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24/Jul/2024

India is witnessing a sudden unprecedented surge in COVID 19 and is in a state of severe crisis. Each day the reported number of new infections and deaths are setting new records and is bringing forward the image of collapsed healthcare system of the country. While only a few months back, with the decreased number of cases, arrival of the vaccines, vaccination drive in the country and loosening of restrictions, people had slowly started to move forward to “normalcy”; this huge second wave has shattered the lives of many around us. Haunting news, images and videos of people crying over losing their loved ones, people struggling to get a bed in the hospital, shortage of oxygen, long queues outside the crematoriums and burial grounds, doctors pleading the public to stay home and maintain COVID appropriate behaviors flooded the Indian media and social media. The second wave has led to a stronger realization that the number reported in the newspapers and television everyday is not just a mere statistics, but someone’s parent, child or sibling.

These have certainly heightened the fear, anxiety, panic of the public by manifolds. People are not only scared about infecting themselves with the deadly virus, but are also extremely concerned with the health of their near and dear ones, especially about the health of the elderly. While people are becoming increasing alarmed about their Health status and familiarizing themselves with different medical terminologies, mental health professionals have indicated the significant surge in what is known as Health Anxiety or Illness Anxiety. It is a mental health condition referring to “excessive worries and obsessions related to a perceived threat to one’s health.”. While it is natural and justified to be anxious about one’s health during this point of time, but the COVID anxiety differs from Health anxiety in terms of the intensity of the anxiety. If left unattended, Health Anxiety may go severe with time, and may start affecting one’s functioning.

CLINICAL FEATURES

  • Health Anxiety presents a persistent preoccupation with having or acquiring a serious illness.
  • Every symptom, not matter how small, is given disproportionate importance. A person with Health Anxiety is hypersensitive to any bodily changes or sensations, and often misinterprets them as dangerous if he/she find any.
  • There is a high level of anxiety about health, and the individual is easily alarmed about personal health status. He/ she is easily alarmed about illness, such as by hearing about someone else falling ill or reading a healthrelated news story.
  • In many cases, illness or symptoms become the central feature of one’s identity, and a frequent topic of his/her social interactions.
  • A person with Health Anxiety spends a lot of the time on the internet trying out find out more about the suspected disease and seeks repeated reassurance from family, friends or doctors.
  • He/she is likely to visit many physicians for the same problem, and often are y dissatisfied with their medical care.
  • In Health Anxiety, the illness related preoccupation is chronic and persistent, but the nature of specific suspected illness may change over time.

In present scenario, with the rise in the COVID cases, mental health professionals have witnessed increase in the number of cases of Health Anxiety and a further deterioration of those who are already diagnosed with this condition. They have become pathologically avoidant, home-bound and practising repeated hand washing, checking their body temperatures, respiratory functions, level of oxygen (SpO2) and testing their ability to smell and taste over and over again. Many are also doubting the accuracy of the tests results, hence a negative COVID result is also not enough to relief them from the anxiety.

TREATMENT

Regardless of how helpless it seems, Health Anxiety is a treatable condition. Through Psychotherapy, Counselling and medications in some cases, the individual can lead an absolutely normal and productive life despite having this condition. Here are a few techniques and tips which can be used to deal with COVID induced Health anxiety:

  • Know you are not alone: Understanding that you not alone in this difficult time and sharing your overwhelming emotions with close ones will give you a sense of comfort. It is important to remember that there is no shame or judgment around if you are experiencing anxiety. These are difficult times and we all are in this together.
  • Stay away from ‘Dr. Google’: Internet is flooded with information, but most of it is inauthentic and not reliable. Limit your reliance and need to feed yourself with unnecessary information. It is doing you more harm than good. “Self-diagnosing” or “Self-medicating” are probably the worst ways to deal with such things. Face the situation, as avoidance only provides temporary relief and worsens it in the long-run.
  • Limit your exposure to Media: The sensational reporting in media about the failed healthcare system, deaths, cremations is very likely to trigger and worsen your anxiety. We already know what we ought to know. Staying away from these negativities is very important for our mental health.
  • Effective Coping Strategies: Engaging in your hobbies,  positive and productive activities like yoga, meditation, cooking, gardening, painting, playing indoor games, reading, photography, connecting with friends and family, solving riddles/Sudoku/puzzles, etc. ensures you are in a healthy state of mind and thus better equipped to deal with problems. Learning new skills keeps the brain active and boosts self-esteem.
  • Set Goals and go at your own pace: Acknowledge your uniqueness and set your personal achievable goals. It’s okay to go slow. A ‘START’ is more important. Achieving small goals regularly is huge boost to one’s mental health. Moving forward matters, the pace doesn’t.
  • Attitude of Gratitude: Thinking about the worst might seem natural, but our Mind is very flexible and can be trained to look at things differently. Developing an attitude of gratitude, counting your blessings and being thankful for the small things in life has been proven to promote mental health and resilience.
  • Seek professional help: If you feel your anxiety has started impacting your functioning please seek professional help. There are well established strategies in Psychotherapy and Counselling to manage Health Anxiety. Cognitive-Behaviour Therapy (CBT) is one such evidence based therapy.
  • Be patient: Upon consulting a professional, stick to that one particular professional for an adequate time period and try to trust him/her and the process. Doctor-shopping or going for second/third opinion is only going to worsen the condition.

