The first question when you greet somebody is 'how are you' and this often refers to our state of well-being. While most answers would be great, awesome or good, we usually think of how we are doing physically. While some of us may talk about physical conditions (say things like feverish, have a cold, etc.), not many would think of talking about mental health conditions. However, mental health is very important for overall well-being. 

Can you think of someone who is severely depressed or anxious all the time and have a good physical health? Chances are very bleak, and if you consider the overall health as a mix of mental and physical balance, this is not possible. Read on to understand how important mental health is and why you should start paying more attention to it.

Improved physical health: If someone is in a stressed state, it is obvious that they would not be able to do the activities they enjoy. Being affected mentally also leads to reduced immunity and sleep disturbances, making the person prone to infections and other disorders. Stress is one of the main risk factors for chronic medical conditions like heart disease and diabetes.
Improved prognosis: Most often, doctors focus on treating the physical aspects of a person s health. However, with recent emphasis on mental health, more and more doctors are looking at wholesome measures to improve a person s health. Results show that when a person s mental health is also addressed, the physical ailments respond very well.
Improved productivity: People with unattended mental health disorders often resort to absence from work and/or school, can have financial instability, be homeless and can fall repeatedly. Being mentally healthy provides overall changed perspective of life and therefore improves productivity.
Improved personal relationships: Children of people affected with mental illness are prone to neglect, abuse, rejection, and behavioural issues. There is also social isolation, which may lead into adulthood, and these children may also have emotional health problems. Others in the close circle including spouses, siblings, parents, close friends and colleagues would be clearly affected by a person who is mentally unhealthy.
Social effects: These people are highly prone to social crimes like rape, murder, theft, violence, etc. They may not be able to afford their treatment and/or resort to these crimes to assert themselves.
Improved quality of life: Life expectancy is higher in people who are mentally healthy. Even with mild symptoms of anxiety and depression, this is reduced, and the chances of a happier, healthier life are reduced.
Whatever the effect, mental health needs to be addressed as equally as we do physical problems, using medications, counselling, or lifestyle changes.

Mental Health - 6 Reasons Why You Should Take it Seriously!

Do people really suffer from mood disorders?

Mood disorders are common psychological problems that affect a vast portion of the human populace all over the world every year. These occur when there is a shift or imbalance in a person's psyche which affects his or her daily function and interpersonal relations in varying degrees. Each individual is affected by these conditions in a different capacity and responds to them in a distinct manner.

Mood disorders generally manifest themselves as fluctuations in a person's temperament. It is triggered by various factors. These mental illnesses range from mild to severe, the latter requiring urgent psychological counseling and treatment. A mild condition may even develop into a painful and chronic one without any form of remedial intervention.

What are the most common types of mood disorders?

There are many distinctive categories of mood disorders that can affect a person. The most commonly occurring ones are as follows:

- major depressive disorder

- bipolar disorder

- dysthymia

- cyclothymia

- seasonal affective disorder (sad)

Major depression is the most frequently occurring type of mood disorder. It causes mental and emotional turmoil, as well as physical anguish. Those affected by it may experience a single episode in isolation or multiple episodes over a period of time. The milder version of this condition is known as dysthymia.

Bipolar disorder is a comparatively rare condition that causes alternating states of extreme mania and depression. It is also known as manic-depressive illness. The mild version of this is called cyclothymia.

Seasonal affective disorder or sad is a depressive disorder that is known to affect those living in colder climes. It is caused generally by the lack of warmth and light, the onset of which begins in late autumn and lasts till the end of winter.

What causes a mood disorder?

Mood disorders are very difficult to diagnose as they can be caused by an assortment of triggers and the symptoms are not always apparent. This is particularly true in the case of dysthymia and cyclothymia.

Some of the usual factors that lead to mood disorders are:

- chronic stress and anxiety

- anomalies in the functioning of the nervous system

- prolonged periods of isolation

- genetics

- childhood abuse and trauma

- ineffectual coping mechanisms

- insufficient nourishment/malnutrition

In most cases, a combination of multiple factors usually leads to the development of mood disorders and other mental illnesses.

