Tag: Treatment

ALCOHOLISM IN INDIA

One of the most important products of global addiction demand is an alcoholic beverage. In developing countries like India, alcohol consumption tends to be a major problem because of the various socio-cultural practices across the nation, different alcohol policies and practices across the various states, lack of awareness of alcohol-related problems among the community, false mass media propaganda about alcohol use, various alcohol drinking patterns among the alcohol consumers and the emergence of social drinking as a habit because of the widespread urbanisation across the country. 

Social consequences of alcohol use

Alcohol consumption not only affects the individuals but also his family members get affected in one way or the other. The person in an intoxicated state may indulge in domestic violence with his family members; may exhaust the savings of the family, which can negatively affect the education of his children, and the children of alcoholic fathers will have strained relationship with their family members, which can affect their psychological wellbeing.

Road traffic accidents

One of the major problem of alcohol consumption are road traffic accidents which occur due to driving vehicles under the influence of alcoholic beverages. Both developing and developed countries report high rates of road traffic accidents because of alcohol consumption.

Primary care intervention for alcohol-related problems

In developing countries like India, primary care physicians are the first contact of patients with the healthcare system. primary care management of alcohol-related problems include three core steps, namely, counselling the patient on the ill-effects of alcohol and, if necessary, prescribing medications like disulfiram and connecting with the patients by organizing treatment programs and forming support groups. If necessary, they have to refer the patient to higher centres for further care and management.

BUT WHAT ABOUT PEOPLE WHO CAN’T AFFORD THESE TREATMENT AND SUFFERES FROM ITS CONSEQUENCES

In many countries AA Meetings are held for being a support emotionally and spiritually to an alcoholic person with no financial support and most of all countries it being held have not only they have accepted this but hole heartedly supported it some for their family members or some for their friends suffering from alcoholism.

What is AA?

Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others to recover from alcoholism.

The only requirement for membership is a desire to stop drinking. There are no dues or fees for AA membership; we are self-supporting through our own contributions. AA is not allied with any sect, denomination, politics, organization or institution; does not wish to engage in any controversy; neither endorses nor opposes any causes. Our primary purpose is to stay sober and help other alcoholics to achieve sobriety.

AA is nonprofessional – it doesn’t have clinics, doctors, counsellors or psychologists. All members are themselves recovering from alcoholism. There is no central authority controlling how AA groups operate. It is up to the members of each group to decide what they do. However, the AA program of recovery has proved to be so successful that almost every group follows it in very similar ways.

WHAT DOES A.A. DO?

  1. A.A. members share their experience with anyone seeking help with a drinking problem; they give person-to-person service or “sponsorship” to the alcoholic coming to A.A. from any source.
  2. The A.A. programme, set forth in our Twelve Steps, offers the alcoholic a way to develop a satisfying life without alcohol.

HISTORY OF AA IN INDIA

Here is an account of how AA came to India and it’s growth in the subsequent years. Though there are no accurate records from the early days, what is definitely clear is that Harold M., a school teacher by profession, was the first person in India, to stop drinking and gain lasting sobriety through the spiritual principles of Alcoholics Anonymous. He stopped drinking on 5th May 1957, and hence that date is nationally acknowledged as the “Founders Day” in India.

On 5th May 2021, AA completed 64 years of its service in India. Looking back, the results are heart-warming. The wide support and awareness generated by the groups in India and its members inspires immense hope for the future.

AWARENESS OF AA

In India, AA meeting is a program which mostly seen by people through foreign movies and shows not through advertisement or medical portals as its necessity seems nonsensical by people especially in India because of their traditional values about alcohol where some drinks it as a medicine and some as men for showing their authority and masculinity over others, stupid norms like that make bad habit like drinking into ADDICTION.

BODY DYSMORPHIC DISORDER(BDD)

Body Dysmorphic disorder is a mental disorder marked by an obsessive of perceived defects or flaws in once appearance. A flaw that to others is considered minor or not observable.

People suffering from BDD

  1. Can feel emotion such as shame and disgust concerning a part or parts of their body part and fixate on this.
  2. The obsession is so intense that the person repeatedly checks and compares the perceived flaw seeks reassurance sometimes for several hours each day.
  3. The person can also adopt unusual routines to avoid social contact that exposes the perceived flaw.
  4. This pervasive thoughts about their appearance and body image interfere with their daily life via
    • Educational
    • Occupational dysfunction and
    • Isolation

No matter how many times people assure them that there is no flaw, they cannot accept that the issue doesn’t exist.

