The first question when you greet somebody is 'how are you' and this often refers to our state of well-being. While most answers would be great, awesome or good, we usually think of how we are doing physically. While some of us may talk about physical conditions (say things like feverish, have a cold, etc.), not many would think of talking about mental health conditions. However, mental health is very important for overall well-being. 

Can you think of someone who is severely depressed or anxious all the time and have a good physical health? Chances are very bleak, and if you consider the overall health as a mix of mental and physical balance, this is not possible. Read on to understand how important mental health is and why you should start paying more attention to it.

Improved physical health: If someone is in a stressed state, it is obvious that they would not be able to do the activities they enjoy. Being affected mentally also leads to reduced immunity and sleep disturbances, making the person prone to infections and other disorders. Stress is one of the main risk factors for chronic medical conditions like heart disease and diabetes.
Improved prognosis: Most often, doctors focus on treating the physical aspects of a person s health. However, with recent emphasis on mental health, more and more doctors are looking at wholesome measures to improve a person s health. Results show that when a person s mental health is also addressed, the physical ailments respond very well.
Improved productivity: People with unattended mental health disorders often resort to absence from work and/or school, can have financial instability, be homeless and can fall repeatedly. Being mentally healthy provides overall changed perspective of life and therefore improves productivity.
Improved personal relationships: Children of people affected with mental illness are prone to neglect, abuse, rejection, and behavioural issues. There is also social isolation, which may lead into adulthood, and these children may also have emotional health problems. Others in the close circle including spouses, siblings, parents, close friends and colleagues would be clearly affected by a person who is mentally unhealthy.
Social effects: These people are highly prone to social crimes like rape, murder, theft, violence, etc. They may not be able to afford their treatment and/or resort to these crimes to assert themselves.
Improved quality of life: Life expectancy is higher in people who are mentally healthy. Even with mild symptoms of anxiety and depression, this is reduced, and the chances of a happier, healthier life are reduced.
Whatever the effect, mental health needs to be addressed as equally as we do physical problems, using medications, counselling, or lifestyle changes.

Mental Health - 6 Reasons Why You Should Take it Seriously!

Depression is one of the complex physical and psychological disorders. The disease is characterized by loss of pleasure or interest, sadness, feelings of guilt, low self worth, disturbed sleep and appetite, poor concentration and feelings of tiredness. The common effect of this condition is leads to the decreased activity level in some parts of the brain. The disease is a mild one that causes little annoyance in daily life. But the extreme stages may lead to severe effects where the affected person may fail to participate in their social life. In rare cases severity of suicide is even possible.

Depression is diagnosed by these symptoms:

    Lack of interest or joy in activities
    Sadness or low mood levels
    Feel of guilt without any reason
    Pessimism
    Inferiority thoughts
    Slow thought process
    Irritability
    Slow in interpreting sensorial stimuli
    Slow physical reactions
    Slow physical processes or digestion.

Types of depression
It can be either be a single disease or the effect of other diseases. It can also be due to two or more factors. Based on the cause the disease, it has been divided into six types, which are

    Reactive depression: Caused due to psychological struggle and stress.
    Endogenous depression: Caused due to strain or lack of rest.
    Depression by physical disease: This is caused due to any physical disease such as Parkinson s disease, stroke, hypertension, heart disease, cushing s syndrome, mononucleosis, hypothyroidism neurotransmitters in the brain etc.
    Depressive consequence of unsound lifestyle: This is caused due to less exercise, too much alcohol, coffee or tea consumption, least intake of necessary nutrients, too much sugar intake and fat.
    Postnatal depression: This happens mostly in women after pregnancy and child birth.
    Seasonal affective disorder: This happen due to cold and dark seasons of the year. The lack of light is the factor for causing depression as well. 

Treatment of depression
Best way to treat depression is through Psychotherapy, also anti - depression medicines are usually prescribed to treat the effects of depression. But the intake of these types of medicines result in nervous disorder. However, the best way to treat is through environmental changes and positive and happy surrounds to the affected person along with psychological counseling.

6 Types of Depression! + How it Affects Us?

What is depression?

It is a state of mind when a person feels very low, loses interest in routine daily activities, feels hopeless and helpless. Many times the person starts thinking about suicide. It is a very dangerous state and needs immediate intervention from mental health professionals.

