The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person. 

Various risk factors that are associated with diabetes and depression are as follows- 

lack of physical activity
poor social environment
poverty
stress during pregnancy
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes. 

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin. 

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy. 

Various signs that can be observed in a state of depression are as follows: 

Complete lack of interest in doing any activity
Irritation or mood swings
Depressed mood
Disturbed sleep pattern
Changes in the appetite
Constant feeling of despair
Guilt Fatigue, weakness
Difficulty in concentration, transient memory loss
Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users. 

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

How Diabetes Can Lead To Depression?

What is Addiction?

Addiction is a condition in which individual engages in using a substance or seeking a behaviour which leads to rewarding effects in the brain and it reinforce the individual to repeat the using or seeking behaviour again and again. Addiction develops gradually over a period of time and due to the repetition of same pleasure seeking pattern individual become physically and psychologically dependent on the substance or to any other object at the center of addiction.

People can get addicted to many substances like, alcohol, nicotine, drugs, solvents, etc. In case of these substances, physical and mental dependency both can occur. There are other objects and behaviours which also activate brain reward system in the same way and can make people dependent on them, like gambling, shopping, videogames, watching pornography, etc. But in case of these objects or behaviours, psychological dependency can be more prominent.

It has been seen that there are lots of other mental problems found among individuals suffering from any kind of addiction, like anxiety, depression, personality disorders, psychosis, etc. Individual who is addicted to a substance or an object or behaviour indulge into compulsive pattern of seeking the same inspite of their detrimental consequences. Consequences of addiction can be seen on person s health, personal life, occupational life and social life. Addiction can lead to severe unmanageability in one s life.

Especially when it comes to substances, like alcohol, nicotine or any kind of drugs, we must understand how the tolerance level of the brain develops? Tolerance develops when an individual no longer responds to a substance in the way he/she did at first. So, it takes a higher dose of the substance to achieve the same effect as when the individual first used it. This is why people with substance use disorders use more and more of a drug to get the  high  feeling that they seek.



A blog posted by an alcoholic:

 I always wished I could drink like other people. But I never could. I thought it was the third drink that got me into trouble. If I only had two, then I d be fine. Thing is, once I put that first drink to my lips, I could no longer accurately predict what would happen next. I might go home, but I might not.

You d think if I made it home, then my drinking was a success. Wrong! If I made it home after two drinks, there was an insatiable need raging within me and I was gonna take it out on you.  After all, you re the reason why I had to come home. I would punish my family by being silent, or mean, or emotionally distant.

Looking back, it was never intentional. I didn t purposely choose not to go home.  I didn t leave the house with a suitcase containing a fresh set of clothes, a tooth brush and my cosmetics. Seriously, I was only going out for  a few. 

If anybody can relate to this or can understand this, he or she can understand tolerance, powerlessness and unmanageability.

How to recover from addiction?

To be an addict can t be anybody s choice, but recovery can be one s choice. The first key step to come out of your addiction is developing acceptance. For a person to admit their powerlessness in addiction to drugs or alcohol or to any other object at the center of addiction is a monumental first step to recovery. Powerlessness means the person do not have any control over his/her use of substance. Powerlessness may indicate weakness and helplessness; some may think it fosters a victim mentality. Acceptance starts developing when a person admit that he or she is powerless over the substance or object at the center of addiction and their life have become unmanageable because of that.

Addiction is a disease and recovery is not an easy process. Individuals who are already into the grip of addiction need to seek help. One cannot go through the journey of recovery alone. There is a myth that addiction is a habit and one can get out of it if he or she has the  Will Power . It s actually not true. To get out of the disease you need to develop  Skill Power , like skills to understand your physical and psychological mechanisms when it comes to the substance or the object of addictions, skills to handle cravings, skills to be assertive enough to manage social cues, skills to deal with day to day life stressors, etc. And in this process of developing skills and maintaining your recovery you need help of professionals.

