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?

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?

What is avoidant personality disorder?

Feelings of inadequacy for long durations and being extremely sensitive to what others think of you is a disorder called avoidant personality disorder symptom. Such feelings of inadequacy in turn push the person to become isolated from the society and the person avoids people, work, and other activities. Social and occupational functioning is affected as the person is extremely sensitive and has very low self-esteem. Symptoms of avoidant personality disorder are:

1. Avoiding social interactions: people suffering from this disorder avoid almost all sorts of interpersonal contact since they lie with the fear of rejection, disapproval and criticism.

2. Avoiding risks: they avoid taking personal risks or being involved in activities which seem new, because they fear that they will embarrass themselves.

3. Socially unplugged: they are not willing to get involved with individuals unless they are absolutely certain of being liked by the person.

4. Preoccupied with negative perception: the idea of being criticized or rejected in social functions is so deep within their psyche that they are often preoccupied with only this thought in their minds.

5. Inferiority complex: people suffering from avoidant personality disorder consider themselves as good for nothing, unappealing, and inferior to everyone else.

6. Avoid intimacy: they are always reluctant to get into intimate relationships because they feel that they will be shamed and ridiculed. Because of such fears, they let go of relationships where they would have been genuinely cherished too.

The only treatment possible for this disorder is psychotherapy. While some people opt for long term therapy, most people usually visit a psychotherapist only when they feel overwhelmed with their fear and emotions.

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6 Signs of Avoidant Personality Disorder, 2nd Most Common Psychiatric Disorder

Bipolar mood disorder, otherwise called manic depressive disorder or manic depression, is a genuine and serious mental problem. It is a disorder that can lead to unsafe conduct, damaged relations and career, and even self-destructive inclinations if it is not treated properly and on time.

Bipolar disorder is portrayed by outrageous changes in the state of mind, from mania to depression. Between these mood swings, a man with bipolar disorder may encounter normal moods as well. Here is how it can affect a relationship:

Bipolar disorder can turn into an issue from the very begin of a relationship. Exploring any sentimental relationship - whether it is dating or marriage - can be a risky attempt. Including bipolar disorder with its crazy ride of feelings in with the general problems in a relationship, and connections can turn out to be all the more difficult.
However, not everybody with bipolar disorder encounters the state of mood swings of depression and mania, but when those scenes do happen, they can destroy a relationship.
During the hyper stage, a person can lose his or her feeling of judgment. That implies spending all their money carelessly, breaking rules, and taking part in dangerous practices like medication and liquor abuse. When you have a partner with the bipolar issue who gets into a hyper stage, it can be extremely harmful to a great degree for the relationship since they might do things that hurt you or may trouble you financially.
Any number of things, from work problems to financial issues, can lead to fights and put a strain on a marriage. However, if one of the partners has a bipolar disorder, simple stressors can trigger their mood swings. That might be the reason why around ninety percent of the relations and marriages with a bipolar partner, fail.
Having a relationship when you live with bipolar disorder is troublesome. Nevertheless, it can surely be dealt with. It takes the efforts of both the partners to make it work.
The initial step is to get diagnosed and treated for your condition. Your specialist can give you hormone balancing drugs, for example, Lithium, with antidepressants to control your symptoms. Treatment with a clinician or psychologist is additionally vital. With treatment, you can figure out how to control the practices that are putting pressure on your relationship.

Here are a couple of different approaches to alleviate a portion of the weight on your relationship:

Take your medicine as recommended
Take a marriage education and counselling class
Manage your stress in different ways whether it is writing in a diary, taking long strolls, or listening to music
Attempt to adjust work with more calming exercises
Adhere to a customary rest cycle
Eat healthy and exercise frequently
Maintain distance from liquor and caffeine

Bipolar Mood disorder - Is It Hampering Your Relationship?

Depression is a very common emotion you might have experienced at least once during your lifetime. Depression refers to a state of mind when you are feeling low due to persistent sadness and loss of interest. But if the depression is chronic and long lasting for you, then it indicates that you are suffering from clinical depression. Under clinical depression, it is preferable that you go through a proper treatment course by a certified therapist. The Most common types of depressions are:

-Major depression

Under this type of a depression you will be depressed for most days of the week and if this condition extends for a period greater than 2 weeks, then it is a case of major depression. The most common method to treat a major depression is to talk to a mental health specialist and take medications called antidepressants (only after a prescription by a certified doctor).

-Persistent depressive disorder

This is a more severe and long lasting type of depression which is identified if you are depressed over a period longer than 2 hours. The most common symptoms of this type of a disorder are - change in your appetite, too much or too little sleep, lack of energy or fatigue, low self-esteem, trouble concentrating or making decisions, feeling hopeless among others.

-Bipolar disorder

If you are experiencing extreme ups and downs of mood abruptly and without any apparent reason, then you might be suffering from this disorder. This disorder is commonly known as a maniac depression, because during an up phase you will be extremely happy, joyful outgoing and talkative but during the low phase you will be sad, tired and depressed.

-Seasonal affective disorder

This type of a depression might bother you only during the winter season. This happens whenever the days are shorter and your body is not able to get enough of sunlight. This mostly happens in the case of people who are very fond of sunlight, and they prefer the sunshine over dark periods of the night. This disorder is treated by SAD antidepressants and everyday light therapy of 15 to 20 minutes.

-Psychotic depression

Under this type of a depression, you will have a major depression along with some psychotic symptoms like - hallucinations, delusions, and paranoia. Hallucinations mean viewing things that are not there, in reality, delusions are false beliefs or misconceptions and paranoia is the constant fear that somebody is going to harm you.



5 Types of Common Depression

Post-traumatic stress disorder (PTSD) is an abnormal condition of the mind that develops when a person is exposed to certain traumatic events in life such as accidents, sexual assault or warfare.

The major symptoms of PTSD are:

Reliving the traumatic experience over and over again; this leads to severe and long-term mental distress.
Recurring dreams about the events.
Provocation of traumatic thoughts by the slightest event that causes distress to the individual.
Avoiding memories and thoughts that might remind them of the event.
Developing a negative view of themselves and the world.
Developing social or specific phobias.
Treatment

Medication and antidepressants: Medicines such as paroxetine, sertraline and selective serotonin reuptake inhibitor (SSRI) help the individual address insomnia-related problems that occur due to PTSD and suppress nightmares.
Psychotherapy: This form of therapy is used to cure both mental health conditions (such as obsessive-compulsive disorder, anxiety and depression) as well as emotional problems that result from PTSD. Skilled mental health experts are needed for this form of treatment to be administered. They would listen to each individual patiently and provide effective strategies to give solutions to the problems. Some of these therapies are:
Cognitive Behavioural Therapy: This therapy enables the individual to adapt to changes and recognize thought patterns which lead to irrational and negative behaviour and actions.
Exposure therapy: This therapy causes the affected individual to first become anxious by exposing him/her to the traumatic memories, situations and objects by simulating them. The therapy helps the person to overcome his/her fears and become comfortable in the same environment that had previously caused fear and anxiety.
Group therapy: This popular and effective form of therapy allows the individual to share his/her feelings, fears and thoughts with a group of people who have themselves experienced similar trauma in their lives. Sharing such experiences helps reduces stress levels.

Post Traumatic Stress Disorder - Ways It Can Be Managed!

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