Assessment of depression:

Anyone feeling very sad cannot be called as a" depressed" person. To confirm the depression, the person needs to undergo assessment tests by either a psychologist or a psychiatrist. A" depression test" is carried out to see the exact intensity of depression.

Symptoms of depression:

Feeling very sad all the time, continuously for more than 15 days: feeling very sad continuously for a period of 15 days or more confirms depression. But just feeling sad sometimes is not depression.

 Crying for no specific reason: a depressed person may cry without any specific reason or provocation. The internal feeling of sadness is so intense, that the person cries without a good reason.
 Feeling worthless and hopeless: a depressed person has very low self esteem. The person thinks that he/she is useless, has no value and respect in the society. A depressed person feels hopeless. He/she thinks that'this is the end of the world' and things cannot improve. The person does not have any hopes about future and may start thinking about committing suicide or may attempt suicide.
 Loss of interest in life: the person loses interest in life. Does not feel like taking part in any activities which she/he were interested in doing earlier. There is nothing to look forward to, in their life.
 Ignoring personal hygiene: the person is so disinterested in life that she/he becomes careless about personal hygiene. They may not take bath for days together, may not even change their clothes or comb their hair or brush their teeth and are least bothered about the general cleanliness.
 Sleep disorders: the depressed person may sleep all the time or may not be able to sleep at all, which affects their overall health.
 Eating disorders: the person with depressive symptoms may stop eating or eat very little or in some cases eat a lot.
 Lack of sexual desire: the person may lose interest in sex and stop interacting with the sexual partner or start avoiding them.
 Feeling like a loser all the time, not wanting to fight back: the person has no self confidence and hence loses all the faith in his/her own abilities. Does not believe that he/she can face difficult situations and also can fight back.
 Becoming antisocial: the person avoids meeting other people and does not interact with people at home.

Causes of depression:

There are various factors, which may cause depression:

Family history: a person who has a family history of depression is more likely to have depression. If any of the parents or grandparents were diagnosed with depression then the person is more susceptible to depression.

Trauma: if a person has gone through a'life changing' experience, it can cause depression. Situations, such as a sudden death of a loved one or in case of witnessing devastating natural disasters like earthquake or tsunami or a war survivor, someone who has experienced terrorist attack or when someone has suffered sexual or physical abuse etc. May cause depression.

Health issues: if a person is having terminal illness, that can cause depression as the person has to endure lot of pain and has no hopes about recovery.

Relationship problems: if a person is dissatisfied with his/her close relationships like relation with the spouse, parents, siblings or offsprings, then the person may feel like a failure and feels worthless, unwanted or betrayed.

Financial issues: a person having any financial issue like not able to get a job or loss of job, incurring heavy losses in business or unable to earn enough money to satisfy the basic needs etc. Might get depressed.

Failures in life: failure to pass an examination, failure to achieve targets/goals, failure in love affair etc. May result in depression.

Treatment for depression:

Depression may fall in the category of mild, moderate and severe. But it is very important that the person gets assessed for the severity of depression.

Assessment by a psychiatrist/psychologist/counsellor: a person needs to be assessed by either a psychiatrist or a psychologist or a counsellor, to understand the intensity of depression. These mental health professionals may assess a person by talking to him/her and if required by applying certain'depression assessment' tests.

Medication and counselling: in case of moderate to severe depression, a psychiatrist will prescribe certain medication. Along with the medicines, counselling sessions work very well. In case of mild depression, only counselling also can be helpful.

Depression is treatable: if you come across someone with depressive symptoms, kindly advise them to seek help from a counsellor, psychologist or a psychiatrist.

Depression What You Need to Know About It

HOW TO BOUNCE BACK FROM FAILURE

“It's fine to celebrate success, but it is more important to heed the lessons of failure,” Bill Gates said. We always shower praise on those who have triumphed. Very rarely do we examine all the times the successful people have failed, and analyze how they turned their “luck” around. In this tip, you will understand how to turn failure into success and bounce back with more fervour.

