Dr Tsepiso Mhlane

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• Major depressive disorder: Clinical depression, commonly referred to as major depressive disorder exceeds the blues. This condition gives rise to persistent sadness and hopelessness paving the way for pessimism and withdrawal from social circles. People with a history of mental health disorders, including bipolar or anxiety, are prone to major depressive disorder. With alcohol or substance abuse in the mix, the condition can only worsen, having devastating consequences for the patient and their family. Financial difficulties, conflicts at work, challenging relationships as well as chronic conditions aggravate major depressive disorder amounting to self-mutilation from impulsive cutting progressing to thoughts of suicide. Dr Tsepiso Mhlane strives to treat major depressive disorders, tailoring her treatment plans approaching each case with care taking into account the fragility of the patient's state of mind as well as cataclysmic events regarding finances and relationships exacerbating the condition.
• Schizophrenia: Schizophrenics tend to experience lifelong paranoia as a result of hallucinations and delusions, contributing to a distorted frame of mind. Signs of schizophrenia usually occur in adolescence or early adulthood, affecting speech patterns, behaviour and emotions, having a severe impact on their daily activities and social interactions. Periods of psychosis can affect motivation, emotional expression and communication, leading to weak social cues. People with schizophrenia are unable to notice their debilitating condition from seeing, hearing, feeling and tasting something that isn't there and experiencing memory problems that affect their ability to process and use information. Dr Tsepiso Mhlane customises treatment plans to manage schizophrenia in her patients applying a combination of psychosocial and family therapies, antipsychotic medication resolving chemical imbalances offering rehabilitation assisting those in a crisis.
• Substance use disorders: Illegal substances like cocaine, amphetamines and methamphetamines are usually misused to achieve a high, amplifying energy to perform better at work or school. The misuse of Nyaope, Molly (MDMA) and ecstasy, associated club drugs have severe lifelong effects of paranoia from hallucinations, behavioural changes, memory loss and reduced inhibition leading to risky behaviour. Synthetic opioids, classified as narcotics, are highly addictive stimulating depression, memory loss and slurred speech. Once you’re addicted to a drug whether it be hallucinogens such as LSD or inhalants like glue or paint thinner, it’s easy to relapse, allowing the drug to consume your life. Dr Tsepiso Mhlane seeks to treat substance use disorders by comprehending the effect the specific drug has on her patients, utilising psychotherapy and cognitive-behavioural therapy (CBT). With her treatment plans, you will be able to monitor cravings successfully and attend group recovery meetings.
• Reactive attachment disorder: Reactive attachment disorder known as RAD is a disorder common in children between nine months and five years of age who have been subjected to abuse and neglect. Even in the presence of a loving caregiver or parent, a child with reactive attachment disorder becomes irritable or sad, often feeling unsafe and isolated. Children with RAD are most likely to have spent time in foster homes and orphanages not receiving appropriate care and love from their current caregiver. Inappropriate caregiving that includes not changing a baby's diaper for many hours, restricting food, withdrawing from the child, withholding affection and inconsistent care prompts reactive attachment disorders in children. Firstly, Dr Tsepiso Mhlane ensures that a child living with RAD is safe in their current environment, free from abuse and neglect before resuming treatment in the form of play therapy between the caregiver and child, creating a safe environment where the child can flourish.
• Adult ADHD: If you find yourself suffering from persistent memory loss, causing you to become forgetful or you struggle to concentrate, becoming fidgety, then you could have attention deficit hyperactivity disorder (ADHD). If you had ADHD as a child, it's highly likely you've carried this disorder into adulthood. ADHD in adults could be as a result of genes, environmental factors or from differences in the brain’s hardwiring. If you've been recently diagnosed with this disorder as an adult, you may have gone through your childhood, unaware that you had ADHD. Instead of identifying the real problem behind symptoms of forgetfulness, fidgeting and disorganisation, your family, teachers and colleagues have probably labelled you a slacker or stirrer, which isn't the case. Dr Tsepiso Mhlane treats ADHD in adults through medication prescribing stimulants relieving episodes of hyperactivity and impulsivity in combination with therapy managing symptoms of depression and anxiety.
• Bipolar Disorder: Episodes of mania followed by hypomania characterise bipolar disorder. During manic episodes, people who have bipolar disorder will become impulsive and engage in risky behaviour involving unprotected sex and drug use. Hypomania, associated with bipolar II, amounts to changes in one’s mood where they experience hopelessness, sadness, loss of energy, disturbed sleeping patterns and suicidal thoughts. Women living with bipolar disorder will experience mild manic episodes followed by frequent hypomania and may develop other conditions including anxiety disorders, migraines, obesity and thyroid disease. It's essential to seek medical care to diagnose bipolar disorder if you experience extreme highs and lows. If this is the case, Dr Tsepiso Mhlane will treat the disease using therapy, psychoeducation and medication, including mood stabilisers to manage bouts of mania and depression.
