Being a victim or witnessing a horrific accident or personal assault can leave you shocked and scarred. Sometimes, these conditions last for months and years with memories of the traumatic incident triggering intense emotional and physical responses. This is known as post traumatic stress disorder or PTSD. It is a fairly common anxiety syndrome and can be treated in a number of ways including drugs, exercise and psychotherapy. However, this treatment aims only to control the disorder and there is no known cure for PTSD as yet.

Exercise not only keeps the body fit, but also helps the body release endorphins. Endorphins help fight stress, fear and pain. Thus, exercising helps focus on the body and its movements instead of your fears. It can also help elevate the mood of a person. Low to moderate intensity exercising is ideal for a PTSD patient. Aerobics, pilates, yoga or martial arts like tai chi are known to be effective ways of reducing stress and anxiety in PTSD patients. Breathing exercises like pranayama can also help calm and relax the mind.

Exercise for a PTSD patient should be planned in repetitive sets. This enables the person to slowly master the type of exercise being done and regain control and confidence in himself. It also needs to be predictable so as to avoid triggering a PTSD emotional or physical response. Non competitive exercises are better than competitive exercises as it does not create an opportunity for the person to feel stressed. Exercising and practicing breathing techniques can also help a person analyze himself and his response to stressful situations. By understanding their reactions, a person can slowly bring about changes to handle stress in a better way.

For a PTSD patient, exercise should not be seen as a group activity but as an individual effort to increase self control. Patience is key here both for the patient and the therapist. It is also necessary for the person to have realistic goals from his exercise regimen. An exercise program for PTSD patients also needs to be flexible. In order to meet the needs of a patient, it may need to be changed in accordance to the medication he is under. Small incidents like having a flat tire when cycling can trigger anxiety in a person suffering from PTSD. However, if dealt with correctly, it can bolster confidence in the long run.

Lastly, exercising also helps improve self-image and build confidence which helps a PTSD patient break out of his protective shell and socialize with others.

Post Traumatic Stress Disorder - How Exercising Can Help You Overcome?

Just as children grow at different speeds, they respond to a speech therapist at different paces. Some children may need only one or two classes to master a sound, while others may need much longer. Some of the ways to make working with a speech therapist more productive are:

Have Clear Goals: When a speech therapist enters your family, the parents, therapist and child should have the same goals. Therapy would not help if the parents and therapists wanted to focus on different things. For example, the parents might be concerned with the child s vocabulary while the therapist may want to focus on articulations. Similarly, if the child does not understand the goal, he or she may not show much improvement. Ideally, a goal should be clear, measurable, realistic and be associated with a time frame. It should also be challenging but not out of reach.
Homework: A therapist has a limited amount of time to spend with the child. A majority of this time must be spent in learning something new each session. However, this will not be possible unless the child has made progress since the last class. Hence, it becomes important for the therapist to give the child homework and for the parents to oversee this. Video tutorials can be very helpful here. This helps parents know exactly what the child is supposed to practise.
Trust: A speech therapist may be an outsider to the family but he or she must be trusted to do their job in the way they think best. Very often, parents and therapists may not have the same views about how the child should be taught. Here, it is important to remember that the therapist is the expert and knows what he or she is doing. This is another reason why it is important to set clear goals together at the onset of therapy.
Speak Up: While the therapist may be an expert on how to build vocabulary and improve speech patterns, parents are experts on their child. Thus, it is important to communicate openly with the therapist. Answering therapist questions honestly can help him or her assess where the problem lies and in turn address it. Similarly, if you have questions, do not be afraid to speak to your therapist about them. Share the child s progress and changes that you have noted so that the therapist can adjust the lessons accordingly. 

Tips To Make The Speech Therapy More Effective!

Life has its ups and downs, but often we hold on to the downs for much longer than the actual event. While the trigger or anger, pain and hurt are beyond our control, the amount it can affect us is well within reach. Here are a few ways to cope better with emotional upsets.

