Panic disorder is a condition that strikes without reason or caution and can be serious. Indications of panic disorder usually include sudden attacks of panic and anxiety, in addition to physical side effects, such as sweating and a pounding heart. During a fit of panic, the reaction is based on the circumstances, which may not be threatening in general, but triggers a feeling of panic. After some time, a person with a panic disorder builds up a consistent fear of having another fit of anxiety, which can influence the every day functioning and lifestyle in general. Panic disorder usually occurs alongside other conditions like depression, liquor abuse, or drug abuse.

You might experience the ill effects of a panic disorder if you:

Encounter frequent, unforeseen fits of anxiety that are not attached to a particular circumstance or event
Stress over having another fit of anxiety
Are trying to avoid the places of your precious panic attacks
The most common symptoms of a panic disorder are as follows:

Trouble relaxing and feeling uneasy most of the time
Beating heart or abdominal pain with a feeling of nervousness
Serious irrational and emotional fear
Feeling as if you are out of breath
Feeling as if you are being choked or smothered
Dizzy spells
Trembling or shaking
Sweating constantly
Feeling nauseous or having a stomach ache
Shivering or numbness in the fingers and toes
Sudden chills or hot flashes
A fear that you are losing control or are about to die
While a single panic attack may just last a couple of minutes, the impact of the experience can leave a long lasting impression and make you susceptible to more such attacks. In case you have this issue, the repetitive fits of panic take an emotional toll. The memory of the fear that you felt during these attacks can affect your self-confidence and cause interruption to your regular day-to-day existence. In the end, this prompts to the following panic disorder effects:

Expectant uneasiness: Instead of feeling like yourself in the middle of panic attacks, you feel tensed and on edge. This uneasiness originates from a dread of having future attacks of anxiety. This fear is seen more often than not, and can be extremely disabling at times.
Phobic avoidance: You start to stay away from specific circumstances or situations. This might happen since you are maintaining a strategic distance because of your previous panic attack. On the other hand, you may stay away from areas where escape would be troublesome or help would be inaccessible in case you had a fit of panic.
Medicines: Medicines can be used to control or decrease a majority of the side effects of panic disorder. Even if medicines do not form a part of the main treatment, when combined with other treatments, medicines are very effective. Eg. therapy and lifestyle changes.

Panic Disorder - 12 Signs You Are Suffering From it!

Most Practical Tips for Controlling Everyday Stress

We generally use the word 'stress' when we feel that everything becomes too much to handle - we are overloaded and wonder whether we can cope with the pressures placed upon us. Nowadays stress is a normal part of life. Almost everyone has some sort of stress. Constantly reacting to stressful situations without making adjustments to counter the effects, threatens our health and well-being.

There are steps you can help you managing day to day stressful conditions and take to feel better.

Be realistic: If you feel overwhelmed by some activities (yours and/or your family's), learn to say NO! Eliminate an activity that is not absolutely necessary. You may be taking on more responsibility than you can or should handle. If you meet resistance, give reasons why you're making the changes. Be willing to listen to other's suggestions and be ready to compromise.

Shed the 'superman/superwoman' urge: No one is perfect, so don't expect perfection from yourself or others. Ask yourself, 'What really needs to be done?' How much can I do? Is the deadline realistic? What adjustments can I make?' Don't hesitate to ask for help if you need it.

Take one thing at a time: For people under tension or stress, their day-to-day workload can sometimes seem unbearable. The best way to cope with this feeling of being overwhelmed is to take one task at a time. Make a list of things you need to get done and start with one task. Once you accomplish that task, choose the next one. The positive feeling of 'checking off' tasks is very satisfying. It will motivate you to keep going.

Share your feelings: A conversation with a friend lets you know that you are not the only one having a bad day. Stay in touch with friends and family. Ask them how they have dealt with a similar situation that may be 'stressing you out.' Let them provide love, support and guidance. Don't try to cope alone.

