Tuesday, May 27, 2014

Bipolar disorder in Nepal,Disease of grandiosity and over familiarity

Rama, 16 year girl started to talk more for last 10 days. She is irretible, restless, do arguementive behavior and appear over confident. She started to tell “ I am a female leader, I am a actress”. She move here and there bought 10 pieces of umbrella from market for use. She likes red and yellow dress and appears more smart than past. Now she is busy watching movie, hindi dance programme in tv. She sleeps only 2-3 hours at night. She tells her family member everyone should follow her rule. Sometime she became violent and start to beat her father, mother, brother. Frequently she demanded delicious food. Day by day she appeared out of control. Finally she was brought to hospital. She was known that she has suffering from mania (mental illness).Now she is under treatment and getting Clinical features of mania Signs and symptoms of the manic include:  Euphoria  Extreme optimism  Inflated self-esteem  Poor judgment  Rapid speech  Racing thoughts  Aggressive behavior  Agitation or irritation  Increased physical activity  Risky behavior  Spending sprees or unwise financial choices  Increased drive to perform or achieve goals  Increased sex drive  Decreased need for sleep  Inability to concentrate  Careless or dangerous use of drugs or alcohol  Frequent absences from work or school  Delusions or a break from reality (psychosis)  Poor performance at work or school Bipolar disorder — sometimes called manic-depressive disorder — causes mood swings that range from of the lows of depression to the highs of mania. When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts in the other direction, you may feel euphoric and full of energy. Mood shifts may only occur only a few times a year, or as often as several times a day. In some cases, bipolar disorder causes symptoms of depression and mania at the same time. Although bipolar disorder is a disruptive, long-term condition, you can keep your moods in check by following a treatment plan. In most cases, bipolar disorder can be controlled with medications and psychological counseling (psychotherapy). Symptoms Depressive phase of bipolar disorder Signs and symptoms of the depressive phase of bipolar disorder can include:  Sadness  Hopelessness  Suicidal thoughts or behavior  Anxiety  Guilt  Sleep problems  Low appetite or increased appetite  Fatigue  Loss of interest in daily activities  Problems concentrating  Irritability  Chronic pain without a known cause  Frequent absences from work or school  Poor performance at work or school Other signs and symptoms of bipolar disorder Signs and symptoms of bipolar disorder can also include:  Seasonal changes in mood. As with seasonal affective disorder (SAD), some people with bipolar disorder have moods that change with the seasons. Some people become manic or hypomanic in the spring or summer and then become depressed in the fall or winter. For other people, this cycle is reversed — they become depressed in the spring or summer and manic or hypomanic in the fall or winter. Causes Several factors seem to be involved in causing and triggering bipolar episodes:  Biological differences. People with bipolar disorder appear to have physical changes in their brains. The significance of these changes is still uncertain but may eventually help pinpoint causes.  Neurotransmitters. An imbalance in naturally occurring brain chemicals called neurotransmitters seems to play a significant role in bipolar disorder and other mood disorders.  Hormones. Imbalanced hormones may be involved in causing or triggering bipolar disorder.  Inherited traits. Bipolar disorder is more common in people who have a blood relative (such as a sibling or parent) with the condition. Researchers are trying to find genes that may be involved in causing bipolar disorder.  Environment. Stress, abuse, significant loss or other traumatic experiences may play a role in bipolar disorder. Risk factors Factors that may increase the risk of developing bipolar disorder include:  Having blood relatives such as a parent or sibling with bipolar disorder  Periods of high stress  Drug or alcohol abuse  Major life changes, such as the death of a loved one  Being between the ages of 15 and 30 Complications Left untreated, bipolar disorder can result in serious problems that affect every area of your life. These can include:  Problems related to substance and alcohol abuse  Legal problems  Financial problems  Relationship troubles  Isolation and loneliness  Poor work or school performance  Frequent absences from work or school  Suicide diagnosis When doctors suspect someone has bipolar disorder, they typically do a number of tests and exams. These can help rule out other problems, pinpoint a diagnosis and also check for any related complications. These can include:  Physical exam. This may involve measuring your height and weight; checking your vital signs, such as heart rate, blood pressure and temperature; listening to your heart and lungs; and examining your abdomen.  Lab tests. These may include blood and urine tests. These tests can help identify any physical problems that could be causing your symptoms.  Psychological evaluation. A doctor or mental health provider will talk to you about your thoughts, feelings and behavior patterns. You may also fill out a psychological self-assessment or questionnaire. With your permission, family members or close friends may be asked to provide information about your symptoms and possible episodes of mania or depression.  Mood charting. To identify exactly what's going on, your doctor may have you keep a daily record of your moods, sleep patterns or other factors that could help with diagnosis and finding the right treatment. Treatments Bipolar disorder requires lifelong treatment, even during periods when you feel better. Treatment is usually guided by a psychiatrist skilled in treating the condition. You may have a treatment team that also includes psychologists, social workers and psychiatric nurses. The primary treatments for bipolar disorder include medications; individual, group or family psychological counseling (psychotherapy); or education and support groups.  Hospitalization may be needed if you are behaving dangerously, you feel suicidal or you become detached from reality (psychotic).  Initial treatment generally involves taking medications to balance your moods right away. Once your symptoms are under control, you'll work with your doctor to find the best long-term treatment.  Continued treatment (maintenance treatment) is used to manage bipolar disorder on a long-term basis. People who skip maintenance treatment are at high risk of a relapse of symptoms or having minor mood changes turn into full-blown mania or depression.  Substance abuse treatment may be necessary if you have problems with alcohol or drugs. Otherwise, it can be very difficult to manage bipolar disorder. Lifestyle and home remedies You'll probably need to make lifestyle changes to stop cycles of behavior that worsen your bipolar disorder, and to make sure you get the support you need from people in your life. Here are some steps to take:  Quit drinking or using illicit drugs. One of the biggest concerns with bipolar disorder is the negative consequences of risk-taking behavior and drug or alcohol abuse. Get help if you have trouble quitting on your own.  Steer clear of unhealthy relationships. Surround yourself with people who are a positive influence and won't encourage unhealthy behavior or attitudes that can worsen your bipolar disorder.  Get regular exercise. Moderate, regular exercise can help steady your mood. Working out releases brain chemicals that make you feel good (endorphins), can help you sleep and has a number of other benefits.  Get plenty of sleep. Sleeping enough is an important part of managing your mood. If you have trouble sleeping, talk to your doctor or mental health provider about what you can do. Coping and support Coping with bipolar disorder can be challenging. Here are some things that can help:  Learn about bipolar disorder. Education about your condition can empower you and motivate you to stick to your treatment plan. Likewise, help educate your family and friends about what you're going through.  Join a support group. Support groups for people with bipolar disorder can help you connect to others facing similar challenges and share experiences.  Stay focused on your goals. Recovery from bipolar disorder can take time. Stay motivated by keeping your recovery goals in mind and reminding yourself that you can work to repair damaged relationships and other problems caused by your mood swings.  Find healthy outlets. Explore healthy ways to channel your energy, such as hobbies, exercise and recreational activities.  Learn ways to relax and manage stress. Yoga, tai chi, meditation, or other relaxation techniques can be helpful.