1. A SUCCESSFUL MINDSET: If you’re striving to achieve anything then failure is inevitable. “Whenever you’re trying a new experiment, whether it’s a new job, a new product, a new hobby, a new boyfriend or girlfriend–whatever it is–you need to give some thought to what is your strategy and which are the possible ways to achieve it. Do you have any plan B or plan C if plan A fails? What will you do if nothing works out...and how to minimise the losses as well as taking advantage of the opportunities that you have. Assessing your opportunities and threats to success is very important. When a newly wedded girl comes to stay with her In laws, she might need to have a number of ways in her kitty to make her place in the new household rather than just stick to a few traditional ones. If one technique doesn't work, try something else. Disaster strikes when creativity is not given a place and failure was not factored in. Feeling helpless doesn't add upto success. Optimism is what people need to bounce back with.

2. LEARN AND IMPROVE WITH EACH FAILURE: Failure is just an opportunity to learn and improve. It’s a teaching moment that should be analyzed with a practical, clear mind. It helps to see mistakes as stepping stones to learning and improving and using it as an opportunity to bounce back. Every person should behave like a scientist with a mind open to exploring, assessing, making mistakes and changing. Mistakes must be embraced as being part of the process of success. If we don’t make mistakes it means that we’re not trying, and if we’re not trying then we’re not learning and getting better. Your self-worth should not rest on perfectionism, but rather value your ability to accept and learn from your mistakes. Not everyone is willing to admit when they’re wrong, which can hamper progress and relationships. When Meena and Arun started dating each other, they didn't know each other well and tried to impress each other in ways that was not working out well for both of them. It was very frustrating for them to see that their relationship was not working out. In counselling, they realised that they were not asking what each can do to impress the other. Meena told Arun that she would like to be taken out to plays and theatre by her future partner and Arun told Meena that he would like to take weekend trips to nearby destinations to get to know his partner well. When they both started doing what the other appreciated, they got to know each other better and relationship started blooming. Thus Arun and Meena assessed the situation, were open to discussion and found an amicable solution instead of thinking of their previous efforts as failure and giving up. 

3. LOVE YOUR CRITICS: How do you feel when your work gets criticised repeatedly by your boss, manager or your husband. It mighty be hurtful and demeaning to hear critical feedback, but if many people are saying the same things about your work or behaviour, then maybe it's time to give it a serious thought. When Saira was often told that she wasn't cooperative enough in team activities and tends to slacken and pass on work to other members, her mind started working. She had got the same comments in her previous organisations. She started seeing a grain of truth in this feedback and took steps to rectify complaints that stood out common in all the feedbacks and reworked her way back to become a sought after team member. Her next years' appraisal was better and got her an increment. Saira triumphed, because she knew how to learn from criticism.

4. ACCEPT FAILURE AS AN IMPORTANT PART OF LIFE: Shivani was heartbroken when her 15 year old perfect son started doing badly in exams. Her world fell apart when she came to know that he had secured 73% in 10th grade. She felt that she had failed as a parent and her son as she had not devoted enough time to her son as she was a working mother. In counselling, she was asked if she knew any parent who had never failed their kids and were always there for them. Shivani couldn't come up with any names of such mothers who had been perfect to the core. Yes, that's how real mothers are...you will fail sometimes and you will win sometimes. Every moment you are real with your child, you are succeeding as a mother. Accepting failure as a part of life and knowing that you gave it your best shot is good enough. There's magic in feeling genuine regret rather than overkilling guilt and shame. Own your failure openly, publicly, and you'll reap a harvest of forgiveness, trust, respect, and connection—the things you thought you'd get by succeeding. Ironic, isn't it?

5. GO WITH YOUR GUT: When you see a red flag, pay attention. How many times in life have you kicked yourself for not listening to that little voice in your head that says, “Something is wrong here”?. Preetam gave an interview with an organisation, going by their market reputation. Yet during the interview, he picked up feelings of dissonance within the company. After joining them, he realised that his gut was right..the company was going through major shuffle and policy changes, which were not working out for Preetam.

6. BE A PROBLEM SOLVER AND STAY CALM: In a crisis, people tend to get anxious. Maintaining a sense of Zen will not only allow you to think more clearly but will also set the tone for those around you. Kapil used to get tensed over small details. He realised that in the larger scheme of things they were really not that important. He focussed his energies on things that were more important for him to reach his monthly targets. This started calming him down.

