ABSTRACT
Background: The population of the elderly has been on the rise in recent years and this demographic trend is likely to continue. Depression tends to be common in the elderly. Further it is possible that cognitive abilities start deteriorating as a result of depression and even more so due to several changes that are already occurring. This may impact an individual’s cognition, functionality, and autonomy, may progress from a subclinical level to a pathological level if not intervened early. Medications work to reduce symptom severity but sometimes patients become resistant to it and other interventions have to be used. CBT techniques have been found to be effective to treat depression and further efficacy of reminiscence therapy for older adults with mild to moderate depression has been established. Method: The present study was undertaken with the objective of establishing the efficacy of a comprehensive psychotherapy program for an elderly woman, aged 66 years, who presented with a diagnosis of chronic depression, along with chronic pain and sub clinical cognitive limitations. Techniques of CBT, reminiscence therapy and cognitive training was carried out for 8 weekly sessions. Results: The outcome of the intervention showed improvements in overall functioning along with generalization of the training, thereby implicating the effectiveness of the intervention. Conclusion: Thus, it is important to promote active aging, fostering healthy mental functioning and training the cognitive capabilities, to avoid pathological aging or reducing its impact
ABSTRACT
It is of essential importance to identify clinical conditions of childhood and adolescence that present a high risk to evolve any kind of Personality Disorder. Personality disorder does not suddenly come out at age eighteen years old. Early sighs of some pathological behaviour that evolves before 19 years predict long term deficits in functioning and a higher chance is there these patients continue to present some symptoms up to 20 years. Some childhood and early adulthood predictive factors are responsible for excellent recovery of Personality disorder. Unfortunately, PD diagnosis and treatments both gets delayed. Adolescence represents a sensitive and vulnerable phase for the development of any kind of Personality Disorder. There is a dearth of information about emerging personality development in childhood and in adolescence. The present study attempts to explore the role of Dialectical Behavioural Therapy in the management of a 14 years old Female, Hindu, Bengali speaking, Unmarried, hailing from an urban neutral family with a diagnosis of emerged personality disorder with prominent features of impulsivity, interpersonal relationship problems, self-harm behaviours, anger outbursts. Thus the aim of the present study is to reduce these behaviours which is having an impact in her life and improving overall well-being of the individual. She was treated with DBT approach, bringing in improvement after 14 sessions.. The execution of DBT for suicidal adolescent has been presented by a case study.
ABSTRACT
Traumatic brain injury (TBI) is a one of occurrence with multiple possible neuropsychiatric symptoms, including problems with cognition, emotion, and behavior and deficits in social skills (Hartley 1995). Traumatic brain injury refers to a physiologically significant disruption of brain function resulting from the application of external physical force, including acceleration/deceleration forces (Marr et. al 2002). Severity level of traumatic brain injury can be classified as mild, moderate, and severe. In this context we wanted to study the cognitive functions, social deficits, and state of mood in an individual aftereffect of TBI frequent problems of cognitive, emotional, behavioral, physical, and psychosocial were reported in various studies and substantial source of at least temporary disability and stress to TBI survivors and their families. Hence, we have planned psychological and cognitive management for them. Therefore, in present study, a male of 26 years resident of Jaipur city was studied, the neuropsychological and behavioral functioning was assessed, and findings suggest that impairment in attention and concentration, visual motor functioning, and visuo- spatial functioning, anger, confusion-bewilderment and fatigue state and poor social relationship. Post psychological intervention improvement was observed