Depression, or major depressive disorder, is a mental health condition marked by an extended sense of sadness and despair that affects how a person thinks, feels and functions. It affects the way you think and brings about changes in your physical and emotional self. In severe cases, depression makes it extremely difficult for you in carrying out your daily activities. Yes, the condition may significantly interfere with a person's daily life and may prompt thoughts of suicide. There is no instant cure for this disorder; rather it requires a more long term approach to treat this disease.
Symptoms-
The symptoms of depression are:
Feeling of emptiness and sadness.
Violent outbursts of anger.
Disturbances in sleep patterns, resulting in insomnia in few cases.
Constant tiredness and fatigue.
Constantly agitated and anxious.
Drastic changes in your appetite (usually appetite decreases).
Physical problems such as headache and back pain.
Constant feeling of worthlessness and guilt.
Recurrent thoughts of suicide and violence.
Causes-
Although scientists agree that depression is a brain disorder, the debate continues about exact causes. Many factors may contribute to the onset of depression, including genetic characteristics, changes in hormone levels, certain medical illnesses, stress, grief, or substance abuse. Any of these factors alone or in combination can bring about the specific changes in brain chemistry that lead to the many symptoms of depression, bipolar disorder and related conditions.
Treatments-
Psychological counselling and medications are the preferred treatment alternatives for depression. The medications that are used to treat depression are antidepressants and serotonin reuptake inhibitors. It is important to consult a psychologist before opting for any treatment procedure. The doctor will carry out a thorough diagnosis and then prescribe treatment accordingly.
Psychotherapy is another treatment process that is used to treat depression; this involves you talking about your condition to a doctor. It can help you find better and feasible ways to find solutions to problems and set realistic goals in life.
Electroconvulsive therapy is another mode of treatment that uses electric currents to modify the functioning of the neurotransmitters.


Symptoms and Treatments of Depression

How to brush off stress from your life

Current lifestyle is such that stress becomes inevitable. But you might be aware how disastrous stress can be, it does take control of our lives. What one needs to consciously do is, take steps to address the stress that they are under. 
Here are simple and effective ways to do it.

1) indulge in physical activities - most of us have sedentary lifestyles which add to stress. While indulging in workouts won't take away your stress, what will happen is that there will be clarity in your thoughts, and your emotional intensity will come down, calming you.
2) believe every problem has a solution - it is easy to be scared of the problem and let it take control of your mind &amp; your life. Take control of them. Try to actively address your problem and look for solutions. When you act towards solving your problem, irrespective of the solution, your mind has more positive in it than stress.
3) give it away - meet people, socialize, and connect with other lives. This is actually going to solve half your problem. Not only will more things occupy your mind, and you will know of other people's problems too, but at times, sharing your stress problem warranties a quick solution!
4) treasure yourself - take some time for yourself and do what you love to do the most. Go to the spa, go shopping, read or just sleep. But make sure you have time away from work and daily chores, where you can rejuvenate your sense by doing what makes you the happiest. If nothing, meet up with friends.
5) indulge in volunteering work - helping others not only preoccupies your mind with problems of others rather than staying immersed in your own, but also helps you be more resilient. You will come out stronger and with more will to address your own issues.
6) try to stay positive all the time - appreciate what you have rather than concentrate on what you don't. Be thankful.
7) accept what you cannot change - however much we try to solve our problems, some things we cannot resolve right at the time. And there is no point in pondering over them. Accept that this is how things will be, and move on.

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

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How To Brush Off Stress From Your Life

3 Things You Did Not Know You Should See a Psychologist For


Most people consider seeing a psychologist an act of weakness or embarrassment. Therefore, they never think that their prolonged periods of stress, anxiety, grief and conflict could be a sign that they need professional help. They fail to understand that psychotherapy is nothing but a strategy to relieve stress and make life easier to live and that often, it does not require you to get stuck amidst expensive treatments or prolonged medication and consultation sessions.
Here are 3 times when you did not know but you needed to see a psychologist.

1. You feel intense emotions
It is common for everybody to feel angry or sad at times in their life but if you feel these emotions too intensely, frequently and for prolonged durations, it may be the right time for you to see a psychologist. If your emotions overpower you to such an extent that your ability to function is impaired, it is a sure shot sign that you need professional attention. Also, if your anxiety levels are so high that you immediately imagine the worst case scenarios associated with any challenging situation that comes your way, you should not delay your visit to the psychologist because it may lead to panic attacks and paralysis.


2. You cannot stop thinking about the trauma that you had faced sometime in your life
If you are too grieved with the pain of death, loss of job, fear of accident etc. that you once faced in your life and there is no way how you think that you can get over it, you should seek immediate help from a psychologist. You may think that these feelings are natural and that you cannot do anything about them but in reality, it is not so. In fact, if left untreated, these conditions can lead you to a lifestyle where daily functioning is impaired. So if your trauma is too hard for you to handle, consider visiting a psychotherapist to prevent further damage.


