• 22 Oct
    Shiva Raman Pandey

    How do I deal with a friend/family member with Psychosis

    It can be very distressing to see someone go through a psychotic episode. They may be saying, seeing, hearing and feeling things that you do not perceive or understand.

    Psychosis may occur as a result of a psychiatric illness like schizophrenia. In other instances, it may be caused by a health condition, medications, or drug use.

    It can be avery confusing situation. You do not understand whether to agree to their visions, disagree or just do nothing. More so, what can you do if they get violent?

    How do I deal with a friend/family member with Psychosis

    Since most psychotic disorders are episodic, you would mostly not be facing it for the first time. Use this knowledge to make a note of what the episode contains:

    What happens?

    What do they see or hear?

    Whether they get violent or not?

    How long does it take for them to calm down. When they are not having an active episode?

    Are they lucid enough for you to talk to them about it, and if possible, make a mutual action plan.

    One of the basic things to do is to get them the medical attention required. Proper medication and psychotherapy can reduce the intensity and even the frequency of such episodes. Knowing more about the disorder they have is also an immense help.

    Secondly, make sure that the room they live in does not have any sharp objects that can be used for self-harm or to harm others. It should not have any windows or balconies one can jump off from.

    During an actual episode, you should not agree with the delusion they have. This will reinforce it and make it stronger. At the same time, vehemently disagreeing with them makes them more violent and agitated.

    The best thing to do then is to tell them with empathy, that you cannot see/hear what they do, and you do understand how distressing the experience is for them. Tell them that you are there for them and will help in any way you can.

    Addressing distress with paranoid delusions (it is scary to think that people are following you/there’s a camera in this house) – that is, addressing the fear and other feelings behind it, works better than agreeing or disagreeing.

    It is imperative to have a care worker if you can afford it, or look for a pro-bono worker if they are available in your area. Not only are they more trained and experienced, but caring for them alone with tire you and increase the risk of you hitting them or needlessly sedating them out of sheer stress and pressure.

    Efforts should be made to talk to them about it when they are lucid. Research shows that when they are made aware of the episode when comparatively lucid, it can bring down the intensity of an episode and also increase insight into the fact that all of this may just be a product of their mind. This in turn makes them more willing and active in the treatment process.

    You can also ask them how they would like to be handled when in an episode, and would they agree to being sedated if the need is high? Such an agreement helps clarity and avoidance of medico-legal issues.

    Image source

    Responses 2

    • virendra rao
      virendra rao   Dec 28, 2015 12:34 PM

      If you are an average person , it is important that lot of effort required to improve your mental health. Change your rigid attitude, always give attention to your sorroundings. Keep doing good thing , without any botheration of failure.There are many thing which can attract you to loose your focus ,so do believe on yourself and keep concentrating on your aim.

    • Kartik kumar
      Kartik kumar   Oct 24, 2015 10:58 AM
      Efforts should be made to talk to them peacefully. And not forcing them for doing anything.
  • 13 Oct
    Shiva Raman Pandey

    Types of psychotherapies

    How many Types of psychotherapies


    What Are Different Psychotherapies Used Commonly By Counselors?


    If you are contemplating seeking counseling and psychotherapeutic services, then it’s a good idea to know what kind of difference options exist. Just like there are many branches and approaches to medicine, the kind of therapy a provider gives also differs. Some therapies are more specific and useful for particular issues and some are more general and can be used with a broad range of issues.
    In general, therapies differ in terms of their understanding of what causes the problem or issue at hand, and what are the best ways to resolve it. Therapies also differ based on who they work with, that is, individual, couple, group or family. There is a difference in the role of the therapist too, based on the school of thought.

    Cognitive behaviour therapy: It is one of the most commonly used therapies today. The reason behind this is that it is research based and quite effective in treating depression and anxiety, and these are the most common mental health issues people face. The CBT practitioner teaches the clients how their thoughts, feelings and actions are connected, and then helps them to change their thoughts so that feelings and actions change as a consequence. CBT can also be used for a large variety of issues, from marital conflict to drug abuse and even eating disorders.

    Group Therapy: A group approach helps when a large number of people have a similar concern and group dynamics can help the resolve some social and interpersonal skills issues that people have. Group therapy is more validating at times because it gives the person the confidence that there are others in the same position as he or she and if they can get better then so can I. There are various formats of group therapy, depending on the approach and founder. Group therapy can help with issues like anger, abuse, eating disorders and learning skills like social skills or time management.

    Dialectical Behaviour Therapy: This is a form of therapy that is helpful with borderline personality disorders, as well as other personality and mood disorders. It basically contends that ambivalence as a state of mind is okay and then from then on, it seeks to resolve it. Nowadays, mindfulness is used with both DBT and CBT to enhance effectiveness. Mindfulness is a school of thought that believes in entirely living in the moment, and it contends that most disturbances occurs due to an uncalm mind that does not live in the moment.

    Family Therapy: Family Therapy believes that the person who has an issue is only the ‘recognized’ patient or client and that they are part of a dysfunctional family system and thus the entire family needs to sort things out together. Improving family communication and problem solving is the major part of family therapy.

    Regardless of the psychotherapy chosen, it is important to choose a qualified, competent professional. It is important to keep your therapist in the loop about how therapy feels to you and works out for you, for overall effectiveness.

    Image source www.gallaudet.edu/counseling-and-psychological-services/clinical-services.html

    Responses 1

  • 13 Oct
    Shiva Raman Pandey

    What contributes to drug addiction?

    drug addiction


    A lot many teenagers and young people experiment with drugs as they grow up. Exploring recreational drugs is a cultural part of growing up in most countries and it can be difficult to keep tabs on such use. The drug awareness programs at present do not talk about drug use and its effects in the right way and place blame on the users.


    There are definite signs of addiction that we need to pay attention to, if we are confused about where on the continuum does our use lie.

    Firstly, the user controls his use if it is recreational, and does not need it to ‘function’ or be okay or think. So each time you need a smoke to use the washroom or to clear your head, although the smoke may do the job for you then, but it’s making you increasingly dependent. That is one of the first signs of the drug getting more and more important in the person’s life.

    Secondly, addiction, dependence or abuse of a drug means you spend a lot more time and money on the drug than you need to or can afford to. It can also mean delays in work and school assignments, your health and social life being affected, and such other impacts felt in areas of life seemingly disconnected with drug use.

    However, this begs the questions:

    • What makes recreational users addicts?
    • Why do some people consume more and others less?
    • Is it just a matter of control?

    Well, the literature on that is quite mixed, because certain people say that it’s more about brain chemicals and genetic vulnerability, while newer research indicates a mix of a lot many factors. One prime example is that when addicts were given a choice between a 5 dollar bill and cocaine in an experiment by Dr. Hart, they chose the money. This and many other experiments show that troubles in a person’s life, or emptiness, contribute largely in making the person an addict.

    Therefore, an important take-away from this is to think about your own social and personal situations.

    Are they unaddressed burdens and emotional baggage?

    Is the drug an escape for that?

    Constant escape surely means that the use is not recreational any more.

    If you do find out that your use of drugs is in fact a way to deal with your troubles, what should you do?

    Firstly, you have to accept that this is an issue and steps are needed to resolve it.

    The first step in order to resolve is to talk to a student counselor or the closest mental health professional available. When you work on your emotional issues with constructive ways, you will not feel the need to rely on drugs any more. That will automatically ensure you of the control that you needed to have with the use of drugs. In fact, research shows that seeking the right help can help you stop the use of the drug altogether.

    Responses 1

  • 13 Oct
    Shiva Raman Pandey

    Do I have an eating disorder?

    One of the most important indicators of today’s times is the continuous talk around weight and health.

    On the one hand, obesity is becoming an epidemic, leading to lifestyle diseases like diabetes and hypertension in the process. On the other hand, body image concerns and eating disorders are also on the rise, for both men and women. There are scores of weight-loss products and professionals, not to mention the entire horde of specialized dieting programs, which can lead to immense confusion.

    In such a situation, how does one know whether one’s approach towards weight loss is healthy or pathological?
    Eating has always been a behaviour that is highly associated with emotions. Some foods make us happy, some not. The consumption of particular food can produce comfort or discomfort and also particular mood states.

