The first question when you greet somebody is 'how are you' and this often refers to our state of well-being. While most answers would be great, awesome or good, we usually think of how we are doing physically. While some of us may talk about physical conditions (say things like feverish, have a cold, etc.), not many would think of talking about mental health conditions. However, mental health is very important for overall well-being. 

Can you think of someone who is severely depressed or anxious all the time and have a good physical health? Chances are very bleak, and if you consider the overall health as a mix of mental and physical balance, this is not possible. Read on to understand how important mental health is and why you should start paying more attention to it.

Improved physical health: If someone is in a stressed state, it is obvious that they would not be able to do the activities they enjoy. Being affected mentally also leads to reduced immunity and sleep disturbances, making the person prone to infections and other disorders. Stress is one of the main risk factors for chronic medical conditions like heart disease and diabetes.
Improved prognosis: Most often, doctors focus on treating the physical aspects of a person s health. However, with recent emphasis on mental health, more and more doctors are looking at wholesome measures to improve a person s health. Results show that when a person s mental health is also addressed, the physical ailments respond very well.
Improved productivity: People with unattended mental health disorders often resort to absence from work and/or school, can have financial instability, be homeless and can fall repeatedly. Being mentally healthy provides overall changed perspective of life and therefore improves productivity.
Improved personal relationships: Children of people affected with mental illness are prone to neglect, abuse, rejection, and behavioural issues. There is also social isolation, which may lead into adulthood, and these children may also have emotional health problems. Others in the close circle including spouses, siblings, parents, close friends and colleagues would be clearly affected by a person who is mentally unhealthy.
Social effects: These people are highly prone to social crimes like rape, murder, theft, violence, etc. They may not be able to afford their treatment and/or resort to these crimes to assert themselves.
Improved quality of life: Life expectancy is higher in people who are mentally healthy. Even with mild symptoms of anxiety and depression, this is reduced, and the chances of a happier, healthier life are reduced.
Whatever the effect, mental health needs to be addressed as equally as we do physical problems, using medications, counselling, or lifestyle changes.

Mental Health - 6 Reasons Why You Should Take it Seriously!

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.

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.

Health Tip - Role of Relationship Problems in Depression and Suicides

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.

What is depression?

It is a state of mind when a person feels very low, loses interest in routine daily activities, feels hopeless and helpless. Many times the person starts thinking about suicide. It is a very dangerous state and needs immediate intervention from mental health professionals.

Assessment of depression:

Anyone feeling very sad cannot be called as a" depressed" person. To confirm the depression, the person needs to undergo assessment tests by either a psychologist or a psychiatrist. A" depression test" is carried out to see the exact intensity of depression.

Symptoms of depression:

Feeling very sad all the time, continuously for more than 15 days: feeling very sad continuously for a period of 15 days or more confirms depression. But just feeling sad sometimes is not depression.

 Crying for no specific reason: a depressed person may cry without any specific reason or provocation. The internal feeling of sadness is so intense, that the person cries without a good reason.
 Feeling worthless and hopeless: a depressed person has very low self esteem. The person thinks that he/she is useless, has no value and respect in the society. A depressed person feels hopeless. He/she thinks that'this is the end of the world' and things cannot improve. The person does not have any hopes about future and may start thinking about committing suicide or may attempt suicide.
 Loss of interest in life: the person loses interest in life. Does not feel like taking part in any activities which she/he were interested in doing earlier. There is nothing to look forward to, in their life.
 Ignoring personal hygiene: the person is so disinterested in life that she/he becomes careless about personal hygiene. They may not take bath for days together, may not even change their clothes or comb their hair or brush their teeth and are least bothered about the general cleanliness.
 Sleep disorders: the depressed person may sleep all the time or may not be able to sleep at all, which affects their overall health.
 Eating disorders: the person with depressive symptoms may stop eating or eat very little or in some cases eat a lot.
 Lack of sexual desire: the person may lose interest in sex and stop interacting with the sexual partner or start avoiding them.
 Feeling like a loser all the time, not wanting to fight back: the person has no self confidence and hence loses all the faith in his/her own abilities. Does not believe that he/she can face difficult situations and also can fight back.
 Becoming antisocial: the person avoids meeting other people and does not interact with people at home.

Causes of depression:

There are various factors, which may cause depression:

Family history: a person who has a family history of depression is more likely to have depression. If any of the parents or grandparents were diagnosed with depression then the person is more susceptible to depression.

Trauma: if a person has gone through a'life changing' experience, it can cause depression. Situations, such as a sudden death of a loved one or in case of witnessing devastating natural disasters like earthquake or tsunami or a war survivor, someone who has experienced terrorist attack or when someone has suffered sexual or physical abuse etc. May cause depression.

Health issues: if a person is having terminal illness, that can cause depression as the person has to endure lot of pain and has no hopes about recovery.

Relationship problems: if a person is dissatisfied with his/her close relationships like relation with the spouse, parents, siblings or offsprings, then the person may feel like a failure and feels worthless, unwanted or betrayed.

Financial issues: a person having any financial issue like not able to get a job or loss of job, incurring heavy losses in business or unable to earn enough money to satisfy the basic needs etc. Might get depressed.

Failures in life: failure to pass an examination, failure to achieve targets/goals, failure in love affair etc. May result in depression.

Treatment for depression:

Depression may fall in the category of mild, moderate and severe. But it is very important that the person gets assessed for the severity of depression.

Assessment by a psychiatrist/psychologist/counsellor: a person needs to be assessed by either a psychiatrist or a psychologist or a counsellor, to understand the intensity of depression. These mental health professionals may assess a person by talking to him/her and if required by applying certain'depression assessment' tests.

Medication and counselling: in case of moderate to severe depression, a psychiatrist will prescribe certain medication. Along with the medicines, counselling sessions work very well. In case of mild depression, only counselling also can be helpful.

Depression is treatable: if you come across someone with depressive symptoms, kindly advise them to seek help from a counsellor, psychologist or a psychiatrist.

Depression What You Need to Know About 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

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?

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