3. You fall ill too quickly and headaches are a persistent problem
Being emotionally upset can affect your body in more ways than you think. So every time when you fall ill, the cause may not always be a physical medical condition. Stress and anxiety can lead to chronic illnesses like frequent stomach ache, reduced sexual drive, frequent cold, severe neck pain etc. So if you fall ill too quickly and the reasons for your illness are far beyond the comprehension of the general practitioner, it is high time that you consider visiting a psychologist.




3 Things You Did Not Know You Should See a Psychologist For


7 CHARACTERISTICS OF EMOTIONALLY STRONG PEOPLE

Emotionally strong people are better able to manage the stresses and distresses of daily life, and recover more quickly from challenges and crises when they arise. Is your emotional engine strong enough to take you through the ups and downs of life? Are you riding a bullock cart which can topple over anytime you pass through a broken road or are you driving a four wheel, all terrain vehicle, which will ensure you a safe trip through all the rocky terrains of your life?

A common cultural belief is that people who don’t cry and are unemotional, detached are the emotionally strong ones...and the ones who cry easily and exhibit emotional turmoil are the weaker ones. Well, this is just a myth and not an accurate indicator of one’s mental and emotional strength. A person’s internal coping mechanism will determine how strong he/she is emotionally and deal with challenges and bounce back from them. For eg. Two investors invest in a startup company and watch it fail after 5 years of hard work...one cries copious tears and falls apart, the other controls his emotions but feels defeated. Both were not emotionally strong as they couldn’t sustain the pressure and crumbled. It would have been fine if they felt sad and worried over the loss of time, resources and money and then bounced back with fresh ideas and renewed energy, which would have shown their capability to bounce back from difficult situations.

Unfortunately, too many of us judge ourselves incorrectly in exactly such moments. If we react emotionally or tearfully to emotionally challenging situations we scold ourselves for being weak, even when we have every intention of persisting and moving forward and even when we believe we will eventually succeed. Tears are usually a sign of frustration and disappointment, not defeat. What you believe about your future chances of success and how discouraged you feel in the long term is far more important than how often you cry in response to stresses and bad news.

The following list will help you decide how emotionally strong you are and where you need to work on yourself:

1) Emotionally strong people are less discouraged by setbacks and disappointments: they see each failure as an opportunity to learn and improvise over the last one. They compare themselves with themselves and define their own measures for failure and success. You could do an analysis of your strengths, limitations, opportunities and impediments in order to get over difficult situations. Geet, a student who didn’t get into his desired subject of IT, sat through 5 years of Law and did some extra courses in corporate law and worked towards fulfilling his dream of working in the Corporate. He felt confident, happy and satisfied with his efforts.

2) Emotionally strong people are more adaptable to change: they welcome and embrace changes in themselves and their environment simply because it brings newer opportunities and learning which can catapult them on their way to success. New boss, different stage of life, children going away are changes that will surely happen. Preparing for them in advance, can help people cope better with changes. When Surabhi got married, she took marital counselling to prepare for the differences that will crop up due to changes in the environment, thinking and attitudes of her inlaws family. She is a happy and successful wife and mother today.

3) Emotionally strong people are able to recognize and express their needs: ability to acknowledge and express your needs is being genuine to yourself and an expression of self care. People who are self aware move faster on the ladder of success as they are devoted and passionate towards their goals and needs. Taking care of your health and exercising along with a professional career makes for an emotionally strong person. You can become aware of your needs and values in counselling and experience contentment and power as you take charge of your life.

4) Emotionally strong people focus on getting around a hurdle rather than on the hurdle itself: focussing on the hurdle can be very emotionally draining and demotivating. Emotionally strong people invest their energies in working through a problem and looking for viable solutions, which ensures their victory over stresses and strains. If you have lost money in business, then working on your sales and marketing skills could get you better gains rather than feeling defeated. Counselling can help you look at problems objectively and from different perspectives. Get in touch with your problem solving skills and feel motivated and accomplished again.

5) Emotionally strong people can learn from mistakes and criticism: who hasn’t been subjected to criticism or made some mistakes? It’s human to err. Working towards excellence rather than perfection and looking for the golden piece of advice in the strong criticism helps emotionally strong people win over situations and important relationships. Sarita, an intelligent and smart woman ignored the critical remarks of her mother in law because she knew that there is a lot to learn from her. She knew which battles to fight and which ones to let go of.

6) Emotionally strong people tend to see the larger perspective in a challenging situation: They don’t get weighed down by smaller defeats when they have the larger picture in mind. An emotionally strong employee, Martin, who experienced office politics, kept his cool and focussed on his work.

