FEAR का POST-MORTEM...!!!
FEAR... WELL, I MUST SAY IT IS NOT A BAD THING! JUST LOOK AT YOUR SURROUNDINGS... YOU MAY FIND A LOT OF INDIVIDUALS AT HOME BECAUSE OF FEAR OF CORONA! AND THAT IS REALLY GOOD FOR ALL!! YOU MAY FIND SOME WHO WENT OUTSIDE TO LOOK OTHERS IF THEY ARE FOLLOWING THE GUIDELINES OR NOT! AND THERE MIGHT BE SOME WHO AREN'T REALLY SERIOUS ABOUT THE FACTS! THIS IS WHAT HAPPENS IN CASES OF DEPRIVED FORMS OF FEAR..!! Basically FEAR is defined as an unpleasant emotion caused by the threat of danger, pain, or harm. Wikipedia defines FEAR as an emotion induced by perceived danger or threat, which causes physiological changes and ultimately behavioral changes, such as fleeing, hiding, or freezing from perceived traumatic events. In Psychology FEAR is defined as a powerful and primitive human emotion. It alerts us to the presence of danger, and it was critical in keeping our ancestors alive. On the website of Psychology Today it is being noted that Fear is a vital response to physical and emotional danger that has been pivotal throughout evolution. If people didn’t feel fear, they wouldn’t be able to protect themselves from legitimate threats—which often had life-or-death consequences in the ancestral world. So, realistic fears are absolutely necessary... Problem occurs in cases of deprived form of fear! Unrealistic or Intensified or even a lack of realistic fear needs to be resolved. A phobia is a distinct type of fear or anxiety about a specific object or situation, in which the person suffers with discomfort or tries to avoids it entirely. As described on the website of Psychology Today If fear is disrupting or overtaking an individual's life, seeking therapy can help. A qualified therapist can identify ways to develop coping mechanisms and release the fear. One primary treatment for fears is exposure therapy. A therapist guides the patient to gradually and repeatedly engage with the phobia in a safe environment to strip away the threat associated with it. For example, someone with a fear of flying may be prompted to think about planes, view pictures of planes, visit the airport, step onto a plane, and eventually complete a flight. Virtual reality has become a useful delivery tool for exposure therapy. Evidence suggests that the modality is particularly effective for specific phobias and anxiety disorders, and the treatment outcomes appear to be no different in virtual and real settings. Virtual reality may also offer an opportunity to reach more people with accessible and affordable care. Another key treatment is cognitive-behavioral therapy, often practiced in conjunction with exposure therapy. CBT helps people challenge and reframe the harmful beliefs they hold about their fears. Medication may be a component of treatment for the short-term or specific incidents, like a medical procedure. Clinicians may prescribe beta-blockers, which block adrenaline and lower heart rate and blood pressure, or benzodiazepines, which act on receptors in the brain to induce relaxation. Being a Homoeopath i must say constitutional therapy is having utmost importance along with above mentioned treatments. In which we deal with a patient as a whole person in his environment, including past and present symptoms here along with the deprived form of fear and try to make him respond and grow in a better possible way by giving him the most appropriate remedy.
