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Understanding CBT and Counseling Techniques used for Better Mental Health

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , on April 11, 2022| Leave a Comment »

Cognitive Behavior Therapy is recommended to clients to get the necessary treatment for their negative thoughts to bring about the desired positive change .

The key principle behind CBT is that our thought patterns affect our emotional understanding of the events which, in turn, can affect behavior and subsequent interaction with the people we interact with .

CBT also is believed to make us aware of our own negative emotions influencing our thought patterns .CBT helps us analyse and understand others behaviour as elicited by our own emotional understanding of the situation.

CBT highlights how negative thoughts can bring about negative feelings and actions.Similarly how negative emotions can interpret a positive event ,in negative tones . But, if we reframe our thoughts in a more positive way, it can lead to more positive feelings and helpful behaviors.Or if we work on developing positive emotions about ourselves and situations the thoughts will become more accepting .

While conducting CBT the therapist trains the patient to recognise such negative reading by his mind and how to reinterpret the situation with a positive frame of mind. The patient can continue to use these skills so learnt, in all difficult situations and overcome depression,anxiety or other mood disorders .

Depending on the issue the patient is dealing with and the expected specific goals of the CBT , the therapist can make use of several ways to administer CBT. It will basically involve :

  • identifying specific problems or issues in the client’s day to day life.
  • Helping the client become aware of unproductive thought patterns and how they can impact his or her life
  • identifying negative thinking and reshaping it in a way that changes how he or she feels
  • learning new behaviors and putting them into practice

After speaking with the client and learning more about the issue the client wants help with, the therapist will decide on the best CBT strategies to use.

CBT involves making use of the appropriate combination of a few the following 9 strategies:

1. Cognitive restructuring or reframing

This involves taking a hard look at negative thought patterns. When we tend to over-generalize, and apprehend that the worst is about to happen , or tend to get into too much details for every thing we do we find it difficult to act. Our thoughts can prevent us from doing what we want to do and create havoc in our life.

The therapist in this situation will help us identify the negative patterns of our thoughts and inaction . He trains us as to how to reframe those thoughts so they’re more positive and productive and propel our action taking connative behaviour.

For example: “I am not valued in my office because I’m totally useless” can become “I may not be the best worker , but I’m as valuable an employee as can be and I contribute the same way as others do .”

2. Guided discovery

In guided discovery, the therapist will acquaint himself with our viewpoint. Then he will ask questions designed to challenge our beliefs and broaden our thinking.

The client might be asked to give evidence that supports clients assumptions, as well as evidence that does not.

In the process, the client will learn to see things from other perspectives, especially ones that he or she may not have considered before. This can help client choose a more helpful path.

3. Exposure therapy

Exposure therapy can be used to confront fears and phobias . The therapist will slowly expose you to the things that provoke fear or anxiety, while providing guidance on how to cope with them in the moment.This can be done in small increments. Eventually, exposure can make us feel less vulnerable and more confident in our coping abilities whenever the anxieties build up.

4. Journaling and thought records

Putting down your thoughts in writing is a very simple yet effective way of getting in touch with your emotions.One can list down repeated negative thoughts that occur frequently and disturb your homeostasis .It will certainly help to write down your positive thoughts also as would be the inclusion of new thoughts and new behavior for day to day interaction.

5. Activity scheduling and behavior activation

When you are in a negative frame of mind you tend to put off activities in fear or in anxiety.Writing schedules of such activities and visualising them before you begin practicing them can give you the confidence .With such a positive confidence it becomes easy to overcome negative emotions connected with such activities.

6. Behavioral experiments

Behavioral experiments are used for anxiety disorders that involve catastrophic imagining . The psychologist here asks you to express your apprehension as to what will happen if you perform the given task that you otherwise have been dreading to perform. Once you have (reluctantly ) completed the given task you are asked to talk about whether the apprehension came true. Over time, you may start believing that your apprehensive anxiety is not very valid as nothing that you expected to happen actually took place.

