THERAPY

STRESS DISORDERS

All the problems, challenges and difficult situations put us to stress. To certain extent stress works as an energiser or fuel to enhance our performance but beyond that stress may exhaust our body reserves, affect our performance and causes our body’s wear and tear.

Stress has an adverse effect on person’s  cognition, emotions, psyche and behaviour.  There are different types of stress disorders:

ACUTE STRESS DISORDER

Manifestation of excessive anxiety for up to one month from encountering a traumatic event i.e. natural disaster, death, accident.

It is characterised by vivid flashbacks of traumatic events, inability to remember important aspects of event, emotional numbness, etc.

ADJUSTMENT DISORDER

This disorder can affect  both children and adults. It occurs as a response to a sudden negative  change in life such as loss of job, end of close relationship or some other disappointment. A person suffering from this disorder feels irritable, depressed, anxious, isolated, angry and hopeless.

POST TRAUMATIC STRESS DISORDER

PTSD  occurs as a response to a extremely traumatic event such as serious injury, sexual violence, natural disaster, to name a few.

It is characterised by reliving the traumatic experience , avoiding things that remind of traumatic events, excessive negative thinking.  bursts of anger, nightmares, exaggerated startling responses.

TREATMENT FOR STRESS DISORDERS

 We can effectively deal with  stress by developing and learning healthy coping strategies. Dr. Dullet  facilitates her clients to learn about sources of stress in their lives, as well as ways that they have tried to manage stress in the past. Once Dr. Dullet have learned about your personal stressors she  will recommend a program to help you de-stress.

A most suitable technique is chosen after studying the case properly.   She  will work with you to tailor a stress reduction program for your particular needs from a range of therapies.

EATING DISORDER

These disorders are characterised by abnormal eating habits that adversely affect the person’s physical as well as mental health. These are serious conditions where people show obsessive concerns with body weight, body shape and eating behaviours. These disorders are usually developed during teenage or young adult years.

ANOREXIA NERVOSA

This disorder is characterised by distorted view of their body shape and weight. They have intense fear of gaining weight and restrict food intake to the extent that they suffer from low body weight. It can lead to various serious health problems including self starvation.

BULIMIA NERVOSA

Is another serious condition characterised by episodes of binge eating followed by purging by using laxatives, diuretics or by vomiting and excessive exercising. In this person eats too much of food in a short period of time and then to get rid of the calories and guilt of eating too much they end up using unhealthy ways to get rid of the food they ate.

The person has intense fear of gaining weight and are too much focused on body shape and appearance. In this disorder a person tends to judge oneself harshly

RUMINATION DISORDER

It is characterised by spitting out or re-swallowing (regurgitating) the previously chewed food. Children and adults suffering from intellectual disability have a tendency to develop this disorder.

PICA

It is characterised by eating of non-food substances such as paint, soap, etc. it is most prevalent in children.

BINGE EATING DISORDER

This disorder is characterised by consumption of large amount of foods within a short period of time. Inability to control the urge to eat is another symptom of the disorder.

Binge eating episodes are often triggered by certain emotions such as stress, anxiety, boredom etc.

TREATMENT FOR EATING DISORDERS

The therapy to be applied depends on the type and severity of eating disorder the client is suffering from. Hence, it would be different for different people.

Therapies such as CBT, interpersonal therapy, ACT along with family therapy are usually very beneficial in successfully dealing with eating disorders.

ANXIETY DISORDERS

Anxiety disorders is an umbrella term used for variety of anxiety disorders. They are very common  across all age groups. These disorders really  cripple person’s psyche and have an adverse effect on all aspects of their life.

There are different types of anxiety disorders and their symptoms may differ but all of them have some common symptoms like irrational and overwhelming fear that interferes in their daily life activities. People may suffer from: 

GENERALIZED ANXIETY DISORDER

This condition is also referred to as a diffused anxiety. The person has an excessive  worry  and fear but is not aware  of the cause. It affects person’s functioning and mental health.

 AGORAPHOBIA

This is an anxiety disorder that involves incapacitating and irrational fear of inability to escape a difficult or unpleasant situation like where they feel panicked,helpless, trapped or embarrassed.

A person suffering from agoraphobia starts to stay away from many places and situations like driving a car, shopping in the mall, traveling by airplane or train, leaving  the comfort of home or being in a crowded area.

It has an adverse impact on individual’s personal and professional life. An individual becomes secluded and is confined to their home.

