CLINICAL COUNSELLING

“Failure is so common a human experience that what distinguishes us from one another is not that we fail but rather how we respond when we do.”

Guy Winch

IDENTIFIABLE SIGNS AND SYMPTOMS

Stress is a response to a situation of stress. Stress has healthy and unhealthy sides to it. The eustress is healthy and motivates a person to start working but the other side is distress which affects a person and can lead to avoidance of the situation, work or people and long term stress can lead to anxiety. Toxic work environments, conflict ridden situations, peer pressure and so on can lead to stress and at times burn out can also take place. Experts at Inside You will help you understand your stress pattern and find coping mechanisms which suit you as an individual.

Grief is a normal response to loss. It can cloud one for some time but grief becomes pathological when a person isn’t able to enjoy life due to the loss and is not able to move on with life. But the person’s sleep and appetite need to be normal according to their usual pattern and in many cases grief can lead to depression so approach us before it gets to that level.

TYPES OF MENTAL ILLNESS

Substance misuse and different types of addictions are progressively being perceived as worldwide issues and are related with a scope of physical, mental, social and word related issues. Looking for medications for substance use and de-habit can be both discouraging  and disappointing. We accept that there are numerous intercessions, which whenever given in a viable and opportune design, can propel an individual to rethink his/her substance use propensity, make way of life changes, and learn elective methods of delight chasing and adapting. We chip away at the reason that people and gatherings, if fittingly helped are equipped for constructive change. Our accentuation on the individual yet rather adopt an incorporated strategy and give help to relatives to engage them and empower them with devices to think about their nearby ones experiencing substance use and addictions too.

Anxiety is portrayed by sentiments of worry, distress and elevated concern. It is a reaction to stressful situations.  It can niggle at the edges of the brain, at times flooding in to overpower the faculties with extreme fear, dread or frenzy. At whatever point you’re being compromised – or feeling forced or powerless – anxiety is a totally ordinary reaction to push. However for some individuals, anxiety waits on long past the time it’s required. A delayed episode of anxiety can genuinely meddle with your capacity to work in everyday life, and furthermore negatively affect your connections. We at Inside You perceive these issues and empower you to recapture control by bridling your body-mind inward quietly, and encourage having the option to carry on with an increasingly adjusted, enabled life. Notwithstanding mental consideration where required, our group gives explicit mediation approaches including subjective conduct and unwinding systems for a wide scope of conditions related with anxiety – be it alarm issue, summed up anxiety or fear.

Panic Disorder is acute, it is characterized by uncontrollable episodes of fear that trigger severe physical reactions and there is no specific reason behind its occurrence. This is important to keep in mind that panic disorder and panic attack are different. Panic attacks are abrupt surges of intense fear or intense discomfort that reach a peak within minutes, accompanied by physical symptoms. If panic attacks are left untreated for a long duration it can lead to panic disorder.

It is a disorder that can be understood as irregular eating habits and body image issues. During this illness, a person’s mind is often preoccupied with thoughts associated with either food or their body weight. Depending upon a particular patterns, the most common types of this disorder are, anorexia nervosa and bulimia nervosa 

Anorexia Nervosa  is a disorder that can be understood as having low body weight due to distorted ideas of body image. Usually a person with this has an obsessive fear of weight gain. Person having this disorder engages in excessive exercise and significantly low intake of food.

Bulimia Nervosa is a disorder where a person undergoes recurrent episodes of binge eating (eating excessive amounts of food) followed by engaging in activities such as induced vomiting, excessive exercising , fasting or engaging in laxatives. Often the starvation that is caused due to fasting, vomiting or starving leads to these binge eating episodes, leading to the formation of a cycle of binge eating-starvation- binge eating.

