This Movember Ensure your young adult’s Emotional Health.

movember 1Mental health in Movember lets look at the young adolescent mental illness.

Kids and gizmos are very complex relationship. one hand it is essential for communication and learning on the other it causes a disconnect and addiction. A 2016 report says that 50% of kids feel addicted to the device.

Frontiers in psychiatry does not define smart phone as addiction, but however evaluates it on the spectrum of addiction and the finding were

  1. Using the device in prohibited or dangerous contexts.
  2. Being involved with the device enough to withdraw from the family.
  3. Negative impact on school, family, social and emotional functioning.
  4. Continuous excess use despite negative effects.
  5. Constant checking of the phone despite of it disturbing sleep.
  6. Using of phones gives satisfaction or counteracts dysphonic moods.
  7. Constant needs to respond to messages and alerts.
  8. Anxiety when phone is not accessible or cannot be used.

The use of phone is not only essential it is also quite healthy. However there should be an educated understanding of the responsibility and a plan to set boundaries.

 

I phones, tablets, laptops should removed from the bedroom to allow restful sleep.

Screen free time zone should be set in parents are to follow the rules too.  However if more that 50% of the above holds true then one could use an app called breakfree, or opt for CBT to deal with the addiction.

Mental health is an growing concern in Male wellness, this is on the increase both in young adults and in men over 50. Among the young adult male concerns often seen are

  • Anxiety disorder 32% in 13-18yr. Range.
  • Depression 13% in 12 -17 yr. Range.
  • ADHD 9% age group 13-18yrs.
  • Eating disorder is seen in almost 33.33% 13-18yrs.

FOMO: It is social anxiety fear of wrong decisions. In 1996 Dan Herman  aggregated the symptoms and noted that increase in social media addiction seems to be the cause of this disorder which is essentially the fear of not being included. This arises from the social media tag lines of “don’t be left behind.” The basic issue here is anxiety and low self esteem.

Self harm is another major adolescent issue. It is the 2nd leading cause between 15-24yr olds.  It more in kids who have been in accidents or have a lost a parent.

Borderline Personality Disorder is another rising concern. You might be given a diagnosis of BPD if you experience at least five of the following things, and they’ve lasted for a long time or have a big impact on your daily life:

  • You feel very worried about people abandoning you, and would do anything to stop that happening.
  • You havevery intense emotions that last from a few hours to a few days and can change quickly (for example, from feeling very happy and confident to suddenly feeling low and sad).
  • Youdon’t have a strong sense of who you are, and it can change significantly depending on who you’re with.
  • You find it very hard to make and keep stable relationships.
  • Youfeel empty a lot of the time.
  • You act impulsively and do things that could harm you (such as binge eating, using drugsor driving dangerously).
  • You often self-harm or have suicidal feelings.
  • You have very intense feelings of anger, which are really difficult to control.
  • When very stressed, you may also experience paranoiaor dissociation.

 

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World Pneumonia Day

world pnemonia day12th of November is the world Pneumonia day.

This it commemorates its 10th anniversary.

What is pneumonia?

Pneumonia is infection of the lungs caused either by bacteria or virus or even at times fungus. Though the most common being Streptococcus Pnemoneae. Or more popularly known as the pneumococcal.

Symptoms of pneumonia:

  • Coughing with phlegm.
  • Sweating or chills.
  • Fever
  • Chest pain
  • Feeling tired,
  • Loss of appetite, nausea, vomiting, headache.

Pneumonia is often treated with oral antibiotics., and OTC medication like aspirin, acetamoniphines, or ibuprofen.

The physician might prescribe cough medicine to calm the cough.

In very severe cases cough hospitalization and IV medications maybe required.

High risk people.

  • Infants below 2yrs.
  • Seniors above 65yrs,
  • Reduced immunity due to other medications.
  • People with chronic disorders like cystic fibrosis, asthma, diabetes mellitus.
  • People recovering from recent respiratory disease like, flu, colds etc.
  • People with excessive alcohol consumption issue.
  • People exposed to chronic lung irritants.

