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Posts Tagged ‘psychiatry’

pm2Ashu (name changed) could not do anything in life ever since he had been diagnosed of schizophrenia by the psychiatrist. He had been prescribed psychotic medicines by different psychiatrist doctors wherever his family had taken him to them .Yet nothing helped. His fears and phobias had worsened with time. The voices in his head continued disturbing him. His logical cognitive ability had been completely distorted and for him all the delusions had become the real images and characters.

meditation singleSimilarly Sheena (name changed) continued with the fear and phobia of persecution at the hands of a person who had long moved out of her life five years ago. Sheena had been diagnosed of delusional disorder (a psychotic disorder).Her life had become completely miserable as she would often get lost into her phobia and would not be able to conduct her normal day to day routine life.

Schizophrenia is a psychiatric disorder that disables and distorts the logical thinking and cognition of the individual affected by this chronic brain disorder involving “positive” and “negative” symptoms.

Positive symptoms relate to hallucinations (hearing voices or seeing visions that aren’t real), delusions (fixed false beliefs), and disorganized thinking or speech. People suffering from active positive symptoms often respond to those symptoms in ways that are obvious to others around them (e.g., agitation, disorganization).Ashu, mentioned above had suffered from imaginative voices in his head hearing that someone is out to prosecute him and that he would be sent to prison. While these thoughts were not visible to others but he often complained of hearing voices and attributed the voices to one of the persons he had been dealing with in his family business.

Negative symptoms relate to substantial decline in the affected person’s social interactions, communication, and motivation to conduct day to day affairs. Sheena had displayed negative systems when she had been referred to us for, a “split personality.” behavior, but Schizophrenia has nothing to do with split personality. She had been suffering from delusional disorder, a kind of schizophrenic psychotic disorder.

Ashu and Sheena both exhibited resistance to antipsychotic medications and their family members were definitely at a stage when nothing could help them. Ashu did sometimes show partial improvements only to go back to from where it had all started. We noticed that Sheena’s problem continued to be more chronic and affected all aspects of her life. She did not respond to any psychotic medications being administered by the psychiatrist.

But both Sheena and Ashu found it difficult to establish and maintain relationships within the family and externally. They were unable to carry on their day to day work on account of mood swings and delusions that would take a toll of their logical thinking. Both had virtually cut themselves off socially. Their disordered thought process prevented them to understand that they were not normal in their thinking faculty like other people in their lives. Their family too found it quite an uphill and expensive task   to follow the treatment handed out to them by the doctor every fortnight on account of heavy cost and also due to the patient’s refusal to take the medication.

We decided to make good use of Mindful Perceptive Meditation Therapy and Cognitive Behavior Therapy together to treat both Ashu and Sheena regularly on every alternate day basis in order to maintain regularity and without giving them a chance to revert to their pre conditioned schizophrenic way of thinking and cognition. Initially we found it difficult to communicate with the subjects as they would either not come for counseling or if they had come, they would not pay attention to what was being discussed. Gradually they started to respond to our instructions. We had begun the treatment with “Shwas Preksha ‘(Mindful Perceptive breathing exercise on the psychic centers) conducted under the watchful eye of the expert instructor. Soon we started noticing a significant improvement in both of our clients.

Thereafter we had begun with them the activities of “Mindful Perceptive Meditation” which involves both body and mind into deep meditation on the psychic centers, being fully aware of the moment and the breathe present in every living moment in its total intensity”. This continued along with the regular exercises of Kayotsarga to provide the much needed peaceful perception of the body through mind. Kayotsarga is a process of meditation that dissociates the physical body from the mind and it puts the muscles of the body to   complete rest progressively, somewhat similar to progressive muscle relaxation technique.

Peaceful-Mind-Remedies-South-Croydon-426x426Soon a very significant improvement could be noticed in certain negative symptoms, (e.g., negativity about self and family, sense of doom, lack of interest in surroundings and /lack of drive) started yielding to positive thoughts on all these issues .The clients did respond well as we noticed Ashu and Sheena both had begun looking at the positive aspects of their life. Their sense of appreciation for some aspects of their lives could be felt in their daily interaction with us. We could see their interest reviving in their day to day life too exhibiting positive symptoms.

These results had further been strengthened by the process of Mahaprana  Dhwani {greater inner sound effects  produced by the help of mouth and nose while exhaling  the breath by the patients }reformed  on all psychic centers during the process of deep perceptive breathing exercises and exhalation  undertaken by the patients.

Mindful Perceptive Meditation and CBT has been very effectively used by us in a variety of psychiatric/psychological disorders .We had used Mindful Perceptive Meditation and positive affirmative techniques to enable the affected person correct the functioning of endocrine glands producing negative steroids and emotions and subsequent faulty thought process .The practice of CBT generates critical cognition of actual position of the situation and helps analyze all kinds of thoughts with objectivity and factual back up. The Mindful Perceptive Meditation therapy supports written affirmative statements about the self and situations which would be given as homework exercises and are reviewed later with the clients. The whole process was focused on changing the negative perceptions about self and situations to positive emotions and thoughts.

