We all have mood swings but not all mood swings have the same intensity. People who have extreme mood swings ranging from depression to manic highs are said to be suffering from bipolar disorder. These extreme moods are known as episodes and usually, last for a few days or even a few weeks. A person suffering from bipolar disorder could have an episode several times a year. This is a very common psychological problem and can affect both children and adults. Though it cannot be cured, this disease can be managed with medication.

There are no known causes for bipolar disorder but genetics may play an important role in triggering Bipolar Disorder. Hence, if a parent or sibling suffers from this condition, you have a risk of developing it as well. An imbalance in the neurotransmitters in the brain may also play a part in the development of this condition. Stress or traumatic events like the loss of a loved one can also increase your risk of suffering from this condition. Given that mood swings affect almost each one of us, bipolar disorder can be difficult to diagnose. Some of the things to look out for are:

Change in self-esteem
Unusual talkativeness or quietness
Being increasingly prone to distractions
Decreased need for sleep
Agitation
Recklessness in terms of spending decisions, relationships etc
It must be kept in mind that a person must display at least 4 of the above symptoms simultaneously to be diagnosed as bipolar. Also, none of these symptoms should be a result or side effect of any kind of medication, drugs, alcohol or other intoxicants.

There are four main types of bipolar disorder:

Bipolar I: In such cases, the person has at least one episode of elevated moods and associated abnormal behaviour in his or her life. This may be preceded or followed by depressive episodes.
Bipolar II: In these cases, the person must have suffered from at least one depressive episode. It is very similar to bipolar I except that in bipolar II the highs never reach the manic stage.
Rapid Cycling: Some people can have 4 or more manic and depressive episodes a year. In such cases, they are said to be rapid cycling. This condition affects 10-20% of bipolar cases.
Mixed Bipolar: Usually, bipolar patients show mood swings that alternate between manic and depressive moods. However, sometimes a person may experience both elation and depression simultaneously or in rapid succession of each other. These cases are known as mixed bipolar.
Once diagnosed, bipolar disorder can be managed with a combination of medication and psychotherapy. In some cases, electroconvulsive therapy may also be needed.

All About Bipolar Disorder

Unlike what you may think, anxiety is a common emotional response in a situation where we are worried about an outcome. It is, in fact, beneficial to us as it keeps us alert and charged for a reaction. Anxiety disorder, however, comes when you lose control over your reaction and let it take control of your life in a way that disables you from living a normal life. 
The first thing to do as a positive step is to accept that you have a disorder. Mental health problems are as big as physical problems. Just like the body needs to be treated to cure a disease, the mind too can be treated to cure you of your problems. The next thing to do is to know what type of disorder you are suffering from to get specific treatment for it.

Connection between anxiety and depression:
Anxiety is not just incessant worrying. It is sometimes an obsessive compulsive disorder that can takeover your life or a terrifying phobia that can prevent you from doing things that are routine for others. Over a period of time, living with such a disorder can take an emotional toll leading to depression. 
The chances of developing depression in addition to anxiety is quite high. In fact, almost half of all people with major depression also suffer from severe and persistent anxiety. In many cases people suffering from post traumatic stress disorder (PTSD) and anxiety are also victims of depression.

Symptoms of anxiety and depression disorder
Constant fear and worry
Loss of interest in normal life, hobbies and activities
Insomnia and fatigue with inability to relax
Panic attacks
Feeling of sadness and worthlessness

Coping with anxiety and depression disorder
The first and most important thing to know is that both conditions are treatable and patients who get regular care, medication and support from friends and family can come back to living a normal life. Here are some of the treatments available:

1. Medication: Taking proper medication is very important as it acts quickly and is quite safe. Most people do not take medication, such as sleeping pills, fearing they might get addicted to them, which is a myth. Also, medications prescribed by your doctor are safe and specific that is why they have been prescribed.

2. Cognitive behavioral therapy (CBT): It is used to first figure out what the cause behind the anxiety or depression. It is then used to teach people to manage their fears, anxieties, and depressive symptoms and also learn how to take control of their emotions. Another therapy used for treating depression is Emotive Behaviour therapy.

3. Lifestyle modification: In order to overcome, anxiety and depression, certain lifestyle changes are required, such as one should exercise daily at least for 30 minutes and eat a healthy diet.

4. Counselling: Counselling helps the person to overcome the oppressive thoughts and cope up with the feeling of worthlessness.

