Drug addiction is one of the social menaces and in most people, what starts off as a result of peer pressure and trying to be cool ends up affecting lives significantly. It is not just social, but also affects financial, physical, emotional, and social well-being. The small periods of happiness given by the drug is followed by months and years of torment.

The National Institute on Drug Abuse (NIDA) has identified that drug addiction causes chemical and structural changes in the brain, leading to dangerous and self-destructive behaviours. The brain s response to stimulus like pleasure, joy, happiness, and pain are altered with constant drug abuse. For instance, the neurotransmitter called dopamine, which makes one feel good, is usually produced by the brain in small amounts. However, drugs increase this level to 2 to 10 times more, making the person feel extremely high and happy. Since the body is unable to reach the highest level of happiness on its own, the dependency on these drugs to feel good increases.

Repeated use of the drugs leads to increased dependency, wherein the brain refuses to feel good without reaching those high levels of dopamine. The issue is mostly seen in teenagers and young adults but can be seen in any age group.

October 2 is recognised as National Anti-Drug Addiction Day and nationwide campaigns and drives are done to help people overcome addiction. One of the main reasons a drive this size is required is because of the social stigma attached to the problem. Most families shun away from recognising it as a problem that can be easily treated, and so the affected person is sucked deeper into the problem.

Overcoming addiction: One of the main success factors for treating addiction is for the affected person to recognise that he or she is addicted and needs to get rid of the problem.

    There are national toll-free helplines that are set up, which can guide through the whole program. This way, if required, anonymity is maintained and support for overcoming addiction is increased.
    It involves a group effort involving the affected person, family and friends, medical and clinical personnel, and counsellors in some cases.
    Cognitive behavioural therapy: The person is made conscious of the change in behaviour and the way drugs affect it. Healthier patterns to be happy and joyful are discussed.
    In most cases, the underlying reason for reaching out to drugs needs to be addressed also to prevent relapse.
    Group therapies where the person makes friends who have faced similar issues and overcome the problem. This increases their accountability and commitment to getting rid of the problem.

Drug abuse is a national social menace and needs more free admittance and management.

National Anti-Drug Addiction Day - Overcoming Addiction

Speech therapy helps in improving the speech, understanding the language skills, and also help in communicating in non-verbal ways such as listening and taking turns. Speech therapy treats various kinds of communication and swallowing problems.

Children with Cleft Palate are diagnosed with an opening in the upper tissue palate in the mouth. This condition causes Velopharyngeal dysfunction (VPD) which results in excessive airflow from the nose while speaking. Although it can be corrected with surgery, the patient will still be affected by VPD.

Speech therapists help in this condition by assisting the patient with speech and language skills. The speech therapy for such a patient can be categorized as auditory feedback and articulation practice.

Auditory Feedback

Before involving the patient with any speech therapy, it is essential for the patient to understand the difference between normal voice and nasal voice output.

For this purpose, the child is instructed to use a tube to listen to the voice of the normal person. To understand the difference, one end of the tube is then held near the ear of the child and the other is held near his nasal and then he is instructed to make sounds so that he understands the nasal voice.

After this understanding, the different approaches to speech therapy starts.

Articulation Practice

This is usually where speech therapy begins. In this practice, the different type of condition is understood that relates to different speech organs. The understanding of different vowels, consonants and related sounds is taught to the child for making the speaking sound less nasal.

Some of the methods for achieving these sounds are:

Pharyngeal Plosives: This sound is produced when the tongue is moving backward. The practice of making  ng  sound, and dropping the tongue and producing  k  sound.

Pharyngeal fricatives: When the tongue retracts but is not able to make contact with the pharyngeal wall is when this sound is produced. The speech therapists make the child learn the techniques of making sounds of  t ,  ts ,  ch , or  sh , and provide feedback for learning the proper positioning of the tongue.

Nasal Plosives: This sound usually occurs when the tongue is positioned improperly and it obstructs the vocal tract. A speech therapist may make the child yawn so that the back of the tongue is pushed down, and feel as the mouth stretches.

Palatal-Dorsal Productions: It occurs due to the malocclusion of the teeth. Practicing sounds like  t ,  d ,  n ,  k ,  g , and  ng  often helps in such condition.

Take Away
Cleft Palate is generally developed due to improper growth while the child was in the womb. The difficulty of producing proper sounds when there is excessive airflow in the mouth can be overcome by training and practicing certain sounds, as instructed by a speech therapist.

