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?

Facing a major crisis in life? Here are 5 ways to deal with one

Life is a mixture of good and bad times and everyone experiences a crisis at some point in their lives. A life crisis is a situation when everything in your life seems to fall apart, followed by a major event or a series of events such as the loss of a job, death of a family member, a relationship break-up, divorce, to name a few. Whatever the reason may be, each crisis tests your ability to cope with grief. 

Here are some tips on how to face a life crisis bravely and bring your life back on track.

1. Don't run away from the problem
It's very common for people to want to run away from problems when situations are not in their favour. Instead, face the difficulties bravely and try to find ways to deal with it. Accept that it has happened and focus on the next logical course of action.

2. Rule out the negative self-assumptions with logical reasons
After experiencing a major loss in life, it's not uncommon to have negative self-assumptions or feelings of guilt. You may feel traumatised due to the happenings in your life and may start believing that the world is no longer a safe place. This can lead to frustration and sense of futility. In such a situation, don't panic unnecessarily, and give yourself logical reasons instead to prove that most of your negative assumptions are not true.

3. Seek the help of your family and friends
Spend more time with your family and friends, but do not always discuss the negativities you are facing in life. Instead of always telling them how terrible you feel, enjoy some light moments with them. This will help you cultivate a feeling of having a strong and secure support network.

4. Take a short vacation
Take a break from work and spend few days out of your town. It will help rejuvenate your soul and re-energise you to deal with the crisis situation. Vacations prove to work wonders to your physical and mental health, reducing depression and the stress you face to a considerable extents. 

5. Keep a record of your progress
Record whatever positive happens to you each day, even if it's a small thing. Write about how you feel while experiencing and recovering from this crisis. This not only helps in bringing about a positive mind-frame, but also keeps your mind away from the painful events, speeding the healing process.




Facing a Major Crisis in Life? Here are 5 Ways to Win Over It.


5 Ways To Remove Stress Instantly

Feeling the blues once in a while is natural for the kind of hectic lives we lead. But feeling stressed and burned out deeply affects on our body, mind and soul. When you feel stressed, you need to take measures that can help you cope up. Something as simple as saying ‘I love you’ in the mirror once in a morning turns around the way you approach your day.

Try these stress reducing tips to rejuvenate yourselves immediately.

1) Meditate- Its the best way out. It eases anxiety, which is the culprit behind those stressed out moments. All you have to do is just close your eyes, focus your attention on positive thoughts or repeatedly chanting 'Om' which has a vibrational impact. Don’t let negative thoughts distract you.
2) Inhale Deeply- There are several occasions when you might not be able to mediate. In such a case, simply start to inhale through your nose, bring it to your abdomen and let it make way through your body slowly. Deep breathing can also reduce the instances of blood pressure.
3) Laugh Out Loud- Laughing can reduce cortisol, a hormone  responsible for stress. You can watch your favourite comedy show, a sitcom or simply look for a few videos online.
4) Listen To Music- Simple but effective. Listening to music can lower your blood pressure, heart rate as well as anxiety. Go ahead and create a playlist of your favourite songs or music. And if you fancy, try to sing on the top of your lungs too!
5) Exercise- Exercising has too many incredible benefits. One of them is easing depression and anxiety. Deal with stress by exercising a few minutes every day. Ideally, 30 minutes a day is what you should aim for.



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.


5 Ways To Remove Stress Instantly

Schizophrenia has been recognized as a mental disorder that combines symptoms like hallucinations with distorted thinking and others like fright and severe paranoia. This condition is one that gets progressively worse over time and leads to delusional thinking. Oversleeping and complaining of fatigue are usually the earliest signs of this condition's onset. Eventually, it becomes a debilitating factor in the life of the patient, who will not be able to function in a normal way due to the severe symptoms.

Read on to know more about the types and causes of this condition:

Genetic Causes: Schizophrenia may be caused due to genetic factors and it may be a learned or inherited disorder. It is known to affect patients who have a parent or a sibling who may have suffered from this condition. Yet, one must also remember that Schizophrenia can only be influenced by genetics, and not determined by the same.
Environmental Causes: When there has been an exposure to a viral infection during the pre natal stage, the patient is susceptible to this condition. Also, it may affect children who have been subject to the loss of a parent or separation at an early age. Physical and emotional abuse in one's childhood may also bring on this condition. Low level of oxygen at the time of birth is one of the causes of this condition in many patients.
Anomalies in Brain Structure: When the brain ventricles of the patient are enlarged, he or she may be prone to this condition. Also, anomalies in the temporal lobes and amygdala have links with the onset of this condition.
Types: A wide variety of mental and medical conditions can manifest with psychotic symptoms that must be considered in the differential diagnosis of schizophreniform disorder. These include psychotic disorder due to another medical condition or its treatment; delirium or major neurocognitive disorder; substance/medication-induced psychotic disorder or delirium; depressive or bipolar disorder with psychotic features; schizoaffective disorder; other specified or unspecified bipolar and related disorder; depressive or bipolar disorder with catatonic features; schizophrenia; brief psychotic disorder; delusional disorder; other specified or unspecified schizophrenia spectrum and other psychotic disorder; schizotypal, schizoid, or paranoid personality disorders; autism spectrum disorder; disorders presenting in childhood with disorganized speech; attention-deficit/hyperactivity disorder; obsessive-compulsive disorder; posttraumatic stress disorder; and traumatic brain injury.
Since the diagnostic criteria for schizophreniform disorder and schizophrenia differ primarily in duration of illness, the discussion of the differential diagnosis of schizophrenia also applies to schizophreniform disorder. 