7. Meditation, Relaxation and stress reduction techniques.

Perceptive meditation, progressive muscle relaxation and positive imagery building exercises are undertaken to bring about a total positive control over mind ,body and soul to eliminate the phobias,fears anxieties and depression.

8. Role playing

Role playing can help us overcome negative thinking , apprehension and work through difficult relationship and situations. A role play out done with the help of therapist can lessen fear and can be used for:

  • improving problem solving skills
  • gaining familiarity and confidence in certain situations
  • practicing social skills
  • assertiveness training
  • improving communication skills

9. Successive approximation through small successes

This involves taking tasks that seem overwhelming and breaking them into smaller, more achievable steps. Each successive step builds upon the previous steps so you gain confidence as you go, bit by bit.

To know more about CBT and undertake the same ,please get in touch with us mansikpramarsh@gmail.com

917314263087

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Perceptive Meditation and Mindfulness

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , , , , , on December 29, 2018| Leave a Comment »

download“Perceptive Meditation enables you live in and with your breath taking your mind away from your anxiety stress and worries of life .It empowers you to live in the moment with complete mindfulness of your soul ,body and mind “. Ramneek Kapoor.

What is Perceptive Meditation and What is Mindfulness ?

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“Perceptive Meditation is the intense involvement of body and mind into deep meditation on the psychic centres being fully aware of the moment and the breathe present in every living moment in its total intensity”

Mindfulness refers to the process of focussing complete attention to the present moment of life and living life in its every moment with complete awareness .This enables acceptance of life’s every moment in its totality and being aware of life in a non judgemental manner .In a way Perceptive Meditation and Mindfulness both work in the same direction for the same purpose.

How do Perceptive Meditation and Mindfulness help when Practiced together
  • Both are practiced with the mind fully present in the here and now
  • Perceptive meditation through the process of Srir Preksha {Perceptive Meditation on various parts of human body each focussed separately } helps the protagonist meditate on the various parts of the body to experience both the negative and the positive without reacting or expressing any likes or the dislikes, love or hatred for any part , making the journey of the mind through the pleasant or the unpleasant thoughts sans reactions and thus developing a feeling of equanimity in all kinds of circumstances. Mindfulness is similar way of experiences of the pleasant and unpleasant being fully aware and feeling unthreatened .
  • Perceptive meditation develops better connect to the self and in the process bringing better acceptance of the internals with the externals, and of the other humans in the world around with complete mindfulness
  • The process of practising deep meditation in total mindfulness of the psychic centres brings about a complete peace of mind, a better physical , mental and emotional health in the individual and empowers with the cosmic energy.
  • The process of kayotsarga ie, the progressive mindful journey on all the body parts and psychic centres to dissociate the psychic centres and body parts consciously from the mind brings about a total; celestial self-awareness
  • The process of Lesya Preksha (mindful perception of the celestial colourful lights )on the psychic centers brings about a total peace of mind, better mental and emotional health and develops acceptance of all kinds of ups and downs in life without extreme reactions , thus empowering the mind for better tolerance and understanding .
  • Mindful perceptive meditation of the psychic centres helps separate the thoughts from the emotions distinguishing imagined from the reality.
  • Mindful perceptions of the psychic centres teaches to the practitioner that everything is temporal and that everything changes; that same way emotions, thoughts and feelings are also short-lived and temporary like the weather.Nothing remains permanent .
  • Perceptive meditation with total mindfulness brings about better balance of mind and emotional stability.
  • Mindful Perceptive Meditation brings about serenity ,calmness and peacefulness.
  • The mindful perceptive meditation makes the practitioner aware of the negative and the positive both and trains to focus the mind on positives .

Perceptive Meditation, Mindfulness and Psychotherapy

preksha dhyanMindful Perceptive Meditation on Psychic Centres is a very powerful, evidence-based meditation tool for enhancing emotional ,psychological and mental health.

It has very successfully been used as an effective intervention in a wide range of clinical disorders, including bodily distress disorder,psychosomatic pains, chronic stress disorder, anxiety disorders, depression, PTSD, OCD, substance abuse, and other neurotic and psychotic disorders bringing relief to the affected .

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#MentalHealthMatters -How to balance your emotions

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , on August 15, 2018| Leave a Comment »

 

In this video, we talk about the importance of achieving emotional balance. Write to us at mansikpramarsh@gmail.com

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Understanding depression and finding a solution .

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , , , , , , on April 7, 2018| Leave a Comment »

Depression

Do you  feel sad stressed and down  sometimes,  it could be natural to have a low state of mind  for  day or two but if it  persists and  low mood lingers on for more than a week   or two it could be  depression. Major depression is an episode of sadness or apathy along with other symptoms that  stay with you  at least two weeks and  interrupt   your daily activities. Depression does not indicate weakness or   that you are a negative personality. all kinds of depression indicate some a major   health problem and needs to be treated medically .
Depression Symptoms: Emotional
The primary symptoms of depression are a  low and sad   and/or loss of interest in  day to day activities   of your  life. daily routine tasks  that were once pleasurable appear  much burdensome now .  a sense of guilt or worthlessness  prevails on the mind causing a  lack of hope, and recurring thoughts of death or suicide   can often trouble .
Depression Symptoms: Physical
Depression is sometimes linked to physical symptoms. These include:
•   tiredness, low  energy and fatigue .
•   sleeping very late in the night, early-morning waking and Insomnia.
• Excessive sleep  for long hours
• Persistent aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment
Depression can make other health problems feel worse, particularly chronic pain. Key brain chemicals influence both mood and pain. Treating depression has been shown to improve co-existing illnesses.
Depression Symptom:  
Changes in appetite , sudden changes in the body  weight are symptoms  of depression. Increased appetite, or loss of appetite .sudden and  serious   unexplained weight loss or weight gain.

Serious effects on daily routine of life.
Depression can cause loss of  careers, and strain relationships . Nothing seems good.    there is a complete loss of interest in pleasure  activities, including sex. In severe cases, depression can become life-threatening.
Suicide ideation can be sign of warning
Suicide  ideation is common amongst the depressed.  they often indulge in   talking about death or suicide.  they can get aggressive and  threaten to hurt people. This can be serious . You can immediately call 09179383554 to speak to us If   you ever think of or idealise suicide . We will help you overcome  such negativity.
Doctors   link the cause  of depression  to  altered brain structure and chemical function.   they are of the opinion that ,”Brain circuits that regulate mood may work less efficiently during depression.although it has not been conclusively proven in any validated research.   yet the Medicines  that treat depression are  prescribed  with the belief  to improve communication between neurons , making them function  normally. Experts also think that while   traumas caused by the stress of life  can trigger depression if and when  one is biologically prone and vulnerable  to develop the disorder. depression can also be caused by long term chronic disease , lack of vitamins  ,some of the  medications, alcohol or substance abuse,   thyroid, PCOS, hormonal changes, or even the season.
Diagnosing Depression:There is no   established  lab test for depression. There are a few tests developed by psychologists , make an accurate diagnosis, where the psychologists/  doctors analyse  a patient’s description of the symptoms  over a period of past two to six months . These tests will refer to your medical history, your mood history,  and  discuss   behaviors, and daily activities  which will help reveal the severity and type of depression . The test can also reveal anxiety and stress to find out the most effective treatment for depression.
Therapy for Depression
It has been observed  that various kind of  talk therapy can fight mild to moderate depression. Cognitive behavioral therapy helps analyse and change   thoughts and behaviors that contribute to depression. Interpersonal therapy identifies how your relationships impact your mood. Psychodynamic psychotherapy helps people understand how their behavior and mood are affected by unresolved issues and unconscious feelings. Some patients find a few months of therapy are all they need, while others continue long term.
Medications for Depression
Good follow-up with your doctor is importance. If the first medication tried doesn’t help, there’s a good chance another will. The combination of talk therapy and medication appears particularly effective.

