Monthly Archives: November 2013

Adjustment Disorder


Adjustment disorder is a short-term condition that occurs when a person is unable to cope with, or adjust to, a particular source of stress, such as a major life change, loss, or event. Because people with adjustment disorders often have symptoms of depression, such as tearfulness, feelings of hopelessness, and loss of interest in work or activities, adjustment disorder is sometimes called “situational depression.” Unlike major depression, however, an adjustment disorder is triggered by an outside stress and generally goes away once the person has adapted to the situation.

The type of stress that can trigger adjustment disorder varies depending on the person, but can include:

  • Ending of a relationship or marriage
  • Losing or changing job
  • Death of a loved one
  • Developing a serious illness (yourself or a loved one)
  • Being a victim of a crime
  • Having an accident
  • Undergoing a major life change (such as getting married, having a baby, or retiring from a job)
  • Living through a disaster, such as a fire, flood, or hurricane


A person with adjustment disorder develops emotional and/or behavioural symptoms as a reaction to a stressful event. These symptoms generally begin within three months of the event and rarely last for longer than six months after the event or situation. In an adjustment disorder, the reaction to the stressor is greater than what is typical or expected for the situation or event. In addition, the symptoms may cause problems with a person’s ability to function; for example, the person may be unable to sleep, work, or study.

Adjustment disorder is not the same as post-traumatic stress disorder (PTSD). PTSD generally occurs as a reaction to a life-threatening event and tends to last longer. Adjustment disorder, on the other hand, is short-term, rarely lasting longer than six months.

An adjustment disorder can have a wide variety of symptoms, which may include:

  • Feeling of hopelessness
  • Sadness
  • Frequent crying
  • Anxiety (nervousness)
  • Worry
  • Headaches or stomach aches
  • Palpitations (an unpleasant sensation of irregular or forceful beating of the heart)
  • Withdrawal or isolation from people and social activities
  • Absence from work or school
  • Dangerous or destructive behaviour, such as fighting, reckless driving, and vandalism
  • Changes in appetite, either loss of appetite, or overeating
  • Problems sleeping
  • Feeling tired or without energy
  • Increase in the use of alcohol or other drugs

Symptoms in children and teens tend to be more behavioural in nature, such as skipping school, fighting, or acting out. Adults, on the other hand, tend to experience more emotional symptoms, such as sadness and anxiety.

Adjustment disorder is very common and can affect anyone, regardless of gender, age, race, or lifestyle. Although an adjustment disorder can occur at any age, it is more common at times in life when major transitions occur, such as adolescence, mid-life, and late-life.


Medication may be used to help control anxiety symptoms or sleeping problems. Psychotherapy (a type of counselling) is also a common treatment for adjustment disorder. Therapy helps the person understand how the stressor has affected his or her life. It also helps the person develop better coping skills. Support groups can also be helpful by allowing the person to discuss his or her concerns and feelings with people who are coping with the same stress. 

If you have symptoms of adjustment disorder, it is very important that you seek medical care. Major depression may develop if you don’t get treatment. Plus, you may develop a substance abuse problem if you turn to alcohol or drugs to help you cope with stress and anxiety.

Most people with adjustment disorder recover completely. In fact, a person who is treated for adjustment disorder may learn new skills that actually allow him or her to function better than before the symptoms began.


There is no known way to prevent adjustment disorder. However, strong family and social support can help a person work through a particularly stressful situation or event. The best prevention is early treatment, which can reduce the severity and duration of symptoms, and teach new coping skills.



