Do you have a family member or a close friend who is suffering from obsessive compulsive disorder? Obsessive Compulsive Disorder (OCD) is a disorder, which causes anxiety, and is also known as anxiety disorder. The disorder is featured by continuous, uncontrollable and unpleasant thoughts. OCD causes a patient s mind to get stuck on a certain inclination. Obsessive thoughts and compulsive behavior patterns indicate OCD.
Dealing with an OCD patient

After the initial diagnosis, a patient with OCD enters the stage of acute treatment. The treatment aims at coping with and overcoming the symptoms of OCD.

Education: Patients with OCD should get to know as much as possible about the disorder they are suffering from. You should help an OCD affected patient by providing them the opportunity to read about the disease, and talk to other patients, along with regular appointments with a clinician. A treatment plan has to be developed. OCD patients in an acute treatment stage should be taken to a doctor every week, in order to discuss their progress.
Therapy: Therapy helps them cope with the symptoms of OCD. Cognitive behavioral psychotherapy is undertaken for treating patients with OCD. This mode of treatment gives the patients psychological tools, which help them resist the ill effects of the condition.
Medication: Medicines are not required for all OCD patients. Some patients diagnosed with the condition are prescribed selective serotonin re uptake inhibitor or SSIs for dealing with the symptoms of OCD. The medicines should be taken for a period of three to four weeks before any results are experienced. 12 weeks are required for a patient to know whether the medicines are working or not. An SRI is ineffective in some cases, and you may be prescribed a non-selective serotonin re uptake inhibitor like Clomipramine. This affects the serotonin, but has positive impacts on other neurotransmitters in your brain.
Family support: Family members play an important part in helping OCD patients manage their condition by providing constant support, staying calm, and being educated about the condition. OCD patients should be treated with affection and should be complimented often. The observations of the patient by family members help a doctor in determining the patient s condition. As a family member or close friend, you must never be critical about the patient or state negative comments about his condition. Such feedback causes the patient s condition to worsen. Family members should discuss all problems they face regarding the patient to a doctor.
Patients who have completed OCD treatment require monthly check ups with a doctor for six months. A year of cognitive therapy is required to be carried out, along with the intake of prescribed medicines.

Obsessive Compulsive Disorder - How To Handle It?

Change in voice or voice mutilation happens when the voice breaks that commonly occur when a person reaches puberty. Before puberty, almost all the girls and boys have the same voice pitch. But after puberty, a boy s voice deepens an octave and the girl s voice deepens only several tones. Therefore, it becomes easy to identify the gender through voice. 

Another type of change in voice is known as voice crack. It happens when a person unintentionally enters a higher voice pitch zone for a brief period of time. It may be due to singing, shouting, talking in noise, and several other reasons. Also, there are several medical conditions leading to voice break or hoarseness. 

Medical Causes for Change in Voice

Acute Laryngitis: In this, the hoarseness or voice loss starts suddenly. One of the reasons can be a viral infection that causes swelling of vocal cords. Staying hydrated and less talk can treat it. 

Chronic Laryngitis: It can cause acid reflux disease. Exposure to irritating smoke, infections of vocal cords, or asthma can be some of the reasons. It can be cured only through medication.

Laryngopharyngeal Reflux Disease: This problem causes a change in voice. Due to this disease, people may also suffer from swelling issues, a lump in the throat, hoarseness in voice, and throat pain. 

Voice Misuse: Excessively loud voice, prolonged talking, and inefficient voice use can cause a change in voice and also known as voice misuse. 

Risk Factors That Can Cause Voice Disorder

Aging, alcohol use, and allergies are some of the major reasons for the voice disorder. Apart from these, smoking and throat cancer also results in a change in voice or voice disorders. All these are highly risky causes for the throat and may result in long-time problems. 

Some other risk factors are thyroid, psychological stress, and neurological disorder. 

How to Treat Voice Disorder?

One can use an air humidifier to keep the air of the surrounding moist because breathing moist air is a simple solution to the problem.

Giving rest to voice is also a solution.

One must drink plenty of liquids to keep the throat hydrated.

One must avoid whispering and decongestants to take care of the throat.

One must avoid shouting for a long time.

Avoid staying in a polluted area for a long time.

Gargling the throat every day with lukewarm water is good.

Staying warm during winters is also necessary.

All these remedies are simple and can be tried comfortably. A simple change in voice can turn out to be serious if not taken proactive measures. Therefore, one must not ignore any small unintentional change in the voice.

Conclusion
One must consult ENT doctor immediately for any sudden change in voice and if the problem lasts for a long period of time. 



Change In Voice - What Can Cause It?

Take a deep breath and relax! - a piece of advice given by yogis thousands of years ago. 

Modern-day life is not deprived of anxiety, trauma, mental stress, and depression in spite of the success in technological advancement that has made our life so much easier. Every aspect of life can be easily done with the majority of present-day inventions, yet mental peace is almost an obsolete element. This is because of the fast-paced stressful life that we lead.

Individuals are engrossed in the race of life rather than taking out time for self-counseling, contemplation, or just plain relaxing. Cutting out all the bustle and cacophony, people need to spend some time in contemplation and such an act is considered as meditation. It can not only solve issues relating to mind, but can also be a remedy for many health ailments as well.

Understanding Meditation

Meditation is a type of mind-body medicine. Meditation can produce a deep state of relaxation in mind. The act has been practiced for thousands of years. Today, meditation is practiced for stress reduction and relaxation.

During meditation, you focus your attention and eliminate the stream of perplexed thoughts that may be causing stress in your mind. This practice may result in enhanced physical and emotional well-being.

Improves heart and muscle functioning: When an individual is anxious or tensed, there is a release of cortisol and lactic acid which increases the levels of stress. The metabolism of the body is affected by these secretions. Cortisol is almost like a semi hormone that is vital for controlling metabolism. Meditation decreases the release of these chemicals and hence increase the functionality of heart and muscles.
Improves healing and cognition: According to extensive studies in human development and neuroscience, meditation has been proven to have clear effects on human brain and thus improve the wholesome functionality of the body. Also, it maneuvers our logical and cognitive skills. It is beneficial both mentally and physically by stimulating the brain to generate waves that bring it to the alpha state. This condition of the mind allows cell healing.
Other health benefits: Meditation helps you to reduce high blood pressure, elevated levels of blood lactate, and lessen panic attacks. It reduces any pain related to tension like ulcers, headaches, muscle, and insomnia. It also improves the immune system increasing your energy levels as well.
Mood booster: Meditation helps combat depression or mood swings as it helps secretion of serotonin that enhances our mood and thus works as an activity that elevates our mood. It is extremely beneficial for women to tackle Pre-Menstrual Syndrome and Menopausal mood swings.
Calms your mind: Meditation helps you to concentrate your focus on a single perception or experience, a no-thought stage, which is often detoxifying for the mind to unleash into an absolute state of rest. This is essential as it enables the body and mind to synchronize together to unravel and unwind. This state calms you from within, helps you to think about whatever problem is bothering you from a deeper elemental level and to a rational out the stretch. Your analytical perspective broadens and decisions made after that can never be wrong as it is propelled by a mature heart and a settled brain. It enriches you spiritually.
Meditation has an overall psychosomatic effect. Meditation can combat numerous problems. All you have to do is maintain the consistency.

In case you have a concern or query you can always consult an expert & get answers to your questions!

How Meditation Can Solve All Your Problems?

One of the most common personality disorders, BPD or borderline personality disorder often remains undiagnosed or repressed and gets passed off as mood swings or a volatile disposition. However this disorder is much more than just mood swings as it can seriously affect the quality of a person s life. The primary manifestation of this disorder is in the way you think about yourself and others which result in the work that you need to do on a daily basis.

How does BPD manifest in your life?
The most common ways Borderline personality disorder can manifest in your life is with extreme mood swings or emotions, a discernable pattern in relationships becoming unstable after sometime, impulsive behavior, and a self image which is distorted. BPD thus affects how you view yourself, how you feel about others and you resultant behavior in general. Some of the typical signs and symptoms of borderline personality disorder are mentioned below.

Persistent feelings of emptiness

Anger in inappropriate or unnecessary places, losing your temper very frequently, resulting in physical fights
Fearing abandonment intensely, whether it is real or imagined and thus going huge lengths to stop it from happening
Extreme instability in relationships which may cause a partner to be liked one moment and then hated the next
People with BPD also tend to be suicidal which is often caused by the fear of rejection or separation
Engaging in risky and impulsive behaviors such as
Engaging in unsafe sex despite being aware of the implications
Splurging money on gambling
Leaving a good job suddenly
A tendency to indulge in drugs
Binge eating
Reckless driving
Suddenly terminating a healthy and positive relationship
Sudden changes in values and self-identity and goals and feeling low about yourself as a result
Causes of Borderline personality disorder
In most cases borderline personality disorder can t be exactly attributed to a single cause and in most cases, is a combination of factors. While genetic or hereditary predisposition can cause BPD it may also be triggered by other factors. Also, not curbing mal-traits in young children or encouraging such behaviors may lead to BPD as they grow up. Some of the factors that contribute to BPD are

Genetics
Abnormalities in the brain
Childhood incidents which were stressful
Personality traits which have worsened
If you think you have been displaying some of the symptoms for a fairly prolonged period, it is advisable that you visit a mental health professional for counseling and start with therapy as advised by them.

Borderline Personality Disorder - How It Manifests In Your Life?

Have you ever noticed bar and clubs promoting energy drinks? You may have also bought energy drinks and alcohol, and tried mixing them. But what you don't probably know is consuming energy drinks with alcohol can be much riskier than drinking only alcohol. Since, very few people drink alcohol neat, a small shot of alcohol is usually mixed with juices, colas or more recently energy drinks to make a cocktail. While it is well-known fact that the sugar in these mixers is responsible for increasing the effect of alcohol on the body and weight gain associated with drinking, when energy drinks are mixed with alcohol, it can have an even more lethal effect on our bodies.

Studies show that this mix causes the brain to react in a similar way to how it behaves when in contact with cocaine. It can also cause permanent brain damage. This is because it stimulates the release of a protein cell known as FosB. This protein has the ability to permanently change the chemical connections inside the brain.

Some of the short-term effects of combining alcohol with energy drinks are:

Digestive troubles
Nausea
Loss of appetite
Depression
Hallucinations
Erratic sleep patterns
Violent behavior
Many of these effects can be a result of alcohol consumption as well and hence, it may not be attributed to the energy drinks being used as mixers. Regular consumption of such cocktails can increase your body s tolerance of this combination and make a person drink more. This can lead to long-term effects such as:

Malnutrition
Respiratory problems
Tooth decay and abcesses
Psychosis
Liver damage
Kidney troubles
Heart palpitations
Consuming alcohol tends to make a person feel sleepy and tired. However, when this alcohol is mixed with energy drinks, the caffeine in the energy drinks keep the person feeling energized and masks the effect of alcohol. This leads to a condition known as being  wide-awake drunk . In such a situation, the person begins to underestimate how much alcohol he or she is consuming. This creates a false sense of security and hampers with their judgement, balance and coordination. It also increases the risk of behaving erratically and getting into dangerous situations.

In addition to caffeine, energy drinks also have a high sugar content. A small can of energy drink can contain up to 30 grams of sugar. This is equivalent to about half the ideal amount of sugar one should consume in a day. The effect of consuming so much sugar is a fluctuation in blood sugar levels. If this fluctuation persists for a long time, it could lead to conditions such as diabetes and insulin resistance. Thus, along with understanding the ill effects of alcohol, it is also necessary to keep the effects of mixers in mind while concocting cocktails for your next weekend bash. 

Alcohol With Energy Drinks - Why It Should Never Be Mixed?

Addiction not only includes physical things we consume, such as drugs or alcohol, but also includes virtually anything, such abstract things as gambling to seemingly harmless products, such as chocolate, etc. In other words, addiction may refer to a substance dependence (e. G. Drug addiction) or behavioral addiction (e. G. Gambling addiction).

Causes

There is a link between the repeated uses of an addictive substance and how the human brain experience pleasure, its use has a nice reward, leading to further and more frequent use. The addictive substance, be it nicotine, alcohol or some drug actually causes physical changes in some nerve cells in the brain. After a while, the user of the potentially addictive substance does not get the same pleasure and has to increase the dose, as his/her body's tolerance to it increases. Eventually, the user no longer experiences pleasure from the substance and takes it simply to prevent withdrawal symptoms taking the substance just makes them feel normal. When tolerance increases, the risk of addiction is much greater.

Signs and symptoms

A person starts to show symptoms when a person takes the substance, such as nicotine, alcohol etc. And has given a serious attempt to stop, but is unable to do so because of the withdrawal symptoms. The body of an addict will go in withdrawal state when once the level of the substance abused is below a certain level. When a person goes in withdrawal state it will show signs, such as craving, bouts of moodiness, bad temper, poor focus, extreme temperament, poor focus, continuous feeling of depression, emptiness, frustration, anger, bitterness and resentment. Apart from these the addict will also display symptoms such as increased appetite, insomnia, constipation, and diarrhea. Withdrawal caused by some substances can also trigger signs like violence, seizures, hallucination, sweating and trembling, etc. However, the addiction continues despite health problem awareness. An addicted person commonly feels they need their drug in order to deal with their problems.

Investigation of addiction

Blood test is advised to determine whether the substance is still in the blood (whether the substance has been taken recently). Dsm criteria for substance dependence that is a patient diagnosed with substance dependence (an addiction) must meet criteria laid out in the dsm (diagnostic and statistical manual of mental disorders), a manual published by the american psychiatric association.

What you can do?

Acknowledge the problem and consult for help from an expert. Family members must be supportive in creating a congenial environment for the addicted person.

Role of homeopathy in management of addiction

The first step for the addicted person is to acknowledge that there is a substance dependency problem (addiction problem). The next step is to get help. In most of the world there are several support groups and professional services available. Treatment options for addiction depend on several factors, including what type of substance it is and how it affects the patients. Typically, treatment includes a combination of inpatient and outpatient programs, counselling (psychotherapy), self-help groups, pairing with individual sponsors, and medication.

Talking of medication, homoeopathy definitely has a major role to play in the de-addiction journey of a'patient. Over the years it has been seen that homeopathy has produced tremendous results in such cases. People have approached for quitting alcohol, smoking, drugs, etc. And majority of them have been wonderfully helped by homoeopathy. Those who haven't achieved desirable results have either lacked willingness or conviction on their own part, or have had a non-congenial and non-co-operative environment at home and work place. For any de-addiction plan to be successful for a patient these 2 factors are the most important. A willing person with a co-operative and supportive environment is much more receptive and responsive to the medical treatment.

The commonest attacking area for any addictive substance is the central nervous system (cns). The substance inhibits the release of neurotransmitters, which are responsible for carrying nerve impulses. Once these neurotransmitters are inhibited in their normal functioning, a person develops delayed nervous responses and irregular nerve impulses leading to addiction. It is a vicious circle. So, as the centre of attack is the cns, a medical system that boosts and strengthens the cns would automatically prove beneficial in such dreadful cases. Homoeopathy is that very medical science! the homoeopathic medicines are absorbed through the nerve root endings of the tongue and directly hit the cns. There are some very powerful homoeopathic medicines, which have the ability to shake up the cns and work in a normal manner as it is used to be. These homoeopathic medicines, thus have the ability to develop control and also the power to abstain from the substance in later stages of the treatment.

But the first and foremost attempt is made to manage the withdrawal symptoms. It is the fear of the withdrawal symptoms only that a patient may lose conviction and confidence in him and give in to the indulgence once again. This is where the role of family and friends also comes in. When the struggle of 1 man becomes fight for the whole team; chances are very high of coming out victorious. There are brilliant medicines in homoeopathic science, which can help the person in managing and fighting with the withdrawal symptoms with ease. Medicines like nux vomica, kali phos, arsenic album, coffea cruda, aconite, gelsemium, argentum nitricum, ipecac, acid sulphurosum, caladium, daphna indica, quercus, etc. Have proved to be extremely effective in helping a person wean off completely of the addictive substances.

Mind the mind

Over the past two issues, we took up the burning problem of addiction as a mental illness, explored its, nature and probable causes that go into the making of an addict. The current issue is aimed at spreading awareness about the available evidence based psychological treatments for de-addiction.

1. Psychotherapy: also called as'talk therapy, is aimed at helping the patient to understand the link between their thoughts, feelings and behaviour so that the maladaptive ones can be replaced with more adaptive and productive processes. Interventions in terms of cognitive behaviour therapy (cbt), motivation enhancement therapy (met) and behaviour therapy are efficient in the treatment of addiction behaviour.

2. Craving control: use of certain medicines and behavioural techniques can help a person deal with the intense feelings of craving when it seems too much to bear. It gives a sense of greater control to the person over the substance, which in turn motivates him/her to stay away from using the substance. Many people report that they tend to continue the abuse the substance since they are unable to handle the period of intense craving, which can come all of a sudden.

3. Relapse prevention: arguably it is the most important component of de-addiction program. Leaving the substance is not that hard, but staying away from it is the most difficult part as reported by many patients with addiction. To ensure that the person stays clean and healthy without the substance, they are taught some techniques like asking for help whenever they feel the need to do the substance or staying away from potentially, dangerous situations, like going to party where alcohol is available. With therapy, the individual gains more confidence in his/her own abilities rather than depending on the substance for facing life situations. In addition to this, they also start enjoying their life without the substance. Both the patient and his/her family play an important part in this process hence they are educated about it and are advised regarding appropriate ways of ensuring sobriety for the patient.

4. Alcoholics anonymous (aa): it is a self-hellp group in which ex-alcoholics come together and share their experiences, for instance how they got into drinking, how it affected their life and now how they are maintaining their sobriety. These are mostly weekly sessions and have been found to be very effective in supporting the recovery of alcoholics to stay motivated and be clean without the use of alcohol. Similar to aa, there is na (narcotics anonymous for drug addicts) and al-anon (for the family members and friends of problem drinkers).

5. Yoga and exercise: a healthy daily routine with yoga or regular exercise promotes feelings of general well-being and ensures healthy mind and body. It detoxifies the body faster and even helps in recovering from the damage caused due to excessive substance use.

6. Social skill training: an important aspect for being away from drugs/alcohol is the ability to say no to such offers from others. Assertive behaviour, healthy communication pattern and good problem solving ability are skills that are taught to assist the person to stay healthy without feeling the need to take the substance.

One of the simplest, yet very powerful principles of staying healthy is'one day at a time! instead of making any long-term plans for staying sober, which might seem over-whelming and extremely difficult, just plan for that very day and decide to be clean without the substance.

Addiction: Signs and Symptoms

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