Do you have a family member or a close friend who is suffering from obsessive compulsive disorder? Obsessive Compulsive Disorder (OCD) is a disorder, which causes anxiety, and is also known as anxiety disorder. The disorder is featured by continuous, uncontrollable and unpleasant thoughts. OCD causes a patient s mind to get stuck on a certain inclination. Obsessive thoughts and compulsive behavior patterns indicate OCD.
Dealing with an OCD patient

After the initial diagnosis, a patient with OCD enters the stage of acute treatment. The treatment aims at coping with and overcoming the symptoms of OCD.

Education: Patients with OCD should get to know as much as possible about the disorder they are suffering from. You should help an OCD affected patient by providing them the opportunity to read about the disease, and talk to other patients, along with regular appointments with a clinician. A treatment plan has to be developed. OCD patients in an acute treatment stage should be taken to a doctor every week, in order to discuss their progress.
Therapy: Therapy helps them cope with the symptoms of OCD. Cognitive behavioral psychotherapy is undertaken for treating patients with OCD. This mode of treatment gives the patients psychological tools, which help them resist the ill effects of the condition.
Medication: Medicines are not required for all OCD patients. Some patients diagnosed with the condition are prescribed selective serotonin re uptake inhibitor or SSIs for dealing with the symptoms of OCD. The medicines should be taken for a period of three to four weeks before any results are experienced. 12 weeks are required for a patient to know whether the medicines are working or not. An SRI is ineffective in some cases, and you may be prescribed a non-selective serotonin re uptake inhibitor like Clomipramine. This affects the serotonin, but has positive impacts on other neurotransmitters in your brain.
Family support: Family members play an important part in helping OCD patients manage their condition by providing constant support, staying calm, and being educated about the condition. OCD patients should be treated with affection and should be complimented often. The observations of the patient by family members help a doctor in determining the patient s condition. As a family member or close friend, you must never be critical about the patient or state negative comments about his condition. Such feedback causes the patient s condition to worsen. Family members should discuss all problems they face regarding the patient to a doctor.
Patients who have completed OCD treatment require monthly check ups with a doctor for six months. A year of cognitive therapy is required to be carried out, along with the intake of prescribed medicines.

Obsessive Compulsive Disorder - How To Handle It?

Ayurveda is a renowned life science that has been credited with changing lives since ancient times. Not only can it prevent diseases and ailments, but it can also cure them with its combination of herbal medication, everyday routine and yogic poses. Weight management is a field that also enjoys various Ayurvedic remedies. Some of them are as follows.

Herbs: Herbs are a way of healing used by Ayurveda, and the use of various herbs can help in hastening the metabolism for healthy weight management.

Taste: Ayurveda recognizes six distinct tastes that should be incorporated into one's daily diet. These tastes include salty, pungent, sour, sweet, bitter and finally, astringent. Each of these tastes has several properties that balance the various hormones and health factors in one's body. These tastes form the various counterpoints to alleviate all kinds of health problems, which finally help in effective weight management. Also, one must eat all the seasonal fruits and vegetables to keep the body and hormones in good balance.
 
Exercise: While a daily routine of exercise is a must in any life science, Ayurveda too propagates the devotion of at least 45 minutes to one hour towards some form of exercise. Walking is said to be the most important and effective forms of exercise, followed by several yoga poses that can help in better weight management. Also, as per Ayurveda, it is important to move after each and every meal, so that a routine of eating and activity is built into the system. 

Sleep: Ayurveda recognizes sleep or rest as one of the most important aspects of a healthy lifestyle. While good eating habits and exercise form one side of it, sleep or rest completes the triangle. One can also practice the Savasana or resting pose for a period of rest. And at least six to seven hours of sleep is a must as per Ayurveda.

Meditation: This practice helps in focusing on awareness which can instil the desired function like weight management in the body. Being mindful of what your body needs can also help in eating and exercising right.

Weight management is a lifelong process in Ayurveda.

Weight Management and Ayurveda

In many cases; divorce and separation leads not only to bad blood between the parents, but also in a child alienating himself from one parent. Insulting or belittling one parent without justification or under pressure from the other parent is known as parental alienation syndrome. Parental alienation involves one parent undermining the other and interfering with the child s relationship with the other parent by limiting contact with them, bad mouthing them, forbidding discussion about them etc. This can have a very negative effect on the child s emotional state.

1. Self hatred: For children, hatred is not inborn, but developed by the situations they are in. By bad mouthing a parent and teaching the child to hate the parent, the child himself is harmed. With time, he begins to internalize this hatred and believe that there is something wrong with him that made the alienated parent not want him.

2. Low self esteem: When a child is not allowed to speak his mind and has to bottle up his thoughts, he becomes socially withdrawn. Often the child begins to feel that he is the cause for the rift in the family and makes himself responsible for the separation. This intensifies with time and makes the child lose confidence in himself leading to low self esteem.

3. Lack of trust: When a child is suddenly pulled away from one parent and told how that parent is not a  good person  the child is likely to feel betrayed. This creates a sense of doubt in the child s mind and makes it difficult for him to trust other people. As he grows up, this can affect his own adult relationships as well.

