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.

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Health Tip - Role of Relationship Problems in Depression and Suicides

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?

Top tips to help you fight anxiety

Anxiety is the latest problem affecting a majority of the population, owing to our hectic and fast-paced lifestyles. All of us are so busy in our lives that we forget to provide our mind and body with the basic care that they need in order to function effectively. Here are five useful tips to help you overcome anxiety, on a daily basis.

1. Maintain the right diet
Though it may sound like a cliche, maintaining a healthy diet on a regular basis is the key to beating anxiety. Try and consume food products rich in Vitamin b which is known to improve mental health; and Omega-3s which can effectively counter severe anxiety and depression.

2. Get adequate sleep
Not getting enough sleep not only affects your mind but has an adverse effect on your body as well. Even anxiety can result in irregular sleep patterns and thus ensure that in any situation, you manage to get six to seven hours of sleep on a daily basis.

3. Engage with people
Man is indeed a social animal. People make us happy. The hormone oxytocin significantly reduces anxiety levels and it is released during the process of socializing; thus it is essential to be in contact with your close group of people.

4. Keep your immediate environment clean
A cluttered home or workplace not only adds to physical clutter but contributes towards building up mental clutter as well. Spend a few minutes every day in keeping your immediate environment clean and organized. You are bound to feel calmer and more relaxed.

5. Indulge in breathing exercises
When your brain is tensed, your breathing pattern automatically becomes short and shallow. In order to send relaxing signals to your brain, try taking deep and long breaths and continue the process for a few minutes.

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5 Most Effective Ways To Drive Anxiety Out Of Your Life

Life has its ups and downs, but often we hold on to the downs for much longer than the actual event. While the trigger or anger, pain and hurt are beyond our control, the amount it can affect us is well within reach. Here are a few ways to cope better with emotional upsets.

Give yourself a window to be upset: Be realistic and give yourself a time frame to give in to your emotions. Whether, angry, sad or frustrated tell yourself that you have only 1 day to be upset. In a way, this will diffuse the anger and frustration and once this time is over, you can start planning ahead.
Take responsibility: Try analysing what you may have done to make the other person react in the way he or she did. Focus on what you could have done better and you will find yourself feeling more empowered.
Get physical: Exercise and other forms of physical activity decrease stress hormones and increases the productions of endorphins or happy hormones that elevate the mind. Exercising also gives you time to focus on yourself without distractions.
Express yourself: Whether it s through art or writing, find an outlet for your emotions. This keeps it from being bottled up inside and gets the pain and frustration out of your system.
Breathe: Breathing techniques like ujayii and anulom vilom can help calm the mind down when it is troubled and upset. These breathing techniques also keep your emotions from escalating.
Get company: It is never a good idea to isolate yourself when you re feeling blue. Instead, find people who you can open up to and share your thoughts with. This will give you a fresh perspective on what is going on.
Look at both sides: No event is ever completely bad. No matter what may be troubling you look at both the good and bad sides of it. This can help minimise your loss and make it easier to let go of the problem.
Do something different: The best way to get your mind off something is to give it something else to focus on. If you re troubled by something that happened at work, go for a drive or play a sport. Similarly, if you re having relationship trouble, go out with a few friends or read a book to take your mind off it.
Visualize: Imagine the person or the event that is upsetting you as an object in your mind and visualise it melting away. Remind yourself that the anger or frustration you are feeling is worse than the person or event itself.
Clean up: Organise your desk, your room or start cleaning up space around you. This will take attention away from whatever is troubling you and give you something to do.

Are You Emotionally Upset? 10 Ways to Get Over it!

The number of people affected by hypertension is constantly on the rise. The most important concern with people developing hypertension is that it is not an isolated issue. It brings with it a host of problems, including higher chances of stroke, heart disease, diabetes, and kidney diseases. While there is no definite cure for hypertension, it is definitely possible to control it using the following measures.