The most common features about which people obsess includes:-

  • Nose
  • Wrinkles
  • Acne
  • Complexion
  • Blemishes
  • Hair
  • Skin
  • Vein appearance
  • Muscles size
  • Tone
  • Breast size
  • Buttocks
  • Genitalia

BDD is estimated to affect up to 2.4% of the population. The condition usually starts during adolescence affecting both men and women. BDD does not go away on its own if Untreated it may get worse with time leading to

  • severe depression
  • Anxiety
  • Substance abuse
  • Suicidal thoughts and behavior

Causes

The exact cause is unknown, but like every other disorder BDD may result from a combination of causes such as:-

  1. Brain differences
  2. Environmental factors; special if they involve negative social evaluations about the body or Self-image
  3. Childhood trauma
  4. Genetics; studies suggest that BDD is likely to run in family.

Certain factors that may increase the risk of developing the condition may include:-

  1. A family history
  2. Negative body image
  3. Perfectionism
  4. Negative life experiences such as bullying or teasing
  5. Introversion
  6. Media influence.

Symptoms

Extreme preoccupation with a perceived flaw in your physical appearance that appear minor to others for at least one hour a day. Attempting to hide perceived flaw with –

  • styling, makeup or clothes – to seeking plastic or cosmetic surgery,
  • avoiding social situations,
  • constantly comparing appearance with others,
  • always seeking assurance about appearance from others,
  • low self-esteem, compulsive behaviour such as skin picking and frequent clothes changing.

Extreme preoccupation with an appearance that interferes with social life work, school, or other functionality.

Diagnosis

A medical evaluation will be carried out other medical conditions after which further evaluation is carried out by a mental health professional.

Diagnosis is based on:-

  1. A psychological evaluation; which aims at assessing risk factors and thoughts feeling as well as behavior can be associated with a negative self-image.
  2. Personal, medical, family and social health history.

Treatment

Treatment option may include therapy and medication includes:-

  1. Cognitive behavioral therapy; that helps you learn how to cope and behave to improve your mental health
  2. Medications; such as SSRIs may help is control obsession and control repetitive behaviours

Psychiatric hospital may be suggested if the symptom is severe such as when you’re in immediate danger of harming yourself.

Famous personality with BDD

Here is a list of people with BDD;

  • Michael Jackson(singer, dancer)
  • Billie Elish (singer)
  • Robert Pattinson (from twilight)
  • Ileana D’Cruz (from Rustom)
  • Miguel Herrán (from money heist)

Narcissistic Personality Disorder

Narcissistic personality disorder or NDP is a personality disorder characterized by grandiosity. You may see it in people who have an inflated ego, with little regards to others. It is important to note that NDP is a psychiatric condition, and it is more complex than simply being arrogant. It’s distressing for those who have it and for those who’re around them. Hoping to shed some light on the condition, and sign that a person should seek help. While much of T.V and movies portray narcissism as people who feel like they’re better than everyone else, it’s usually not just the case.

What is narcissism?

Narcissism is a set of traits classified and studied by psychologists. The psychological definition of narcissism is an inflated, grandiose self-image. To varying degrees, narcissists think they’re better looking, smart and more important than other people and that they deserve special treatment.

Psychologists recognize two form of narcissism as personality traits:

  • Grandiose
  • Vulnerable

What is NDP?

  • NPD is a personality disorder in which the person feels self-important and craves constant validation.
  • Their feelings of superiority often hint at a deeper problem.
  • As their need of validation often comes from a place of insecurity and instability rather than genuine self love which they may not be aware of.

What causes NPD?

  1. While the cause of NPD is unknown, researchers believe that it has to do with a combination of genetic and environmental factors.
  2. It’s believed that 6% of people have this disorder. Men have a higher chance of this disorder than women.
  3. Some believe that NPD is developed to cope with trauma and feelings of inadequacy. Others believe it may be learned in early childhood from dealing with anything, from abuse to excessive pampering.
  4. There is even a debate as to how much of the disorder is passed down from parents to children acquiring the disorder.

What are the signs and Symptoms?

The feeling of grandiosity where they feel that they’re superior to others and low empathy are often seen in those with NPD; they don’t care much for others expecting to receive constant validation.

  • People with NPD feel as though they’re entitled to whatever they want which can be dangerous as it can manifest into toxic relationships.
  • They may manipulate others to get what they want.
  • They brag and exaggerate their achievements or feel envious of anyone that outperforms them, but deep down the person with NPD may be really dealing with their own feeling of inadequacy.

How to get help?

  • People with NPD may not seek help for the disorder itself as they may not know that there’s an issue.
  • Usually, people are diagnosed because they seek treatment for other issues such as depression or addiction.

However people who feel that they may have the condition and urged to reach out for help. NPD and the underlying feelings of inadequacy can be treated. It not only benefits the individual, but also to people around them.

What treatment options are available?

People diagnosed with narcissistic personality disorder will most likely work with a therapist using psychotherapy methods.

Other self-improving activities such as:-

  • Doing exercises and,
  • Hobbies may be used in conjunction with therapy.