The Role of Social Support
Because loneliness goes hand-in-hand with depression, developing a social support network can be an important part of treatment. This may include joining a support group, finding an online support community, or making a genuine effort to see friends and family more often. Even joining a book club or taking classes at your gym can help you connect with people on a regular basis.
Electroconvulsive Therapy (ECT)
Another option for patients with treatment-resistant or severe melancholic depression is electroconvulsive therapy (ECT). This treatment uses electric charges to create a controlled seizure. Patients are not conscious for the procedure. ECT helps 80% to 90% of patients who receive it, giving new hope to those who don’t improve with medication.

Preksha meditation :The Perceptive Breathing Technique Helps Fight Major Depression

preksha-meditation

Preksha meditation -The Perceptive Breathing technique can   bring down  the stress hormones in the central nervous system.

Preksha meditation -The Perceptive  breathing  exercises help alleviate severe depression, as has been proved by the treatment of many patients by  us who have long been under the treatment  of  medication  administering  medicines .

Most of our  patients  , had depression that had not responded to medication  even after a long treatment .The beneficial treatment   under Preksha meditation -shwas preksha -The Perceptive Breathing Technique conducted on a large group of patients , by us in our clinic reveal that :“a large number of patients not responding to the treatment of antidepressants and SSRIs , find the new technique of controlled breathing – under Preksha Meditation  shwas preksha  much more helpful  -The Perceptive Breathing technique   had in reality worked  best for each person to treat their  severe and chronic depression. Preksha meditation -The Perceptive Breathing Technique   comes out as the short term but long lasting promising, lower-cost therapy and a , non-drug approach for patients suffering from severe depression. .”

Preksha meditation  -The Perceptive Breathing Technique   can be learnt over a series of sitting sessions of Preksha meditation -The Perceptive Breathing Technique  in our clinic over a period of two to three months and the disease can be eliminated  completely.

The technique involves a series of   perceptive rhythmic breathing exercises designed to put the mind and body of the affected  in a tranquil, calm , peaceful , purposeful  and meditative state.

How can we help you:  our regular daily  sessions of preksha meditation , Kayotsarga ,counseling sessions/mental exercises   at Mansik Pramarsh is a specialist conducted  program for managing to overcome depression   . Hundreds have benefited, it is your  turn now.   come and join .Call 09179383554 or email : mansikpramarsh@gmail.com.

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Bipolar Disorder: What Is It? #WorldBipolarDay

Posted in daily writings and musings of the psychologist, tagged , , , , , , , , , , , , , , , on March 30, 2018| Leave a Comment »

bipolar disorder

Bipolar disorder, sometimes called manic depression, is a disorienting condition that causes extreme shifts in mood. Like riding a slow-motion roller coaster, patients may spend weeks feeling like they’re on top of the world before plunging into a relentless depression. The length of each high and low varies greatly from person to person.

Depressive Phase Symptoms: Without treatment, a person with bipolar disorder may experience intense episodes of depression. Symptoms include sadness, anxiety, and loss of energy, hopelessness, and difficulty concentrating. Patients may lose interest in activities that were once pleasurable. They may gain or lose weight, sleep too much or too little, and contemplate suicide.

Manic Phase Symptoms: During a manic phase, patients tend to feel euphoric and may believe they can accomplish anything. This can result in inflated self-esteem, agitation, and reduced need for sleep, being more talkative, being easily distracted, and a sense of racing thoughts. Reckless behaviors, including spending sprees, sexual indiscretions, fast driving, and substance abuse, are common. Having three or more of these symptoms nearly having three or more of these symptoms nearly every day for a week may indicate a manic episode.

Bipolar I vs. Bipolar II: People with bipolar I disorder have manic episodes or mixed episodes and often have one or more depressive episodes. People with bipolar II have major depressive episodes with less severe mania; they experience hypomania, a condition that is less intense than mania or lasting less than a week. Patients may seem like the “life of the party” — full of charm and humor. They may feel and function fine, even if family and friends can see the mood swing. However, hypomania can lead to mania or depression.

Mixed Episode: People with mixed episode experience depression and mania at the same time. This leads to unpredictable behavior, such as sadness while doing a favorite activity or feeling very energetic. It’s more common in people who develop bipolar disorder at a young age, particularly during adolescence. But some estimates suggest up to 70% of bipolar patients experience mixed episodes.

