Anxiety is a very normal emotion, which gives rise to feelings of nervousness every now and then. An anxiety disorder is a serious medical condition in which people experience a high degree of distress and mental trauma, which causes difficulties in leading a normal life. People suffering from this medical condition experience high levels of anxiety and nervousness almost all the time. Here are the symptoms that indicate you're suffering from anxiety disorder.

1. Excessive worry - This condition persists if you worry about the day to day activities a bit too much on a regular basis. It is identified when you start taking too much stress about very petty things, which tends to affect you in an adverse manner. A noticeable sign of excessive worry can be too much fatigue.

2. Sleep problems - Problems falling asleep at the right time and problems in maintaining a sound sleep are two signs that indicate you have an anxiety disorder.

3. Irrational fears - This symptom is not generalized; instead, it is specific and subjective in relation to a particular thing or situation. The fears that are experienced under this category are sudden and unexpected in nature and there is no fixed rationale behind these fears.

4. Muscle tension - Muscle discomfort and pain is one of the leading physiological causes of an anxiety disorder. The pain felt is chronic and pervasive, and is very common among people facing situations of anxiety. If you are exposed to constant periods of anxiety, you will experience fatigue, muscle pains and unwillingness to work.

5. Chronic indigestion - Problems related to the digestive system are also a sign of anxiety disorder. In this case, you may face constant digestive problems accompanied by a common disorder called IBS (Irritable Bowel Syndrome). IBS refers to an anxiety situation in the digestive tract, which is characterized by stomach aches, cramping, bloating, gas, constipation, and/or diarrhea.

Apart from the above-mentioned symptoms, other symptoms of an anxiety disorder include stage fright, self- consciousness, panic attacks, memory flashbacks, perfectionism, compulsive behaviors, self- doubt, and such others.



How to know if you have an anxiety disorder?

Manic depression, also known as bipolar disorder in recent days, is a major mood disorder characterized by hypomanic or manic episodes (deviation from one's usual mood along with abnormally high energy levels). Mania involves sleeplessness, along with psychosis, hallucinations, rage, grandiose delusions or paranoia. Mania or hypomania isn t usually harmful to the patient and they might exhibit increased capacity for work and creativity. Depressive episodes however, can be debilitating and often life threatening as the person becomes self-destructive and suicidal in many instances. 

The extent of mood swings can vary from extreme to very mild. They can occur progressively or suddenly and might last for few days to weeks. Patients affected by bipolar disorder may experience disturbances in thinking apart from depressive or manic episodes. Distortions of perception and impaired social functioning are also not uncommon. The cause of bipolar disorder is not fully understood like most mental health conditions and is often thought to be hereditary.

The extent of the seriousness of the bipolar symptoms varies from person to person. In some people, the disorder is not full blown and they don t exhibit all the symptoms. Others who aren t that lucky might have to be hospitalized multiple times in their lives as the symptoms creep into their work and personal life and make living a normal life a tough challenge. 

Psychotic symptoms such as disorganized thinking, hallucinations and delusions might make a person do things that demand the urgency of hospitalization to keep them safe from their suicidal impulses. These symptoms might need to be urgently addressed by a psychiatrist and with the help of medications, the person might be able to regain control of their lives.

The symptoms of bipolar disorder are many and can be mainly categorized into two (sometimes overlapping) categories of mania or hypomania and depression:

Manic symptoms include: 

Grandiose delusions (delusion of grandeur) 
Racing thoughts which are often disconnected
Sense of euphoria or false elation
Irritability without cause
Hampered social functioning
Increased sexual inclination and risky sexual behavior
Hyperactivity
Increase in talking volume or speed
Impaired judgment
Reduced sleep requirements owing to extra energy levels
Increased productivity and creativity
Depressive symptoms include:

Abnormal eating patterns like over or under-eating to the extent of severe medical complications accompanied by drastic changes in weight
Difficulty in concentration, making decisions and remembering
Lack of energy or fatigue 
Contemplating about death for prolonged periods of time and suicidal behavior
Oversleeping, insomnia or early awakening
Persistent pessimism 
Irritability and restlessness
Feeling of hopeless and negative attitude
Mood stabilizers, such as lithium are commonly employed to treat bipolar disorder. Anti convulsants, benzodiazepines and anti psychotics can also be used in the treatment. Along with medications, support from family and friends is of the utmost importance as they need to help provide all the support required in making the person functional and healthy.

