Thursday, February 26, 2026

Debunking Some of the Main Myths Surrounding Mental Health

With so much happening that is out of our control and so much uncertainty clouding our lives, it seems like a shared feeling has become this awful impending sense of doom. Words like depression and anxiety are becoming commonplace as people struggle to cope with loss, addiction, employment changes, and social isolation. 

With so many people facing new and terrifying odds, it's important to look at what different mental health problems really look like and how they can be dealt with. Many still deny the very existence of mental health disorders and others have a fundamental fear of them. It's hard to know what is true and what isn't in the midst of all the confusion. So let's take a look at some of the common misconceptions surrounding mental health. 

1. People with mental health disorders cannot be employed
The long-standing belief has been that people with mental health problems are incapable of functioning in a normal workplace and unable to hold down steady jobs. While certain severe mental health conditions can impair a person’s ability to work, this belief is by and large, untrue.

A 2014 study conducted by American scholars determined that employment becomes affected negatively as the severity of the mental illness rises. Keeping that in mind, the study also determined that nearly 55% of people with severe mental conditions maintained functional employment, as well as 60-70% of people with mild or moderate conditions. Compare that to 75% employment of people without any mental illness. 

The study also found that employment rates for people with mental health disorders decreased as age increased. Though it can be difficult for a person with mental health problems to adjust to different working environments, it is by no means impossible or even uncommon. 

2. Mental health problems are permanent
When people find themselves or someone close to them experiencing symptoms of and being diagnosed with a mental health disorder, their immediate assumption may be that they are being slapped with a life sentence. This is not always the case as the severity and longevity of mental illness usually differ from person to person. 

Symptoms of depression, addiction, or schizophrenia can include everything from fatigue, insomnia, and mood swings to seizures, restlessness, and sensitivity to light. Some people may suffer from the symptoms during infrequent episodes. Certain forms of depression are triggered by particular events or external factors, like Seasonal Affective Disorder, which results in mood swings only during certain seasons. 

For the most part, with regular treatment, people with mental illnesses can recover, with the help of medical and therapeutic treatments, and live a full and satisfying life. In some cases, recovery may mean a return to normalcy, while others see it as relief from prolonged symptoms which didn't allow them to function happily. Depending on the disorder and its severity, the road to recovery may be long and arduous, but it is in no way a life sentence.


3. Only women are affected by eating disorders

Much like the idea that women can’t play sports, and men cannot cook, this statement is merely a stereotype, usually associated with young women from wealthy backgrounds and, of course, models and actors. While it has been largely women that suffered from eating problems, men have also been affected by anorexia and bulimia. In fact, a 2014 study showed a shift in the demographics for this type of mental health problem. 

The study was conducted over a 10 year period from 1998 to 2008 and investigated the eating habits of different demographics, like age, gender, and socio-economic status. It found that there was a significant increase in behavior associated with eating disorders in men from lower socioeconomic backgrounds and people above the age of 45. 

Many were found to be engaging in cycles of binge-eating, extreme purging, and heavy dieting. This behavior is often carried out in the pursuit of greater physical health at the risk of quality of life. Other research shows that men constitute 25% of all cases of binge-eating disorders, bulimia, and anorexia.

4. Mental health problems aren't that common

It may seem like mental disorders are a rare illness that only affect a few, but the numbers are much larger than you’d expect. An estimation made by the WHO (World Health Organization) in 2001, noted that “1 in 4 people in the world will be affected by mental or neurological disorders at some point in their lives.”

More recent studies have shown nearly 300 million people across the globe are affected by depression. A study published in September 2020 revealed that the COVID-19 pandemic resulted in people developing symptoms of depression at triple the rate before given the multitude of new triggers, from lower-income to extreme isolation. 

There are a variety of other mental illnesses that affect people, like bipolar disorder which nearly 5% of adults will experience at some point in their lives, and even anxiety. 3 in every 100 American adults, that’s nearly 7 million people, suffer from Generalized Anxiety Disorder. 4

5. Substance abuse is caused by an inability to resist
While it does take an immense amount of willpower to avoid or recover from a substance abuse problem, like alcoholism or drug addiction, it is not the only factor that comes into play. Substance abuse disorders have been linked to environmental, genetic, and physiological factors, well beyond the reach of willpower. Alcoholism has been recognized as a disease since as early as the 1950s. 

Drug-addiction has more recently joined the ranks of acknowledged mental health disorders as the role of mental illness, stress, trauma, and genetics in addiction has become more evident. A 2008 study showed that genetics influence reaction time to substances, instinctive repetitive behavior, and even an inability to feel the negative effects of drugs, all of which contribute to the development of an addiction. 

In addition to the hereditary development of addictions, environmental factors like stress and trauma can also act as triggers that incite addiction. Most chemical dependency recovery programs focus on determining methods to cope with and control environmental triggers, thereby preserving willpower and enabling greater functionality. 

6. Children do not have mental health conditions
We like to associate children with innocence and joy, and while that is absolutely the case, that does not preclude them from vulnerability to mental health problems. There are numerous factors that can affect the mental health of children from physical appearance and popularity among peers to grades and other academic pressures - all in addition to genetic and physiological factors. 

