Anorexia is one of the most common eating disorders plaguing a large section of today's youth. Anorexia is one such condition which arises as a psychological ailment and then culminates as serious physical manifestations. One of the most prominent preconditions of anorexia is the severe dissatisfaction with your body. The desire to lose weight constantly reigns supreme in your mind. So much so, that all that you can permit yourself to eat and all that you can't pre-occupies your mind entirely. This extensively impairs your social life and threatens your potential in all other aspects of life. This undermines your health and self-confidence tremendously and inflicts a distorted body image complex upon your psyche.

Under the spell of anorexia, you tend to dread even the slightest weight gain and consequently, it builds a sense of self-disgust in you. It can be an extremely stressful and harmful physical condition, gravely affecting your moments of joy and happiness. Drastic diets, excruciating exercising or using laxatives and diuretics could be some of the most common leeways into anorexia. The terror which looms around your weight gain will disable you from acknowledging how thin you are or for that matter, appreciating the body that you have. This may not only jeopardize your normal body functioning but also subjugate you to acute emotional distress and depression. What is worse is that anorexia works in such insidious ways that in most cases, one doesn't even realize the existence of the problem. The first and foremost step to recovery is to avoid anything and everything that may trigger the condition. Other recourses that one may take have been enlisted below.

Realizing the difference between dieting and anorexia-
Anorexia often indicates deeper problems like depression and insecurities and the eating disorder simply emerges as a consequence of the same. Dieting does not entail an austere denial of food to self or completely throttling all of one's hunger pangs. Fulfilling the basic nutritional needs of your body as against starvation is the first step to recovery.

Seeking advice from well-wishers-
If your loved ones seem perplexed about your health conditions, know all of it is well founded. Learn to acknowledge the furzy body images that afflicts you and take proactive steps towards combating them. Share your problems with your trusted ones and learn to adopt a healthier way of living. Join some productive engagement that will keep your mind off such baseless weight obsession.

Anorexia- How to treat it

Every smoker knows smoking is not good, yet the addiction stays. This addiction can lead to a variety of problems that can damage their body in  at times, irreparable ways. The tar in cigarettes is particularly damaging. It can lead to reduction in oxygen consumption and replenishment in the body and makes open or more susceptible to diseases such as emphysema and bronchitis. However the biggest killer is 'nicotine. There are ways to offset nicotine intake.

Adopt these methods to detox your body of nicotine.
 
1) Drink lots of water -  Having a lot of water helps. Lime water, chamomile or green tea help a lot in flushing out the nicotine that has accumulated your body for over the years.

2) Take diet rich in nutrients and fibres - Nicotine addiction and if you quit, smoking withdrawal may lead to unbalanced diet and weight gain. So, ensure that you consume enough fibre for regular bowel movement to clean out your system. Berries, grapes, mangoes and a variety of antioxidants are a must have.

3) Avoid these foods - There are certain foods you should consider avoiding. For instance, alcohol. Also, avoid soda, caffeine and fried foods as well.

4) Exercise - Strengthen the capacity of your lungs through deep breathing and other cardio-strength training exercises.

5) Make 'No Smoke' a Goal - The only long term help in detoxifying your body from nicotine is to remain smoke free. While your determination plays the most important role here, some people can leave it without many hassles, while others witness severe withdrawal symptoms. You can also opt for a nicotine patch or gum to help you with it.

If you have any further questions on issues related to smoking or other general health queries, click on 'consult.

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Can't Stop Smoking? Atleast Follow This Advice.

Schizophrenia is a psychiatric disorder in which a person s mood, knowledge, thought and several other characteristics gets disturbed. We can notice most of the adults and old people with few symptoms of schizophrenia, which are most commonly left unidentified. The exact cause of schizophrenia is not yet known. The person feels that they are being constantly watched, they feel the presence of someone or something, which is not actually there. They are always suspicious and think that other people are gossiping and thinking about them.

Possible causes of Schizophrenia
Though the exact cause of schizophrenia is not known there are few factors, which contribute to the cause of schizophrenia.

