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Depression Tips

Diabetes & Depression - How Are The Associated?

MBBS Bachelor of Medicine and Bachelor of Surgery, HIV Management Course, HIV Update Course
General Physician, Hyderabad
Diabetes & Depression - How Are The Associated?

Diabetes is a state where the body suffers from lack of energy due to poor metabolic state. This is construed as depression in many patients as they already feel lethargic and subdued. The fatigued state of body in diabetes can be alleviated by exercise which raises endorphins - substances which are released in the body especially by exercise - providing us the necessary elation so much necessary for our recovery

Managing diabetes may make a person feel alone and set apart from their friends and family due to the number of dietary restrictions they need to follow. Additionally, if the person has trouble controlling their blood sugar level, it may make him frustrated and anxious. Over time, these negative emotions can build up into depression.

Depression can make a person lose his sense of purpose and can make regular tasks feel like too much to handle. Thus, a depressed person may stop taking care of himself. The lack of energy can lead to a loss of appetite or unhealthy snacking. This can trigger fluctuations in blood sugar levels that worsen diabetes.

Thus, depression and diabetes have a cyclic relationship. The good news is that these two diseases can be treated together and managing one of these diseases can have a positive effect on the other as well.

Here are a few ways to treat diabetes and depression:

  1. Regular Exercise: Regular exercise is very beneficial towards treating, both depression and diabetes. Exercise helps regulate blood sugar levels and hence can help control diabetes. It also helps in reducing excess weight, which can enhance your self image and make you feel happier. Simultaneously, it also releases endorphins or the 'feel good' brain chemical. This can help alleviate depression symptoms.
  2. A Balanced DietA balanced diet is essential for good health and can help manage, both these disorders. Along with a balanced diet, there is also a need to abstain from snacking between meals. Reducing the amount of sugar in your meals helps stabilize blood sugar level and control fluctuations. Stable blood sugar level keep a person from becoming increasingly anxious and can thus prevent depression.
  3. Restful Sleep: A good night's sleep can treat, both diabetes and depression. If you have proper sleep, you will awake feeling refreshed and energetic. This positive energy balances the negativity of depression, lowers the urge to snack and helps in stabilizing blood sugar level.
  4. PsychotherapyPsychotherapy or in particular cognitive behavioral therapyhas been proven beneficial towards treating depression. This in turn gives a person the motivation needed to manage his diabetes as well.

Depression - How Therapy Sessions Can Be Of Help?

MBBS, DNB
Psychiatrist, Jaipur
Depression - How Therapy Sessions Can Be Of Help?

Depression is recognized as a mood disorder characterized by the prolonged feeling of sadness and loss of interest in otherwise regular activities. The symptoms include loss of sleep and appetite, loss of interest, persistent feeling of sadness and lowered self-esteem. These symptoms should last for a minimum of 4 weeks for the individual to be diagnosed with depression. Sometimes, at its later stages, depression can also be accompanied by suicidal tendencies.

How it can be treated?

  1. Role of anti-depressants: Depression has become rather common in the present day scenario. The treatment varies from prescription drugs to therapy. People who have depression are usually given mood enhancers and anti-depressants. Antidepressants are medicines used to help people who have depression. With the help of these depression medications, most people can achieve significant recovery from depression. Most antidepressants are believed to work by slowing the removal of certain chemicals from the brain. These chemicals are called neurotransmitters (such as serotonin and norepinephrine). Neurotransmitters are needed for normal brain function and are involved in the control of mood and in other responses and functions, such as eating, sleep, pain, and thinking. Antidepressants help people with depression by making these natural chemicals more available to the brain. By restoring the brain’s chemical balance, antidepressants help relieve the symptoms of depression. Specifically, antidepressant drugs help reduce the extreme sadness, hopelessness, and lack of interest in life that are typical in people with depression. However, these are but short-term solutions to depression and don’t necessarily cure the individual completely. For the treatment to be effective, the drug intake must be combined with therapeutic techniques to solve the problem at the root level.
  2. Therapy: Different therapeutic techniques are used to treat depression depending majorly on the individual, the cause of depression and general history and state of mind. Research suggests that client centered therapy and cognitive behavioral therapy are a good start with an average case of depression. The therapists usually incorporate several other methods based on the client’s need to get maximum effect. Adlerian techniques, where individuals are made to comprehend the thoughts and emotions which influence their lifestyles and adopt a more productive and positive way of life, are rather helpful with most clients who suffer from depression.