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24/Jul/2024

Introduction

Autism, or Autism Spectrum Disorders (ASD) as they are now classified, is a neurodevelopmental disorder characterised by impaired social interaction, verbal and non-verbal communication, and restricted and repetitive behaviour. It occurs in early childhood and the signs of autism usually can be observed around the age of 2 years. Autism follows a relatively static course but with behavioural training the child’s functioning improves in certain areas.

Prevalence

A recent study states the global prevalence of autism to be 21.7 million people as of 2013(Global Burden of Disease Study, 2013). It occurs 4-5 times more often in boys than girls. Among identical twins, if one has ASD the other also has ASD in 9 out of 10 cases. If one sibling has ASD, the other siblings have 35 times the normal risk of also developing the disorder.

Causes

Recent studies claim to have found certain genes that could be responsible for causing ASD. However, it is an accepted fact that a combination of genetic, neurophysiological (brain development) and environmental factors (harmful agents from the environment, infection or any illness to mother during pregnancy) are responsible for this neurodevelopmental disorder. Some people believe that inappropriate parental upbringing is responsible for autism in children which is not the case.

Signs & Symptoms

In some cases, the child might develop normally till about the age of 2-3 years and then there is a gradual decline in the overall functioning of the child, especially language development. It is mainly a disorder characterised by poor quality of social communication, both verbal and non-verbal. The child might engage in certain odd and repetitive behaviours which are observed by the parents and they can make out that something is not right about their child’s behaviour. If you observe most of the following features in your own or any other known child, then it is advised that you consult either a pediatrician or a clinical/child psychologist:-

  • Does not respond by looking towards you when his/her name is called; does not smile back at you.
  • Does not maintain eye contact; prefers to remain alone and appears aloof.
  • Has become silent, withdrawn or indifferent to social signals; does not understand danger.
  • Engages in odd and repetitive behaviours like staring at rotating wheels, moving about in circles, hand-flapping; has a tendency to taste, smell or touch repeatedly whatever he/she holds.
  • Aligns toys or object in a straight line and gets irritated if that order is disturbed; is very particular about his/her toys, clothes and is not comfortable with change in routine.
  • Does not point at people or objects with his/her index finger; does not indicate what he/she wants, instead grabs your hand and takes you to that place or object.
  • Appears either very sensitive or not at all responsive to loud noise, bright light or even pain.
  • Some children with autism seem to possess exceptional ability/interest in numbers, music, symbols, memory, etc.

Treatment

  • Behaviour modification: It is a technique aimed at reducing the occurrence of problematic behaviour and increasing the desired or wanted behaviour of the child. It can be used to deal with aggressive behaviour, improve the child’s eye contact and response to name call, and encourage social interaction among other objectives. The therapist prepares a very structured and comprehensive program which is to be followed consistently and regularly both in therapy and at home by the parents.
  • Applied Behaviour Analysis (ABA): It is the most effective and well researched therapy for children with autism. It is aimed at teaching communication, play, social academic, self-care, work and community living skills, and to reduce problem behaviours in learners with autism. An ABA program is tailor-made for each child after considering his/her strengths, limitations, problem areas and family situation.
  • Sensory Integration Therapy (SIT): Autism can lead a child’s sensory integration system to over react or under react to environmental stimuli. Standard therapy usually focuses on the following areas: (i) tactile (sense of touch), (ii) vestibular (sense of movement), and (iii) proprioceptive (sense of body position). The typical goal of SIT is to help the child re-organize or re-process sensory information in order to have a more accurate response to external stimuli.
  • As autism influences several aspects of a child’s functioning, a speech therapist, occupational therapist, paediatrician and a clinical psychologist usually form the treating team. The treatment requires collaborative working of all these professionals with complementary objectives.
  • Recent studies also talk of Animal Assisted TherapyMusic Therapy and Art Therapy as adjunct to other therapies for promising results in children with autism. However, these studies are not conclusive yet and require more research.
  • Even Homoeopathic Medicines have shown wonderful results in treating symptoms of Autism. At AKGsOVIHAMS, we have been able to provide good results in few cases of autism through an integrated approach of Homoeopathy and Psychological intervention.
In order to better understand the world of a child or adult with autism, you can watch the movie “Temple Grandin”. It is based on a true story and beautifully depicts the difficulties of the person with autism, challenges faced by the caregivers, how ridiculing we as a society are to such individuals and how the world has been benefiting from the genius brain of a person with autism.
‘Different but not less’
– Dr. Temple Grandin

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24/Jul/2024

The COVID-19 pandemic has undoubtedly changed everything around us. The complete social structure has been forced to undergo a massive change. Death was believed to be the ultimate leveller; it treated everyone the same. But due to the pandemic, even that has changed. You can postpone marriages, cancel travel plans, but cannot do that with birth and death. People who lost their loved ones during the past few months have had a very difficult time dealing with their loss. The forced, and much needed, restrictions on public gatherings made it even more difficult as many of the family members could not be present at the crematoriums to attend the funeral rites. The rites and rituals associated with death ceremonies prevalent in all cultures across the globe were primarily established with the purpose of providing a strong social support to the grieving individual/family so that it helps them to adapt to life without the deceased. It was even worse for those who lost their loved one to COVID-19 as in many cases, they were not allowed to touch or even see the deceased as they were taken to be cremated directly from the hospitals to prevent the spread of infection. Not being able to touch or see your deceased relative, being unable to hug the other people who are grieving can leave a lasting emotional impact.

