Q What can you tell me about Borderline Personality Disorder?

Borderline personality disorder (BPD) is a Mental Health disorder that generates significant emotional instability. This can lead to a variety of other stressful mental and behavioral problems. When you have borderline personality disorder, you often have an insecure sense of who you are. Your self-image, self-identity or sense of self often rapidly changes. You may view yourself as evil or bad, and sometimes you may feel as if you dont exist at all. An unstable self-image often leads to frequent changes in jobs, friendships, goals and values. This is because people with borderline personality disorder often have difficulty accepting gray areas; things seem to be either black or white. The common symptom of borderline personality disorder are overwhelming feelings of distress, anxiety, worthlessness or anger, difficulty managing such feelings without self-harming, for example by abusing drugs and alcohol or taking overdoses, difficulty maintaining stable and close relationships, sometimes, periods of loss of contact with reality, in some cases, threats of harm to others. Treatment may involve a range of individual and group psychological therapies (psychotherapy) carried out by trained professionals.

Q Will doing swimming during winter days harm kids? and what about clorinated water exposure?

During winter, due to cold environment, children may get flu, cold and cough etc. Children are more sensitive and their immunity is also weak as compared to adults. So, it is advised not to go for swimming during winter. And remember, some children are allergic to chlorinated water. You must keep an eye on your childs health, to identify any symptoms if they do appear.

Q My son fears animals a lot and continuously cries. What can I do?

The fear for large animals is obvious but if the child has got it for smaller pets you need to put some positive efforts. You can help your child to overcome the fear of animals by gradually introducing your child to small animals. Show your child pictures of animals in which they are playful. Take small steps at a time and do not rush things or it may back fire.

Q What is multiple personality syndrome?

Dissociative identity disorder or multiple personality disorder is a very rare mental disorder. It is characterised by at least two distinct and relatively enduring identities or dissociated personality states that alternately control a persons behavior, and is accompanied by memory impairment for important information not explained by ordinary forgetfulness. It is one of the most controversial psychiatric disorders with no clear consensus regarding its diagnosis or treatment.

Q I am 69 year old, my hands start trembling whenever I am writing any thing which medicine should I take? what is parkinsons disease?

Trembling or shaking of hands is called as tremors. There are variety of tremors found and so variety of causes are there for its occurance. If you are suufering from tremors only when you write something, then these can be: Intentional tremors that occur at the end of any purposeful movements, Cerebellar tremors represented as intetional tremors, postural tremor that occur in particular posture of hand or leg against gravity, benign essential tremors occuring at older age and are inherited from family, tremors due to increased thyroid functioning, tremors due to reduced blood sugar levels, tremors as a result of alohol withdrawal or due to alcohol consumption, it can be a side effect of certain medicines, or it can be a task specific tremors. To prescribe you any medicines, it is necessary to evaluate your symptoms in more detailed way including evaluation by physical examination, which will be best achieved if you see your physician or a neurologist. Perkinsons disease is a degenerative disorder of central nervous system, where brain cells and nervous tissue undergo degeneration, resulting in dopamine deficiency in a patient. If you are trying to link your tremors with parkinsons, then the main differentiating point is parkinsons tremors are observed at rest and not at the time of movements. Further evaluation is needed for proper management.

Q What can i do if my child is overweight?

Overweight children are more likely to grow up into overweight adults, so your concern for raised weight of child is appropriate. It is usually better that the child maintains their current weight while they continue to grow in height. Making changes to your family~s lifestyle can make a real difference to your child~s weight. Eat regular meals, together as a first step towards a healthier diet. Use homemade food rather than relying on ready-made meals to help you to lower the fat and sugar content in your meals. Avoid the diet like snacks and meals that are high in fat or sugar, such as chocolate, biscuits, sweets and fizzy drinks, and aim to replace these with healthier alternatives such as fruits. Exercise is helpful to burn extra calories in your child. Kindly focus on light exercises done by your child like standing up, moving around, walking at a slow pace and less energetic play. Also active play (such as hide and seek and stuck in the mud), fast walking, riding a bike, dancing, swimming, climbing, skipping rope, gymnastics are helpful depending upon the age.

Q Does moon phase has some connection with mental illness?

There are studies which states that symptoms of a person suffering from mental illness aggravates during full moon. There are also studies which say that moon phases only has effect on schizophrenic patients. However, many recent studies have found no co-relation between the moon phases and mental illnesses.

Q Sir, what is severe eccentric mitral regurgitation which my wife has got in the recent echocardiogram...??

Human heart has four chambers. Between each chambers there are flaps which prevent back flow of blood. Mitral valve is one such flap that is present between left atrium and ventricle. Mitral regurgitation means that mitral valve is not functioning adequately and causing back flow or leakage of blood from left ventricle into the left atrium. Mitral valve prolapse is one the most common cause for this. You must get your wife examined by a cardiologist at the earliest.

Q Is there any reliable tips to reduce weight as I am working woman and do not find time for exercise but yes if you can suggest diet I can follow

When it comes to losing weight, good eating plan and regular exercise schedule go hand in hand. It is not possible to achieve permanent result by substituting one for another. Along with healthy eating a minimum of 150 mins of exercise in a week can make huge difference. As far as eating healthy is concerned you can make following changes in your routine. Instead of three large meals, have 5-7 small meals. Replace refined foods with whole grain foods. For example replacing white bread with brown bread. Include plenty of fresh fruits and green veggies in your meal. Avoid intake of processed foods, junk foods and sugary drink. Make sure your there is some amount of protein rich food in your breakfast, lunch and dinner. Foods such as eggs, chicken, fish, milk, cheese, curd, paneer are good source of proteins.

Q What are the characteristics of a pedophile?

Pedophilia is a psychiatric disorder. It is characterised by a person who is 16 years of age or older and have primary or exclusively sexual interest in prepubescent children i.e generally 11 years or younger. The age gap should be at least 5 years or more to be diagnosed as pedophilia.