Anger is an inherent part of human nature. Regardless of whether a person is consciously or subconsciously aware of the feeling, our emotions are often overpowered by violence, hatred, and aggression. Much has been studied and said about the primitive negative fantasies of a child that later stems itself in the form of anger and aggression. In a modern-day world, it is crucial to managing one s anger by allowing positivity to take control and purge out the negative emotion.

Why is anger management crucial?
If one is not able to manage their anger, it can affect one s mental health while directly hampering professional and personal relationships. Anger management is a must for people who are not able to exercise control over their temper and allow this emotion to take control over their lives. Lack of anger management is one of the root problems in most urban countries including India. Steps should be taken to reduce its effects for so that there is an overall benefit for an individual and society at large.

How to manage anger?
Anger management is meant to help people control their anger practically while boosting the physical and mental wellness of the affected person.

Here are six effective tips to manage anger-

One should not pressurize oneself to be perfect. You should expect others to do their job well while avoiding anger and frustration in case there is any underperformance or failure in living up to the specified standards.
If one has gone through a traumatic past, it is important to confide in someone rather than sulking or brooding over it.
It is important to provide quality time for oneself so that one can derive pleasure and happiness and therefore be surrounded by a positive emotion.
One must try to handle the situation diplomatically rather than getting angry and allowing the situation to go out of hand.
The age-old remedy of counting backwards plays a commendable role in this regard. You should allow yourself some time to regain the composure and not lose the temper completely. Developing a positive outlook towards people and situations offers a new perspective on life and can save the day.
Expression of anger need not always be violent; you can choose to be quiet or avoid a particular situation if possible. This can save your relationships as well.
Both anger and stress are co-related, and their management also works in similar ways. This may be attributed to the fact that both these emotions comprise of similar constituents and can affect any person in detrimental ways. Prolonged stress and anger can take a toll on both emotional and physical health and therefore, it is necessary to control them and reduce its impact.

6 Effective Tips For Better Anger Management!

Depression is more than just feeling low or down. It is a serious illness that is caused by various changes in the brain chemistry. There are a lot of factors that cause depression, which range from genetics to change in hormone level, stress, grief, medical conditions and other life circumstances. All these can lead to depression and that is something which does not go away on its own. However, there are a few efficient ways through which patients can deal with depression. These are as follows:

Exercise: Taking a brisk walk for fifteen to twenty minutes every day can be very healthy, not only for your body,  but also for your mental health as well. Dancing, jogging, cycling and yoga are alternatives as well. Although, people who are depressed might not feel like doing any of those things, but one should try to do them anyway. Once a person gets into the exercising routine, they will start noticing the change in their mood. Deep breathing, yoga exercises and meditation can also help people feel better and less depressed.
Anti-depressants: Three brain chemicals that are responsible for handling your mood are norepinephrine, serotonin and dopamine. During depression, the brain circuits that make use of these chemicals stop working properly. In this case, antidepressants can be very useful. These tweak the chemicals that run through the brain and help improve your overall mood.
Psychotherapy: It is a method through which therapists find out a person s everyday stressors. This therapy is a powerful treatment for depression. Combining psychotherapy with medications can be even better and more effective. This also makes the symptoms easier to take. When a person talks about his feelings and problems with a stranger, it can help him or her release certain amount of stress.
Social support: Talking to a friend or attending group therapies has proven to be beneficial. However, it is important that the person you talk to is someone who you will feel comfortable around. Therefore, it could be someone you know or someone who empathises with you. This is possible either with your close ones or group therapies where the people you talk with, have been going through the same problem you have.
Meditation: Calmness and meditation can help you channelize your positive energy and thoughts over the negative ones. It can help a person see new perspective, develop forgiveness and compassion. Much like exercise, meditating briefly can help you gain immediate effects. It helps a person get over depression. This happens over time. One might not be successful in releasing their stress at once. It is a process that takes time.
The treatment that you get for your depression will depend on the kind of depression that you have. Some might get psychotherapy while others might get antidepressants or for some, exercise could be enough. 

Depression - 5 Ways to Deal With It!

Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material. 

Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.

Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.

Procedure:

In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision

Local anesthesia is given in the area that needs to be operated
A biopsy needle is inserted into the fractured space with the help of an X-ray
The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
The needle is removed and the incision is covered with a bandage
Usually the patient is sent home in an hour s time unless the overall condition is really bad
There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
There is also improvement in mobility while doing daily chores
The pain relief can last up to 3 years after the procedure
Returning back to normal activities takes about 3 to 4 days after the procedure
When to use this procedure?

Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:

Osteoporosis
Cancer metastasis
Myeloma
Spinal hemangiomas
Traumatic fractures
Benefits of using vertebroplasty for managing pain 

Minimally invasive
Effective way to get relief
Improves mobility
Cost-effective
Reduces need for long-term use of painkillers
Stabilizes the spine and prevents further collapse

Vertebroplasty - How It Can Help Manage Pain?

Like everyone else, teenagers are susceptible to anger. When this gets out of control, it can lead to problems at school as well as at home. One of the major reasons for this is that teenagers do not know how to channel their anger and control it. When teaching teenagers how to manage their anger, it is important to understand that each child is different and will respond to anger differently. Here are a few tips that could help.

