Smith and Mackie (2007) term self-esteem as a set of positive or negative opinions about oneself. Self-esteem is an important predictor of success in career, relationships, marriage and public life. People who are depressed have a very low self-esteem about themselves. They think of themselves as good for nothings and persons having a nil value. There are three states of self-esteem. They are;

Shattered: An example of a person having shattered self-esteem is when he says,  I am old and useless to do this kind of work . This person sees himself as an absolutely useless person.
Vulnerable: In this state, a slight embarrassment or defeat may expose the vulnerable side of the person. Otherwise, such persons have a positive frame of mind.
Strong: People in this state are very strong emotionally. Defeats, embarrassments etc. do not affect them. These people have a very high sense of self-esteem.
Psychologists, however, have prescribed several ways through which one can improve one s self-esteem.

How to improve one s self-esteem

Control your thoughts- Watch out what your inner critic is saying to you. Every time you hear its voice, ask yourself- would this be the way your best friend would speak to you? If your inner critic is being merciless on you all the time, you need to silence it.
Focus on the good things that happen to you- Everyday, write at least 3 good things that happened to you. Avoid the obstructive or harmful things that came your way. Focus on the happier side of the day. Do not dwell upon the negatives.
No need to be perfect- In the quest to be perfect, many people lose control of themselves. It probably must do with the pressures of modern life where achievement is the be all and end all. But, not everyone can be perfect. Rather, focus on the effort or process. This way, you will be better able to appreciate yourself as a person.
Accept mistakes- Often we fail to realise that mistakes come to us masked as opportunities. But, we are too fixated by the mistakes we commit. We are obsessed with the thought,  Why did I commit this mistake?  rather than,  How to avoid this particular mistake? . If we learn how to avoid committing mistakes, we will tremendously improve our self-esteem.
Experiment with new skills- Try out new skills and then improve upon them. For example, you may pick up music and track your achievement levels. If you continually improve yourself in this new skill, you will obviously set new benchmarks. Give credit to yourself after achievement of every new milestone.
Accept your limits- You are no superman. You have your own limits. Once you accept your limitations, you will stop blaming yourself for all the wrongs that are happening to you. 

Self Esteem - How Can You Improve It?

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!

Your health is affected by a number of physical, mental and emotional conditions. Falling in love is one of these factors. Being in love with someone does not only put a smile on your face, it can also boost your immunity and lower stress levels. Love can make you feel stronger both mentally and physically. Here are a few reasons why love is beneficial to your health.

You may have a longer life: Love helps fight stress and hence helps reduce the harmful effects of stress. Stress is a direct trigger for many fatal conditions such as heart attack and strokes and thus, being in love reduces your risk of such diseases. Studies have also shown that when in love, a person takes more care of themselves and hence has a lower risk of having an accident, violence etc. thus, being in love can give you a longer lifespan and can reduce chances of an early death.
You may have a lower risk of lifestyle diseases: Along with boosting your immunity love can also improve your lifestyle. Instead of microwaving a TV dinner, a person in love is likely to eat a healthier meal with their partner and be more conscious of their diet. Being in love also makes you want to look good thus, encourages exercising. By following a healthy diet and exercising regularly, you can reduce your chances of suffering from lifestyle diseases such as diabetes and obesity. Living with a person you love can also lower your alcohol and nicotine consumption and hence protect you from their ill effects.
It protects you from depression: Companionship and love are good for a person s mental health. Love can help stabilise emotions and keep you from depression. By living with someone a person does not have the chance to withdraw into themselves and can always rely on having someone to talk to. By sharing your thoughts and emotions with another person, difficult situations can become easier to handle and hence cause less stress and depression.
It can help you look younger: As mentioned earlier, being in love can make you take better care of yourself. It is often said that a person in love  glows . In a nutshell, being in love makes you happy and this releases happy hormones that aid in the removal of toxins and prevent premature ageing. When you re in love, you may also notice your hair looking healthier and shinier.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Why Falling in Love is Good For Your Health?

Neurological disorders are an enigmatic bunch. There are various ongoing researches to identify the exact cause and how to treat them. While some argue that schizophrenia is a chronic brain disorder, others do not agree with it and debate that the origin is yet to be identified and the factors which produce it are yet to be identified.

Factors supporting it to be a brain disease are listed below.

Scan images (MRI and PET scans) of people who have had schizophrenia are different and have a reduced volume of grey matter, especially in the frontal and temporal lobes. In some people, this loss could be as high as 25%. Serial images have shown that the loss begins in the outer (parietal) region and gradually spreads to the rest of the brain. There is a strong correlation between the extent of this grey matter loss and the severity of the symptoms more the loss, worse the symptoms. Severe symptoms include hearing voices, psychotic thoughts, delusions, hallucinations and severe depression. This grey matter reduction does not depend on whether the person has undergone treatment or not for the condition. 

The counter argument is that grey matter loss is not seen in patients with schizophrenia alone. A number of neurological disorders, including normal ageing, manifest as grey matter loss on the scan images. Also, another consoling news is that this grey matter loss is completely reversible.

The way neurotransmitters respond to stimuli in people with schizophrenia is also slightly different. There are two variations to this debate: that schizophrenia is caused by excessive amounts of dopamine or increased sensitivity to dopamine. There are two proofs for this hypothesis first, dopamine suppressants are useful as antipsychotic drugs and secondly drugs which produce the same effect as dopamine can cause hallucinations similar to those seen in schizophrenics. There could be other neurotransmitters involved too, but the dopamine connection is more strongly established.

