Saturday, December 11, 2010

Stuttering Speech Therapy

BECOME A CHANGE AGENT

Those of us who speak without stuttering should be thankful to God, and also appreciate the great effort made by those who stutter; support and give them all the encouragement you can. We all know someone or may have come in contact with a stutterer. Imagine what it would be like if just asking for 'voter registration card' made you to break into a cold sweat and if when speaking, you often got stucked on words or continuously repeating the first sound over and over. Such is the case with millions of people all over the world regardless of colour black, white or brown.

However, many who struggle with stuttering problem have not let the condition rob them a meaningful life. Some have even become famous, some are politicians, civil servants, social workers, doctors, nurses, engineers, custodians, etc. Interestingly, with help people who stutter can sing, preach the gospel, whisper and hold a normal conversation.

A client once said to me when he stutter, he gets nervous, then stutter even more. He said "It feels like I am in a deep hole, unable to get out." It is frustrating, humiliating with low self-esteem - he said. No one knows the causes, some ancients during the Middle Ages believed that stuttering is taboo caused by evil spirit. Modern school of thoughts says it is hereditary and psychological.

Whatever the THOUGHT you too can become a change agent:

There are speech-therapy programs that can improve fluency. Some techniques involve relaxing the jaw, lips, tongue and breathing from the diaphragm. Instead of telling the stutterer to slow down, set the example by speaking more slowly yourself. Be patient and listen---do not interrupt or finish his sentence. Pause for few seconds before u respond. Avoid criticism and correction. More importantly, make appropriate eye contact; your facial expressions, body language, and comments will transmit signal of interest in what he says, and not how he said it.

GOODLUCK !

Dr. Fenibo Braide
Psychotherapist, Philadelphia Outpatient psychiatric clinic
December 11, 2010

Monday, November 1, 2010

Devastating impact of suicide on victims and communities

SUICIDE

This articles was written five days after I received a phone call from a family friend that her twenty-one year old son (Talha) was dead. I got this call Sunday, October 24, 2010, while I was away on a conference at Strasbourg, Pennsylvania.

Talha was born on June 8, 1978 in Zaria, Nigeria. His mother a royal kalabari from Rivers state, Nigeria, and his father a well educated black American from Atlanta Georgia. Talha attended and graduated with honors at Oxford high school and a final year student of computer science at Lincoln university of Pennsylvania at the time he committed suicide.

Suicide can have a devastating impact on victims and communities

People who talk about or try to kill themselves often feel hopeless and are often trapped in their emotions or problems. Many times these feelings can be related to other factors such as depression or substance abuse or a major stressful event like loss of loved one, frustration or worthlessness. Depression is a serious medical illness. Depression is more than just the "blues" it is a hopeless sadness that affects your thoughts, moods, feelings, behavior, and even your physical health. The condition affects your ability to function (if you a student), enjoy pleasurable activities or sleep.

No one saw depressive symptoms in Talha. He participated in many sporting events and activities in high school and in college. He played high school football (wide receiver), also played baseball and won black belt 2nd degree in martial arts. He had all the support system he needed at home and in school. In fact some of his professors are Nigerians, his late grandfather was also a tenured professor of Lincoln university. Sometimes (without professional help) it is difficult to identify symptoms of depression. Talha has no prior history nor treated for behavioral or mental health problems.

Other times depression may seem to come out of no where. Perhaps in Talha's situation it may be unidentified chronic condition that existed without proper diagnoses. It is very important to know the warning signs of suicide. People who feel hopeless may talk about suicide, withdraw from family and friends, give away their personal belongings or engage in risky behavior.

Please save a soul, urge people you know with suicidal thoughts to get help as soon as possible. Let them know that suicide is not the only option when feeling hopeless or worthless.

Talha was reportedly missing from August 24, 2010, and was found dead by Oxford police on October 23, 2010. May almighty Allah bless his soul!

Dr. Fenibo Braide, is a psychotherapist @ Philadelphia psychiatric clinic, Pennsylvania
Posted: November 1, 2010

Friday, September 24, 2010

Schizophrenia: Genetic Factors

Schizophrenia: Genetic Factors


Genetic Factors of Schizophrenia

Schizophrenia seriously impairs ones ability to cope with daily responsibilities. someone diagnosed with schizophrenia may have impaired ability to work, enjoy relationships or care for self - leading to social withdrawal and deterioration in social and daily functioning capabilities.

Experts believe that genetic factors is a contribution of imbalance chemicals in the brain, structural by the prenatal exposure to the environment. In addition, stressful life events may trigger predisposed symptoms of the illness. This may include circumstances such as death of a loved one, marriage break-up, loss of job or sudden career change, reported/unreported sexual or physical abuse, etc, can increase trigger the chances of schizophrenia in a person biologically predisposed to the disease.

