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Hello I am 24 year old suffering from anxiety. Doctor gave me opipramol 50 mg twice a day and dothiepin 50 mg at night. My question may I take alcohol or beer with antidepressant medicine .is it safe.
Hey I'm 15 year old Girl I was suffering from depression last. Nowymy depression is alrg without any medication t but physically I look so weak small nd underweight what should I do.
My wife is feeling frustrated due to apathetic attitude of her Bahu(daughter in law). She expects her to take care of her but she is a neutral lady,unless asked she does not act. What to do?
Most people think that having a smoking habit adversely affects only the lungs and the heart. But apart from known links to lung cancer and heart disorders, smoking also causes skin damage. The intensity of damage is directly proportional to the number of cigarettes one smokes in a day and the number of years one has been smoking for.
Here are 7 of the horrible things that smoking does to your skin
1. Premature ageing: The process of skin ageing is accelerated by a smoking habit. The chemicals that are ingested through the smoke cause your skin to age much faster, making it look loose, dull and coarse, with uneven colouring. Most smokers have a muted orange or grey tinge to their complexions.
2. Wrinkles and lines: The nicotine from smoke constricts blood vessels in the outer layers of the skin, thereby cutting off the supply of oxygen and nutrients. This causes the skin to develop visible fine lines and wrinkles at a faster rate.
3. Scarring and pigmentation: Since blood is not flowing properly to the outer layers of the skin, it is more susceptible to broken capillaries and veins, which can cause dark scarring and pigmentation on the face and other areas.
4. Darkening of the lips: Constant exposure to heat from smoking causes stark darkening and pigmentation in the lips, which also become dry and coarse.
5. Delayed wound healing: The presence of nicotine, tar and other chemicals in the blood causes cuts and wounds on the skin to heal at a much slower pace with an increased risk of infection, blood clot formation and death of skin tissue.
6. Increased risk of skin disease: Smoking makes the skin prone to various diseases and conditions like psoriasis, which happen as nicotine adversely affects the body's immune system.
7. High chances of skin cancer: Skin cancer and oral cancer are the two lesser known variants of the diseases that can be caused by smoking. Skin cancer is far more common among smokers than among non-smokers.
The harmful effects of smoking on the skin are not entirely discernible until after 10 years of prolonged smoking. Fortunately, your skin starts to heal itself when you kick the habit. If you wish to discuss about any specific problem, you can consult a Dermatologist.
My husband cheated me by chatting with different ladies online so I m in depression n not able to come out of it I get a flash of his conversation with her. N also bad dreams about him. I get irritable when I think that n feel like taking revenge so hope I am normal.
I am 26 year old. I am suffering from social phobia for the past three years. Please help me solve this problem.
Please suggest brain games and yogas which can be helpful to increase intelligence level, to increase our thinking and understanding ability ,to make our brain works fast, to process any input fast and to dealt with mental illness.
Follow 5 As (Ask, Advise, Assess, Assist, Arrange)
Assessing tobacco use status during healthcare visits increases the likelihood of smoking-related discussions between patients and clinicians, as well as increases smoking cessation rates.
All smokers should be advised to quit smoking. Even brief advice to quit has been shown to increase quit rates.
For smokers who are willing to quit, manage them with combination of behavioral support and pharmacologic therapy
Behavioral intervention generally consists of brief clinician counseling in the office, but smokers should also be referred to a free telephone quit line
Smokers who fail to quit on an adequate trial of first-line pharmacotherapy may benefit from second line pharmacotherapy.
Also attempt to intensify behavioral counseling.
Patients who successfully quit but experience relapse be treated with a pharmacologic agent that previously helped the patient to achieve abstinence and was tolerable
Enhancing treatment by adding another pharmacologic agent or more intensive behavioral support can also be considered.
Smokers can also be advised about the health risks of secondhand smoke exposure to their household members and urged to commit to keeping their home and car smoke-free, especially if children are present.
5As of quitting Smoking
Ask: Implement an office wide system that ensures that, for every patient at every clinic visit, tobacco-use status is queried and documented. Repeated assessment is not necessary in the case of the adult who has never used tobacco or has not used tobacco for many years, and for whom this information is clearly documented in the medical record.
Advise: Strongly urge all tobacco users to quit in a clear, strong, personalized manner. Advice should be clear - "I think it is important for you to quit smoking now and I can help you" "Cutting down while you are ill is not enough" It should be "As your clinician, I need you to know that quitting smoking is the most important thing you can do to protect your health now and in the future. The clinic staff and I will help you" and it should be personalized. Tie tobacco use to current health/illness, and/or its social and economic costs, motivation level/readiness to quit, and/or the impact of tobacco use on children and others in the household.
Access: Determine the patient's willingness to quit smoking within the next 30 days; If the patient is willing to make a quit attempt at this time, provide assistance; If the patient will participate in an intensive treatment, deliver such a treatment or refer to an intensive intervention; If the patient clearly states he or she is unwilling to make a quit attempt at this time, provide a motivational intervention and If the patient is a member of a special population (adolescent, pregnant smoker), provide additional information specific to that population.
Assist: Provide aid for the person to quit.
Arrange: Schedule follow-up contact, either in person or by telephone. Follow-up contact should occur soon after the quit date, preferably during the first week. A second follow-up contact is recommended within the first month. Schedule further follow-up contacts as indicated.
Congratulate success during each follow-up. If tobacco use has occurred, review circumstances and elicit recommitment to total abstinence. Remind the person that a lapse can be used as a learning experience. Identify problems already encountered and anticipate challenges in the immediate future.
20% of all cancer death are smoking related.
70% of all lung cancer death are smoking related.
There are 10 lack cancer patients in India every year.
5 lacks die every year due to cancer in India.
Cancer is curable if detected early and proper treatment taken.
Cervical cancer can be prevented by vaccination.
Quiting smoking can make a big difference in cancer incidence.
Although confused with natural and temporal feelings of grief or sadness, depression is not merely a weakness or something to be taken lightly. It is quite a serious issue and can last for long periods of time.
Depression does not merely involve feelings of hopelessness, helplessness, and worthlessness, but is much more terrible and usually has a detrimental effect on your day-to-day functioning.
There are many different types of depression. These include:
1. Major depression
2. Bipolar depression
3. Psychotic depression
4. Chronic depression (even dysthymia)
5. Seasonal depression
6. Substance-induced depression
7. Postpartum depression
8. Double depression
9. Treatment-resistant depression
10. Secondary depression
11. Masked depression
Symptoms: Signs and symptoms of clinical depression can vary depending largely on how severe it is, how long it lasts and how often it comes into play, and differs from individual to individual. While some might experience but a few signs of depression, others might experience more. Here is a list of symptoms that might indicate that you may be suffering from depression:
1. Being depressed for most parts of the day, especially in the morning
2. Feeling guilty or worthless almost every day
3. More inclined towards pessimism
4. Insomnia or hypersomnia
5. Regular contemplations of death or suicide
6. Significant weight gains or weight loss
7. Appetite loss or overeating
8. Feelings of high fatigue and low energy levels almost every day
9. Indecisiveness or impaired focus and difficulty concentrating
10. Lack of interest in almost all daily activities or hobbies, including sexual activity
11. Irritability and restlessness
12. Cramps, headaches and digestive problems which persist even with treatment
Causes: Although the exact causes of depression have not been determined as of yet, depression may be caused by a combination of a number of factors:
1. Biological differences
2. Hormonal imbalances
3. Brain chemistry
4. Inherited traits or genetic disorders.