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

Aphasia is a communication disability that can result from damage or injury to those parts of the brain that process language. It can happen due to stroke, brain tumors, accidents, or brain infection. A brain injury which damages parts of the brain that deal with language can also bring on Aphasia. Aphasia can also be caused by dementia such as Alzheimer s disease. Aphasia is sometimes also a symptom of epilepsy or other neurological disorders.

It s more common in older adults, especially after a stroke. What happens in Aphasia is that the affected person is unable to understand or use words. He or she may also:

Have difficulty speaking and finding the "right" words to express themselves verbally
Have problems understanding conversation
Have problems reading and comprehending written words
Have problems writing words
Is unable to calculate or use numbers
Has a tendency to use gibberish words as a part of speech
There are various types of Aphasia, differing in certain important ways from each other.
Aphasia can also be mild or severe. With mild Aphasia, the patient is able to converse, though he may not be able to find the right word or may not understand complex conversations.
However, in severe Aphasia, a person may lose his ability to communicate completely which means he can t speak or understand any conversation and may also not be able to read or write.

Three things that aid Aphasia recovery are

Speech Therapy
Family Support
Persistence
Treatment for Aphasia depends on factors like:

Age
Cause of brain injury which causes Aphasia
Type of Aphasia
Position and size of the brain lesion causing Aphasia
If the Aphasia is due to a brain tumor, surgery to remove the tumor affecting the language centre can treat Aphasia.
For a person who s got Aphasia due to a stroke, sessions with a speech-language specialist are very effective. The therapist teaches the patient ways to communicate using stuff that doesn t involve speech.
He uses the following to help the patient communicate without words:

Props
Drawings and pictures
Teaching patient to speak slowly and be calm when talking.
Treatment techniques
The speech therapist uses these two main techniques to tackle Aphasia:

Substitute skill model: This uses a prop like a writing board to help with spoken language.
Direct treatment model: This approach uses specific exercises to help patients
Copy and recall therapy (CART): This approach uses repetition and recall of certain words during speech therapy.
Visual communication therapy (VIC): This involves the use of index cards to represent various components of speech.
In addition, Aphasia patients are also trained in the use of hand gestures to aid in communication as a part of  Visual Action Therapy (VAT) .

Aphasia - Factors That Put You At Risk!

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely  up,  elated, and energized behavior (known as manic episodes) to very sad,  down,  or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

Bipolar I Disorder  defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
Bipolar II Disorder  defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
Cyclothymic Disorder (also called cyclothymia)  defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
Other Specified and Unspecified Bipolar and Related Disorders  defined by bipolar disorder symptoms that do not match the three categories listed above.
The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.

Mania-

Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.

The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals. 

You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
 
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
 
If you become manic, you may notice that you are:

Emotional:

very happy and excited
irritated with other people who don't share your optimistic outlook
feeling more important than usual. 
Thinking:

full of new and exciting ideas
moving quickly from one idea to another
hearing voices that other people can't hear.
Physical:

full of energy
unable or unwilling to sleep
more interested in sex.  
Behaviour:

making plans that are grandiose and unrealistic
very active, moving around very quickly
behaving unusually
talking very quickly - other people may find it hard to understand what you are talking about
making odd decisions on the spur of the moment, sometimes with disastrous consequences
recklessly spending your money
over-familiar or recklessly critical with other people
less inhibited in general.
If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong   although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues   and with other people's feelings. 

Depression- 

The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:

Emotional:

feelings of unhappiness that don't go away
feeling that you want to burst into tears for no reason
losing interest in things
being unable to enjoy things
feeling restless and agitated
losing self-confidence
feeling useless, inadequate and hopeless
feeling more irritable than usual
thinking of suicide.  
Thinking:

can t think positively or hopefully
finding it hard to make even simple decisions
difficulty in concentrating. 
Physical:

losing appetite and weight
difficulty in getting to sleep
waking earlier than usual
feeling utterly tired
constipation
going off sex. 
Behaviour:

difficulty in starting or completing things   even everyday chores
crying a lot   or feeling like you want to cry, but not being able to
avoiding contact with other people.
Causes:

Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as  neurotransmitters .
Treatment Methods:

Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.

Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.

Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.

Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).

Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications.

Bipolar Affective Disorder - Symptoms and Treatments

In order to determine whether a person is having a drug problem, there are several signs, which can be interpreted to know about the exact drug abuse state of a person. Drug abuse requires immediate attention before it becomes more problematic. There are several patterns and stages of drug use that have been listed below:

1. Hard drug use: Heroin, cocaine and methamphetamine fall under the category of hard drugs and are the most dangerous drugs. There are severe effects on the health and behavior of a user of hard drugs. Some people use these kinds of drugs for recreational purposes, but some can get addicted just after using them once. Such people usually isolate themselves from society and possess a high-risk behavior.

2. Frequent drug use: Frequency alone cannot determine whether a person is addicted to a certain drug. Some people may take drugs only once and twice a week, but still suffer from acute addiction. Frequency of drug use may indicate tolerance and a person may require more with each day. Frequent drug users usually keep on continuing the habit and it is hard for them to quit.

3. Early drug use: Some people start taking drugs at an early age during adolescence, and they are likely to develop severe drug problems later in life. People who take drugs before the age of fifteen turn out to be addicts as they grow up. The earlier a person uses drugs, the earlier he becomes addicted. Early drug use is a common phenomenon in today's world.

4. Solitary drug use: Using drugs and addictive substances while a person is alone may result in fatal addiction and various problems in life. Teenagers using alcohol, marijuana and cigarettes are prone to serious drug problems during adulthood. Solitary drug users are usually poor in studies and have a violent or abusive behavior.

5. Escapist drug use: Many people use drugs for dealing with stress, several problems in life or for building self esteem. These are used as a substitute for escapism, which allows a person to escape from reality to a place where nothing bothers them and they can be at peace. Such people are likely to develop drug problems. Some people may experiment with drugs just for the sake of trying, but slowly they may like it and get addicted. This causes several problems in life, and a drug problem arises. Such drug problems may affect the health in many severe ways.

Drugs are used in several patterns. All people do not use drugs in the same pattern and frequency. The pattern of drug use by a person lets the doctor determine the level of drug abuse he is on, or if he is addicted.

Patterns of Drug Abuse

Depression is a very common emotion you might have experienced at least once during your lifetime. Depression refers to a state of mind when you are feeling low due to persistent sadness and loss of interest. But if the depression is chronic and long lasting for you, then it indicates that you are suffering from clinical depression. Under clinical depression, it is preferable that you go through a proper treatment course by a certified therapist. The Most common types of depressions are:

-Major depression

Under this type of a depression you will be depressed for most days of the week and if this condition extends for a period greater than 2 weeks, then it is a case of major depression. The most common method to treat a major depression is to talk to a mental health specialist and take medications called antidepressants (only after a prescription by a certified doctor).

-Persistent depressive disorder

This is a more severe and long lasting type of depression which is identified if you are depressed over a period longer than 2 hours. The most common symptoms of this type of a disorder are - change in your appetite, too much or too little sleep, lack of energy or fatigue, low self-esteem, trouble concentrating or making decisions, feeling hopeless among others.

-Bipolar disorder

If you are experiencing extreme ups and downs of mood abruptly and without any apparent reason, then you might be suffering from this disorder. This disorder is commonly known as a maniac depression, because during an up phase you will be extremely happy, joyful outgoing and talkative but during the low phase you will be sad, tired and depressed.

-Seasonal affective disorder

This type of a depression might bother you only during the winter season. This happens whenever the days are shorter and your body is not able to get enough of sunlight. This mostly happens in the case of people who are very fond of sunlight, and they prefer the sunshine over dark periods of the night. This disorder is treated by SAD antidepressants and everyday light therapy of 15 to 20 minutes.

-Psychotic depression

Under this type of a depression, you will have a major depression along with some psychotic symptoms like - hallucinations, delusions, and paranoia. Hallucinations mean viewing things that are not there, in reality, delusions are false beliefs or misconceptions and paranoia is the constant fear that somebody is going to harm you.



5 Types of Common Depression

 I have a severe stomach ache, I feel like vomiting ... Mom, please!! I can't go for exam.
 I read it! I knew it all ... But I just blacked out.  
 I just couldn't write! My hands were trembling.  
 I messed up this question! I can do nothing right... I can never succeed in life!!  

