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!

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 

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!

Drug abuse is characterized by the excessive use of illegal drugs, prescription drugs or even over-the-counter drugs. Drug abuse eventually leads to drug dependency whereby the drug begins to take control over you and affects your daily activities as well as your physical health.

Treatment

Treatment of drug abuse normally involves a series of steps to be undertaken. These are:

1. Group therapy
2. Counseling
3. Drug addiction

Furthermore, treatment of drug abuse generally follows a 12-step program which continues even after the treatment as a part of the recovery process.

Detoxification

Detoxification, or simply detox, is a procedure involving medical care while attempting to deal with withdrawal symptoms after your initial break from drug use. Since dealing with withdrawal symptoms can be quite problematic, you will certainly have to consult a doctor who will probably prescribe you certain medications.

Therapy
There are different types of therapy needed to overcome the problem of drug abuse. These include:

1. Group therapy, where you can interact your problems with other people who are going through the same ordeal.

2. Motivational interviewing (mi), where you can resolve mixed feelings with regard to quitting and treatment.

3. Cognitive-behavioral therapy (CBT), where you can learn to take control over your actions as well as change your thought and behavior pattern in order to adjust to a drug-free life.

4. Motivational enhancement therapy (met), where motivational interviewing is used to help give you more motivation with respect to quitting drug consumption.

5. Family counseling, or even couples therapy, where you can learn how to stay drug-free as well as improve your relationship with your family members or with your partner.

Treatment programs

Treatment programs are often similar to therapies and are classified into three types:

1. Inpatient treatment
2. Outpatient treatment
3. Residential treatment.

How to Treat Drug Abuse

Asperger's syndrome has been found to affect people at a tender age. The augmented impacts of this syndrome are felt as you grow up. It is a neurological disorder falling under the scope of autistic spectrum disorders. However, it is a milder form of autism and has similarly unidentifiable causes. A person afflicted with asperger's syndrome will not exhibit stark signs of the disorder. These persons are usually smart and brilliant but face issues in communicating or interacting socially. 

Factors that may result in this disorder: 

A) genetic factors could also afflict you with such a syndrome. Thus, it is important to carry your family history while consulting a doctor.
B) certain changes in a person's brain could create trouble. 
C) your body could be susceptible to external toxins: many times bacteria and viruses from a polluted environment can lead you to such a serious neurological condition.

Ways to diagnose asperger's syndrome: 
1. A doctor would concentrate on your child's speech- language development can hint at many underlying health issues. Your child might fail to process speech around him or her which impairs its own speech.

2. Exchanges in a social setup could be indicative of something- children or adults could find social 
Gatherings challenging. They feel awkward to interact with friends, relatives and colleagues. It takes a lot of effort on their part to exchange basic pleasantries. A doctor will be able to deduce from such symptoms.

3. Facial expressions while conversing could help diagnosis- a person's facial expressions tell a lot about how they formulate or feel about things. Their words, at the same time, could be contrary. Counselors lay stress on frequent sittings to closely note the gestures made by a patient. 

4. Comprehension and coordination capabilities- your child or loved one might find it difficult to handle motor regulated appliances. Comprehending instructions could also be a test. People suffering from asperger's syndrome face problems in understanding simple things. 

5. Responding to change will also be taken into consideration- patients trying to cope with this syndrome are usually not open to change. They take a very long time to adapt to a given way of life; a sudden change will thwart their idea of normalcy.

Causes and Diagnosis of Asperger's Syndrome

Schizophrenia has been recognized as a mental disorder that combines symptoms like hallucinations with distorted thinking and others like fright and severe paranoia. This condition is one that gets progressively worse over time and leads to delusional thinking. Oversleeping and complaining of fatigue are usually the earliest signs of this condition's onset. Eventually, it becomes a debilitating factor in the life of the patient, who will not be able to function in a normal way due to the severe symptoms.

Read on to know more about the types and causes of this condition:

Genetic Causes: Schizophrenia may be caused due to genetic factors and it may be a learned or inherited disorder. It is known to affect patients who have a parent or a sibling who may have suffered from this condition. Yet, one must also remember that Schizophrenia can only be influenced by genetics, and not determined by the same.
Environmental Causes: When there has been an exposure to a viral infection during the pre natal stage, the patient is susceptible to this condition. Also, it may affect children who have been subject to the loss of a parent or separation at an early age. Physical and emotional abuse in one's childhood may also bring on this condition. Low level of oxygen at the time of birth is one of the causes of this condition in many patients.
Anomalies in Brain Structure: When the brain ventricles of the patient are enlarged, he or she may be prone to this condition. Also, anomalies in the temporal lobes and amygdala have links with the onset of this condition.
Types: A wide variety of mental and medical conditions can manifest with psychotic symptoms that must be considered in the differential diagnosis of schizophreniform disorder. These include psychotic disorder due to another medical condition or its treatment; delirium or major neurocognitive disorder; substance/medication-induced psychotic disorder or delirium; depressive or bipolar disorder with psychotic features; schizoaffective disorder; other specified or unspecified bipolar and related disorder; depressive or bipolar disorder with catatonic features; schizophrenia; brief psychotic disorder; delusional disorder; other specified or unspecified schizophrenia spectrum and other psychotic disorder; schizotypal, schizoid, or paranoid personality disorders; autism spectrum disorder; disorders presenting in childhood with disorganized speech; attention-deficit/hyperactivity disorder; obsessive-compulsive disorder; posttraumatic stress disorder; and traumatic brain injury.
Since the diagnostic criteria for schizophreniform disorder and schizophrenia differ primarily in duration of illness, the discussion of the differential diagnosis of schizophrenia also applies to schizophreniform disorder. 

Brief psychotic disorder. Schizophreniform disorder differs in duration from brief psychotic disorder, which has a duration of less than 1 month.

Residual Schizophrenia is a condition where the patient does not experience the various debilitating symptoms of the condition, and is on the road to recovery. Yet, even in this type of Schizophrenia, the patient will not really show any interest in life and the activities around him or her. Finally, the last type of Schizophrenia is Schizoaffective Disorder which is characterised by the symptoms of Schizophrenia as well as the symptoms of major mood disorders. When combined, this condition can lead to major complications and complex behavior.

A patient suffering from this condition will need to see a mental health specialist like a psychiatrist or a psychologist on an immediate basis. The treatment will be carried out on a long term basis for the results to start appearing.

Schizophrenia - Know the Causes Behind it

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