Brief psychotic disorder. Schizophreniform disorder differs in duration from brief psychotic disorder, which has a duration of less than 1 month.

Residual Schizophrenia is a condition where the patient does not experience the various debilitating symptoms of the condition, and is on the road to recovery. Yet, even in this type of Schizophrenia, the patient will not really show any interest in life and the activities around him or her. Finally, the last type of Schizophrenia is Schizoaffective Disorder which is characterised by the symptoms of Schizophrenia as well as the symptoms of major mood disorders. When combined, this condition can lead to major complications and complex behavior.

A patient suffering from this condition will need to see a mental health specialist like a psychiatrist or a psychologist on an immediate basis. The treatment will be carried out on a long term basis for the results to start appearing.

Schizophrenia - Know the Causes Behind it

Change in voice or voice mutilation happens when the voice breaks that commonly occur when a person reaches puberty. Before puberty, almost all the girls and boys have the same voice pitch. But after puberty, a boy s voice deepens an octave and the girl s voice deepens only several tones. Therefore, it becomes easy to identify the gender through voice. 

Another type of change in voice is known as voice crack. It happens when a person unintentionally enters a higher voice pitch zone for a brief period of time. It may be due to singing, shouting, talking in noise, and several other reasons. Also, there are several medical conditions leading to voice break or hoarseness. 

Medical Causes for Change in Voice

Acute Laryngitis: In this, the hoarseness or voice loss starts suddenly. One of the reasons can be a viral infection that causes swelling of vocal cords. Staying hydrated and less talk can treat it. 

Chronic Laryngitis: It can cause acid reflux disease. Exposure to irritating smoke, infections of vocal cords, or asthma can be some of the reasons. It can be cured only through medication.

Laryngopharyngeal Reflux Disease: This problem causes a change in voice. Due to this disease, people may also suffer from swelling issues, a lump in the throat, hoarseness in voice, and throat pain. 

Voice Misuse: Excessively loud voice, prolonged talking, and inefficient voice use can cause a change in voice and also known as voice misuse. 

Risk Factors That Can Cause Voice Disorder

Aging, alcohol use, and allergies are some of the major reasons for the voice disorder. Apart from these, smoking and throat cancer also results in a change in voice or voice disorders. All these are highly risky causes for the throat and may result in long-time problems. 

Some other risk factors are thyroid, psychological stress, and neurological disorder. 

How to Treat Voice Disorder?

One can use an air humidifier to keep the air of the surrounding moist because breathing moist air is a simple solution to the problem.

Giving rest to voice is also a solution.

One must drink plenty of liquids to keep the throat hydrated.

One must avoid whispering and decongestants to take care of the throat.

One must avoid shouting for a long time.

Avoid staying in a polluted area for a long time.

Gargling the throat every day with lukewarm water is good.

Staying warm during winters is also necessary.

All these remedies are simple and can be tried comfortably. A simple change in voice can turn out to be serious if not taken proactive measures. Therefore, one must not ignore any small unintentional change in the voice.

Conclusion
One must consult ENT doctor immediately for any sudden change in voice and if the problem lasts for a long period of time. 



Change In Voice - What Can Cause It?

Depression is a mental health disorder where one experiences lack of interest in activities and has a continuously depressed mood which can lead to serious impairments in that person s daily life.

Day by day, the number of patients suffering from depression is increasing. More than the facts, it is various myths people hear that makes them more vulnerable when suffering from this mental health disorder. Below are the 5 common myths and facts regarding depression.

Myth #1: Lazy people suffer from depression
People who have a lethargic life suffer from depression and hardworking people never experience it. This is probably one of the most widely believed myths about depression. However, in reality, it is excessive work pressure and overworking and the feeling that they are bound with responsibilities and are being exploited at the workplace that causes depression. Anyone can develop this mental condition, and workload and lifestyle do not always have something to do with depression.

Myth #2: Women are the main victims of depression
Another popular myth regarding depression is that it is women who mainly suffer from it. Yes, it is true that women are more sensitive than men, but developing depression has nothing to do with gender. Anyone, at any age, at any time, can suffer from depression.

Myth #3: Talking can never help in easing depression
There are some people who believe that depression is a mental health disorder, is only treated with psychiatric medicines that can help in dealing with this condition. However, what they don't understand is that doing something constructive and having positive conversations with their loved ones can actually benefit their mental health. Even, psychiatrists believe that talking sessions are one of the ways of treating depression.

Myth #4: Depression is the same as sadness
Consistently unhappy and sad people are often considered as being depressed. However, the fact is that both sadness and depression are two different things. While one can get over the former condition of feeling low and sad; suffering from depression leads to chemical changes inside the brain, causing changes in the behaviour, thinking, etc. of the affected person, thereby persistently damaging the daily life.

Myth #5: There s no link between depression and Physical exercise
Many people assume that physical exercise isn't helpful in dealing with depression since it is a mental illness and not a physical condition. However, the fact is that moderate amount of physical exercise not only helps in improving mental aspects but also boosts the concentration power of the person.

No matter how mild or serious the form of depression one suffers from, opting for psychiatric help becomes crucial to avoid risks of deterioration of the condition in any way. After all, a professional psychiatrist can not only help one suffering from depression by treating them with necessary medications and therapies but also help in differentiating the facts from the myths thoroughly.

5 Myths About Depression Debunked!

Don't wait any longer, manage your Child Psychologist online with a Lybrate doctor today

Consult for Child Psychologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES