EATING DISORDERS

EATING DISORDERS :

Eating disorders include illnesses that comprises of irregular eating  habits , and distress about the shape and/or weight of the body.  The most common forms of eating disorders include Anorexia Nervosa, Bulimia Nervosa, and binge eating disorder.

Eating disorders develops during the teenage years   and can have a detrimental effect on the overall wellbeing of a patient if not addressed properly.

Anorexia Nervosa :  A male or female suffering from Anorexia Nervosa shall have an unrealistic fear of gaining weight along with a negative body image since they would perceive themselves as overweight. This can lead to severe health complications such as infertility, multiple organ failure , etc. Therefore it becomes mandatory to get it treated as soon as possible.

Bulimia Nervosa :   This is characterized by repeated binge eating and then compensatory behaviour for overeating such as forced vomiting, exercise, or extreme use of laxatives. Bulimia can have injured effects like gastrointestinal problems, severe dehydration and heart issues.

Binge Eating :   Individual suffering from Binge eating will lose control over their eating and binge eating is not followed by compensatory behaviours. This would make them obese and also can lead to a lot of health issues.

SIGNS AND SYMPTOMS OF AN EATING DISORDER :

1.      Constant weight fluctuations

2.      Lethargy

3.      Obsession with food

4.      Social withdrawal

5.      Switching between overeating and fasting

6.      Dieting behaviour despite weight loss

7.      Dress in layers to hide weight loss and/or to stay warm

8.      Deny feeling hungry

9.      Stealing or hoarding food in secret places

10.  Unusual swelling of cheeks and jaw area

11.  Sleep issues

12.  Muscle weakness

13.  Dry skin

Treatment of Eating Disorders :

·         Nutrition :  This would involve weight stabilization through meal planning.

·         Therapy : Therapy is important since it would help the individual in recovering from traumatic life events and also would help in dealing with negative mindset. Therapy also helps in learning coping mechanisms and healthy ways of expressing emotions and communication.

·         Medication : Some medication can be effective in dealing with the mood swings that accompany a mood disorder.

·         Medical health care :  Medical health care can help in addressing consequences that accompany eating disorders.

·         Divert your mind : Do not forget to go to a movie, play with pets,  reaf a good book or just hang out with friends.

·         Pamper yourself :  Pamper ourselves and stay away from fashion magazines which makes you compare your own body with others. Take care of yourself and choose dress up for yourself.  Also stay active by engaging yourselves in your favourite hobby.

·         Support system : It is very important to develop a solid support system so that they encourage you to maintain healthy regime.

·         Love and accept yourself : Learn to love and accept your body as it is .

SUICIDE : LETS TALK ABOUT IT

SUICIDE : LETS TALK ABOUT IT

Mental illness can lead to suicide if left untreated.  The important signs of a person planning suicide are :

1.      Looking for means to kill oneself

2.      Expressions of being in unbearable pain

3.      Thinking oneself of being a burden on others

4.      Showing anger and waiting to take revenge

5.      Displaying severe mood swings

6.      Being alcoholic

7.      Acting very agitated or anxious

8.      Feelings of hopelessness

BUSTING MYTHS ABOUT SUICIDE :

Talking about suicide would put the idea into the person’s head :   It is helpful in talking about suicide with the concerned person and this would bring an instant relief to the person since talking would help them feel less fearful and more in control.

People who attempt suicide wish to die : It is not necessary that people who attempt suicide want to die. They are themselves confused about it and see it as a last resort. Supporting an individual with suicide would help them feel secure.

Suicide is “ attention seeking” : Every talk about suicide requires an empathetic response and needs to be taken seriously.

Suicide happens unexpectedly : Suicide does not happen unexpectedly.  There are a lot of symptoms before a suicide occurs such as depressed mood , alcoholism, negative feelings  social withdrawal etc.

Suicide is a selfish act : People who attempt suicide look at themselves as burden and do not wish to be one. Hence they think that its better to die.

PREVENTING SUICIDE :

1.      Be Non Judgemental :   When a person expresses his/her intention to commit suicide, do not judge the person. Be patient and listen to the person with a deep sense of empathy.

2.      Offer hope : Try to show the person the positive life of life and infuse positivity.

3.      Take it seriously : When anyone expresses his/her desire to kill oneself or tals about his/her depressed mood take it seriously . Do not pass it off as a mood swing.

4.      Respond promptly :  Respond promptly and ask questions related to the plan of suicide and since when the thoughts of suicide had been occurring.    

5.      Encourage lifestyle changes :  Ask the person to make positive lifestyle changes such as incorporating exercise in the routine and taking a lot of healthy food.

6.      Remove anything risky from the surrounding : Remove any means of suicide such as razor knives etc.

7.      Give Unconditional support :  Be a source of constant and unconditional support to the suicidal patient

8.      Seek Professional Help : Take the suicidal patient to a psychologist or a mental health professional for help.

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MOOD DISORDERS

Mood disorder encompasses a plethora of disorders which are Unipolar disorder or major depressive disorder , Bipolar disorder , Cyclothymia , Dysthymia , and Hypomania. Mood disorders if left untreated can be crippling to the person experiencing it and also to the people related to the person.

Major Depressive Disorder or Depression comprises of the following symptoms for 2 weeks which are :

·        Depressed mood most of the day or everyday

·        Loss of pleasure in day to day activities

·        Changes in weight and food intake

·        Fatigue

·        Sleeping more or less than usual

·        Feeling of worthlessness and inappropriate guilt

·        Lack of ability to think and concentrate

·        Suicidal ideations

Causes of Depressive Disorders :

1.      Genetic/biological :  The monoamine hypothesis is the common reason for depression which suggests that the reason behind depression is a depletion in the level of serotonin, norepinephrine and or dopamine in the central nervous system.

2.      Personality : The personality of an individual can be an important factor in the development of depression. A highly sensitive individual would be more at risk to develop depression due to oversensitivity to external stimuli such as criticism.

3.      Drug and Alcohol use : A lot of abuse of drug and alcohol can ultimately lead to depression.

4.      Social Causes : Social factors such as unemployment, financial crisis  poverty  can be the leading causes of depression.

Treating  Major Depression  :

Eating right :   Foods rich in vitamin B are quite helpful in treating major depression. Food rich in magnesium is also important in dealing with depression.

Avoid alcohol or processed food : Avoiding  alcohol and processed food can help divert depressive symptoms to a great extent.

Sleeping well :   Sleeping well would help a person with depression to a great extent. A minimum of 8 hours sleep is crucial for an individual with depression.

Exercise :  Exercising can help a lot in fighting depression. Going for walks can be an immediate mood booster.

Therapist :  Going to a therapist is crucial to help cure major depressive symptoms since a therapist is trained in giving proper psychological therapy in order to make the client/patient feel better.

Challenging negative beliefs :  Since depression gives rise to a lot of negative thoughts and emotions , it is important to challenge the negative beliefs and replace them with positive thoughts/emotions. Writing down thoughts can be helpful.

Identifying distorted thought patterns :  Distorted thought patterns need to be identified.

ANXIETY DISORDERS

Anxiety disorders are one of the most common mental health disorders and needs to be dealt with in order to lead a stress free life. All of us face certain levels of anxiety on a regular basis  yet when it starts to disrupt our routine lives, it becomes a threat.

The most common types of anxiety disorders are :

·        Generalized Anxiety Disorder : Worrying is uncontrollable upsetting and stressful for at least six months . A patient with GAD would worry about all sort of things and would expect the worst.

·        Post Traumatic stress disorder : PTSD occurs soon after a very traumatic event and is one of the worst sort of anxiety.

·        Obsessive Compulsive disorder : OCD comprises of obsessive thoughts and compulsive behaviours. Patients with OCD constantly seek reassurance.

·        Body Dysmorphic Disorder : People with BDD dislike their part of body like skin, hair , nose, chest , or stomach. The flaw may be insignificant but a person with BDD perceives it as prominent and hence experience distress.

·        Phobia : Phobia is an illogical fear of a particular object or situation.

·        Health Anxiety : A person with health anxiety is preoccupied ith insignificant health concerns.