Obsessive Compulsive Disorder

Obsessive-compulsive disorder (OCD) is an anxiety disorder in which the person suffers from repeated thoughts and feels compelled to perform ritualized behavior. These thoughts and behaviors are uncontrollable, thought the person may try to resist or stop them. most people suffering from OCD do realize that their obsessive thoughts and compulsive behaviors are irrational, still they are unable to resist them and break free. Like a needle getting stuck on an old record, obsessive-compulsive disorder (OCD) causes the brain to get stuck on a particular thought or urge. For example, the person might check the door twenty times to make sure it is really locked, or repeat some religious phrase in his mind in “the right manner” to make himself/herself satisfied. Some people might have recurrent images which they find disturbing. 
The person might try to resist the urge to perform the compulsive behavior. Compulsive or neutralizing behaviors are usually carried out in a stereotypical way or according to the idiosyncratically defined “rules”. Carrying out compulsive or neutralizing behavior leads to temporary anxiety relief or the expectation that had ritualizing not been carried out, anxiety would have increased.  
Signs- Obsessive Behavior
¨Fear of being contaminated by germs or dirt or contaminating others.
¨Fear of causing harm to yourself or others.
¨Intrusive sexually explicit or violent thoughts and images.
¨Excessive focus on religious or moral ideas.
¨Fear of losing or not having things you might need.
¨Order and symmetry: the idea that everything must line up “just right.”
¨Superstitions; excessive attention to something considered lucky or unlucky.
Signs-Compulsive Behavior
¨Excessive double-checking of things, such as locks, appliances, and switches.
¨Repeatedly checking in on loved ones to make sure they’re safe.
¨Counting, tapping, repeating certain words, or doing other senseless things to reduce anxiety.
¨Spending a lot of time washing or cleaning.
¨Ordering or arranging things “just so.”
¨Praying excessively or engaging in rituals triggered by religious fear.
¨Accumulating “junk” such as old newspapers or empty food containers.
Other Symptoms
  • Washers are afraid of contamination. They usually have cleaning or hand-washing compulsions.
  • Checkers repeatedly check things (oven turned off, door locked, etc.) that they associate with harm or danger.
  • Doubters and sinners are afraid that if everything isn’t perfect or done just right something terrible will happen or they will be punished.
  • Counters and arrangers are obsessed with order and symmetry. They may have superstitions about certain numbers, colors, or arrangements.
  • Hoarders fear that something bad will happen if they throw anything away. They compulsively hoard things that they don’t need or use.
Treatment for O.C.D.
Most psychiatrists and OCD therapists believe that combining behavior therapy, consisting of exposure and response prevention, and medicines is the most effective approach.
We at World Brain Center provide treatments involving medicines, behavior therapy (ERP) and family counselling. Watch out this space for more on OCD and it’s treatment, and real-life success stories of people who have managed their OCD with the help of WBC team. 

Dr. Neelesh Tiwari – The Founder Of WBC Hospital

World Brain Center

Dr. Neelesh Tiwari

Dr. Neelesh Tiwari the founder of the Hospital to create an institution that provided quality health care and clinical excellence in the field of Psychiatry, Psychology, Neurology, Neurosurgery and Rehabilitation. As the name depicts WBC and RI is one of the rare institute dedicated to all the disorders of the brain.

After doing his post graduation in psychiatry and six months training in neurology from the prestigious King George’s Medical College Lucknow, he has worked as chief after completion of his M.D. in K.G.M.C. Department of Psychiatry. After a successful career he moved to Institute of Human Behavior & Allied Sciences Shahadara, Delhi and Dr.Ram Manohar Lohia Hospital, New Delhi.

During his early career he got an inspiration to start a brain centre stemmed from the untimely and sad death of a patient Mahesh who could not be saved due to his unawareness of whether to see a neurologist / neurosurgeon / psychiatrist which led to marked delay in treatment and ultimately death. He has Published and presented dozens of papers / posters on different Neuro psychiatric problems in many International and National conferences. One of his new modern treatment techniques for a disorder also got published in Australian and New Zealand journal of psychiatry.

At present, he is serving as the Managing Director of World Brain Centre & Research Institute. His has served as personal surgeon to the family of Ex. President of India, to various ministers, member of Parliaments, senior bureaucrats and big business houses to people living below poverty line.

Dr Neelesh Tiwari has also awarded with prestigious Jansanskriti Award from Dr. G.B.G Krishnamurthy, Ex- Chief Election commissioner of India. Dr Neelesh Tiwari is a common face on television talk shows where his opinion regarding various psychiatric problems is held in high esteem. A man of multifaceted talents, he is also involved with various N.G.O’s as helping the poor and needy is a second nature to him.

World Brain Center Hospital and Institute

World Brain Center is a hospital cum institute where desired people will find readable, user-friendly and evidence-based information on various complicated mental health problems, treatments and other health issues from regularly updated by Psychology, Neurosurgery, Neurology and psychiatric experts.



World Brain Center

It’s a dream project of Dr. Neelesh Tiwari to serve human being with their skills. For fulfill this purpose he built a team of experts in Brain and now he is successfully running this hospital and serve poor people.

World Brain center is dedicated to mental disorders and committed to provide best health care services at reasonable cost. WBC is a well-known name in the field of Brain related problems. Our vision is to achieve excellence in Medicare through efficient services, dedicated work and human touch. We believe that mending a life means treating the person as a whole physically, mentally emotionally and spiritually.

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