Delusions are fixed beliefs that are not amenable by argument or conviction because they are not with the person's educational, social and cultural orientation background. For example: a schizophrenic may think that people know what is on his mind. A client once told me that FBI is watching him on a daily basis and that his mails are always half open when drop off - we call this thought broadcast. The schizophrenic believes that he has no secrets anymore, he wants to say a lot of things but feels like people have stolen his thoughts away. Sometimes clients like this can get worried and even withdraw from treatment because they cannot explain how people get know about them.

People with schizophrenia may also experience hallucinations; they hear, feel, taste things that are not really there. Hallucinations may include two or more voices that continually comment on the person's life. A schizophrenic may talk to himself, walk backwards, laugh when not necessary, make funny faces or even masturbate in public. They often talks incoherently or nonsensical and suggest confused thoughts.

It is always a good idea to know your family history and seek help as needed.

Posted: Sept 24, 2010

Dr. Fenny Braide, is a psychotherapist @ The Behavioral Health Center, Philadelphia.

Monday, August 23, 2010

AFRICAN CULTURAL COMPETENCY THERAPY

African Cultural Competency Training was presented by Dr. Fenny Braide, sponsored by Delaware County health systems of Pennsylvania.

Family Based Therapy

A family is more than a group of individuals. A family is a special entity where people feel supported and able to pursue their dreams. Through family, we pass along values, teach and grow. Unfortunately, a family can also be a place of conflict. Conflicts and disagreements are normal part of the family life. They allow people to communicate their differences and express their feelings. Sometimes conflicts can over tough issues like: illness, injury, change of employment, changing schools, moving, and financial problems can spiral out of control.

At The Behavioral Health Center, we are committed to providing more than family based therapy. In the last few years mental health professionals have turned their attention to the relation between cultural awareness and the family system. We practice evidence based to stabilize family.

Family based therapy is one of a variety of possible therapeutic interventions that has proven to help African immigrants dealing with acculturation, depression, anxiety, PTSD, and adjustment problems. These contributions are part of the growing field of transcultural psychiatry. One of the contentious issues debated in the field of human services is the equitability of access of people from ethnically diverse social group like the Africans to different types of treatment especially psychotherapy.

Traditionally, most Africans see mental illness as taboo or curse. Therefore, counseling is not considered a healing methodology. A typical African client will first try alternative medicine before he or she consider a psychotropic medication. Some suggest that there is institutionalized racism, which reduces the chance of African immigrants being offered psychotherapy. Other possible explanations for the different kinds of treatment offered include the acceptability of the intervention to different groups; for instance some have suggested that there are particular difficulties in carrying out individual psychotherapy with African because the intimacy of the setting is perceived as very threatening, in part because of the African beliefs about causation of mental illness.

Family History

American know that family history is important to health. A recent survey found that ninety six percent of Americans believe that knowing family history is important to health and well-being. To help focus attention on the importance of family health history, U.S. Surgeon General, Dr. Richard H. Carmona, in cooperation with other agencies within the U.S. Department of health and human services (HHS) has launched a national public health campaign, called The U.S. Surgeon General Family Initiative, to encourage all American families to learn more about their family health history.

YOU TOO CAN BE PART OF THIS CAMPAIGN KNOW YOUR FAMILY HEALTH HISTORY

Posted August 23, 2010

Dr. Fenny Braide, is a psychotherapist and mental health consultant @ The Behavioral Health Center, Philadelphia

Friday, August 6, 2010

THE TWELVE STEPS OF ALCOHOLICS ANONYMOUS

ALCOHOLISM AND THE COST OF HEALTHCARE

As a change agent, my mission in writing this article is to create public awareness about the impact of alcohol misuse and abuse and to provide a realistic solution that promote positive change.

WHAT IS ALCOHOL ABUSE ?

Alcohol abuse is a pattern of drinking that involves one or more of the following problems within a one year period.

1. Failure to carry out major responsibilities at work, school, or home.

2. Drinking in physically dangerous situations, such as drinking while driving or operating heavy duty machine.

3. Legal problems related to using alcohol / multiple relapse.

4. Continuing drinking despite ongoing problems in relationship with others.

Alcohol misuse and abuse impacts every facet of the way we live, work, play and do business. It is one of societal most urgent public health issues. According to National Institute of Alcohol Abuse and Alcoholism (NIAAA), an estimated 14 million people in the United States alone are addicted to or abuse alcohol. In Nigeria that number can be double. For instance, in South-south, South-east and South-west parts of Nigeria drinking alcohol has become the norm of welcoming someone into a home.

Alcohol abuse kills more of our precious youths than all other illegal drugs combined and it is the leading contributor to violence, accidental death and injury, suicide and domestic violence, as well as unknown related health problems.

We all know someone who has been affected by Alcohol problems. So why are we afraid or unwilling to talk about it ?