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Related Tip: 5 Mood Uplifting Foods You Must Keep Handy

Do People Really Suffer from Mood Disorders?

Humans are social animals who thrive on reciprocality. It is in our basic nature to be socially courteous, and the word 'No' feels like a conflict that warns a potential relationship. Many of us tend to comply with every single request that is put forward to us by our peers, family, or at the workplace by our superiors. We choose to take up more jobs than we can efficiently handle and put unnecessary stress on ourselves even at the cost of our time and well-being. Must we always do that? 

Why is it so hard to say 'No'?

People have the notion that saying 'No' can come across as rude or uncaring. You may feel that you are letting someone down by turning down their request or risking a relationship. But, it has mostly to do with your self-confidence than your relationships with people. It may branch from overbearing parents, high expectations set by your peers and mentors or experiencing parenthood yourself and setting unreasonable standards for yourself. Childhood influences are usually the biggest cause of people always saying  yes  all the time.

People who have low self-confidence tend to value their own needs less than the needs of others. Saying 'No' feels rude, and no one wants to be impolite.

Well... saying 'No' does not mean you are being rude or disagreeable.

At the end of the day, it is more about how you say 'no', rather than just saying the word 'No'. Saying 'No' is about valuing and respecting your own time and priorities. 

How to start saying say 'No'?
If you want to take a step back and start saying 'No' to make sure your own needs are valued, here s what you need to do.

Refuse politely, when it seems not possible: Do not overcomplicate responses and try to be as simple in your responses as you can be. If you are asked to do something, and you want to say 'no', try to be polite in your body language and state that it is not convenient for you at the moment and that you would rather get back to it later.
Seek time before committing: The transition from saying  yes  all the time to saying no does take time! Start to give yourself more time and ask people to get back to you later. This way you can begin to build more self-confidence and learn to say no over time. This also allows you to evaluate your response instead of immediately saying yes or no to the person asking the favor or task.
Do not feel guilty: Deep down if you want to do a favor, you can go ahead with it, but you should also understand that it is okay to say no, and there is no need to associate guilt with it. You should set boundaries and allow people around you to understand how much favors they can ask you for instead of presenting you with an endless amount of favors from you.
Set your boundaries: Refusal does not amount to rejection as you have just as much right to say  no  as the person who is asking the favor from you. You are simply turning down a request, and in most situations, there is a middle ground for compromises where both you and the requester can be satisfied. If you have limited time to fulfill a request, let the person know and help out only as much as you can without overstepping your boundaries.
Bringing in these changes can help you be more self-confident, and at the same time enable you to say no when you need to without weighing yourself down with expectations and fear or rejection.

Simple Steps To Help You Say No!

Personality refers to the enduring and habitual patterns of behaviour, cognition, emotion, motivation and ways of relating to others. In simpler terms, it's the persona we have for the world to see and interact with. If these patterns or ways of relating with others become nonadaptive or pathological, a personality disorder develops.

Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.

The symptoms begin to appear from early childhood but they take a serious form only when one reaches adulthood. Issues with behavior and emotion are difficult to treat, people suffering from this illness should be willing to spend a lot of time and be dedicated towards his/her recovery. Through treatments and therapies, they do make significant improvements over time.

Causes

The exact cause of borderline personality disorder is not known but various reasons have been hypothesised as possible aetiology. Neuro-chemical disturbance in the brain, genetic vulnerability, some kind of childhood trauma like abandonment, death, neglect and/ or sexual abuse are probable causes of the disease. Prolonged and chronic stress/ anxiety may also lead to triggering of BPD symptomatology in vulnerable individuals later in life.

Symptoms

Prolonged dysthymia/ sadness
Feeling lonely/ misfit
Emotional dysregulation or Frequent mood swings
Significant interpersonal issues
Self-Injurious behaviour like making cuts in skin, burning, pricking etc

These symptoms are warning signs of borderline personality disorder and should be paid attention to:

Abandonment issue - People suffering from BPD have serious abandonment issues. They have an intense fear that they would be left alone and often act out to restrict their love ones from leaving. Sometimes their strategy is to not get too close to protect themselves from being left alone, so they appear aloof.
Disturbed self-image - People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
Dysfunctional relationships - It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak.
Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common.

Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional Psychotic states are other possible symptoms of BPD.

Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life.

All about Borderline Personality Disorder

Don t like social gatherings? Have you always been the one who avoids family get together? If your answer is affirmative, then you are probably suffering from Avoidant personality disorder.  Avoidant personality disorder is a psychological condition wherein, one feels extremely shy. Becoming overly sensitive to rejection and developing feelings of inadequacy are common signs of this disorder. This disorder can lead to problems in your work life and relationships. 

Symptoms
With APD, the commonly surfacing symptoms would include disapproval and disregard of situations and people, rejection and embarrassment. It generally gets very difficult for the one to get acquainted with new people and form intimate relationships. One generally ends up misinterpreting people s comments and criticism thus, feeling angry and frustrated all the more. 

Causes
The exact cause of APD has not been established yet. It is believed that environmental and genetic factors play a role in this disorder. People who are inherently shy and reserved are usually prone to developing this psychological anomaly. 

How do you treat APD?
In order to treat APD, you can opt for the following modes of treatment:

Psychotherapy: Cognitive behavioral therapy is a treatment option for APD wherein, the doctor counsels on how to change one s thinking patterns and thought process, thus, influencing his/her actions.
Psychodynamic psychotherapy: Psychodynamic therapy involves you becoming aware of the unconscious thoughts. It helps you figure out how your past experiences frame your behavior. Your past emotional pains can be resolved with this technique so that you can move ahead with your life. 
Medications: Anti-depressant medications used to treat depression and anxiety can be used to treat APD.

Prefer Social Isolation - Can it be a Sign of Avoidant Personality Disorder?

Borderline personality disorder (BPD) is a type of personality disorder characterized by an ongoing pattern of varying moods, self-image and behaviour. This often results in impulsive actions and problems in relationships and at work. You may experience intense episodes of various emotions like anger, depression and anxiety that may last for a few hours to a few days.

Diagnosis of BPD
If you experience the following 10 symptoms for a long time or if they have had a huge impact on your daily life, you may say that you are suffering from BPD:

Feeling of being abandoned. You feel that people may abandon you and are constantly worried about that. You would do anything to stop it.
Frequent mood swings. You experience intense emotions that last from a few hours to a few days. E.g. You suddenly start feeling low and depressed after feeling very happy and confident for a while.
Lack of identity. You don t know who you are and do not have a strong sense of your being.
Unable to sustain relationships. You find it very hard to retain relationships and make new ones.
You feel empty from within all the time.
Make impulsive decisions and show sudden reactions. You do things to harm yourself like binge eating, drug abuse or driving dangerously.
You inflict pain on yourself or have suicidal feelings.
You have anger issues which are very difficult to control.
You get paranoid or dissociate when you re stressed.
You experience all your emotions very intensely be it anger, happiness or sadness.
Self-Care - How can you help yourself?
If you start feeling overwhelmed, focus on one feeling at a time. It will help channelize your energy and thoughts into finding a solution for that emotion. Different therapies help different people at different times. You are the best judge to decide what benefits you the most.

Follow these tips to get through the various emotions that you may experience.

When you are angry and frustrated
Rip a newspaper
Hit a pillow
Listen to your favourite music
Go for a walk or do some vigorous exercise
When you are depressed and lonely
Wrap yourself in a blanket and watch your favourite movie or TV show.
Write all the negative feelings on a piece of paper and tear the paper.
Use positive affirmations to comfort yourself.
Cuddle a pillow/pet/soft toy
When you are tensed and anxious 
Try to shift your focus to something else like music, yoga or meditation.
Take a deep breath, use relaxation techniques and focus on your breaths.
Take a warm bath to help soothe your mood.
When you want to harm yourself
Rub ice over the parts where you want to hurt yourself.
Take a cold-water bath to cool yourself.



Borderline Personality Disorder (BPD) - Tips To Help You Diagnose The Problem!

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