Paranoid personality disorder (ppd) is a mental disorder which makes you feel fearful, nervous and suspicious about people or situations around. This disease usually starts to show its signs from early adulthood and is more common in men than women. People suffering from this disorder are unable to maintain close and long lasting relationships with people as they have the habit of blaming and not trusting other people. The most common symptoms of this disorder are:


	Doubting the loyalty of others
	Fear of revealing their own personal information
	A tendency of holding long lasting grudges
	Inability to handle criticisms
	Abrupt instances of anger and instant reaction
	Showing traits of coldness in a relationship
	Having a feeling of always being right
	Having problems in relaxing
	Being stubborn, argumentative and hostile



	Causes: the exact cause behind pdd is still unknown, but according to some medical researchers it happens due to a combination of biological and psychological conditions. Additionally, bad emotional experiences during childhood and having gone through a physical or mental trauma also leads to the development of the disease.
	Diagnosis:&nbsp;this condition cannot be diagnosed at home and is usually diagnosed by a specialist. The first step taken by a doctor in order to diagnose the disorder is an examination of the medical and psychiatric history of the person. Additionally, if the health records of a person do not indicate anything, then the doctors usually go for some expert opinions by a psychiatrist.
	Treatment:&nbsp;most of the people suffering from this disease are not even aware about it, until someone brings it to their notice. Doctors usually believe that psychotherapy, which is a form of counseling, is the best way to treat pdd.



All About Paranoid Personality Disorder

Each and every person on this planet has to deal with the loss of a loved one at some point of their life or the other. It is an undeniable and unavoidable part of the human existence. However, at times, the grief can affect the person so much that their psychological, emotional and physical health may be affected. Their normal day- to-day functioning may be affected as a result of their extreme reaction to the loss of their loved one. In such a case it is ideal to seek treatment from a certified medical professional such as a counselor or psychologist. If the condition is even more serious and the patient requires help to treat him or her, then it is advisable to go to a psychiatrist.

However, the following tips commonly given by mental health professionals may help to deal with such a loss:

-Accepting one's emotion: sometimes an individual may remain in denial about the loss of the loved one or about his or her own reaction to it. This increases the negative emotion as it does not find a medium of expression. The person withdraws into himself or herself, and is slowly unable to conduct the usual daily activities. The first step therefore is to fully accept the reality of the event and one's own response to it. It can help to speak to a friend or family member about one's own response, or even release the grief by crying. Such cathartic avidities are the first step.

-Taking care of oneself: often after the death of a loved one, an individual may become wary of his or her own condition and fail to look after himself or herself. This should be avoided. Normal diet, exercise and activities are required.

-Channeling grief into productive activity: constantly focusing on the loss of the loved one can increase the trauma and stress. Sometimes it helps to focus on helping others, e.g. Volunteering at a charity or assisting others in some way. Even taking up artistic pursuits or any productive hobby proves to be beneficial.


Coping with the Loss of Loved One

Is there anybody you know who uses internet excessively in a day, like for playing video games, visiting porn sites, for online shopping, using Facebook or visiting different chatting sites again and again? Is his or her excessive internet usage interfering with daily life, interpersonal relationships, work, school, etc.? If the answer is yes, then maybe he or she is suffering from internet addiction.

Internet addiction is a growing social issue which is being debated worldwide. Internet has become an inseparable part of our daily living. Problematic use of internet can lead us to various mental and physical problems. Surveys in the United States and Europe have indicated alarming prevalence rates between 1.5 and8.2percentages respectively.There are some criteria to classify and diagnose internet addiction disorder. 

The following 5 criteria are required to diagnose internet addiction:

The individual remain preoccupied with the internet (thinks about previous online activity or anticipate next online session)

Needs to use internet with increased amounts of time in order to achieve satisfaction.

Has made unsuccessful efforts to control, cut back, or stop internet use.

Is restless, moody, depressed, or irritable when attempting to cut down or stop internet use.

Has stayed online longer than originally intended.

Additionally, at least one of the following must be present:

Risked the loss of a significant relationship, job, educational or career opportunity because of the internet.

Lying to conceal the extent of involvement with the internet.

Use internet as a way of escaping from problems or of relieving a dysphoric mood (like; feelings of helplessness, guilt, anxiety, depression)

There are different models available to explain the causal factor of internet addiction disorder. A comprehensive model of the development and maintenance of internet addiction by Winkler & Dorsing which takes into account socio-cultural factors, biological vulnerabilities like genetic factors, abnormalities in neurochemical processes, psychological predispositions and specific attributes of the internet to explain excessive engagement in internet activities.