Pneumonia can be prevented through vaccine and taking some basic precautions like reducing smoking.

Washing your hands often. Covering cough or sneeze using a tissue and disposing the tissue immediately.

WHO GLOBAL PLAN FOR PNEMONIA AND DIARRHOEA(GAPPD)

WHO  And UNICEF integrated action plan for pneumonia and diarrhoea aims to accelerate pneumonia control by combining various intervention to protect, prevent and treat pneumonia in children

  • Protection is created through exclusive breastfeeding and adequate complementary feeding.
  • Prevention pies done with vaccinations, meticulous hygiene maintenance. Reduction of household air pollution. Prophylactic cotrimoxazole for HIV infected children
  • Access to proper treatment and care is ensured to every sick child.

Like India, countries like Bangladesh, Kenya, Uganda, and Zambia have developed district, state and national plans to intensify actions for the control of pneumonia and diarrhoea in their national child health and survival strategies.

 

Acquaintance With Keratoconus

Keratoconus

Keratonocus is progressive thinning of the cornea

Is a rare disease of the eyes.

It is a one in million case.

This is treatable by an ophthalmologist and requires medical diagnosis.

Lab tests and imagining is not required.

When it is chronic it can last for an year or it can be lifelong. It cannot be corrected with lens. It manifests as

  • Progressive near sightedness.
  • Irregular astigmatism.
  • Blurred vision.

Cause is believed to be weakling of the corneal tissue. This could be due to.

  • Hormonal imbalance.
  • Exposure to U-V light.
  • Chronic eye irritation.
  • Ill fitting glasses.

Mild forms are handled with eye glasses or soft contact lens. But if it progressive then corneal cross linking is done. This reduces the need for Corneal transplant. Cross linking is again of two kinds.

  • Epithelium off crosslinking. Here the outer layer of the cornea is lifted and Vitamin B (Riboflavin) is allowed in. This is then activated with UV light.
  • Epithelium on or trans epithelial cross linking is done with the epithelial layer intact. This is time consuming but safe. The chances of infection are less, discomfort is less.

Custom contact are designed to deal with mild to moderate keratoconus. This are made to order to the person’s detail eye measurement.

Gas permeable contact lens are preferred when eye glasses or soft lens cannot contain the keratoconus.

THIS IS A VERY BRIEF INTRODUCTION.

Over 50yrs, Male…time to talk Prostrate.

MOVEMBER

movember 1

#letsTalkProstrate.

The Prostrate gland is found in male, and is part of the male reproductory system. It lies below the urinary bladder and in front of the rectum. The gland surrounds first part of the Urethra. The urethra carries urine from the bladder to the penis. Behind the prostrate are the glands called seminal vesicles these make fluid for semen. The  prostrate gland is divided into right and left lobes.

In an adult male it is typically 3 cm thick and 4cm in width, and weighs about 2ogms. though it changes in size with age. It grows during puberty due to the rise in hormones. It begins to get enlarged when men reach their 40’s and early 50’s.

The hormone produced by the prostrate is called androgen.

Function of prostrate gland

  • To produce prostatic fluid which contains enzymes, proteins, minerals that protect and nourish the sperms.
  • It mixes with fluid from the seminal vesicles present on either side of the prostrate to form semen.

Prostrate cancer forms one of the ten leading cancer sites in India. As of the statistics available in 2018 about 25,696 new cases are diagnosed annually. 17,184 deaths get reported and the 5yr. Prevalence is 47,558. Prostrate cancer is seen equally in almost all regions of India. Its rate and incidence is rapidly increasing. The projection data shows a downing by 2020

Early stages of prostrate cancer could be accompanied by varied symptoms as the gland is close to the urethra and the bladder. Depending on the size and location the growth could press and constrict the urethra causing inhibition in the flow of urine

Early signs could be:

  • Burning or pain micturition. (pain during urination.)
  • Difficulty in urinating or trouble in either starting or stopping during urination.
  • Increased nocturnal micturition.
  • Loss of bladder control
  • Hematuria or blood in the urine.
  • Blood in the semen
  • Erectile dysfunction
  • Painful ejaculation.

Make an appointment with your doctor if you have any signs or symptoms that worries,  discuss the various therapeutic options after adequate screening. If you are over 40yrs then screening is a must.

Psychological relevance of prostrate.

To treat prostrate cancer holistically the psychological impact of it is very significant. The prostrate represent the masculine principle along with the penis and testes. Often or the social, educational and religious filter associates attributes like strong, powerful, macho, sexually aggressive and in control with masculine principle.

The current social conditioning sends mixed messages. This is hugely created and effected by mass media and is one-dimensional understanding of masculinity and male sexuality.  These distorted beliefs about the body and its functions can result in problems of penis, testis, anus and bladder.

Metaphysical implications of Prostrate Cancer:

  • Repressed sexuality: many of our social conditioning and filters deny and legitimise sexuality. People tend to develop self-hatred, self disgust towards something that is absolutely natural. There is  huge guilt associated with acting out something that is spontaneous and natural.
  • Loss of power: with the glamorizing of the alpha male, there is a fear of being less of a man. Not good looking enough, not being as strong as before, not being able to provide for oneself and others. Giving up long held dreams. This would call for accepting a newer mantle of power.

Make an appointment with your doctor.

Movember of Blue Beards and Pink Health

November is the month that is dedicated to Men’s health.

It is popularly called as Movember or No Shave November. People take on the challenge and there are rules to be followed. Men who take on the challenge are Mobro’s and the women who support them are Mosistas.

The Movember this year focuses on Mental health through the male lens. There is also prevention, early intervention and health promotion.

With major lifestyle changes and changing role of men and masculinity there are physiological and psychological disturbances happening.

Major concerns in Men’s health worldwide happens to be.

  • Prostate cancer.
  • Testicular cancer
  • Depression.
  • Suicidal tendency.

Among Indians however there are other symptoms that men tend to neglect. Some of them being.

  • Chest pain: unhealthy eating habits are giving rise to gastro-intestinal issues, acid reflux, stomach ulcer all these manifest as chest pain. In addition being a symptom of any lung disease or heart attack.
  • Breathlessness is another emerging symptom. This heralds cardio-vascular embarrassment. It could point towards a range of disorders like, chronic bronchitis, emphysema, asthma, pulmonary hypertension. It also indicate anaemia which is quite common in men these days.
  • Fatigue; is off late a emerging symptom of underlying physiological and psychological ill-health. When extreme chronic tiredness is there is also lack of energy, this can progress to congestive cardiac failure, or could be a manifestation of CCF, it could also indicate thyroid malfunction.
  • Depression is another emerging disorder, with increased social and family expectations are very high. Along with a lack of adequate upfront communication. constant performance reward system also leads to low self worth all leading to state of restlessness, and stress. The body at this stage tries to harness the neurochemicals like serotonin and endorphins, but beyond a point in an effort to conserve the neurochemicals the body initiates a shut down which results in depression or anger issues.
  • Memory loss is seen more in men than women. this is to an extent age related. But it could also be indicative of greater issues like Alzheimer’s cerebral damage, due to inflammation or infiltration.
  • Urinary crisis, when either there is increase or decrease in urination. Or pain and discomfort on urination. These are indicative of metabolic disorders. Decreased or painful urination, or blood in the urine are all indicative of prostate cancer or liver issues.
  • Vitamin deficiency.

Taking care of your health:movember 2

  1. It is important to spend time with people is important, it gives a feel good factor.
  2. Talk-listen to one another. It is quite interesting to note that 70% of the men say that their friends can rely on them for support. While only 48% actually seek support. Reaching out is crucial at times it is also life saving.
  3. Know your numbers: the ideal conversation would be—
    1. At 45 talk with your doctor your risk factor.
    2. At 50 discuss with your doctor the need for PSA test.
  4. Take the 30 day movement challenge.

 

Suggestions Or Affirmation…take a call.

An often asked query during the level 1 training session is what is the difference between a suggestion and an affirmation.

In a sense they are both the same.

But as the dictionary Merriam-Webster states,:

An affirmation is the action or process of affirming something. It could also be an encouragement.

A suggestion is an idea so offered.

  • the act of offering an idea for action or for consideration of action.
  • Psychiatric definition would be:  the process of causing uncritical acceptance of an idea.
    • An hypnotic suggestion is implanted during a hypnotic trance.
    • Post hypnotic suggestion is placement of the suggestion during the trance to be acted upon after recovery from the hypnotic state.

Both essentially mean the same. Both work at reprogramming the mind.

Affirmations are done when the mind is alert and awake. It works on elevating the concentration. It can also be done during meditation.

A suggestion is a statement designed to reprogram an attitude, that brings about a change in the thought and belief of a person.

Both release old thought and behavior patterns. While suggestion also helps in the elimination of stored toxic memories.

Be it affirmation or suggestion these have to be done regularly for 21 days for it takes 21 days a change to occur.

Some universal affirmations are:

  • It’s only a thought and thoughts can be change.
  • I love and accept myself just the way I am.
  • I am whole and complete just the way I am.
  • Point of power is in the present.
  • I align and integrate my physical energy bodies.
  • I enjoy and completely enrol in the process of life.
  • I flow through all my sensuous experiences.
  • I flow through the flow of life.
  • I am open to give and receive unconditional love.
  • I believe in myself.
  • I implement all my visions open myself up to new ideas.
  • I’m one with the universe.

Those these are general affirmation. To be really effective one would have to have a one on one session.

Basic Hypnotherapy course.

Level 1 course of hypnotherapy where the participants learn basics of clinical hypnotherapy. It covers.

  • The structure and function of the mind.
  • How to hypnotize a willing subject.
  • Hypnotic function and deepening technique.
  • Self hypnosis to enhance confidence, self esteem, performance in sports and academics.
  • Goal setting and management.

Hypnotherapy helps in handling –

Addictions, anxiety, depression, anger, phobia, weight management, low self esteem, memory sports performance and insomnia.

 

World Lymphoma Awareness Day

September is world Lymphoma and Leukaemia awareness day.

Lymphoma is the cancer of the Lymph tissues.

The lymphatic system is a part of the immune system and the lymph vessels run along with the capillary and veins. The lymphatic system maintains the fluid balance, plays a role in absorbing fats and fat soluble nutrients. The lymphatic system involves an extensive network of vessels that passes through all our tissue it allows the movement of the lymph. These lymphatic system also has lymph nodes which are like the filtering points for the lymph vessels.

In addition to playing a key role in immune system, fluid balance and absorption of fats and fat soluble nutrients, it also drains fluids from the body tissue enabling the elimination of cellular waste and bacterial debris. In the case of severe or virulent infection the filtering points or the lymph nodes swell. The condition is referred to as Lymphadenitis.

The Lymphatic system maintains the homeostasis of the balance of fluid between the tissues and the blood.

The tissue debris and cellular waste flows through the lymphatic system and eventually drains into to the subclavian vein

The absorption of fats and fat-soluble nutrients in the gut is also the function of the lymphatic system. The system has special small vessels called lacteal. These enable it to absorb fats and fat-soluble nutrients from the gut.  The lacteals work with the blood capillaries in the folded surface membrane of the small intestine. The blood capillaries absorb other nutrients directly into the blood stream.

The tonsils, the spleen and thymus are all part of the lymphatic system. The lymphatic system contributes the lymphocytes to the blood.

The cancer of the Lymphatic tissue is Lymphoma. If the cancer is in the bone marrow then it is called the Leukaemia. Lymphoma is of two types, the Hodgkin’s Lymphoma where the plasma exhibits Reed-Sternberg cells and is usually associated with a previous Epstein-Barr Virus attack. While the Non-Hodgkin’s has poorer prognosis. There is a marked increase in B – lymphocytes or T-lymphocytes.

Some forms of Lymphoma are aggressive, some are slow growing. Constant surveillance is necessary.  The general therapeutic options are:

  • Chemotherapy
  • Other drug therapy.
  • radiation
  • Bone marrow transplantation.

If you have chronic swelling or painless glandular swelling. Persistent infections it is time to visit the doctor.

Metaphysically:

Blood and its components are about life-force. It is about feeling emotionally and physically safe.

Lymphoma is about not feeling safe physically and emotionally. This usually has its roots in infancy and the circumstances surrounding it. It is so deep that it might be difficult to pin point it. Blood disorders are about feeling deprived of nourishment, feeling tremendously unsafe, unexpressed ideas and absolute lack of joy. The feeder chakra for the blood is the root chakra. Impaired blood component indicates tremendous fear of not being good enough. Their quest for acceptance happens at the cost of joy of life.

One affirmation that can help is

I am now totally cantered in the love and joy of being alive, I flow with life. peace of mind is mine.

 

Are you suffering from PTSD

Post Traumatic stress syndrome.

As the name suggests it is a stress syndrome it is very closely associated with anxiety.

Definition:

It was believed that it was specific to war survivors. But it can be seen in severe trauma, including having to face sudden death. If one were to list few causes:

  • Actual or threatened death or serious injury.
  • Threat to physical integrity.
  • Witnessing an event that involves death, injury or threat to the physical integrity of another person.

Estimated risk of PTSD based on events:

  • Rape 49%
  • Beating/physical assault 9%
  • Serious accidents 8%
  • Shooting stabbing 4%
  • Sudden death 3%
  • Children’s life threatening illness 4%
  • Witness to serious injury 3%
  • Natural disasters 8%

 The features of the disorder are:

  • Emotional numbing—there are no normal responses.
  • Hyper-arousal – the person becomes irritable or vigilant.
  • Revisiting the experience it could be frank flashbacks or triggers.

Symptoms of PTSD show in three categories.

  • —at least one of these symptoms are required.
    • Intrusive, distressing recollections.
    • Recurrent dreams
    • Suddenly behaving as though the trauma was replaying.
    • Intense distress to anything that could symbolize or resemble an aspect of the trauma.
    • Physiologic reactivity when exposed to internal or external cues of the event.
  • Avoidance – of issues associated with the incidence. At 3 of these should be present for a diagnosis.
    • Avoidance associated with thoughts and feeling.
    • Psychological amnesia and inability to recall important aspects.
    • Decreased interest in significant activities.
    • Restricted range in ability to love.
    • A sense of shortened future, does not expect to have career, family etc.
  • Increased arousal – this would something that would not have been before the trauma. At least two of these are required.
    • Difficulty in falling or staying asleep.
    • Irritability and out bursts.
    • Difficulty in concentration.
    • Hyper vigilance bordering paronia.

All these symptoms need to present for a month. They should also cause impairment in social, occupational or other important area of functions.  PTSD could be acute that is less than 3 months or chronic. The onset of symptoms  could be

Immediate, the advantage of which is:

  • It is easier to treat.
  • The prognosis is better
  • Complications are fewer
  • Usually resolved in 6 months.

Delayed onset:

  • Prognosis not very good.
  • Associated conditions develop. Complicating the situation.
  • There will possibility of repressed memories.

Stress lingers on for months and weeks after trauma. There could be flash backs, anxiety, insomnia, social withdrawal  an non participation in everyday functions.

On a very bad day the PTSD sufferer may find it difficult to even get out of bed, and take the next step.

Movies have added to the image of PTSD by making them gloomy, doomed and dangerous, they are not. they are extremely exhausted, and over vigilant. They are hyper vigilant and get triggered into the fight-flight mode very fast. Lot of PTSD sufferers resist seeking help because:

  • They cannot handle trauma.
  • They blame themselves.
  • Avoidance of the event.
  • Sense of isolation, it makes it hard for them to seek to help.
  • Many times the cause and the behaviour aberrations are not connected adequately.
  • If the PTSD is chronic then there would multiple issues like anxiety disorder,

PTSD has to be managed. Usually extent, because it allows both dissociation and hypno-drama. Self hypnosis particularly is very helpful in overcoming anxiety and hyper-vigilance. Hypnotherapy addresses the root of the issue without repeatedly revisiting the issue.

Hypnotherapy uses  concepts of  Emotional Empowerment Technique, Circle Therapy and  self hypnosis to deal with this.

Book your session https://calendly.com/sneckhar/consultation

Sickle Cell Anaemia.

June 19th is the sickle cell awareness day.

Sickle cell  anaemia is severe form of anaemia in which a mutated form haemoglobin distorts the red blodd cells into a cresent shape at low oxygen levels. This hereditary and is commonest among those of African descent.

The normal blood cells are round and flexible. They move easily through our blood vessels. In the case of sickle cell anemia they become rigid and sticky they are shaped like a sickle hence the name. These irregular shaped cells tend to get stuck in the small blood vessels slowing the flow or even blocking the blood flow to that part of the body.

As of now there is no cure for sickle cell anemia, we are looking at relieving pain and preventing associated problem. Though genome research is on for it.

Symptoms:

The symptoms change from person to person and over time in the same person. It includes.

  • Anemia: Normal RBC life span is about 120 days. But sickle cells break easily sometimes the sickle cell death occurs in 10-20 days causing anemia or shortage of red blood corpuscles. Lack of RBC leads to reduced oxygen availability causing fatigue.
  • Episodes of pain: these are periodic and are called crises this is a major symptom of sickle cell anemia. This occurs when sickle shaped the blood flow through the tiny blood vessels gets blocked by the sticky sickle cells. The pain occurs usually in the chest, abdomen, joints it also occur in the bones. In some adolescents and adults chronic pain can result in bone and joint damage causing ulcers and other issues. The intensity and span of the pain varies, some have a dozen crisis episode over the year, while others have very few. Sometimes the crisis pain is so severe that hospitalization is required to manage it.
  • Painful swelling of hands and feet due to blockage of the arteries.
  • Frequent infections spleen is the organ that fights infection. This is overworked in sickle cell anemia resulting in the individual being vulnerable to infection. This combated with vaccinations and antibiotics.
  • Delayed growth: lack of efficient RBC results in lack of oxygen which is essential for growth. A shortage in healthy RBC slows the growth in infants and puberty get delayed.
  • Vision problem tiny blood vessels that supply blood to eyes could get clogged with sickle cells causing retinal damange. This impairs the processing the visual images, leading to vision problem..

Signs that you need to see a doctor:

Sickle cell anemia is usually diagnosed at infancy. Though the appearance of any these symptoms is an alert to see your physician.

  • Unexplained episodes of severe pain – particularly in the abdomen, chest, bones or joints.
  • Swelling in the hands or feet.
  • Abdominal swelling, specially when accompanied with tenderness to touch.
  • Fever
  • Pale skin or nail beds
  • Yellow tint to the skin or whites of the eye.
  • Signs and symptoms of a paralytic stroke, particularly one sided, weakness in the face, arms or legs. There could be confusion, trouble in walking, talking, sudden vision problems or unexplained numbness or headache – CALL 108 immediately.

Hypnotherapy  helps in the management of pain. There are research taken where organ re-genesis is done through hypnotherapy.

There have been breakthrough studies in Genome science in redesigning the DNA. These however are still in research stage. The scientific article link https://clinicaltrials.gov/ct2/show/NCT00393250

For appointment: https://calendly.com/event_types/user/me