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CONDITIONS TREATED

Depressed Woman on Window Sill

DEPRESSION

Depression symptoms can vary from mild to severe and can include:

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  • Feeling sad or having a depressed mood

  • Loss of interest or pleasure in activities once enjoyed

  • Changes in appetite — weight loss or gain 

  • Trouble sleeping or sleeping too much

  • Loss of energy or increased fatigue

  • Feeling worthless or guilty

  • Concentration & Memory Problems 

  • Thoughts of death or suicide

Anxious Man with headache and tangled thoughts

ANXIETY

Anxiety is a normal reaction to stress.  Anxiety disorders are common and involve excessive fear or anxiety.


Common Features:

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  • Feeling nervous, tense or rushed

  • A sense of panic or doom

  • Breathing fast, palpitations, sweating, shaking, fatigue

  • Concentration Problems

  • Having trouble sleeping

  • Uncontrollable worry

  • Avoiding certain situations 

Three faces showing happy, stressed, and angry emotions.

BIPOLAR DISORDER

Bipolar disorder is characterised by extreme mood swings that include emotional manic or hypomanic highs and depressive (see above for symptoms) lows. 

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Features of Mania:

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  • Racing thoughts

  • Grandiose beliefs

  • Elation or euphoria

  • Irritability

  • Risk taking behaviour

  • Increased sexual desire

  • Increased talking speed or volume

  • Markedly increased energy

  • Poor judgment

  • A decreased need for sleep

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Hypomania is a less severe form of these symptoms.

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Artistic split-face portrait in black and white illustrating struggles with borderline personality disorder

BORDERLINE PERSONALITY DISORDER

Borderline personality disorder impacts the way you think and feel about yourself and others, causing problems functioning in everyday life.


It includes a pattern of unstable intense relationships, distorted self-image, extreme emotions and impulsiveness.


Features Include:

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  • An intense fear of abandonment

  • A pattern of unstable intense relationships

  • Rapid changes in self-identity and self-image

  • Periods of stress-related paranoia

  • Impulsive and risky behavior, such as gambling, reckless driving, unsafe sex, spending sprees, binge eating or drug abuse

  • Suicidal threats or behavior or self-injury

  • Wide mood swings lasting from a few hours to a few days

  • Ongoing feelings of emptiness

  • Inappropriate, intense anger

Man struggling with drugs and alcohol

SUBSTANCE MISUSE

Drug addiction, also called substance use disorder affects a person's brain and behavior and leads to an inability to control the use of a legal or illegal drug or medication. 

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Features include:

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  • Feeling that you have to use the drug regularly

  • Having intense urges for the drug that block out any other thoughts

  • Over time, needing more of the drug to get the same effect

  • Taking larger amounts of the drug over a longer period of time than you intended

  • Making certain that you maintain a supply of the drug

  • Spending money on the drug, even though you can't afford it

  • Not meeting obligations and work responsibilities

  • Continuing to use the drug, even though you know it's causing problems in your life or causing you physical or psychological harm

  • Doing things to get the drug that you normally wouldn't do, such as stealing

  • Driving or doing other risky activities when you're under the influence of the drug

  • Spending a good deal of time getting the drug, using the drug or recovering from the effects of the drug

  • Failing in your attempts to stop using the drug

  • Experiencing withdrawal symptoms when you attempt to stop taking the drug

Man struggling to stay organised and focused

ADULT ADHD

Adult attention-deficit/hyperactivity disorder (ADHD) includes a combination of persistent problems, such as difficulty paying attention, hyperactivity and impulsive behavior.

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Adult ADHD can lead to unstable relationships, poor work or school performance, low self-esteem, and other problems.

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Symptoms Include:

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  • Lack of Focus

  • Disorganisation

  • Time Management Problems

  • Forgetfulness

  • Impulsivity

  • Moodiness

  • Anxiety

  • Relationship discord

  • Substance Misuse

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Older man struggling to make sense of gaps in his memory

DEMENTIA

Dementia describes a group of symptoms affecting memory, thinking and social abilities severely enough to interfere with daily functioning. Depending on the cause, some dementia symptoms can be reversed.

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Symptoms Include:

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  • Memory loss

  • Difficulty communicating or finding words

  • Difficulty reasoning or problem-solving

  • Difficulty handling complex tasks

  • Difficulty with planning and organising

  • Difficulty with coordination and motor functions

  • Confusion and disorientation

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In addition, there can be changes in personality, mood changes, anxiety, hallucinations and delusions.

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Tel: +27 31 566 4387

Suite 17, Medigate Medical Centre, Medigate Road, Umhlanga, 4319

©2026 by Dr Ajesh Janki, Specialist Psychiatrist

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