Apart from the above discussed points, there are two significant psychological issues commonly seen in this group; one is a strong tendency to escape from the reality is there among internet addicts. These individuals find difficulty in facing the real world may be due to certain conflict issues which evoke stress and anxiety in them. Involvement with technology and internet becomes a way out to get rid of the discomfort. Another psychological issue is the tendency to control the environment. Humans have a tendency to get a control over everything and it is a fact that we can't control other persons and situations. Internet addicts are involved in this compulsive behaviour may be because it is easy to get a control of technology and internet than the real world which is more threatening for them.

Impact of problematic usage of internet on social relationships has become alarming nowadays. The habit of surfing the internet continuously can be destructive indirectly. Even it has been seen that people drift away to the point that he/she cannot interact with people. Constant preoccupation with internet is damaging one s social skills. People are losing touch with their life and their self-identity. Nowadays people don t take effort to establish face to face conversations, as many easy ways are available over internet, like chat messengers, email, etc. The constant effects of addiction to internet can lead an individual to such situations that involve various mental and behavioural problems like. Depression, anxiety, substance abuse, etc. The absence of social interaction also can lead to various physical effects on individual s brain chemistry and the general physical health.

There has been lots of debate on which treatment modality is effective for the treatment of Internet Addiction Disorder. In many cases, multimodal treatments have been employed. It has been seen that there are lots of underlying psychological problems found in internet addicts, like anxiety, depression, etc. In such cases medications are also considered to be effective.

Apart from pharmacological interventions, different psychotherapeutic models are found to be very helpful in treating internet addiction like cognitive therapy, behaviour therapy, art therapy, family therapy, skill building training, etc. Studies have found cognitive behavioural therapy, in particular, is very effective and can bring better outcome among this group.

Internet Addiction - A Thriving Issue!

India is all set to celebrate its 75th Independence Day on 15th August 2021. This day marks the Independence of our country from the British. So, every year the Independence Day is celebrated throughout the country with great fervour. So, this Independence Day, let's take a pledge and abide by the fact that we will take up small measures to restore our health. Below are few healthy habits that we must follow.

Freedom to be ourselves: By having the freedom to be ourselves, basically refers to the idea of having certain choices without being bound by any kind of limits, social stigma or pressure. People should have the independence to do anything that they want to do. Going deep into it, it is basically having the freedom to grow and attain the level that people want to achieve, in an unrestricted manner. This would only be possible if one is allowed to make experiments with their choices.

Constant progress towards a fulfilling life: Today s world is filled with a variety of stress. We are always in a hurry to catch up with our goals and meeting our targets. So, in pursuit of all this, there is every possibility that we might lose out to make time for ourselves and our relationships.

So, this Independence Day, we must take a pledge and abide by the fact that we will take up small measures to restore our health and rejuvenate our relationships and this constant progress will enable us to achieve something big in life. Now let us talk about certain healthy habits that we must follow in order to be free from diseases or health problems.

Healthy breakfast: A nutritious and healthy breakfast is of utmost importance as it provides us with the much-needed energy to carry out our activities throughout the day. A healthy breakfast is one which includes fruits, eggs, a portion of oats or barley to have a great mix of protein, fat, vitamins, minerals and carbohydrates
A good night s sleep: Research has shown that a sufficient sleep at night is essential towards getting an efficient mind, as it helps to bring forth improvements in cognitive skills, sharpens memory and keep gastrointestinal disorders away. Ideal sleep hours for women should be 8-9 hours and for men, 7-8 hours should be ideal.
Fluid intake is important: Drinking 8-10 liters of water every day carry great benefits for one s health and well-being. Water helps to remove toxins, makes the skin glow and people don t feel dehydrated.
Exercising daily is good for you: Staying fit and healthy in this competitive world is a must. Fitness cannot be attained only having healthy food but doing exercise on a regular basis is also essential. So make sure to make time for working on your cardio, abs, legs, chest, so that on an overall basis, you are fit and fine. Walking, jogging, cycling and doing normal free hand exercises can help in attaining good health.
Avoid long gaps in-between meals: Generally, we tend to have three big meals, breakfast, lunch and dinner. In the midst of these three, the normal gap is of 5 to 6 hours, which often leads to a drop in our blood sugar level. Ideally, which should be avoided and in place, a habit of eating something healthy after every 2 or 3 hours should be adopted.
Restore your health with a cup of Green Tea: Green Tea has great health benefits as it is filled with antioxidants, which ensures brain to function better and thus lower the chances of getting plagued by cancer. It also makes the body system free from toxins. One cup of green tea in the morning or taking it even at the end of the day is ideal. Make sure not to have more than 2-3 cups every day as it can lead to stomach problems, restlessness and insomnia.
Wash your hands frequently: A number of diseases and health ailments spread from unhygienic habits and that is something which is in our control. We should encourage people around us, such as kids, household help, relatives to wash their hands from time to time. This will help us in controlling the spread of diseases.
The above-mentioned habits are only indicative, however, there are many more that we should adapt according to our health requirements.

