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?

Borderline personality disorder is connected with the mental health of the patient and is usually seen in the way the patient perceives himself or herself. This has a deep impact on the brain and overall functioning of the patient. It leads to problems in the personal life and relationships of the patient. These problems are usually triggered by a fear of abandonment. Let us explore the signs and symptoms of this condition to understand it in a better manner:

1. Discouraging Attitude: One of the earliest signs of this disorder includes having an attitude that is very discouraging. This attitude may remain limited to the patient or may extend to the people around him or her.

2. Self-Identity: This disorder has a marked impact on the self-identity of the patient. There is usually a rapid decline in the way the patient may view himself or herself. A self-deprecating attitude will usually be seen among patients suffering from this condition, where the self-esteem hits an all-time low along with low self-confidence.

3. Relationships: Whether it the patient's personal relationships, family, friends or work based relationships, there will be a sharp decline in the quality of interactions that the patient indulges in, due to this disorder. The interactions and dynamics of all relationships will usually take on an intense turn as the patient will have varied unfounded concerns that come from the fear of abandonment. This usually stems from some form of childhood trauma triggered by parental separation or loss.

4. Impulsive Behavior: Patients suffering from this disorder will also display impulsive behavior that may lead to gambling, and other risky behavior. This kind of behavior can usually lead to accidents and losses as well as further lowering of the sense of self-esteem that the patient may experience. Also, abuse and binge eating are some of the symptoms of this kind of behavior.

5. Suicidal threats: There may be threats of suicide by patients who are suffering from this disorder. This usually happens because most of these patients end up feeling lost and empty, which makes them think that their life and all its activities are completely futile. If you happen to meet someone who consistently talks about how useless he or she is and how nothing in life seems to have a purpose, then you may want to recommend this person to a psychiatrist as these are the earliest signs and symptoms of borderline personality disorder.

6. Mood swings: The patient will also suffer from intense mood swings. These could last up to several days and even weeks. These mood swings could go from happiness to severe anxiety and even shame.

Signs and Symptoms of Borderline Personality Disorder

Post-traumatic stress disorder (PTSD) is an anxiety disorder which develops due to a terrifying traumatic incident. Traumatic events like violent personal assaults, man-made disasters, accidents, military combat etc. can trigger PTSD. 

What are the symptoms of PTSD?
People with PTSD mostly re-experience the whole incident repeatedly in the form of flashback episodes and nightmares. This happens more when they are exposed to the events or objects which are reminiscent of the trauma. The other symptoms are emotional numbness, sleep disturbances, depression, anxiety and irritability leading to outbursts of anger on others. People with PTSD feel intense guilt mostly. Anniversaries of such an event can also trigger symptoms of PTSD. When these symptoms last for more than a month, the person is diagnosed with PTSD.

Who will most likely develop PTSD?
You do not need to be in the military to suffer from PTSD. People who have suffered child abuse during school, who have had traumatic experiences are more likely to develop the condition. Other factors that may cause PTSD are still under research.

When does PTSD occur?
PTSD can occur at any age, given the intensity and frequency of symptoms. The symptoms typically are seen within 3 months post a traumatic event, although it may not begin until next year. Once the PTSD symptoms appear, the severity and duration of the illness may vary.

What are the treatments available for PTSD?
Cognitive-behavioral therapy, group therapy, and exposure therapy have been very effective in treating PTSD where the patient gradually and repeatedly relives the frightening experience under controlled surroundings which helps him/her work through the trauma. Medicines also help ease associated symptoms such as depression and anxiety.

Do other illnesses accompany PTSD?
PTSD can present with many associated conditions like depression, alcohol or substance abuse, anxiety disorder etc. Certain symptoms like headaches, gastrointestinal ailments, immune system issues, dizziness, chest pain or discomfort in other parts of the body are common. To treat PTSD entirely, it is necessary to take these symptoms into consideration as well.

PTSD is a difficult condition to deal with. If you or someone you know happens to suffer from PTSD, the first thing is to seek help. Having PTSD does not make you weak. All you need is a little help and support from your family and friends, to make you feel better. Happy Mind, Healthy You!

5 Interesting Facts About Post Traumatic Stress Disorder!

What is Addiction?

Addiction is a condition in which individual engages in using a substance or seeking a behaviour which leads to rewarding effects in the brain and it reinforce the individual to repeat the using or seeking behaviour again and again. Addiction develops gradually over a period of time and due to the repetition of same pleasure seeking pattern individual become physically and psychologically dependent on the substance or to any other object at the center of addiction.

People can get addicted to many substances like, alcohol, nicotine, drugs, solvents, etc. In case of these substances, physical and mental dependency both can occur. There are other objects and behaviours which also activate brain reward system in the same way and can make people dependent on them, like gambling, shopping, videogames, watching pornography, etc. But in case of these objects or behaviours, psychological dependency can be more prominent.

It has been seen that there are lots of other mental problems found among individuals suffering from any kind of addiction, like anxiety, depression, personality disorders, psychosis, etc. Individual who is addicted to a substance or an object or behaviour indulge into compulsive pattern of seeking the same inspite of their detrimental consequences. Consequences of addiction can be seen on person s health, personal life, occupational life and social life. Addiction can lead to severe unmanageability in one s life.

Especially when it comes to substances, like alcohol, nicotine or any kind of drugs, we must understand how the tolerance level of the brain develops? Tolerance develops when an individual no longer responds to a substance in the way he/she did at first. So, it takes a higher dose of the substance to achieve the same effect as when the individual first used it. This is why people with substance use disorders use more and more of a drug to get the  high  feeling that they seek.