    Therefore, we will always have certain emotions attached to food and eating behaviour. Therefore, tracking one’s emotions are a good way of knowing where we stand on the spectrum.

    Do you hate how you look or are you just trying to become healthy but you love your body in the process and would not punish or harm it? The former is more indicative of pathology.

    The DSM diagnosis for:

    #Anorexia Nervosa, one of the more common disorders, is as follows:

    A. Restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected.

    B. Intense fear of gaining weight or of becoming fat, or persistent behaviour that interferes with weight gain, even though at a significantly low weight.

    C. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.

    #Bulimia nervosa, on the other hand, has a binge-purge pattern. A person with BN is likely to eat much more than they need or can digest well, and then vomit the food out by inducing puking, because they feel guilty for this eating. Repeated use of laxatives and induced puking tends to really harm their esophagus and digestive track.

    eating disorder

    There are other eating disorders as well, like Pica where a person eats non-nutritive substances like mud or human faeces. Other disorders are Restrictive Eating Disorder and Rumination Disorder. If you know someone who has had drastic weight loss accompanied with cutting or other self-harm behaviour, it is probably an eating disorder or related psychopathology.

    Eating disorders are treatable, and the rate of getting better depends on how soon the treatment is sought. A qualified mental health professional will be able to help you understand this in detail. If you are unsure about the need to go to a MH professional, try talking about it to a counselor or a general physician.


    Responses 1

  • 06 Oct
    Shiva Raman Pandey

    Understanding Anxiety Disorder


    Anxiety-related disorders are some of the common disorders that people suffer from. In fact, pathological anxiety is just an expression of normal fear or anxiety when multiplied many times. It is important to understand that some amount of fear or worry motivates us to take the steps needed to deal with a threatening situation. However, when thoughts of worry are constant and prevalent, to the extent that they do not let us function, that is when it becomes a problem.


    Anxiety disorders are characterized by consistent irrational beliefs that overestimate threat, danger or likelihood of something going wrong. Anxiety disorders are often referred to as a modern-day epidemic. In fact, ‘neurosis is the common cold of psychotherapy’ was said by Dr. Albert Ellis, one of the most influential psychologists of all time. Neurosis is an earlier term for anxiety related conditions.

    Anxiety has an almost 30 % of life prevalence. It is also comorbid with a lot of other disorders, depression being one of them. Depression and anxiety share 80% comorbidity. Anxiety spectrum disorder includes Generalized Anxiety Disorder or GAD, Agoraphobia – fear of open spaces, and panic disorder. On the continuum but further away lie OCD or Obsessive Compulsive Disorder and PTSD or Post-Traumatic Disorder. Further away on the spectrum are Somatization disorders and so on. This new spectrum system of the DSM 5 allows for a greater flexibility in understanding the expression of clinical disorders.

    Primary physicians are most likely to see these symptoms – chest pains, palpitations, dizziness, irritable bowel syndrome in their patients. Persistent expressions of these can actually indicate anxiety disorders expressed through bodily symptoms.€

    ‘Anxiety = subjective distress + physiological responses + escape behavior’. This is a good formula to understand what happens in all anxiety disorders. Subjective distress means the discomfort a person experiences. Along with this, to are all the physiological syndromes for which patients go to general physicians and this leads to escape behaviour, which makes the person slowly shrink away from more and more instances of daily life.

    Generalized Anxiety Disorder is the most common anxiety disorder. Given below are its  symptoms:

    €Excessive anxiety and worry occurring more days than not for at least 6 months about a number of activities is a common complaint. Patients can’t control the worry – interferes with functioning, but the thinking is not obsessional – generally they don’t have themes around dirt, contamination, aggression, impulses

    3 of the following for present for 6 months indicate GAD –


    Easily fatigued

    Mind going blank


    Muscle tension

    Sleep disturbance

    CBT or cognitive behavioural therapy can help to control the repetitive thoughts that a person feels, while the behaviour exercises help to stimulate and relax the person. Together they can channelize their anxiety and control it well and remove escape behaviour. In severe cases, anti-anxiety medication can be used to bring the person down to a level of control of anxiety where he or she can participate in therapy. There is a risk of overuse of such pills and should be used with caution.

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