An event or an accident that leaves us overwhelmed can lead to post traumatic stress disorder, also known as ptsd. A particularly stressful situation or event that has created terror or been overly dramatic or dangerous can lead to stress and anxiety long after the individual has physically come out of the situation. This kind of a traumatic condition is usually what characterises ptsd. This condition is something that is persistent, and can linger on for a long time, calling for medical supervision and care. Here's a list of things you need to know about ptsd.


	Duration: post traumatic stress disorder usually lasts up to six months. Yet, there are cases where it lingers on and requires treatment for some particular types of symptoms or behavioural changes. Usually, the patient's behaviour is a result of one or more of the symptoms discussed below.
	Re-experiencing symptoms: these symptoms include flashbacks and life like re-imagination in the form of dreams and nightmares. In many cases, the patient may remember and re-experience the entire scene or series of events that have led to the trauma in the first place. This can be triggered by a memory or association with words, events and other such things that have to do with the memory of the traumatic episode.
	Avoidance symptoms: a traumatised patient may go out of his or her way to avoid things that are remotely close to the traumatic incident. They may fear a reoccurrence or a reminder of the event and may avoid addressing the trauma altogether. Patients suffering from this symptom may have created a mental block, and may not be able to remember the exact details of the event. They may also feel emotions like fear, guilt, depression and even worry, over the past incident which led to the trauma in the first place.&nbsp;
	Arousal symptoms: arousal or reactivity symptoms may trigger the same reactions that the person showed during the traumatic experience. These may include being on edge constantly in anticipation of a reoccurrence, or even getting startled by the slightest thing since the mind is already occupied with thoughts of the event, constantly. Anger and emotional outbursts may also be caused due to these symptoms.
	Mood symptoms: mood swings are the most common outcome of these symptoms. The patient may experience a complete lack of enthusiasm and drive to indulge in activities like hobbies and socialising. Also, the patient may end up harbouring feelings of negativity towards family, friends and strangers, besides going through phases of guilt and self blame for the occurrence of the traumatic event.


Ptsd can be a debilitating disorder in the emotional sense, and should be treated by a psychiatrist in case it lingers on for more than six months.


All About Post Traumatic Stress Disorder

In India, crimes against women have been on the rise; they might have always happened at the same rate but today's media have become more attentive towards these crimes by bringing them to the forefront. Recently, the devastating news of an Assamese higher secondary student being raped and killed has surfaced. Her floating decomposed body was not discovered until 4th of May when the incident itself occurred on 28th of April. If a rape victim dies, it is the most unfortunate consequence that the parents and the loved ones have to live with but there are numerous victims who survive and they can lead a normal life with guidance and care. Any occurrence of sexual assault not only leaves scars on the outside but also have deeper psychological and emotional effects. The emotional scars can manifest in the form of post-traumatic disorder, depression and suicidal tendencies. If you know anyone who has undergone such an experience, then read on to find out how you can help her get back to her life.

Medical Examination: Physical effects of rape can be adverse on the victim. Forced sexual assault causes bruising, wounds and vaginal bleeding and immediate medical attention is required to ensure safety. Subsequent medical tests should also be carried out to check for Urinary Tract infection, Sexually transmitted diseases (STDs) and uterine fibroids.

Therapy: Wounds of the flesh heal, but it takes a lot of time to recover from emotional damage and in some cases the survivors bear the burden of psychological scars all through their lives. They may see the incident as an assault to their souls and develop depression, post-traumatic disorder, borderline personality disorder, sleeping and eating disorder. The loved ones have to be understanding and be patient with them. One-on-one therapy or group therapy sessions can be very helpful. Talking about their emotions and resolving issues of anger, regret, pain, fear, guilt in a friendly, supported and understanding environment can help them reconstruct their self-image.

Counseling: Guilt and shame are two most common stigmas that most survivors have to deal with. They somehow blame themselves for the incident and regret any step they think that might have led to the incident. They become so consumed by the incident that they think the experience defines them, instead of their persona which is called dissociative identity disorder. In such cases counseling sessions can prove to be very beneficial. They need guidance to understand the situation and separate themselves from the incident. The survivors may feel weak and victimized, overpowered and violated; they may also think that they have lost control of their bodies. Counseling can assist to resolve such issues and help them empower themselves with time.
It is important to make the survivors realize that it is not the end of their lives. With a positive attitude, proper rehabilitation and counseling rape survivors can lead a normal, happy life.

Overcoming Sexual Harassment: You Are Stronger Than You Think

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!

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?

Most Practical Tips for Controlling Everyday Stress

We generally use the word 'stress' when we feel that everything becomes too much to handle - we are overloaded and wonder whether we can cope with the pressures placed upon us. Nowadays stress is a normal part of life. Almost everyone has some sort of stress. Constantly reacting to stressful situations without making adjustments to counter the effects, threatens our health and well-being.

There are steps you can help you managing day to day stressful conditions and take to feel better.

