When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of the current lifestyle diseases from diabetes to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.

The statistics around tobacco abuse are extremely startling and can be read below:

A total of about 90 trillion rupees are spent on various tobacco products.
About 1.4 trillion is spent on healthcare-related to conditions caused by tobacco abuse.
India has about 120 million tobacco users.
More than 7 million people die every year due to tobacco usage.
The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.

This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.

In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating  Smoking Kills  or  Smoking is injurious to health. 
Marketing campaigns are shown in the movie theatres at the beginning of movies which depict the hazards of tobacco
Smoking is banned in most public areas, and warnings are on display.
Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
Schools and colleges do not have tobacco selling within 100 meters of the campus.
The price increase ensures that not everybody has easy access to cigarettes.
Celebrities promote quitting tobacco and smoking by talking about their personal stories.
How can a healthcare professional help you?

A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support. 

What should a healthcare professional do?

Identify people who smoke 
Motivate them to quit or think about quitting
Refer a person who smokes for treatment and support
Support ongoing abstinence
What is the right smoking cessation strategy?

Ask: Every smoker to visit a healthcare professional
Advice: Urge the smoker to leave smoking
Assess: Assess whether the person is willing to quit in 30 days
Assist: Plan and help Rx Quit
Arrange: Arrange a follow-up through phone or SMS or in-person
What is that people who smoke need help with?

First and  the foremost challenge are the withdrawal symptoms 
Urge to smoke and borderline depression with a possibility of relapse
People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?

Behavioural support is of proven efficacy
Can be delivered in different formats
Face-to-face
Telephone
Internet
Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)

There are no real contradictions related to NRT
No drug interactions 
Side effects, if there are any are localized e.g.
Taste of oral products
Hiccups with the mouth spray 
Skin irritation with patch 
Treatment for quitting Nicotine  - Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion. 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

Drug addiction is a condition, which is abnormal or pathological and occurs due to excess use of alcohol, drugs, smoking or other such addictive substances. The different effects of addiction are acute drug use, drug-seeking behavior, relapsing vulnerability, slow response to natural stimuli, and last but not the least, low motivation in life.

Drug addiction is regarded as a community disease as it leads to crimes, violence, failure in school, child-abuse, the loss of productivity and domestic violence. That is why it is very important to eradicate this problem from the society; especially the teens should be educated on the same.

Madatya in Ayurveda
In Ayurveda, the problems of drug addiction is dealt under the heading of Madatya, meaning  intoxication . The state of individual occurs due to continuous use of drug, alcohol, tobacco or any substance of high intoxication. Madatya is relative to the third and fourth stage in the addiction process i.e., drug dependence and drug abuse. Madatya kills the will to live a happy and healthy life because it is a total opposite of  ojas , which means a source of energy. Madatya and wellness can t go hand-in-hand in a body.

Addiction and doshas
The Ayurvedic states that the doshas are aggravated by the overdose of drugs into one s body. They are Vata (Air), Kapha (Water), Pitta (Fire) or a combination of all three doshas termed as Tridosha.

Treatments in Ayurveda
In Madatya, Ayurveda balances the aggravated doshas. It first detects the doshas, and then treats them. Ayurveda uses herbal remedies to treat the symptoms, discards the toxins (ama) collected in the body and motivates and regenerates cells and tissues. There is a phase in the de-addiction process where the patient becomes confused because their intelligence level drops due to drug abuse. Ayurveda treats this problem with the use of herbs like Yashtimadhu (Glycyrrhizaglabra), Brahmi (Bacopamonnieri), Shankhpushpi (Convolvulus pluricaulis) and Guduchi (Tinosporacordifolia).

In Ayurveda, treatment of Sattva Guna, meaning the quality of goodness, is done to promote mental health. The patients are made to follow strict healthy practices like consumption of natural vegetarian food, practice Yoga, and meditation and follow a daily routine of less anxiety and stress. Activities like wearing neat and clean clothes, walking and spending time in natural flowery ambiance with good friends, listening to good music and all other forms of natural relaxants and entertainment are also a part of treatment. These will boost the soul and mind of the patients and make them grateful to God for their lives.

Rehabilitation From Drug Abuse Ayurveda!

Addiction is one of the most common mental health problems faced by people around the globe. This could be an addition to alcohol, nicotine or drugs. Addition usually begins in a person s teenage years and if left untreated, may continue into adulthood. As with other health issues, addiction worsens with time and the later it is diagnosed, the harder it is to treat.