7) Emotionally strong people are able to recover more quickly from emotional wounds such as failure or rejection: nobody can reject you unless you give them the permission. Seeing each failure as an opportunity to grow and learn helps. Staying with what you can do differently next time and having fall back plans helps to reduce the impact of failure. Thomas Edison didn’t get deterred by the number of times he could make his bulb glow. He kept looking at different permutations and combinations and kept learning from each mistake. Finally, his bulb glowed and now we all can benefit from the fruits of his hard labour.

If you don’t find yourself scoring high on this list, then there is no need to worry because in personal counselling, you can build emotional strength and capacity to bounce back by working on your mindset and learning more adaptable responses to stresses of daily living.

7 characteristics of emotionally strong people

You Need to Read This To Stay Away From Depression!

Depression robs people of their energy, ability to focus and pleasure. It makes them lose the joy of doing anything. In advanced cases, people may also lose their will to live. Depression is caused by factors that are mostly psychological, although a few can be physical. Certain habits and ways of living also lead to depression.

Here are few habits you must avoid.

1) Lack of Exercise: Being inactive affects your state of mind and can lead to a feeling of being depressed. If you are inactive, you also become lazy or tend to eat more, due to lack of anything better to do. This may be even more depressing.

SOLUTION: Exercise ensures your physical and mental well-being. Whenever you feel depressed, remember to exercise. Even a 20 minute brisk walking makes your brain produce the 'feel-good' chemicals, which keeps you active and in high spirits. If this not possible then just use the stairs instead of the lift, or take a few rounds of your block at whatever pace you can do. Remember to be regular in your efforts.

2) Improper Diet: Eating foods regularly which are loaded with hydrogenated fats, refined sugars and processed foods increase blood sugar levels suddenly and then dip suddenly. Our bodies and minds become lethargic with such foods. These chemicals affect the limbic brain( emotional centre) directly, making us feel blue, irritated and fatigued.

SOLUTION: Eating healthy is not only good for your body but also your brain. Food stuffs that contain omega-3 fats are referred to as brain foods and lack of such foods makes you vulnerable to depression. Eat crap and you feel like crap! Since our bodies cannot manufacture omega-3 fats, it has to be sourced from foods such as coldwater fish and seafood. Eating whole grains, fibre, vegetables, fruits rich in carbs and plenty of water Eat healthy for a healthy mind.

3) Poor Sleeping Habits and Stress: If you constantly deprive yourself of sleep or oversleep, you create a situation that risks depression. Not getting the recommended 7-9 hours of sleep leaves you irritable, agitated or hyper vigilant. A person who hasn't slept enough cannot perform daily functions properly and may feel frustrated or begin to feel trapped. A sense of loss of control makes one feel depressed. Most people don't understand that just getting enough sleep can help in keeping depression at bay.

SOLUTION: Sleeping well has a restorative and rejuvenative action on the body and mind. The body repairs itself while sleeping, dreams are a way of expelling unwanted thoughts and emotions, people develop higher immunity when they sleep well, you have better cognitive functions. You will make sound decisions with fewer errors, concentrating and focussing will be easier. Tasks will seem easier and effortless. A good sleep leaves people feeling energised, happier and alert.

4) Isolation: the experience of being separated from others - may result from being physically removed from others, as when a person lives in a remote area, or it can result from the perception of being removed from a community, such as when a person feels socially or emotionally isolated from others. Social isolation is distinct from the experience of solitude, which is simply the state of being alone, usually by choice. Taking time to be alone can be a healthy, rejuvenating experience that allows us to reconnect with our own needs, goals, beliefs, values, and feelings. But when a person experiences too much solitude or feels socially isolated from others, he or she may develop feelings of loneliness, social anxiety, helplessness, or depression, among others. 

SOLUTION: Having an active social life with real and genuine people whom you gel with and have common interests is like an elixir of life. It infuses a person with a sense of wellbeing, safety, security and belonging, which is necessary for us humans. It forms social support not only in good times but also in tough times when we need help, support, suggestions and encouragement. A shared smile, a nod, a wink, laughter or story can go on a long way to make you feel uplifted.

5) Ruminating Constantly: Dwelling on negative thoughts each day, sets you up for depression. Constantly thinking of failure, loss, rejection or past events is harmful. Ruminating about something you cannot change not only makes you depressed but also drives you insane. It fosters feelings of helplessness, worthlessness and hopelessness, which are so common in depression.

SOLUTION:There are practical ways of fighting this problem, like keeping yourself busy and distracted, or just using an outlet to channel the feelings out of your system. Have a satisfying hobby to fill up your free time. Taking care of a pet, social work also helps people feel good about themselves. Use logic and rational reasoning to combat negative thinking patterns. Seeing meaning in a loss is very helpful too. Look at the positive and brighter side of each situation. Using humour to lighten some tough situations help keep the mental and emotional balance from tipping.

Have any further questions on depression or mental health? Click on consult privately to ask me.

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You Need to Read This To Stay Away From Depression!

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?

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