Pain management is an issue that stares back at mankind, irrespective of the underlying health condition. Whether it is a headache or a back pain, burn or fracture, heart attack or cancer, pain is always a symptom. In some cases like migraines, cancer, etc., the pain is chronic and the patient needs to be constantly on the vigil to know when an attack will ensue. This has also put high pressure on the medical fraternity to identify ways that can provide relief to these people. Various methods have been identified, and one of them is the electrotherapy.

What is done?
A few electrical impulses are directed at the area of the pain using a hand-held device. This is similar to providing electric shocks of mild intensity to the affected area (forehead, low back, neck, etc.). What this does is stimulate the nerve endings, improves circulation and muscle strength and promotes bone growth and tissue repair. The end result of all this is overall improved functioning and pain relief. Depending on the actual condition, the sessions will have to be repeated. In some patients, the electrotherapy is used in conjunction with other therapy so that they can go about their routine exercise and pain relief.
The sessions may also have to be repeated as most often these are used in individuals with chronic pain. They are also helpful in providing relief during the acute attacks.

How does it work?
The most common form of electrotherapy is known as TENS, which stands for transcutaneous electrical nerve stimulation. The area to be treated is cleansed with spirit and then small sticky pads are applied through which the electricity is passed. A hand-held device is used, through which electrical impulses are passed to the skin, which stimulates the nerve cells to provide relief from pain. It causes a vibrating and tingling sensation in the treated area. It is believed that it blocks the nerve impulses and therefore provides pain relief. Another theory states that they promote the release of endorphins which are natural painkillers; it is also very effective in case of migraine and sciatica and neck pain where the chronic pain is coupled with acute spurts.

With narcotic painkillers having various side effects, techniques like electrotherapy are gaining popularity. A small catch also is that it does not work for everybody and in most people with back pain, fibromyalgia, and migraines, requires repeat sessions for relief. The cost of each session also needs to be considered against the extent of relief achieved. However, for those whom it works, it is a very good technique for chronic pain control.

Electrotherapy - How It Can Help In Managing Pain?

OCD or Obsessive Compulsive Disorder is an anxiety disorder, which can be indicated through obsession, having pervasive thoughts or thoughts, which may upset you, having certain compulsions, and practicing certain rituals, which may help to control or manage your obsessions. It is a disorder, which cannot be cured, but can be controlled with the help of treatment. Mostly, OCD is considered to be a lifelong disorder. It often circulates around the fear of germs or sickness and around keeping order and maintaining patterns. A person suffering from OCD can often be extremely annoying. Hence here are a few tips you can use to deal with OCD:

1. Understand OCD: The first step towards dealing with OCD is to know what you have to deal with. Gather as much information as you can about OCD and also read up about how you can overcome it. You need to know the symptoms of OCD so you can identify the disorder. Almost everyone suffers from OCD at one point of their lives. Hence, it is extremely important to understand OCD in order to treat it.

2. Work with your compulsions: Do not get petrified about your compulsions if you are planning to overcome your OCD, instead work with them. Try not to encourage their development. If you are worrying about whether you have switched of the lights, try and develop a mental picture of you doing it. If you are able to get a clear picture, then you have, otherwise you can go and switch it off. Another option is to maintain a list where you tick off the activity once you have done it so that you don't have to worry about it later on. 

3. Maintain a journal: Maintaining a journal will help you curb your fears and negative thoughts. Write down all your obsessive thought and reflect on how they are affecting you and whether they are worth your worry or time. Gradually you will see that you are able to control these thoughts and will be able to push away any negativity which comes along with them.

4. Remind yourself about the good in you: Make this your regular practice. Do not undermine yourself, instead make yourself feel good. This will help you to get over the fact that you have done something wrong in your daily activities (like not turning the gas off when you actually have) and that wrong is going to harm people.

Chronic OCD will require therapy and medical assistance. Hence if you are able to detect the signs at an early level and are able to adopt the above measures to control it, then going to a doctor might not be necessary.

Tips to Deal With Ocd

Deepika and Ranbir show you how to manage relationships against all odds

Relationships may or may not always pan out the way you expect them to. Be it with a friend, family member or your partner, certain relationships may end up getting bitter over time. The reasons for this may be tensions in the relationship, break-ups, lack of compatibility, infidelity, lack of attention to details, over familiarity and so on. Although such incidents may scar you forever, it is always possible to mend your relationships, if you intend to.

The first thing you can do is to try to build a new friendship, whether it’s with your ex-lover or anyone else  you may have had a fall-out with. Take for example, the former couple- Ranbir Kapoor and Deepika Padukone. These Bollywood celebrities have flawlessly transitioned from being ex-lovers to being good friends.

So how did they do it?
Through 3 simple ways Ranbir and Deepika were able to heal the past and forge a new and meaningful relationship:

1. They kept it formal while setting boundaries

Ranbir and Deepika comfortably worked with each other in several movies as on-screen lovers with no insecurities. The reason they were able to do this was because they had set clear emotional boundaries.
Being secure is essential for you to stop yourself from reliving the past. Setting clear boundaries may help you in accepting that things are different now and the relationship has changed. Both the concerned people must respect each other’s decisions in order to have cordial relations and not be uncomfortable in the other’s presence.

2. They accepted the differences between them

Ranbir and Deepika were only successful in maintaining a cordial relationship because they had embraced each other’s differences rather than attempting to change each other.
You can only do this by giving yourself a little time. You can personally try to accept how every individual has a set of distinct characteristics and then try to respect and accept them for it.

3. They were polite and lived in the present

Even after having a checkered history together Ranbir and Deepika chose to remain courteous and amicable towards one another. They only focused on the present scenario, instead of mulling over past grievances - The biggest reason why they are on such good terms.
You should try to forget the past and hope for an improved future. Whether you meet at a social or an official gathering, you must hold your ground, be professional and courteous towards the concerned person. Participating in loose gossip about the individual or acting petty doesn’t reflect well on your personality.
Also, living in the past is a sign of an unhealthy state of mind. Learn to let go, and move on.

By learning from the real-life example of Deepika and Ranbir, you too can balance all your relationships well, no matter what happens.

If you would like to consult with me privately, please click on 'Consult'.

Lessons from Deepika and Ranbir on How to Manage Relationships Against All Odds

We all have mood swings, but not all mood swings have the same intensity. People who have extreme mood swings ranging from depression to manic highs are said to be suffering from bipolar disorder. These extreme moods are known as episodes and usually last for a few days of even a few weeks at a time. A person suffering from bipolar disorder could have an episode several times a year. This is a very common psychological problem and can affect both children and adults. Though it cannot be cured, this disease can be managed with medication.

There are no known causes for bipolar disorder but genetics may play an important role in triggering this disorder. Hence, if a parent or sibling suffers from this condition, you have a risk of developing it as well. An imbalance in the neurotransmitters in the brain may also play a part in the development of this condition. Stress or traumatic events like the loss of a loved one can also increase your risk of suffering from this condition.
Given that mood swings affect almost each one of us, bipolar disorder can be difficult to diagnose. Some of the things to look out for are:

Change in self-esteem
Unusual talkativeness or quietness
Being increasingly prone to distractions
Decreased need for sleep
Agitation
Recklessness in terms of spending decisions, relationships etc
It must be kept in mind that a person must display at least 4 of the above symptoms simultaneously to be diagnosed as bipolar. Also, none of these symptoms should be a result or side effect of any kind of medication, drugs, alcohol or other intoxicants.

There are four main types of bipolar disorder.

Bipolar I: In such cases, the person has at least one episode of elevated moods and associated abnormal behaviour in his or her life. This may be preceded or followed by depressive episodes.
Bipolar II: In these cases, the person must have suffered from at least one depressive episode. It is very similar to bipolar I except that in bipolar II the highs never reach the manic stage.
Rapid Cycling: Some people can have 4 or more manic and depressive episodes a year. In such cases, they are said to be rapid cycling. This condition affects 10-20% of bipolar cases.
Mixed Bipolar: Usually, bipolar patients show mood swings that alternate between manic and depressive moods. However, sometimes a person may experience both elation and depression simultaneously or in rapid succession of each other. These cases are known as mixed bipolar.
Once diagnosed, bipolar disorder can be managed with a combination of medication and psychotherapy. In some cases, electroconvulsive therapy may also be needed. 

Bipolar Disorder - Things You Must Know!

Change in voice or voice mutilation happens when the voice breaks that commonly occur when a person reaches puberty. Before puberty, almost all the girls and boys have the same voice pitch. But after puberty, a boy s voice deepens an octave and the girl s voice deepens only several tones. Therefore, it becomes easy to identify the gender through voice. 