Manic Depressive Disorder - 11 Signs to Help You Spot it 

You might be feeling that spending time on any social media network is a simple way to pass time and is a common habit. But a recent study by University of Chicago Booth School of Business says that social networking sites can be more addictive, than alcohol. The desire to consume alcohol can be controlled and turned down, but the desire to check Facebook is simply uncontrollable for most people, and it s a serious addiction.

About the study
The ground breaking study was done on 250 people in and around Germany aged between 18 and 85 years of age. They were sent messages at specific intervals to report their desires and cravings. It is found that most people had the desire to sleep and have sex during the day that they were able to control. But the desire for checking Facebook was much higher.

Reasons for Facebook addiction

One of the major reasons is that availability of Facebook is much easier and higher than alcohol availability.
Also, it is thought that the cost of checking Facebook is much less than consuming some amount of alcohol on a regular basis.
Even if a man wants to resist his desire, but due to easy availability and lesser cost, he is prone to use it again and again.
Alcohol consumption is prohibited in public and during office hours in many countries. But checking Facebook updates have no restrictions. People can check it whenever they feel the desire.
The most shocking part is the urges drove the people to such an extent, that they couldn t even resist themselves even if they wanted to do so.
Effects of Facebook addiction

Drainage of time: No matter how good we feel while checking Facebook updates, can you deny that it s simply a waste of time?
Self esteem reduced: When you see your peers enjoying their life with flying colors, no wonder you will feel depressed. But we are reluctant to believe this fact, that nobody shows his tragic part of life on Facebook. So, whom you think is the happiest person in the world, may be the saddest and is drowned in his own miseries.
Remedy of this so called addiction
The study says that when we are much worn out, we are unable to control our desire and our will power is depleted.

So, if you find yourself posting your status on Facebook at the midnight instead of sleeping, then it is high time you should try to come out of this addiction and give yourself a better life and health.

Facebook Vs Alcohol - Which Is More Addictive?

Role of relationship problems in depression and suicides - 
Almost everyday we read about people ending their lives by committing suicides from celebrities to common man to even children . Although this is not permitted in any religion and there is a legal debate on whether it should be legalized, the fact remains that people are driven towards this unfortunate step. Let's take a look at the common reasons for suicides to become so very common.

1) Lack of intimacy- We see that although we are surrounded by people most of people are having friends only on Facebook. Even among the people we interact everyday nobody wants to open up with anyone or allow you to open up with them.The fact that you are surrounded by people who don't share themselves with you intimately starts pulling your mind downwards. Work colleagues are bothered only about work, family is only bothered about the income you are generating, partners are obsessed with how much you can spend on them, friends are occupied with what benefits you can share with them. Therefore all in all, despite having all relationships, people feel left out and alone like as if their inner self has been left unwanted and uncared of. The monotony of mechanical life hastens the culmination of this abuse into drastic steps like suicide.

2) High demands- People are often left to fend with high demands from them from their social circle. Many people cannot attempt this and some who attempt are not able to make it. This leaves them with a feeling of failure which is often frowned and looked down upon whether it is a student or a professional. It is no surprise that today even below 10 years olds are successfully attempting suicides.

3) Inappropriate planning- Planning is a key necessity for successful results whether it is financial or relationships. but unfortunately many people are unable to obtain the correct know how which will enable to implement their plans successfully.

4) Inability to cope- Many people plan to do things but are unable to cope with the harsh realities that come with the plans. To some it may be unseen to some unbearable. So although they set out on doing something the journey is not what they had expected.

5) Lack of results- Sometimes although everything is planned well, executed well and completed well it does not fetch us the rewards that may seem appropriate to the level of efforts. This is something that is very difficult to deal for most people and is a result of many unfortunate casualties.

