OCD (Obsessive Compulsive Disorder) is a psychological disorder where you feel compelled to perform irrational tasks in continuous patterns almost ritualistically. These compulsive thoughts may seem, upon examination that they are without any particular reason or rhyme. Naturally, a psychological disorder is not voluntary and people who suffer under this disorder don t voluntarily like to make their lives difficult contrary to some who would say  if you don t like it don t do it. 

It is not a simple matter, OCD can have a lot of underlying reasons which makes life even more difficult and wears you out. You still can t get over a particular thought until you have performed it a given number of times even if it harms your health and the relief is also short lived. For the naysayers who don t realise, how difficult life can be for people suffering from OCD here are a few reasons that you should consider:

Depression: People with OCD are also prone to suffering from depression. A sense of feeling like you are not like others, you see the world a little differently and obsessively repeat such compulsive lines of thought until it wears you out mentally. It is a side effect of OCD and deeply affects their lifestyle negatively.
Anxiety: When you have OCD you suffer from constant anxiety about things you may not have done that you must do or vice versa, or very intrusive thoughts that make you anxious wondering about the kind of person you are or becoming. It is a constant battle everyday trying not to repeatedly perform all the compulsive behaviours that may strike you and makes daily life immensely difficult.
Eating disorders: Suffering from OCD also affects your diet and food habits. You either start over eating or not eating enough resulting in huge amounts of weight gain or noticeable weight loss or just a fluctuation in weight.
Skin rashes: The outer manifestations of OCD are numerous. If you suffer from obsessive, washing of hands or clothes or any activity that requires constantly irritating your skin then you will develop rashes which will cause more anxiety in you. It s just a facet of OCD wherein you become obsessed with cleanliness and can t go without feeling anxious about the number of toxins surrounding you so you go about trying to almost sterilise yourself and end up damaging your skin.
Sleep disturbances: Your sleeping pattern gets affected if you can t build up a routine and then you can t sleep until it s a certain hour at a certain time of the day. Or if you suffer from paranoia then you are unable to sleep because you are actively worried about something or the other. Anxiety also contributes to restlessness.

5 Reasons Why OCD Makes Life Difficult!

The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person. 

Various risk factors that are associated with diabetes and depression are as follows- 

lack of physical activity
poor social environment
poverty
stress during pregnancy
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes. 

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin. 

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy. 

Various signs that can be observed in a state of depression are as follows: 

Complete lack of interest in doing any activity
Irritation or mood swings
Depressed mood
Disturbed sleep pattern
Changes in the appetite
Constant feeling of despair
Guilt Fatigue, weakness
Difficulty in concentration, transient memory loss
Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users. 

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

How Diabetes Can Lead To Depression?

We have a tendency to be our own worst critics. This affects your self-esteem that in turn affects how you live your life. Self-esteem can be defined as how a person feels about himself or herself and his or her abilities. Here are a few tips that could help you boost your self-esteem.

Make the right comparisons: It is human nature to judge yourself in comparison to other factors. However, comparing yourself to others is never a good idea. Each of us has different strengths and weaknesses. While one person may be great at outdoor sports, art may be another s strong suit. Find your own strengths. If you must compare, make a comparison on how you have progressed. If you like writing, look at how your style has evolved. Similarly, if you like a sport, look at the improvements you have made.
Set realistic goals: Whether its weight loss or career, it is important to set realistic and attainable goals. This should never be set in relation to another person. For example, setting a goal to get a promotion faster than your friend is a bad goal. Instead, set a timeline by when you want to reach the next step of your career. Ensure that these goals are realistic. You may have peers who have turned entrepreneurs but if you know that you do not have the necessary financial backing available, setting a goal to start up your own company may not be a good idea. Instead, if you do want to set up your own firm set a goal for the amount of money you need to put aside.
Focus on things you can control: There are some things we can control and others that we cannot. Do not focus on the latter. For example, you have little control over the education you received as a child. However, you do have control over the training and education you want to receive now. If you feel that you need to learn something more, take steps towards it. Merely saying that you did not go to a top school will not help.
Celebrate the small Stuff: Even small victories need to be celebrated. For a socially conscious person, simply going out for a cup of coffee with someone else is a victory. Similarly, booking online tickets could be a victory for a technologically challenged person. Celebrate these small things in life and you will soon be celebrating more things than dwelling on things you feel bad about.

Self Esteem - Ways You Can Enhance It!

Speech therapy helps in improving the speech, understanding the language skills, and also help in communicating in non-verbal ways such as listening and taking turns. Speech therapy treats various kinds of communication and swallowing problems.

Children with Cleft Palate are diagnosed with an opening in the upper tissue palate in the mouth. This condition causes Velopharyngeal dysfunction (VPD) which results in excessive airflow from the nose while speaking. Although it can be corrected with surgery, the patient will still be affected by VPD.

Speech therapists help in this condition by assisting the patient with speech and language skills. The speech therapy for such a patient can be categorized as auditory feedback and articulation practice.

Auditory Feedback

Before involving the patient with any speech therapy, it is essential for the patient to understand the difference between normal voice and nasal voice output.

For this purpose, the child is instructed to use a tube to listen to the voice of the normal person. To understand the difference, one end of the tube is then held near the ear of the child and the other is held near his nasal and then he is instructed to make sounds so that he understands the nasal voice.

After this understanding, the different approaches to speech therapy starts.

Articulation Practice

This is usually where speech therapy begins. In this practice, the different type of condition is understood that relates to different speech organs. The understanding of different vowels, consonants and related sounds is taught to the child for making the speaking sound less nasal.