In addition to all this, the unfortunate stigma arising from the mysterious nature of the virus and false information floating all over social media left the grieving family members feeling isolated and ostracised by the society. As Alice Byrne writes, “there is an acute sense of emptiness when you are forced to grieve in solitude.” It is in fact, in challenging times like these we need to support each other the most. Losing someone to death affects each one of us in a different way. Anxiety and a sense of helplessness are two things that most people experience. Feelings of anger and denial are also experienced in the early stages of grief cycle. The sadness creeps in eventually. The process of grief is a natural one and people should be encouraged to process or express it, rather than suppressing it. If these emotions are not processed/expressed appropriately, they can lead to complex mental and/or physical problems.  Hence, here are few useful ways for you to cope well during these challenging times:

1. Let yourself mourn and cry for your loss. There is no shame in crying, even if you are a male. Talk about your feelings with a close friend or family member. Some people even prefer to write down their feelings in a diary which gives them an outlet and helps to channelize their emotions which can be extremely therapeutic.

2. When you feel sad, do not try to avoid it. Feeling sad is a natural and healthy part of the process of grieving. Instead of hiding your sadness under the mask, acknowledge it and let yourself feel sad for the loss you’ve experienced.

3. Talk to other family members about the good memories you have of the deceased. It will help you mourn, give a sense of closure, and keep their memories alive. Arrange for virtual prayer meets as group gatherings are not allowed; knowing that he/she was loved by so many people would give you the strength you need during this difficult phase.

4. Feelings of self-pity can come quite automatically at such a time, but do not encourage it as it would do you more harm than good in the long run.

5. Take care of your sleep. Emotional strain makes one tired and hence, undisturbed sleep is very much essential for your health. Make sure to sleep and wake up everyday at a set time. Take a healthy and balanced diet; eat light but have all meals.

6. Seek professional help as it would help you to deal with the situation appropriately and in healthy ways. Grief Counselling and Supportive Therapy are widely practised by psychotherapists as they help an individual better adapt to their changed situation. Through therapy, all the emotions are processed appropriately, the person goes through the grief cycle and adapts well to his/her life’s changed circumstances after the loss.

7. Stay away from addictive substances.  Do not consume too much alcohol or any other addictive substance. It may temporarily numb the pain, but afterwards, you will feel worse.

8. Build Resilience as it is a protective and healthy trait when it comes to handling difficult circumstances.

9. Acceptance of what has happened, no matter how hard or painful, is the ultimate way of handling and growing from it.


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24/Jul/2024

The past few weeks have been all about the pandemic of Coronavirus (COVID19) as it has affected a large number of countries across the globe. We in India are also experiencing a lockdown as the government is aptly taking an aggressive approach to prevent an outbreak here. Although necessary, the lockdown in itself has led to feelings of fear, anxiety, dread, and uncertainty among people with regard to what is going to happen next. In addition to these, a lot of people are also experiencing boredom, sense of meaninglessness and awkwardness as they are forced to stay indoors and spend this time with their immediate family members and more surprisingly with themselves. With so much happening around us all the time, we humans have not invested much time and effort to understand our true selves. As a result of the current crisis, people are faced by the harsh reality that we know practically nothing about our own selves and thus feeling more troubled. Let us utilise these challenging times to be more in sync with our true selves as well as with Mother Nature.

  • Stay indoors and remain calm. Social distancing is the only way we can protect ourselves and prevent an outbreak. Be responsible and encourage others to follow the same.
  • Do not post/forward any fake news/messages without checking its authenticity as it leads to panic and would be the worst thing to happen in such crucial times. Encourage others to do the same.
  • Maintain the routine. Sleep and wake up every day at the same time. It will ensure your physical and mental well-being. Take bath regularly and maintain your hygiene even though you might not be stepping out of your home. Have proper meals at fixed times and exercise or workout at home itself.
  • Spend this time with your family members. Talk to each other, engage in common activities like playing board-games, going through old photo albums, and doing household chores together. Nurture the family bond which might not have been receiving its share of time and effort over the years due to our busy lives.
  • Use this time to introspect or reflect on your own life. Try and process the emotions which have been bottled up or even suppressed over time for some or the other reason. Write them down and discuss with your confidant or share them with your therapist as it would feel light and extremely liberating in the end.
  • Learn new skills which you always wanted to do or engage in your favourite hobbies as you have enough time in hand now. Re-ignite the child in you and make learning fun again. Draw, read a book, learn knitting, cooking, try DIY crafts; you never know you might just come across a very different version of yourself!
  • Stay in touch with your friends over phone call, messages, social media and even video calling as meeting in person is not advisable at present. Have virtual parties and get-togethers over conference calls.
  • Keep a check on your screen time. With several social media and streaming apps serving a plethora of series and movies online, it is very tempting to binge watch. Kindly limit your screen time as it will negatively affect your physical and mental health. Once things get back to normal, it would be very difficult to break this habit and function appropriately in accordance with your work routine.
  • Delve inside to handle the chaos outside!