    Genetic factors: People with a family history of schizophrenia are at higher risk of getting schizophrenia.
    Environmental factors: Environmental factors include excessive stress during pregnancy or later stages of life. Several other factors during pregnancy and childhood are responsible for causing schizophrenia. These factors are:
        Decreased oxygen level during delivery due to premature birth or prolonged labour
        Parental loss or separation in early stages of life
        Parental exposure to virus or during infancy
        Childhood physical or sexual abuse
        Abnormal brain structures and brain chemistry

Sings and symptoms of schizophrenia

    Hallucination: To see, feel or hear anything that really does not exist is known as hallucination.
    Delusion: A thought or belief of a person, which is either false or impossible in reality is known as delusion.
    Thought and speech disturbances: The thought process and speech of a schizophrenic will be disorganized, due to which he or she  will fumble or is distracted as they are unable to align their thoughts.
    Difficulty in concentrating: It is difficult for people suffering from schizophrenia to concentrate on the task at hand.
    Erratic behaviour: People suffering from schizophrenia tend to behave erratically, either they will be too jumpy or will be perfectly still for hours at a stretch. Most people belief that those who are suffering from schizophrenia are often violent in nature, which actually is not the case.

Treatment for schizophrenia
Schizophrenia can be treated, if identified at an early stage. . It is best advised to consult a psychiatrist the moment you spot the symptoms. Anti psychotic drugs, self help behaviour change, counselling and rehabilitation are few treatment modalities available for schizophrenia.

Schizophrenia: Can Genetics be the Reason Behind it?

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!

Anger is one of the most common negative emotions, in that when a person is upset or frustrated over somebody or something, it manifests as anger. Though we may not notice on a routine basis, there are various forms of anger and it has a lot of negative effect on the overall physical and emotional health. Some people also are more prone to feel angry and manifest it openly, who is known as  short-tempered.  Read on to know more about anger and how to manage anger effectively.

In today s world though, you cannot throw a fit of rage and say it is because of your short-tempered nature. There are extreme instances of violence triggered by anger, so it is necessary to learn to conquer your anger. 

DIFFERENT PEOPLE RESPOND TO ANGER IN DIFFERENT WAYS, COMMONLY AS:

Verbal anger: The person who is angry, abuses the other person or sometimes throws rage at a totally different person to vent out the anger. 
Passive anger: Though these people are less expressive when angry, they show their anger through sarcasm directed at the person who induced anger. 
Self-inflicted Anger: These people inflict anger on themselves through self-harm acts like minor cuts, bruises, beating oneself, digging nails into their flesh or burns to release their anger.
SYMPTOMS OF ANGER AND AGGRESSION 
We may respond to anger in physical and psychological ways such as those listed below:

Anger   physical responses: increased heart rate and blood pressure, sweating, muscle tension, clenched jaw 
Anger   psychological responses: feelings of frustration, feelings of rejection, feelings of mistreatment, hostility towards some people 
Aggression: shouting at people (e.g. family, colleagues, strangers, physical violence (e.g. hitting, punching people or slamming doors), ignoring or socially excluding others (passive aggression)
WHY ARE SOME PEOPLE SHORT-TEMPERED
Some people really are more impetuous than others. They get aggressive more easily and more intensely as compared to others. There are also those who don't show their anger in loud ways but are chronically irritable and grumpy. People who are easily angered don't always curse and throw things; sometimes they get off socially, sulk, drink/smoke or get physically ill.

Easily angered people generally have what we call as "A low tolerance for frustration, aggravations and hassles of daily living" and sometimes overreact to the many common problems of daily living. They feel that they should not be subjected to frustration, annoyance, or inconvenience. They can't take things in stride, and are particularly infuriated if the situation in some way seems illogical: for example, such people might be miffed on being corrected for even a minor blunder. 

HOW ANGER AFFECTS OUR LIVES

Physical effects of anger: Anger triggers the body s  fight or flight  response. Other emotions that trigger this response include anxiety, fear and excitement. The adrenal glands flood the body with stress hormones, such as adrenaline and cortisol. The brain shunts blood away from the gut and towards the muscles, in preparation for physical exertion. Heart rate, blood pressure and respiration increase, the body temperature rises and the skin perspires. The mind is sharpened and focused.

