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Treatment & Management of Stress
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I fag cigarette regularly. I am not active as before. I want to quit smoking. I am feeling lazy. Can U help me out of this.
Just few days ago my chest become l Little pain. Then without any consult with doctors I test serum lipid profile. According to that result my Total Cholesterol is 270 mg/dl Triglycerides is 126 mg/dl HDL Cholesterol is 48 mg/dl LDL Cholesterol is 196.6 mg/dl VLDL Cholesterol is 25.4 mg/dl CHD Risk Factor is 5.6 So, I would like to take help/suggestion from you about my result. I would not forget for you help.
Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?
The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.
Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.
Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.
Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?
Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.
If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.
What role does inheritance play?
Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.
Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.
How is autism managed?
There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.
Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.
Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.
Hi I m vry addicted to smoke. I tried many times to leave but I can not. I feel relaxed after smoking. But its too much like 20-30 per day. How can I good bye to smoke plz.
Most people have felt depressed in their lives some time or the other. Depression can be a natural reaction to failure, injured self-esteem or loss but when the severity of the condition increases it is diagnosed as 'clinical' or 'major'. Subtle signs of depression usually go unnoticed because it is difficult to determine whether it is a phase or a chronic condition. It is important to recognize the symptoms of depression and get help at the earliest.
Some major symptoms are consistent sadness, feeling hopeless, thoughts of suicide, uninterested in life, low on energy, a persistent physical trauma that does not respond to medications.
There are efficient homeopathic medicines that can work to reduce the illness, especially if treated in the early stages. Homeopathy is a reliable path to follow because it does not have any side effects, unlike antidepressants that tend to numb people. Here is a comprehensive list of homeopathic medicines which most doctors are likely to recommend for treating depression.
- Arsenicum album - This medicine is prescribed to control the symptoms like diarrhea, gastric problems, indigestion which patients often suffer from as a result of intense anxiety. Patients, appropriate for this medicine tend to be fastidious and restless. It is made of white arsenic and should be taken in prescribed potency because an overdose can cause gastroenteritis.
- Natrum muriaticum - This homeopathic treatment is useful for mild depression or for people suffering extreme bereavement due to loss or a sudden shock.
- Sepia - This medicine is beneficial to women suffering from postpartum depression (sadness or emotional confliction after giving birth) and menopause. Feeling of solitude and hopelessness with no energy to continue with life are some common symptoms that can be reduced with Sepia.
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A certain psychiatric condition, which causes a person to be functionally impaired in social and occupational settings is known as Impulse Control Disorder. Most of you are granted with the ability to think before you act but it isn't the case for people suffering with such a condition. People diagnosed with this condition are not able to withstand the urge to do something detrimental to themselves or other people.
This condition is similar to other disorders such as kleptomania, compulsive gambling and pyromania to name a few. Although people suffering from this disorder do not plan their acts, the acts they do perform generally fulfill their conscious wishes. Other disorders of such similar nature like Kleptomania and ADHD (Attention-deficit/hyperactivity disorder), which are associated with difficulty in controlling impulses but that is not their chief feature. Patients of impulse control disorder find it highly distressful and are hence often seen to lose control of their actions and consequently their lives.
What causes this disorder?
Some medical practitioners are of the opinion that this disorder is a subgroup of other conditions, such as stress, anxiety, OCD (Obsessive Compulsive Disorder) and etc. Scientists and researchers are not particularly sure what causes this condition but have determined that it can be caused due to a combination of physiological, emotional and psychological factors pertaining to cultural and societal aspects. Also, certain brain structures linked to emotions and memory functions in and around the frontal lobe are linked to planning functions and impulses.
Some studies show that certain hormones such as testosterone which are associated with aggression and violence may also play a role in forming such disorder. Aggressive and violent behaviors are apparent in people suffering from this disorder. Certain studies have shown a connection between certain forms of seizure disorders and aggressive impulsive behaviors.
People with such disorders are also more likely to contract addiction and mood disorders. Antidepressants are usually prescribed in treating such disorders. If you wish to discuss about any specific problem, you can consult a psychiatrist.
I am a 27 years old female. I got married one and a half years back. I am a working woman. For the last two years my health is deteriorating. Its reflecting on my face in particular. I have always been thin. My body structure still remains the same but somehow my face is like degenerating. I am losing my looks. My skin is darkening continuously. I have a lot of pain in my legs all the time as well as a little pain in my body all over. My periods are irregular. Earlier they used to be after 2-2. 5 months. Nowadays for the last one year or so they lag by around 10-12 days. During my six months courtship I had seen two doctors as my health started getting affected and every one was saying bridal glow is missing. No issues from me being happy with the marriage or not, absolutely fine there. But the doctor gave me few medicines which I came to know dealt with depression. Moreover at that time I skipped my periods for around 3 months. After testing it came out to be polycystic ovary syndrome. I started medication, but discontinued as I felt it did not suit me and I started keeping unwell and my wedding day was approaching. At that I fell very ill with not feeling like being around people. I wanted to just sleep and be alone. Byt right after my wedding I was very fine. But of late I have a feeling at times that I am not happy. I want to cry. I suddenly become sad. I infact think a lot. If any one around me is not smiling or not talking to me I think that person is angry at me and get tensed. I feel mostly people must be talking bad about me. Earlier I never used to get angry. But now I get angry and pissed off at smallest of things. I feel suffocated at times and also feel heavy weight on my head. I dont shout out my anger but burn inside. I myself feel my blood burning when I get angry or feel like crying. I have a continuous feeling of my short comings and incapabilities and feel no one is happy with me. I also get jealous if someone is good at something particularly in which I lag like talking to people. I am an introvert and cannot striike a conversation. So if someone is very talkative I get angry. I am drowsy very often and I can sleep 24*7. I am not sure what am I suffering from if suffering at all. In text it may sound very severe though it is not that high as it appears. Please help.
