Drug abuse or addiction is not a sign of weakness or a character flaw, but it takes a lot more than willpower to overcome the problem. Abuse of illegal or certain prescribed drugs can trigger alterations in the brain   alterations that may lead to strong cravings and an impulse to use that makes sobriety seem like an unachievable goal. However, there is good news   no matter how hopeless the situation may seem, or how many times you have tried to break free and failed, with support and appropriate approach, the cure is possible. The most difficult choice for many to make when trying to overcome drug abuse is recognizing the problem and deciding on whether to make a change. It is natural to feel unsure about whether you are ready to start recovery. You might be concerned about how you are going to survive without OD ing on certain drugs. Well, Psychological Rehabilitation can help you overcome the crises. 

Rehab Psychology to Break Free from Drug Abuse Committing to sobriety involves altering a few things   

 How you cope with stress 

 Who you allow in your life 

 How you utilize your leisure time 

 How you perceive yourself 

Psychological rehabilitation takes into account the above points and uses the following techniques to overcome drug abuse include   

 Cognitive Behavioural Therapy   a psychologist helps the patient recognize the factors that are triggering for her/his craving for drugs, and manage or avoid those triggers. CBT also helps the person steer away from destructive behaviours and thoughts. 

 Motivational Interviewing   this involves a structured conversation between the psychologist and the patient. Through such conversations and motivational interviewing, the therapy aims to increase the patient s motivation to overpower drug abuse. For example   the therapist will help them identify the difference between how they are living in present and how they want to live in the future. 

 Participation in Activities   Psychological rehabilitation suggests that being immersed in a group activity can keep you distracted. Therefore, participate in an engaging task and see may witness the urge slowly fade away. 

Behavioural treatment in Rehabilitation Psychology can be particularly effective when combined with conventional medical treatment   it imitates the effects of specific drugs in a controlled way or reduces the  high  the person enjoys after doing drugs. Besides, you can always talk to a relative, a friend or a trusted family member to reach out for help and comfort. 

How Rehabilitation Psychology Can Help To Overcome Drug Abuse?

COPD stands for Chronic Obstructive Pulmonary Disease and is generally used to describe a broad category of diseases. These include chronic bronchitis, emphysema, non-reversible asthma as well as some forms of bronchiectasis. All of these diseases, however, can be prevented from getting worse by taking similar measures as the causes of these diseases are very similar.

Here are the ways to prevent COPD exacerbations:
1. Cleanliness: It is crucial that you do not allow infections to set in. Infections are probably the worst type of exacerbation possible in COPD. All you need to do to prevent infection is to take a little care to ensure good hygiene. Wash your hands often and do not allow people with colds or flu to come close to you.

2. Take vaccines: Make sure your flu and pneumonia shots have not been missed.

3. Take medicines: It is crucial that medicines for your lungs are taken on schedule, if you have COPD. The possible medicines which you could take if your doctor prescribes it includes inhaled beta-agonists, steroids and anticholinergics.

4. Spirometry: Doctors often recommend the use of the portable Spirometry device, Spirometer, in case of COPD. Spirometers check the condition of the lungs by measuring various parameters to see how well the lungs are working. Spirometers can easily measure FEV1, a parameter which measures how much air can you blow out in one second. This is especially great if you do not know whether your condition has exacerbated or not.

5. Corticosteroid: It is another type of medicine used, which can prevent COPD exacerbations. In its place, even inhaled beta-agonists or anticholinergics can also be used.

Preventing COPD Exacerbations!

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

We all look forward to a good night s sleep after a long day at work. Sleep is one of the most blissful habits and is very essential as well. When one has not had a good night s sleep, the following day s productivity takes a toll for sure. It is therefore very essential to get good rest for at least 8 hours. Take the suggested therapy for any disease and it would include 8 hours of rest.

However, when you look closer, the poor sleep is due to some patterns that are our habits. This could include our food patterns, the side we sleep, the pillow we use, etc. Read on to know more!

Food habits: Eating very close to bedtime is one of the worst things to do, especially if it is a greasy meal that you have had. Lying down after a heavy meal gets the acid coming up to the throat and causing further irritation. Keep the dinner light if you really are late for it.
Smoking: Smoking up just before you hit the bed is another habit you should kick (even if you can t kick the habit of smoking itself), the chemicals released keep you awake and stimulated and do not let you sleep.
Alcohol: Though the general belief is that alcohol induces a good amount of sleep, it requires extra metabolism and so does not give a good night s sleep. Think of hangover the next morning! There is no one who has a hangover without feeling groggy.
Irregular sleeping pattern: While this is difficult with the changing times, it is very important to stick to a schedule. This helps in the body getting a good, restful sleep and not confusing it as to when to sleep and when to wake up.
Lack of exercise: One of the many side effects of lack of sleep is the lack of a good sleep.
Sleep environment: Keep a pillow and blanket that is comfortable, not too cosy. The room temperature should neither be too warm or cold.
Technology: Keep technology (TV, mobile, tablet, etc.) out of your room and see how your sleep will improve. You can always catch up later on what is happening around you.
If you thought it was just about some hours of sleep, think again. In the long run, there are multiple effects of poor sleep including.