·        Panic Disorder : In a panic disorder, the client experiences a racing heartbeat, breathlessness and the like without any physical cause or event.

Causes of Anxiety disorder :

·        Past or childhood experiences :   People who experience physical or emotional abuse, loss of parent, neglect, bullying or social exclusion can develop anxiety disorders.

·        Current life situation :  A lot of stress , long working hours, facing financial issues, and unemployment can lead to the development of anxiety disorders.

·        Physical or mental problems :   Physical and mental problems can lead to anxiety in an individual and cripple his/her daily activities.

·        Drugs and Medication :  Taking a lot of drugs and medication can lead to the development of anxiety disorders.

Beating Anxiety :

·        Talking to someone you trust : Talking about your innermost feeling with a trustworthy individual can help in beating anxiety. It provides an emotional release and builds hope in the individual dealing with anxiety.

·        Managing worries :  People with anxiety disorders tend to obsess about their worry . Hence they can set aside specific times in the day for worrying. This would give them a relief from the obsession.

·        Breathing exercises : Deep breathing exercises canhelp relieve anxiety symptoms by providing relief to the mind of the individual.

·        Maintaining a diary :  Keeping a diary and jotting down thoughts can help identify negative thought patterns which can then be replaced by positive thought patterns.

·        Seeking Therapy : Going to a mental health professional is important since they are trained to provide therapy such as Cognitive Behavioural Therapy which challenges negative self beliefs.

Anxiety disorders are treatable if handled in a right way along with a proper treatment plan.

Self Care Tips for Caregivers of Psychologically ill Patients

Mental illness can afflict anyone and is capable of bringing about a paradigm shift in the course of life of the sufferer and his/her family members. It becomes crucial for caregivers to impart sufficient care to the sufferer in every possible way. Care giving is a challenging task, hence it is important to take care of the mental health of care giver as well.

The most essential prerequisites of care giving areloads of patience and mental strength since lack of mental strength can lead to burnout . It is important to notice the symptoms of burnout in order to maintain mental equilibrium. The symptoms of burnout include lack of energy, neglecting one’s own needs, feelings of helplessness and hopelessness , irritability, trouble in relaxing, mood fluctuations.

Whenever such symptoms are realized , it becomes crucial to relieve those symptoms. Apart from physical symptoms , a caregiver can also experience a range of emotions such as anger/resentment, anxiety and feelings of worthlessness towards life in general, feeling of guilt and grief towards the condition of loved one.

There are several ways in which burnout can be prevented : 

• Maintaining friendships :It is crucial to be social and maintain relationships because this helps in combating stress and overcoming it. It is always prudent to be socially inclined and share griefs and joys with others in order to help in keeping the mind cheerful.
• Exercise and meditation : Exercising and meditation are important instruments in keeping the mind fresh and going. Incorporating exercise in everyday routine helps in releasing endorphins which keeps the heart and mind balanced. Walk, going to the gym, yoga, relaxation exercises are some of the activities thatcan be easily incorporated in life.
• Speak up and share responsibilities : Sharing problems with other family members and seeking their help in the care of the psychologically ill would lead to a significant decrease instress level.
• Engaging in meaningful hobbies : Engaging in hobbies would bring meaning to life. Reading good literature gardening, going for walk , would help in imparting a meaning to life and replenish lost energy.
• Rewardingoneself :Positive self talkand rewarding oneself would help in motivating oneself to keep caring for the sufferer.
• Support group :It is beneficial to join a support group in order make the road smoother.Support groups are available online and offline. These groups are good reservoirs of ideas and mental strength necessary to deal with the challenges of caregiving.
• Going for regular health checkups : Going to the doctor for regular health checkups is a must to maintain physical health.
• Good eating habits and sleep : Healthy eating habits and a good amount of sleep would keep stress at bay . Eight hour sleep is crucial for adults. Keeping clear of every kind distraction while sleeping is important.
• Seek professional help :Seeking help of a counsellor or a therapist can help a caregiver in determining a plethora of ways to balance life and not feel burdened by the presence of a mentally ill patient. Professional help is not only meant for the mentally ill but also for the caregiver. Finding a good counsellor is very important.
Staying healthy is a choice and following the points mentioned above would definitely help in providing succour to a caregiver from stress.
https://www.health24x7.in/2017/06/30/self-care-tips-caregivers-psychologically-ill-patients/