Note
Depression is a fairly common mental health disorder today, affecting a large population. Depression must be acknowledged as a proper mood disorder and not just a passing phase. It is completely curable with proper medicine and therapeutic sessions. The individual is able to move over the feelings of unhappiness and lack of interest with proper care and acceptance from loved ones in addition to therapy and the drugs, of course.

What Is Addison's Disease?

Dr. Rajarshi Mukhopadhyay 85% (20 ratings)
FRCP (Edinburg), DM - Endocrinology, CCT (Endocrinology), MRCP - Diabetes & Endocrinology, MRCP (UK), MD & DNB - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Kolkata
What Is Addison's Disease?

While cold and cough are common, diseases like Addison’s disease are rare. It is also known as chronic adrenal insufficiency or hypocortisolism as it is a result of insufficient production of hormones like cortisol and aldosterone by the adrenal glands. This disease can affect men and women of any age.

There are two types of Addison’s disease. These are:

  1. Primary adrenal insufficiency: In this case, the adrenal glands themselves have a problem.
  2. Secondary adrenal insufficiency: If the hormone production in the adrenal glands is restricted by a problem that has started somewhere else like the pituitary gland, for example, it is known as secondary adrenal insufficiency.

Primary adrenal insufficiency is more common of the two. This could be triggered as a result of autoimmune diseases or a long lasting infection such as HIV, tuberculosis and some fungal infections. Cancer can also cause this type of Addison’s disease.

Secondary adrenal insufficiency is usually caused by a problem with the pituitary gland or the hypothalamus as they are responsible for the production of hormones that stimulate the adrenal glands. Damage caused to the pituitary gland by tumors or radiation and surgery can also interfere with hormone production. Prolonged and improper use of steroid hormones can also trigger this condition.

Addison’s disease has a very slow progression and its symptoms develop gradually over time. Some of these symptoms are:

  1. Weight loss and loss of appetite
  2. Extreme fatigue
  3. Hyperpigmentation
  4. Low blood pressure
  5. Craving for salt
  6. Nausea and diarrhea
  7. Pain in the abdomen and joint pains
  8. Irritability
  9. Depression
  10. Loss of body hair and sexual dysfunction in women

Treatment for Addison’s disease involves hormone replacement therapy. This aims at correcting the hormone levels in the body. Hormone replacement therapy includes oral corticosteroids and corticosteroid injections. The dosage of these steroids could vary depending on the situation. For example, the doctor may suggest a temporary high dosage when the patient is in a stressful condition. Along with this, sodium is also recommended especially during the summer months and while exercising. This medication must be taken regularly as skipping a single dose can be dangerous.

In some cases this condition can become life threatening. An addisonian crisis causes a drop in blood pressure, sugar and a spike in potassium levels in the body. This requires immediate medical attention and can be treated with intravenous injections of hydrocortisone, saline solution and sugar.
 

Signs And Symptoms Of Manic Depressive Disorder!

D.P.M
Psychiatrist, Mehsana
Signs And Symptoms Of Manic Depressive Disorder!

Manic depression, also known as bipolar disorder in recent days, is a major mood disorder characterized by hypomanic or manic episodes (deviation from one's usual mood along with abnormally high energy levels). Mania involves sleeplessness, along with psychosis, hallucinations, rage, grandiose delusions or paranoia. Mania or hypomania isn’t usually harmful to the patient and they might exhibit increased capacity for work and creativity. Depressive episodes however, can be debilitating and often life threatening as the person becomes self-destructive and suicidal in many instances. 

The extent of mood swings can vary from extreme to very mild. They can occur progressively or suddenly and might last for few days to weeks. Patients affected by bipolar disorder may experience disturbances in thinking apart from depressive or manic episodes. Distortions of perception and impaired social functioning are also not uncommon. The cause of bipolar disorder is not fully understood like most mental health conditions and is often thought to be hereditary.

