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!

In India, crimes against women have been on the rise; they might have always happened at the same rate but today's media have become more attentive towards these crimes by bringing them to the forefront. Recently, the devastating news of an Assamese higher secondary student being raped and killed has surfaced. Her floating decomposed body was not discovered until 4th of May when the incident itself occurred on 28th of April. If a rape victim dies, it is the most unfortunate consequence that the parents and the loved ones have to live with but there are numerous victims who survive and they can lead a normal life with guidance and care. Any occurrence of sexual assault not only leaves scars on the outside but also have deeper psychological and emotional effects. The emotional scars can manifest in the form of post-traumatic disorder, depression and suicidal tendencies. If you know anyone who has undergone such an experience, then read on to find out how you can help her get back to her life.

Medical Examination: Physical effects of rape can be adverse on the victim. Forced sexual assault causes bruising, wounds and vaginal bleeding and immediate medical attention is required to ensure safety. Subsequent medical tests should also be carried out to check for Urinary Tract infection, Sexually transmitted diseases (STDs) and uterine fibroids.

Therapy: Wounds of the flesh heal, but it takes a lot of time to recover from emotional damage and in some cases the survivors bear the burden of psychological scars all through their lives. They may see the incident as an assault to their souls and develop depression, post-traumatic disorder, borderline personality disorder, sleeping and eating disorder. The loved ones have to be understanding and be patient with them. One-on-one therapy or group therapy sessions can be very helpful. Talking about their emotions and resolving issues of anger, regret, pain, fear, guilt in a friendly, supported and understanding environment can help them reconstruct their self-image.

Counseling: Guilt and shame are two most common stigmas that most survivors have to deal with. They somehow blame themselves for the incident and regret any step they think that might have led to the incident. They become so consumed by the incident that they think the experience defines them, instead of their persona which is called dissociative identity disorder. In such cases counseling sessions can prove to be very beneficial. They need guidance to understand the situation and separate themselves from the incident. The survivors may feel weak and victimized, overpowered and violated; they may also think that they have lost control of their bodies. Counseling can assist to resolve such issues and help them empower themselves with time.
It is important to make the survivors realize that it is not the end of their lives. With a positive attitude, proper rehabilitation and counseling rape survivors can lead a normal, happy life.

Overcoming Sexual Harassment: You Are Stronger Than You Think

The brain is not a stagnant realm fed with a granted quota of intelligence and memory at birth. It is always in a state of flux. Exercising your brain in various ways accelerates its ability to perform better. It is in your hands to have a sharper take on situations and occurrences. Playing games that require brainstorming, solving quizzes, crosswords or playing chess makes you feel rejuvenated and tired at the same time; the reason being activated brain cells. A healthy brain will affect your life decisions positively and you probably will think rightly before you leap.

Tips to exercise those brain cells:

Meditate and calm your mind: Ten minutes of meditation each day can help you get over anxiety. When your mind is at peace you think out pros and cons with enhanced insight. This composure reflects in each of your actions. Meditation demands your brain to be quiet when it is accustomed to work; you therefore have greater control over it.
Music can improve your brain abilities: Music is the best antidote for a sloppy brain. Music excites the neurons healing a bruised memory. It gifts you with clarity of thought. Apart from listening to music one must try to play a musical instrument. Teaching yourself things puts your mind through a strict regimen of constructive activities.
Take out time to learn a new language: We are paralyzed the minute our brain gives up. Due to several external and internal reasons each one of us is likely to suffer from cognitive disorders on being subjected to extreme pressure or shock. Trying to learn a new language motivate your brain cells to have a wider vocabulary, which further restricts your chances of brain damage.  
Mental mathematics could better your intelligence: Calculators, computers and phones are ridding us of our ability to compute individual data. Computation and consolidation of data helps your mind to work faster with precision. So, you now know those lessons on mental mathematics in childhood were actually the key to a well rounded brain. 
Think of something novel: The more the number of neurons the merrier is your brain. Take pains to direct your mind on a novel track. Thinking beyond what is given and expected helps your brain grow new neurons. It builds up your creativity letting you discover more of your capabilities.

5 Tips To Help You Exercise Your Brain!

3 Things You Did Not Know You Should See a Psychologist For


Most people consider seeing a psychologist an act of weakness or embarrassment. Therefore, they never think that their prolonged periods of stress, anxiety, grief and conflict could be a sign that they need professional help. They fail to understand that psychotherapy is nothing but a strategy to relieve stress and make life easier to live and that often, it does not require you to get stuck amidst expensive treatments or prolonged medication and consultation sessions.
Here are 3 times when you did not know but you needed to see a psychologist.

1. You feel intense emotions
It is common for everybody to feel angry or sad at times in their life but if you feel these emotions too intensely, frequently and for prolonged durations, it may be the right time for you to see a psychologist. If your emotions overpower you to such an extent that your ability to function is impaired, it is a sure shot sign that you need professional attention. Also, if your anxiety levels are so high that you immediately imagine the worst case scenarios associated with any challenging situation that comes your way, you should not delay your visit to the psychologist because it may lead to panic attacks and paralysis.