SOME INSPIRATION

Government schools : Need for change

Modi needs to pay attention to government schools where mostly the quality of education is deteriorating while the pocket of the employees are growing. Except some exceptions, a close look at these institutions lead you to neglected children specifically the learning disabled and the buildings in tatter. The nature of permanent jobs in these insitutions leads the so called educated employees seek advantage of the innocent children and their humble backgrounds. These kids as all other kids do have their rights which are denied to them. Imagine your kids studying in a half broken classroom, being abused for not being intelligent enough, and reprimanded for expressing their emotions. This kind of negative atmosphere stunts healthy development. ecial attention needs to be given to such children as they come from a background where parents lack education and the children are at the mercy of the teachers. Teachers are given a noble designatin in our Indian culture but alas, teachers in such schools need to learn that just getting the tag of a teacher does not make them one. Its is crucial for the government to look into the loopholes and select the employees in an unbiased way since the future of a lot of children depends on them. My personal experience in a particular school has left me shocked beyond limits where the children are made to surpress their opinion lest it may annoy the principal and be showered with abuses. A series of emotional torture would follow until the child loses all motivation and accept the plight. 

This kind of treatment should lead all of us to think. Our greed should not destroy the young minds of the kids. We as members of a responsible society need to raise our voice.

P.S : THIS ARTICLE DOES NOT INTEND TO HURT THE SENTIMENTS OF ANYONE 

TRAITS OF AN HSP

A highly sensitive person can be attributed with high sensory processing trait. The term ‘innate sensitivity’ to denote this inherited characteristic was coined by Carl Jung. The tendency to get overly anxious in situations of immense pressure is evident in such people. The underlying cause is the biological dissimilarities between their nervous systems and that of others. This trait has often been wrongly labeled as social phobia, introversion, social anxiety problems and innate shyness. The trait is estimated with the aid of HSP scale. The term HSP meaning highly sensitive person was coined by Dr Elaine N. Aron and it postulates that shyness and inhibition may or may not be acquired by the individuals and may depend entirely on environmental factors.

Dr Aron and his colleagues have claimed that the trait of high sensitivity is conserved by the process of evolution. Aron indulged in normal infant temperature variations test including low sensory threshold and shy bold continuum described in animal species. The tests revealed that in both the cases the trait is beneficial and can persist in a multitude of circumstances. The infants continue to be influenced by their congenital temperaments even in their adulthood. The people with innate trait of sensitivity may display introvert behaviour or neuroticism but this is not the case with everyone having this trait. This indicates that introversion and neuroticism may arise from the basic innate trait called sensitivity.

People with high sensitivity can be easily moved to tears or other emotional displays through a play, book, movie or even a minor conversation. The principal reason for it being able to feel more deeply than an average individual. Such persons would empathize more with a friend in distress or turmoil. Team sport is certainly not on the wishlist of sensitive people. The feeling that other people are watching and judging is unpalatable, therefore joining the school team or college team or any other team becomes impossible. Even going to a gym and exercising with others is not deemed possible and working out within the confines of the house seems satisfactory. The highly sensitive people are impeccable in their social behavior and their polite behaviour is a defining characteristic. They also take note of improper behaviour of others. The thought of being criticized by people gives them heartburn and as a result they go to extraordinary lengths to circumvent or avoid any criticism. They do not want to make anyone annoyed or angry. The amount of time taken to arrive at a conclusion or make a decision is lengthy because all the subtleties and possible outcomes are weighed heavily before making any decision. If the decision turns out to be wrong or bad they feel upset and disheartened. The tendency to minutely observe everything is incredible.

About 30% of highly sensitive people are extroverts according to Aron. This may happen if the person has grown up in a close knit community and has interacted with a lot of people. The quality of being deep thinkers makes them a valuable asset for any team as long as the role of final decision making is left to someone else. Anxiety or depression are more prevalent among such people and require a supportive environment especially from the parents.