The extent of the seriousness of the bipolar symptoms varies from person to person. In some people, the disorder is not full blown and they don’t exhibit all the symptoms. Others who aren’t that lucky might have to be hospitalized multiple times in their lives as the symptoms creep into their work and personal life and make living a normal life a tough challenge. 

Psychotic symptoms such as disorganized thinking, hallucinations and delusions might make a person do things that demand the urgency of hospitalization to keep them safe from their suicidal impulses. These symptoms might need to be urgently addressed by a psychiatrist and with the help of medications, the person might be able to regain control of their lives.

In depressive phase, doctors recommend anti-depressant also. Depressive symptoms required 15days duration to call depression and main symptoms are low mood and lacke of interest in pleausarable activity. In mania, symptoms required atleast 4 days duration to call manic episode. Cause of disorder are any stressful or traumatic life event like divorce, nearby persons death, loss of job, loss of money, etc.

The symptoms of bipolar disorder are many and can be mainly categorized into two (sometimes overlapping) categories of mania or hypomania and depression:

Manic symptoms include: 

  1. Grandiose delusions (delusion of grandeur) 
  2. Racing thoughts which are often disconnected
  3. Sense of euphoria or false elation
  4. Irritability without cause
  5. Hampered social functioning
  6. Increased sexual inclination and risky sexual behavior
  7. Hyperactivity
  8. Increase in talking volume or speed
  9. Impaired judgment
  10. Reduced sleep requirements owing to extra energy levels
  11. Increased productivity and creativity

Depressive symptoms include:

  1. Abnormal eating patterns like over or under-eating to the extent of severe medical complications accompanied by drastic changes in weight
  2. Difficulty in concentration, making decisions and remembering
  3. Lack of energy or fatigue 
  4. Contemplating about death for prolonged periods of time and suicidal behavior
  5. Oversleeping, insomnia or early awakening
  6. Persistent pessimism 
  7. Irritability and restlessness
  8. Feeling of hopeless and negative attitude

Mood stabilizers, such as lithium are commonly employed to treat bipolar disorder. Anticonvulsants, benzodiazepines and anti psychotics can also be used in the treatment. Along with medications, support from family and friends is of the utmost importance as they need to help provide all the support required in making the person functional and healthy.

2 people found this helpful

PMS - 7 Effective Ways To Deal With It!

Dr. Gautam Sonawane 85% (10 ratings)
DGO, DNB - Obs & Gynae, Certificate Training In Gynaecologic Endoscopy, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Mumbai
PMS - 7 Effective Ways To Deal With It!

PMS is often treated as a joke but for many women, it is a monthly nightmare. Muscle crampsheadachesbloatingbreast tendernessanxiety and depressionare common symptoms of PMS. Though there is no set cure for PMS here are afew tips that will help you deal with it.

  • Set an exercise routine: Exercising not only helps you maintain weight but also helps dealing with PMS. You only need to set aside 30 minutes a day for a brisk walk, jog, swim or even dance. Aerobic exercises improve blood circulation, ease stress and help the brain release happy hormones.
  • Change your diet: If you are feeling bloated and depressed, cut back on simple carbohydrates like sugar and fat and increase your consumption of complex carbohydrates like fruits, vegetables and whole grains. Do not attempt a low carb diet to lose weight if you suffer from PMS. Reducing the simple carbohydrates in the body and increasing the complex carbohydrates keeps you body feeling full for longer and increases the serotonin levels in the body.
  • Quit alcohol and caffeine: Drinking a glass of wine or a cup of coffee may give you temporary relief from PMS symptoms but in the long run they aggravate your PMS symptoms such as headaches, breast tenderness and mood swings. Alcohol may also contribute towards lowering the magnesium levels in your body and thereby make you feel bloated.
  • Relax: One of the effects of PMS is to make you feel anxious and tense. The easiest way to address this is by learning to relax. Try meditation or yoga for half an hour every morning. This will improve your overall health as well as soothe muscle pains.
  • Take a few supplements: Research says that certain fatty acids like Omega 3 and linoleic acid can lower irritability and body aches associated with PMS. Calcium is also known to help ease PMS symptoms. Getting these nutrients in the required levels may not be possible only through your daily meals. Hence, you can also consider supplements to ease your pains.
  • Use Birth control pills: Birth control pills with the drospirenone hormone can help ease symptoms of severe PMS. Menstruation is often accompanied by a drop in estrogen levels that can lead to migraines. Birth control pills also regulates your hormones and hence avoids these fluctuations. It also keeps your ovaries from releasing eggs every month and hence reduces the intensity of the associated cramps.
  • Talk to people: You are not alone when it comes to PMS. Instead of keeping quiet about your discomfort, talk to people who may be experiencing something similar. Sharing your problems will introduce you to new ways of dealing with it. You could also get online support through various discussion groups.
2 people found this helpful

