Tag: disorder

Obsessive Compulsive Disorder in Adolescents

Obsessive compulsive disorder or OCD starts from adolescence onwards. OCD is feeling of strong obsessions and compulsions which result in intense discomfort and affects daily functioning. Obsessions are thoughts which are persistent and recurrent. They even include unwanted images and impulses which lead to distress and anxiety. These feelings and thoughts are usually irrational or unrealistic. Compulsions are repetitive rituals or behavior such as checking something again & again, or mental acts such as counting. These obsessions & compulsions cause intense distress and anxiety and can interfere with the daily activities, relationships, social activities and academic functioning. The person with OCD thinks that he has no control over his actions. OCDs are relapsing and chronic illness.

The thoughts change as the adolescent grows. Younger children suffering from OCD often have thoughts of harm befalling on them and their family such as thief getting into the house through an unlocked door. This will make the children to recheck the door and windows again and again fearing that they might have left the door unlocked accidentally. Teenagers suffering from OCD fear that they might get fall sick due to germs, contaminated food and AIDS. The adolescent develops certain rituals, such as washing hands innumerable times, in order to get over the fear. These rituals help them to think that they have overcome the problem for the time being and give them temporary relief. If they do not perform these rituals, they become more and more anxious.

OCD is a sign of brain circuitrys unusual functioning and it involves the striatum part of the brain. The brain activity patterns of such people differ from normal people and people with other mental disorders. Researchers have concluded that OCD is usually a family problem and is a disorder of the brain. Streptococcal bacterial infection can create or worsen the condition of OCD. Adolescents with no family history of OCD can also develop it. Most of the adolescents feel embarrassed to talk about their OCDs. They think that people will label them as crazy and this will make them feel ashamed. This will make it difficult for the parents to talk to their children about their OCD, in order to solve them. Parents need to develop good communication skills for this purpose. Parents support is also very important to the adolescent. Cooperation is extremely important along with treatment, because if the problem is not treated the adolescent will grow into a disturbed adult.

Most of the adolescents with OCD can receive effective treatment. The treatment can include psychotherapy and intake of medications such as fluoxetine, clomipramine, fluvoxamine, paroxetine, sertraline and other serotonin reuptake inhibitors. When OCD is caused due to streptococcal infection, the adolescent can be administered with antibiotics to kill the bacterium which is causing it. Exposure and response prevention behavioral therapy is very useful in solving OCD. In this therapy, the adolescent is wontedly exposed to his/her fears which give him/her obsessive thought. After that he/she is trained to avoid these thoughts and the rituals which he/she carries out to tackle the anxiety.

An adolescent having OCD can also have depression, substance abuse, attention deficit hyperactivity disorder, eating disorders, and other types of anxiety disorders. When a person with OCD and other mental illness, is treated, OCD becomes more difficult to treat and even diagnose.

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Depression in Adolescents

Depression in adolescents is a disorder which occurs due to persistent sadness, loss of interest, loss of self worth and discouragement. Depression is normally a temporary reaction towards situations of stress. Depression is a normal part of the maturation process of adolescents. It is even induced due to production of sex hormones. Adolescent females are depressed twice more than adolescent boys according to a study.

Adolescent behavior is normally marked with good and bad moods. The transition from a good mood to bad mood and vice-versa, can take minutes, hours and even days. That is the reason why true depression is very difficult to find out. Depression in adolescents can be caused due to bad school performance, break up with boyfriend or girlfriend, and failing relations with friends and family. These causes can lead to persistent depression. Other serious causes are chronic illness, obesity, child abuse, stressful lifestyle, poor social skills, unstable care giving and depression in family history.

Symptoms of depression in adolescents are eating disorders, weight change, irritable mood, excessive sleeping in daytime, excessive temper, criminal behavior, memory loss, fatigue, self preoccupation, sadness, difficulty in concentrating, worthlessness feelings, loss of interest, self hatred, obsession with death and thought & attempts of suicides. When these symptoms are being noticed for more than two weeks, it is important to get treatment for the adolescent. Depression not only affects interpersonal relationships, but school performance as well. Depressed adolescents are more prone to take onto drugs and alcohol as an attempt to overcome their depression. Such problems require intensive treatment.

The doctor will take blood test and perform physical examination to determine the cause of depression. The adolescent can also be tested for substance abuse such as smoking, heavy alcohol consumption, marijuana smoking, and usage of other drugs. After the physical examination, psychiatric evaluation is also done to understand the cause of sadness, loss of interest and irritability. Depression can also lead to the development of other psychiatric disorders such as schizophrenia, mania and anxiety. It is also important to determine whether the adolescent poses a risk for himself/herself and others. Family and school personnel can provide valuable information about the adolescent to the doctor.

Treatment for depression for adolescent is similar to the treatment of depression for adults. Along with the treatment, the adolescent are given antidepressant medication and psychotherapy. Antidepressant medications include tricyclics, Prozac, selective serotonin reuptake inhibitors or SSRI. Some of the medicines increase the risk, so it is a good idea that parents discuss the possible risks with the doctor. Only some of the antidepressant medications are meant for children and adolescents. Adolescents with severe depression need to be hospitalized as they are more prone to kill themselves.

Family and school support is necessary to tackle the depression of the adolescent. Parents can get their children admitted in emotional growth schools, boot camps or wilderness programs, to solve the behavioral problems. These programs consist of non medical staff and confrontational therapies. But care must be taken as some of the programs can in turn harm children who are depressed and sensitive. Adolescents, who get caught due to criminal offense, should be taken special care of by their parents. It is best that the child face the consequences and learn a lesson from it. Depressed adolescents respond well to treatment if they are treated comprehensively and early. More than half of the adults are known to have depression when they were in their teens.