Be flexible: If you find you're meeting constant opposition in either your personal or professional life, rethink your position or strategy. Arguing only intensifies stressful feelings. Make allowances for other's opinions and be prepared to compromise. If you are willing to be accommodating, others may meet you halfway. Not only will you reduce your stress, you may find better solutions to your problems. Go easy with criticism. You may expect too much of yourself and others. Try not to feel frustrated, disappointed or even 'trapped' when another person criticises you.

Hobbies: Take a break from your worries by doing something you enjoy. Whether it's gardening or painting, schedule time to indulge your interest. Exercise: Regular exercise is a popular way to relieve stress. Twenty to thirty minutes of physical activity benefits both the body and the mind. Meditate: Just ten to twenty minutes of quiet reflection may bring relief from chronic stress as well as increase your tolerance to it.

Take Herbal Supplement: Herbs like Brahmi, Ashwagandha, Mandukparni, Shankhpuspi, Kaunch are very helpful in managing stress. These herbs work on the brain and help relax you which ultimately empowers you to manage your stressful conditions easily. There are many herbal supplements available in the market that can help you.

Consult the Doctor: If your stress level doesn't seem to improve with above tips, it may require more attention and consultation with an Expert.

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

Most Practical Ways of Controlling Everyday STRESS


7 CHARACTERISTICS OF EMOTIONALLY STRONG PEOPLE

Emotionally strong people are better able to manage the stresses and distresses of daily life, and recover more quickly from challenges and crises when they arise. Is your emotional engine strong enough to take you through the ups and downs of life? Are you riding a bullock cart which can topple over anytime you pass through a broken road or are you driving a four wheel, all terrain vehicle, which will ensure you a safe trip through all the rocky terrains of your life?

A common cultural belief is that people who don’t cry and are unemotional, detached are the emotionally strong ones...and the ones who cry easily and exhibit emotional turmoil are the weaker ones. Well, this is just a myth and not an accurate indicator of one’s mental and emotional strength. A person’s internal coping mechanism will determine how strong he/she is emotionally and deal with challenges and bounce back from them. For eg. Two investors invest in a startup company and watch it fail after 5 years of hard work...one cries copious tears and falls apart, the other controls his emotions but feels defeated. Both were not emotionally strong as they couldn’t sustain the pressure and crumbled. It would have been fine if they felt sad and worried over the loss of time, resources and money and then bounced back with fresh ideas and renewed energy, which would have shown their capability to bounce back from difficult situations.

Unfortunately, too many of us judge ourselves incorrectly in exactly such moments. If we react emotionally or tearfully to emotionally challenging situations we scold ourselves for being weak, even when we have every intention of persisting and moving forward and even when we believe we will eventually succeed. Tears are usually a sign of frustration and disappointment, not defeat. What you believe about your future chances of success and how discouraged you feel in the long term is far more important than how often you cry in response to stresses and bad news.

The following list will help you decide how emotionally strong you are and where you need to work on yourself:

1) Emotionally strong people are less discouraged by setbacks and disappointments: they see each failure as an opportunity to learn and improvise over the last one. They compare themselves with themselves and define their own measures for failure and success. You could do an analysis of your strengths, limitations, opportunities and impediments in order to get over difficult situations. Geet, a student who didn’t get into his desired subject of IT, sat through 5 years of Law and did some extra courses in corporate law and worked towards fulfilling his dream of working in the Corporate. He felt confident, happy and satisfied with his efforts.

2) Emotionally strong people are more adaptable to change: they welcome and embrace changes in themselves and their environment simply because it brings newer opportunities and learning which can catapult them on their way to success. New boss, different stage of life, children going away are changes that will surely happen. Preparing for them in advance, can help people cope better with changes. When Surabhi got married, she took marital counselling to prepare for the differences that will crop up due to changes in the environment, thinking and attitudes of her inlaws family. She is a happy and successful wife and mother today.

3) Emotionally strong people are able to recognize and express their needs: ability to acknowledge and express your needs is being genuine to yourself and an expression of self care. People who are self aware move faster on the ladder of success as they are devoted and passionate towards their goals and needs. Taking care of your health and exercising along with a professional career makes for an emotionally strong person. You can become aware of your needs and values in counselling and experience contentment and power as you take charge of your life.

