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!

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely  up,  elated, and energized behavior (known as manic episodes) to very sad,  down,  or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

Bipolar I Disorder  defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
Bipolar II Disorder  defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
Cyclothymic Disorder (also called cyclothymia)  defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
Other Specified and Unspecified Bipolar and Related Disorders  defined by bipolar disorder symptoms that do not match the three categories listed above.
The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.

Mania-

Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.

The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals. 

You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
 
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
 
If you become manic, you may notice that you are:

Emotional:

very happy and excited
irritated with other people who don't share your optimistic outlook
feeling more important than usual. 
Thinking:

full of new and exciting ideas
moving quickly from one idea to another
hearing voices that other people can't hear.
Physical:

full of energy
unable or unwilling to sleep
more interested in sex.  
Behaviour:

making plans that are grandiose and unrealistic
very active, moving around very quickly
behaving unusually
talking very quickly - other people may find it hard to understand what you are talking about
making odd decisions on the spur of the moment, sometimes with disastrous consequences
recklessly spending your money
over-familiar or recklessly critical with other people
less inhibited in general.
If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong   although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues   and with other people's feelings. 

Depression- 

The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:

Emotional:

feelings of unhappiness that don't go away
feeling that you want to burst into tears for no reason
losing interest in things
being unable to enjoy things
feeling restless and agitated
losing self-confidence
feeling useless, inadequate and hopeless
feeling more irritable than usual
thinking of suicide.  
Thinking:

can t think positively or hopefully
finding it hard to make even simple decisions
difficulty in concentrating. 
Physical:

losing appetite and weight
difficulty in getting to sleep
waking earlier than usual
feeling utterly tired
constipation
going off sex. 
Behaviour:

difficulty in starting or completing things   even everyday chores
crying a lot   or feeling like you want to cry, but not being able to
avoiding contact with other people.
Causes:

Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as  neurotransmitters .
Treatment Methods:

Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.

Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.

Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.

Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).

Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications.

Bipolar Affective Disorder - Symptoms and Treatments

Speech therapy is a very specific field of medicine where the therapists deal with speech disorders in children and adults, which may be a result of certain mental or personality disorders. These doctors can be essential when it comes to teaching a child how to articulate better and also to be more expressive of his/her feelings. Here is a look at a few of the benefits of a speech therapist in the life of a child suffering from speech impairment.

Improvement of articulation skills: Articulation refers to the movement of the mouth, lips and tongue in such a manner so as to form and pronounce a word properly. Aside from the movement of the mouth, voice modulation also falls within the purview of articulation. A child suffering from speech impairment cannot perform this activity as easily as a healthy child does. This is where a speech therapist comes into play. These specialists can ensure that the child s mouth movement and voice modulation can be in perfect harmony to form words normally.
Language skills: Some form of mental disorders severely limit the number of new words or grammar rules that a child can learn. A speech therapist can aid such children in learning the basic rules of grammar and apply these rules when they speak out. So, it is quite likely that the therapists may also act as teachers for the children and improve their overall vocabulary.
Improvement of listening skills: Difficulty in speaking can sometimes also lead to difficulty in understanding what others are saying. So, if your child has a speech impairment, it may mean that he has problems understanding what you say to him. In such a circumstance, the speech therapist can, for instance, help your child understand the difference between a question and a statement. In the long run, the listening skill will help your child comprehend you better.
Reduction of stammering: Stuttering and stammering are forms of speech impairment that many children suffer from. However, such impairments can be easily rectified by undergoing a few sessions with a speech therapist. The therapist can clear your child s speech and ensure that the stammering disappears by the time he/she grows up.
Treat certain vocal conditions: Your child may be unable to speak clearly due to an issue with his/her vocal chords. If that is the case, speech therapists can sometimes help your child with the same. Abnormal vocal resonance can also be corrected by these specialists. 

How Speech Therapy Can Help Your Child Be More Expressive?

You might think, as a parent, that if you behave strictly then your child will become well-behaved. But research and studies have shown that the opposite happens. Strict parenting leads to children who behave worse than others and they suffer from low self-esteem.

Some other reasons why being strict is harmful:

Never learning self-regulation: Responsibility and self-discipline have to be learned by the children themselves. When you put harsh limits on them, they never learn self-regulation. If they think the limits don t sound too harsh, they will learn to accept them. But the limits placed on them should never be controlling. If this happens, children see themselves as being controlled and no one enjoys being controlled.
Instilling fear: If you are being authoritarian (parenting in which there are high demands and low sympathy) instead of empathetic, then your children will become scared of you. You are instilling the power of fear in them. This triggers a vicious chain of events. When you yell, they will yell as well.
Anger and depression: Authoritarian parenting often leads to children believing a part of them is unacceptable. They feel that their parents would not understand. It makes them susceptible to anger management issues and depression.
Blindly obeying those in power: Children raised up in strict households start thinking power is always right. They learn to obey blindly. This makes them vulnerable to peer pressure. They also never learn to take responsibility for their actions.
Rebelling: Children tend to be angrier and become rebellious when they have strict parents. The need to break free and not conform to the non-empathetic limits that forces them to act out. They might even nurture thoughts about leaving home and running away.
Lying: Strict parenting creates excellent liars. Children learn to lie when they are in trouble. They think lies will placate their parents and they can get away with anything.
Damage to parent-child relationship: If you are strict and you don t change your authoritarian ways, then it damages your relationship with your children. Natural empathy is lacking in strict parents. You don t understand your child, and your child doesn t feel like sharing their lives with you. It creates a divide between the parent and child. Children never quite get over this as they grow older.

