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!

With age, just like other body functions, the mind too begins to slow down. This could lead to problems in communication, focus, recall, reasoning, and thinking. So with dementia, the person faces problems which are a combination of above-mentioned activities. Dementia is a symptom associated with many diseases and is not a disease on its own.

Alzheimer s is the main cause of dementia, followed by stroke or brain injury, Huntington s disease, and Lewy body disease. However, there are some symptoms that can be indicative that a person is gradually progressing into dementia. Watching out for these symptoms can help one seek help at an early stage, thereby helping the affected person, and slowing down its progress.

Short term memory loss: With age, people tend to forget what happened recently, and this can even be something as recent as the previous day. However, they can very clearly recollect events from the past. They might forget things like where they have placed their glasses, where the television remote control is, etc. They may also ask for the same information repeatedly, even after it is answered.
Mood changes: Rapid mood swings is observed in a person suffering from dementia. Their emotions keep changing within a matter of seconds, and they may show also less emotion than what they used to show previously.
Personality changes: Since dementia affects reasoning and judgment, someone who was earlier shy could suddenly become outgoing. Their inhibitions which led to a shy personality are lost, making them more outgoing.
Difficulty in performing regular tasks: Be it forgetting things like laying out tables, keeping things back in their places, or organising medical kits, with dementia setting in, these tasks slowly become more difficult to do. Also, learning new tasks, even simple ones, seem tough and are often not accomplished.
Losing storylines: The elderly would usually be good with telling and appreciating stories like telling tales to their grandchildren or following television soaps and stories. However, as dementia begins to set in, they tend to lose storylines, both when observing and telling.
Repeating actions: As they are not able to register things, they tend to repeat things, both in words and in actions.
Feeling lost: Things like heading out to a store to buy something and then wondering why they came there are common. Short-term memory loss can cause such situations. This confusion, especially with regard to time and things, is very common.
Spatial and time orientation: There could be problems relating to space and time, seasons, and they may often ask questions like what time it is, etc. Routine tasks like paying bills, cooking using recipe books, which were easily managed, suddenly begin to look difficult.
Apathy: Losing interest in people, hobbies, or other things like puzzles, which they once enjoyed, become boring and unenjoyable.

9 Early Symptoms of Dementia!

OCD or obsessive compulsive disorder is a mental condition, which traps people in a cycle of repetitive thoughts that push them to do repetitive behaviors. As the name states, the obsession over certain things compels them to do it over and over again. These actions will only help you feel relieved for a short time and soon the cycle starts back again.

Symptoms of OCD
The symptoms of OCD are classified into two groups, one for the obsessive behavior and the other for compulsive behavior. Some of the common symptoms for these are mentioned below:

Obsessive behaviors
As the name states this means obsessing over certain things, which varies from person to person. Some of the things could be:
1. Being scared about making mistakes
2. The fear of being embarrassed in public situations
3. Constantly being scared about contamination by germs, microbes or dirt
4. Doubts about sure and simple situations and the need to be constantly reassured about them

Compulsive behaviors
The obsessions usually results in compulsive behaviors, which you may need to perform to reassure and relieve yourself of the anxiety temporarily. Some of these may include:
1. Trying to constantly arrange things in a certain way and still not being satisfied
2. Thoughts, words and images being stuck in your head throughout the day that may keep you disturbed and cause to lose sleep
3. You may even repeat specific words or actions multiple times as a measure of self reassurance.
4. Hoarding of items, which have no value

Causes of OCD
Biological factors: Certain chemical imbalances in the brain may lead to OCD, which may happen due to hormonal or biological changes. In fact certain infections are also known to trigger OCD in people.
Environmental factors: Certain types of mental trauma have been known to trigger OCD as well, such as
1. Office, school, college or other work related stresses over a long period of time
2. The passing away of a near and dear one
3. Relationship problems
4. Repressed abuses from earlier in life

Treatments
Most treatments of OCD are categorized into two types: 
Cognitive behavioral therapy: This is a counseling based therapy where you may be slowly asked to face your fears and overcome them over a period of time.
Medications: Antidepressants, inhibitors, or antipsychotic drugs or relaxants in various combinations may be used to treat OCD.
Electroconvulsive therapy: Only in the rarest of cases would doctors consider electroconvulsive therapy, if the patient is a danger to themselves or others around them.