1 comment:

  1. Hi, there. I am Tom Neil and I wish to describe how life had been for my younger brother living with schizophrenia and how he had been permanently able to overcome this debilitating disease via a naturopathic, herbal method.

    Maicon - my kid brother was twenty years old when he was brought to the emergency room by the campus police of the college from which he had been suspended several months ago. A professor had called and reported that he had walked into his classroom, accused him of taking his tuition money, and refused to leave.

    Although he had much academic success as a teenager, his behavior had become increasingly different during the past year. He cease noticing his friends and no longer seemed to care about his appearance or social pursuits. He began wearing the same clothes each day and seldom bathed. He lived with several family members but rarely spoke to any of them. When he did talk to them, he said he had found clues that his college was just a front for an organized crime operation. He had been suspended from college because of missing many classes. My sister said that she had often seen him mumbling quietly to himself and at times he seemed to be talking to people who were not there. He would emerge from my room and ask my family to be quiet even when they were not making any noise.

    My father and sister told the staff that Maicon's great-grandmother had had a serious illness and had lived for 30 years in a state hospital, which they believed was a mental hospital. Our mother left the family when Maicon was very young. She has been out of touch with us, and they thought she might have been treated for mental health problems.

    Maicon agreed to sign himself into the psychiatric unit for treatment. The whole family except I had agreed to have Maicon transferred to a mental asylum. I knew inwardly there was still some plausible means by which my kid brother could overcome this condition. I knew botanical means of treatment will be more favorable than any other type of treatment, and as such, I had taken a keen interest in the research of naturopathic alternative measures suitable for the treatment of schizophrenia. I had pleaded for some little patience from the family in the delay of the transfer, I was looking forward to proving a point to the entire family, of a positive botanical remedy for this condition.

    It was during my ceaseless search on the internet I had been fortunate enough to come across Dr. Utu Herbal Cure: an African herbalist and witch doctor whose professional works had majored on the eradication of certain viral conditions, especially schizophrenia, ( improving the memory capacity positively), via a traditional, naturopathic process and distinguished diet plan. It was by the administration of this herbal specialist that my brother had been able to improve his condition for better.

    Before the naturopathic remedy - Maicon's story had reflected a common case, in which a high-functioning young adult goes through a major decline in day-to-day skills. Although family and friends may feel this is a loss of the person they knew, the illness can be treated and a good outcome is possible.

    My brother Maicon is just like many other patients out there suffering from this disease. Although he was able to overcome this condition via a naturopathic herbal remedy administered by this African herbal physician and saved completely thus, rekindling the lost joy which had been experienced by the family members.

    I wish to use this opportunity to reach across to anyone who may happen to be diagnosed with this disastrous condition to spread the hope of an everlasting herbal remedy that is capable of imposing a permanent end to this disease.

    For more information concerning this naturopathic herbal remedy, feel free to contact this African herbal practitioner via email:
    drutuherbalcure@gmail.com

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