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?

Do you believe that the world is a hostile place and you are a victim? Are you the one who often doubts his or her abilities? If so, you might be showing signs of low self-esteem. Interestingly, self-esteem has nothing do with your actual ability or talent. Your looks, weight or skills are not responsible for your low self esteem. It largely depends upon the fact that how you value yourself.

It has been observed in most cases that self-esteem is often affected by a number of reasons, including ill-health, unpleasant memories from the past, and termination of relationships. Low self-esteem is generally marked in survivors of physical or sexual abuse, victims of racial discrimination or people who have had a traumatic past life.

If you don t pay attention towards this issue, you might end up developing certain serious mental disorders. Low self-esteem is also the root cause behind the occurrence of mental disorders like borderline personality disorder, depression, etc. However, there is nothing to worry about it. There are certain simple things that are useful in building up your self-esteem.

Here s all that you need to do to start believing in yourself and be confident about your capabilities:

1. Remember your strong points: Make three separate lists of your strengths; achievements and your qualities that you admire. Take help from your friends, parents and other well-wishers for preparing these lists. These lists will help you in understanding your abilities and goodness. You will be able to believe in your strengths. You must read through these lists at least once daily.

2. Be positive: Optimism and a positive approach towards life are the key to success. Your self-esteem is influenced by the fact that how you look at life. Life is not a bed of roses. It is unavoidable that you will have to face critical situations or problems in life. But, what is important is to face them with courage and a faith in your own abilities. Be positive and stop developing negative thoughts about yourself. Get rid of thoughts like  I am a loser ;  I can t get rid of this problem ; etc.

3. Take care of your body: Your outward appearance sometimes works wonders in lifting up your inner-self and spirits. Keep yourself clean, trim your beard or hairs; cut your nails; don t forget to floss your teeth and maintain overall personal hygiene to develop a feeling of goodness.

4. Sleep well: A good night s sleep is essential for boosting up your self - esteem.

5. Eat right: A balanced diet is a key to good health. Eating the right food in the right way keeps your mental and physical health all right. Include minerals and vitamins in your regular meals. Avoid distractions like television or radio while taking meals.

6. Exercise: Regular workouts keep you away from mental-ill health.

7. Be cool and comfortable first: When it comes to your dressing, try to put on attires that you can carry well. Wear stuffs that you love the most.

How to Build your Self Esteem?

In order to determine whether a person is having a drug problem, there are several signs, which can be interpreted to know about the exact drug abuse state of a person. Drug abuse requires immediate attention before it becomes more problematic. There are several patterns and stages of drug use that have been listed below:

1. Hard drug use: Heroin, cocaine and methamphetamine fall under the category of hard drugs and are the most dangerous drugs. There are severe effects on the health and behavior of a user of hard drugs. Some people use these kinds of drugs for recreational purposes, but some can get addicted just after using them once. Such people usually isolate themselves from society and possess a high-risk behavior.

2. Frequent drug use: Frequency alone cannot determine whether a person is addicted to a certain drug. Some people may take drugs only once and twice a week, but still suffer from acute addiction. Frequency of drug use may indicate tolerance and a person may require more with each day. Frequent drug users usually keep on continuing the habit and it is hard for them to quit.

3. Early drug use: Some people start taking drugs at an early age during adolescence, and they are likely to develop severe drug problems later in life. People who take drugs before the age of fifteen turn out to be addicts as they grow up. The earlier a person uses drugs, the earlier he becomes addicted. Early drug use is a common phenomenon in today's world.

4. Solitary drug use: Using drugs and addictive substances while a person is alone may result in fatal addiction and various problems in life. Teenagers using alcohol, marijuana and cigarettes are prone to serious drug problems during adulthood. Solitary drug users are usually poor in studies and have a violent or abusive behavior.

5. Escapist drug use: Many people use drugs for dealing with stress, several problems in life or for building self esteem. These are used as a substitute for escapism, which allows a person to escape from reality to a place where nothing bothers them and they can be at peace. Such people are likely to develop drug problems. Some people may experiment with drugs just for the sake of trying, but slowly they may like it and get addicted. This causes several problems in life, and a drug problem arises. Such drug problems may affect the health in many severe ways.

Drugs are used in several patterns. All people do not use drugs in the same pattern and frequency. The pattern of drug use by a person lets the doctor determine the level of drug abuse he is on, or if he is addicted.

Patterns of Drug Abuse

Life has its ups and downs, but often we hold on to the downs for much longer than the actual event. While the trigger or anger, pain and hurt are beyond our control, the amount it can affect us is well within reach. Here are a few ways to cope better with emotional upsets.

Give yourself a window to be upset: Be realistic and give yourself a time frame to give in to your emotions. Whether, angry, sad or frustrated tell yourself that you have only 1 day to be upset. In a way, this will diffuse the anger and frustration and once this time is over, you can start planning ahead.
Take responsibility: Try analysing what you may have done to make the other person react in the way he or she did. Focus on what you could have done better and you will find yourself feeling more empowered.
Get physical: Exercise and other forms of physical activity decrease stress hormones and increases the productions of endorphins or happy hormones that elevate the mind. Exercising also gives you time to focus on yourself without distractions.
Express yourself: Whether it s through art or writing, find an outlet for your emotions. This keeps it from being bottled up inside and gets the pain and frustration out of your system.
Breathe: Breathing techniques like ujayii and anulom vilom can help calm the mind down when it is troubled and upset. These breathing techniques also keep your emotions from escalating.
Get company: It is never a good idea to isolate yourself when you re feeling blue. Instead, find people who you can open up to and share your thoughts with. This will give you a fresh perspective on what is going on.
Look at both sides: No event is ever completely bad. No matter what may be troubling you look at both the good and bad sides of it. This can help minimise your loss and make it easier to let go of the problem.
Do something different: The best way to get your mind off something is to give it something else to focus on. If you re troubled by something that happened at work, go for a drive or play a sport. Similarly, if you re having relationship trouble, go out with a few friends or read a book to take your mind off it.
Visualize: Imagine the person or the event that is upsetting you as an object in your mind and visualise it melting away. Remind yourself that the anger or frustration you are feeling is worse than the person or event itself.
Clean up: Organise your desk, your room or start cleaning up space around you. This will take attention away from whatever is troubling you and give you something to do.

Are You Emotionally Upset? 10 Ways to Get Over it!

Drug abuse is characterized by the excessive use of illegal drugs, prescription drugs or even over-the-counter drugs. Drug abuse eventually leads to drug dependency whereby the drug begins to take control over you and affects your daily activities as well as your physical health.

Treatment

Treatment of drug abuse normally involves a series of steps to be undertaken. These are:

1. Group therapy
2. Counseling
3. Drug addiction

Furthermore, treatment of drug abuse generally follows a 12-step program which continues even after the treatment as a part of the recovery process.

Detoxification

Detoxification, or simply detox, is a procedure involving medical care while attempting to deal with withdrawal symptoms after your initial break from drug use. Since dealing with withdrawal symptoms can be quite problematic, you will certainly have to consult a doctor who will probably prescribe you certain medications.

Therapy
There are different types of therapy needed to overcome the problem of drug abuse. These include:

1. Group therapy, where you can interact your problems with other people who are going through the same ordeal.

2. Motivational interviewing (mi), where you can resolve mixed feelings with regard to quitting and treatment.

3. Cognitive-behavioral therapy (CBT), where you can learn to take control over your actions as well as change your thought and behavior pattern in order to adjust to a drug-free life.

4. Motivational enhancement therapy (met), where motivational interviewing is used to help give you more motivation with respect to quitting drug consumption.

5. Family counseling, or even couples therapy, where you can learn how to stay drug-free as well as improve your relationship with your family members or with your partner.

Treatment programs

Treatment programs are often similar to therapies and are classified into three types:

1. Inpatient treatment
2. Outpatient treatment
3. Residential treatment.

How to Treat Drug Abuse

Post-traumatic stress disorder or PTSD is a mental health condition, which is usually triggered by an unfortunate event experienced or witnessed by the affected patient in the past. The symptoms of this condition are flashbacks, nightmares and extreme anxiety. The patient also thinks about the event in an uncontrolled manner.

PTSD is a serious mental health condition that can damage the affected person's personality to a great extent. Therefore, the person should be given proper treatment at the earliest. There are various treatment methods for PTSD that can help you in changing how you think about a traumatic event. The treatment options that can be used have been mentioned below:

Counselling
There are different forms of counselling for treating PTSD which include:
1. Cognitive therapy: It is a therapy where you learn how to change your thought patterns regarding the trauma and allow you to eliminate unnecessary fears.
2. Exposure therapy: It involves talking about the trauma over and over again until the fear departs.
3. Eye movement desensitization and reprocessing: It is a process where you are made to focus on several forms of distractions like sounds and hand movements while you think about the trauma. A good therapist is very important to bring positive changes in your life by means of counseling therapy. You require a therapist who will listen to whatever you have to say and guide you through everything to make you feel better.

SSRI medicine
SSRI or Selective Serotonin Reuptake Inhibitor is a form of antidepressant medicine, which helps you with your sadness and tension. There are certain medicines that are really effective and can be prescribed by your doctor depending on the condition.

Other forms of treatment
There are several other types of medicines and procedures that can be used for treating PTSD. They include the following:
1. There are other counselling forms, which include group therapy, brief psychodynamic psychotherapy and family therapy.
2. There are other medicines as well for the treatment of PTSD. They include tricyclic antidepressants and atypical antidepressants.
3. Monoamine oxidase inhibitors like isocarboxazid can also be used for curing PTSD.
4. Certain mood stabilizers can be taken along with the medicines such as carbamazepine and lithium.
5. Several antipsychotics, which include risperidone can be used to tackle symptoms such as flashbacks and sleeplessness.
6. Another medicine known as prazosin is also used for dealing with nightmares and sleep disorders caused by PTSD. All kinds of medicines for the treatment of PTSD should be taken only after being prescribed by a doctor.

Post-traumatic stress disorder is a serious mental health condition in which a patient suffers from continuous negative thoughts regarding a traumatic event which has happened in the past. This condition may give rise to other health problems, and immediate treatment is recommended.

Treatment for Post Traumatic Stress Disorder (PTSD)

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