4. Depression: Depression is a commonly seen in children from broken homes and this is intensified in cases of parental alienation. It is rooted in the child s feeling unloved by either one of the parents and built up by the separation. Not being given a chance to speak about their feelings or talk about the situation makes them more depressed and they begin to withdraw into themselves. In many cases, it is noted that alienated children have strained relationships with their own children as well.

5. Substance abuse: Depression is one of the most common triggers for substance abuse. Alienated children often feels trapped and that they have no outlet to vent their feelings and frustrations. This often makes them turn towards drugs for relief and can make them victims of substance abuse.

Effects of Parental Alienation Syndrome on Children

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!

5 awesome Bill Gates personality traits you can help your child pick up

Do you want to know what makes Bill Gates not just a mega-successful businessman but also a great human being? Well apart from outstanding business chops and an IQ of 160 of course. It is his attitude to life in general. If you want to see your child touch the peak of success personally and professionally, the apple of your eye should have certain integral personality traits. Here’s how you can effectively imbibe them in him/her. And there’s no better day to get started than today, the Microsoft founder’s Birthday!

1. Make your child a fighter.
We’ve often heard Bill Gates exhorting people to not give up despite the odds against them. “Life is not fair, get used to it” is his golden mantra. When your child seems down and beaten, always be there to support and encourage him, just like Gates’ parents were there to nurture his dream of computer programming from their club’s funds.

2. Inculcate traits of sensitivity and warmth.
A life lesson Gates champions is that of giving back to the society through his notable charitable endeavours such as the Bill and Melinda Gates Foundation. So how do you teach your child to realise his dream in this highly competitive world without losing his compassion? The answer is simple; encourage your child to perform small, daily acts of kindness like donating part of his pocket money, helping an elderly to cross the road or feeding the poor.

3. ‘No’ to shortcuts. ‘yes’ to patience and honesty.
Bill Gates is a strong believer of hard work. He’ll tell you that you need to work hard to realise your dream with shortcuts being a no-go. If your child is tempted to indulge in shortcuts, do not hesitate to gently admonish him. To be patient and honest consistently is hard even for us adults. Nevertheless, make yourself a role model for your child.

4. Stay humble.
One of the reasons behind the immense success of Microsoft’s founder is that he sees great opportunities even in the smallest and lowliest of work. “Flipping burgers is not beneath your dignity” He’s famously been quoted time and again. If you want your child to climb the ladders of success like this monumental man encourage him to get his hands dirty. You could begin with getting him to help out in household chores to get your point across.

5. Learn to learn from your mistakes.
The man of wisdom strongly advises to teach your child to learn from his mistakes. Whenever your child does something wrong, give him some time and space to understand his mistakes so that the lessons learnt remain with him for life. If the lesson turns out to be positive then the mistake made was worth it. In time, your little tyke will no longer depend on you or others to correct his mistakes. We’ll be looking at a self-sufficient person in his own right.

If you would like to consult with me privately, please click on 'Consult'.


Happy Birthday, Bill Gates! Top 5 Gates’ personality traits your child can pick up

PTSD or post traumatic stress disorder is a confusion that develops in a few people who have encountered a shocking, unnerving, or dangerous event. It is natural to be scared during and after a traumatic event. Fear triggers numerous brief and instant changes in the body to protect us from the threat or to stay away from it. Here are a few myths and facts about PTSD:

Myth 1: Everyone who has been through a life threatening event will develop PTSD.
Fact: In reality, a great many people who are exposed to such events will not get PTSD in most of the cases, and a lot of them see a decrease in the symptoms gradually over the months or even days. The number of individuals who may be diagnosed after an event that can result in PTSD ranges from under ten percent of people after twelve months of exposure to general trauma. Where as, thirty seven percent of the individuals are exposed to deliberate trauma.

Myth 2: People who are weak, get PTSD.
Fact: It is not clear why a few people get PTSD and others do not. Women are twice as prone to be determined to have it than men are, however, women will probably have numerous mental issues since they will probably look for help, and accordingly get an analysis. Individuals who are presented to interpersonal injury, for example, rape or fighting, will probably have more pronounced PTSD symptoms than survivors of mishaps, accidents or natural disasters.

Myth 3: After a specific measure of time, one should be over the trauma.
Fact: Depending on the nature of the trauma, it might stick around. Furthermore, in some cases, a person may seem to get over it. However, something triggers the recollections and they get tormented by symptoms again. Additionally, as individuals age, the movement that keeps the long-term memory far away from the brain, starts to diminish, exposing the person with seasoned recollections.

Myth 4: The trauma was such a long time ago that it is past the point where it is possible to recover from the trauma.
Fact: The good news is that it is never past the point where it is possible to address your shock or trauma. In fact, most of the patients are middle-aged child sexual abuse survivors. There is a great deal of reasons that somebody would hold back from getting treatment, yet the decades isolating them from their trauma are not an obstruction by any means.

Myth 5: I should have the capacity to handle this myself.
Fact: Frequently it takes more strength to get help than to battle alone, especially for specific events. Cases of individuals who might be particularly hesitant to connect include men who have been conditioned by the society to not express sentiments or show helpless. Marginalised people have a more troublesome time looking for somebody who can relate to them. 

Myths and Facts About PTSD!

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