2. You cannot stop thinking about the trauma that you had faced sometime in your life
If you are too grieved with the pain of death, loss of job, fear of accident etc. that you once faced in your life and there is no way how you think that you can get over it, you should seek immediate help from a psychologist. You may think that these feelings are natural and that you cannot do anything about them but in reality, it is not so. In fact, if left untreated, these conditions can lead you to a lifestyle where daily functioning is impaired. So if your trauma is too hard for you to handle, consider visiting a psychotherapist to prevent further damage.


3. You fall ill too quickly and headaches are a persistent problem
Being emotionally upset can affect your body in more ways than you think. So every time when you fall ill, the cause may not always be a physical medical condition. Stress and anxiety can lead to chronic illnesses like frequent stomach ache, reduced sexual drive, frequent cold, severe neck pain etc. So if you fall ill too quickly and the reasons for your illness are far beyond the comprehension of the general practitioner, it is high time that you consider visiting a psychologist.




3 Things You Did Not Know You Should See a Psychologist For

Anger and temperamental issues are a very common part of a person s identity. It is there from birth and is thought to mirror the hereditary qualities. It can be permanently present or could be triggered in certain situations. Some people have a hot temperament than others. However, there are a few ways with which temperamental issues can be dealt with effectively. These are as follows:

Psychotherapy

Individual or group therapy sessions can be useful. A commonly utilised sort of treatment, psychological behavioural treatment treats people or groups with discontinuous unstable issues.
Distinguish which circumstances or practices may trigger a forceful reaction
Figure out how to overcome anger and control wrong reactions utilising procedures, for example, relaxing preparing, re-thinking circumstances (psychological rebuilding) and learning adapting attitudes.
Medicine
Distinctive types of medications may help in the treatment of temperamentally unstable issues. These medicines may incorporate certain antidepressants (particularly specific serotonin reuptake inhibitors or SSRIs), anticonvulsant mind-set stabilisers or different medications if necessary.

Controlling your outrage
Some portion of your treatment may include:

Unlearning issue conduct.
Adapting admirably to anger.
Rehearsing the systems you learn in treatment to help you perceive what triggers your fits and outrage and how to react in ways that work for you rather than against you.
Building up an arrangement. Work with your specialist to build up an arrangement of activity for when you feel yourself getting irate. For instance, in case that you think you may lose control; try to expel yourself from that circumstance. Go for a walk or call a trusted friend to attempt to quiet down.
Dodging liquor and other substance use. These substances can build forcefulness and the danger of harmful temperamental outrages.
Consider taking these actions before a crisis emerges:

Call someone at home or someone you trust for help and guidance.
Keep all guns away or covered up. Try not to give the abuser the key or use the gun.
Gather a crisis pack that includes things you will require when you leave, for example, additional garments, keys, individual papers, medicines and cash. Conceal it or leave the pack with a trusted friend or neighbour. Try to go away from the situation so hat you do not do something regrettable.
Educate a trusted neighbour or friend regarding your condition so that he or she can call for help if needed.
Know where you will go and how you will arrive back in case that you feel angry, regardless of the possibility that it implies you need to leave during the night. You might need to work on escaping your home securely.
Decide on a code word or visual flag that implies you require the police and tell it to your friends, family or your children.

Temperamental Issues - How To Deal With Them Effectively?

Are you prone to slipped disc problem? + the ideal way to treat it

A slipped disc, also known as a prolapsed disc or herniated disc, is the term given to the phenomenon that occurs when a cartilaginous disc found between the vertebrae in the spine becomes slightly displaced or protrudes, thereby pressing on the nerves in the adjacent areas and causing back pain.
This happens when the soft inner part of the disc, known as nucleus pulposus, bulges out through a weakness in the exterior part of the disc. A prolapsed disc usually occurs in the lower region of the spine and can be of varying sizes. There might even be the development of inflammation around the disc in some cases.

Who is likely to get affected?
Most cases of herniated disc occur in patients between the ages of 30 and 50. The number of men affected is twice as many as the number of women.
Although the root cause of this problem is not yet known, there are a number of factors that may trigger it. These factors include working at a job that requires a lot of lifting, an occupation that involves remaining in a seated position for a long time, weight-bearing sports, obesity, smoking habits and increasing age.

Effective ways of treating the problem
The different methods that are commonly used to treat the problem are:
Medications
There are many different kinds of medicines that are effective in providing relief. These include painkillers, muscles relaxants, anti-inflammatory pills, etc.

Spinal injections
A number of spinal injections are used to treat slipped discs. The injection is done at the opening where the inflamed nerve roots are found and reduces pain, swelling and irritation in the area.

Radiofrequency ablation
This procedure makes use of an electrical current produced by radio waves to reduced pain and sensitivity in the affected area.

Ozone discectomy
As opposed to the surgical removal of the prolapsed disc, this new process makes use of an ozone-oxygen mixture that is injected into the spine to treat the problem. Many international studies have proved its superiority to traditional methods and surgeries.

Those affected by this problem are advised to keep exercising and continuing with their everyday activities as best as possible.



Why You Can Get a Slipped Disc Problem?

Don't wait any longer, manage your Adult Psychiatrist online with a Lybrate doctor today

Consult for Adult Psychiatrist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES