The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

Medication
Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

Surgery
Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
5. Surgery to remove half the brain's cortex or outer layer

Dietary changes
A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.

How to Deal with Severe Epilepsy

Do you switch off the lights a certain number of times before going to bed? Do you clean your windows even after they have been cleaned more than once in the day? Do you check your locks again and again before stepping out? If yes, then chances are you that are suffering from obsessive compulsive disorder (OCD). OCD is something which is difficult to overcome. However, the great thing is that it is not something that happens to be untreatable.

OCD is something which affects a range of people and to varying degrees. To some, it may have the effect of making their lives a little unusual, and to others it can go some way in greatly mitigating the pleasure they get out of living their lives. A person who suffers from OCD keeps on doubting his or her actions, especially when it comes to the possible repercussions of him or her not doing what he or she was supposed to do. This could include a person asking himself or herself whether he or she has put the gas off, or turned the tap off in the bath tub before to leaving the house.

Taking control of the obsession

In order to reduce the adverse impact that OCD has on the life of a person, it is important to exercise regularly. This is because OCD is an issue which has a lot to do with the nervous system, along with the brain, and the benefits of exercise on the nervous system can have a meaningful impact.
A lot of the problems a person experiences with respect to his or her health has to do with the amount of sleep he or she gets. It should really not come as a surprise in that case that it is not much different in the case of OCD. When a person does not get as much sleep as he or she normally should, it can cause issues by way of thoughts and ruminations in a mind that is not rested to an extent that is adequate.
Many people seek to control their OCD by trying to avoid the fears they face. However, it should be noted that this is not a good way to go about with it due to the fact that avoidance is very likely to compound the level of fear. Instead, a person who suffers from OCD should make an effort to follow a ritual which involves making sure whatever he or she is afraid of is incorporated in it.
OCD is something which has the potential to scare a lot of people. However, adequate effort and treatment can make sure that it no longer should.

Obsessive Compulsive Disorder - Can You Manage It?

Parkinson s disease is a disorder involving the nervous system. It can start with a mere tremor of one hand and advances to slow movement and stiffness. The face might show little no symptoms in the beginning but the speech might become slurred. With every passing day, the condition worsens. This condition has no permanent cure but the symptoms can be improved with proper medication.

What are the symptoms?
Some unmistakable symptoms include the following:

A sudden shaking of the limb. A sudden tremor of the hand is a very common symptom of this disease.
A stiffness of the muscles that can limit the range of motion and sharp pain.
The posture of the body might get compromised. Often balancing problems are witnessed among many patients.
There could be problems with speech leading to soft, slurry or quick speech. The speech in some cases can become monotonous devoid of inflexions.
Parkinson s disease can lead to slow movement and makes performing of simple tasks difficult.
Patients often find writing very difficult
What are the possible causes of Parkinson s disease?

Specific genetic mutation can lead to Parkinson s disease in folks who have a family history of Parkinson s disease. Certain variations of the gene increase the risk of this disease
Exposure to certain environmental factors or certain toxins can trigger Parkinson s disease in an individual.
Certain cells in the brain known as Lewy bodies can trigger Parkinson s disease.
A certain kind of protein cells within the brain known as alpha-synuclein can trigger the Parkinson s disease in an individual
What are the risk factors?

Heredity: Having an immediate family member or a close relative suffering from Parkinson s disease can increase the risk of getting this disease in an individual
Age: Although not a prime risk factor, but an individual over the age of over 60 have an increased risk of getting this disease
Toxins: Exposure to pesticide or certain herbicide increase the risk of Parkinson s
Sex: Men are more likely to get Parkinson s disease than women
What is the medication for Parkinson s disease?

Carbidopa-levodopa: This is a natural chemical that gets passed to the brain and is converted to dopamine by the body. The benefits of this medication might reduce with increased symptoms.
Carbidopa-levodopa infusion: A popular drug in this category is known as the Duopa. It is administered directly into the small intestine in the form of gel through a feeding tube.
MAO-B inhibitors: Drugs from this group include rasagiline and selegiline. This is a powerful medicine. Many patient experiences hallucination during the initial days of consuming these drugs.
Anticholinergics: This medication is mainly used to counter tremors of the limbs in the early stage of the Parkinson s disease.

Parkinson's Disease - What Are The Risk Factors?

Smoking   Some Naked Facts!

Smoking kills > 420,000 people per year worldwide.
In India one million people die of smoking related diseases each year.
Tobacco use is the second leading cause of death world-over.
Smoking is more lethal than AIDS, Accidents, Homicides, Suicides, Fire, etc.
2700 substances have been identified in Cigarette smoke, most of them harmful including cyanide, benzene, formaldehyde, methanol, acetylene, ammonia, nitrogen oxide, carbon monoxide, etc.
Every cigarette takes 5.5 minutes of your life.
Smoking one packet a day for 10 years increases risk for Ischemic Heart Diseases by 300 % & risk for lung cancer by 500 %.
Passive smoking (breathing second hand smoke) is also harmful. Spending 2 hours in a smoky bar is equivalent to smoking 4 cigarettes. Living with a pack-a-day smoker is like smoking 3 cigarettes by yourself.

What are the Risks? 

Cancer: 85% of Lung Cancers and 28% of all cancer deaths are attributed to smoking. Smokers have higher rates of leukemia, kidney, stomach, bladder, and pancreas cancers. About 30% of cervical cancers have been attributed to both active and passive smoking.

Lungs: Smokers are generally at higher risk for nearly all major lung diseases like pneumonia, flu, COPD, bronchitis, emphysema, asthma, etc.

Brain: Smokers run almost two and a half times the risk of stroke as non-smokers and the risk for dementia is also higher in smokers.

Male Sexuality and Reproduction: Smoking decreases the amount of blood flowing into the penis, reduces sperm density, reduces sperm motility, and may lead to impotence & infertility

Female infertility, Pregnancy: Smoking increases the risk of female infertility, ectopic pregnancy, miscarriages, stillbirth, prematurity and low-birth weight, so also there is a risk of passing genetic mutations that increase cancer risks to unborn babies.

Children: Mothers exposed to smoke (active or passive) are more likely to have children with motor control problems, perception impairments, and attention disabilities. Exposure to smoke early on affect the lungs of infant as early as the first 2 to 10 weeks of life, it increases the risk for lower respiratory infections (asthma, bronchitis, and pneumonia) by 50% and worsens the condition of children who have existing asthma.
 
Spine & Bones: Smokers whose jobs involve lifting heavy objects are more likely to develop low back pain than non-smokers. They are at increased risk for developing osteoporosis and rheumatoid arthritis. Smokers are more prone to develop degenerative disorders and injuries in the spine, they have more trouble recovering from spinal surgery as smoking also impairs formation of new bone.

Why Quit?


Physical Benefits: They start as early as in few minutes.

Blood pressure and Pulse rate return to Normal in 20 minutes.
Levels of carbon monoxide and oxygen in the blood return to normal in 8 hours and chance of heart attack decreases in 24 hours.
Nerve endings start to regrow; ability to taste and smell increases within 48 hours.
Bronchial tubes relax; lung capacity increases by 72 hours.
In 2 to 12 weeks  time circulation improves and lung functions improve up to 30%.
In 1 to 9 months  time there is a decreased incidence of coughing, sinus infection, fatigue, and shortness of breath; cilia in lungs start re-growing, increasing the ability to handle mucus, clean the lungs, and reduce chance of infection.
Overall energy level increases.

Smoking - Facts, Risks & Why To Quit!

Addiction is one of the most common mental health problems faced by people around the globe. This could be an addition to alcohol, nicotine or drugs. Addition usually begins in a person s teenage years and if left untreated, may continue into adulthood. As with other health issues, addiction worsens with time and the later it is diagnosed, the harder it is to treat.

Alcohol Addiction
An addiction to alcohol is termed as alcoholism. In some cases, it can make the person drink heavily on a day to day basis. In others, it may cause binge drinking at regular intervals. In either case, the person cannot stay off alcohol for extended periods of time. Alcohol addiction is hard to recognize given the social acceptability of having a drink. If left untreated, this condition can be fatal and cause ulcers, bone loss, liver disease, an increased risk of cancer and suppressed immunity.

Nicotine Addiction
Like alcohol addiction, nicotine addiction is hard to spot given that people smoke openly. However, when a person cannot stop smoking even though he or she is aware of its ill effects, treatment needs to be sought. Nicotine dependence affects mood swings and has a physical effect on the body as well. It can cause anxiety, restlessness, frustration, loss of appetite, insomnia, constipation as well as heart disease and lung disease. It can also increase the person s risk of suffering from cancer, infertility and respiratory infections.

Drug Addiction
This is the most serious of the three. Drugs can take many forms. Some are smoked while others are chewed or injected into the body. It is a misconception that drugs are common only amongst the lower rungs of society. Drug addiction can cause mood swings, social withdrawal, memory loss, shortened attention span, poor judgment and other such changes in behavior.

All forms of addiction can be prevented and treated. Thus, it is important to not ignore early signs of addiction and speak to the person concerned or his or her caregiver. In some cases, treatment can take the form of outpatient therapy while in others; the patient may need to stay in a treatment facility for a specific duration of time. Even after treatment, relapses are possible. Hence, the patient needs support from this family and friends. It is also important for the patient to continue therapy in some form or the other even after coming out of the treatment facility. 

Drug & Alcohol Addiction - How To Overcome It?

MISUNDERSTANDINGS AND ARGUMENTS? CHANGE THEM INTO FLOWING CONVERSATION
Conflicts and misunderstandings occur at all levels of interaction – at work, among friends, within families and between relationship partners. When conflict occurs, the relationship may be weakened or strengthened. Thus, conflict is a critical event in the course of a relationship. Arguments  and misunderstandings  can cause resentment, hostility and perhaps the ending of the relationship. If it is handled well, however, it can be productive – leading to deeper understanding, mutual respect and closeness. The health of any relationship is gauged by how the conflicts are resolved, rather than the number of conflicts between the participants. 
Conflicts run all the way from minor, unimportant differences to disputes which can threaten the existence of a relationship. Conflicts with a loved one or a long-term friend are, of course, different from negotiating with someone who does not care about your needs, like a stranger or a salesperson. 

 Principles that underscores all successful conflict resolution. 
1. Both parties must view their conflict as a problem to be solved together so that both parties have the feeling of winning.
2. Each person must participate actively in the resolution and make an effort and commitment to find answers which are as fair as possible to both. 

We may get so caught up with our own immediate interests that we damage our relationships. If we disregard the position of the other person, if fear and power are used to win, or if we always have to get our own way, the other person will feel hurt and the relationship may be wounded. Similarly, if we always surrender just to avoid conflict, we give the message to the other person that it is acceptable to be bullied and our needs don’t matter. Our feeling of self-worth suffers, resentment surfaces, and we feel frustrated in the relationship. Instead, it is healthier if both parties can remain open, honest, assertive and respectful of the other position. Mutual trust and respect, as well as a positive, constructive attitude, are fundamental necessities in relationships that matter.

SOME EFFECTIVE STRATEGIES TO HOLD EFFECTIVE COMMUNICATIONS:
1. INITIAL AGREEMENT: The other person may be very angry with you and may be having loads of evidence to prove himself right. At that time, instead of arguing your position, simply agree at that time because there will be a grain of truth if nothing else. This doesn’t mean that you are giving up your values and principles. Sometimes its important to diffuse the emotional charge before working out on the differences. Sometimes its ok to “lose” individually in order to “win” together in the end.
2. EMPATHY: Sometimes putting yourself  in the other persons shoes and seeing the problem from their perspective helps build bridges. You could say,” I feel that you must be very upset with me for behaving like that with you, I should have been more considerate”. Half the battle is won and the other participant feels validated and will be more willing to listen to your tale of woes more amicably.
3. ASK QUESTIONS: When you ask questions, it shows that you care and are interested to resolve the problem at hand. Please note that while asking questions, be watchful of your words and tone. Asking exploratory  questions about the other persons thoughts and feelings rather than probing and insulting questions can take you miles on the way to effective resolution. For eg. “Is there anything that you would like me to know about this problem”?
4. USING “I” STATEMENTS: Take responsibility for your own thoughts and feelings rather than blaming the other person for making you feel like that. This decreases the chance that the other person will become defensive. For example, “I feel pretty upset that this thing has come between us.” This statement is much more effective than saying, “You have made me feel very upset.” 
5. COMPLIMENTS: Find something nice and genuine to say about the other person, even if the other is angry with you. Show a respectful attitude. For example, “I genuinely respect you for having the courage to bring this problem to me. I admire your strength and your caring attitude.” 

A RATIONAL APPROACH TO RESOLVING CONFLICTS:
Here is a model that may help in resolving interpersonal conflicts. 
1. Identify the Problem. Have a discussion to understand both sides of the problem. The goal at this initial stage is to say what you want and to listen to what the other person wants. Define the things that you both agree on, as well as the ideas that have caused the disagreement. It is important to listen actively to what the other is saying, use “I” statements and avoid blame. 
2. Come Up With Several Possible Solutions. This is the brainstorming phase. Drawing on the points that you both agree on and your shared goals, generate a list of as many ideas as you can for solving the problem, regardless of how feasible they might be. Aim toward quantity of ideas rather than quality during this phase, and let creativity be your guide.
3. Evaluate These Alternative Solutions. Now go through the list of alternative solutions to the problem, one by one. Consider the pros and cons of the remaining solutions until the list is narrowed down to one or two of the best ways of handling the problem. It is important for each person to be honest in this phase. The solutions might not be ideal for either person and may involve compromise. 
4. Decide on the Best Solution. Select the solution that seems mutually acceptable, even if it is not perfect for either party. As long as it seems fair and there is a mutual commitment to work with the decision, the conflict has a chance for resolution. 
5. Implement the Solution. It is important to agree on the details of what each party must do, who is responsible for implementing various parts of the agreement, and what to do in case the agreement starts to break down. 
6. Continue to Evaluate the Solution. Conflict resolutions should be seen as works in progress. Make it a point to ask the other person from time to time how things are going. Something unexpected might have come up or some aspect of the problem may have been overlooked. Your decisions should be seen as open to revision, as long as the revisions are agreed upon mutually. 

Keep in mind that differences will come up in any relationship just because you two are different individuals with different perspectives, ideologies, attitudes and perceptions. Too much similarity in personality and working styles may be comforting but can be very boring and uninspiring overtime. On the other hand, differences can bring change, novelty and an added spice to the relationship. Two very different people can pool their different strengths and work together as a stronger team. Though, extreme differences may overtime sour the relationship and make living or working together difficult. You also need to look out for an emotionally or physically abusive relationship, which is based on power differential rather than respect and trust. A person may then choose to opt out after an amicable “goodbye” or "agree to disagree".























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