Causes of Bipolar Disorder: Doctors aren’t exactly sure what causes bipolar disorder. A leading theory is that brain chemicals fluctuate abnormally. When levels of certain chemicals become too high, the patient develops mania. When levels drop too low, depression may result.

Bipolar Disorder: Who’s at Risk? Bipolar disorder affects males and females equally. In most cases, the onset of symptoms is between 15 and 30 years old. People are at higher risk if a family member has been diagnosed, especially if it’s a first degree relative, but doctors don’t think the disorder kicks in based on genetics alone. A stressful event, drug abuse, or other unknown factor may trigger the cycle of ups and downs.

Bipolar Disorder and Daily Life: Bipolar disorder can disrupt your goals at work and at home. In one survey 88% of patients said the illness took a toll on their careers. The unpredictable mood swings can drive a wedge between patients and their co-workers or loved ones. In particular, the manic phase may scare off friends and family. People with bipolar disorder also have a higher risk of developing anxiety disorder

Bipolar Disorder and Substance Abuse: About 60% of people with bipolar disorder have trouble with drugs or alcohol. Patients may drink or abuse drugs to relieve the uncomfortable symptoms of their mood swings. This is especially common during the reckless manic phase.

Bipolar Disorder and Suicide

People with bipolar disorder are 10 to 20 times more likely to commit suicide than people without the illness. Warning signs include talking about suicide, putting affairs in order, and inviting death with risky behavior. Anyone who appears suicidal should be taken very seriously. Do not hesitate to call us at 09179383554 or the government helplines available free of charge in emergency situations.

Diagnosing Bipolar Disorder: A crucial step in diagnosing bipolar disorder is to rule out other possible causes of extreme mood swings. These may include brain infection or other neurological disorders, substance abuse, thyroid problem, HIV, ADHD, side effects of certain medications, or other psychiatric disorders. There is no lab test for bipolar disorder. A psychiatrist usually makes the diagnosis based on a careful history and evaluation of the patient’s mood and other symptoms.

Medications for Bipolar Disorder: Medications are key in helping people with bipolar disorder live stable, productive lives.

Talk Therapy for Bipolar Disorder: Talk therapy can help patients stay on medication and cope with their disorder’s impact on work and family life. Cognitive behavioral therapy focuses on changing thoughts and behaviors that accompany mood swings. Interpersonal therapy aims to ease the strain bipolar disorder may place on personal relationships. Social rhythm therapy helps patients develop and maintain daily routines.

Lifestyle Tips for Bipolar Disorder: Establishing firm routines can help manage bipolar disorder. Routines should include sufficient sleep, regular meals, and exercise. Because alcohol and recreational drugs can worsen the symptoms, these should be avoided. Patients should also learn to identify their personal early warning signs of mania and depression. This will allow them to get help before an episode spins out of control.

Electroconvulsive Therapy (ECT): Electroconvulsive therapy can help some people with bipolar disorder. ECT uses an electric current to cause a seizure in the brain. It is one of the fastest ways to ease severe symptoms. ECT is usually a last resort when a patient does not improve with medication or psychotherapy.

Educating Friends and Family:Friends and family may not understand bipolar disorder at first. They may become frustrated with the depressive episodes and frightened by the manic states. If patients make the effort to explain the illness and how it affects them, loved ones may become more compassionate. Having a solid support system can help people with bipolar disorder feel less isolated and more motivated to manage their condition.

When Someone Needs Help: Many people with bipolar disorder don’t realize they have a problem or avoid getting help. If you’re concerned about a friend or family member, here are a few tips for broaching the subject. Point out that millions have bipolar disorder, and that it is a treatable illness — not a personality flaw. There is a medical explanation for the extreme mood swings, and effective treatments are available.

How can we help you: Mansik Pramarsh program for managing Bipolar disorder is supported to help children and adults to overcome the symptoms associated with Bipolar by our regular daily counseling sessions/mental exercises/ preksha meditation and Kayotsarg. Hundreds have benefited, it is your /your child’s turn now.  Call 09179383554 or email: mansikpramarsh@gmail.com.

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