Body dysmorphic disorder (BDD) is a complex disorder characterized by persistent and intrusive preoccupations with an imagined or slight defect in one’s physical appearance. People with BDD have negative thoughts about any part of their body. In reality, a perceived defect may be only a slight imperfection or nonexistent. But for someone with BDD, the flaw is significant and prominent, often causing severe emotional distress and difficulties in daily functioning. Due to the belief that they look “hideous,” individuals with BDD suffer from overwhelming distress and can have trouble focusing on anything besides their perceived defect(s). At Inside You, we assist you by first understanding the cause behind the defect and help you reach a point in place where you can get comfortable and accept the defect and you are okay with being an imperfect human.

The somatoform disorders are a group of psychological disorders in which a patient experiences physical symptoms that are inconsistent with or cannot be fully explained by any underlying general medical or neurological condition. It is characterised by many different physical complaints. Somatoform usually begins in adolescence and it takes long term therapy to treat this condition. With medication and long term therapy one can feel relief. It requires a level of openness to talk and approach the underlying issues. 

In dissociative disorder, the person avoids stress by dissociating or escaping from his or her identity. The person otherwise still has an intact sense of reality. This disorder is commonly known as Multiple personality disorder. This disorder includes dissociative amnesia which is characterized by inability to recall past experiences and this amnesia is not due to neurological reasons. Dissociative fugue involves amnesia that accompanies a sudden, unexpected moving away from home. In this state, the person is confused about his/her identity and may even assume a new identity. Other types are Dissociative identity disorder and depersonalized disorder. To understand this disorder better you can watch the movie Sybil.

Depression usually involves feelings of extraordinary sadness and dejection. The essential feature is at least a two-week period during which there is a prominent and relatively persistent depressed mood (constant sadness, not like 1-2 days of sadness rather sadness as the only state of mood), or loss of interest in activities you used to enjoy before. Other indicators or signs can be appetite disturbances, substantial weight changes, sleep disturbances, decreased energy, feelings of worthlessness or excessive guilt, difficulty concentrating or thinking, or thoughts of death. The intensity and degrees of this phase/episode can vary individual to individual and it requires individual care and assistance. We at InsideYou have trained specialists to assist you and please contact us as soon as you experience any other indicators. Remember, you don’t have to go through it alone, we will assist and help you come out of it. At times, taking medication is also a good idea. To understand more about depression please watch: https://youtu.be/XiCrniLQGYc (I had a black dog, his name was Depression)

In bipolar disorder, the person has a severe mood shift between two mood states/episodes, which are: manic and depressed states.  To have bipolar, the person should have at least 1 episode of manic state. If a person has a depressive state then it is a unipolar mood disorder and not bipolar because bipolar means two poles which are completely different from each other. Mania states include periods of elevated mood or irritability and depression state includes persistent feelings of sadness and worthlessness and a lack of desire to engage in formerly pleasurable activities. The famous singer Demi Lovato (please read about the case if you want more insight) went through Bipolar disorder and it is okay to get treatment .

A personality disorder is a pattern of behavior that is inflexible and maladaptive, causing distress and/or impaired functioning in at least two of the following: cognition, emotions, interpersonal functioning, or impulse control. There are ten personality disorders and out of which four are common namely most common ones are schizoid, narcissistic, borderline and antisocial. It takes long term therapy for personality disorders and it requires family support or family therapy as well at times.

Schizophrenia is a disorder that can be understood as the distortion of a person’s reality. This disorder impacts a person’s ability of thinking, feeling and behaving by changing the reality that they see, believe and react to. Schizophrenia occurs due to  the combination of both physical environment and altered brain chemistry. Some of the common symptoms are: people begin to see people or hear voices   of people who are necessarily not there, they begin to believe in reality that doesn’t exist such as someone is after their life or a celebrity is in love with them. Often this disorder can be reflected in their physical appearance such as they show no facial expression, are confused. In few of the cases their body

becomes so stiff that they don’t move for days or show any reactions. However with the correct combination of medicine and counselling , a person with this disorder can be helped. For better understanding please watch the movie Beautiful mind (It can give you partial idea about the disorder)

We all have come across scenarios where we feel the need to re-check the doors or almirahs to see whether it is locked or not, re-check the gas stove just to be sure that it’s off. So if one likes to understand ocd, in simple words it can be understood  as a disorder where a person feels the need to perform such routines repeatedly  which is known as compulsion. Often these compulsions are the result of repeated unreasonable thoughts in one’s mind  that characterises obsessive . Sometimes the obsessive thoughts can occur independently or can lead to the compulsive behaviour which often leads to the relief of obsessive thoughts. The common symptoms are: excessive washing or cleaning caused due to fear of germs, arranging order in symmetry

Every child facing issues isn’t particularly going through mental illness. Some children need acceptance and understanding whereas others might need some psychoeducation on different phases of life. Children who are disinterested in play, those who are unable to spt good things about themselves, the ones who don’t have friends and so on. They might need help in different respected areas of life such as communication, assertiveness, language to express and understand their own emotion, psychoeducation about menstruation, sensitisation for different genders and motivation to overcome failure. Children and Adolescents are at the receiving end of various traumas and this can lead to long term effects unless they are dealt and coping mechanisms are taught to them.

Autism is a developmental disorder that affects communication and behavior. Every child with Autism is different and the way it is shown in their way of communication, relating and social interaction will be unique. Some of the ways to check for indicators are a highly visible lack of verbal and non-verbal communication. Children with Autism may experience limited desire to engage in social interaction, trouble adapting and changing behavior, extreme difficulty in coping with unexpected change to routine or environment, and great difficulty in changing focus or attention. It is common for children to experience a delay in speaking but if this delay has passed is a usual developmental milestone then consulting a child psychologist is advisable as detecting ASD at an early age can be crucial in the future improvement of the child with Autism.

This disorder is primarily concerned with disruptive, impulsive thoughts and it involves a child’s or adolescent’s relationship to social norms and rules of conduct. In general they manifest such characteristics as outwardly or inwardly hostility, vengefulness, and destructiveness. Lying, solitary, stealing and temper tantrums are also common. The more severe behaviors can be bullying others, indulging in physical fights, intimidating others, those physically cruel towards animals and other people, has forced someone into sexual activity and are overtly expressive. One in a while everyone shows anger and that is healthy but when a child or an adolescent has been showing such behavior for more than 12 months then it would be a good idea to consult a professional to assess and further advice.

Anxiety disorder is common among children and adolescents. Separation anxiety disorder is a particular disorder which points to developmentally inappropriate and excessive fear or anxiety when the child is concerned with separation from those to whom the individual is attached. The indicators of Separation Anxiety Disorder are recurring excessive distress when the probability of separation is anticipated or when experiencing separation from home. Persistent and excessive worry about losing major attachment figures or about possible harm to these figures. Unwillingness to go to school, fear of living alone and refusal to stay away from home or important figures.

Attention-Deficit/hyperactivity Disorder ADD (ADHD) is often referred as hyperactivity, is characterised by difficulties that interfere with effective task-oriented behavior in children, particularly impulsivity, excessive or exaggerated motor activity, such as aimless or haphazard running or fidgeting, and difficulties in sustaining attention. Children with ADHD are highly distractible and often fail to follow instructions or respond to demands placed on them. At times, children with ADHD also tend to talk incessantly and to be socially intrusive and immature.

When there is an inadequate development found in learning then it is referred to a delayed development. These may be manifested in language, speech, mathematical, or motor skills, and not necessarily due to neurological or physical defects. Variety of reading/writing difficulties are collectively known as dyslexia. The intensity and degree of dyslexia along with the particularities of difficulty can help the child and parent in assessing and working with a child’s unique yet combination of problems in learning. We at Inside You provide you with an Individualised Education Plan which will cater to a child’s needs.

ACTION PLAN

You are the ultimate source of energy that can achieve anything and everything you desire for. But how? Let’s check out the action plan which is personalised for every client based on their Life Goals.

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