Coming to a conclusion, we do live in a very materialistic and Consumersious society and as long as that’s the case, narcissism is going to win because it’s about putting yourself first and not caring as much about others. Not to mention people with NPD can be very generous when it’s going to get them what they need. They may buy everyone big dinners and take everyone on a big vacation so it creates this illusion that there’s lots of people all around them, because it’s all the stuff that they’re making possible for them. It’s important to know that treatment is available and that life can be made more manageable.

HISTOPLASMOSIS-SYMPTOMS,TREATMENT, DIAGNOSIS

BY DAKSHITA NAITHANI

INTRODUCTION

Histoplasmosis is a fungal infection caused by Histoplasma capsulatum, a fungus. Spores suspended in the air by birds and bats are frequently the source of this illness. If the infection is limited to the lungs, it is not dangerous. It might be deadly if it spreads across the entire body. This condition mostly affects immune-compromised people, most of who are suffering from AIDS.

Histoplasma capsulatum is a soil microorganism that is frequently linked with decomposing sediments. Infectious elements are frequently released by disrupted soil particles, which are breathed by humans and settle into their lungs.

Histoplasmosis is often known as the Darlings’ disease, after Samuel Darling, who first found the virus in Panama.

SYMPTOMS

Histoplasmosis is characterised by a high fever. The fungus Histoplasma causes no symptoms in the majority of persons who are exposed to it. Others may experience symptoms that subside on their own.   Coughing: Fatigue (severe exhaustion): Chills: Headache: Body aches: Chest pain Histoplasmosis symptoms might emerge anywhere from 3-17 days after a person inhales the fungus spores. These symptoms usually fade away in a few weeks to a month for most people. However, some people’s symptoms might persist much longer, particularly if the condition is acute. Histoplasmosis can cause a long-term infection in certain individuals, especially those with compromised immune systems, or it can move from the lungs to other regions of the body, such as the central nervous system.

RISK AND PREVENTION

If you’ve been in a region where Histoplasma is present in the environment, you can acquire Histoplasmosis. It I s frequently linked to soil disturbance, specifically soil containing bird and bat droppings. Certain persons are more likely to acquire severe types than others:

People who have weakened immune systems, for example, people who:

  • Are patients of HIV/AIDS
  • Had an organ transplant
  • Are taking medications such as corticosteroids or TNF-inhibitors
  • Infants
  • Adults aged 55 and older

Histoplasmosis cannot be transmitted from one person to another or between humans and animals through the lungs. The illness can, however, be transferred through a transplant with an affected organ in exceedingly rare circumstances.

In regions where it is prevalent, it might be difficult to avoid breathing it in. People with compromised immune systems should avoid undertaking behaviours that are known to be linked with Histoplasmosis in locations where it is present, such as:

  • Disturbing material where there are bird and bat droppings
  • Cleaning chicken coops
  • Exploring caves
  • Cleaning, remodelling, and  tearing down old buildings

Professional firms that specialise in the cleaning of hazardous material should clear up large volumes of bird and bat droppings.

TREATMENT AND DIAGONOSIS

Although direct diagnosis of Histoplasmosis (HP), one of the most common endemic mycoses in the world, is achieved by micro as well as macroscopic observation of Histoplasma capsulatum, serologic indication of this infection is important because etiologic agent isolation is time-consuming and unresponsive. To identify specific antibodies to H. capsulatum, a number of immunoassays have been utilised. Immuno-diffusion is the most often used technique for antibody detection, with a sensitivity of 70 -100 percent depending on the clinical form.

The complement fixation test, which was formerly widely employed, is less specific (60 – 90 percent). Immunoassays for detecting fungal antigens are particularly useful in patients with low immunity, with positive predicted results of 96–98%. The majority of modern diagnostic tests still use unpurified antigenic complexes derived from entire fungal cells or their culture filtrates. Clinical immunoassays employing highly pure and well-characterized antigens, including recombinant antigens, are now the focus.

For diagnosis doctors use your medical and travel history, symptoms, physical examinations, and laboratory testing. Taking a blood sample or a urine sample and submitting it to a facility is the most frequent way that healthcare practitioners test for Histoplasmosis.

Imaging studies, such as chest X-Rays or CT scans of lungs may be performed by your healthcare professional. A sample of fluid from your lungs is used or a tissue biopsy is performed, which involves taking a tiny sample of damaged tissue from your body and examining it under a microscope. Research facilities may also examine if Histoplasma may develop in bodily fluids or tissues.

 Symptoms may go away without therapy in some persons. To treat severe infection in the lungs, persistent Histoplasmosis, and infections that have moved from the lungs to other areas of the body, prescription antifungal medicine is required. Antifungal medications like Itraconazole are widely used to treat Histoplasmosis.  If you have a minor case treatment is typically not required. However, if your symptoms are severe, or if you have the chronic or disseminated type of the condition, you’ll almost certainly need antifungal medication. You may need to take medicines for three months to a year if you have a severe version of the condition.