Weight control: Greater the body mass index (BMI), higher is the chances of developing hypertension. Check with your doctor to know what the ideal weight is and try to maintain it. If overweight, losing even 10 pounds can make a big difference to your blood pressure.
Diet management: Excessive salt, calories, fat, and sugar are to be avoided. Sodium is one of the main culprits for increasing blood pressure and should be avoided. Include fruits and vegetables that are rich in potassium and magnesium. Reducing salt is another major way to control blood pressure. Fish oils with omega-3 fatty acids are extremely good for the health of the heart and so consult your doctor to include the right amounts in your diet. 
Exercise: A regular workout regimen can reduce the chances of developing blood pressure by up to 40% to 50%. This should not be misinterpreted as the need for vigorous workouts. Even small, regular physical activity daily goes a long way in controlling blood pressure.
Alcohol: While quitting alcohol is the best thing to do, for those finding it difficult to do so, cutting down on it plays a big role in controlling blood pressure. No more than a drink per day for women, and no more than two per day for men are recommended.
Stress management: Stress is one of the major causes for increasing blood pressure, and so managing stress is very important. Whether music or meditation, pick your stress buster and see your blood pressure lowered.
Medications: If you are already on a medication regimen, strictly adhere to the schedule. Consult your doctor before adding herbal supplements or dietary supplements. Taken individually, they may be good for health, but there are good chances of them interacting with your regular medications.
Monitor: Once you have been diagnosed with high blood pressure, have periodic check-ups with your doctor to ensure it is within the permissible limits. If beyond limits, immediately correct it.
As noted, hypertension is not an isolated issue and brings with it a whole lot of issues. Controlling it can help control the other issues that would follow and improve the quality of life.


Hypertension: 7 Best Ways to Control it

HOW TO BOUNCE BACK FROM FAILURE

“It's fine to celebrate success, but it is more important to heed the lessons of failure,” Bill Gates said. We always shower praise on those who have triumphed. Very rarely do we examine all the times the successful people have failed, and analyze how they turned their “luck” around. In this tip, you will understand how to turn failure into success and bounce back with more fervour.

1. A SUCCESSFUL MINDSET: If you’re striving to achieve anything then failure is inevitable. “Whenever you’re trying a new experiment, whether it’s a new job, a new product, a new hobby, a new boyfriend or girlfriend–whatever it is–you need to give some thought to what is your strategy and which are the possible ways to achieve it. Do you have any plan B or plan C if plan A fails? What will you do if nothing works out...and how to minimise the losses as well as taking advantage of the opportunities that you have. Assessing your opportunities and threats to success is very important. When a newly wedded girl comes to stay with her In laws, she might need to have a number of ways in her kitty to make her place in the new household rather than just stick to a few traditional ones. If one technique doesn't work, try something else. Disaster strikes when creativity is not given a place and failure was not factored in. Feeling helpless doesn't add upto success. Optimism is what people need to bounce back with.

2. LEARN AND IMPROVE WITH EACH FAILURE: Failure is just an opportunity to learn and improve. It’s a teaching moment that should be analyzed with a practical, clear mind. It helps to see mistakes as stepping stones to learning and improving and using it as an opportunity to bounce back. Every person should behave like a scientist with a mind open to exploring, assessing, making mistakes and changing. Mistakes must be embraced as being part of the process of success. If we don’t make mistakes it means that we’re not trying, and if we’re not trying then we’re not learning and getting better. Your self-worth should not rest on perfectionism, but rather value your ability to accept and learn from your mistakes. Not everyone is willing to admit when they’re wrong, which can hamper progress and relationships. When Meena and Arun started dating each other, they didn't know each other well and tried to impress each other in ways that was not working out well for both of them. It was very frustrating for them to see that their relationship was not working out. In counselling, they realised that they were not asking what each can do to impress the other. Meena told Arun that she would like to be taken out to plays and theatre by her future partner and Arun told Meena that he would like to take weekend trips to nearby destinations to get to know his partner well. When they both started doing what the other appreciated, they got to know each other better and relationship started blooming. Thus Arun and Meena assessed the situation, were open to discussion and found an amicable solution instead of thinking of their previous efforts as failure and giving up. 

3. LOVE YOUR CRITICS: How do you feel when your work gets criticised repeatedly by your boss, manager or your husband. It mighty be hurtful and demeaning to hear critical feedback, but if many people are saying the same things about your work or behaviour, then maybe it's time to give it a serious thought. When Saira was often told that she wasn't cooperative enough in team activities and tends to slacken and pass on work to other members, her mind started working. She had got the same comments in her previous organisations. She started seeing a grain of truth in this feedback and took steps to rectify complaints that stood out common in all the feedbacks and reworked her way back to become a sought after team member. Her next years' appraisal was better and got her an increment. Saira triumphed, because she knew how to learn from criticism.