Another type of change in voice is known as voice crack. It happens when a person unintentionally enters a higher voice pitch zone for a brief period of time. It may be due to singing, shouting, talking in noise, and several other reasons. Also, there are several medical conditions leading to voice break or hoarseness. 

Medical Causes for Change in Voice

Acute Laryngitis: In this, the hoarseness or voice loss starts suddenly. One of the reasons can be a viral infection that causes swelling of vocal cords. Staying hydrated and less talk can treat it. 

Chronic Laryngitis: It can cause acid reflux disease. Exposure to irritating smoke, infections of vocal cords, or asthma can be some of the reasons. It can be cured only through medication.

Laryngopharyngeal Reflux Disease: This problem causes a change in voice. Due to this disease, people may also suffer from swelling issues, a lump in the throat, hoarseness in voice, and throat pain. 

Voice Misuse: Excessively loud voice, prolonged talking, and inefficient voice use can cause a change in voice and also known as voice misuse. 

Risk Factors That Can Cause Voice Disorder

Aging, alcohol use, and allergies are some of the major reasons for the voice disorder. Apart from these, smoking and throat cancer also results in a change in voice or voice disorders. All these are highly risky causes for the throat and may result in long-time problems. 

Some other risk factors are thyroid, psychological stress, and neurological disorder. 

How to Treat Voice Disorder?

One can use an air humidifier to keep the air of the surrounding moist because breathing moist air is a simple solution to the problem.

Giving rest to voice is also a solution.

One must drink plenty of liquids to keep the throat hydrated.

One must avoid whispering and decongestants to take care of the throat.

One must avoid shouting for a long time.

Avoid staying in a polluted area for a long time.

Gargling the throat every day with lukewarm water is good.

Staying warm during winters is also necessary.

All these remedies are simple and can be tried comfortably. A simple change in voice can turn out to be serious if not taken proactive measures. Therefore, one must not ignore any small unintentional change in the voice.

Conclusion
One must consult ENT doctor immediately for any sudden change in voice and if the problem lasts for a long period of time. 



Change In Voice - What Can Cause It?

Borderline Personality Disorder (BPD) is a mental disorder with side effects of enthusiastic fits like sudden, wild and eccentric emotional episodes and scenes. Individuals experiencing BPD are unreliable about their picture and character and face trouble in keeping up a steady mental self-image and interpersonal connections. This issue is generally acquired by different variables like domestic mishandle, youth disregard and absence of affection from the parents in there young age.

Some of the most common symptoms of BPD include:

Fear of rejection
Unsteady and short-term relationships
Poor self-image
Tendency to cause self-harm
Here are some of the homeopathic solutions for treating BPD with varying signs and symptoms:

BPD with sudden burst of outrage: Chamomilla is among the top common homeopathic medications for patients of BPD who usually get furious and irritated, without considering the sentiments of the other people. The sudden upheavals of outrage on account of inconsistency or when the sentiments are harmed can be best cured by homeopathic solution Chamomilla. This cure is also of great help to patients who believe that they cannot remain calm. It is useful for the people who need to do everything according to their desire and get irritated if their desire is not satisfied.
BPD with sudden emotional episodes: Crocus Sativus is the most basic homeopathic medication for sudden mind-set changes in patients of BPD. The patient has a sudden and regular change in feelings from outrageous reactions to misery. The patient requiring the homeopathic drug Crocus Sativus is blissful and warm in one minute and the very next minute, he or she suddenly blasts out into outrage. The patient soon feels frustrated about their conduct. Homeopathic medicine Valeriana is additionally useful for managing sudden emotional episodes in patients of BPD.
BPD with symptoms of touchiness: Sepia is a fantastic homeopathic drug for BPD patients who get disturbed over no reason and feel anxious. Just their own particular assessment matters for such patients and they cannot stand to be restricted. Another side effect alongside fractiousness for this homeopathic prescription to be used is a feeling of dislike towards family and being repelled for any work, be it mental or physical.
BPD patients with ruinous and hasty conduct: Nux Vomica is the top characteristic homeopathic solution to manage any hasty conduct of BPD patients who are delicate and need to constrain things as they feel. In case they are restricted, such patients have dangerous driving forces like the motivation to crush their significant other, to tear things and to toss their child. If someone invades their space, they can take severe actions to claim that space back.

Borderline Personality Disorder - When To Seek Help?

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