Don't Suffer Emotional Abuse Quitely!

Dr. Nisha Khanna 88% (51 ratings)
Ph. D - Psychology
Psychologist, Delhi
Don't Suffer Emotional Abuse Quitely!

Emotional abuse is a regular pattern of threat, constant criticism, and manipulation to control and suppress the other person. It doesn’t always lead to physical abuse but equally harmful as Physical Abuse. It is extremely damaging to your self-esteem and confidence. Any relationship can be emotionally abusive like parent-child, siblings, friendship, intimate relationship (boyfriend-girlfriend) and husband-wife relationship. The most common emotionally abusive relationship is of husband and wife.

Sometimes for years, victim person doesn’t see ill-treatment as abuse. Victim person lives in denial to deal with stress and this cause individual further severe Emotional Trauma, Depression, Anxiety and Post-traumatic Stress Disorder. Abusive People have their own set of insecurities n they don’t know how to have positive healthy relationships. They mostly feel hurt, anger and powerless. Most abusers are suffering from different personality disorders like Borderline Personality Disorder, Narcissistic Personality Disorder, and Antisocial Personality Disorder and so on. If you face few of following behaviours, you need professional help and it’s a possibility of an emotionally abusive relationship:

 

  • The person feels extreme possessiveness or constant jealousy. He/she would like to control all aspects of your life and through threats or violence try to assert dominance over you. Small arguments tend to escalate physical abuse between both of you over the day to day conversations and due to their manipulation tactics you start justifying the abuse and start believing you’re the problem.
  • In the initial of relationship, a person keeps pressurizing for immediate commitment. Person demeans you, your achievements, your hopes and dreams. The person makes you feel that you are always wrong and whatever decisions you made are wrong. Whatever you do, it’s never enough and right for the person. They neglect you to punish you and may have unrealistic expectations.
  • It’s good if a couple spends quality time together but the problem starts when the person (your spouse) isolates you from family and friends. Even person had a problem with whatever you do with your spare time or to make yourself happy like exercise, car, phone, Family, Friends etc.
  • The person won’t accept own faults and blames you or others. They play the victim and blame you for everything like their problems, failures and unhappiness. They always point out faults in you and your weaknesses. They rarely say sorry.
  • The person mostly disregards your opinion, needs and ideas and always expects you to serve and obey. They may try to control you and want you to take permission to make decisions or go out somewhere. They may try to manage the finances like how you spend money.
  • The person keeps criticizing you and use vulnerable points about your past and makes you feel bad about yourself. They may humiliate you n put you down. They may call you names or bully you and make fun of you in front of others. They may use negative remarks to frighten you but won’t take others laughing at them.
  • The person may have sudden mood swings. They may not show empathy and mostly emotionally unavailable. They don’t care about your feelings. They may deny their behaviour whenever confronted.
  • A person is never happy whatever you do and you go out of the way to make the person happy. To keep the peace in the relationship, you may stay silent, whenever you are angry.
  • A person is cruel to others esp. children and animals and may have a history of hitting in the past. Person manipulates you in unwanted sex or may deny for sex to manipulate and control you.

If you are facing such issues, first thing is verbal abuse is a choice and you have to accept that it’s happening with you. You have to identify the patterns of controlling behaviour abuser use and accept the responsibility of your behaviour and start taking steps how to overcome it and finally approach us for professional help.

 

2 people found this helpful

Miscarriage - How To Get Over The Mental Trauma?