7. FIND A SOLUTION: You need to figure out how to address and remedy the situation. Start by considering your end game — what’s the ultimate outcome you’d like to see? — and work backwards from there. Daya wanted to be a good father to his children. He wanted them to remember him as a gentle and loving father. He started working backwards and his daily actions and behaviours showed to his children that Daya was a loving father. He played with them, took them for cricket coaching, went swimming, shared personal success and failures and most of all listened to them when they had to say something.

8. TAKE RESPONSIBILITY OF YOUR MISTAKES AND FAILURES: If you screwed up, don’t make excuses — just apologise genuinely for any errors on your part. Remember, that no one is perfect and it's human to err. Prema was a caring mother. She had many dreams about her daughter and wanted her to do well in studies and be a well behaved child of the family. But when her daughter started showing disinterest in studies and marks started falling, Prema used to beat up her daughter in her anxiety to do well. In counselling Prema understood that her intentions were good, but the way she communicated were not helping the situation as Prema's daughter hated her mother and maintained distance. Prema owned up her mistakes and apologised for her errors to her daughter. She also took remedial action to be accepting of her daughter and gave her the space to make her own mistakes and learn from them. 

9. BECOME PROACTIVE: Don’t let a small mistake linger and turn into a bigger one. That’s not to say you should simply be reactive, but i f you know you did something wrong, deal with it right away. Say, for example, you stuck your foot in your mouth during an important business meeting and inadvertently offended your boss or a client. Acknowledge the gaffe, apologize and try to move on without beating yourself up. Remember that, “In any moment of decision, the best thing you can do is the right thing, the next thing is the wrong thing, and the worst thing you can do is nothing.

10. DEFINE YOUR OWN SUCCESS AND FAILURES: Its important to have your own definition of both rather than how the world sees and defines success and failure. Find answers to questions like: How would you be behaving when you have succeeded, what must happen to feel successful, how will your life change when you are successful? Every person has a very different view and definition for success and making it your own definition can spell failure. Don't let the world tell you whether you have failed or succeeded. It's also excellent for self esteem and works as a protective shield from potential damage. 

So, next time there’s that misstep, mistake or misunderstanding, remember to take a deep breath and be your own best publicist by remaining calm, seeking the solution and seeing the challenge as an opportunity to lead and learn.









How To Bounce Back From Failure - Tips From A Pyschologist

Depression is spreading at a fast pace in modern India due to many reasons like poor diet, lifestyles, poor social support system and having too many unrealistic expectations from themselves and other people in their lives. It can affect the rich and the poor and any age group also. According to World Health Organisation, 1 in every 10 people suffer from depression. Due to the social stigma attached to it, most people remain undiagnosed and hence suffer from it silently. This is a huge waste of human potential and capability. Some common symptoms of Depression include:

Appetite loss or an increased hunger,
Insomnia or Oversleeping,
Pervading feelings of worthlessness, helplessness and hopelessness,
Anger and Irritability,
Intense physical, emotional and mental fatigue,
Self hatred for making mistakes and not coming up to the expectations of self or other people
Risky Behaviour like rash driving, addictions, dangerous sports,
Problems in Concentration, Memorising and Focussing
Unexplained aches and pains, stomach-aches, Back pain or Headaches
Sudden loss of Interest in Daily Activities, Hobbies. Work
Suicidal Thoughts or Attempts

Here are some basic tips to beat the blues.

Recognising and Conquering Self Criticising Inner Voice:
You would have heard this harsh voice which often reprimands you for making mistakes, or doing something silly or taking any risks. Often this voice would have said, "Its always your fault"," You are capable of nothing"," You are always making mistakes", "Only bad things have happened in my life", " My life is Over". These are called self destructive negative thoughts which can interfere and distract you from your daily activities and a general sense of confidence, power, wellbeing and balance. Depressed people often associate themselves with a negative image of self and of the world, which is very incapacitating and makes the person feel guilty, angry, worthless, hopeless and helpless. The trick is to combat this inner thinking process with evidence to disprove it and support the evidence with logical and rational reasoning and seeing the whole picture with its positives rather than focussing on the negative parts only. For eg.."Good things have also happened in my marriage"," I can learn from my mistakes and do things differently next time"," I have achieved many things in life so I am capable and intelligent"," Life is not over yet, there is hope because I am still alive". such statements are compassionate and help in restoring lost confidence, faith and hope which is vital to beat depression blues.