It's not uncommon for students to experience such problems before/ during an exam.

Most of us suffer from some degree of anxiety when we prepare or sit for an examination. Examination usually leads to a lot of tension and anxiety commonly known as examination phobia. Examination phobia or Examophobia is a mental disorder found in most of the students. When exams arrive, students become extremely worried and make plans about how to study, how to perform better and get good grades. Some students find exams so difficult that the phobia makes them sick as they simply find themselves unable to cope up with the exam fear. There may be sweating, palpitations that disturb so much that one cannot think straight and end up messing up the paper. Also, in subsequent exams, it becomes worse and the fear intensifies. The person may end up feeling a failure, feeling guilty and may even be suicidal! 

Anxiety is a normal human feeling that is part of life and can often serve as a good form of adrenaline. However, in few people, this adrenaline rush exceeds normal limits and at times may lead to some negative consequences.

Exam anxiety is:

1. Excessive worry about upcoming exams 
2. Fear of being evaluated 
3. Apprehension about the consequence 
4. Experienced by many normal students

POSSIBLE CAUSES 
(I) Environmental Causes

1. High expectations of parents 
2. Parents imposing their ambitions on children 
3. Parents competing for higher social status through child's scores 
4. Constant comparison with other kids 
5. Fear of teachers 
6. Insulting remarks from teachers

(II) Poor studying styles: 
1. Inefficient:

1. Irregular coverage of the entire syllabus 
2. Trying to memorize the course book 
3. Binge learning 
4. Studying all-night right before exams

2. Ineffective:

1. Reading without understanding the topic 
2. Unable to recollect the material 
3. Not making revision notes 
4. Not revising

(III) Psychological factors:

1. Feeling little or no control over the exam situation (rather than knowing and applying exam strategies) 
2. Negative thinking and self-criticism 
3. Irrational thinking about exams and outcomes 
4. Irrational beliefs  If I don't pass, my (family/boyfriend/girlfriend/friends) will lose respect for me  
5. Irrational demands  I have to get at least 98% or I am worthless.  
6. Catastrophic predictions  I'll fail no matter what I do there s no point.  
7. Low Self-esteem 
8. Fear of failure

SYMPTOMS OF EXAM ANXIETY 
The symptoms can range from minor nervousness to a panic attack, which can ruin the test. But whatever the level of your anxiety, learning to keep yourself calm and managing the fear of sitting for an examination is what it takes to come out with flying colors.

1. Physical symptoms. Headache, nausea, diarrhea, excessive sweating, shortness of breath, rapid heartbeat, lightheadedness and feeling faint can all occur. Test anxiety can lead to a panic attack, which is the abrupt onset of intense fear or discomfort in which individuals may feel like they are unable to breathe or having a heart attack. 
2. Emotional symptoms. Feelings of anger, fear, helplessness and disappointment are common emotional responses to test anxiety. 
3. Behavioral/Cognitive symptoms. Difficulty concentrating, thinking negatively and comparing yourself to others are common symptoms of test anxiety.

HOW TO PREPARE WELL FOR AN EXAMINATION 
Fortunately, there are several methods that you can adopt to reduce your examination stress, which will not only help you to get higher grades but also improve your overall mental health.