5. Group therapy: Knowing you are not alone with your pains and fears can often come as a big relief. Not only will the patient benefit from joining a local support group, the care giver will also learn how to cope with the developments of the disorder and how they can continue to provide care and support to their loved ones.

How to Cope with Anxiety and Depression Disorder

Humans are social animals who thrive on reciprocality. It is in our basic nature to be socially courteous, and the word 'No' feels like a conflict that warns a potential relationship. Many of us tend to comply with every single request that is put forward to us by our peers, family, or at the workplace by our superiors. We choose to take up more jobs than we can efficiently handle and put unnecessary stress on ourselves even at the cost of our time and well-being. Must we always do that? 

Why is it so hard to say 'No'?

People have the notion that saying 'No' can come across as rude or uncaring. You may feel that you are letting someone down by turning down their request or risking a relationship. But, it has mostly to do with your self-confidence than your relationships with people. It may branch from overbearing parents, high expectations set by your peers and mentors or experiencing parenthood yourself and setting unreasonable standards for yourself. Childhood influences are usually the biggest cause of people always saying  yes  all the time.

People who have low self-confidence tend to value their own needs less than the needs of others. Saying 'No' feels rude, and no one wants to be impolite.

Well... saying 'No' does not mean you are being rude or disagreeable.

At the end of the day, it is more about how you say 'no', rather than just saying the word 'No'. Saying 'No' is about valuing and respecting your own time and priorities. 

How to start saying say 'No'?
If you want to take a step back and start saying 'No' to make sure your own needs are valued, here s what you need to do.

Refuse politely, when it seems not possible: Do not overcomplicate responses and try to be as simple in your responses as you can be. If you are asked to do something, and you want to say 'no', try to be polite in your body language and state that it is not convenient for you at the moment and that you would rather get back to it later.
Seek time before committing: The transition from saying  yes  all the time to saying no does take time! Start to give yourself more time and ask people to get back to you later. This way you can begin to build more self-confidence and learn to say no over time. This also allows you to evaluate your response instead of immediately saying yes or no to the person asking the favor or task.
Do not feel guilty: Deep down if you want to do a favor, you can go ahead with it, but you should also understand that it is okay to say no, and there is no need to associate guilt with it. You should set boundaries and allow people around you to understand how much favors they can ask you for instead of presenting you with an endless amount of favors from you.
Set your boundaries: Refusal does not amount to rejection as you have just as much right to say  no  as the person who is asking the favor from you. You are simply turning down a request, and in most situations, there is a middle ground for compromises where both you and the requester can be satisfied. If you have limited time to fulfill a request, let the person know and help out only as much as you can without overstepping your boundaries.
Bringing in these changes can help you be more self-confident, and at the same time enable you to say no when you need to without weighing yourself down with expectations and fear or rejection.

Simple Steps To Help You Say No!

Body pain and Physiotherapy

Physiotherapy is an effective way to reduce various kinds of body pains. Physiotherapy includes massages, exercises, and heat treatments to relieve pain. This treatment is often recommended as the first option to treat back and neck pain. Physiotherapy is also used to rehabilitate patients after surgery. Different kinds of exercises included in this treatment are also useful to treat sports injuries.  Here are some steps that you can take to relieve your body pain incorporating physiotherapy.

Get appropriate help

It is important to properly diagnose your condition before going for physical therapy. Seek help from a professional and if he/she recommends physiotherapy then only opt for the treatment.

Reduce your severe pain before exercising

If you are in immense pain, work to alleviate the pain before engaging in exercises. Cold/ hot therapy, massage, manual manipulation are some of the methods that can slowly reduce the pain. These are all part of physical therapy.

Exercise

Exercising has numerous health benefits including relieving back pain. As you age, your back tends to get weaker; it is important to workout to prevent future backaches. Stretching, strengthening and low- impact aerobics are ideal for this issue.

You can also try water therapy as water has a therapeutic effect on pain and makes your movements much easier than on land.

Observe your body's reaction to physical therapy

When you have just had a back or neck pain episode and try physical therapy you will feel some initial discomfort, it is expected. After you acclimatize yourself with the routine all kinds of pain will gradually diminish. The initial pain due to physiotherapy is caused because your muscles are stiff and they are being stretched the way they are not used to. However if the pain gradually increases you are probably not right for that particular kind of physical therapy.