SELF ASSESSMENT

Ask yourself: is the way or amount of alcohol I drink harming my health, my work, my relationship or the way I relate to others? Should I cut down on my drinking ?

Researchers use the term "alcohol problems" to any type of condition caused by drinking which harms the drinker directly, jeopardizes the drinker's well-being or places others at risk. Depending on the circumstances, alcohol problems can result from even--moderate to severe drinking. For example, drunk driving, drinking during pregnancy or drinking while taking certain prescribed medication. Alcohol problems exist on a continuum of severity ranging from occasional drinking to alcohol abuse or dependency (alcoholism).

TREATMENT:
TIPS FOR FORMAL INTERVENTION

THE TWELVE STEPS OF ALCOHOLICS ANONYMOUS

FIRST YOU (WE) HAVE TO DEMONSTRATE READINESS TO CHANGE ATTITUDE AND BEHAVIOR AND SUPPORT FROM FAMILY

1. We admitted we were powerless over alcohol-that our lives had become unmanageable.

2. We believe that a Power greater than ourselves could restore us to sanity.

3. We have made a decision to turn our will and our lives over to the care of God as we understand Him.

4. Began searching and fearless moral inventory of ourselves.

5. Admitted to God, to ourselves and to another human being the exact nature of our wrongs.

6. Were entirely ready to have God remove all these defects of character.

7. We humbly asked God to remove our short-comings.

8. Made a list of all persons we had harmed, and became willing to make amends to them all.

9. Made direct amends to such people wherever possible, except when to do so would injure them or others.

10. Continued to take personal inventory and when we were wrong promptly admitted.

11. Sought through prayer and meditation to improve our conscious contact with God, as we understood Him, praying only for knowledge of His will for us and power to carry that out.

12 Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

GOOD LUCK !

Dr. Fenny Fenibo Braide
Psychotherapist @ The Behavioral Health Center, Philadelphia

Wednesday, July 7, 2010

Sex Therapy----Redefined

Frequent Healthy Sex Life with Orgasm Can Lead to Mental Stability---says your Therapist.

Sexual therapists have made it clear that orgasm experience helps burn out some amount of fat around the heart tissues and neural pathways in the spine. Regular orgasmic sex helps one's confidence, improves self-esteem, vitality, strength, energy and cardiovascular health.


So, Lets Talk About Sex - Baby!.

Lets Talk About You And Me - (have you heard that song...)????

According to research---in early 1950s a well known therapist defined orgasm as "explosive discharge of neuromuscular tension." Although, there are other definitions, but most of the time the word 'tension' is recurrent. This suggests that sexual intercourse is a normal activity between couples when engage in utmost satisfaction.

Beyond this, a lot of incredible things happen in the human body. For a man or woman to experience a sizzling and burning orgasm, the heart pumps faster while the individual breaths heavily to fuel the muscles. Then, hormones such as endorphins and oxytocin send instant messages about the sexual activity to the brain and other sensitive parts of the body. In a jiffy, blood is pumped into the genital region to create the tension that ultimately triggers a pudenda reflex (this is a muscular spasm of the genitals). The immediate reflex results in our pelvic-floor muscles, contracting between five and fifteen times at 0.8 seconds intervals. This is the wonder of orgasm we experience during sexual intercourse.

This explosive discharge of neuromuscular tension is not only peculiar to the male gender, it is also present in the female gender. The most prominent and sensitive female organ that could trigger orgasm anytime during sexual activity is the manipulation of the clitoris. This organ is about two inches above the vaginal opening, located in from and above the opening of the urethra or urine outlet.

The clitoris is the most sexually sensitive part of the female reproductive organ; it becomes slightly enlarged and erect in response to sexual stimulation. This is called the female 'sexual trigger.'

According to research, most women especially married women do not experience orgasm because their husbands hardly take quality time to lovingly and gently caress this organ during foreplay. Sufficient stimulation of this organ during foreplay produces the orgasm experience in nearly all women.

However, it should be noted that this must be done with utmost care, as many husbands had in the course of caressing the clitoris inflicted pains and injuries on their wives. What is recommended of such husband is merely a feather touch caressing, or better still by using tongue or fingers to stimulate the organ can produce orgasm within a twinkle of an eye (says Akin...).

Unfortunately, in most parts of Africa this wonderful structure that gives confidence to a woman is usually removed or mutilated during female circumcision. Female genital mutilation entails the removal of the vulva of a woman--either in part or whole. this is done to reduce her libido and prevent promiscuity. A woman who had undergone this type of local surgery at any level will probably take longer to experience orgasm depending on her willingness to reveal her G-spot to the husband. Say No! to female circumcision, it is cruel, old fashion and sometimes deadly.

Dr. Fenibo Braide, is a psychotherapist at the Behavioral health Center in Philadelphia, Pennsylvania.

IFSI Lead Clinician
July 8, 2010