Alcohol Addiction
An addiction to alcohol is termed as alcoholism. In some cases, it can make the person drink heavily on a day to day basis. In others, it may cause binge drinking at regular intervals. In either case, the person cannot stay off alcohol for extended periods of time. Alcohol addiction is hard to recognize given the social acceptability of having a drink. If left untreated, this condition can be fatal and cause ulcers, bone loss, liver disease, an increased risk of cancer and suppressed immunity.

Nicotine Addiction
Like alcohol addiction, nicotine addiction is hard to spot given that people smoke openly. However, when a person cannot stop smoking even though he or she is aware of its ill effects, treatment needs to be sought. Nicotine dependence affects mood swings and has a physical effect on the body as well. It can cause anxiety, restlessness, frustration, loss of appetite, insomnia, constipation as well as heart disease and lung disease. It can also increase the person s risk of suffering from cancer, infertility and respiratory infections.

Drug Addiction
This is the most serious of the three. Drugs can take many forms. Some are smoked while others are chewed or injected into the body. It is a misconception that drugs are common only amongst the lower rungs of society. Drug addiction can cause mood swings, social withdrawal, memory loss, shortened attention span, poor judgment and other such changes in behavior.

All forms of addiction can be prevented and treated. Thus, it is important to not ignore early signs of addiction and speak to the person concerned or his or her caregiver. In some cases, treatment can take the form of outpatient therapy while in others; the patient may need to stay in a treatment facility for a specific duration of time. Even after treatment, relapses are possible. Hence, the patient needs support from this family and friends. It is also important for the patient to continue therapy in some form or the other even after coming out of the treatment facility. 

Drug & Alcohol Addiction - How To Overcome It?

While many of us may associate healthy food with a healthy body, it is also true that healthy food can support a healthy brain. As we start to grow old, there is something known as oxidative damage which can lead to memory impairment and general brain decline. A healthy brain is one where the brain function is at an appropriate level and the ageing process has been pushed back in terms of stellar memory and information processing. According to Ayurveda and other arms of medical science, there are a number of super food items that can help in this process. Here is a list of five food items that can lead to a healthier brain.

Brahmi: This is one of the most commonly used Ayurvedic herbs. It can be used for many ailments and it is also prescribed as a brain tonic for stronger memory. Besides making the memory clear and sharp, this ingredient can improve the brain s grasping power and the mental capacity of the brain. It is also an excellent anti-anxiety agent, as per Ayurvedic science.
Ginkgo Biloba: This herb promotes better blood circulation in the brain, which helps in improving the overall brain function. It is also a memory enhancer. This herb is used by Ayurvedic doctors for the treatment of Alzheimer s Disease and Amnesia. It is a good medicine that can repair the damaged cells of the brain.
Ashwagandha: This is also known as an Ayurvedic wonder herb. This herb contains many beneficial properties for the brain and the rest of the body. When it comes to the brain and its functioning, Ashwagandha is ideal for patients who are suffering from severe stress. Besides being a stress reliever, this herb can also be used to keep the brain in a calm state for better performance. It helps in improving the functioning of the brain and its complex nerves. This herb is also a good memory enhancer.
Gotu Kola: Gotu Kola is a well-known Ayurvedic herb that can be used for protecting the nerves from damage. It protects the brain cells as well. Also, it enhances the capacity of the brain and leads to improved performance thanks to the many vital elements that it carries.
Mulethi: This is a stress relieving herb used by Ayurvedic doctors. It improves the blood circulation in the nervous system, which gives rise to better brain function. This is a very good herb for children and students, as it is a memory booster which helps them in retaining and retrieving information. It is also a stress relieving medicine that can be used to keep the brain calm and cool even in the most challenging situation.
Adding the above discussed products to your daily diet can help you achieve your fitness goals in terms of body and brain.

Five Food Items For A Healthier Brain!

We all have mood swings, but not all mood swings have the same intensity. People who have extreme mood swings ranging from depression to manic highs are said to be suffering from bipolar disorder. These extreme moods are known as episodes and usually last for a few days of even a few weeks at a time. A person suffering from bipolar disorder could have an episode several times a year. This is a very common psychological problem and can affect both children and adults. Though it cannot be cured, this disease can be managed with medication.

There are no known causes for bipolar disorder but genetics may play an important role in triggering this disorder. Hence, if a parent or sibling suffers from this condition, you have a risk of developing it as well. An imbalance in the neurotransmitters in the brain may also play a part in the development of this condition. Stress or traumatic events like the loss of a loved one can also increase your risk of suffering from this condition.
Given that mood swings affect almost each one of us, bipolar disorder can be difficult to diagnose. Some of the things to look out for are:

Change in self-esteem
Unusual talkativeness or quietness
Being increasingly prone to distractions
Decreased need for sleep
Agitation
Recklessness in terms of spending decisions, relationships etc
It must be kept in mind that a person must display at least 4 of the above symptoms simultaneously to be diagnosed as bipolar. Also, none of these symptoms should be a result or side effect of any kind of medication, drugs, alcohol or other intoxicants.