COVID 19 has, directly or indirectly, affected millions of lives worldwide. But it has also given us humans an opportunity to finally stop and reflect on what we are doing to ourselves as well as to this beautiful planet of ours. Considering the mad rush we humans were in, this is probably nature’s way of pressing the reboot button and giving us another chance to be more responsible, compassionate and considerate of other living beings that we share this planet with. Thanks to no human activity, within weeks, there are reports of nature reclaiming the lost ground and animals returning to habitats they had long left (https://www.youtube.com/watch?v=I2hNKrfsyNw). We’ve already seen that happen in Chernobyl, where wildlife is thriving now as humans had abandoned that place following the nuclear disaster in 1986. I sincerely hope we all learn this important lesson and mend our ways in favour of sustainable development before it’s too late!


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24/Jul/2024

Becoming a parent is a delightful experience, but even happy experiences can be stressful. Parenting involves lot of responsibility as you are trying to shape, nurture and even protect your little one to develop into a healthy and successful individual. In their pursuit, some parents try way too hard and unintentionally end up limiting or even causing damage to their child’s vulnerable sense of self. There is NOTHING CALLED PERFECT PARENTING and you keep learning from your own childhood, how your parents brought you up, and how you are handling your child now. It is a constant learning process and the journey can be made more beneficial for the parents as well as the child by implementing some of the following ways:-

  • Spending quality time with your child: Quality time refers to the time spent with your child in some way important. It is time that is set aside for paying full and undivided attention to your child. Spending quality time with your kids is of great importance as it helps in strengthening the bond between you and your kid, understanding your child better and making your child feel important and loved. The behavioral issues your child is showing maybe because he or she wants more of your time.
  • Positive reinforcement for promoting good behaviours: Appreciating and encouraging your child’s good behaviour and even acknowledging his/her efforts is of utmost importance in shaping your child’s self-confidence.
  • Ignoring negative behaviours to obliterate them: Sometimes, as a parent, you need to overlook the mistakes or bad behaviours shown by your kid to annihilate them. This means, scolding your child upon failure or discouraging him that he is not good enough as he lacks good behaviour can do more harm than good to your child, and in no way can this make them a better person. Sometimes, ignoring a few of their mistakes, failures or bad behaviour can help them in overcoming their drawbacks. Behaviours that are not harmful either to the child or to anybody else can be ignored to an extent.
  • Healthy and honest communication between parents and children: The parents should indulge in regular conversation with their children as it helps the parents as well as the children to understand each other’s points. It can be of great benefits if the parents first calmly listen to their children first before telling them anything to do.
  • Shared responsibilities at home: Shared responsibilities at home and making your child accountable for looking after certain tasks at home; be it keeping his/her room clean or watering the plants daily, etc. ensures the child develops into a responsible being. It should always be kept in mind that children are very keen observers and they learn a lot from what happens around them. Thus, parents need to be careful with what they say, how they say and how they behave especially in front of the child. If you expect your child not to spend too much time playing games on the mobile or tablet, you need to do the same first!

Ensuring a functional and healthy relationship between you and your child is the best way to boost the sense of commitment, consideration, communication, and cooperation. Also, a healthy connection between you and your child can help in reducing conflicts and stress while encouraging the young minds to make healthy choices in life and set strong individual values.

A healthy Parent-Child relationship goes a long way in ensuring that we live in a peaceful and harmonious society that values fellow living beings, is in sync with nature, and gifts a better environment to its future generations than what it inherited from the previous one!


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24/Jul/2024

Humans invest in technology as it lessens human effort and saves precious time. The technological advancements have made it possible to access almost anything just through a click or sense of touch. Machines are becoming smarter and people are becoming dependent on them. The technological advancements and easy accessibility are coming at a cost; a cost that most of us are not even aware of paying. Internet addiction is a reality! It is as real as alcohol addiction or drug addiction.

What is Phone/Internet Addiction?

All of us are aware of addictive substances like alcohol, cigarette and other drugs. In addition to these, there are certain behavioural addictions as well and phone addiction is one type of it. Although the DSM and ICD (classificatory systems of Mental Illness) do not classify it as a disorder yet, the way things are shaping up it will soon be included as extensive research is being done in this area. Just like alcohol or nicotine, excessive use of mobile phones (internet) also leads to excessive release of Dopamine which is the primary neurochemical responsible for feelings of pleasure. Every notification, like or comment on your post acts as a reward, which reinforces the action of posting something or being more active online. When this is repeated again and again, it slowly starts following the addiction pathway as factors like Preoccupation, Craving, Increased tolerance, and Inability to cut down set to creep in. Variable reinforcement makes this pattern more resistant to extinction.