A complete treatment program has three important approaches. First one is psychopharmacological (medicine) approach, second is psychotherapeutic approach and the third one is the 12 step program of alcohol/narcotics anonymous. A combination of psychotherapies along with the basic essence of 12 step program can bring greater outcomes in individual suffering from addiction.

Understanding Addiction And The Key Steps To Recover From It!

If you are a heavy drinker or consume alcohol regularly or frequently, you should know about the harmful effects of alcohol or how it affects your body negatively. When you drink, alcohol gets absorbed into your blood and gets distributed all over your body. Alcohol consumption may cause several physical and emotional changes, which can cause great harm to the body. There are many long-term effects of alcohol abuse, which put your health at great risk.

Here are some ways in which alcohol affects the different parts of your body:

Excretory system: Excessive consumption of alcohol may cause the pancreas to produce toxic substances that interfere with its functioning. As a result, pancreatitis or inflammation of the pancreas is likely. This is a serious problem, capable of destroying the pancreas. Alcohol affects the liver severely. Excessive intake of alcohol may cause alcoholic hepatitis and lead to jaundice development. Chronic liver inflammation may cause severe scarring or cirrhosis. The formation of scar tissue may destroy your liver. When the liver and pancreas do not work properly, there is a risk of hypoglycemia. The damaged pancreas may cause unbalanced blood sugar levels, which is a serious concern.
Central nervous system: Change in behaviour is one of the primary signs of alcohol being in your system. Alcohol travels through the body and quickly reaches your brain and other parts of the central nervous system or CNS. This may lead to slurred speech and it becomes harder for you to talk. Your overall body coordination is affected along with your balance and the ability to walk properly. Over drinking negatively affects your ability to think clearly, impulse control and your ability to form memories. Long term drinking shrinks the frontal lobes of the brain. Damage to the nervous system because of alcohol may cause pain, abnormal sensations in your limbs, and numbness.
Digestive system: Alcohol also affects your digestive system in several ways. Alcohol can affect the entire digestive system starting from the mouth to the colon and a single incident of excessive drinking can wreck parts of the digestive tract.
Organ damage: Alcohol abuse damages your salivary glands, which cause irritation in the tongue and month. This may result in gum disease, tooth disease or tooth decay. Ulcers in the oesophagus or food pipe, acid reflux and heartburn are other impacts. Excessive drinking may also lead to stomach ulcers and inflammation of the stomach lining.
Inflammation of the pancreas disrupts its ability to help the process of digestion and regulate effective metabolism. Damage to the digestive system from alcohol abuse can also cause diarrhoea, gas, abdominal fullness.

Alcohol - How it Affects Your Body?

Did you know that almost all of your nerves converge in your feet and that your foot is the most sensitive part of the human body? Did you also know that if there are any complications to your body, then the feet can show the symptoms indirectly? Science has time and again proved this and it is high time that you give the adequate care for your feet.

This is nowhere explained better than in ancient Ayurveda, where it emphasises the importance of foot massage and the need to strengthen the nerves. Ayurveda has a long traditional foot massage therapy called as  Padabhyanga  which can be traced back to more than 5000 years. The foot massage with essential oils would improve blood and lymphatic circulation, nourishes the skin, and calms the restless mind.

Foot massaging can relax the muscles of the feet and legs, it can also help in relieving stress and anxiety. Just like how the tree gets their nourishment from their roots, channelling a proper foot massage can rejuvenate the entire mind and body.  Let us look at in detail.

What is Padabhyanga?

The word Padabhyanga comes from the two Sanskrit words  Pada+abhyanga   Pada  means foot and  Abhyanga  means massage. It is one of the most calming and soothing massage therapy and can keep your mind and soul revitalised if done in a proper way. Participating in this massage therapy daily can allow you to release the clogged energies.

3 Types of Padabhyanga Massage:

The massage can be segregated into three different types as detailed below.