MS - Obstetrics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Miscarriage - How To Get Over The Mental Trauma?

Once the reality of the positive pregnancy test sets in, dreaming about the yet-to-arrive begins. Curiosity about gender, options for names, ways to manage, shopping ideas, etc., begin to get discussed. And then totally out of the blue the news comes that there is a miscarriage. This is one of the most depressing phases. It is very important for the family to be around and support each other. While the entire family is upset and hurt over the news, the mother needs most care as there is just not emotional but a huge physical component also to the episode. On the other hand, remember that miscarriages are extremely common, and is no indication of a fertility issue.

The first step would be to diagnose and confirm the miscarriage. After that, depending on whether it was complete or incomplete, some medical intervention might be required. In most cases, medications like misoprostol are given to expel the uterine contents. These help by clearing out the contents in about a couple of days' time. In some cases, a D and C might be required if your doctor suspects that medication will not suffice. This also helps identify if there is any issue in the uterus that could have caused the miscarriage.

While the above takes care of the physical part, the emotional component also requires cautious management. Needless to say, this is trickier than the earlier one.

  • Mourn to your heart's content - When you have nursed a life within you and have lost it, it is very normal to cry for its loss. There would be a mix of emotions - shock, denial, confusion, anger, grief, depression, etc. Take some solace from that fact that this is nature's way of removing unhealthy fetuses.
  • Get someone to talk to - Need not be your husband, but anybody whom you can talk to without having to watch words. A sibling, a good friend, a close relative - your choice. Make sure you don't pick ones who will judge and sympathize with you. More than sympathy, you need someone understanding and knowledgeable.
  • Socialize more - As you would have kept to yourself post your positive test, use this time to socialize more and meet friends whom you have not regularly been in touch with. Close family members, your children (if you already have), society groups, movie groups, etc., help to a great extent.
  • Formal medical counseling: If you are not able to cope with your regular circle of family and friends, try seeking professional advice from counseling.
  • Spirituality - Whether you believe in temple or churches, spend some time there. Involve in some religious activity if you would like, this helps very often.

As much as it is painful and traumatic, it is not very uncommon or unnatural. Get back on your feet, the sooner you do, the better.

How Psychology Can Help You To Get A Better Life?

DPM, MBBS
Psychiatrist, Gandhidham
How Psychology Can Help You To Get A Better Life?

Can psychology help you get better life? The answer is yes. You got to have a proper psychological balance so that you can get a planned and peaceful life. You can now get innumerable benefits by having proper and perfect psychological support. 

10 psychological ways for getting an improved life

  1. Get acute motivation: If you are fully motivated towards life, then you will get success in every phase of your life. This is why you must take psychological help from a doctor. 
  2. Improving leadership skills: Psychology can improve your leadership skills to a great extent and thus you can influence your team members. 
  3. Becoming a better communicator: A better listener is a good communicator and if you want to become a good listener, then you got to have enough patience and this quality can be gained only through psychological help. 
  4. Having better understanding about others: You should understand people well, otherwise, you might face great difficulty in interaction or communication with others. 
  5. Making accurate decisions: Taking accurate decisions in life is a great necessity, otherwise, you will not be able to lead a comfortable life. You get more confidence and take the right decisions when you take psychological help. 
  6. Improving your memory: You can get enhanced memory power and thus can remember things much easily and freely. If you are a student, then psychological help or counselling will be a great help for you.
  7. Making wise financial decisions: You can now get the capability of taking independent and wise financial decisions on your own without taking the assistance of others and this is possible only by receiving proper psychological help.
  8. Getting better grades: You can concentrate on studies well, as a result of which higher grades can be easily earned. You will face no hindrances and can study with a peaceful mind. 
  9. Becoming more productive: you can get higher physical and mental productivity as a result of which all your objectives can get fulfilled. If you remain energetic, then you can perform your duties well. 
  10. Healthy living: If you are psychologically strong, then you can lead a healthy life. Depressed or stressed-out mind cannot help you to live properly, and thus you are in need of a stable mental condition. Healthy mind will help you to take proper decisions and these decisions are helpful in staying healthy without inviting any complications.
3 people found this helpful

Internet Addiction & Phone Addiction - How Is It Affecting Us?