Is it masking a mental health disorder?

When a person seems unhealthily focused on phone use (especially online games), to the point of social isolation, the behaviour may be, rather than addiction, a product of other mental health problems. Studies indicate social anxiety, ADHD, learning difficulty, and even depression to be closely linked in cases with excessive phone use. Initially it was thought that only children are affected by this problem, but as we look around us we realise that even adults are hooked on to their phones for varied reasons.

Effects of phone/internet addiction

The effects are manifested in both physical and emotional symptoms, in addition to interpersonal problems. Some of the emotional symptoms are – irritability, impatience, impaired sense of time, inability to keep a schedule, anxiety, etc. Some of the physical symptoms are – backache, headache, disturbed sleep, weight gain or loss, blurred vision, cervical pains, etc. As people are spending more and more time in the virtual world, their bonds with real people are getting severed. Virtual stories and constant texting are slowly but surely squeezing out the fun and essence of face-to-face conversations. At present, it feels imperative to disconnect (no internet) to reconnect with our real lives!

Self-help Strategies

  1. Recognize the triggers that make you reach for your phone. It could be boredom, loneliness, work or even just the thought of missing out on something. Identify them, and find healthier and more efficient ways of handling them.
  2. Look for in-person social interactions, not just virtual relations. Humans are social beings and isolation or even virtual relations are not healthy for us.
  3. Develop healthy coping mechanisms and share your feelings, concerns and experiences with your loved ones. Build a strong social support system around you.
  4. Set goals for when you can use your phone; schedule specific times of the day for using your phone.
  5. While having meals, keep the phone away from yourself and be mindful of what and how much you are eating. Enjoy your food and chew it properly.
  6. Mute the notifications so that it does not distract you while you are working and it also reduces the temptation to check it immediately.
  7. Leave the phone/tablet out of your bedroom when you retire for the day and go to sleep. The blue light emitted by the screens can disrupt your sleep cycle.
  8. As a parent, if you want your child or teenager to reduce their time on the phone, you need to model the same behaviour. Stick to the limits and boundaries you set. Focus more on spending quality time together.
  9. There are certain apps that help you monitor your phone use on a daily basis, which eventually encourage you to reduce the screen time or to use it more judiciously.
  10. Disconnect (from phone/internet) to reconnect with yourself, family, friends and nature!

Addiction Therapy

  1. If you are unable to bring about some of these changes or are just not able to give up on your phone time, you must seek professional help as phone/internet addiction is treatable. Cognitive-Behavioural Therapy provides step-by-step ways to stop compulsive behaviours and change your perceptions about your use of phone/internet. Therapy can also help you learn healthier ways of coping with uncomfortable emotions—such as stress, anxiety, or depression—that may be fuelling your phone/internet use. SHUT (Service for Healthy Use of Technology) Clinic is an internet de-addiction centre started by NIMHANS, Bangalore to help people replace excessive technology usage with healthy activities. More such setups are coming up to handle this new age endemic.Click on the link below to find out how your internet/phone use is affecting you –http://huibee.com/wordpress/wp-content/uploads/2013/11/GLOBALADDICTION-Scales-InternetAddictionTest.pdf

You can send in your scores and queries to feedback@ovihams.com and we shall help you with the same.


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24/Jul/2024

It is that time of the year again when most of the students would be burning the night lamps to complete their course and prepare for the approaching examinations at different educational levels. Such a time can be stressful for both children and parents alike.

Parents often find it hard to cope with the increased irritability, demotivation and disconnectedness in their children prior to and during exam time. Here are a few TIPS that may help parents deal with their child’s anxieties during exams:

  • Remain Calm and Relax: The best way you can help your child is to remain to calm yourself! It’s very important not to transfer any additional anxiety onto your kids. This can happen unintentionally, especially if you’ve had a mixed experience of exams yourself. Keep reminding yourself it’s not about you.
  • Reinforce the positives: It is extremely important for parents to appreciate their children for every little success they achieve. Encourage them to look at failures as natural and opportunities to learn and grow. Praise your child’s effort and perseverance, rather than focusing on results. Listen to them, give support and avoid comparing him/her to other kids. Encouraging messages, cards, or even tight hugs can be extremely motivational.
  • Strike a Balance: Encourage your child to take breaks while studying. Even during exams, some time should be set aside for playing outside, listening to music or engaging in any other preferred activity of choice. Eating regular and nutritious meals and a good night’s sleep is absolutely necessary.
  • Keep the environment-friendly: Help your child prepare a schedule according to his own realistic standards and leave him to follow it in his own way. Assist them in arranging their tables and study material properly. A clutter free desk breeds healthy learning. The entire family should take care of minimizing noise and distractions during exam time.