Irritated, moody, angry
Lack of focus and concentration
Loss of productivity
Memory loss
Relationship issues
Poor habits like binge eating and drinking (caffeine and coke) and excessive smoking and drinking
So, sleep for the prescribed 8 hours and see your quality of life improve.

Sleeping Habits - 7 Things That Can Help You Improve It!

PTSD or post traumatic stress disorder is a confusion that develops in a few people who have encountered a shocking, unnerving, or dangerous event. It is natural to be scared during and after a traumatic event. Fear triggers numerous brief and instant changes in the body to protect us from the threat or to stay away from it. Here are a few myths and facts about PTSD:

Myth 1: Everyone who has been through a life threatening event will develop PTSD.
Fact: In reality, a great many people who are exposed to such events will not get PTSD in most of the cases, and a lot of them see a decrease in the symptoms gradually over the months or even days. The number of individuals who may be diagnosed after an event that can result in PTSD ranges from under ten percent of people after twelve months of exposure to general trauma. Where as, thirty seven percent of the individuals are exposed to deliberate trauma.

Myth 2: People who are weak, get PTSD.
Fact: It is not clear why a few people get PTSD and others do not. Women are twice as prone to be determined to have it than men are, however, women will probably have numerous mental issues since they will probably look for help, and accordingly get an analysis. Individuals who are presented to interpersonal injury, for example, rape or fighting, will probably have more pronounced PTSD symptoms than survivors of mishaps, accidents or natural disasters.

Myth 3: After a specific measure of time, one should be over the trauma.
Fact: Depending on the nature of the trauma, it might stick around. Furthermore, in some cases, a person may seem to get over it. However, something triggers the recollections and they get tormented by symptoms again. Additionally, as individuals age, the movement that keeps the long-term memory far away from the brain, starts to diminish, exposing the person with seasoned recollections.

Myth 4: The trauma was such a long time ago that it is past the point where it is possible to recover from the trauma.
Fact: The good news is that it is never past the point where it is possible to address your shock or trauma. In fact, most of the patients are middle-aged child sexual abuse survivors. There is a great deal of reasons that somebody would hold back from getting treatment, yet the decades isolating them from their trauma are not an obstruction by any means.

Myth 5: I should have the capacity to handle this myself.
Fact: Frequently it takes more strength to get help than to battle alone, especially for specific events. Cases of individuals who might be particularly hesitant to connect include men who have been conditioned by the society to not express sentiments or show helpless. Marginalised people have a more troublesome time looking for somebody who can relate to them. 

Myths and Facts About PTSD!

Are you losing your sight day by day? Does it make difficult to see you at night? Is this the onset of Blindness? Get to know about Retinitis Pigmentosa with these tips.

What actually is Retinitis Pigmentosa? 
Retinitis Pigmentosa (RP) refers to a group of diseases, which causes a slow, but progressive vision loss. It is a genetic disorder that affects the ability to respond to light.This inherited disease causes a slow loss of vision, beginning with decreased night vision and loss of peripheral (side) vision and eventually results in blindness.

Causes:
Retinitis pigmentosa is often hereditary (runs in families). If you or your partner has retinitis pigmentosa, there may be up to a 50 percent chance that you will pass it on to your children. Ask your ophthalmologist about genetic counseling if you are planning to have children.

Symptoms:
1. Slow loss of vision
2. Beginning of decreased night vision
3. Loss of peripheral vision
4. Difficulty in identifying colours

Diagnosis:
If you have poor night vision or a loss of side vision or if there is a history of retinitis pigmentosa in your family, your ophthalmologist will conduct a comprehensive eye exam to determine if you have retinitis pigmentosa. Your ophthalmologist will dilate your eyes to look at the back of them for signs of disease.

Treatment:
Currently there is no known cure for retinitis pigmentosa. However, research has shown that vitamin A palmitate may slow the progression of certain forms of RP. Your ophthalmologist can advise you about the risks and benefits of vitamin A palmitate and how much you can safely take. Taking too much vitamin A palmitate can be toxic, and evidence of vitamin A palmitate effect on RP progression is not substantial.
Another recommendation for slowing vision loss from RP is to wear sunglasses to protect your retina from harmful ultraviolet (UV) light.

Retinal prosthesis is also an important area of exploration because the prosthesis, a man-made device intended to replace a damaged body part, can be designed to take over the function of the lost photoreceptors by electrically stimulating the remaining healthy cells of the retina.

Retinitis Pigmentosa: What You Should Know About It?

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