Recognize triggers and warning signs: Most anger outbursts are triggered by common factors. This could include feeling disrespected, feeling misunderstood, being refused permission or something or feeling as though too much were expected. It is important for teenagers to recognize these triggers so that they can deal with them in a better way. An anger outburst is also often preceded by certain physiological changes. For example, a person s breath could quicken or they may begin to clench their muscles before getting angry. Recognizing these early signs can help teens control their anger and not allow the situation to escalate.
Develop a vocabulary: Most teenagers throw tantrums and slam doors because they do not have words to express their anger and end up getting more and more frustrated with themselves and the situation. Hence, help your teenager develop a vocabulary to express what he or she may be feeling. This could include words like angry, mad, furious, irritated, tense, apprehensive, etc. Encourage them to talk out their anger instead of letting it simmer inside them. When your child does say things like  you re making me angry  etc do not immediately discipline him but instead talk it out. They may also be encouraged to write out their anger or find other creative outlets for it.
Deep breathing: Deep breathing is an anger management technique that helps adults and children alike. Teach your child how to take a few deep breaths before lashing out at someone. Show your child how to inhale slowly, hold the breath and exhale slowly while counting to five. This can help him or her calm down and handle the situation in a better way.
1+3+10: This is a golden rule of anger management. When your teen feels angry he or she needs to tell himself or herself to calm down. This is step 1. Next, they should take 3 deep breaths. This should be followed by counting to ten slowly. This can help them gain control of the situation and prevent an anger outburst.
The above mentioned tips can help in anger management of teen. However, if the condition seems out of control, you can always seek professional help to deal with the situation.

How To Handle Angry Teenagers?

Depression is a clinical, mental, and emotional condition that may give rise to feelings of hopelessness and chronic sadness. It slows down the way people process everyday activities and leads the patient to a sense of constant gloom and doom. It is a disabling mental condition as per who, and may be caused due to reasons like genetics, changes in the balance of hormones, stress, grief, trauma and prolonged, chronic physical ailments. Depression is also connected with food and nutrition. Do you want to know how? 
Read on to see the three ways in which food and depression are connected. 

1. Severity and duration: depression is a mental illness that signifies an imbalance in the hormones and the emotional faculties in the brain. Nutrition is the fuel that keeps the brain and body in prime working condition. When a depressive state sets in or becomes emotionally rooted, then nutritious eating and a proper diet take a back seat as the patient succumbs to a state where he or she is not concerned about the food intake. As a result, the brain and hormonal balance get further affected. This can have an adverse effect on the severity and the duration of the depressive mode, which makes it all a vicious cycle of sorts. Poor appetite, not having proper meals, skipping meals, eating junk, avoiding social settings where food will be served, and even emotional eating are all outcomes of depression too.

2. Eating disorders: many patients who have eating disorders often experience deep rooted and chronic depression. Since despondency and hopelessness are the main characteristics of depressive behaviour, the outcome is that the patient tries to behave in a way that seeks approval. And in all this, the patient usually thinks that he or she is not'good enough. In such a scenario, the patient may start trying out fad diets and eventually fall prey to eating disorders like bulimia that make the patient overeat and then vomit. These eating disorders usually come with phases of binge eating, throwing up, starving and then repeating the cycle again. Eating in secrecy is also a symptom of this condition.

3. Nutrition to fight depression: nutrition and proper food intake can build a sense of resilience by first of all improving the overall physical condition of the patient. This can take care of a lot of angst even as the minerals and vitamins travel to the brain for better functioning in the long run.

Ensure that you eat right as a part of your therapy for depression. This is as good as taking your medication on time!

Three Ways Depression Is Connected With Food

When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of the current lifestyle diseases from diabetes to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.

The statistics around tobacco abuse are extremely startling and can be read below:

A total of about 90 trillion rupees are spent on various tobacco products.
About 1.4 trillion is spent on healthcare-related to conditions caused by tobacco abuse.
India has about 120 million tobacco users.
More than 7 million people die every year due to tobacco usage.
The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.

This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.

In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating  Smoking Kills  or  Smoking is injurious to health. 
Marketing campaigns are shown in the movie theatres at the beginning of movies which depict the hazards of tobacco
Smoking is banned in most public areas, and warnings are on display.
Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
Schools and colleges do not have tobacco selling within 100 meters of the campus.
The price increase ensures that not everybody has easy access to cigarettes.
Celebrities promote quitting tobacco and smoking by talking about their personal stories.
How can a healthcare professional help you?

A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support. 

What should a healthcare professional do?

Identify people who smoke 
Motivate them to quit or think about quitting
Refer a person who smokes for treatment and support
Support ongoing abstinence
What is the right smoking cessation strategy?

Ask: Every smoker to visit a healthcare professional
Advice: Urge the smoker to leave smoking
Assess: Assess whether the person is willing to quit in 30 days
Assist: Plan and help Rx Quit
Arrange: Arrange a follow-up through phone or SMS or in-person
What is that people who smoke need help with?

First and  the foremost challenge are the withdrawal symptoms 
Urge to smoke and borderline depression with a possibility of relapse
People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?

Behavioural support is of proven efficacy
Can be delivered in different formats
Face-to-face
Telephone
Internet
Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)

There are no real contradictions related to NRT
No drug interactions 
Side effects, if there are any are localized e.g.
Taste of oral products
Hiccups with the mouth spray 
Skin irritation with patch 
Treatment for quitting Nicotine  - Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion. 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

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