1. Regular Studies Develop good study habits- ATTEND classes regularly, finish all the assignments on time, make notes properly and be an actively engaging student in school. Leave plenty of time to revise so that you don't have to do last minute cramming. Giving yourself adequate time will help to boost your confidence and reduce any pre-exam stress as you know you have prepared well. Instead of waiting for the eleventh hour, start studying as and when the academic year commences. With a good amount of time before hand, you will certainly feel more relaxed as you have plenty of time to give-in your best. 
2. Exercise Matters - It is of paramount importance to maintain mental, psychological and physical health to ace any exam. Exercising regularly, deep breathing and  pranayama  help in improving one s cognitive faculties, that results in lesser anxiety and simultaneously better grades in the tests. 
3. Don t Undermine the Importance of Diet - Be careful about your diet during the exams. A diet lacking in essential nutrients can put a major dent in your preparations; make you feel nauseated, SLEEPY OR overstressed during the crucial hours. 
4. SLEEP WELL - Adequate sleep is also vital. SLEEPING TOO LESS OR TOO MUCH CAN ALSO HAMPER YOUR ABILITIES 
5. Support - Take short breaks in between and spend some quality time with your family; share your feelings and state of mind with them. Spending time with the family can turn out to be a major stress buster. 
6. Set a Study Time: Lastly, drawing up a schedule will help you make the most of your study time. Set aside a time for your studies and follow it meticulously. Keep it flexible so that you can make the necessary adjustments. 
7. Stay focused: Concentrate on your studies, not others during the examination time. Avoid talking with other students about the subject before an examination. 
8. Use Mnemonics: Mnemonics are the techniques of memorization. You can make chart, rhymes or phrase to memorize your lessons. 
9. Practice Deep Breathing Regularly - Meditation is one of the best medicine that can reduce your anxiety. Make a habit to Meditate at least 10 minutes per day. It surely increases your concentration power. 
10. Consult Psychologist: If your anxiety becomes uncontrollable, don t hesitate to consult a psychologist or therapist. CBT (Cognitive Behavioural Therapy) is pretty effective in treating anxiety disorders. It helps to change your thought process and negative beliefs. Performance or test anxiety is highly treatable so you can get absolutely get a better result.

HOW TO ATTEMPT THE EXAMINATION IN BEST POSSIBLE WAY 
(I) ON THE DAY OF EXAM

1. Get a restful, uninterrupted sleep the night before so you wake up refreshed and revitalized the day of the exam. 
2. Have a healthy breakfast but strictly avoid oily and heavy food 
3. Recheck your required stuff (pen, pencil, compass box, eraser, admit card, watch etc) before leaving home. 
4. Take the water bottle along with you to the examination hall. 
5. Avoid touching new/left-out topic at the last moment. 
6. Aim to reach the examination hall well in time. 
7. Avoid being part of Before-exam peer discussions on How well-prepared or unprepared others are! The classic  Tera kitna ho gaya  question followed by undue comparisons can be a complete confidence killer. So Beware !! 
8. If feeling tensed, take deep-long breaths and engage in positive self-talk; reminding yourself that you prepared best to your ability and tell oneself   I CAN DO IT  

(II) IN THE EXAMINATION HALL

First of all, fill the required information on the answer sheet. 
Read the instructions carefully to figure out if you have a choice of questions, no. of questions to be attempted etc. 
Read the question paper thoroughly before u begin writing and mark the questions under 3 categories: (a) Easy (b) Manageable (c) Difficult 
Manage your time: This is where you strictly need to stick to the plan:
Before you begin, allocate time for each question based on the marks it carries and difficulty level. 
If you are not able to complete an answer within planned time-frame, leave some space and move onto the next question. 
Always divide time in such a way that you are left with some time at the end to go back over incomplete answers and revise/recheck. 
Always try to attempt all the questions. 
Attempt the Easy questions first, followed by Manageable and Difficult questions at last. That way you stay secure, calm and confident. 
Avoid writing too lengthy answer just because you know it well.
5. Presentation:

a. Handwriting should be neat & readable. 
b. Instead of very long paragraphs, put your answer point-wise. 
c. Wherever possible, illustrate the information via Flowcharts/diagrams etc. 
d. Highlight: underline or highlight the main points using pencil / coloured markers but you should keep it for last spare moments.

(III) TIPS FOR PARENTS: 
Encourage your kids! Parents have the ability to address underlying fears that may be present with test-taking. At a deep level, even subconsciously, a student may fear failure for a variety of reasons. There could be a fear of looking dumb to friends, of not getting into the best school, or of not meeting parent s expectations. A great help is for parents to reinforce their unconditional support and encouragement to the child. Parents, let your children know that their grade does not determine their worth. Believe in your child. 

Help them get over the myth that  Success in exam is a predictor of success in life . 

Good marks = Great job. 
Poor marks = End of life!!

In short,  There are no secrets to success. It is the result of Time Management, Hard work and Learning from mistakes 

Say Goodbye To Exam Phobia!

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