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Ayurveda and Mental Health BACK GROUND Psychiatric illnesses are fundamentally no different from medical illness. Historically, illnesses in which there was prominent disturbance of psychological function or behavior and no obvious pathology came to be regarded as psychiatric. However, modern world now knows that there is demonstrably altered brain function in many psychiatric disorders; also psychiatric illness is no less real or less deserving of care than are medical conditions. Ayurveda defines health as a state of equilibrium of tridosha, trimala, sapatadhatu and homoeostasis of mind as well as sense organs. Grahachikitsa is one among the eight major branches of Ayurveda that deals with prevention and management of mental problems. In spite of great advancement in the science of psychiatry, since decades the problems retained with the management of a certain mental problems like anxiety, stress, mental retardation etc. have not fully solved. In addition to this, adverse effect of anti-psychotic; anxiolytic medication is also creating considerable amount of discomfort to the patient. At this juncture, need is felt for he exposition and adaptation of such therapies that could effectively tackle these conditions without adverse events. EXPOSITION OF PSYCHE: AYURVEDIC VIEW: The mind or manas is considered three dimensional in terms of three gunas viz. sattva, rajas and tamas. The raja represents activity and dynamism while the tamas denotes inertia and darkness. Sattva is the state of pure mind with absolute balance when both the extreme qualities of mind viz. rajas and tamas cease or merge in each other. It is believed that all mental illness are because of the disorders of rajas and tamas. Sattva is never the cause of illness. This is why rajas and tamas are also called manas doshas. In consideration of the trigunas, Ayurvedic puts forward that there can be three broad categories of mental personalities or prakritis viz. sattvik prakriti, rajasik prakriti and tamasik prakritis. These three on the basis of finer consideration are further divided into 16 manas prakritis or mental traits. These 16 personality traits are characterized with unique features, which may also predispose specific mental diseases simulating 16 personality factors (16PF) of modern psychology. According to Ayurveda, Mind is a Sensory as well as a Motor organ, because the impulse of Action of a Sensory organ like the Human Eye and a Motor function like speech are due to Mind only. Mind is amalgamated to Touch Sense. Touch sense is present all over the Body (Area of Consciousness). The sense of Touch and also the corresponding faculty in Mind in which the duel cause- is yields pleasurable and painful sensations. This also links Mind with the Body Metabolism. Mind exerts a special effect on the Metabolism of the Body. Ayurveda regards three metabolic elements present in our body. These are called Vata, Pitta and Kapha. They are nothing but the Biological representatives of the five basic proto-elements, in the Body. These three are responsible for normal physiological functions or pathological Disorders. Their Balanced state results in normal Healthy Life while their physiological Imbalance is responsible for Body Metabolism. Similarly the disturbed Mental States also disturb the balance of these three Biological elements, which in turn cause Body Disorders. Hence Disorders emerges as results of visciation of both the body and the Mind. Thus interaction of Body and Mind is well thought of in Ayurveda. As stated beforehand, Mind is ultimately the Stronghold of the Body. Hence Ayurveda regards mind as the Keymaster in causing Body disorders through visciation of the three Biological Elements and vice-versa. THE MENTAL HEALTH AND ILL HEALTH: AN OVERVIEW: It can be concluded that consciousness, mind and body disorders are invariably interlinked with each other. Most of the body disorders can be well averted by achieving a higher state of consciousness and a healthy mental state. Ayurveda strongly advocates Mental Health Care for keeping sound Mental Hygiene. Human Mind is like the strongheld of the Horses Indriyani (organs) of the Chariot). Sharira (body) lead by buddhi (Intelect) for the Master Self (Soul). One become wise by properly holding his Mind under control. Mind