 Cleft Palate - How Efficient Is Speech Therapy?

Anxiety is a very normal emotion, which gives rise to feelings of nervousness every now and then. An anxiety disorder is a serious medical condition in which people experience a high degree of distress and mental trauma, which causes difficulties in leading a normal life. People suffering from this medical condition experience high levels of anxiety and nervousness almost all the time. Here are the symptoms that indicate you're suffering from anxiety disorder.

1. Excessive worry - This condition persists if you worry about the day to day activities a bit too much on a regular basis. It is identified when you start taking too much stress about very petty things, which tends to affect you in an adverse manner. A noticeable sign of excessive worry can be too much fatigue.

2. Sleep problems - Problems falling asleep at the right time and problems in maintaining a sound sleep are two signs that indicate you have an anxiety disorder.

3. Irrational fears - This symptom is not generalized; instead, it is specific and subjective in relation to a particular thing or situation. The fears that are experienced under this category are sudden and unexpected in nature and there is no fixed rationale behind these fears.

4. Muscle tension - Muscle discomfort and pain is one of the leading physiological causes of an anxiety disorder. The pain felt is chronic and pervasive, and is very common among people facing situations of anxiety. If you are exposed to constant periods of anxiety, you will experience fatigue, muscle pains and unwillingness to work.

5. Chronic indigestion - Problems related to the digestive system are also a sign of anxiety disorder. In this case, you may face constant digestive problems accompanied by a common disorder called IBS (Irritable Bowel Syndrome). IBS refers to an anxiety situation in the digestive tract, which is characterized by stomach aches, cramping, bloating, gas, constipation, and/or diarrhea.

Apart from the above-mentioned symptoms, other symptoms of an anxiety disorder include stage fright, self- consciousness, panic attacks, memory flashbacks, perfectionism, compulsive behaviors, self- doubt, and such others.



How to know if you have an anxiety disorder?

Depression: Why is this Silent Killer Taking Our Youth Away?

Recently most of us were shaken by the death of the well-known television actress, Pratyusha Banerjee. Her sudden death has brought to light the very common yet under-addressed problem - Depression -  that a number of youths are living with.

Most mental and emotional health issues are inconspicuous in nature and, therefore, cause more harm than they otherwise should, most people still live with a number of symptoms of depression without even realizing it or do little to address it. When the depressive symptoms last for more than 2 weeks and affect the individual's personal, social or occupational life, it is known as clinical depression or major depression. There is often a delay in opting for the treatment because of the social taboo associated with depression.

Although cases of depression can vary from an individual to the other, there are signs that one can look out for, to identify a depressed person:

- Low mood most of the time of day along with frequent crying spells

- Feeling of unworthiness and low self-respect are very common in a depressed person. Due to these feelings, the affected person may become very critical and disapproving about himself or herself.

- Lack of enjoyment and loss of interest in a depressed person makes them no longer derive pleasure from things that once gave him or her happiness.

- Exhaustion and insomnia are signs that one should look out for in a depressed individual. These are usually due to changes in sleep patterns, from sleeping a lot because of feelings of constant fatigue or due to instances of wakefulness.

- From indulging in comfort eating to losing the will to eat, predominantly loss of appetite characterizes a depressed person.

- Difficulty in recalling details and tendency to over generalize as also problem-solving issues can point to the presence of depression

- Unexplained bodily pains and aches are another characteristics of the condition.  

What are the different types of depression?

Regarding the different forms of this mental health issue, it comes in several forms along with their distinct symptoms, effects, and causes. These are:

- Major depression

- Dysthymia

- Recurrent depressive disorder

- Seasonal affective disorder

- Bipolar disorder

How can it affect your life?

More than 90% people who commit suicide suffer from some form of psychiatric illness and depression is the most common reason. The despair that usually accompanies depression makes the thought of taking one's life as the only means available to escape the pain. In addition to suicidal thoughts, it can also affect one's functioning in day to day life if help is not sought in time.

Depression is as curable as any other illness. Both medical management and psychotherapy are helpful in treatment. Type of treatment depends on patient's condition, the severity of illness as well as availability.



Depression: Why is this SILENT KILLER taking our YOUTH away?

Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders. 

There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely  up,  elated, and energized behavior (known as manic episodes) to very sad,  down,  or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.

Bipolar I Disorder  defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
Bipolar II Disorder  defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
Cyclothymic Disorder (also called cyclothymia)  defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
Other Specified and Unspecified Bipolar and Related Disorders  defined by bipolar disorder symptoms that do not match the three categories listed above.
The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.

Mania-

Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.

The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals. 

You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
 
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
 
If you become manic, you may notice that you are:

Emotional:

very happy and excited
irritated with other people who don't share your optimistic outlook
feeling more important than usual. 
Thinking:

full of new and exciting ideas
moving quickly from one idea to another
hearing voices that other people can't hear.
Physical:

full of energy
unable or unwilling to sleep
more interested in sex.  
Behaviour:

making plans that are grandiose and unrealistic
very active, moving around very quickly
behaving unusually
talking very quickly - other people may find it hard to understand what you are talking about
making odd decisions on the spur of the moment, sometimes with disastrous consequences
recklessly spending your money
over-familiar or recklessly critical with other people
less inhibited in general.
If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong   although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues   and with other people's feelings. 

Depression- 

The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:

Emotional:

feelings of unhappiness that don't go away
feeling that you want to burst into tears for no reason
losing interest in things
being unable to enjoy things
feeling restless and agitated
losing self-confidence
feeling useless, inadequate and hopeless
feeling more irritable than usual
thinking of suicide.  
Thinking:

can t think positively or hopefully
finding it hard to make even simple decisions
difficulty in concentrating. 
Physical:

losing appetite and weight
difficulty in getting to sleep
waking earlier than usual
feeling utterly tired
constipation
going off sex. 
Behaviour:

difficulty in starting or completing things   even everyday chores
crying a lot   or feeling like you want to cry, but not being able to
avoiding contact with other people.
Causes:

Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as  neurotransmitters .
Treatment Methods:

Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.

Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.

Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.

Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).

Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications.

Bipolar Affective Disorder - Symptoms and Treatments

Depression can be caused because of many reasons. However, it can get worse or be triggered due to nutritional deficiency. However nutritional deficiencies and depression act in a vicious cycle. Depressed people often receive less or improper food which leads to malnutrition which again aggravate depression. Thus, both conditions should be treated simultaneously. Read further to know how:

Omega-3 fatty acids: An Omega-3 unsaturated fat deficiency can cause depression. That shows exactly how much fish, salmon, halibut or flaxseeds and walnuts we have to expend to be at an ideal level. These basic minerals lessen aggravation and take up a basic part in our mental health, particularly memory and disposition.
Vitamin D: Vitamin D deficiency is a noteworthy problem that specialists and general physicians perceive to be dangerous. This lack has been connected to depression, dementia and mental imbalance. The majority of our Vitamin D levels drop off during the fall and winter months, since daylight is the best source of vitamin D.
Magnesium: Odds are great that you are magnesium inadequate since a lot of people are. Sugar, phosphoric acid, perpetual anxiety, anti-infection agents and diuretics contain magnesium. Magnesium is infrequently alluded to as the anxiety counteracting agent.
Vitamin B complex: B vitamins like vitamin B6 and vitamin B12 have some great medical advantages, including decreased heart diseases and healthy skin and nails. Again, a vitamin B deficiency may affect your emotional wellness. Every one in four depressed or stressed woman suffers from vitamin B12 deficiency.
Folate: Individuals with a low folate level have just a seven percent reaction to treatment with antidepressants. Those with high folate levels have a reaction of 44 percent. That is the reason a lot of specialists are currently endorsing a folate called Deplin to treat dejection.
Amino acids: Amino acids are the building blocks of protein that help your mind work efficiently. An amino acid deficiency may make you feel slow, foggy, unfocused, and discouraged. Great sources of amino acids include meat, eggs, beans, seeds, and nuts.
Iron: Iron deficiency is truly common in women. Around 20 percent of the women and 50 percent of pregnant women are iron deficient. Just 3 percent of men are iron deficient. The most widely recognized type of side effect is the decreasing number of red platelets brought on by the lack of iron. The side effects include weakness, concentration issues and a foggy mind.
Zinc: Zinc is used by more proteins (a person has more than 300) than some other minerals. It is important to most of the body s systems. It also helps our stomach to determine what food items or nutrients to keep and what to dispose off.
Therefore, it is very important for a person to consume the right amount of nutrients that a human needs. Their deficiency not only causes depression, but also many other diseases and illnesses.

Nutritional Deficiency - Can it Cause Depression?

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