• Premenstrual dysphoric disorder: Premenstrual dysphoric disorder (PMDD) referred to as menstrual depression causes severe depression from anxiety weeks before the start of your period as soon as hormone levels drop after ovulation. Women suffering from premenstrual dysphoric disorder experience anxiety leading to panic attacks, mood swings, often crying and binge eating from relinquished control. Low levels of serotonin and unusual hormonal changes from progesterone and oestrogen levels are possible causes of premenstrual dysphoric disorders. It's vital to notice these changes evident in mood swings and treat the condition, reducing the challenge of coping with menstrual cycles, ultimately leading a satisfying life. After diagnosing premenstrual dysphoric disorders in her patients, Dr Tsepiso Mhlane will introduce stress management, including relaxation techniques. In addition to therapy, she encourages healthy lifestyle changes reducing binge eating by cutting sugary and salty food from your diet as well as prescribing antidepressants and hormonal contraceptives to minimise emotional distress as a result of premenstrual dysphoric disorders.
• Obsessive-Compulsive Disorder: Obsessive behaviour spurred on by compulsions serves as a marker for the obsessive-compulsive disorder (OCD) linked to biological factors including genetics, disturbed brain chemicals and brain structure as well as environmental factors that involve your upbringing and personal experiences. People with obsessive-compulsive disorders develop irrational thoughts related to a fear of contamination from germs and undesirable beliefs involving religion and sex. They strive for perfection by excessively cleaning, arranging and ordering belongings in a particular way, uncontrollably counting and frequently checking on appliances to see if it has been turned off. OCD is more than biting your nails or entertaining negative thoughts but is instead severe, interfering with your relationships and work. Depending on the severity of the obsessive-compulsive disorder, Dr Tsepiso Mhlane assists by managing the disorder utilising serotonin reuptake inhibitors (SRIs) to treat anxiety linked to OCD. She effectively uses cognitive behaviour therapy (CBT) together with psychotherapy to relieve the burden associated with compulsions.
• Eating Disorders: Once you develop an eating disorder, your relationship with food becomes distorted, having a severe impact on your body weight and the overall state of mind. Both males and females are susceptible to common eating disorders that include binge-eating disorders as well as anorexia or bulimia nervosa typically occurring in teenagers or young adults. Driven by the fear of becoming fat, people suffering from anorexia nervosa experience self-esteem issues regarding their body image and have a negative outlook on their overall self-image. People suffering from this type of eating disorder develop an obsession with losing weight excessively exercising, not eating and using laxatives to shed more kilos. Bulimics binge-eat excessive amounts of high-calorie food, and through the use of laxatives, they rid their bodies of the already ingested food. Powered by guilt, people suffering from this type eating disorder repeat these episodes of throwing up ingested food several times a week, often leading to severe dehydration and tooth decay. Through the use of psychotherapy, Dr Tsepiso Mhlane will redirect thoughts and behaviours responsible for triggering eating disorders diagnosing additional mental disorders, including anxiety and depression. Dr Mhlane incorporates nutritional counselling and general medical care to address any physical concerns arising from eating disorders.
• Anxiety Disorders: Anxiety disorders can be debilitating if you allow the condition stemming from irrational phobias to consume your life, interrupting routine activities, social events and work schedules. People suffering from anxiety disorders typically experience panic attacks, developing chest pain or heart palpitations, which at times is mistaken for a heart attack. Social anxiety disorder generally referred to as social phobia is fear of social situations and occurs from the fixation of being judged and ridiculed by other people and because of this, people living with social phobia avoid crowded places or social gatherings. Specific phobias such as the fear of birds, heights, flying or the sight of blood can also trigger spells of anxiety. It's normal to feel anxious occasionally, but anxiety that affects your daily routine and quality of life needs to be addressed. In addition to antidepressants and beta-blockers, Dr Tsepiso Mhlane will apply cognitive behavioural therapy to treat anxiety disorders related to phobias.
• Postpartum Depression: Within the first few days after giving birth, mothers may experience postpartum depression, an intense form of “baby blues” giving rise to a multitude of emotions, including sadness and hopelessness. If left untreated, postpartum depression may lead to postpartum psychosis, a rare but severe mental disorder that occurs within a week after delivery. Mothers who have postpartum psychosis become confused and disoriented, experiencing paranoia driven by delusions and hallucinations from obsessive ideas about the baby. There exist various reasons for postpartum depression, including a drop in oestrogen levels leading to mood changes, including anxiety and depression. Through a combination of therapy, hormone replacement and antidepressants, Dr Tsepiso Mhlane addresses and treats postpartum depression in new mothers, allowing them to bond with their babies adopting a positive outlook on motherhood.