Body pain and Physiotherapy

Lower abdomen pain can originate from a range of medical issues. In some cases, the pain disappears just like the way it came, in some cases, it takes longer medical treatment to cure the pain. Once the origin and the root cause of the pain are diagnosed, there are plenty of medical options to cure the pain. In this piece, we will briefly touch upon the causes of lower abdomen pain:

Appendicitis: This is one of the most common causes of lower abdomen pain. It typically originates from the right side of the stomach and soon diverges into the other side as well. The pain can become unbearable in a matter of hours.
Pelvic inflammatory disease: This is an infection that is caused in the reproductive system of a woman. This is often characterized by vaginal discharge, fever, weakness, intercourse related pain and pain in the lower abdomen.
Miscarriage: In case there is a loss of fetus on or before the twentieth week, the mishap is termed as miscarriage. It results in acute pain in the lower abdomen pain, vaginal bleeding, back pain, fluid expulsion from the vagina etc.
Fibroids: This is a growth in the uterus that is often non-cancerous and is commonly characterized by symptoms such as heavy periods, constipation, pain in the legs and back area, pain in the lower abdomen area, frequent urination etc.
Cancer: A cancerous growth in the lower abdomen area can lead to very sharp pain in the back and surrounding area. The pain is dull in nature and slowly spreads to other areas in a short interval of time.
Cholecystitis: This is a disorder that results in swelling of the gallbladder area. It results in a sharp pain in the lower abdomen area. A doctor needs to be immediately consulted if a person is suffering from this disease.
Intestinal obstruction: When the lower bowl gets blocked due to the contents of the lower intestine, a person can feel a sharp pain in the lower abdomen area.
Salpingitis: When a woman faces stiff pain in the lower abdomen area due to an inflammation of the fallopian tube, Salpingitis is the culprit behind it. This is a sexual disease and needs a doctor s consultation to get rid of it.
PMS: A woman can face throbbing pain in the lower abdomen area during her monthly periods. Other symptoms include cramps, weakness, fatigue etc.
Endometriosis: When there is an extension of the uterus tissue just outside the wall of the uterus, it leads to symptoms such as lower abdomen pain, cramps etc.
Polycystic ovarian syndrome: This is a disorder of the hormone and can lead to symptoms such as heavy periods, a growth of facial hair accompanied with sharp pain the lower abdomen area.

Pain In Lower Abdomen - What Could Be The Causes?

Cell phones have become a compulsory device for our times, as they give us access to voice and data services in almost every part of the world. Hazardous effects of cell phones are significant because they are kept on our bodies, in our pockets, or held in our hands. In a recent publication, it was seen that 56% of children between the ages of 10 13 have a smartphone. Also, it is seen that 25% of children between the ages of 2 and 5 have a smartphone. School-grade students today beg for smartphones more than even new dresses or shoes.

Effect of Using Mobile Phones on Speech and Communication

In today s era, children using handheld devices are more likely to have delays in expressive speech. These children start talking much later than their peers. Since the cell phone does not respond back to their communication, children cannot develop a communication channel with it. Soon, they get accustomed to using signs and symbols for things rather than asking for the same. They just get used to the mechanical model of handling cell phones by following few simple steps. In human beings, speech is mastered gradually and progressively. If the child skips on the fundamentals of speech, which requires constant repetition of letters, consonants, syllables, and words, his speech tends to get delayed.

As per famous research conducted in Toronto, it was found that with every 30 minutes of screen time, the risk of delayed speech increased by 49%. Usually, infants should be able to communicate in sentences between three and four words, by the age of 2-3 years. However, those who spent the most time on handheld devices were found to struggle with communication skills. As per another popular study conducted in the UK, electronic gadgets may be blamed for 70% rise in speech problems in 6 years. Another famous study conducted in University College London found that screen time also had an impact on sleep of infants, which affected their brains.

As per the opinion of education leaders and speech specialists, many children are deprived of conversation with their family since they spend a lot of time on electronic devices. The noise and activity on a screen can distract a small child and cause a disconnect between them and their parents. Screen time is slowly replacing parent-child interactions which are critical for healthy development.

How to address this issue?

The best way to teach language to children is by interacting with them, talking with them, using different vocabulary, playing with them, being creative, and pointing things out to them. However, if you feel that owing to negligence your child already has issues with his speech and communication, then visiting a professional speech therapist and counselor can make a huge difference.

Effects Of Using Mobile Phones On Speech & Communication!

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