Generally a patient requires 50 to 60 sessions over a period of three to four months. But in severe cases the sessions (each running for 45 minutes to one hour) can go up to 90 to 120 sessions over a period of 6 to 9 months’ time like it had been extended in these two cases for up to 6 months.

It gives us greater satisfaction and happiness that eventually after a hard work of six months , the patients had been cured of their problems to a large extent and with the help of their family and friends,  the process of rehabilitation  of both of  them into the family and society had been achieved.

We have   been making use of Mindful Perceptive Meditation and Cognitive Behavior Therapy successfully in many other cases of depression, anxiety, stress and many other psychotic disorders and many have been restored to their normal life.

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.

If you have someone in the family suffering from any such disorder,Come and discuss with us how to proceed.

You take the first step today and  we help you  find the much needed happiness.

Call  on us @9179383554 or write to us @ mansikpramarsh@gmail.com

-Ramneek Kapoor – Family Therapist, Psychologist Counselor and Science of Living Expert.

 

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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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Continuing from my last post  about self acceptance ……  I have observed that many a times”WE All” surrender to the negativity in weaker moments of life and then allow the nihilistic attitude to overtake our body, mind and all faculties . The shadow of doubt arises from the fact that we do not want to face our own self in these weaker moments thus losing control and surrendering  with humble submission . We do not try to resurrect the position by reviving the natural powers that the nature has bestowed us with . These powers are the :

  • power of mind
  • power of brain
  • power of determination ( resolution )
  • power of  karma
  • power of positivity.

  In my article Accept Yourself…….. all we are doing is to enhance the self image and self esteem and  convert the negativity of life to living our life in positive emotions through daily  self acceptance  practices . By way of writing and stating   the obvious power we all possess  we shall be increasing our own acceptance from the inner strengths before we move to the external world.

Just remember that we are weakling physically as  compared  to  even a small ant that can carry a load of  12 times its own weight  while moving . obviously we cannot do that . Same way we can not bear and tolerate the   stringent weather and vagaries of nature like a small plant or a tree can do . The small plant  outside our window or a tree in the courtyard cam  stand through the storm,  heat, sunshine, rain,  or the cold and still give its best back to the nature. We can however win in all situation because we have the power of the mind ( the desire ) that made us look for the ways to control the nature . This strong mind enables us to find our way in the mountainous region by making tunnels, ropeways, circular roads and by even destroying the  mountain if it stood in the way. We by our power of mind have controlled all elements  of nature eg.   the sun,  the wind, the  sea and  below the surface element by making them useful to the mankind. our mind desired and the brain got busy  working full time to meet  and fulfill the desires   of the mind. Hence in the previous post I had asked you to begin accepting yourself by recognising and recalling the power of your own mind.

Let us once again do the same exercise once again in the manner we had done last week :  take a pen and paper  and start writing the following powerful positive statement  about yourself :

I am a powerful person I have the power of mind .  

Continue writing a full page .  Having completed writing  please place aside the pen and the paper.

We will now  meditate on this .

  • please sit in a comfortable  position wherever you are , keeping your   back straight but comfortable.
  • Place your right hand on your heart and the left hand four fingers below your navel in the middle of the stomach.
  • be at your ease.
  • close your eyes softly
  • and   start breathing.
  • let your mind  travel from the  lower left hand    to the top of your forehead  while  inhaling  and let the mind travel back to the bottom of the left hand on the stomach while exhaling . continue the process for five minutes.
  •   after five minutes are over just  relax  for a while.
  • open your eyes.
  • pick up the page on which we had done the  writing today.
  • Start reading loudly the  words and sentences written by you on the page like you are memorising every word written there. Do not let your eyes and mind wander from the written words even for a wink of a second . let the words  be imprinted on your mind   completely .
  • having finished , close the eyes again and reflect on the words spoken by you.

Get up after a while………, you will gradually start feeling good , about yourself  after a few days exercise  ?

We regularly conduct Preksha Meditation classes at Alka Mansik Pramarsh Foundation and our experiences reveals that  the meditation of  self-acceptance makes  people gain positivity and happy state of mind which can  not  be  compared to others because in this there is no , “other”. The learning    of the self can definitely be compared to the learning of the  new things and being part of something bigger, some sacred   and celestial    happiness and satisfaction.Come and learn with us the  daily  self acceptance practices that result into  psychological  and emotional healing.

Ramneek kapoor,Clinical Psychologist and family Therapist,Science of living ,Preksha Meditation expert.

 

 

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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. In any given year, bipolar disorder affects more than 2% of American adults.

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. Mood stabilizers can smooth out the cycle of ups and downs. Patients may also be prescribed antipsychotic drugs and anticonvulsant drugs. Between acute states of mania or depression, patients typically stay on maintenance medication to avoid a relapse.

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.