Causes, Symptoms and Treatments of OCD

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?

One of the researches that have come out a few years back suggested that almost every individual has an obsessive compulsive disorder (OCD) to an extent. The trouble starts when this anxiety disorder breaches out of control and damages his/her social well-being. What is obsessive compulsive disorder (OCD)? Let us have a look at it in detail.

What is obsessive Compulsive Disorder?
Obsessive-compulsive disorder (OCD) is a type anxiety disorder, where people have a recurring feeling to do an activity with unwanted thoughts, ideas or sensations (obsessions). The recurring feeling can drive them to do the activity repetitively (compulsions). The repetitive behaviors can include simple tasks like hand washing, checking and rechecking things, Cleanliness and hygiene. They have a potential to interfere with a person s social interactions and his general well being. Our human mindset is made up of thoughts for which an equal action occurs. 

For people with Obsessive-Compulsive Disorder (OCD), these ideas continue to dominate them to do the same thing again repeatedly and not doing them causes great distress and agony to them. Most of the people with OCD can recognize that they have the condition, but the imbalances make them unable to stop the occurrences. They usually start at an early stage and continue into adulthood where the condition dominates at its peak. For most of them, an OCD can exist as just a random thought - often disturbing, and they would be helpless in most cases to have a control over it. Some of the examples of the compositions include cleaning, hygiene, Checking and re-checking, arranging and mental compulsions.

Treatment for OCD:
So now since it is established that it is an imbalance of the brain let us look at the treatment possibilities. One of the treatments is the Cognitive Behavioral Therapy under the Psychiatry Branch. The therapy is an exposure type of treatment where the patients are exposed to the situations where they have basically no control of. Through this exposure and in medically contained environments, patients can identify that they can control and monitor their anxiety and depression levels without having to do the repetitive behavior. It can be a bit challenging for the cases that involve mental illusions as they cannot be recreated, but they can be effectively curbed when channeled through alternative means. Also, medications and anxiety reducing drugs along with the psychiatric therapy can help to a great extent in the treatment. Relaxation techniques such as meditation, yoga, and massages also help in having greater control of the disease.

Having a healthy lifestyle and having a general awareness of the warning signs and what do to when the indications occur can go a long way in the betterment of the life. It is a slow treatment process and requires a lot of patience for the therapy to be successful. Having patience in a way contributes towards the well-being of the person indirectly.

Obsessive Compulsive Disorder - How to Get It Treated?

Borderline personality disorder (bpd) is a mental illness. A patient suffering from bpd maintains unstable relationships with other people, shows inappropriate emotional reactions and possesses suicidal or self-harm tendencies. It is purely a personality disorder caused due to multiple factors. Patients suffering from bpd may find it difficult to stay alone. They fear abandonment and loneliness. Yet they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life.

It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with bpd.

Symptoms of borderline personality disorder.

The signs of suffering from bpd are listed below:

Intense and frantic effort to avoid abandonment or loneliness
Unstable relationships with people and changing the attitude towards them drastically. It can change from being in immense love with each other to intense hatred.
Developing paranoid thoughts and having dissociative feelings-the patient often lacks the feeling of self and suffers from identity crisis.
Suicidal feelings and attempts
Tendency to cause self harm or destruction by drug abuse, driving irresponsibly or be having unprotected sex
Reflecting intense depression
Chronic boredom
Sudden anger and hostility
Causes for borderline personality disorder.

Borderline personality disorder can be caused due to multiple reasons. Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.

Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for bpd. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.

Diagnosis.

There is no particular clinical test that can diagnose bpd. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.

Treatment.

The treatment of bpd involves three steps- psychotherapy, medications and support from peer and family. Dialectical behavioral therapy, cognitive behavioural therapy and psychodynamic psychotherapy are used in treating the patient. There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed.

A Guide to Borderline Personality Disorder

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