Being a Strict Parent Can be Harmful for Your Kids - 7 Reasons Prove it

Your health is affected by a number of physical, mental and emotional conditions. Falling in love is one of these factors. Being in love with someone does not only put a smile on your face, it can also boost your immunity and lower stress levels. Love can make you feel stronger both mentally and physically. Here are a few reasons why love is beneficial to your health.

You may have a longer life: Love helps fight stress and hence helps reduce the harmful effects of stress. Stress is a direct trigger for many fatal conditions such as heart attack and strokes and thus, being in love reduces your risk of such diseases. Studies have also shown that when in love, a person takes more care of themselves and hence has a lower risk of having an accident, violence etc. thus, being in love can give you a longer lifespan and can reduce chances of an early death.
You may have a lower risk of lifestyle diseases: Along with boosting your immunity love can also improve your lifestyle. Instead of microwaving a TV dinner, a person in love is likely to eat a healthier meal with their partner and be more conscious of their diet. Being in love also makes you want to look good thus, encourages exercising. By following a healthy diet and exercising regularly, you can reduce your chances of suffering from lifestyle diseases such as diabetes and obesity. Living with a person you love can also lower your alcohol and nicotine consumption and hence protect you from their ill effects.
It protects you from depression: Companionship and love are good for a person s mental health. Love can help stabilise emotions and keep you from depression. By living with someone a person does not have the chance to withdraw into themselves and can always rely on having someone to talk to. By sharing your thoughts and emotions with another person, difficult situations can become easier to handle and hence cause less stress and depression.
It can help you look younger: As mentioned earlier, being in love can make you take better care of yourself. It is often said that a person in love  glows . In a nutshell, being in love makes you happy and this releases happy hormones that aid in the removal of toxins and prevent premature ageing. When you re in love, you may also notice your hair looking healthier and shinier.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Why Falling in Love is Good For Your Health?

Anger is a type of feeling whereas aggression is a type of behaviour. However, the two are frequently confused with each other. At different times individuals use their anger as a reason to act in an aggressive way. Here are a few differences between anger and aggression:

Anger is an acceptable feeling simply like bliss or sadness. Everybody feels angry once in a while. However, numerous individuals deny that they ever feel angry. For others, they have a tendency to wind up being angry to conceal different sentiments and emotions, for example, hurt and sadness. Angry sentiments can discharge endorphins, which are very powerful chemicals inside the body. This rush of energy can help individuals to alleviate themselves from feeling sad or hurt. Nonetheless, covering these very basic and fundamental feelings with anger is not a sound and healthy coping mechanism. Feeling angry is all right, however, the practice that people show when they feel angry may fall into the category of aggression. Anger is a very normal and typical feeling.

Aggression, on the other hand, is a decision. Just because you feel angry and furious does not give you the authorization to treat others poorly. Forceful practices tend to scare the other individual into doing something whether they need to or not. At the point when individuals carry on forcefully, they do not recognise the other individual's sentiments or necessities. Rather, they want the other individual to give in. There are a bunch of approaches to carry on aggressively and it might turn out to be physically injurious. Verbal types of aggression involve making threats or demands. It might incorporate verbally abusing or putting the other individual down. Physical types of aggression may incorporate tossing things, breaking things, hammering things, or physical assaults.

Aggressive conduct can be separated into different classes. These include instrumental aggression and receptive aggression. Instrumental aggression is objective guided aggression in which harm to another is not the essential objective, despite the fact that it can be an optional consequence of the activity. Another sort of aggression is called responsive aggression. Once in a while, it is referred to as hostile aggression. Responsive aggression is conduct that has harm as its primary and in some cases secondary objective. As a rule, this activity is because of an apparent unfairness, insult, or wrongdoing.

Anger is an impermanent emotional state brought on by disappointment and frustration. Aggression, on the other hand, is a regular attempt to hurt a person or to destroy property. In evaluating the conduct, try to make out the difference between anger and aggression that demonstrates emotional issues so as to lead a more normal and well-adjusted life. One can also take the help of anger management or therapy for better evaluation of the source of anger and its surrounding feelings. 

How to Differentiate Between Anger and Aggression?

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