Some TIPS for the students as well; as they are the ones who’ll actually be facing the challenge:-

  • Structure your day (plan out a routine). Ascertain if you are a day or a night person; best/ most comfortable time of the day for studying.
  • Take short breaks (2-5 mins) every 35-40 mins and start with a quick revision of the previous session.
  • Make notes or flashcards for yourself. Make mnemonics (like VIBGYOR for the seven colours of the rainbow where each letter represents the subsequent colour starting with Violet and ending with Red as in the actual rainbow)
  • A balanced diet, regular exercise, yoga and adequate sleep (at least 6 hrs)
  • Reducing distractions to the minimal in the study environment, especially mobiles.
  • Work on the table; use your bed only for sleeping and not for studying, as the bed is associated with sleep and when you sit and study on the bed, it confuses the brain as to whether to study or to sleep. This, in turn, starts interfering with the normal sleep pattern also.
  • Positive attitude and faith in your own abilities.

And of course, there is no substitute for hard work. While you, as parents, may be willing to invest time, energy, and money to ensure your child does well in school, be mindful that your effort and expectations do not push your child over the edge. The happiness of your child is precious. A few years down the line, when you reminisce about their childhood, you will only remember their smiles and not their grades in their final examinations!

So all the best to all the students. We hope our advice would serve you well! 🙂


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24/Jul/2024

Alzheimer’s disease is a neurological disease in which the death of brain cells causes memory loss and cognitive decline. It is the most common cause of Dementia (For reference – Dec’15 – dementia part 1.doc; Jan’16 – dementia part 2.doc). Alzheimer’s disease is a progressive disease that destroys memory and other important mental functions. At first, someone with Alzheimer’s disease may notice mild confusion and difficulty remembering. Eventually, people with the disease may even forget important people in their lives and undergo dramatic personality changes.

SYMPTOMS

The initial changes that are felt by the patient and also observed by his/her family members are unusual difficulty remembering things and organizing thoughts.

  • Difficulty remembering things that just happened. Asking the same question again and again, misplace possessions, lose their way or direction, eventually can even forget the names of their family members and everyday objects.
  • Impairments to reasoning, complex tasking, and exercising judgment
  • Impaired speaking, reading and writing
  • Changes in personality and behaviour

CAUSES

Recent studies suggest that Alzheimer’s disease is caused by a combination of genetic, lifestyle, and environmental factors that affect the brain over time. Presence of plaques and tangles inside brain cells leads to decline and eventual cell death. Factors like – age above 65 years, Down syndrome, female sex, Mild Cognitive Impairment or head trauma in the past, diabetes, stroke and heart problems increase the risk for both Alzheimer’s disease and vascular dementia.

MANAGEMENT

Apart from pharmacological treatment, psychosocial intervention is also an imperative part of the treatment process. It is important both for the patient and also for his/her caregivers.

  • Supportive therapy – A form of psychotherapy in which the therapist assists the patient and the caregivers deal appropriately with a range of emotions like despair, anger, feelings of helplessness and sadness that they experience because of the illness.
  • Cognitive rehabilitation – Training the patient to engage in mentally challenging activities like solving puzzles, Sudoku, scrabble, etc.
  • Memory aids – Memory deficits is one of the main features of dementia. Helping the patient remember things by maintaining a pocket diary, making note of important dates and contact numbers, preparing flashcards, labelling rooms at home so that they do not lose their way, setting reminder notes in phone for medicines, etc.
  • Ensuring that they maintain their self-care and engage in activities of daily routine like grooming, cooking, buying stuff from the grocery, reading and doing something that they enjoy the most.
  • Being patient and caring towards the patient will lessen the difficulties he/she has to go through because of the disease. It will also provide a healthy home environment for the caregivers to live in.

 

‘Alzheimer’s is the cleverest thief, because she not only steals from you, but she steals the very thing you need to remember what’s been stolen’

– Jarod Kintz


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24/Jul/2024

Addiction is a condition that results when a person ingests a substance (e.g., alcohol, nicotine, cocaine) or engages in an activity (e.g., gambling, sex, shopping, gadget/internet use) that can be pleasurable but the continued use/act of which becomes compulsive and interferes with ordinary life responsibilities, such as studies, work, relationships or health. It is a grave problem that affects not only the user, but also his/her family members and the society at large.

What is a Drug?

Any substance that alters the brain chemistry and affects the physiological functioning of the body is called a drug. Addiction of any sort has been found to have devastating effects on the physical, mental, spiritual and emotional health of the individual. It can impair a person’s judgment and decision making to the extent that he/she may not even realise the damage being caused to oneself and others because of the substance use. Families have been broken, careers ended, lives lost prematurely and many are lost in wilderness forever. Addiction can lead to many physical and psychological disorders that further hamper one’s overall functioning.

Who is an Addict?

People can get addicted to different substances like – alcohol, tobacco, gutka, cigarette/bidi, marijuana/ganja, cocaine, volatile substances (thinner, petrol), etc. In addition, it can also be about engaging in an activity like shopping, internet use, sex, gambling, etc. A person is said to be addicted when:-

  • He/she has strong desire or sense of compulsion to take the substance/ engage in the activity.
  • Difficulty in controlling the use of the substance.
  • He/she needs more quantity of the substance to feel the same pleasure/high as earlier. (i.e., develops tolerance for the substance)
  • Physiological symptoms like sweating, palpitations, trembling when he/she does not get to use the substance (i.e., withdrawal symptoms)
  • Is preoccupied about the substance for most part of the day even when not using it.
  • Does not find pleasure in activities other than the ones involving use of the substance; spending considerable time in obtaining, using or recovering from the effects of the substance.
  • Continuing to use the substance or engage in the behaviour despite knowing the harmful consequences.
  • Significant changes in personality and overall behaviour.