The electrical activity of the brain as seen in EEG is very different and abnormal in schizophrenic people. This reduced brain activity is another indication of the fact that schizophrenia is another brain disorder. There is also a strong genetic component to schizophrenia. Family history correlation is also very strong. The correlation extends to the point that where there is a neurologic disorder in the first-degree relatives, the chances of developing schizophrenia is increased.

There are specific genes, mutations of which are also attributed to schizophrenia. While the risk factors are in place (as mentioned above), the environmental conditions (brain infections, head trauma, family/social stressors and toxins can all lead to the manifestation of the symptoms. With medications and support therapy, both prevention and symptom management are possible.

Schizophrenia - Is It Really a Brain Disease?

Back pain can take away all of your energy and stop you from doing your daily chores. Therefore, it is very important that you get the right kind of treatment. Ayurveda has proven to be a very crucial player in treating lower back pain.

The following solutions diminish the Vata dosha, which is responsible for the lower back pain:

Remain warm: One of the fundamental characteristics of Vata dosha is that it is cool. That is the reason, at whatever point you come in contact with something cold or even consume cold food items or beverages, your lower back pain somehow spikes up. During winters, this pain becomes excruciating and keeps you from doing your everyday activities. Therefore, it is very important for you to stay warm. For that, you can either put on a warm belt or get a warm balm massages on your lower back.
Lessen your intake of extremely impactful flavours: Consuming a lot of extreme flavours in your food, for example, red and green chillies and wasabi can have an extremely drying impact on the body. Since dryness is another of the primary characteristics of Vata dosha, it gets expanded with drying substances, and this can lead to constipation in your body. This increases the lower back pain.
Eat warm foods: Devouring frosty foods and beverages cause an increase in V;ata dosha,k which leads to a lot of pain. Coldness makes your lower back tightened and causes certain body parts and areas to clog. Whereas, the fitting amount of warmth gives relieve and allows smooth bowel movement in the body and helps them remain open with the goal that we can finally dispose of the processed food. This also helps relieve the pain that comes from constipation.
Practice padahastasana: Padahastasana (leaning forward-overlay stance) is an incredible Yoga posture for lower back pain specifically on the grounds that it permits the Vata dosha to stream all through the body, wiping out the blockage of the stool-conveying channels that causes both constipation and lower back pain.
Oil your body: Ayurveda shows how stress, tension, exhaustion, and tiredness are all expansions of the Vata dosha, and a lot of collected development of Vata dosha leads to early maturing, a lot of pain in different parts of the body, particularly the lower back. Therefore, oiling the body can help unclog all the parts in the body and increase the blood flow.
Drink Bishop's weed seed tea: Bishop s weed seeds (called Ajwain seeds in Hindi) can be found in practically any grocery or departmental store and many health and clinical stores as well. This Ayurvedic flavour is very useful for pain and in addition constipation. It can be securely taken by anyone.
Kati Vasti: Kati Vasti is a miraculous Ayurvedic treatment very effective for various ailments connecting to the lower back and spine. The treatment involves retention of specially prepared warm medicated oil over the lower back or other parts of the spine for a certain period, to tackle all types of backpain, sciatica, spondylosis, and also to cure disc prolapse and spinal dislocations.
Cold/Heat therapy: Cold therapy can help reduce inflammation, muscle spasm, and pain. Cold therapy may be recommended immediately following a sprain or strain. Apply cold to your back using cold packs, ice cubes, iced towels/compresses, or take a cool bath.

Lower Back Pain - How Ayurveda Can Help You Get Relief?

Post-traumatic stress disorder (PTSD) is an anxiety disorder which develops due to a terrifying traumatic incident. Traumatic events like violent personal assaults, man-made disasters, accidents, military combat etc. can trigger PTSD. 

What are the symptoms of PTSD?
People with PTSD mostly re-experience the whole incident repeatedly in the form of flashback episodes and nightmares. This happens more when they are exposed to the events or objects which are reminiscent of the trauma. The other symptoms are emotional numbness, sleep disturbances, depression, anxiety and irritability leading to outbursts of anger on others. People with PTSD feel intense guilt mostly. Anniversaries of such an event can also trigger symptoms of PTSD. When these symptoms last for more than a month, the person is diagnosed with PTSD.

Who will most likely develop PTSD?
You do not need to be in the military to suffer from PTSD. People who have suffered child abuse during school, who have had traumatic experiences are more likely to develop the condition. Other factors that may cause PTSD are still under research.

When does PTSD occur?
PTSD can occur at any age, given the intensity and frequency of symptoms. The symptoms typically are seen within 3 months post a traumatic event, although it may not begin until next year. Once the PTSD symptoms appear, the severity and duration of the illness may vary.

What are the treatments available for PTSD?
Cognitive-behavioral therapy, group therapy, and exposure therapy have been very effective in treating PTSD where the patient gradually and repeatedly relives the frightening experience under controlled surroundings which helps him/her work through the trauma. Medicines also help ease associated symptoms such as depression and anxiety.

Do other illnesses accompany PTSD?
PTSD can present with many associated conditions like depression, alcohol or substance abuse, anxiety disorder etc. Certain symptoms like headaches, gastrointestinal ailments, immune system issues, dizziness, chest pain or discomfort in other parts of the body are common. To treat PTSD entirely, it is necessary to take these symptoms into consideration as well.

PTSD is a difficult condition to deal with. If you or someone you know happens to suffer from PTSD, the first thing is to seek help. Having PTSD does not make you weak. All you need is a little help and support from your family and friends, to make you feel better. Happy Mind, Healthy You!

5 Interesting Facts About Post Traumatic Stress Disorder!

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