1=Kindly note visit to cardiologist or endocrinologist is must. These therapies are addition to their treatment.

2= Most of us think therapies are only for patients suffering from psychiatric ailments, but there are many motivational therapies for patients suffering from diabetes and hypertension too. Many of them are referred to with acronyms — such as PCT (Person-Centered Therapy), CBT (Cognitive Behavioral Therapy), and CCT (Client-Centered Therapy).

Figuring out which type is best for you often requires trial and error, so don’t worry if you aren’t sure about what you’re looking for. Some types of therapy are more oriented toward behavioral changes and goal-setting, while others afford you the chance to explore your personal history and make sense of your patterns of thought and behavior. There is no right answer, nor is one type of therapy necessarily going to be your preference forever.

To help you weigh your options, I have provided an abridged glossary below.

• Interpersonal Therapy

Interpersonal role disputes: Is the patient “hopelessly” at odds with someone of vital importance to that person? Mostly help is – a] you help the patient determine what the dispute is about so person sees both sides, b] clarify patients position on dispute and bring clarity and objectivity .c] identify any ways in which patient might have miscommunications or misperceiving the other person. d] Modify all unrealistic expectations.

Role Change: If parents are having problems with children, or children with parents, we ask children to sit in their parents seat and see what could be done in their position, similarly parents are asked to think like their children, and see how children perceive various issues.

• Supportive therapy: The goal of this therapy is to evaluate the patients current life situation as well as strengthens and weaknesses and then to help the person to make whatever realistic changes will allow them to be more functional.

• Cognitive Behavioral Therapy [CBT]: CBT treats dysfunctional thinking that leads to maladaptive behaviors, mental illness, and negative emotions. It focuses on thoughts that drive behaviors.

The way a person interprets life experiences on a day to day basis determines how person feels day in and day out.

People with emotional distress tend to interpret their experiences in dysfunction, distorted way; these become the core beliefs of person.

Over time, these distortions become habitual errors in thinking, common logical errors include, among others OVERGENERALISATION [ for example-if something went wrong once, a similar event is likely to go wrong] MAGNIFICATION[ blowing an event out of proportion], SELECTIVE ABSTRACTION [drawing conclusions from detail taken out of context] and PERSONALIZATIO[ relating an event to yourself when there is no reason to do so].

Layered on top of these dysfunctional core beliefs and logistical errors are automatic thoughts. These are reflex thoughts that we have in many situations, they are quick and we are barely aware of them, yet they determine to a large extent how we react emotionally to events.

Marital therapy- Therapy of a married couple is often required as many issues erupt if some health problem relating to married life or mental health problem are not addressed properly with patience.

• Gestalt Therapy: Gestalt therapy emphasizes personal responsibility and helps clients focus on the present. It stresses the development of the therapist-client relationship, and the client’s direct experiences, attitudes, and perceptions — rather than interpretations.

• Psychoanalytic or Psychodynamic Therapy: The psychodynamic approach explores unconscious feelings/thoughts and the impact of the past on the present. It is the oldest type of psychotherapy and closest to what Sigmund Freud created in the early 20th Century.

• Spiritual counseling: Even WHO acknowledges advantages of spiritual therapies. People who had lost hope benefited from this therapy from Kashmir to America. One thing I want to make LOUD AND CLEAR, spiritual counseling does not mean therapy by FAKE faith healers or people who claim they can cure your cancer in two days, beat patients or any unscientific claims.

While picking the right type of therapy is a personal choice, we won’t leave you hanging. If you’re interested in trying any therapy, note that the first step is an interactive assessment with a matching therapist, who will help you identify your needs for therapy.

If you’re not sure where to start, your matching therapist will ask the right questions to help you articulate your preferences. And if you realize the therapist or therapy-type you’ve chosen isn’t the best fit, you can change your therapists at any time.

In disorders like Diabetes patient is advised to stop taking sugar or sugar based products or in Hypertension patient is asked to stop using salt or taking it in low quantity, but in psychiatric ailments no such specific dietary advice is given, but dietary restriction is replaced by counseling. In most of psychiatric ailments medicine and counseling complement each other and improves confidence and self respect of patients.

World Heart Day-2020----Motivational therapies for patients of Hypertension and Diabetes-By-Dr.Arif Maghribi Khan,Kashmir