Causes of Addiction

Not everyone who uses a drug/alcohol gets addicted to it. So what is it about some individuals that they get hooked to it whereas the others seem to have control over it? This is one of the most common questions a mental health professional is asked in relation to addiction. Like most other mental health issues, addiction is also understood in terms of a combination of biological, psychological and social factors.

Numerous studies over the years have suggested that just as we have different personalities, the way our brains are wired and function is different. Research indicates that there are certain brain areas (called dopamine pathways) and neurochemicals that function differently in people with addiction problems. They could either be vulnerable for it from the beginning, or the use of the drug/alcohol caused those changes. Either way it disrupts the brain chemistry which in turn affects the overall functioning of the individual. In addition to this, genes also play a major role as addiction has been known to run in families.

Being impulsive, thrill-seeking, short-tempered, non-assertive, having maladaptive ways of dealing with stress are some of the personality characteristics that make a person vulnerable to get into addiction. Curiosity and peer pressure are the most common reasons by which people try alcohol/drugs for the first time. A good, “relaxing”, “high” experience definitely increases the chances of engaging in such behaviours again for experiencing the same pleasure. Apart from this, most people who get addicted to drugs/alcohol use the substance as a way of escaping the hardships of real life. It becomes their way of dealing with stress or any form of difficulty in personal or professional life. However, that escape lasts for a very brief period as the moment the effect of the substance dies out the person again has to face the problem which he/she feels inept in dealing effectively. Hence, the person gets into a cycle of escaping the reality through the use of alcohol/drug and wants to be in that state so that he/she does not have to face the harsh reality. Substance use is believed to be a sign of poor coping ability of the individual.

Apart from the biological and psychological factors, our culture and society also play a role in advocating the use of certain drugs. For instance, in some cultures of India drinking alcohol is considered a great way of bonding together and celebrating occasions. In fact, not serving alcohol in marriage or other such social gatherings is considered disrespectful and insulting to the guests. Even God has not been spared and in the name of Lord Shiva, people smoke ganja and have bhang during holi or shivratri. Nowadays all these drugs and alcohol are so easily available (for instance wine and beer shops in malls) that it is almost as if the society is promoting the use of such substances rather than spreading awareness about its harmful impact.

Psychological Treatment

  1. Psychotherapy – Also called “talk therapy”, is aimed at helping the client understand the link between their thoughts, feelings and behaviours so that the maladaptive ones can be replaced with more adaptive and productive processes. Interventions in terms of Cognitive Behaviour Therapy (CBT), Motivation Enhancement Therapy (MET) and Behaviour Therapy are efficient in the treatment of addiction behaviour.
  2. Craving control – Use of certain medicines and behavioural techniques can help a person deal with the intense feelings of craving when it seems too much to bear. It gives a sense of greater control to the person over the substance which in turn motivates him/her to stay away from using the substance. Many people report that they tend to continue abusing the substance since they are unable to handle the periods of intense craving which can come all of a sudden.
  3. Relapse prevention – Arguably the most important component of de-addiction programs. Leaving the substance is not that hard, but staying away from it is the most difficult part as reported by many patients with addiction. To ensure that the person stays clean and healthy without the substance, they are taught some techniques like asking for help whenever they feel the need to do the substance or staying away from potentially “dangerous situations” like going to party where alcohol is available. With therapy, the individual gains more confidence in his/her own abilities rather than depending on the substance for facing life situations. In addition to this, they also start enjoying their life without the substance. Both the patient and his/her family play an important part in this process hence they are educated about it and advised regarding appropriate ways of ensuring sobriety for the patient.
  4. Alcoholics Anonymous (AA) – It is a self-help group in which ex-alcoholics come together and share their experiences, for instance how they got into drinking, how it affected their life and now how they are maintaining their sobriety. These are mostly weekly sessions and have been found to be very effective in supporting the recovering alcoholics stay motivated to be clean without the use of alcohol. Similar to AA, there is NA (Narcotics Anonymous for drug addicts) and Al-Anon (for the family members and friends of problem drinkers).
  5. Yoga and exercise – A healthy daily routine with yoga or regular exercise promotes feelings of general well-being and ensures healthy mind and body. It detoxifies the body faster and even helps in recovering from the damage caused due to excessive substance use.
  6. Social skills training – An important aspect for being away from drugs/alcohol is the ability to say NO to such offers from others. Assertive behaviour, healthy communication pattern and good problem-solving ability are skills that are taught to assist the person stay healthy without feeling the need to take the substance.

One of the simplest, yet very powerful principle of staying healthy is “ONE DAY AT A TIME”! Instead of making any long-term plans for staying sober, which might seem over-whelming and extremely difficult, just plan for that very day and DECIDE to be clean without the substance.