A blog posted by an alcoholic:

 I always wished I could drink like other people. But I never could. I thought it was the third drink that got me into trouble. If I only had two, then I d be fine. Thing is, once I put that first drink to my lips, I could no longer accurately predict what would happen next. I might go home, but I might not.

You d think if I made it home, then my drinking was a success. Wrong! If I made it home after two drinks, there was an insatiable need raging within me and I was gonna take it out on you.  After all, you re the reason why I had to come home. I would punish my family by being silent, or mean, or emotionally distant.

Looking back, it was never intentional. I didn t purposely choose not to go home.  I didn t leave the house with a suitcase containing a fresh set of clothes, a tooth brush and my cosmetics. Seriously, I was only going out for  a few. 

If anybody can relate to this or can understand this, he or she can understand tolerance, powerlessness and unmanageability.

How to recover from addiction?

To be an addict can t be anybody s choice, but recovery can be one s choice. The first key step to come out of your addiction is developing acceptance. For a person to admit their powerlessness in addiction to drugs or alcohol or to any other object at the center of addiction is a monumental first step to recovery. Powerlessness means the person do not have any control over his/her use of substance. Powerlessness may indicate weakness and helplessness; some may think it fosters a victim mentality. Acceptance starts developing when a person admit that he or she is powerless over the substance or object at the center of addiction and their life have become unmanageable because of that.

Addiction is a disease and recovery is not an easy process. Individuals who are already into the grip of addiction need to seek help. One cannot go through the journey of recovery alone. There is a myth that addiction is a habit and one can get out of it if he or she has the  Will Power . It s actually not true. To get out of the disease you need to develop  Skill Power , like skills to understand your physical and psychological mechanisms when it comes to the substance or the object of addictions, skills to handle cravings, skills to be assertive enough to manage social cues, skills to deal with day to day life stressors, etc. And in this process of developing skills and maintaining your recovery you need help of professionals.

A complete treatment program has three important approaches. First one is psychopharmacological (medicine) approach, second is psychotherapeutic approach and the third one is the 12 step program of alcohol/narcotics anonymous. A combination of psychotherapies along with the basic essence of 12 step program can bring greater outcomes in individual suffering from addiction.

Understanding Addiction And The Key Steps To Recover From It!

Smoking and its effect on tooth

Smoking is a phenomenon where the smoke emanated from a burning substance, usually tobacco, is inhaled. Smoking is a major cause for multiple diseases such as lung cancer, mouth cancer, blood pressure disorders etc.

Smoking tends to limit the capabilities of the immune system and this makes it easier for various diseases to affect the body. Smoking can lead to problems in the teeth where the gum tissues that attach the bone with the teeth are affected. This may cause the blood flow to the gums to be impaired and affect the functioning of the teeth.

The changes that the teeth undergo due to smoking are -

1. It may increase teeth sensitivity.
2. Smoking causes the teeth to be pulled away from the gums.
3. It can result in swollen and bleeding gums.
4. It may cause pain while chewing food.
5. Bone loss around the jawline occurs in smokers.
6. It can result in stained teeth and bad breath.

Disorders related to the teeth caused by smoking

There are various disorders of the teeth which are directly linked to smoking, they are -

-Mouth cancer - in this condition tumors are formed in the mouth
-It can cause plaque to accumulate in the teeth
-It may cause gum disease that can result in tooth loss
-It may interfere with healing period of any dental treatment
-It reduces the success rates of teeth implants
-Sweeteners present in the tobacco can also cause tooth decay

The effects of smoking on the tooth can be minimized by avoiding smoking altogether. Apart from that, following proper dental hygiene such regular brushing and flossing of the teeth will keep the teeth healthy. Avoiding smoking also reduces chances of lesion leukoplakia (white patches near teeth and gums).




Smoking and Its Effect on Teeth

In many cases; divorce and separation leads not only to bad blood between the parents, but also in a child alienating himself from one parent. Insulting or belittling one parent without justification or under pressure from the other parent is known as parental alienation syndrome. Parental alienation involves one parent undermining the other and interfering with the child s relationship with the other parent by limiting contact with them, bad mouthing them, forbidding discussion about them etc. This can have a very negative effect on the child s emotional state.

1. Self hatred: For children, hatred is not inborn, but developed by the situations they are in. By bad mouthing a parent and teaching the child to hate the parent, the child himself is harmed. With time, he begins to internalize this hatred and believe that there is something wrong with him that made the alienated parent not want him.

2. Low self esteem: When a child is not allowed to speak his mind and has to bottle up his thoughts, he becomes socially withdrawn. Often the child begins to feel that he is the cause for the rift in the family and makes himself responsible for the separation. This intensifies with time and makes the child lose confidence in himself leading to low self esteem.

3. Lack of trust: When a child is suddenly pulled away from one parent and told how that parent is not a  good person  the child is likely to feel betrayed. This creates a sense of doubt in the child s mind and makes it difficult for him to trust other people. As he grows up, this can affect his own adult relationships as well.

4. Depression: Depression is a commonly seen in children from broken homes and this is intensified in cases of parental alienation. It is rooted in the child s feeling unloved by either one of the parents and built up by the separation. Not being given a chance to speak about their feelings or talk about the situation makes them more depressed and they begin to withdraw into themselves. In many cases, it is noted that alienated children have strained relationships with their own children as well.

5. Substance abuse: Depression is one of the most common triggers for substance abuse. Alienated children often feels trapped and that they have no outlet to vent their feelings and frustrations. This often makes them turn towards drugs for relief and can make them victims of substance abuse.

Effects of Parental Alienation Syndrome on Children

Don't wait any longer, manage your Occupational Psychologist online with a Lybrate doctor today

Consult for Occupational Psychologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES