July 5, 2014 admin

ME: My Evaluation

How do I score?

Who knows you better than you know yourself? After all you decide who you are, what you think, how you feel and how you behave right? You make and break yourself. You createyour own opportunities. You pass and you fail, you struggle and you prosper; and it’s all in your own hands. Your individuality is discrete and hence unique to you. You know your strengths more than anyone else does. And you have your limitations, which the world may be completely oblivious to because you never expressed them so no one knew. You are your best friend and worst critic. Yet there are few things about you, that maybe you sometimes misapprehend. Things you must know. The truths about yourself.

Being in control

You are the controller of events in your life, and you can choose to escape from personal responsibility too; yet you are always in control. If you ascribe misfortunes to loss of control, you probably have been too risky with your own actions. You could believe any of these:

I was in control (you drove the car and you had that accident)
I voluntarily gave up control (my wife is in control of me now)
Someone was controlling me (my boss just always has his way)
Everything was out of control (I don’t know how I lost my job)

Believe

People who believe they are in control are more optimistic, more satisfied with their lives, and have better moods. They really are able to sort things because they believe they are truly in control of themselves. If you can sort your mind and your reactions, you can practically regulate anything on this planet. Just like a medicine that does good, honesty towards yourself leads to better consequences. It is true, you just need to believe it and act on it.
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Case Study: Schizophrenia

BackgroundAnupama (name changed for anonymity) 27 year old unmarried female, working as a helper in an office was brought to the clinic by her family members for evaluation of abnormal behavior that they had been noticing in her over the past few months.

Symptoms

Off late Anupama had stopped talking much to her family (parents and sister) and seemed to be lost in her own world. She stayed awake in the night because she believed the neighbors were plotting against her family and were keeping a watch on their moves so she stayed up at night in the fear that they’d break into the house. She kept windows locked and always suspected that she was being watched and reacted with tremendous fear and apprehension.

Loss of reality

Anupama could constantly hear the voices of neighbors as a running commentary 24 hours a day. (This was not real, the neighbors were not talking to her; it was imagined.) She also believed there were invisible video cameras installed in her house with which they kept constant vigilance over her family. At one instance she also tried to hammer the wall to break the imaginary camera that had been installed within it by the neighbors (so she suspected)

Effect on her life overall

She refused to eat food, as she believed these persecutors (neighbors) had poisoned it. She survived on biscuit and wafer packs which she would open by herself, to make sure that it was not tampered with, or poisoned by her perceived tormentors, of whom she was extremely fearful. Anupama received a memo from her workplace since she couldn’t take orders or instructions well. She was always sitting by herself and gesticulating as if she was talking continuously to some unknown invisible person around her. When questioned by someone, she would invariably look away and pretend as if nothing had happened.

Management

Anupama had frank delusions and hallucinations. Her suspiciousness was coloring her functioning and performance in all areas. She was diagnosed with paranoid schizophrenia and started on medication. Cognitive techniques were used a while after some suspiciousness had gone down. This was targeted at breaking her false belief about the neighbors. The family and friends were getting very worked up, hence they were given psycho-education that this was not pretense or a supernatural force; it was a mental illness which could be treated.

Progress and recovery

Anupama took her medication regularly. She showed some improvement within a month’s time and the hallucinatory behavior stopped. She stopped suspecting the neighbors although the thought crossed her mind sometimes. She resumed work and is now on regular medication. She does get stressed at times but it is within her logical control and she is in touch with reality now.

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