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Treatment & Management of Stress
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I am married 32 years old have 2 kids. Due to depression i am not able to have a healthy sexual life. Friends suggest these tablets sildenafil citrate.
Hi I am the one who had said about my problem of anxiety Thanks doctors for your reply I read in many articles that Cognitive behavioral therapy is very affective for anxiety disorder I never want to be single I always be in a group but this anxiety makes m feel so depress I am unable to reflect my thoughts ,behavior to people. My symptoms are disturbance in my face, unable to speak frequently or continuously, this has been same problem with my father I read in a article that if anyone in a family has yhis disorder then it spread through them I WANT WHAT MADE ME THIS disorder plzz when I had a talk with my mother about my problem she was like a kind of neglecting and till now she had not spoke about my problem. I do not want to see my father in this condition and myself I want to know how much cost to consult and for treatment because there are no one can help me through this I myself had to overcome with some money plzz help me.
From many days I am in pressure from my family so I should do for that, I am in depression, I can't do study properly.
I lose somebody close last year and since then feel very depressed and prefer keeping to myself all the time. Please help me.
I am a smoker. My age is 24 years and from last five years I m smoking. Now I want to stop smoking and I am unable to do the same even I am trying to stop it but I am unable. Please help me with some medicine which can help me to do the same. Please do not suggest for any nicotine type chewing gums as I have already tried for it. Please help for the same.
An woman has developed habit of cleaning floor of house every times when somebody comes from outside. She has feeling that they have brought dirt or not very clean. Inspite several counseling the habit does not change. Even somebody coming in night also she would do the same for any no of times.kindly suggest .
I can not concentrate on one aim. I am confused about my choice, my goal. I am still searching myself.
Some times while breathing I get a bad rotten smell from throat I used to smoke 10 to 12 cigarettes daily now reduced to 2 per day sometimes sputum also comes same smell I get while breathing frequently tongue becomes dry & food taste also not able to identify suggest some medication & if any investigations required.
Depression is a major public health problem as a leading predictor of functional disability and mortality.
Optimal depression treatment improves outcome for most patients.
Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
A non?psychiatric physician 50% of times misses the diagnosis of the depression.
All depressed patients must be enquired specifically about suicidal ideations.
Suicidal ideation is a medical emergency
Risk factors for suicide are psychiatric known disorders, medical illness, prior history of suicidal attempts or family history of attempted suicide.
The demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
About 1 million people commit suicide every year globally.
Around 79% of patients who commit suicide contact their primary care provider in the last one year before their death and only one-third contact their mental health service provider.
Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
Suicide is the 10th leading cause of death worldwide and accounts for 1.2% of all deaths.
The suicide rate in the US is 10.5 per 100,000 people.
In the US, suicide is increasing in middle aged adults.
There are 10?40 non?fatal suicide attempts for every one completed suicide.
The majority of suicides completed in US are accomplished with fire arm (57%), the second leading method of suicide in US is hanging for men and poisoning in women.
Patients with prior history of attempted suicide are 5?6 times more likely to make another attempt.
Fifty percent of successful victims have made prior attempts.
One of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt.
The risk of suicide increases with increase in age; however, young adults and adolescents attempt suicide more than the older.
Females attempt suicide more frequently than males but males are successful three times more often.
The highest suicidal rate is amongst those individuals who are unmarried followed by those who are widowed, separated, divorced, married without children and married with children in descending order.
Living alone increases the risk of suicide.
Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
A recent sense of failure may lead to higher risk.
Clinicians are at higher risk of suicide.
The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
Major risk for suicidal attempts is in psychiatric disorder, hopelessness and prior suicidal attempts or threats.
High impulsivity or alcohol or other substance abuse increase the risk.
An anxiety disorder is characterized by a constant feeling of fear, worry or unease. While it is absolutely normal to feel anxious over certain matters like landing up a job interview or cracking the toughest exam, being anxious all the time for no rhyme or reason can be troublesome.
In certain psychiatric anomalies such as panic disorders, social anxiety disorder and various phobias, anxiety is one of the primary symptoms and causes. Anxiety disorder is usually a long term disorder that results in one feeling unnecessarily anxious about different events, no matter how trivial they are.
Causes behind it
The exact cause of anxiety disorder is not yet ascertained. There are several factors that can trigger anxiety disorder, some of them being:
1. Drug and alcohol abuse
2. Over-activity in certain areas of the brain that deal with behavior and emotions
3. Genetic defects
4. Chemical imbalance in the brain involving serotonin and noradrenaline which regulates mood
5. Chronic health conditions such as arthritis.
Signs you should look for
The symptoms of anxiety disorder are classified into physical and psychological symptoms. The psychological symptoms involve irritability, a feeling of restlessness and a constant feeling of being on the edge. Social withdrawal symptoms are also commonly observed.
The physical symptoms of anxiety disorder comprise of breathing difficulties, muscle pain, dizziness and fatigue.
How it can be treated
Some treatments for anxiety disorder are:
Medications: Medications such as antidepressants are prescribed to get rid of anxiety disorder
Therapy: Cognitive behavioral therapy, that is based on the belief that a person’s thoughts guide his actions, is another way to deal with anxiety disorder.
In addition to the treatments, you can also take steps to mitigate the symptoms of anxiety disorder, such as
1. Avoid smoking
2. Get regular exercise
3. Opt for self-help courses