Courtesy : http://www.webmd.com/bipolar-disorder/ss/slideshow-bipolar-disorder-overview

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“She sleeps early  in the evening and gets up around midnight  . She is compulsively obsessed with the thought of cleaning her entire house every night . She will wake up her kids and husband , disturb  them    from their sound sleep and carry out with her task of washing and sleeping irrespective of the fact that her  act causes distract and distraught to her family members”.

“This man is always anxious that   he has not been able to  achieve any thing in  his life and hence the very thought disturbs him leading him to weeping anxiety about himself. He often gets up in the middle of the night thinking some thing will happen to his family and hence  double checks that every thing  is in order”  .

” She knows that she is in love with him but she is obsessed with the thought that  he does not match up to  her good looks and family standards , hence she loses her   peace of mind and gets up  in the middle of-the night worrying  about the opinion of family and friends”.

Every individual has a sense of anxiety and mistrust inbuilt within the personality. It is many a times noticed that people  occasionally have to go back and double-check that  the gas stove has been put off, car doors have been locked , a tap has been closed or a  fan has been switched off .  There is nothing to worry if it is done as a gesture of ensuring safety.   But for    some of those   people who suffer from obsessive-compulsive disorder (OCD), the degree of their obsessive feelings and repetitive compulsive behavior become very dominating and extreme. Their thoughts and the desire to perform same tasks repeatedly and obsessively interfere with their daily routine making it difficult to lead a normal family life.

The person, who suffers from the obsessive-compulsive disorder, may feel isolated, helpless, anxious and irritated and feel compelled to perform the same rituals, tasks and actions over and over again. His or her  anxiety may lead to many kinds of personality disorders, depression and a sense of inadequacy. Such obsessive disorder may need psychological, psychiatric and clinical help depending upon the intensity of OCD.   The first help is always obtained by understanding as to what  is obsessive-compulsive disorder (OCD)?

 Understanding Obsessive-Compulsive Disorder:  (OCD) is a form of an anxiety disorder. It gets expressed in individual sufferers   by way of uncontrollable, unwanted thoughts appearing in their minds repetitively and accompanied by their ritualized behaviors; the individual may feel compelled to perform. The person having OCD, may recognize the fact his or her obsessive thoughts and compulsive behaviors are absurd. But even so, the sufferer is unable to resist them and break free.

Obsessive-compulsive disorder (OCD) becomes the cause of the brain getting engaged time and again on a particular thought or urge. For example, the person may  wash hands  repeatedly  until the hands get hurt , or may go back to car garage time and again to check that the car doors have been locked , may bite the nails so much that the fingers turn red and bloodied , may  rub hands in despair and even may  sweep floors , wash the dirt of the furniture repeatedly.

How to spot OCD

People with OCD normally have unreasonable fears (called obsessions) which they try to reduce by performing certain behaviours (called compulsions).

OCD is thought to affect around 2.3% of people at some point in their lives.

Most people develop symptoms before they are twenty-years-old.

Perhaps the most familiar example is people repeatedly washing their hands (a compulsion) to avoid getting a disease (an obsession).

That said, though, some people are considered to have OCD despite ‘only’ having obsessions or ‘only’ having compulsions.

Around 70% have both obsessions and compulsions, 20% just obsessions and 10% compulsions alone.

As with most psychological problems, OCD involves normal fears which are taken to extreme.

It’s perfectly normal to be worried about disease, but extremely inconvenient to wash your hands 300 times a day.

Both obsessions and compulsions are a matter of degree.

Once it’s causing problems in everyday life, it needs addressing.

Here are some common obsession:

  1. Need for orderliness and symmetry.
  2. Fear of dirt or contamination by germs.
  3. Excessive doubt.
  4. Fear of sinful or evil thoughts.
  5. Fear of making a mistake.
  6. Fear of harming another person.
  7. Thinking about acting inappropriately or shouting obscenities.

Here are some typical compulsions:

  1. Getting mentally ‘stuck’ on certain images or thoughts that won’t go away.
  2. Repeated hand-washing, showering or bathing.
  3. Repeating particular words or phrases.
  4. Always arranging things in a certain way.
  5. Constant counting during routine tasks, whether mentally or out loud.
  6. Performing tasks a certain number of times.
  7. Always checking things like locks or ovens.
  8. Collecting or hoarding things with no value.

Most people are fully aware that their thoughts and/or behaviours are unreasonable, some are not.

Stress normally makes the symptoms of OCD worse.

Around one-third of people with OCD also make repeated sudden movements or sounds.

These are called ‘tics’.

It’s not known exactly what causes OCD, but it’s likely a combination of genetic and environmental factors.

In other words: it runs in the family and it’s likely brought on by stress.

Typically, people are treated with medication and cognitive-behavioural therapy.

There’s some question over whether medication really helps much.

Psychological therapies, though, are usually helpful.

Therapy often involves learning to tolerate anxiety without performing the ritualised behaviour.

While most people are not cured, the majority can learn to manage the symptoms and live a normal life.

After treatment, most people see a substantial reduction in their symptoms.

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