6) Lack of desire-It is very important to have something to look forward to in life. But unfortunately in an age where drinking water and using the toilet cost s money many people cannot think of having something to look forward to and hence this unfortunate step.

Therefore, you have to be very prudent in what we are doing today because we can never predict which way our lives may go and even importantly which way you may yourself go based purely on circumstances beyond our control dependent on the choices we make today or others make for us. Although suicide is not a sensible solution to any problem it does remain a common reality. If you are feeling suicidal please remember to seek help.

Please feel free to consult me privately for further assistance.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Health Tip - Role of Relationship Problems in Depression and Suicides

Grief is a complex emotion that may give you side effects like guilt and make you struggle as you try to get through your everyday life. It is usually caused by some loss in life which may have to do with relationships, work or any other reason like a chronic physical ailment or disability. Complicated grief disorder is a condition where the extreme level of grief impairs a person and how he or she behaves in his or her daily life. It can have a debilitating effect and make a person helpless when it comes to dealing with everyday functions. It may continue for more than six months after the loss, and may even lead to depression and anxiety, among other complications.

Let us cast a glance of how this may be dealt with.

Psychotherapy: Cognitive-behavioral therapy and other forms of therapy can often help people who are suffering from this form of prolonged grief. With this kind of therapy, a patient can actually find an outlet to discuss the various emotions that the bereavement has brought on, and how he or she is not able to cope. The therapist, in this case, is usually a psychiatrist or a psychologist, who can then help in reprogramming the attitude of the patient so as to curb the grief and move on with life by embracing daily functions.
Group Therapy: In many cases, group therapy may also work. It is a natural human tendency to be grateful for what we have when we get to hear of higher and greater adversities. And when we see people suffering from those adversities actually taking steps to get over it, we can also get hugely motivated to do the same with our own lives. This is why group therapy is a powerful mechanism that many doctors and psychiatrists recommend for dealing with complicated grief therapy. This does not even need to be a formal therapy session. It can even be a club or a get together of people who have been through a similar problem.
Medication: In some extreme cases, the patients may be prescribed some antidepressants as well as beta blockers that can put their emotions right until they can deal with them in a better manner. Such medicines also help in numbing that part of the brain so that the patient may function in a more normal manner. Yet, care must be taken that the patient does not get addicted to such kind of medication.
Change of Focus: Travelling or picking up a new hobby can also have a positive effect on the person suffering from this condition. It can help in triggering the production of dormant hormones in a more normal way so that the patient may function in a more normal way, without the debilitating grief.


How To Deal With Complicated Grief Disorder?

Effects of Smoking on Sexual Health

Smoking, in general, has a negative effect on the human body. It can cause a host of disorders such as mouth cancer, blood pressure problems, and lung cancer. Smoking affects the sexual performance of both men and women.

Here are some effects that smoking has on sex

1. Impotence: Smoking can damage the blood vessels that lead to erectile dysfunction (a condition where the penis cannot sustain an erection).

2. Decrease in libido: Smoking can cause various physical problems such as stamina reduction and lack of desire for sex. An individual who smokes won't be able to give an optimal sexual performance and this can further lower satisfaction levels.

3. Erectile dysfunction: Smoking can cause problems related to the circulation of the blood in the body. It can narrow the arteries that supply blood and this is directly linked with erectile dysfunction.

4. Tissue damage: Smoking can damage the tissues inside the penis thus impairing your ability to have an erection during sexual intercourse.

5. Early onset of menopause: It can affect the estrogen (a sex hormone) levels in the female body; so, women who smoke tend to reach menopause early.

6. Reduction in penis size: It can reduce the penis size in men by damaging the blood vessels and the structure of the tissue around the penis. This is more common in younger men.

7. Reduction in stamina: Smoking can cause a reduction in the stamina, thus a person will not be able to perform well sexually. It can lead to fatigue and tiredness during sex.

Of course, there are a lot of therapies which can help you recover from the damage already happened because of smoking and prevent further damage.

Does Smoking Affect Your Performance in Bed?

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