4) Emotionally strong people focus on getting around a hurdle rather than on the hurdle itself: focussing on the hurdle can be very emotionally draining and demotivating. Emotionally strong people invest their energies in working through a problem and looking for viable solutions, which ensures their victory over stresses and strains. If you have lost money in business, then working on your sales and marketing skills could get you better gains rather than feeling defeated. Counselling can help you look at problems objectively and from different perspectives. Get in touch with your problem solving skills and feel motivated and accomplished again.

5) Emotionally strong people can learn from mistakes and criticism: who hasn’t been subjected to criticism or made some mistakes? It’s human to err. Working towards excellence rather than perfection and looking for the golden piece of advice in the strong criticism helps emotionally strong people win over situations and important relationships. Sarita, an intelligent and smart woman ignored the critical remarks of her mother in law because she knew that there is a lot to learn from her. She knew which battles to fight and which ones to let go of.

6) Emotionally strong people tend to see the larger perspective in a challenging situation: They don’t get weighed down by smaller defeats when they have the larger picture in mind. An emotionally strong employee, Martin, who experienced office politics, kept his cool and focussed on his work.

7) Emotionally strong people are able to recover more quickly from emotional wounds such as failure or rejection: nobody can reject you unless you give them the permission. Seeing each failure as an opportunity to grow and learn helps. Staying with what you can do differently next time and having fall back plans helps to reduce the impact of failure. Thomas Edison didn’t get deterred by the number of times he could make his bulb glow. He kept looking at different permutations and combinations and kept learning from each mistake. Finally, his bulb glowed and now we all can benefit from the fruits of his hard labour.

If you don’t find yourself scoring high on this list, then there is no need to worry because in personal counselling, you can build emotional strength and capacity to bounce back by working on your mindset and learning more adaptable responses to stresses of daily living.

7 characteristics of emotionally strong people

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

What is depression?

It is a state of mind when a person feels very low, loses interest in routine daily activities, feels hopeless and helpless. Many times the person starts thinking about suicide. It is a very dangerous state and needs immediate intervention from mental health professionals.

Assessment of depression:

Anyone feeling very sad cannot be called as a" depressed" person. To confirm the depression, the person needs to undergo assessment tests by either a psychologist or a psychiatrist. A" depression test" is carried out to see the exact intensity of depression.

Symptoms of depression:

Feeling very sad all the time, continuously for more than 15 days: feeling very sad continuously for a period of 15 days or more confirms depression. But just feeling sad sometimes is not depression.

 Crying for no specific reason: a depressed person may cry without any specific reason or provocation. The internal feeling of sadness is so intense, that the person cries without a good reason.
 Feeling worthless and hopeless: a depressed person has very low self esteem. The person thinks that he/she is useless, has no value and respect in the society. A depressed person feels hopeless. He/she thinks that'this is the end of the world' and things cannot improve. The person does not have any hopes about future and may start thinking about committing suicide or may attempt suicide.
 Loss of interest in life: the person loses interest in life. Does not feel like taking part in any activities which she/he were interested in doing earlier. There is nothing to look forward to, in their life.
 Ignoring personal hygiene: the person is so disinterested in life that she/he becomes careless about personal hygiene. They may not take bath for days together, may not even change their clothes or comb their hair or brush their teeth and are least bothered about the general cleanliness.
 Sleep disorders: the depressed person may sleep all the time or may not be able to sleep at all, which affects their overall health.
 Eating disorders: the person with depressive symptoms may stop eating or eat very little or in some cases eat a lot.
 Lack of sexual desire: the person may lose interest in sex and stop interacting with the sexual partner or start avoiding them.
 Feeling like a loser all the time, not wanting to fight back: the person has no self confidence and hence loses all the faith in his/her own abilities. Does not believe that he/she can face difficult situations and also can fight back.
 Becoming antisocial: the person avoids meeting other people and does not interact with people at home.