If you suspect any of the above mentioned features in your loved one, try and talk to them in a caring manner about seeking professional help to remain away from them and lead a healthy, productive and meaningful life. People who use such substances tend to deny that it is a problem and claim to be in control of their use which is mostly not the case. With proper awareness and guidance, we can save our dear ones from ruining their lives. So please take action before it’s too late!

“There’s not a drug on Earth that can make life meaningful”
– Sarah Kane


Personality-Disorders.png
24/Jul/2024

When we talk of “Personality” people usually think of someone who is good looking, smart, charming and even influential to some extent. In this post, we look at what is meant by personality, different characteristics of personality, and an introduction to Personality Disorders. As there are various types of Personality Disorders, and each requires an in-depth understanding of the dynamics, they are being covered separately in our e-Newsletters under the Mind the MIND section.

What is personality?

The word personality is derived from the Latin word ‘persona’ which means ‘mask’. Thus, it is kind of a façade we put on that is observable to others. According to the American Psychological Association (APA), personality refers to individual differences in characteristic patterns of thinking, feeling and behaving. It is dynamic in nature as we keep evolving with time and different experiences.

Characteristics of Personality

  • Persistent and enduring – Even though we all modify our beliefs and behaviours during our lifetime, our core personality traits tend to remain stable over time.
  • Early emergence – Our stable personality traits begin to manifest in adolescence, somewhere at the age of 15-16 years.
  • Combination of traits – Personality is dynamic in nature as it is an amalgamation of different of ways of thinking, feeling, perceiving and responding to the environment.
  • It also involves how we relate to self and others. Thus, it involves both the interpersonal and intrapersonal relations.

Personality Disorders

As mentioned above, our personality comprises of several traits and not all of them are necessarily healthy and adaptive. Some of these traits are bound to be problematic. Personality disorder is a mental disorder in which the person has a rigid and unhealthy pattern of thinking, functioning and behaving. It represents an extreme or significant variation in personal functioning, a deviation from the way an average individual in a given culture thinks, feels, behaves, perceives, and relates to others. This causes significant problems and limitations in interpersonal relations, social activities, work productivity, and overall functioning.

Characteristics of Personality Disorders

  • Causes significant distress to the person having a personality disorder, and almost always to those around them.
  • It is pervasive and global, i.e. it is apparent in a range of personal and interpersonal situations and not restricted to any particular instance or situation.
  • It impairs the personal, social and occupational functioning of the individual with personality disorder.

Types of Personality Disorders

Personality Disorders are grouped into three clusters, based on similar characteristics and symptoms. Many people with one personality disorder also have signs and symptoms of at least one additional personality disorder. It’s not necessary to exhibit all the signs and symptoms listed for a disorder to be diagnosed.

Cluster A Personality Disorders

Cluster A personality disorders are characterized by odd, eccentric thinking or behaviour. They include:-

  1. Paranoid Personality Disorder
  2. Schizoid Personality Disorder
  3. Schizotypal Personality Disorder

Cluster B Personality Disorders

Cluster B personality disorders are characterized by dramatic, overly emotional or unpredictable thinking or behaviour. They include:-

  1. Antisocial Personality Disorder
  2. Borderline Personality Disorder
  3. Histrionic Personality Disorder
  4. Narcissistic Personality Disorder

Cluster C Personality Disorders

Cluster C personality disorders are characterized by anxious, fearful thinking or behaviour. They include:-

  1. Anxious-Avoidant Personality Disorder
  2. Dependent Personality Disorder
  3. Obsessive-Compulsive Personality Disorder.

Obsessive-Compulsive Personality Disorder is not the same as Obsessive-Compulsive Disorder, a type of anxiety disorder.

TREATMENT

People who suffer from Personality Disorders are unlikely to seek treatment voluntarily as they may blame others and circumstances for their plight. If at all they do, it’s for associated conditions like depression, anxiety, relationship problems, stress, strong feelings that others do not understand them, etc. A combination of Psychotherapy and Pharmacotherapy works best for such cases.

Psychotherapy – This is the most promising method of treatment for people with Personality Disorders. Intense and long-term therapy is required as there may be deep-rooted problems with interpersonal functioning. A strong therapist-client relationship offers the most benefit to people with such problems, yet is extremely difficult to establish due to the dramatic skepticism and inadequate coping skills of patients with such conditions.

Establishing rapport is the most challenging task for the therapist, yet the professional seeks to work around it to help the individual see things from a different perspective. There are different types, schools, and techniques of therapy. Depending on the nature of problems and its manifestation, the psychotherapist decides what would be more applicable as it is an individualistic treatment that caters to the needs and uniqueness of each individual.

In addition to psychotherapy, Psychological Assessments also form a significant part of the treatment process as through testing the therapist gets a better understanding of the inner dynamics of the individual’s personality which strengthens the case formulation and subsequent treatment plan.

Medicines – As mentioned above, prescribing medicines for the comorbid problems can work well which would also help in improving the overall functioning of the individual. A Psychiatrist prescribes such medicines.



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