Health problems with anger: The constant flood of stress chemicals and associated metabolic changes that go with recurrent unmanaged anger can eventually cause harm to many different systems of the body. Some of the short and long-term health problems that have been linked to unmanaged anger include: 

Headache 
Insomnia 
Digestion problems, such as abdominal pain 
Increased anxiety 
High blood pressure 
Depression 
Heart attack 
Stroke 
Skin problems, such as eczema
IMPACT OF ANGER ON OUR RELATIONS

Anger at home: Anger is a normal emotion but not being able to control your anger at home can damage your personal relationships. When you get angry, it stresses your partner out and breaks the trust in your relationship. When it comes to children, shouting at them can confuse them and make them afraid of you. In the long run, this can affect their social skills.
Anger at the workplace: Getting angry at your workplace can reduce your productivity and harm your relationships with your colleagues. The angrier you get in the office, the more your colleagues and clients will avoid you. Thus, you may risk missing out on crucial teamwork projects that can affect your career growth. A reputation for anger can also make you a target for revenge and lawsuits.
Anger in society: Nobody wants to interact with a person who has a reputation for getting easily offended and angered. Thus the angrier you get, the more your friends will keep away from you. This can be quite frustrating and can make you an even angrier person. Uncontrolled anger can also lead to physical outbursts that can put you in trouble with the law.
Anger is a strong and powerful emotion. If it isn t handled appropriately, it may have destructive results for you and those closest to you. Uncontrolled anger can lead to arguments, physical abuse, physical fights, self-harm and assault. On the other hand, well-managed anger can be a useful emotion that motivates you to make positive changes

ANGER MANAGEMENT - SUGGESTIONS FOR LONG-TERM ANGER MANAGMENT 
The way you typically express anger may take some time to modify. Suggestions include:

Keep a diary of your anger outbursts, to try and understand how and why you get mad. 
Learn relaxation techniques, such as meditation or yoga. 
Consider assertiveness training, or learning about techniques of conflict resolution. 
See a counsellor or psychologist if you still feel angry about events that occurred in your past. 
Exercise regularly.
BENEFITS OF REGULAR EXERCISE IN MOOD MANAGEMENT
People who are stressed are more likely to experience anger. Studies have documented that regular exercise can reduce stress levels and improve one's mood. This may be because physical exertion burns up stress chemicals, and it also boosts production of mood-regulating neurotransmitters in the brain, including endorphins and catecholamines.

TEACHING CHILDREN HOW TO EXPRESS ANGER
Expressing anger appropriately is a learned behaviour. Suggestions on helping your child to deal with strong feelings include:

Lead by example. 
Treat your child s feelings with respect. 
Let them know that anger is natural and should be expressed appropriately. 
Teach practical problem-solving skills. 
Encourage open and honest communication in the home. 
Explain the difference between aggression and anger. 
Teach your child different ways of calming and soothing themselves. 
Punish aggression or violence, but not appropriately expressed anger.

Kill The Anger Before It Kills You!

Smartphone Addiction is a Sign of Depression

There are some people who just never seem to get off the phone. They would be looking at their phones all the time, messaging, using social networking sites or simply clicking their pictures or playing games. A study suggests that addiction to the smartphone is linked to and serves as a sign of depression.

The study reveals that individuals who have been diagnosed with some form or degree of depression tend to use their phones more. In fact, smartphone addiction is correlated to clinical depression. So, if your teenage son or daughter or someone you know have been using their phones too often, then this might be a red signal towards depression.

Smartphone addiction can be seen as a compulsive behavior and is typically noticed among depressed people. At the same time, it can result in depression as well. People who are prone to developing depression symptoms may also use their phone more often. Their excessive usage and smartphone addiction may actually make them irritable and sad, looking at photos of others, noticing other people’s lives may make them feel that their lives aren’t perfect. This can in turn lead to feelings of extreme sadness, cause depression or even suicidal thoughts.

So, make sure that you keep a tab of how often people use smartphone in your family. If you suspect behavioral changes with smartphone addiction, consider getting a consultation with a psychologist or counsellor.

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

Your Addiction To Smart Phone Reveals Something Shocking About You!

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