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?

Manic depression, also known as bipolar disorder in recent days, is a major mood disorder characterized by hypomanic or manic episodes (deviation from one's usual mood along with abnormally high energy levels). Mania involves sleeplessness, along with psychosis, hallucinations, rage, grandiose delusions or paranoia. Mania or hypomania isn t usually harmful to the patient and they might exhibit increased capacity for work and creativity. Depressive episodes however, can be debilitating and often life threatening as the person becomes self-destructive and suicidal in many instances. 

The extent of mood swings can vary from extreme to very mild. They can occur progressively or suddenly and might last for few days to weeks. Patients affected by bipolar disorder may experience disturbances in thinking apart from depressive or manic episodes. Distortions of perception and impaired social functioning are also not uncommon. The cause of bipolar disorder is not fully understood like most mental health conditions and is often thought to be hereditary.

The extent of the seriousness of the bipolar symptoms varies from person to person. In some people, the disorder is not full blown and they don t exhibit all the symptoms. Others who aren t that lucky might have to be hospitalized multiple times in their lives as the symptoms creep into their work and personal life and make living a normal life a tough challenge. 

Psychotic symptoms such as disorganized thinking, hallucinations and delusions might make a person do things that demand the urgency of hospitalization to keep them safe from their suicidal impulses. These symptoms might need to be urgently addressed by a psychiatrist and with the help of medications, the person might be able to regain control of their lives.

The symptoms of bipolar disorder are many and can be mainly categorized into two (sometimes overlapping) categories of mania or hypomania and depression:

Manic symptoms include: 

Grandiose delusions (delusion of grandeur) 
Racing thoughts which are often disconnected
Sense of euphoria or false elation
Irritability without cause
Hampered social functioning
Increased sexual inclination and risky sexual behavior
Hyperactivity
Increase in talking volume or speed
Impaired judgment
Reduced sleep requirements owing to extra energy levels
Increased productivity and creativity
Depressive symptoms include:

Abnormal eating patterns like over or under-eating to the extent of severe medical complications accompanied by drastic changes in weight
Difficulty in concentration, making decisions and remembering
Lack of energy or fatigue 
Contemplating about death for prolonged periods of time and suicidal behavior
Oversleeping, insomnia or early awakening
Persistent pessimism 
Irritability and restlessness
Feeling of hopeless and negative attitude
Mood stabilizers, such as lithium are commonly employed to treat bipolar disorder. Anti convulsants, benzodiazepines and anti psychotics can also be used in the treatment. Along with medications, support from family and friends is of the utmost importance as they need to help provide all the support required in making the person functional and healthy.

Manic Depressive Disorder - 11 Signs to Help You Spot it 

How to know if you're in love?

A Valentine's Day brings with it a basket full of love that lasts a week and it's time to find and express love. Falling in love is one of the best, most rewarding feelings in the world! some of us have had the opportunity of falling in love while others have misunderstood infatuation for love. Everyone has their own definitions of what love is and what they want it to be. However, here are a few things that will make sure you know you're in love with someone and you don't just have a huge crush on him/her.

1. He/she is the best part of your day

If you look forward to seeing your special person because he/she is the best part of your day; it is probably love! He/she is the first person you want to share your news with whether it is good or bad.

2. You love their imperfections

You accept that person for who he/she truly is. The smallest of imperfections don't upset you. In fact, these imperfections make you love them even more. You look at their imperfections as the tiny things that make them unique.

3. You become a better person

He/she truly brings out the best in you. They help you deal with your negative qualities and highlight your positives. They make you a better human being just by being there with you through it all.

4. He/she is your best friend

The bond you two share is not just a normal girlfriend-boyfriend bond. Over time you'll become best friends, partners in crime. Parties seem boring without him/her by your side, coming home becomes a lot more fun because you get to come home to him/her. You can share anything, even your deepest, darkest, most embarrassing secrets with him/her.