Independence Day Special - Let's Take A Pledge To Stay Healthy & Embrace Healthy Habits!

How Smoking Impacts Your Organs

As you inhale cigarette smoke, about 7000 carcinogens stir the crevices of your body. In India, about 3,00,000 people die every year due to smoking-related issues.

Here's a list of 5 such organs, which are the most affected by cigarette smoke.

1. Your lungs - Your lungs are probably the first organs to bear the wrath of cigarette smoke. Majority of the lung cancer cases are due to smoking. Other diseases include bronchitis and emphysema. This smoke paralyzes the cilia lining the inner walls so much so that it overproduces mucous. When the mucous builds, respiration suffers. Asthma and cancer follow.

2. Your Skin - Your skin also gets affected up to a huge extent if you smoke. You could have deep circles under your eyes, wrinkles on your skin, and stretch marks, if you continue smoking over time. Also, there lies the risk of major health issues like skin warts, psoriasis, skin cancer, and wounds, which may take longer to heal.

3. Your Penis - Studies revealed that you can take longer for an erection and find it difficult to maintain it if you are a heavy smoker. Studies have also revealed that men who quit smoking had longer and firmer erections.

4. Your Liver - Smoking increases the chances of you suffering from liver cancer dramatically. According to studies, half of the liver cancer cases are due to smoking. Obesity can also take place if you're a heavy smoker.

5. Your Eyes - Smoking affects your eyes to the extent of making you blind. Partial vision loss, glaucoma, cataracts, dry eye syndrome, and diabetic retinopathy are some of the other diseases you are susceptible to if you smoke.

Despite the negative effects, quitting smoking can save you from all of these potential health hazards.

Here are some ways to help you quit smoking.

1. Nicotine Replacement Therapy - There are a few nicotine replacement tools in the form of nicotine nasal sprays and nicotine inhaler, which you can use to quit smoking.

2. Chew on something - You should try to chew on some candy, or a gum, or anything crunchy and satisfying once you start getting restless for a cigarette or any other form of nicotine. That usually helps.

3. Relaxation techniques - If you are resisting tobacco strongly, it can be very stressful indeed. Take a break from whatever you are doing and go out for a walk, practice muscle relaxation, yoga or deep breathing to keep the craving out of the way.

4. Get involved in some physical work - Getting involved in some work will surely go a long way in reducing your craving. You can also try out physical exercises like squats, running, or jogging. Otherwise, you can also indulge in some needlework, or anything, which involves concentration or physical work.



Why Smoking Impacts Your Crucial Organs the Most?

E-cigarettes : Good Or Bad?

E-cigarettes or electronic cigarettes are vaporizers powered by battery which instigates the feeling of smoking. Though it has emerged as a measure to quit smoking, it is not so successful in achieving the same. 

Check out its Benefits Vs Risks

BENEFITS.
1. Alternative to smoking - For those who find hard to quit smoking can replace this smoke and tobacco free device with the traditional cigarettes and can reduce the intake of smoke or tobacco to minimal.

2. Easy on the pocket book - The cost of e-cigarettes is relatively low than traditional cigarettes. Hence, it fits well under the budget of chain smokers.

3. Reduces the risk to diseases - Cigarette smoking is injurious to health. It can cause innumerable diseases from cancer, stroke, heart attack, pneumonia to osteoporosis, Alzheimer’s etc. E-cigarettes have reduced the risk of many of these diseases for the smokers.

4. Odor free Cigarette - The odor from a smoker after smoking is unbearable. E-cigarettes help get rid of the maleficent odor and so others won’t notice the smell.

RISKS.

1. E-liquids - E-cigarettes have e-liquids which are very harmfull for the body. A small amount of e-liquid is enough to kill a child or an adult. Hence, there is an increased risk to life of a smoker.

2. Lacks labeling - E-cigarettes do not have proper labeling, health warnings, directions to use and its safe disposal technique. Hence, it has an added risk to environment if the e-liquids get exposed/leaked.

3. High levels of Nicotine - Though it is a tobacco and smoke-free cigarette, over usage of the same can make you addicted to nicotine which has further negative impacts on your health.
Hence, e-cigarettes may help in quit smoking, it is equally hazardous to your health. 


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

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.


How Good Are E-cigarettes, Really?

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