The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person. 

Various risk factors that are associated with diabetes and depression are as follows- 

lack of physical activity
poor social environment
poverty
stress during pregnancy
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes. 

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin. 

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy. 

Various signs that can be observed in a state of depression are as follows: 

Complete lack of interest in doing any activity
Irritation or mood swings
Depressed mood
Disturbed sleep pattern
Changes in the appetite
Constant feeling of despair
Guilt Fatigue, weakness
Difficulty in concentration, transient memory loss
Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users. 

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

How Diabetes Can Lead To Depression?

3 Proven Ways of Increasing Intimacy

Here is a list of 3 scientifically proven ways of increasing intimacy with your partner.

1. Look them in the eye and tell them all about yourself

Self-disclosure is an important part of relationships, especially during the initial phase. However, gradually as people feel that they've known enough about each other, communication seems to come to a standstill.

But the actual reason for this is not the lack of things to talk about but resistance which arises out of a feeling of vulnerability. It mostly happens in established relationships because both the partners do not wish to break past the certainty and assurance.

Therefore, the revealing part that may lead to some changes in perception is often skipped. However, not doing so and truly communicating with your partner can help you in increasing intimacy and having a deeper connection with your partner.

2. Share the laughter

Sharing the joy and the humorous experiences is a great way of increasing intimacy with your partner. Since every person's sense of humour is different, humour is a deeply personal aspect of your personality. Therefore, when you share genuine laughter with your partner that is when your sense of humour matches with each other, it improves your understanding and builds intimacy.

3. Tell them how you feel and know how they feel

It is extremely important for you to talk with your partner about how you feel - not just about the relationship, but about other important aspects of your life as well. If conflicts are dealt with by discussing how you feel about them and not on the lines of rationality, you end up feeling more intimate with your partner. Honestly discussing and exchanging your feelings is an amazing way of increasing your intimacy with your partner.



3 Proven Ways of Increasing Intimacy

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?

Causes and symptoms of Catatonic depression

Catatonic depression is a kind of depression which is characterized by prolonged periods of speechlessness and motionlessness. It is described as a state of mind that is caused by neurogenic and motor inabilities caused due to dysfunction of various neurotransmitters like glutamate and dopamine. People who suffer from a severe case of this condition, even have difficulty in performing simple regular tasks. For example, the act of eating breakfast may take a span of hours.

Some of the common symptoms of this condition are:

- Feelings of sadness
- A change in appetite causing gain or loss of weight
- Difficulty in concentrating and thinking
- Feelings of restlessness, worthlessness, and guilt
- Fatigue
- Irritability
- A loss of interest in any activity
- Trouble sleeping
- Attempts at suicide
- Cynicism and negativism
- Agitation
- Unusual and abnormal movements
- An inability to move and difficulty in speaking
- A refusal to eat or drink due to extreme anxiety

The major causes of catatonic depression are:

1. Abnormal neurotransmitter production

Irregularities in the production of neurotransmitters are believed to be one of the major causative factors of this type of depression. These neurotransmitters present in the brain help cells to communicate with each other. Serotonin and norepinephrine are the neurotransmitters which are mostly associated with this type of depression.

2. Dopamine irregularities

Another reason for this condition is believed to be the irregularities in dopamine, glutamate, and gamma-aminobutyric acid neurotransmitter systems. Underlying neurological, physical, psychiatric or psychological conditions are accompanying issues.

Administering antidepressants or using electroconvulsive therapy are some of the known ways of treatment which have proved effective for getting relief from catatonic depression.



What Makes Catatonic Depression so Impairing?

Building your child s confidence and self image is an important part of raising a child. Self image can be defined as a child s view of himself and his strengths. If a child is comfortable with his self image, he will have confidence in himself. A foundation of self confidence is key to a child s success in his adult life. In their childhood years, a parent is the main source of building a child s self worth or self confidence. Here are a few ways you can develop your child s self confidence.

1. Avoid negative self talk: Children learn by watching their parents. Hearing parents berate themselves will make children do the same. Talking badly about yourself can reinforce a low self esteem. Hence avoid talking negatively about yourself and stop your child from doing it as well. If your child talks negatively about himself, give him evidence to prove the opposite or give them meaningful compliments. Also avoid calling your child names to shame him as these are likely to stay ingrained in his mind.

2. Celebrate uniqueness: Don t make your child feel like he has to live up to the standards set by siblings or peers. Further, do not pressurize them to fulfill your dreams. Recognize your child s strengths and celebrate his unique abilities. Help them develop their talents and set their own standards for themselves.

3. Let your child make decisions: Empower your child by allowing them to make decisions about simple things like what game to play or what to eat for dinner. Make them feel that their views are valued and thus teach them to be an active member of the family.

4. Let them work things out for themselves: Spoon feeding your child makes things easier at the time, but in the long run can have a negative effect on their self confidence. Be patient and let your child try and do things for himself. As he meets and overcomes new challenges, his confidence will grow. Give your child age appropriate chores to do around the house. This helps build responsibility and a feeling of competency.

5. Be genuine about your praise: Children are highly intuitive and can tell the difference between sincere praise and something being said merely for the sake of it. For example, if your child has made a drawing, instead of simply telling your child that he is an artist in the making be more specific and praise his choice or colours or ability of colouring within the lines.

Raising your Children with High Self Esteem

Cell phones have become a compulsory device for our times, as they give us access to voice and data services in almost every part of the world. Hazardous effects of cell phones are significant because they are kept on our bodies, in our pockets, or held in our hands. In a recent publication, it was seen that 56% of children between the ages of 10 13 have a smartphone. Also, it is seen that 25% of children between the ages of 2 and 5 have a smartphone. School-grade students today beg for smartphones more than even new dresses or shoes.

Effect of Using Mobile Phones on Speech and Communication

In today s era, children using handheld devices are more likely to have delays in expressive speech. These children start talking much later than their peers. Since the cell phone does not respond back to their communication, children cannot develop a communication channel with it. Soon, they get accustomed to using signs and symbols for things rather than asking for the same. They just get used to the mechanical model of handling cell phones by following few simple steps. In human beings, speech is mastered gradually and progressively. If the child skips on the fundamentals of speech, which requires constant repetition of letters, consonants, syllables, and words, his speech tends to get delayed.

As per famous research conducted in Toronto, it was found that with every 30 minutes of screen time, the risk of delayed speech increased by 49%. Usually, infants should be able to communicate in sentences between three and four words, by the age of 2-3 years. However, those who spent the most time on handheld devices were found to struggle with communication skills. As per another popular study conducted in the UK, electronic gadgets may be blamed for 70% rise in speech problems in 6 years. Another famous study conducted in University College London found that screen time also had an impact on sleep of infants, which affected their brains.

As per the opinion of education leaders and speech specialists, many children are deprived of conversation with their family since they spend a lot of time on electronic devices. The noise and activity on a screen can distract a small child and cause a disconnect between them and their parents. Screen time is slowly replacing parent-child interactions which are critical for healthy development.

How to address this issue?

The best way to teach language to children is by interacting with them, talking with them, using different vocabulary, playing with them, being creative, and pointing things out to them. However, if you feel that owing to negligence your child already has issues with his speech and communication, then visiting a professional speech therapist and counselor can make a huge difference.

Effects Of Using Mobile Phones On Speech & Communication!

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