Give yourself a window to be upset: Be realistic and give yourself a time frame to give in to your emotions. Whether, angry, sad or frustrated tell yourself that you have only 1 day to be upset. In a way, this will diffuse the anger and frustration and once this time is over, you can start planning ahead.
Take responsibility: Try analysing what you may have done to make the other person react in the way he or she did. Focus on what you could have done better and you will find yourself feeling more empowered.
Get physical: Exercise and other forms of physical activity decrease stress hormones and increases the productions of endorphins or happy hormones that elevate the mind. Exercising also gives you time to focus on yourself without distractions.
Express yourself: Whether it s through art or writing, find an outlet for your emotions. This keeps it from being bottled up inside and gets the pain and frustration out of your system.
Breathe: Breathing techniques like ujayii and anulom vilom can help calm the mind down when it is troubled and upset. These breathing techniques also keep your emotions from escalating.
Get company: It is never a good idea to isolate yourself when you re feeling blue. Instead, find people who you can open up to and share your thoughts with. This will give you a fresh perspective on what is going on.
Look at both sides: No event is ever completely bad. No matter what may be troubling you look at both the good and bad sides of it. This can help minimise your loss and make it easier to let go of the problem.
Do something different: The best way to get your mind off something is to give it something else to focus on. If you re troubled by something that happened at work, go for a drive or play a sport. Similarly, if you re having relationship trouble, go out with a few friends or read a book to take your mind off it.
Visualize: Imagine the person or the event that is upsetting you as an object in your mind and visualise it melting away. Remind yourself that the anger or frustration you are feeling is worse than the person or event itself.
Clean up: Organise your desk, your room or start cleaning up space around you. This will take attention away from whatever is troubling you and give you something to do.

Are You Emotionally Upset? 10 Ways to Get Over it!

Speech therapy helps in improving the speech, understanding the language skills, and also help in communicating in non-verbal ways such as listening and taking turns. Speech therapy treats various kinds of communication and swallowing problems.

Children with Cleft Palate are diagnosed with an opening in the upper tissue palate in the mouth. This condition causes Velopharyngeal dysfunction (VPD) which results in excessive airflow from the nose while speaking. Although it can be corrected with surgery, the patient will still be affected by VPD.

Speech therapists help in this condition by assisting the patient with speech and language skills. The speech therapy for such a patient can be categorized as auditory feedback and articulation practice.

Auditory Feedback

Before involving the patient with any speech therapy, it is essential for the patient to understand the difference between normal voice and nasal voice output.

For this purpose, the child is instructed to use a tube to listen to the voice of the normal person. To understand the difference, one end of the tube is then held near the ear of the child and the other is held near his nasal and then he is instructed to make sounds so that he understands the nasal voice.

After this understanding, the different approaches to speech therapy starts.

Articulation Practice

This is usually where speech therapy begins. In this practice, the different type of condition is understood that relates to different speech organs. The understanding of different vowels, consonants and related sounds is taught to the child for making the speaking sound less nasal.

Some of the methods for achieving these sounds are:

Pharyngeal Plosives: This sound is produced when the tongue is moving backward. The practice of making  ng  sound, and dropping the tongue and producing  k  sound.

Pharyngeal fricatives: When the tongue retracts but is not able to make contact with the pharyngeal wall is when this sound is produced. The speech therapists make the child learn the techniques of making sounds of  t ,  ts ,  ch , or  sh , and provide feedback for learning the proper positioning of the tongue.

Nasal Plosives: This sound usually occurs when the tongue is positioned improperly and it obstructs the vocal tract. A speech therapist may make the child yawn so that the back of the tongue is pushed down, and feel as the mouth stretches.

Palatal-Dorsal Productions: It occurs due to the malocclusion of the teeth. Practicing sounds like  t ,  d ,  n ,  k ,  g , and  ng  often helps in such condition.

Take Away
Cleft Palate is generally developed due to improper growth while the child was in the womb. The difficulty of producing proper sounds when there is excessive airflow in the mouth can be overcome by training and practicing certain sounds, as instructed by a speech therapist.

 Cleft Palate - How Efficient Is Speech Therapy?

Symptoms for Bipolar disorder varies from patient to patient. Bipolar 1 and bipolar 2 can vary in terms of signs and symptoms. Both diseases have a different set of symptoms and they are diagnosed according to the merit of the symptoms.

Bipolar 1
Bipolar 1 is characterised by a manic episode. This may be followed by a hypomanic or depressive instance. Symptoms of mania can cause major impairment in life and extreme cases may require hospitalisation. Bipolar 1 patients can suffer from psychosis as well.

Bipolar 2
Bipolar 2 is characterised by a hypomanic instance that lasts for at least four days and one depressive instance lasting for a minimum of two weeks. Bipolar 2 doesn t involve a manic episode. Frequent mood swings and violent behaviour can be major challenge in a patient s life.

Warning signs of manic and hypomanic behaviour:
a. Quick passing thoughts
b. Unusual talkativeness
c. Distraction
d. Increased social activity
e. Inflated sense of self-esteem

Symptoms of bipolar disorder

    Anxious distress: Apprehensions about not finishing a task on time, feeling of restlessness, feeling of losing control, difficulty in concentrating due to distress, fearing an awful event will occur in the near future, etc., are key symptoms of anxiety distress.
    Melancholic features: Patients suffering from bipolar disorder like to be left alone. They may not seek pleasure in any activity and even good things may not have much effect on them.
    Catatonia: This is a condition wherein, a person stops reacting to the environment. Not speaking and holding unusual body positions are some signs of these symptoms. There might be a tendency of mimicking too.
    Psychosis: This is one of the classical symptoms of bipolar disease. It is characterised by hallucination, constant depression and delusions.
    Seasonal pattern: There is a pattern of manic, hypomanic and depressive episodes throughout the year. The pattern might change within a month or season.
    Rapid cycling: The number of mood swings can exceed four or more times in a single year.
    Peripartum onset: This is a condition where bipolar disorder symptoms are witnessed in a pregnant woman during pregnancy or within the four weeks following delivery.

Symptoms in children: It is difficult to find symptoms of bipolar disorder in children and teens. Along with bipolar disorder, kids are most often diagnosed with other mental health problems as well. The problems can result from stress, trauma or chemical imbalance of the brain. Perhaps the biggest symptoms of bipolar disorder in children and teens are their frequent mood swings, chronic depression and feeling of despair. There might be a tendency of oversleeping as well. Reaching out to a doctor or professional help is very necessary for cases related to children and teens.

Bipolar Disorder - 7 Signs You Should Be Aware of 

If you are a heavy drinker and you are having problems with your sex life, they are likely to be caused because of your alcohol consumption. Sex and alcohol are not considered to be a good mixture. Although a small amount of alcohol is harmless, moderate to heavy drinking can hamper your sex life in several ways. Moreover, alcohol is very dangerous for pregnant women.

Alcohol can lead to sexual problems and issues in both men and women. It can also make them behave in a different and unusual manner, which may lead them into having sex with people who are unsuitable. It makes people take unnecessary risks and many get infected with sexually transmitted diseases (STDs). Unwanted pregnancy after having sex is a common aspect in today s world. Alcohol also makes people likely to be victims of sexual attacks.

The bad effects of alcohol on your sex life
There are several bad effects of alcohol which take a toll on your sexual life. They are as follows:

Alcohol may make people more likely to engross in sexual activity with the wrong person. Getting pregnant, catching infections and embarking in affairs which lead to the breakup of many marriages are common effects of alcohol. Alcohol is a primary reason for the demand of the emergency contraceptive or morning after pill, all over the world.
Alcohol fuddles up people's brain and many of them forget to take proper contraceptive precautions before having sex.
Alcohol is very harmful for unborn babies in pregnant women. It may cause brain damage to the baby. You should consume alcohol as less as possible during pregnancy and totally avoid it during the first three months of pregnancy.
Alcohol accounts for being a major cause of erectile dysfunction or impotence in men. Alcohol may increase your sexual desire, but it reduces your performance.
Men who are heavy drinkers may develop a permanent case of brewer s droop. Loss of sexual interest is also likely.
Excessive alcohol may lead to diminished or reduced libido in women as well. It is yet to be proven whether alcohol causes any other sexual complications in women.
If you are facing problems with excessive alcohol consumption and it is affecting your sex life, you need to take some steps. It is recommended to consult an alcohol counsellor or join the Alcoholics Anonymous (AA) group.

Alcohol - 6 Reasons It Is Bad For Your Sex Life!

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