 SOCIAL ANXIETY DISORDER

It is a debilitating and most under-diagnosed disorder .It is one of the most common disorders . It usually begins in late childhood or teenage. Individual has excessive  and irrational  fear  of being watched and judged by others. They have overwhelming worry regarding humiliating and embarrassing themselves in a particular situation or in all situations.

SPECIFIC PHOBIAS

These phobias refers to overwhelming and incapacitating fear of specific object or situation or environment i.e. fear of spider, fear of thunder, medical procedures, fear of small places.

PANIC DISORDER

It is characterised by  an extreme and sudden onset of certain physiological reactions that mimic heart attack. These attacks occur unexpectedly and most of the times without any apparent reason. People suffering from panic attack feel that they will die of the attack.

TREATMENT FOR ANXIETY DISORDERS

The choice of therapy depends on the type of anxiety disorder one suffers from along with one’s personality. For example, cognitive behavioural therapy, systematic desensitization, exposure response prevention therapy,  family therapy psychodynamic therapy, mindfulness meditation etc.

DEPRESSIVE DISORDERS

Depression is the major contributor to the global burden of disease. All age groups suffer from depression. A person suffering may feel worthless, hopeless. Person may feel lack of energy and loses pleasure in daily activities. Sleep and appetite also get affected. There are different types of depression:

MAJOR DEPRESSIVE DISORDER

This disorder is characterised by disturbances in sleep, appetite, loss of interest in activities, profound sadness,  hopelessness, worthlessness, helplessness, gulit, etc. This condition has significant impairments on person’s day to day activities.

This is a debilitating disorder and requires immediate professional attention and treatment.

PERSISTENT DEPRESSIVE DISORDER

This disorder is also called dysthymia. It is a chronic depression characterised by all the symptoms of depression but these symptoms are  less severe and longer lasting as compared to other categories of depression.

PREMENSTRUAL DYSPHORIC DISORDER

This is also called premenstrual syndrome. It is a very common disorder that affects women before their monthly period characterised by emotional and behavioural signs like depressed mood, crying spells, irritation, change in libido, trouble falling asleep etc.

OTHER DEPRESSIVE DISORDERS

 Other depressive disorders such as medication induced disorders, depression due to medical conditions like cancer, HIV, chronic pain,post-partum depression disorder also affect human life.

TREATMENT FOR DEPRESSION

The good news about depression is that it can be reliably diagnosed and treated in clinics.The therapy for depression is tailored according to the needs of the client. In general, cognitive behavioural therapy is considered to be the most suitable therapy. Other therapies like interpersonal therapy and solution focused therapy  are also quite successful at treating depression.

SOMATIC SYMPTOMS AND RELATED DISORDERS

SOMATIC SYMPTOMS AND RELATED DISORDERS

It is one of the common disorder prevalent worldwide.  A person suffering from this disorder complains of physical problems which have no physical cause. It is a disruptive condition because it affects person’s normal life functioning and creates emotional distress. It is important to mention here that these people do not fake their pain. Moreover, it’s not the physical symptoms that disturb their lives so much as the extreme reactions and behaviours. 

SOMATIC SYMPTOM DISORDER

In this type of disorder the person remains engrossed in physical symptoms like physical pain, fatigue etc., that may not have a diagnosable physical cause characterised by emotional distress and extreme reactions.

ILLNESS ANXIETY DISORDER

People suffering from this disorder worry  excessively about having an un-diagnosed medical condition. This disorder is characterised by hyper-vigilance regarding body functions and sensations and such people are convinced that they are suffering  or will suffer from a serious disease.

They keep changing their doctors as no amount of assurance of the doctor or negative medical tests helps to change their irrational beliefs regarding their physical problem. 

This disorder causes emotional distress and anxiety and people try to avoid the situations that might pose a health risk resulting in lot of limitations in leading a normal life.

CONVERSION DISORDER

This disorder is characterised by motor or sensory symptoms like blindness, paralysis, or other symptoms affecting the nervous system that do not have any appropriate physiological explanations. These symptoms occur suddenly after a period of distress and psychological conflict.

FACTITIOUS DISORDER

It is a disorder in which a person purposely or intentionally gets or fakes sickness or self injury. Person exaggerates the symptoms and can go to great lengths to hide the deception. 

Though the person knows that he is deliberately causing the problem but is not able to understand the reason behind his behaviour and does not realise that they have a psychological problem.