There are four main types of bipolar disorder.

Bipolar I: In such cases, the person has at least one episode of elevated moods and associated abnormal behaviour in his or her life. This may be preceded or followed by depressive episodes.
Bipolar II: In these cases, the person must have suffered from at least one depressive episode. It is very similar to bipolar I except that in bipolar II the highs never reach the manic stage.
Rapid Cycling: Some people can have 4 or more manic and depressive episodes a year. In such cases, they are said to be rapid cycling. This condition affects 10-20% of bipolar cases.
Mixed Bipolar: Usually, bipolar patients show mood swings that alternate between manic and depressive moods. However, sometimes a person may experience both elation and depression simultaneously or in rapid succession of each other. These cases are known as mixed bipolar.
Once diagnosed, bipolar disorder can be managed with a combination of medication and psychotherapy. In some cases, electroconvulsive therapy may also be needed. 

Bipolar Disorder - Things You Must Know!

Obsessive Compulsive Disorder is also known as OCD. It is a mental ailment that causes specific changes in the brain as well as the behaviour of the patient. It can also cause severe anxiety and lead the patient to consume a lot of time for completing even the most normal tasks. These obsessions are like thoughts, images and even videos playing where the cause of a certain action becomes more profound with the number of imagined risks if it is not done in a specific way, as per the mind of the patient. These turn into repetitive actions undertaken by the patient, where these actions are known as compulsions.

Hence the term: obsessive compulsive disorder. Washing, cleaning, losing control, contamination fears and more are only a few of the thoughts that plague patients suffering from this disorder. While this disorder may not have a specific cure, there are various ways in which it can be managed. Let us look at some of these methods.

What Causes OCD-

The exact cause of OCD is unknown. It is generally considered unlikely that OCD develops purely psychologically as a consequence of the way we are brought up.

Genetics and Physiology: It is generally accepted that OCD arises from differences in the physiology of the brain in people with the condition.
Serotonin: Lack of serotonin activity appears to be involved in causing OCD. Serotonin is a calming and inhibitory neurotransmitter, one of its main actions is to control and put the brakes on painful, worrying or anxious thoughts.
Traumatic Life Events: Traumatic emotional events such as bereavement may trigger or worsen OCD in people who already have a tendency to have the condition.
Treatment of OCD-

For best results in treating this troublesome anxiety disorder combine brain-chemistry balancing approaches with psychotherapy techniques.

Nutritional Therapy: Try tryptophan and St John's Wort to increase serotonin. Rhodiola has been shown to help generalised anxiety disorder however Rhodiola has the ability to raise 'brain energy' and therefore hypothetically may exa-sperate OCD symptoms.
L-theanine or just theanine for short is an amino acid found in tea that has a calming and anti-anxiety effect. Theanine increases GABA activity in the brain and is well worth a try.
The Inositol Treatment of OCD: Inositol, one of the B vitamins, has been found effective in treating OCD. Inositol is used in biochemical processes that affect serotonin receptors.
Psychotherapy: This is also known as discussion or talk therapy where the patient is allowed to engage with a therapist who is usually a psychiatrist or a clinical psychologist. The doctor will help the patient in first of all, becoming aware of the problem by helping the patient carry out various tasks in a controlled environment. These tasks will be timed and then relayed to the patient before the exposure therapy begins, where the patient will be taught to build a better quality of life. This a long term and time taking process which can also involve group sessions and sessions with the family members. Also, this method takes a lot of practice so that the patient learns how to regulate the obsessions and stop the compulsive behaviour gradually.
Exercise: Numerous studies have shown the benefits of exercise upon mental health. So, a minimum of 20mins of daily exercise can help you a lot.
Relaxation Training & Meditation: Learning meditation and relaxation techniques may enhance one's ability to control anxiety and one's thoughts in general.
Medication: There are various kinds of medicines that can be prescribed for these patients. Anti-depressants can help the patient in overcoming the fears and anxiety that a person feels when the wheels of one's imagination begin to turn towards obsessive thoughts. This will also help in tackling the hopelessness that the person feels when faced with the so called depressing outcome of not bowing to the compulsive habits.
Putting It All Together-

Follow the diet for serotonin deficient depression, and GABA deficient anxiety.
Consult with a qualified therapist using behavioural rather than analytical techniques.
Do some repetitive mind-occupying/filling as opposed to mind-emptying meditations everyday.

How to Deal with OCD

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