Padabhyanga with hand: This type of massage is the fundamental form of massage and is basically done by your hand in the rubbing and stroking of foot. The heat is generated by it and the cardiovascular circulation gets activated. The massage uses sesame seed oil generally and in some cases even herbal infused oil is also used for a better cure.
Padabhyanga with kasa bowl: In this type of massage, a Kasa bowls with oil coating are wormed. Then the bowl s round surfaces are used to massage the foot and sole in a circular motion. The kasa bowls are generally made of copper and tin. Massaging in such a manner can eliminate toxins and it can also release negative energies from your body.
Padabhyanga marma therapy: This type of therapy is very similar to acupuncture, where the pressure points of your feet are activated. These are called as marma points and special care is taken to make sure that these marma points are activated by pressing them over a small period of time. The therapy releases negative energy and relaxes your mind with rejuvenation.

Foot Massage - How It Can Help Relieve Stress?

What is Bipolar Disorder?

Bipolar disorders are brain disorders that cause changes in a person s mood, energy and ability to function. Bipolar disorder is a category that includes three different conditions - bipolar I, bipolar II and cyclothymic disorder.

People with bipolar disorders have extreme and intense emotional states that occur at distinct times, called mood episodes. These mood episodes are categorized as manic, hypomanic or depressive. People with bipolar disorders generally have periods of normal mood as well. Bipolar disorders can be treated, and people with these illnesses can lead full and productive lives.

Types:

There are three main types of bipolar disorder: bipolar I, bipolar II, and cyclothymia.

-Bipolar I:
Bipolar I is defined by the appearance of at least one manic episode. You may experience hypomanic or major depressive episodes before and after the manic episode. This type of bipolar disorder affects men and women equally.

-Bipolar II:
People with this type of bipolar disorder experience one major depressive episode that lasts at least two weeks. They also have at least one hypomanic episode that lasts about four days. This type of bipolar disorder is thought to be more common in women.

-Cyclothymia:
People with cyclothymia have episodes of hypomania and depression. These symptoms are shorter and less severe than the mania and depression caused by bipolar I or bipolar II disorder. Most people with this condition only experience a month or two at a time where their moods are stable.

Symptoms:
Bipolar symptom in women:

Men and women are diagnosed with bipolar disorder in equal numbers. However, the main symptoms of the disorder may be different between the two genders. In many cases, a woman with bipolar disorder may:

be diagnosed later in life, in her 20s or 30s
have milder episodes of mania
experience more depressive episodes than manic episodes
have four or more episodes of mania and depression in a year, which is called rapid cycling
experience other conditions at the same time, including thyroid disease, obesity, anxiety disorders, and migraines
have a higher lifetime risk of alcohol use disorder
Women with bipolar disorder may also relapse more often. This is believed to be caused by hormonal changes related to menstruation, pregnancy, or menopause. If you re a woman and think you may have bipolar disorder, it s important for you to get the facts. Here s what you need to know about bipolar disorder in women.
Bipolar system in men:
Men and women both experience common symptoms of bipolar disorder. However, men may experience symptoms differently than women. Men with bipolar disorder may:

be diagnosed earlier in life
experience more severe episodes, especially manic episodes
have substance abuse issues
act out during manic episodes
Men with bipolar disorder are less likely than women to seek medical care on their own. They re also more likely to die by suicide.
Bipolar disorder in children:

Diagnosing bipolar disorder in children is controversial. This is largely because children don t always display the same bipolar symptoms as adults. Their moods and behaviors may also not follow the standards doctors use to diagnose the disorder in adults.

Many bipolar symptoms that occur in children also overlap with symptoms from a range of other disorders that can occur in children, such as attention deficit hyperactivity disorder (ADHD).

However, in the last few decades, doctors and mental health professionals have come to recognize the condition in children. A diagnosis can help children get treatment, but reaching a diagnosis may take many weeks or months. Your child may need to seek special care from a professional trained to treat children with mental health issues.

Like adults, children with bipolar disorder experience episodes of elevated mood. They can appear very happy and show signs of excitable behavior. These periods are then followed by depression. While all children experience mood changes, changes caused by bipolar disorder are very pronounced. They re also usually more extreme than a child s typical mood swing.

Manic symptoms in children

Symptoms of a child s manic episode caused by bipolar disorder can include:

-acting very silly and feeling overly happy
-talking fast and rapidly changing subjects
-having trouble focusing or concentrating
-doing risky things or experimenting with risky behaviors
-having a very short temper that leads quickly to outbursts of anger
-having trouble sleeping and not feeling tired after sleep loss
-Depressive symptoms in children

Symptoms of a child s depressive episode caused by bipolar disorder can include:

-moping around or acting very sad
-sleeping too much or too little
-having little energy for normal activities or showing no signs of interest in anything
-complaining about not feeling well, including having frequent headaches or stomachaches
-experiencing feelings of worthlessness or guilt
-eating too little or too much
-thinking about death and possibly suicide
-Other possible diagnoses

Some of the behavior issues you may witness in your child could be the result of another condition. ADHD and other behavior disorders can occur in children with bipolar disorder. Work with your child s doctor to document your child s unusual behaviors, which will help lead to a diagnosis.

Bipolar disorder in teens:

Angst-filled behavior is nothing new to the average parent of a teenager. The shifts in hormones, plus the life changes that come with puberty, can make even the most well-behaved teen seem a little upset or overly emotional from time to time. However, some teenage mood swings may be the result of a more serious condition, such as bipolar disorder.

A bipolar disorder diagnosis is most common during the late teens and early adult years. For teenagers, the more common symptoms of a manic episode include:

-being very happy
- acting out  or misbehaving
-taking part in risky behaviors
-abusing substances
-thinking about sex more than usual
-becoming overly sexual or sexually active
-having trouble sleeping but not showing signs of fatigue or being tired
-having a very short temper
-having trouble staying focused, or being easily distracted
-For teenagers, the more common symptoms of a depressive episode include:
-sleeping a lot or too little
-eating too much or too little
-feeling very sad and showing little excitability
-withdrawing from activities and friends
-thinking about death and suicide
-Diagnosing and treating bipolar disorder can help teens live a healthy life. Learn more about bipolar disorder in teenagers and how to treat it.

Bipolar and depression:

Bipolar disorder can have two extremes: up and down. To be diagnosed with bipolar, you must experience a period of mania or hypomania. People generally feel  up  in this phase of the disorder. When you re experiencing an  up  mood swing, you may feel highly energized and be easily excitable.

Some people with bipolar disorder will also experience a major depressive episode, or a  down  mood. When you re experiencing a  down  mood swing, you may feel lethargic, unmotivated, and sad. However, not all people with bipolar disorder who have this symptom feel  down  enough to be labeled depressed. For instance, for some people, once their mania is treated, a normal mood may feel like depression because they enjoyed the  high  caused by the manic episode.

While bipolar disorder can cause you to feel depressed, it s not the same as the condition called depression. Bipolar disorder can cause highs and lows, but depression causes moods and emotions that are always  down.  Discover the differences between bipolar disorder and depression.

Causes:

Bipolar disorder is a common mental health disorder, but it s a bit of a mystery to doctors and researchers. It s not yet clear what causes some people to develop the condition and not others.

Possible causes of bipolar disorder include:

-Genetics
If your parent or sibling has bipolar disorder, you re more likely than other people to develop the condition (see below). However, it s important to keep in mind that most people who have bipolar disorder in their family history don t develop it.

-Your brain
Your brain structure may impact your risk for the disease. Abnormalities in the structure or functions of your brain may increase your risk.

Diagnosis:

A diagnosis of bipolar disorder I involves either one or more manic episodes, or mixed (manic and depressive) episodes. It may also include a major depressive episode, but it may not. A diagnosis of bipolar II involves one or more major depressive episodes and at least one episode of hypomania.

To be diagnosed with a manic episode, you must experience symptoms that last for at least one week or that cause you to be hospitalized. You must experience symptoms almost all day every day during this time. Major depressive episodes, on the other hand, must last for at least two weeks.

Bipolar disorder can be difficult to diagnose because mood swings can vary. It s even harder to diagnose in children and adolescents. This age group often has greater changes in mood, behavior, and energy levels.

Bipolar disorder often gets worse if it s left untreated. Episodes may happen more often or become more extreme. But if you receive treatment for your bipolar disorder, it s possible for you to lead a healthy and productive life. Therefore, diagnosis is very important. See how bipolar disorder is diagnosed.

Role of Homeopathy in Bipolar Disorder:

The first step in our treatment method involves the use of homeopathy. Homeopathy is a system of medicine which stimulates the body to heal itself. When homeopathic medicines are prescribed properly, they work quickly to alleviate symptoms and improve overall health.

Natural remedies for bipolar disorder:

Some natural remedies may be helpful for bipolar disorder. However, it s important not to use these remedies without first talking with your doctor. These treatments could interfere with medications you re taking.

The following herbs and supplements may help stabilize your mood and relieve symptoms of bipolar disorder:

Fish oil. A 2013 study shows that people who consume a lot of fish and fish oil are less likely to develop bipolar disease. You can eat more fish to get the oil naturally, or you can take an over-the-counter (OTC) supplement.

Rhodiola rosea: This research also shows that this plant may be a helpful treatment for moderate depression. It may help treat depressive symptoms of bipolar disorder.
S-adenosylmethionine (SAMe): SAMe is an amino acid supplement. The research shows it can ease symptoms of major depression and other mood disorders.
Several other minerals and vitamins may also reduce symptoms of bipolar disorder. Here s 10 alternative treatments for bipolar disorder.

Bipolar Disorder - What Should You Know About It?

You might think, as a parent, that if you behave strictly then your child will become well-behaved. But research and studies have shown that the opposite happens. Strict parenting leads to children who behave worse than others and they suffer from low self-esteem.

Some other reasons why being strict is harmful:

Never learning self-regulation: Responsibility and self-discipline have to be learned by the children themselves. When you put harsh limits on them, they never learn self-regulation. If they think the limits don t sound too harsh, they will learn to accept them. But the limits placed on them should never be controlling. If this happens, children see themselves as being controlled and no one enjoys being controlled.
Instilling fear: If you are being authoritarian (parenting in which there are high demands and low sympathy) instead of empathetic, then your children will become scared of you. You are instilling the power of fear in them. This triggers a vicious chain of events. When you yell, they will yell as well.
Anger and depression: Authoritarian parenting often leads to children believing a part of them is unacceptable. They feel that their parents would not understand. It makes them susceptible to anger management issues and depression.
Blindly obeying those in power: Children raised up in strict households start thinking power is always right. They learn to obey blindly. This makes them vulnerable to peer pressure. They also never learn to take responsibility for their actions.
Rebelling: Children tend to be angrier and become rebellious when they have strict parents. The need to break free and not conform to the non-empathetic limits that forces them to act out. They might even nurture thoughts about leaving home and running away.
Lying: Strict parenting creates excellent liars. Children learn to lie when they are in trouble. They think lies will placate their parents and they can get away with anything.
Damage to parent-child relationship: If you are strict and you don t change your authoritarian ways, then it damages your relationship with your children. Natural empathy is lacking in strict parents. You don t understand your child, and your child doesn t feel like sharing their lives with you. It creates a divide between the parent and child. Children never quite get over this as they grow older.

Being a Strict Parent Can be Harmful for Your Kids - 7 Reasons Prove it

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