restore functioning after loss of vision, just as physiotherapy restores functioning after an injury or stroke. The program allows patients to continue living independently and maintain their quality of life despite vision loss. 

Complete or partial loss of vision can jeopardize one’s career – you may not be able to continue with your job due to the disability.  Many people suffer psychological and physical challenges, which force them to escape the outside world. Psychological rehabilitation helps in the following ways –

  • Helps individual understand and accept the disability, and find ways to cope with it

  • Motivates them in to keep trying

  • Cope with the pain and depression

  • Overcome feelings of fear or despair

  • Prevents the person from sinking into a state of self-pity, which may hinder recovery

Rehabilitation Psychology adopts a holistic and expansive approach to treat visual impairment. 


 

2933 people found this helpful

Paranoid Personality Disorder - How To Track It?

Dr.Nk Tak 90% (370ratings)
MBBS, M.D. Psychiatry
Psychiatrist, Jaipur
Paranoid Personality Disorder - How To Track It?

The mind is a very intricate organ and controls the entire body functioning with great precision. Any small change in its wiring would mean changes in the way a person functions, including changes of emotions and feelings.

There is a group of personality disorders known as “cluster A” personality disorders. One of the most common forms in this is a paranoid personality disorder, also known as PPD. The onset of the problem is in early adulthood and men are more likely to have this condition as compared to females. People with paranoid personality disorder are very odd or have eccentric ways of thinking. The most common way of thinking is suspicion with no reason to do so.

Symptoms:

  1. They are always on watch or guard and believe that others are out to harm or demean them.
  2. Their belief and distrust are often unfounded, and they find it very difficult to form close relationships, either at work or at home.
  3. There is always a doubt in terms of other people’s commitment and trust, and believe that others are out to use them and often end up deceiving them
  4. Find it very difficult to confide in people, and think the information they tell others may be used against them.
  5. They are always known to hold grudges from past experiences and find it very difficult to forgive others
  6. They are not open to criticism and are extremely sensitive to what others think of them or tell them
  7. Try to read between the lines and interpret more than the obvious
  8. They are very quick to retaliate and think others are constantly attacking what they say and/or do
  9. There is a constant thread of suspicion especially of their spouses or partners, which would be completely unfounded, and add unwanted strain on the relationships
  10. Refrain from forming close relationships and keep some distance even in close relationships. They are generally cold and can be jealous and controlling of their near and dear ones
  11. Firmly believe that their thoughts and words and actions are always right and do not believe in conflict resolution. They are usually argumentative, hostile, and stubborn
  12. They always present as tense and cannot relax very easily

Causes: There is usually a past history of emotional or physical abuse, which is unresolved, leading to these symptoms. Hypnosis, which is often used to diagnose the condition, is very helpful in identifying the cause.

Diagnosis: There are specific assessment tools and questionnaires which are useful in confirming the diagnosis.

Management: Psychotherapy where the person is taught to manage the above feelings and taught to communicate and cope with others. This is often combined with antidepressants, benzodiazepines, and antipsychotics.

3221 people found this helpful
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