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Alzheimer’s, not just an old man’s disease

Alzheimer’s disease, we’ve all hear of it but do we really understand the disease? According to statistics, there are about 350,000 new cases of Alzheimer’s disease diagnosed each year in the United States.

Doing the math, you could have more than 4.5 million Americans by the year 2050 that would be affected by the disease. A grimmer outlook indicates that by 2025, there will be 34 million people worldwide Alzheimers disease.

Let’s tackle the issue step by step. Alzheimer’s disease is a known brain disorder that is progressive and irreversible. It is still not known where and how the disorder develops in the human brain neither is there any sure fire cure for the disease. What is known by medical scientists is that the disease attacks slowly.

It takes its time, gnawing slowly at the victims’ minds stealing memories and causing deterioration of brain functions. Alzheimer’s is a disease that causes irreversible dementia and is always fatal.

It was German psychiatrist Dr. Alois Alzheimer who first identified the disease. At first he noted the disease’s symptoms as “amnestic writing disordear,” however when later studies were conducted Dr. Alzheimer found out that the symptoms were more than ordinary memory loss. It was far worse.

Dr. Alzheimer found the presence of neurofibrillary tangles and amyloid plaques in the brain. The good doctor presented his findings which were accepted by the medical community. And soon enough, by 1910 the name of the disease was accepted and became known as Alzheimer’s disease.

The most common early symptoms of the disease are confusion, being inattentive and have problems with orientation, personality changes, experiencing short-term memory loss, language difficulties and mood swings. Probably the most obvious and striking early symptom of Alzheimer’s is loss of short term memory.

At fist the victim will exhibits minor forgetfulness, but as the disease slowly progress he/she will start to forget a lot of things. However, older memories are oftentimes left untouched. Because of this, patients with Alzheimer’s will start to be less energetic and spontaneous. As the disease progress, they will have trouble learning new things and reacting on outside stimuli which gets them all confused and causes them to exercise poor judgment. This is considered Stage 1 of the disease.

At Stage 2 the patient will now need assistance in performing complicated tasks. Speech and understanding is evidently slower. At this stage, Alzheimer’s victims are already aware that they have the disease which causes a whole lot of problems like depression and restlessness.

At this point, only the distant past can be recalled and recent events are immediately forgotten. Patients will have difficulty telling time, date and where they are.

The final stage is of course the hardest, both for the patient and their family. At Stage 3 the patient will start to lose control of a lot of bodily functions like simple chewing and swallowing. He/she will start getting the needed nutrients through a tube. At Stage 3, the patient will no longer remember basically anyone.
They will lose bowel and bladder control and they will become vulnerable to third party infections and diseases like pneumonia.
Once the patient become bedridden, things will only get worse. Respiratory problems will become more terrible.

It is apparent that the patient will need constant care. At this point, the most one can do is to make sure that the patient stays as comfortable as possible. At the terminal stage, death is inevitable.

Alzheimer’s Disease

People tend to forget certain things because of work and other priorities. This is not uncommon because this does happen to everybody. However, when an individual tends to forget even the simplest things, there is already something definitely wrong. There is a chance that one has Alzheimer’s disease.

Alzheimer’s disease is a disorder in the brain. In time, the patient will gradually lose both the intellectual and social abilities making it difficult to do anything and even interact with others.

This disease commonly afflicts people above 65 years of age. There are currently 4.5 million Americans that are suffering from this disease. It is projected that this number will increase, as the more population will reach the retirement age.

There is no known cure yet for Alzheimer’s disease. The only thing medical science can do for now is simply delay the inevitable for those who have just been diagnosed with the disease.

Is Alzheimer’s disease the same as dementia? The answer is no. This is because dementia is a symptom, which is caused by a disorder such as Alzheimer’s disease.

There are many symptoms for this disease. It may begin with the person simply forgetting certain things. It is hard to tell at this point but when it gets worse such as not knowing how to get to the office or get home, then there is definitely a problem.

Some patients are known to forget how to do some simple mathematical computations or even find the right words when writing a letter. There are those who are also disoriented and find it difficult to do certain tasks and make simple decisions.

The worse of these symptoms is perhaps experiencing personality changes even in the presence of family members and close friends. There are times the person is happy and then this will just change for no reason at all.

A neurological scan is the best way to check if the patient has Alzheimer’s disease. If it is confirmed, the individual has this problem, the best way to treat it is through the use of medical prescribed drugs.

There are two namely memantine and cholinesterase inhibitors. Studies have shown these can slow down the process as scientists are still conducting research to finally find a cure for this disease.

Patients who are diagnosed with the disorder will probably live more for 8 more years. This will really depend on how strong the person is because some have lived for 3 while others have fought with it for more than 10 years.

How can family members help a loved one with this disease? The siblings can take turns watching over the patient. If this is not possible, this is the time that a caregiver must be hired to check on the patient. This specialist will usually stay in the home and make sure the person is safe.

Physical and mental exercises must be administered to keep the patient’s strength up and even help depression, which is another symptom commonly, associated with Alzheimer’s disease.

Whenever the people visit, it is best for each person to stay in the line of sight of the patient. It is best to speak slowly and even hold on to the individual, which is known to make the sufferer remember who he or she is talking to.