thus controlled leads the Body in proper orderly manner. Otherwise an uncontrolled Mind goes astray and provokes temporary lasting, untruly, destructive activities. Hence Ayurveda preaches sound Mental Hygiene by adoring Truth and avoiding untruth in short. Rasayan (rejuvinisation) is the method by which old age and disorders are avoided by increasing natural body immunity. Besides intake of certain drugs, it can be achieved by following Mental Hygiene also. This is called as Achara Rasayana, According to Ayurvedic, mental health is a state of sensorial, mental, intellectual and spiritual well-being. The mental ill health is brought about essentially as a result of unwholesome interaction between the individual and his environment. This interaction operates through three fundamental factors viz. Kala (time rhythm) ie the deficient excessive or perverted aspects of seasons etc. Indriyartha (sensorial inputs) i.e. deficient, excessive or perverted use of senses. Buddhi (intellect) i.e. volitional transgression. When the intelligence, retaining and controlling powers and memory of an individual are distracted and in that state when he performs wrong actions, then it is called volitional transgression. It is the perverted use of mind and intelligence or faulty understanding (pragyaparadha). Ayurveda believes in the theory of punarjanma (reincarnation) and Karma (actions of past life). Accordingly, the principal causative factors involved in mental illness are (1) genetic factors, (2) personality make up and (3) environmental factors. The mental disease in general is characterized by altered behavior, which may present with a wide range. The clinical diagnosis is done on the basis of pattern of alteration of the behavior and certain associated symptoms and signs. An over all view of the total Ayurvedic literature available in the context of ancient psychiatry would reveal that Ayurveda describes in detail all possible clinical entities of psychiatric illness as comparable to the contemporary sciences. The common psychiatric diseases described in Ayurveda are different kinds of unmade (psychosis), apasmara (convulsive disorders), chittodvega (anxiety disorders), chittavasada (depressive illness), mada (alcoholism and drug abuse), murcchha, smanyasa(condition associated unconsciousness). PRINCIPLES OF MANAGEMENT: The treatment modalities described in Ayurvedic classics include-: Daiva Vyapashraya: Spiritual therapy that includes the use of mantra, japa, other religious activities and wearing of precious stones etc. Satvavajaya: Psycho-behavioral therapy incorporating the principles of assurance therapy (ashvasana), replacement of emotions and psycho-shock therapy. Yukti vyapashraya chikitsa: Biological therapy includes samshodhan (cleansing therapy/panchkarma), and shaman therapy (pacification) The patient is subjected to biocleansing therapy in order to cleanse the channels of the body followed by shaman therapy or palliative treatment with the help of drug, dietetics and life style. A number of single and compound medhya (promoters of intellectual faculties) formulations are used in Ayurveda for the treatment of mental diseases. These are believed to act as brain tonics and adaptogens. The medhya drugs are considered as specific molecular nutrients for the brain providing a better mental health leading in turn to alleviation of the behavioral alterations. Source : CCRASDr. Hemant Adhikari8 Likes12 Answers
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WHAT is a PANIC DISORDER ? Many a times, I was forced to go to my casualty to see patients with PD in the middle of the nights. Let me share the information about what I learnt. ! Panic disorder(PD) is a frequent and debilitating psychiatric condition associated with reduced Quality of life and impaired work performance. The condition is characterized by discrete periods of intense fear or discomfort often accompanied by somatic and/or cognitive symptoms. Genuine physical signs such as chest pain, palpitations and shortness of breath resembling the known symptoms of Acute Cardiac events are common. PD often remains undiagnosed or untreated. It is estimated up to 40% of Individuals with panic attacks never seek treatment of any kind. Around 30-40% of patients with chest pain and normal angiographic findings meet the diagnostic criteria of PD. Most of them get labelled as dyspepsia ironically. Between 30-50% of Individuals diagnosed with PD also suffer from Agoraphobia( fear of places and situations that might cause panic or helplessness or embarrassment ), but by itself the prevalence of agoraphobia is considerably higher. Typically onset of PD occurs between late adolescence and the early twenties, but I , myself has seen in premenopausal women very often. Currently the diagnosis of PD is mainly based on the Diagnostic and Statistical Manual of Mental Disorders ( DSM ), which is the standard system to classify mental disorders for clinical studies. The most important risk factor for the development of PD is family history of anxiety disorders. First degree relatives of subjects with PD have a 4-7 times greater risk of developing PD. Finally PD can be defined as an inherited biochemical disturbance in the overall function or structure of GABAergic, noradrenergic, serotoninergic and/or dopaminergic systems. It is generally agreed that treatment of PD is Long term, lasting minimally 1 year and often 3 yrs or longer. But then the treatment of PD can come only in my next post !Dr. Chakradhar Nannapaneni17 Likes17 Answers
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WHAT SHOULD I DO IN THE CASE OF SUFFERING WITH PAIN IN LOWER EXTREMITY INCREASES ON BENDING AND LIFTING WEIGHT. THE MRI REPORT IS ENCLOSED.Dr. Yogesh Bihari Gupta3 Likes24 Answers
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varicose veins Varicose veins are rope-like veins that typically form on the legs. These veins are usually the result of a weak vein valve that is allowing blood to collect in the vein. Varicose veins can very noticeable due to their blue or purple color and their bulging from the skin. There are several factors that can contribute to one’s risk of developing spider veins. Genetics can play a factor in whether or not you will develop varicose veins in your lifetime. Being pregnant can sometimes cause varicose veins because of the hormonal changes and the pressure put on the veins. Varicose veins are increasingly common as you age and being overweight also increases the risk of developing them. In order to prevent varicose veins, it is also important not to sit or stand for long periods at a time. Epidemiology Prevalence estimates vary based on population, selection criteria, disease definition, and imaging techniques. Generally, prevalence rates are higher in industrialized countries and in more developed regions. Prevalence of visible varicose veins in the Western population over 15 years of age is 10% to 15% for men and 20% to 25% in women. Prevalence rates in the US are 15% (range from 7% to 40%) in men and 27.7% (25% to 32%) in women. Visible varicose veins are more prevalent in Hispanic people (26.3%) and less prevalent in Asian people (18.7%). The prevalence of varicose veins increases with age. In one study, 40-year-olds had a prevalence of 22%, 50-year-olds a prevalence of 35%, and 60-year-olds a prevalence of 41%. A genetic link has been suggested. The risk of varicose veins developing if both parents are affected is 90%; 62% risk if 1 parent is affected and female offspring; 25% risk if 1 parent is affected and male offspring; and if no parent is affected, the risk is 20%. Types Greater saphenous varicose veins Lower extremities veins consist of deep veins and superficial veins and most of the blood flow in legs goes back to the heart through deep veins. The varicose vein is formed in superficial veins that cover about 10% of the blood flow in legs. Among the superficial veins in legs, the one that forms varicose veins most frequently is greater saphenous veins. The greater saphenous vein is the superficial vein that goes up from inside of the ankle and is connected to the femoral vein at the inguinal region. The varicose vein which is formed on the main duct and the main branches of the greater saphenous vein is greater saphenous varicose veins. The area of the outset of varicose vein is lower legs, inside of the thigh, outside of lower extremities and the back of the thigh. Lesser saphenous varicose veins The lesser saphenous varicose vein is often seen next to the greater saphenous varicose vein. Lesser saphenous vein runs up from the outside of Achilles tendon and is connected to the deep vein at the back of the knees. The area of the outset of the lesser saphenous varicose vein is at the back of ankle or knees. Branch type varicose vein It is an enlarged segmental vein that is ramified from the main saphenous vein. Mainly it is seen below knees and sometimes solitary. Its feature is slightly narrower than a saphenous varicose vein. Genital area varicose vein It is a varicose vein that occurs due to the blood that backflows from the vein around the ovary and womb. Accordingly, the condition worsens when the flow of the blood into the ovary and womb increases during the menstrual period. When bumpy blood vessel meanders diagonally from the groin at the back of femur and spreads through lower extremity, genital area varicose vein is suspected. Reticular type and Web type (spider veins) varicose vein The reticular type varicose vein is the swollen fine subcutaneous veins in the size of 2-3mm in diameter that spread like a mesh. The web type varicose vein is dilated capillary veins that are finer than reticular type in the size of less than 1mm in diameter that exist just below the skin. Web type varicose veins are not bumpy like saphenous varicose veins. Risk factors These factors increase your risk of developing varicose veins: Hormonal Changes: Women are more likely to develop the condition. Hormonal changes during pregnancy, pre-menstruation or menopause may be a factor because female hormones tend to relax vein walls. Taking hormone replacement therapy or birth control pills may increase your risk of varicose veins. Family history: If other family members had varicose veins, there’s a greater chance you will too. Being overweight puts added pressure on your veins. Standing or sitting for long periods of time: Your blood doesn’t flow as well if you’re in the same position for long periods. Causes In normal veins, valves in the vein keep blood moving forward toward the heart. With varicose veins, the valves do not function properly, allowing blood to remain in the vein. Pooling of blood in a vein causes it to enlarge. This process usually occurs in the veins of the legs, although it may occur elsewhere. Varicose veins are common, affecting mostly women. Causes include: Defective valves from birth (congenitally defective valves) Superficial Venous Thrombophlebitis Trauma Standing for a long time Having increased pressure in the abdomen may make you more likely to develop varicose veins, or may make the condition worse. This may be caused by: Pregnancy Obesity Primary varicose veins occur because of congenitally defective valves, or without a known cause. Secondary varicose veins occur because of another condition, such as when a pregnant woman develops varicose veins. Symptoms Varicose Veins occur close to the surface of the skin and anywhere throughout the leg. Symptoms typically include: A feeling of fullness, heaviness, aching, and tiredness in the legs, especially at the end of the day or after periods of prolonged standing. Visible, enlarged veins. Swelling of the feet and ankles (due to stagnant blood leaking through the walls of the veins into surrounding tissues). Changes in skin color. Frequent itching of the skin. In more severe cases, the development of non-healing skin ulcers. Symptoms of varicose vein Complications Complications of varicose veins, although rare, can include: Ulcers: Extremely painful ulcers may form on the skin near varicose veins, particularly near the ankles. Ulcers are caused by long-term fluid buildup in these tissues, caused by increased pressure of blood within affected veins. A discolored spot on the skin usually begins before an ulcer forms. See your doctor immediately if you suspect you’ve developed an ulcer. Blood clots: Occasionally, veins deep within the legs become enlarged. In such cases, the affected leg may swell considerably. Any sudden leg swelling warrants urgent medical attention because it may indicate a blood clot — a condition known medically as thrombophlebitis. Bleeding: Occasionally, veins very close to the skin may burst. This usually causes only minor bleeding. But, any bleeding warrants medical attention because there’s a high risk it can happen again. Diagnosis and test A physical examination, mainly visual, by a doctor will decide whether or not a patient has varicose veins. The patient will be asked to stand while the doctor