4. ACCEPT FAILURE AS AN IMPORTANT PART OF LIFE: Shivani was heartbroken when her 15 year old perfect son started doing badly in exams. Her world fell apart when she came to know that he had secured 73% in 10th grade. She felt that she had failed as a parent and her son as she had not devoted enough time to her son as she was a working mother. In counselling, she was asked if she knew any parent who had never failed their kids and were always there for them. Shivani couldn't come up with any names of such mothers who had been perfect to the core. Yes, that's how real mothers are...you will fail sometimes and you will win sometimes. Every moment you are real with your child, you are succeeding as a mother. Accepting failure as a part of life and knowing that you gave it your best shot is good enough. There's magic in feeling genuine regret rather than overkilling guilt and shame. Own your failure openly, publicly, and you'll reap a harvest of forgiveness, trust, respect, and connection—the things you thought you'd get by succeeding. Ironic, isn't it?

5. GO WITH YOUR GUT: When you see a red flag, pay attention. How many times in life have you kicked yourself for not listening to that little voice in your head that says, “Something is wrong here”?. Preetam gave an interview with an organisation, going by their market reputation. Yet during the interview, he picked up feelings of dissonance within the company. After joining them, he realised that his gut was right..the company was going through major shuffle and policy changes, which were not working out for Preetam.

6. BE A PROBLEM SOLVER AND STAY CALM: In a crisis, people tend to get anxious. Maintaining a sense of Zen will not only allow you to think more clearly but will also set the tone for those around you. Kapil used to get tensed over small details. He realised that in the larger scheme of things they were really not that important. He focussed his energies on things that were more important for him to reach his monthly targets. This started calming him down.

7. FIND A SOLUTION: You need to figure out how to address and remedy the situation. Start by considering your end game — what’s the ultimate outcome you’d like to see? — and work backwards from there. Daya wanted to be a good father to his children. He wanted them to remember him as a gentle and loving father. He started working backwards and his daily actions and behaviours showed to his children that Daya was a loving father. He played with them, took them for cricket coaching, went swimming, shared personal success and failures and most of all listened to them when they had to say something.

8. TAKE RESPONSIBILITY OF YOUR MISTAKES AND FAILURES: If you screwed up, don’t make excuses — just apologise genuinely for any errors on your part. Remember, that no one is perfect and it's human to err. Prema was a caring mother. She had many dreams about her daughter and wanted her to do well in studies and be a well behaved child of the family. But when her daughter started showing disinterest in studies and marks started falling, Prema used to beat up her daughter in her anxiety to do well. In counselling Prema understood that her intentions were good, but the way she communicated were not helping the situation as Prema's daughter hated her mother and maintained distance. Prema owned up her mistakes and apologised for her errors to her daughter. She also took remedial action to be accepting of her daughter and gave her the space to make her own mistakes and learn from them. 

9. BECOME PROACTIVE: Don’t let a small mistake linger and turn into a bigger one. That’s not to say you should simply be reactive, but i f you know you did something wrong, deal with it right away. Say, for example, you stuck your foot in your mouth during an important business meeting and inadvertently offended your boss or a client. Acknowledge the gaffe, apologize and try to move on without beating yourself up. Remember that, “In any moment of decision, the best thing you can do is the right thing, the next thing is the wrong thing, and the worst thing you can do is nothing.

10. DEFINE YOUR OWN SUCCESS AND FAILURES: Its important to have your own definition of both rather than how the world sees and defines success and failure. Find answers to questions like: How would you be behaving when you have succeeded, what must happen to feel successful, how will your life change when you are successful? Every person has a very different view and definition for success and making it your own definition can spell failure. Don't let the world tell you whether you have failed or succeeded. It's also excellent for self esteem and works as a protective shield from potential damage. 

So, next time there’s that misstep, mistake or misunderstanding, remember to take a deep breath and be your own best publicist by remaining calm, seeking the solution and seeing the challenge as an opportunity to lead and learn.









How To Bounce Back From Failure - Tips From A Pyschologist

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