Causes of depression:

There are various factors, which may cause depression:

Family history: a person who has a family history of depression is more likely to have depression. If any of the parents or grandparents were diagnosed with depression then the person is more susceptible to depression.

Trauma: if a person has gone through a'life changing' experience, it can cause depression. Situations, such as a sudden death of a loved one or in case of witnessing devastating natural disasters like earthquake or tsunami or a war survivor, someone who has experienced terrorist attack or when someone has suffered sexual or physical abuse etc. May cause depression.

Health issues: if a person is having terminal illness, that can cause depression as the person has to endure lot of pain and has no hopes about recovery.

Relationship problems: if a person is dissatisfied with his/her close relationships like relation with the spouse, parents, siblings or offsprings, then the person may feel like a failure and feels worthless, unwanted or betrayed.

Financial issues: a person having any financial issue like not able to get a job or loss of job, incurring heavy losses in business or unable to earn enough money to satisfy the basic needs etc. Might get depressed.

Failures in life: failure to pass an examination, failure to achieve targets/goals, failure in love affair etc. May result in depression.

Treatment for depression:

Depression may fall in the category of mild, moderate and severe. But it is very important that the person gets assessed for the severity of depression.

Assessment by a psychiatrist/psychologist/counsellor: a person needs to be assessed by either a psychiatrist or a psychologist or a counsellor, to understand the intensity of depression. These mental health professionals may assess a person by talking to him/her and if required by applying certain'depression assessment' tests.

Medication and counselling: in case of moderate to severe depression, a psychiatrist will prescribe certain medication. Along with the medicines, counselling sessions work very well. In case of mild depression, only counselling also can be helpful.

Depression is treatable: if you come across someone with depressive symptoms, kindly advise them to seek help from a counsellor, psychologist or a psychiatrist.

Depression What You Need to Know About It

Did you know that almost all of your nerves converge in your feet and that your foot is the most sensitive part of the human body? Did you also know that if there are any complications to your body, then the feet can show the symptoms indirectly? Science has time and again proved this and it is high time that you give the adequate care for your feet.

This is nowhere explained better than in ancient Ayurveda, where it emphasises the importance of foot massage and the need to strengthen the nerves. Ayurveda has a long traditional foot massage therapy called as  Padabhyanga  which can be traced back to more than 5000 years. The foot massage with essential oils would improve blood and lymphatic circulation, nourishes the skin, and calms the restless mind.

Foot massaging can relax the muscles of the feet and legs, it can also help in relieving stress and anxiety. Just like how the tree gets their nourishment from their roots, channelling a proper foot massage can rejuvenate the entire mind and body.  Let us look at in detail.

What is Padabhyanga?

The word Padabhyanga comes from the two Sanskrit words  Pada+abhyanga   Pada  means foot and  Abhyanga  means massage. It is one of the most calming and soothing massage therapy and can keep your mind and soul revitalised if done in a proper way. Participating in this massage therapy daily can allow you to release the clogged energies.

3 Types of Padabhyanga Massage:

The massage can be segregated into three different types as detailed below.

Padabhyanga with hand: This type of massage is the fundamental form of massage and is basically done by your hand in the rubbing and stroking of foot. The heat is generated by it and the cardiovascular circulation gets activated. The massage uses sesame seed oil generally and in some cases even herbal infused oil is also used for a better cure.
Padabhyanga with kasa bowl: In this type of massage, a Kasa bowls with oil coating are wormed. Then the bowl s round surfaces are used to massage the foot and sole in a circular motion. The kasa bowls are generally made of copper and tin. Massaging in such a manner can eliminate toxins and it can also release negative energies from your body.
Padabhyanga marma therapy: This type of therapy is very similar to acupuncture, where the pressure points of your feet are activated. These are called as marma points and special care is taken to make sure that these marma points are activated by pressing them over a small period of time. The therapy releases negative energy and relaxes your mind with rejuvenation.

Foot Massage - How It Can Help Relieve Stress?

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