Thursday, November 6, 2008

Psychosis: Causes and management

Psychological diseases are mainly two types –Neurosis and Psychosis. Now, the most frequently used word is psychosis. But many of us do no t know the actual meaning of it.There are number of misconceptions and false beliefs attached to it

The main symptom of psychosis is not able to recognize the facts and the individual is often of the opinion that his illusions only are the real things. That is why, he behaves peculiarly and abnormally. But he thinks that his behavior with others is quite normal and he usually refuses to go for treatment.

The other signs and symptoms of psychosis are:

1. He develops such abnormal thoughts like that his wife is having illegal sexual contacts with others.

2. Enemies are searching for him and also his family members.

3. He often thinks that he is having extraordinary powers or earning lots of amounts of money.

4. Others are having no business, except, always taking about him, including news papers and TV channels also.

5. The point of time of disappearing of this world is fast approaching.

6. He is of the strong opinion that he is fit for nothing, as he committed blunders.

7. He feels that he is suffering from number of diseases.

8. He thinks that many women are after him (loving him).

9. He strongly believes that somebody removing his original thoughts from his brain by various methods and forcing other thoughts into his brain. That is why others know his thoughts without revealed by him.

10. Others are controlling him, with the help of computers and other modern instruments.

11. They are under the wrong impression somebody are standing near by them and talking to them, (actually nobody is there). Even if we say, that nobody is there, they won’t accept the facts.

12. Sometimes, they talk to themselves and also do laughing and weeping, without any apparent cause.

13. They prefer to live in their own world.

Behavior pattern:

Sometimes, they run away from the homes and commit suicides. Often quarrel with others and also harm others.

Causes and the mechanism behind Psychosis:

1. Difference in the levels of –dopamine and serotonin, (the chemical products that are secreted in the brain), due to genetic, tensions, and bodily diseases also affect their secretary mechanism.

2. Injuries to the head

3. Taking alcohol and other narcotic drugs

4. Drugs ,using for fits ( in epilepsy)

5. Occurrence of excessive bleeding after delivery, in females.

6. Diseases affecting the brain.

7. Death of the nearest and dearest in the families and also in relatives.

8. Financial problems, quarrels in the families, failures in the competitive exams, etc.

9. Persons having weak bodies are more prone to psychosis.

Management of Psychosis:

1. Never tie them with chains (often done by the family members) when the patients behave rudely, instead tie them with clothes, if necessary.

2. Better approach the psychiatrist for counseling and for treatment.

3. There are best drugs available and the symptoms gradually disappear within 4-6 weeks. Even after curing of the disease, the treatment and counseling has to be continued further f0r 6-9 months, as there are chances of recurrence. If the disease doesn’t come under control, the treatment has to be continued for 2-5years, at least.

The most important thing here is the family members should have more patience and show kindness towards to the patient and deal with the patient with motherly love.

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Friday, March 21, 2008

Depression is more in older men

Older men aged over 65 are more depressed than normal men. Low levels of male sex hormone, Testosterone is responsible for depression in older men. Research findings were published in the “Archives of General Psychiatry”. Testosterone is a sex hormone that is responsible sexual drive in men.

Australian researchers of University of Western Australia conducted survey on 3,987 men aged 71 to 89 to find the causes of depression in older men. Old men who are under depression have low levels of male sex hormone, Testosterone. They have 3 times lesser levels of testosterone than healthier older men.

Depression affects more than 6 million Americans aged above 65. Women are under more depression until the age of 65 while men are depressed after the age of 65.

Normal testosterone levels in men: 300 to 1,000 nanograms per decilitre of blood. 25% of men over 60 generally tend to have low levels of testosterone (<300 ng). Depression and death is high in these men than those with normal levels of testosterone. Obesity, smoking and lack of physical exercise are some causes for low testosterone levels in men.

According to another study, low levels of testosterone raise death risk by 33%. Testosterone replacement therapy has shown beneficial effects on men with Alzheimer’s disease.

But scientists failed to explain the exact relation between Testosterone levels and depression in older men.