MBBS, Diploma In Psychological Medicine, Diploma In National Board In Psychiatry
Psychiatrist, Navi Mumbai
Internet Addiction & Phone Addiction - How Is It Affecting Us?

"Get off the mobile and go outside" - are these words being heard more commonly nowadays than at any point in time before? Humanity has just stepped into one of the newest psychiatric disorders. What is worse is that the medical world is divided on whether this should be considered as a disorder, or simply be passed off as a generation gap. Let us look a little deeper about the disorder.

What is internet addiction?

Only recently did Internet addiction and phone addiction became a part of the diagnostic and statistical manual of the mental disorders i.e. Internet addiction is now effectively considered a psychiatric disorder, and there are chances of identifying and treating it using medically approved means. As the name suggests, internet addiction and phone addiction means that the person is using his creative and designated time on a medium when he is no longer required to.

Simply put, it becomes an obsessive habit on part of the person to look into his/her phone and use the internet as a routine activity. Long term addiction can lead to many psychological factors such as withdrawal symptomsdepression, and general loss of awareness about the surroundings. For most people, the syndrome can be an underlying factor of an even more severe health condition that the person is trying to mask by whiling away his/her time on the internet and mobile.

Addiction in today’s world 

As of now, only two countries, South Korea and China have identified the disorder, and treatments are administered. Europe and the United States have also categorised it as a disorder, and research is being done on it. The general treatment plan that exists presently, aims to understand the patient first. The psychiatric treatment tries to successfully bridge the user and his/her addiction. From practicing different times of using the internet, to suggesting new schedules and goals, the person can be slowly be eased back into society. The purpose of psychiatric intervention is not to block the internet/ mobile usage completely, but to limit it. A person is educated to get his satisfaction in other forms, like relationships, outdoor activities.

Medical Possibilities

Though still in its early stages, the medical world has made it clear that its contribution towards these mental addictions would increase many fold in the very near future.

How To Recognize Depression In Adults

M.Ed., M.A - English, M.Sc - Psychology
Psychologist, Hyderabad
How To Recognize Depression In Adults

Alternating between being happy and sad as you go through life's ups and downs is normal, but if you're sad most of the time, it could be a sign of being depressed.  Depression takes the joy out of all your activities, and can make merely getting through a day feel overwhelming. The first step to overcoming this problem is to understand its symptoms and causes.  

Not everyone experiences depression the same way, but here are a few questions that can help tell you if you are depressed or not.

1. Do you feel helpless?

- It is common for depressed people to feel helpless and that everything around them is out of their control. As a result, the person may either stop participating in activities all together or try to control things they can't. Both situations are cyclic and lead to further depression.

2. Have you lost interest in daily activities?

- The feeling of helplessness is one of the main reasons depressed people lose interest in activities. Another reason is that activities that were once enjoyed now do not seem interesting enough. In most cases, this leads to the person isolating himself and withdrawing from all his family and friends.

3. Do you often feel angry or irritated?

- Depression is almost always accompanied by irritability and anger. Small annoyances that would usually be overlooked quickly, take on an inappropriate significance. This can lead to poor impulse control, substance abuse and anxiety disorder. In most cases, anger and depression are related by the person trying to take accountability for things that are out of his control and hence feeling helpless.

4. Is there a change in your sleep pattern?

- Your sleep quality is very closely related to the way you feel. Depressed people often suffer either from insomnia or oversleeping. Depressed people can have trouble going to sleep as well as staying asleep. This can cause drowsiness and lethargy during the day. Sleep apnea is also linked with depression. As you can imagine, if this is left untreated, it will only worsen your depression.

5. Do you feel tired?

- When the body does not get adequate sleep, you begin the day feeling tired. Thus depressed people often feel fatigued and complain of a number of muscle and joint pains.  This is because the body has not had enough time to regenerate cells during the night. This is usually complemented by complains of persistent headaches and stomach aches, both of which are emotionally connected to the way you feel.

The nature of depression is such that it lowers a person's self esteem to the point of interfering with his ability to seek help. Hence if you have a positive response to the above questions, it is time to address your problem before it worsens.

2 people found this helpful
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