Some of the methods for achieving these sounds are:

Pharyngeal Plosives: This sound is produced when the tongue is moving backward. The practice of making  ng  sound, and dropping the tongue and producing  k  sound.

Pharyngeal fricatives: When the tongue retracts but is not able to make contact with the pharyngeal wall is when this sound is produced. The speech therapists make the child learn the techniques of making sounds of  t ,  ts ,  ch , or  sh , and provide feedback for learning the proper positioning of the tongue.

Nasal Plosives: This sound usually occurs when the tongue is positioned improperly and it obstructs the vocal tract. A speech therapist may make the child yawn so that the back of the tongue is pushed down, and feel as the mouth stretches.

Palatal-Dorsal Productions: It occurs due to the malocclusion of the teeth. Practicing sounds like  t ,  d ,  n ,  k ,  g , and  ng  often helps in such condition.

Take Away
Cleft Palate is generally developed due to improper growth while the child was in the womb. The difficulty of producing proper sounds when there is excessive airflow in the mouth can be overcome by training and practicing certain sounds, as instructed by a speech therapist.

 Cleft Palate - How Efficient Is Speech Therapy?

Nobody knows the exact cause of autism. All medical science knows is that it s a complex neurological disorder which is detected within the first three years of life and is caused due to structural changes in the brain. Autism causes a number of symptoms which grade from mild to moderate to severe, like-

Difficulty in communication and social interaction
Language impairment
Preoccupation with fantasies
Repetitive acts (echolalia)
Excessive possessiveness to certain objects
Intellectual impairment
Over-sensitivity or under-sensitivity to pain
Developmental problems
Causes
Genetic predisposition is the most common cause of autism. Exposure to environmental toxins is the other. Other causes are use of certain drugs during pregnancy, vaccinations etc.

Diagnosis
Diagnosis of autism can only be done by clinical evaluation as there are no laboratory tests for it. The psychiatrist prepares a detailed developmental case history of the child before arriving at a diagnosis.
There are a number of Autism screening tests to diagnose autism as well. One thing to always follow is to go to a psychologist who has a history of treatment of autistic disorders.

Diet
Theories are emerging that autism may be caused by a super sensitive child s response to foods like gluten found in grains and casein, a protein found in milk. These transform into substances that act like opiates in the child s body.

These drug-like substances alter the child s behaviour, his perceptions, and his responses to his environment. Recent research has found chemicals with opiate activity in the urine of a significant number of children with autism.

Autistic children have shown mild to dramatic improvements in speech, behaviour after going on a gluten-free, casein-free (GFCF) diet.

Some of the foods that can be eaten on GFCF diet include rice, quinoa, potato, buckwheat flour, soy, amaranth, corn, fruits, vegetables, beans, tapioca, meat, poultry, fish, shellfish, nuts, eggs, and sorghum, among others.

Homoeopathic treatment of Autism:

The homoeopath carries out a detailed study of the family history of serious diseases which are linked to the development of autism in his patient.
The genetic evaluation of the patient is followed by case analysis which takes into account impaired functions in the patient like repetitive behaviour, lack of social skills, speech issues etc.
The homoeopathic medicines indicated for autism are twenty and are usually given in combinations. A homoeopath takes the decision about the exact medicine to be given, its combination with other support medicines, the dose and its repetition based on the case history of the child.
By no means should one try to cure autism by self-medicating on homoeopathic medicines as this can cause deleterious effects.
It usually takes a minimum of six months for some perceptible changes in autistic children. Homoeopathic treatment may have to be continued for over a year if the symptoms of autism are very severe.

Autism- Diagnosis, Diet And Homeopathic Treatment!

Anger is an emotion found in every human being. There is nothing wrong with being angry. However, if it gets out of hand there might be serious consequences. Knowing a few things about anger management might help the next time you are struggling to manage anger. 

The Wrong Approach
Before knowing, what are the right things to do, it is necessary to know what doesn t work well. This will give a better insight on anger management. 

Often, we think suppressing anger might be the right thing to do. But, it is not. Trying not to react to a situation and keeping it under wraps, might affect your health and can even be the root cause of heart disease. However, suppressing it often lessens the intensity of the anger.
Just like suppressing it is not a good idea, venting it out completely is not the right approach as well. Venting might help you to cool down faster later on, but initially, it might hurt the other person and also have a negative impact on health. Venting anger occasionally will also make the person aggressive in nature.
Thinking or using words like always, never, should/shouldn t, must/mustn t do not usually help. Thinking about  he should never talk to me like that  or  they are always being unfair to me , brings about negativity and doesn t help in calming down.
The Right Approach

Counting to 10, the age old approach to anger management often helps in cooling down and giving a clear perspective. When we are angry, we end up saying and doing things we don t mean to. Counting gives us some time and helps us calm down a bit.
Breathe slowly when you are angry, say experts.  Instead of talking or reacting to the situation, just breathe in and out slowly. When you breathe out more, your body will calm down and make you relax.
Talk to someone who understands you when you are angry. Instead of venting out or suppressing it, talk it out with a friend or a family member. Tell them your feelings and why you are angry. This will help you a lot in relaxing. It works as a counselling session.
To manage anger, in the long run, one should always lead a healthy lifestyle. It means not just having a healthy diet, but also having proper sleep, not being stressed about anything, doing exercise, etc. 
Doing something creative often takes your mind away from angry feelings. Join a dance class, an art workshop, start keeping a journal, it will definitely help in the long run.
Leave the place immediately for few moments and drink water slowly when angry. Don't prolong the anger, come back and start conversation normally.

Anger Management - What Works and What Doesn't

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