TREATMENT FOR SOMATIC AND RELATED SYMPTOMS 

Dr. Dullet sits with a client to come up with a most suitable therapy package that helps in improving the physical and psychological symptoms and enhance ability of the client to function well in daily life.

PERSONALITY DISORDERS

There are multiple personality disorders characterised by persistent pattern of maladaptive thoughts, feelings and behaviours that may cause serious disturbances in all aspects of one’s life and in one’s relationship. 

There is a wide range of personality disorders that may have an adverse effect on person’s quality of life. Antisocial personality disorder, avoidant personality disorder, borderline personality disorder, dependent personality disorder, narcissistic personality disorder,histrionic personality disorder, obsessive compulsive personality disorder,paranoid personality disorder, schizoid personality disorders, schizotypal personality disorders are the types of personality disorders.

TREATMENT FOR PERSONALITY DISORDERS

Psychotherapy is the most effective method to deal with personality disorder. The therapy to be applied depends on the type of personality disorder and severity of symptoms.

Dr. Dullet aids  clients in understanding their thoughts ,emotions and behaviour and assists them in managing their symptoms, make desirable behavioural changes and developing satisfying relationships.

OBSESSIVE COMPULSIVE DISORDER (OCD)

This disorder is characterised by repeated unwanted and fearful thoughts (obsession) that lead a person to do a repetitive behaviour (compulsion).These obsessions and compulsions are time consuming and cause extreme distress and anxiety and lead to hindrance in leading a normal life.      

TREATMENT FOR OCD

 Dr. dullet helps the person look into the causes that have lead to the disorder and assists the client to get rid of those self defeating and guilt provoking thought patterns  that have contributed in forming and maintaining OCD and facilitates in building a more adaptive and healthy outlook towards their Condition.

Combination of exposure response therapy, CBT and family therapy  is considered to be the most apt psychological intervention in such cases.                                                                                    

BODY DYSMORPHIC DISORDER

It is a mental health condition in which person is preoccupied in focusing on the perceived flaws and defects in one’s body.  Characterized by repeatedly checking oneself in the mirror, engaging intensively in grooming , fixing or hiding flaws and seeking repeated reassurance from others and avoiding social situations.

Perceived flaws and repeated actions may lead to lot of stress and anxiety. Teenage is vulnerable to this disorder and it affects both males and females.

TREATMENT FOR DYSMORPHIC DISORDER

Dr. Dullet helps the client understand the power of thoughts, emotions and behavioural patterns in forming and maintaining the problem. She facilitates her clients in challenging automatic negative thoughts about their body image, learning more flexible ways of thinking leading change in the behaviour that in turn leads to better mental health.

ANGER MANAGEMENT

We all are aware of anger and have also felt it at some point of time. To certain degree anger is a completely normal emotion. But it becomes a problem when it starts controlling the person or in other words, it gets out of control and destructive. It affects the overall quality of life. One feels to lose all power in front of anger and feels hijacked by it.

TREATMENT FOR ANGER MANAGEMENT

Dr. Dullet helps a person explore the various causes of anger. Helps in identifying the triggers.  Clients  gain insight into how their body and mind responds to past and future events. Teaches ways to cool down quickly. Helps in finding better and healthy ways to express anger.

She uses techniques like self-awareness, impulse control, frustration management and  relaxation therapies to help people manage their anger.

SELF-ESTEEM

Self-esteem refers to the value  judgement of oneself. It is the degree to which one feels valuable, worthy and confident about oneself. It ranges from high to low. One  with high self-esteem feels positive about  oneself and has confidence in the abilities to achieve goals whereas one with low self-esteem holds a negative view about oneself and doubt  in abilities required to achieve the goal. One is self critical, suffer from complexes.

It may lead to severe mental health disorders like co-dependency, social anxiety, depression, self-harm, etc. It can snatch person’s joy from life. In order to deal with low self esteem they might end up adopting unhealthy coping strategies such as abusing substances, bullying others or going into social withdrawal etc.

TREATMENT FOR SELF-ESTEEM   

Dr. Dullet  uses her rich experience in making the client understand the reasons for rating themselves the low self-esteem. Helps them see through the irrational self rating and the burdensome  pursuit of perfectionism. She aids the client in exploring the domains of self-worth  and self-acceptance.   psychodynamic therapies, CBT and interpersonal therapies and modalities of positive psychology are very effective therapies in enhancing the self-esteem.