Be realistic: If you feel overwhelmed by some activities (yours and/or your family's), learn to say NO! Eliminate an activity that is not absolutely necessary. You may be taking on more responsibility than you can or should handle. If you meet resistance, give reasons why you're making the changes. Be willing to listen to other's suggestions and be ready to compromise.

Shed the 'superman/superwoman' urge: No one is perfect, so don't expect perfection from yourself or others. Ask yourself, 'What really needs to be done?' How much can I do? Is the deadline realistic? What adjustments can I make?' Don't hesitate to ask for help if you need it.

Take one thing at a time: For people under tension or stress, their day-to-day workload can sometimes seem unbearable. The best way to cope with this feeling of being overwhelmed is to take one task at a time. Make a list of things you need to get done and start with one task. Once you accomplish that task, choose the next one. The positive feeling of 'checking off' tasks is very satisfying. It will motivate you to keep going.

Share your feelings: A conversation with a friend lets you know that you are not the only one having a bad day. Stay in touch with friends and family. Ask them how they have dealt with a similar situation that may be 'stressing you out.' Let them provide love, support and guidance. Don't try to cope alone.

Be flexible: If you find you're meeting constant opposition in either your personal or professional life, rethink your position or strategy. Arguing only intensifies stressful feelings. Make allowances for other's opinions and be prepared to compromise. If you are willing to be accommodating, others may meet you halfway. Not only will you reduce your stress, you may find better solutions to your problems. Go easy with criticism. You may expect too much of yourself and others. Try not to feel frustrated, disappointed or even 'trapped' when another person criticises you.

Hobbies: Take a break from your worries by doing something you enjoy. Whether it's gardening or painting, schedule time to indulge your interest. Exercise: Regular exercise is a popular way to relieve stress. Twenty to thirty minutes of physical activity benefits both the body and the mind. Meditate: Just ten to twenty minutes of quiet reflection may bring relief from chronic stress as well as increase your tolerance to it.

Take Herbal Supplement: Herbs like Brahmi, Ashwagandha, Mandukparni, Shankhpuspi, Kaunch are very helpful in managing stress. These herbs work on the brain and help relax you which ultimately empowers you to manage your stressful conditions easily. There are many herbal supplements available in the market that can help you.

Consult the Doctor: If your stress level doesn't seem to improve with above tips, it may require more attention and consultation with an Expert.

If you would like to consult with me privately, please click on 'Consult'.

Most Practical Ways of Controlling Everyday STRESS

Unlike what you may think, anxiety is a common emotional response in a situation where we are worried about an outcome. It is, in fact, beneficial to us as it keeps us alert and charged for a reaction. Anxiety disorder, however, comes when you lose control over your reaction and let it take control of your life in a way that disables you from living a normal life. 
The first thing to do as a positive step is to accept that you have a disorder. Mental health problems are as big as physical problems. Just like the body needs to be treated to cure a disease, the mind too can be treated to cure you of your problems. The next thing to do is to know what type of disorder you are suffering from to get specific treatment for it.

Connection between anxiety and depression:
Anxiety is not just incessant worrying. It is sometimes an obsessive compulsive disorder that can takeover your life or a terrifying phobia that can prevent you from doing things that are routine for others. Over a period of time, living with such a disorder can take an emotional toll leading to depression. 
The chances of developing depression in addition to anxiety is quite high. In fact, almost half of all people with major depression also suffer from severe and persistent anxiety. In many cases people suffering from post traumatic stress disorder (PTSD) and anxiety are also victims of depression.

Symptoms of anxiety and depression disorder
Constant fear and worry
Loss of interest in normal life, hobbies and activities
Insomnia and fatigue with inability to relax
Panic attacks
Feeling of sadness and worthlessness

Coping with anxiety and depression disorder
The first and most important thing to know is that both conditions are treatable and patients who get regular care, medication and support from friends and family can come back to living a normal life. Here are some of the treatments available:

1. Medication: Taking proper medication is very important as it acts quickly and is quite safe. Most people do not take medication, such as sleeping pills, fearing they might get addicted to them, which is a myth. Also, medications prescribed by your doctor are safe and specific that is why they have been prescribed.

2. Cognitive behavioral therapy (CBT): It is used to first figure out what the cause behind the anxiety or depression. It is then used to teach people to manage their fears, anxieties, and depressive symptoms and also learn how to take control of their emotions. Another therapy used for treating depression is Emotive Behaviour therapy.

3. Lifestyle modification: In order to overcome, anxiety and depression, certain lifestyle changes are required, such as one should exercise daily at least for 30 minutes and eat a healthy diet.

4. Counselling: Counselling helps the person to overcome the oppressive thoughts and cope up with the feeling of worthlessness.

5. Group therapy: Knowing you are not alone with your pains and fears can often come as a big relief. Not only will the patient benefit from joining a local support group, the care giver will also learn how to cope with the developments of the disorder and how they can continue to provide care and support to their loved ones.

How to Cope with Anxiety and Depression Disorder

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