While we all know substance abuse is a social issue and learning that a loved one is affected by the problem can be nearly heart-breaking. It is definitely not something that can be easily accepted. At the same time, the affected individual needs all your love and attention and more importantly support to get through the situation. It is important to not show anger or frustration at the person but to empathize and help them get out of the situation. 

Read on to know some of the ways in which you can play an active role in supporting your loved one under such circumstances. This involves both of you coping with the situation at hand, as well as helping the person come out of the abuse. 

Educate yourself: When you are trying to help a person, you should know in detail about the substance that was being used and its ill effects. This gives you greater credibility, unlike the person who got carried with the happy feeling it gave and got into abuse. 
Ensure safety: This is both for the affected individual and yourself. With the required substance not being available, the person could look at harming either self or others, especially ones who are trying to get them out of the abuse. Though the intent is to help, they are looked at as people who are depriving the feel-good feeling produced by the substance, which is no longer easily available. Therefore, ensure safety. 
Talk openly: In the beginning, be a good listener. Once you get their confidence, make them understand that the entire situation is making you upset and perhaps angry or frustrated too. Get them to focus on your proposal of getting out of the habit together. If they are willing then this can ensure greater success in quitting the habit. Get to understand how exactly the habit developed including the people responsible for it, the circumstances leading to it, and the various chemicals that were used. The duration and frequency are also important. Tell them it is okay and that you will both get out of it with each other s support. 
Participate in therapy sessions: Individual counseling will work effectively for the primary client, but it is also important for family members to get involved. The counselor also would need support beyond the few counseling hours for completely getting rid of an individual s habit. Therapy can help you learn how to manage the issues back at home. 
Find your  me-time : With all that is going on, you will need some time for yourself to just be. Eat well, stick to your workouts, sleep well, keep your friends, and make time for your hobbies. These will ensure you are in good shape to support the affected individual. It is not possible for you to help another person when you are not in great shape yourself.

Substance Abuse - How Should You Cope With Someone Going Through It?

The mosquito may seem a very small creature, but can be deadly as they spread quite a few severe infections, with chikungunya being one of them. The disease got its name from an African language, which means to walk bent over.

Chikungunya is a viral disease that is carried by specific varieties of infected mosquitoes (Aedes aegypti and Aedes albopictus). It was originally confused for dengue, which is another mosquito-transmitted infection, but then called out as a separate disease. Both diseases start off with non-diagnostic symptoms including fever, rashes, fatigue, anaemia and headache. Dengue could be distinguished by the lowered platelet count, while the persistent joint pains and eye pain could be the distinguishing factor for the chikungunya.

The mosquito is the vector, which picks up the virus from one infected person and spreads it to another person. The virus does not spread directly from one person to the other. Once it reaches the blood stream, it multiplies in the body, and over a period of 1 to 12 days, the symptoms begin to appear.

Symptoms: The symptoms of chikungunya are listed below, which reflect the effects on the body.
The symptoms are generally nondiagnostic and generic including fever, rashes, joint pain, muscle aches, eye pain, fatigue, tiredness, lethargy, headaches, nausea, and vomiting. The eye pain which occurs behind the eyes and the joint pains are the indicative symptoms, which point to chikungunya. In fact, the joint pains make the patient assume a stooped posture, and that is where the name chikungunya was originally derived from.

Most of the above symptoms subside over a period of 10 to 15 days but the joint pain continues. In fact, in many, it can continue to exist for months and even years and eventually develop into rheumatoid arthritis.
Though chikungunya is not a fatal disease by itself, it can produce long-term symptoms which can be severely disabling and affect the quality of life.

Anybody who is bitten by the infected mosquito can develop the disease, but there are some groups of people at a higher risk. These include newborns, the elderly people, and people with chronic conditions like diabetes, hypertension, and chronic heart disease.

However, once infected, the person develops immunity and future infections do not happen unless their immunity is severely compromised.

Treatment: There is no specific treatment, and symptom relief is provided through rest, hydration, pain killers for joint and muscle, antipyretics for fever, and avoiding aspirin.
While there is no vaccine for chikungunya, preventing exposure to mosquito bites when you are travelling and preventing mosquito breeding and reducing exposure to mosquitoes by using repellents and nets are advisable.

Chikungunya  - How It Affects Your Body?

Tonsils are the two oval-shaped tissue pads at the back of your throat, which function as a mechanism to protect you from diseases. Any infection of the tonsils is referred to as  tonsillitis .

You can suffer from tonsillitis at any age, but it is more commonly diagnosed in children. Tonsillitis is highly contagious.

There are two types of tonsillitis:

Chronic tonsillitis Longer episodes of acute tonsillitis
Recurrent tonsillitis Recurrent episodes of tonsillitis in a year
Causes

Tonsillitis can cause viral and bacterial infections. The  Streptococcus (strep) bacteria  is a common cause. Some other causes include:

Adenoviruses
Influenza virus
Epstein-Barr virus
Parainfluenza virus
Enteroviruses
Herpes simplex virus
Symptoms

Since tonsillitis has various causes, symptoms too tend to differ. Some symptoms include:

An extremely sore throat
Painful or difficult swallowing
Scratchy-sounding voice
Bad breath
Fever
Chills
Earaches
Stomach aches
Headaches
Stiff neck
Neck and jaw tenderness due to inflamed lymph nodes
Tonsils that become swollen and red in colour
Yellow or white spots on the tonsils
In children, symptoms such as excessive drooling, increased irritability or poor appetite are usually noticeable.

Treatment

If the tonsillitis is mild, especially caused by a virus, it usually doesn t require any treatment. More critical cases of tonsillitis might require treatments such as tonsillectomy (a surgical process used to remove the tonsils) or administration of antibiotics.

Penicillin is the most commonly administered antibiotic. Once commonly performed, tonsillectomy (surgical removal of tonsils) is now reserved for extremely critical cases. 

Causes, Symptoms and Treatment of Tonsillitis

Unlike what you may think, anxiety is a common emotional response in a situation where we are worried about an outcome. It is, in fact, beneficial to us as it keeps us alert and charged for a reaction. Anxiety disorder, however, comes when you lose control over your reaction and let it take control of your life in a way that disables you from living a normal life. 
The first thing to do as a positive step is to accept that you have a disorder. Mental health problems are as big as physical problems. Just like the body needs to be treated to cure a disease, the mind too can be treated to cure you of your problems. The next thing to do is to know what type of disorder you are suffering from to get specific treatment for it.

Connection between anxiety and depression:
Anxiety is not just incessant worrying. It is sometimes an obsessive compulsive disorder that can takeover your life or a terrifying phobia that can prevent you from doing things that are routine for others. Over a period of time, living with such a disorder can take an emotional toll leading to depression. 
The chances of developing depression in addition to anxiety is quite high. In fact, almost half of all people with major depression also suffer from severe and persistent anxiety. In many cases people suffering from post traumatic stress disorder (PTSD) and anxiety are also victims of depression.

Symptoms of anxiety and depression disorder
Constant fear and worry
Loss of interest in normal life, hobbies and activities
Insomnia and fatigue with inability to relax
Panic attacks
Feeling of sadness and worthlessness

Coping with anxiety and depression disorder
The first and most important thing to know is that both conditions are treatable and patients who get regular care, medication and support from friends and family can come back to living a normal life. Here are some of the treatments available:

1. Medication: Taking proper medication is very important as it acts quickly and is quite safe. Most people do not take medication, such as sleeping pills, fearing they might get addicted to them, which is a myth. Also, medications prescribed by your doctor are safe and specific that is why they have been prescribed.

2. Cognitive behavioral therapy (CBT): It is used to first figure out what the cause behind the anxiety or depression. It is then used to teach people to manage their fears, anxieties, and depressive symptoms and also learn how to take control of their emotions. Another therapy used for treating depression is Emotive Behaviour therapy.

3. Lifestyle modification: In order to overcome, anxiety and depression, certain lifestyle changes are required, such as one should exercise daily at least for 30 minutes and eat a healthy diet.

4. Counselling: Counselling helps the person to overcome the oppressive thoughts and cope up with the feeling of worthlessness.

5. Group therapy: Knowing you are not alone with your pains and fears can often come as a big relief. Not only will the patient benefit from joining a local support group, the care giver will also learn how to cope with the developments of the disorder and how they can continue to provide care and support to their loved ones.

