The feeling of instability is the crux of borderline personality disorder. This condition usually begins in early adulthood and is worst at its onset. As a person ages, borderline personality disorder usually improves and becomes easier to handle. For a person with borderline personality disorder, everything from their relationships to their moods, thinking and behaviour is unstable and constantly changing. This can be frightening but thankfully, this condition can be treated.

As with any other personality disorder or health issue, the earlier a condition is diagnosed, the easier it is to treat. Hence, it is important to understand the signs and symptoms of this disorder. This disease manifests itself in different ways in each person but some symptoms are commonly experienced. These include:

Fear of abandonment: No one likes to be alone, but people suffering from borderline personality disorder are terrified of being abandoned. Even something as simple as being stood up at a meeting, can make such a person extremely anxious. It can also lead to relationship problems by making the person seem clingy and jealous about their partner.
Unstable relationships: For a person suffering from this disorder, relationships are either perfect or failures. Hence their relationships are extremely passionate but very short lived and they often feel disappointed by their partners.
Unstable self-image: People suffering from this disorder may feel very confident one day and feel the opposite on the next. Though everyone has shifting views of their identity form time to time, for people suffering from this personality disorder, theses shifts are extreme. It can often lead to frequent changes in jobs, friend circles, relationships, goals and values. It can also cause changes in their understanding of sexual orientation.
Impulsive behaviour: People who display self-destructing and attention seeking behaviour may suffer from this condition. This disorder has been often associated with alcoholism, drug abuse and recklessness.
Suicidal behavior: People suffering from this disorder may often be associated with behaviour that physically harms them. They are also capable of following through on suicidal threats.
Mood swings: Extreme fluctuations in emotions and moods are a common experience or people suffering from borderline personality disorder. These mood swings usually start only a few minutes of a few hours unlike depression and other anxiety disorders.
Suspicion about everyone around: Borderline personality disorder can make a person struggle with suspicious thoughts about everyone around them and make them paranoid. They often feel out of touch with reality and can feel spaced out when under stress.

Borderline Personality Disorder - Signs and Symptoms!

We all have those days when we seem to have hit an all time low. We feel bad, sad, mad, and there seems to be no light at the end of the tunnel. However, this is a temporary, passing phase for most of us. But for people with depression, this is not the case.

Chronic depression, which is more common in women than men, can arise due to different reasons. Major life changes, marital issues, relationship issues, financial problems, chronic medical problems, death of loved ones, life stressors, weather changes, etc. can lead to depression.

This leads to prolonged periods of sadness, feeling of emptiness, loss of interest in activities which were normally pleasurable, irritability, sleeplessness, loss of appetite, weight gain, worthless and hopeless feeling, and feeling of doom. This can result in dejection, social withdrawal, poor performance at work/school, and an overall declining quality of life.

In most cases, there is usually a past, unpleasant experience which leads to depression. This could be different for different people, depending on their tolerance. While some may go into depression over minor relationship issues, for others, it could be as severe as sexual abuse in the past.

Ayurveda recognizes  sadhaka agni  as a fire that helps a person to digest trauma. People with a strong sadhaka agni have a higher tolerance and take more time to get depressed compared to people who have a weak fire in them.

The following are some simple changes that can be very useful in overcoming depression.

Meditate for about 20 minutes every day.
Realize and practice detachment. Most people with depression have a loss of something they were closely attached to. Realizing that nothing in life is permanent and letting it go will play a major role in feeling better.
Get a sound, restful sleep. Stick to a routine by going to bed and getting up at the same time every day.
Walk out in the sun and get a good dose of sunlight. Add exercise to sun exposure to feel elated and upbeat about life in general.
Exercises such as yoga, walking, and cycling also are useful in improving overall balance and health. A healthy and fitter body definitely leaves one in a better mood.
Eat healthy food. Avoid packaged, canned, and processed food. Include a lot of nuts and seeds in your diet, be it roasted or soaked.
Try mood uplifting food items like black pepper, dry ginger, turmeric, amla, cloves, and cardamom.
Herbs like ashwagandha, shatavari, brahmi are highly useful in curing depression. They also treat fluid balance, govern energy and creativity in the body, improve metabolism, and clear toxins.
Ayurveda believes in not just making one feel better, but improving his/her overall well-being by getting to the root of the issue.

Depression - 8 Steps To Help You Get Rid Of It!

When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of the current lifestyle diseases from diabetes to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.

The statistics around tobacco abuse are extremely startling and can be read below:

A total of about 90 trillion rupees are spent on various tobacco products.
About 1.4 trillion is spent on healthcare-related to conditions caused by tobacco abuse.
India has about 120 million tobacco users.
More than 7 million people die every year due to tobacco usage.
The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.

This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.

In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating  Smoking Kills  or  Smoking is injurious to health. 
Marketing campaigns are shown in the movie theatres at the beginning of movies which depict the hazards of tobacco
Smoking is banned in most public areas, and warnings are on display.
Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
Schools and colleges do not have tobacco selling within 100 meters of the campus.
The price increase ensures that not everybody has easy access to cigarettes.
Celebrities promote quitting tobacco and smoking by talking about their personal stories.
How can a healthcare professional help you?

A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support. 

What should a healthcare professional do?