Be Active:
During depression, physical energy takes a beating as a person goes through an emotionally low phase. People who don't exercise regularly are more prone to depression as the body and mind lacks in blood circulation and "feel good" neuro chemicals called Endorphins. When you are feeling down in the dumps, exercising, yoga, gym, cycling, aerobics, dance can help in elevating the heart rate and thus increasing the blood circulation and elevating the moods. Cycling to work, using the stairs, walking just a little bit as a  daily small goal can be beneficial as energy levels can be very low in depression. Getting the sun on the back bone which carries many nerves is also important and helps in chemical synthesis in combating depression.

Be Social:
Man is a social animal by evolutionary process. We tend to feel better in harmonious social communities for our social and psychological wellbeing. Identify people who are well meaning and supportive of your condition. Don't withdraw from the society, thought hat may be the easiest and logical thing to do in depression. Meeting people with similar interests as yours, people who value you for who you are and some people who are funny and can make you laugh will be of immense importance for boosting your self esteem and self worth. See if some one can benefit from your care..caring for others is a huge booster of self worth and self esteem. Having a pet and caring for it can be another activity that you can look into. Watching comedy shows, movies, laughing at your own mistakes or other people mistakes can be a wonderful way to look at life more objectively. Don't take yourself and other people too seriously..everyone makes mistakes and nobody is perfect.


By no means is this list complete. Please look around and find more tips that can help in beating the blues. If Depression is caught in its early stages then its completely curable. Please don't self diagnose and take medications. Get it diagnosed with a psychiatrist or a psychologist. Cognitive Behaviour Therapy, Stress management, Marital Counselling, Meditations and relaxation techniques, Spirituality are very powerful in dealing with depression too.

3 ways to combat depression

Role of relationship problems in depression and suicides - 
Almost everyday we read about people ending their lives by committing suicides from celebrities to common man to even children . Although this is not permitted in any religion and there is a legal debate on whether it should be legalized, the fact remains that people are driven towards this unfortunate step. Let's take a look at the common reasons for suicides to become so very common.

1) Lack of intimacy- We see that although we are surrounded by people most of people are having friends only on Facebook. Even among the people we interact everyday nobody wants to open up with anyone or allow you to open up with them.The fact that you are surrounded by people who don't share themselves with you intimately starts pulling your mind downwards. Work colleagues are bothered only about work, family is only bothered about the income you are generating, partners are obsessed with how much you can spend on them, friends are occupied with what benefits you can share with them. Therefore all in all, despite having all relationships, people feel left out and alone like as if their inner self has been left unwanted and uncared of. The monotony of mechanical life hastens the culmination of this abuse into drastic steps like suicide.

2) High demands- People are often left to fend with high demands from them from their social circle. Many people cannot attempt this and some who attempt are not able to make it. This leaves them with a feeling of failure which is often frowned and looked down upon whether it is a student or a professional. It is no surprise that today even below 10 years olds are successfully attempting suicides.

3) Inappropriate planning- Planning is a key necessity for successful results whether it is financial or relationships. but unfortunately many people are unable to obtain the correct know how which will enable to implement their plans successfully.

4) Inability to cope- Many people plan to do things but are unable to cope with the harsh realities that come with the plans. To some it may be unseen to some unbearable. So although they set out on doing something the journey is not what they had expected.

5) Lack of results- Sometimes although everything is planned well, executed well and completed well it does not fetch us the rewards that may seem appropriate to the level of efforts. This is something that is very difficult to deal for most people and is a result of many unfortunate casualties.

6) Lack of desire-It is very important to have something to look forward to in life. But unfortunately in an age where drinking water and using the toilet cost s money many people cannot think of having something to look forward to and hence this unfortunate step.

Therefore, you have to be very prudent in what we are doing today because we can never predict which way our lives may go and even importantly which way you may yourself go based purely on circumstances beyond our control dependent on the choices we make today or others make for us. Although suicide is not a sensible solution to any problem it does remain a common reality. If you are feeling suicidal please remember to seek help.

Please feel free to consult me privately for further assistance.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Health Tip - Role of Relationship Problems in Depression and Suicides

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