5. You think long term

You find it hard to imagine your future without him/her in it and you'll do anything to make sure things between the two of you work. You understand the importance of having him/her in your life and you're completely willing to give up on temporary satisfactions that might ruin your future with your special person.

There are tons of other ways for you to know you're really in love with someone. When people say, "it is the little things that count", it is these little things that they mean.






How to Know If You're in LOVE?: V-Day Special

Drug addiction is a major problem in today's world. The major part of these drug abuse victims are teenagers. There are several reasons may drive your teen kid to hard drugs which include peer pressure, neglect, curiosity or just for the sake of being cool. This could be a major concern for the parents whose children get addicted to drugs but an important thing to keep in mind is that the only person who can help your kid overcome addiction are the parents.

Here are a few measures that can help your kid overcome drug addiction:
1. In order to put your kids on the right path, the most important thing is to show them love. You should keep aside your anger, fear and grief and approach them. Tell them why you are scared or angry. Proper love and affection is required to bring your kids back to the normal track.

2. Try to find their strengths and weakness. Your child should be complemented for any good thing he or she does. You should observe them properly and try to perceive their current nature and mental state.

3. You should try to keep your calm and talk to them instead of scolding, shouting or threatening them. You must also listen to them carefully and try not to react in any way. Talk to them about your concerns and see whether they are cooperating with you.

4. Getting your kids involved in some activity, which will let them mix with a different group of peers will be a positive remedy. You have to make them feel good about themselves. Try to find ways so that your kids will get into some positive, productive activity.

5. Fixing an appointment with a psychiatrist who deals with drug abuse situations can also help you deal with the issue. You must explain to your kids that there is an obvious reason behind their addiction, and it must be solved for their own good.

6. You should also connect with the counselors at schools and colleges. They have seen many cases like your child s and know about the situation well. You can enroll your kids in a substance abuse program which is connected with his school.

7. You must tell your kids that what they are doing is risky and illegal and as parents, you have the right to help them overcome this in order to maintain good health, and that you do not want them to go to prison.

8. Find an expert therapist specializing in teen substance abuse and make your kids have weekly appointments with him. A good therapist knows the best ways to guide your kids to the right path.
Drug addiction in kids is a common syndrome these days. If your kid is into hard drugs, you need to do your best to save him and help him overcome the addiction.

How to Help Your Kids Overcome Addiction?

Schizophrenia has been recognized as a mental disorder that combines symptoms like hallucinations with distorted thinking and others like fright and severe paranoia. This condition is one that gets progressively worse over time and leads to delusional thinking. Oversleeping and complaining of fatigue are usually the earliest signs of this condition's onset. Eventually, it becomes a debilitating factor in the life of the patient, who will not be able to function in a normal way due to the severe symptoms.

Read on to know more about the types and causes of this condition:

Genetic Causes: Schizophrenia may be caused due to genetic factors and it may be a learned or inherited disorder. It is known to affect patients who have a parent or a sibling who may have suffered from this condition. Yet, one must also remember that Schizophrenia can only be influenced by genetics, and not determined by the same.
Environmental Causes: When there has been an exposure to a viral infection during the pre natal stage, the patient is susceptible to this condition. Also, it may affect children who have been subject to the loss of a parent or separation at an early age. Physical and emotional abuse in one's childhood may also bring on this condition. Low level of oxygen at the time of birth is one of the causes of this condition in many patients.
Anomalies in Brain Structure: When the brain ventricles of the patient are enlarged, he or she may be prone to this condition. Also, anomalies in the temporal lobes and amygdala have links with the onset of this condition.
Types: A wide variety of mental and medical conditions can manifest with psychotic symptoms that must be considered in the differential diagnosis of schizophreniform disorder. These include psychotic disorder due to another medical condition or its treatment; delirium or major neurocognitive disorder; substance/medication-induced psychotic disorder or delirium; depressive or bipolar disorder with psychotic features; schizoaffective disorder; other specified or unspecified bipolar and related disorder; depressive or bipolar disorder with catatonic features; schizophrenia; brief psychotic disorder; delusional disorder; other specified or unspecified schizophrenia spectrum and other psychotic disorder; schizotypal, schizoid, or paranoid personality disorders; autism spectrum disorder; disorders presenting in childhood with disorganized speech; attention-deficit/hyperactivity disorder; obsessive-compulsive disorder; posttraumatic stress disorder; and traumatic brain injury.
Since the diagnostic criteria for schizophreniform disorder and schizophrenia differ primarily in duration of illness, the discussion of the differential diagnosis of schizophrenia also applies to schizophreniform disorder. 

Brief psychotic disorder. Schizophreniform disorder differs in duration from brief psychotic disorder, which has a duration of less than 1 month.

Residual Schizophrenia is a condition where the patient does not experience the various debilitating symptoms of the condition, and is on the road to recovery. Yet, even in this type of Schizophrenia, the patient will not really show any interest in life and the activities around him or her. Finally, the last type of Schizophrenia is Schizoaffective Disorder which is characterised by the symptoms of Schizophrenia as well as the symptoms of major mood disorders. When combined, this condition can lead to major complications and complex behavior.

A patient suffering from this condition will need to see a mental health specialist like a psychiatrist or a psychologist on an immediate basis. The treatment will be carried out on a long term basis for the results to start appearing.

Schizophrenia - Know the Causes Behind it

Role of relationship problems in depression and suicides - 
Almost everyday we read about people ending their lives by committing suicides from celebrities to common man to even children . Although this is not permitted in any religion and there is a legal debate on whether it should be legalized, the fact remains that people are driven towards this unfortunate step. Let's take a look at the common reasons for suicides to become so very common.

1) Lack of intimacy- We see that although we are surrounded by people most of people are having friends only on Facebook. Even among the people we interact everyday nobody wants to open up with anyone or allow you to open up with them.The fact that you are surrounded by people who don't share themselves with you intimately starts pulling your mind downwards. Work colleagues are bothered only about work, family is only bothered about the income you are generating, partners are obsessed with how much you can spend on them, friends are occupied with what benefits you can share with them. Therefore all in all, despite having all relationships, people feel left out and alone like as if their inner self has been left unwanted and uncared of. The monotony of mechanical life hastens the culmination of this abuse into drastic steps like suicide.

2) High demands- People are often left to fend with high demands from them from their social circle. Many people cannot attempt this and some who attempt are not able to make it. This leaves them with a feeling of failure which is often frowned and looked down upon whether it is a student or a professional. It is no surprise that today even below 10 years olds are successfully attempting suicides.

3) Inappropriate planning- Planning is a key necessity for successful results whether it is financial or relationships. but unfortunately many people are unable to obtain the correct know how which will enable to implement their plans successfully.

4) Inability to cope- Many people plan to do things but are unable to cope with the harsh realities that come with the plans. To some it may be unseen to some unbearable. So although they set out on doing something the journey is not what they had expected.

5) Lack of results- Sometimes although everything is planned well, executed well and completed well it does not fetch us the rewards that may seem appropriate to the level of efforts. This is something that is very difficult to deal for most people and is a result of many unfortunate casualties.

6) Lack of desire-It is very important to have something to look forward to in life. But unfortunately in an age where drinking water and using the toilet cost s money many people cannot think of having something to look forward to and hence this unfortunate step.

Therefore, you have to be very prudent in what we are doing today because we can never predict which way our lives may go and even importantly which way you may yourself go based purely on circumstances beyond our control dependent on the choices we make today or others make for us. Although suicide is not a sensible solution to any problem it does remain a common reality. If you are feeling suicidal please remember to seek help.

Please feel free to consult me privately for further assistance.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Health Tip - Role of Relationship Problems in Depression and Suicides

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