Identify people who smoke 
Motivate them to quit or think about quitting
Refer a person who smokes for treatment and support
Support ongoing abstinence
What is the right smoking cessation strategy?

Ask: Every smoker to visit a healthcare professional
Advice: Urge the smoker to leave smoking
Assess: Assess whether the person is willing to quit in 30 days
Assist: Plan and help Rx Quit
Arrange: Arrange a follow-up through phone or SMS or in-person
What is that people who smoke need help with?

First and  the foremost challenge are the withdrawal symptoms 
Urge to smoke and borderline depression with a possibility of relapse
People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?

Behavioural support is of proven efficacy
Can be delivered in different formats
Face-to-face
Telephone
Internet
Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)

There are no real contradictions related to NRT
No drug interactions 
Side effects, if there are any are localized e.g.
Taste of oral products
Hiccups with the mouth spray 
Skin irritation with patch 
Treatment for quitting Nicotine  - Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion. 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

If you are living with bipolar disorder then you will need a combination of skills to successfully combat each day of your life. Educating yourself about the disorder is the first step, however, there are certain tips that can come in handy on numerous occasions. 

Here are 5 tips that will really help you out:

Educate yourself about the disorder: The first thing you need to do is educate yourself about the details of bipolar disorder. Find out about the symptoms, read about the causes and the diagnosis procedure and ultimately find out everything about the treatment. Your doctor will provide you all the information and suggest you all the required treatment procedures. However, don t try to self-diagnose and self-treat your disorder without an expert opinion.
Stay connected with your friends and loved ones: Isolation is not the best way to handle bipolar disorder. The more you isolate yourself the higher the risk of mood swings. This lack of connection will lead to depression and that should be avoided at all cost. So try to be as connected to the world as possible. Talk to your family members, hangout with your friends, spend time with people around you; and you will feel a lot better.
Track the symptoms: Keep a daily log of your moods, thoughts and behaviors. This is a fantastic way to track the symptoms of the disorder. This will be revealing in the end, as when you present them before the doctor, he/she will be able to easily diagnose your condition. Try to keep track of particular incidents that may trigger any stress and change in behavior and log the mood episodes that you may have experienced pertaining to those triggers.
Employ coping mechanisms: It is not always possible to call on your doctor or counselor, so try to develop your own coping mechanism with the help of your doctor or counselor. Your mood episodes are going to be spontaneous so the coping mechanisms should be kept in mind. It can be anything that induces calmness in you such as staying connected, happy thoughts, music and any other healthy habits that captures your interest and engages you in something else.
Create a crisis plan: Create a contact list that will include the people, serially, who should be contacted in case of an emergency or a crisis attack. If you feel like you are experiencing any symptoms then contact them for help. When you are out of control, you will not have much time, so it is also advised to keep emergency numbers on speed dial to get yourself hospitalized without any time loss. Add your loved ones to the emergency contact list.


Suffering from Bipolar Disorder - 5 Things That Can Really Help!

Panic disorder is a condition that strikes without reason or caution and can be serious. Indications of panic disorder usually include sudden attacks of panic and anxiety, in addition to physical side effects, such as sweating and a pounding heart. During a fit of panic, the reaction is based on the circumstances, which may not be threatening in general, but triggers a feeling of panic. After some time, a person with a panic disorder builds up a consistent fear of having another fit of anxiety, which can influence the every day functioning and lifestyle in general. Panic disorder usually occurs alongside other conditions like depression, liquor abuse, or drug abuse.

You might experience the ill effects of a panic disorder if you:

Encounter frequent, unforeseen fits of anxiety that are not attached to a particular circumstance or event
Stress over having another fit of anxiety
Are trying to avoid the places of your precious panic attacks
The most common symptoms of a panic disorder are as follows:

Trouble relaxing and feeling uneasy most of the time
Beating heart or abdominal pain with a feeling of nervousness
Serious irrational and emotional fear
Feeling as if you are out of breath
Feeling as if you are being choked or smothered
Dizzy spells
Trembling or shaking
Sweating constantly
Feeling nauseous or having a stomach ache
Shivering or numbness in the fingers and toes
Sudden chills or hot flashes
A fear that you are losing control or are about to die
While a single panic attack may just last a couple of minutes, the impact of the experience can leave a long lasting impression and make you susceptible to more such attacks. In case you have this issue, the repetitive fits of panic take an emotional toll. The memory of the fear that you felt during these attacks can affect your self-confidence and cause interruption to your regular day-to-day existence. In the end, this prompts to the following panic disorder effects:

Expectant uneasiness: Instead of feeling like yourself in the middle of panic attacks, you feel tensed and on edge. This uneasiness originates from a dread of having future attacks of anxiety. This fear is seen more often than not, and can be extremely disabling at times.
Phobic avoidance: You start to stay away from specific circumstances or situations. This might happen since you are maintaining a strategic distance because of your previous panic attack. On the other hand, you may stay away from areas where escape would be troublesome or help would be inaccessible in case you had a fit of panic.
Medicines: Medicines can be used to control or decrease a majority of the side effects of panic disorder. Even if medicines do not form a part of the main treatment, when combined with other treatments, medicines are very effective. Eg. therapy and lifestyle changes.

Panic Disorder - 12 Signs You Are Suffering From it!

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?

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