How to Cope with Anxiety and Depression Disorder

Do you get angry easily? Do you fume when something goes against your wish? Does your blood pressure rocket when someone tells you something that you don't like? Anger is a normal emotion of human psychology, but it is equally important to keep your anger under control. Just like any other emotion, anger too varies from person to person, and the circumstances. Uncontrolled anger can lead to mental and physical stress. It also causes stress on relationships and damages your health. Therefore, it is important to practice anger management exercises to control such extremes of emotions.

Here are some of the anger management tips that can help you control your anger:

1. Think before you speak: We often say something out of anger and then regret it later. This is a common condition that has been faced by almost everyone at some point of time. Do not say things abruptly without thinking. Always take your time and think over what you are about to say.

2. Express your anger once you are calm: Do not say things at the heat of the moment. Once you calm down, express your views on things that are bothering you. This will help you express better without hurting anyone.

3. Exercise: Regular exercise is one of the best tools to reduce stress. Light meditative exercises performed on a regular basis such as a morning jog or deep breathing can control your anger to a great extent.

4. Identify the specific cause: Instead of being grumpy about things that make you angry, try to find out the root cause of the issue and eliminate it, so that you don't have to face it again. Remind yourself that anger won't solve the problem and can only make situations worse.

5. Hold no grudge: Holding on to the negative feelings can only have a negative impact on your own health. Learn to forgive others. Forgiving not only keeps the relationship healthy, but also keeps you away from stress and negative emotions.

6. Practice relaxation tactics: When your temper reaches its height, put your relaxation tactics in action. A few tactics like deep breathing or repeating words to yourself like "Take it easy" or "Calm down" can actually calm you down during critical situations.

7.  Take a timeout: Take short breaks during stressful times of your day. This helps to release some of your stress and calm you down. You may also listen to music, take a light snack or do something that you like, to spend some time away from stressful conditions of your daily routine.

Best Ways To Control Anger

Have you ever noticed bar and clubs promoting energy drinks? You may have also bought energy drinks and alcohol, and tried mixing them. But what you don't probably know is consuming energy drinks with alcohol can be much riskier than drinking only alcohol. Since, very few people drink alcohol neat, a small shot of alcohol is usually mixed with juices, colas or more recently energy drinks to make a cocktail. While it is well-known fact that the sugar in these mixers is responsible for increasing the effect of alcohol on the body and weight gain associated with drinking, when energy drinks are mixed with alcohol, it can have an even more lethal effect on our bodies.

Studies show that this mix causes the brain to react in a similar way to how it behaves when in contact with cocaine. It can also cause permanent brain damage. This is because it stimulates the release of a protein cell known as FosB. This protein has the ability to permanently change the chemical connections inside the brain.

Some of the short-term effects of combining alcohol with energy drinks are:

Digestive troubles
Nausea
Loss of appetite
Depression
Hallucinations
Erratic sleep patterns
Violent behavior
Many of these effects can be a result of alcohol consumption as well and hence, it may not be attributed to the energy drinks being used as mixers. Regular consumption of such cocktails can increase your body s tolerance of this combination and make a person drink more. This can lead to long-term effects such as:

Malnutrition
Respiratory problems
Tooth decay and abcesses
Psychosis
Liver damage
Kidney troubles
Heart palpitations
Consuming alcohol tends to make a person feel sleepy and tired. However, when this alcohol is mixed with energy drinks, the caffeine in the energy drinks keep the person feeling energized and masks the effect of alcohol. This leads to a condition known as being  wide-awake drunk . In such a situation, the person begins to underestimate how much alcohol he or she is consuming. This creates a false sense of security and hampers with their judgement, balance and coordination. It also increases the risk of behaving erratically and getting into dangerous situations.

In addition to caffeine, energy drinks also have a high sugar content. A small can of energy drink can contain up to 30 grams of sugar. This is equivalent to about half the ideal amount of sugar one should consume in a day. The effect of consuming so much sugar is a fluctuation in blood sugar levels. If this fluctuation persists for a long time, it could lead to conditions such as diabetes and insulin resistance. Thus, along with understanding the ill effects of alcohol, it is also necessary to keep the effects of mixers in mind while concocting cocktails for your next weekend bash. 

Alcohol With Energy Drinks - Why It Should Never Be Mixed?

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