checks for signs of swelling. The following diagnostic tests are sometimes ordered: Doppler test: An ultrasound scan to check the direction of blood flow in the veins. This test also checks for blood clots or obstructions in the veins. Color duplex ultrasound scan: This provides color images of the structure of veins, which helps the doctor identify any abnormalities. It can also measure the speed of blood flow. The patient may also be asked questions about the symptoms. In some cases, a doctor might refer the patient to a vascular specialist. Treatment If treatment is necessary, your doctor may first recommend up to 6 months of using compression stockings, taking regular exercise and elevating the affected area when resting. If your varicose veins are still causing you pain or discomfort, or they cause complications, they can be treated in several ways. The most common treatment options include: Endothermal ablation – where heat is used to seal affected veins Sclerotherapy – this uses a special foam to close the veins Ligation and stripping – the affected veins are surgically removed If you do feel you require treatment, it might help if you print out treatment options for varicose veins to discuss with your GP. Prevention There’s no way to completely prevent varicose veins. But improving your circulation and muscle tone can reduce your risk of developing varicose veins or getting additional ones. The same measures you can take to treat the discomfort from varicose veins at home can help prevent varicose veins, including: Exercising Watching your weight Eating a high-fiber, low-salt diet Avoiding high heels and tight hosiery Elevating your legs Changing your sitting or standing position regularly.Dr. Shailendra Kawtikwar11 Likes24 Answers
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सूर्य नमस्कार 12 योगासनों को मिलाकर बनाया गया है. हर एक आसान का अपना महत्व है. इसे करने वालों का कार्डियोवस्कुलर स्वास्थ्य अच्छा रहता है. साथ ही शरीर में खून का संचार भी दुरुस्त होता है. सूर्य नमस्कार के जरिए आप अपना तनाव कम कर सकते हैं और इससे शरीरी को डिटॉक्स करने में मदद मिलती है. सूर्य नमस्कार शुरू करने के कुछ ही समय के भीतर आप अपनी शारीरिक और मानसिक स्थिति में काफी अंतर पाएंगे. एक नजर सूर्य नमस्कार के 10 फायदों पर... 1. आपका स्वास्थ्य निखरता है सूर्य नमस्कार को डेली रूटीन में शामिल कर सही तरीके से किया जाए तो आपके जीवन में सकारात्मक ऊर्जा आएगी. 12 आसनों के दौरान गहरी सांस लेनी होती है जिससे शरीर को फायदा होता है. 2. बेहतर पाचन तंत्र सूर्य नमस्कार के दौरान उदर के अंगों की स्ट्रेचिंग होती है जिससे पाचन तंत्र सुधरता है. जिन लोगों को कब्ज, अपच या पेट में जलन की शिकायत होती है, उन्हें हर सुबह खाली पेट सूर्य नमस्कार करना फायदेमंद होगा. 3. सूर्य नमस्कार करने से पेट कम होता है आसनों से उदर की मांसपेशी मजबूत होती है. अगर इन्हें रेगुलर किया जाए, तो पेट की चर्बी कम होती है. 4. डिटॉक्स करने में मिलती है मदद आसनों के दौरान सांस साँस खींचना और छोड़ने से फेंफड़े तक हवा पहुंचती है. इससे खून तक ऑक्सीजन पहुंचता है जिससे शरीर में मौजूद कार्बन डाइऑक्साइड और बाकी जहरीली गैस से छुटकारा मिलता है. 5. दूर रहेगी हर चिंता सूर्य नमस्कार करने से स्मरण शक्ति बढ़ती है और नर्वस सिस्टम शांत होता है जिससे आपकी चिंता दूर होती है. सूर्य नमस्कार से एंडोक्राइन ग्लैंड्स खासकर थॉयरायड ग्लैंड की क्रिया नॉर्मल होती है. 6. शरीर में लचीलापन आता है सूर्य नमस्कार के आसन से पूरे शरीर का वर्कआउट होता है. इससे शरीर फ्लेक्सिबल होता है. 7. मासिक-धर्म रेगुलर होता है अगर किसी महिला को अनियमित मासिक चक्र की शिकायत है, तो सूर्य नमस्कार के आसन करने से परेशानी दूर होगी. इन आसनों को रेगुलर करने से बच्चे के जन्म के दौरान भी दर्द कम होता है. 8. रीढ़ की हड्डी को मिलती है मजबूती सूर्य नमस्कार के दौरान स्ट्रेचिंग से मांसपेशी और लीगामेंट के साथ रीढ़ की हड्डी मजबूत होती है और कमर लचीला होता है. 9. सूर्य नमस्कार से आप रहेंगे जवान सूर्य नमस्कार करने से चेहरे पर झुर्रियां देर से आती हैं और स्किन में ग्लो आता है. 10 वजन कम करने में मदद सूर्य नमस्कार करने आप जितनी तेजी से वजन कम कर सकते हैं, उतनी जल्दी डायटिंग से भी फायदा नहीं होता. अगर इसे तेजी से किया जाए तो ये आपका बढ़िया कार्डियोवस्कुलर वर्कआउट हो सकता है. सूर्य नमस्कार कौन न करे... - गर्भवती महिला तीसरे महीने के गर्भ के बाद से इसे करना बंद कर दें - हर्निया और उच्च रक्ताचाप के मरीजों को सूर्य नमस्कार नहीं करने की सलाह दी जाती है - पीठ दर्द की समस्या से ग्रस्त लोग सूर्य नमस्कार शुरू करने से पहले उचित सलाह जरूर लें - महिलाएं पीरियड के दौरान सूर्य नमस्कार और अन्य आसन न करेंDr. Hemant Adhikari21 Likes21 Answers