I have exams coming so studying day night I haven't slept, head is aching, not able to study so what to do? Please help me!
From last 6 months because of bad relation I am suffering from severe depression. Everytime I have headache & anxiety. I cant even sleep in whole night, always think of doing suicide.
Hello doc. I M 31 yrs, not happily married lady for 9 years (I think or may be I M ). We live alone because of his job. I don't know what's going on in my life. Ours is a love cum arrange marriage. For some reasons (fear of pain) we haven't have sexual relationship yet. We have a lot n lot n lot of arguments n fights with each other. There is no single moment when we don't argue or fight. He is in railways so remains in Train because of his running duty schedule. He does this so that we have less fights. He drinks a lot. Whenever he is here at home he only drinks n watches TV. I know he has no affair out n he loves me a lot. But he never shows. He abuses me too, shouts on me which I can't bear. Then I also shout n then arguments start. I am also a working lady. On job, I remain happy with my school students n colleague friends. Bt as soon I come home everything changes. We don't spend time with each other at all. We don't talk much except arguments n some daily routine talks like khane me kya banau, Chai banana etc. That's it. I try to save my marriage our relationship but nothing is working out. What should I do I don't know. Fact is this also that we can't live without each other bt we don't live peacefully also. We don't have a normal married life. Consequently, I remain stressed, lost in my thoughts. Suddenly starts crying when I M alone or lost in my thoughts or I watch something emotional on TV or around me. Because we have no kids yet. I hesitate in talking with my parents n other family members as they ask about kids. Which is natural N right on their side. My family n my world has limited to only my school life my work my students. That's it. I want to extend it. I don't know how to make my life natural like other couples. Like discussing about our lives, job future, problems, solutions etc, spend quality time with each other. Which we don't do. Pls suggest what should I do? Pls Help me.
Ejaculation can be considered premature if it happens within 1 minute of penetration or if you are unable to control your ejaculation. There are several reasons that can contribute to premature ejaculation like performance anxiety, excessive excitement, relationship issues and hypersensitivity of the skin. To treat premature ejaculation, it is important to determine the cause and stress that can be a potent reason that is preventing you from 'lasting' long. Premature ejaculation can be life long or acquired.
The effects of stress on the mind:
Stress can create havoc in your life and it is closely related to sexual dysfunctions. It is caused not only by rigorous emotional turmoil, daily factors like work or school can also lead to continuous stress, which may pile up to have a profound effect on your mind and body. Stress tends to alter the brain chemistry by triggering hormones like Cortisol, Norepinephrine, Serotonin and many others that signal the nervous system and endocrine to put the body in a state of anxiety which leads to weakening of the ejaculation reflex arc.
The effects of stress on the body:
Increased level of stress causes the heart rate to drop and the body is stimulated to produce excess blood sugar, adrenalin and chemicals. If your stress is caused due to work, your body will respond to it by diverting blood towards the important organs like hands and legs and your concentration might also improve under stress. However, stress can diminish your ability to enjoy sex, heighten your sensitivity to stimulation and pain and increase impotence.
How stress causes premature ejaculation?
Stimulation of the sympathetic nerves and hormonal imbalance caused by stress create an urge to ejaculate. Generally, this urge is enhanced by mental and sensory stimulation till orgasm is reached. One is likely to engage in sex with an amplified urge to ejaculate because the nerves have already been exhausted which leads to an early climax. Men with premature ejaculation has shown significant impact on self esteem and self confidence and many people confirm high levels of anxiety connected to sexual or intimate situations with a partner.
In a recent-published survey investigating the female partner's perception of premature ejaculation and impact on relationship break ups, relationship quality and sexual satisfaction among females, many of them confirmed that premature ejaculation was the main reason for break ups.
Hormonal disturbances in Thyroid, Prolactine, Erectile dysfunction, Penile anomalies, Prostate disease, Lower urinary tract infection can also cause premature ejaculation.
Reducing stress is an important step to cure premature ejaculation. Premature ejaculation can be treated with medications, counseling, diet and exercises. If you wish to discuss about any specific problem, you can consult a sexologist.