A Canadian study conducted in 2019 surveyed the mental health status of over 10,000 kids in Ontario. This study made use of data collected from families and children and observed that nearly 1 in 5 kids between the age of 4 to 17 have or will develop a mental health problem. Signs of mental illnesses seen in adults begin to manifest themselves when the person is as young as 14 years old. 

The study also determined that age, gender, and socioeconomic factors played a role in how the symptoms of various mental health problems manifested themselves. Younger boys were more hyperactive while older boys showed signs of emotional disorders. Children from low-income families living in high-poverty areas internalized symptoms more than those living in high-income areas. This further adds to the importance of understanding mental health problems and illnesses on a person-to-person basis.

7. You can die from panic attack

Panic attacks can come in a variety of symptoms depending on severity, the most common being hyperventilation, headaches, sweating, and shaking. These symptoms do not cause death. That said, the symptoms together can be extremely damaging to the body and the mind, and should be treated promptly. 

Since panic attacks have physical manifestations, they can leave lasting physical effects. They can also leave a person immobilized by fear, increasing their heart rate to extreme levels. Frequent panic attacks and chronic stress result in heart palpitations, chest pain, and numbness in the extremities. Over a period of time, this can lead to cognitive impairment, memory loss, and even heart problems. 

Deep breathing exercises can be highly effective in battling panic attacks and recovering from them more quickly, reducing the impact on your body. Staying active and practicing muscle relaxation techniques can also help bring down the frequency of attacks and symptoms.

Mental health problems are more common than we realize but far less fearsome than we first thought, and most of them can be treated successfully. In the case of all mental health problems, it’s important to talk to people close to you, stay aware of recent studies on mental health, and talk to a mental health professional about symptoms you or someone close to you has been experiencing. 

Exercise, diet, positive thinking, and mental exercises can go a long way in improving one’s mental health, and medicinal treatments are also available. Though they may seem daunting, mental health problems and illnesses do not have to keep you or your loved ones from living a happy and fulfilling life.



This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   


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Friday, April 26, 2024

Sudden Cardiac Arrest: How to identify underlying conditions that lead to it?

 Sudden cardiac arrest represents a grave medical crisis claiming nearly 5 to 10 lakh lives each year in India, representing almost 10% of all deaths. While sudden cardiac arrest can occur in people of all ages, it predominantly occurs in adults, particularly in people with underlying cardiac disease. Although sudden cardiac arrest can occur without prior symptoms, more than 50% of individuals who succumb to sudden cardiac arrest experience cardiac symptoms in the prior 24 hours. Common symptoms include chest pain, unusual shortness of breath or fatigue, palpitations, dizziness or loss of consciousness, excessive sweating, and restlessness.

One of the most important risk factors for sudden cardiac arrest is a ‘weak’ heart, medically referred to as LV systolic dysfunction. Other comorbidities that contribute to an increased risk of sudden cardiac arrest include high blood pressure, uncontrolled blood sugar, high blood cholesterol, cigarette smoking, obesity, or an inactive lifestyle.

Recognizing and optimizing these underlying risk factors represents the cornerstone of all healthy heart strategies and is strongly advocated by the American Heart Association as part of its life’s simple 8 campaign.

Conditions that may lead to sudden cardiac arrest

Electrolyte Imbalances

Essential minerals known as electrolytes regulate diverse bodily functions, including heart rhythm. Aberrant levels of potassium, calcium, and magnesium can lead to arrhythmias increasing sudden cardiac arrest risk. Individuals with chronic kidney disease or those on specific medications are particularly susceptible to electrolyte imbalances. Monitoring and managing electrolyte levels through dietary adjustments and medications can mitigate this risk.

Diabetes

Diabetes, particularly when poorly controlled, can impair blood vessels and nerves that oversee heart function. This can result in coronary artery disease, nerve impairment impacting heart rate, and heightened sudden cardiac arrest risk. Effectively managing blood sugar levels through a healthy lifestyle, medication, and routine check-ups is pivotal for curtailing these risks.

Substance Abuse

The consumption of substances, particularly stimulants like cocaine and amphetamines, can trigger arrhythmias and heighten sudden cardiac arrest risk. These substances can disrupt the heart's electrical system, resulting in fatal consequences even for individuals lacking any prior heart issues.

 

Coronary Artery Disease (CAD)

Dr. Darshan Krishnappa, MD DM FACC, Cardiac Electrophysiologist, Bangalore says, “Often termed atherosclerosis or heart artery disease, this condition arises when arteries supplying blood to the heart become constricted or obstructed due to the accumulation of fatty deposits due to high cholesterol, curtailing blood flow. These blockages can result in heart attacks, arrhythmias, and ultimately, sudden cardiac arrest. Identifying and managing CAD in a timely manner through lifestyle adjustments, medications, and procedures like angioplasty might reduce the risk of sudden cardiac arrest.”

Left Ventricular (LV) Dysfunction

LV dysfunction is the single most important risk factor for sudden cardiac arrest. This condition is characterized by the weakening of the pumping function of the heart. It is frequently caused by CAD, however. It can also be caused by a number of other conditions like tachycardia (PVC, atrial fibrillation), sarcoidosis and other metabolic conditions.

Arrhythmias

Irregular heart rhythms, or arrhythmias, disturb the heart's usual electrical patterns, causing abnormal heartbeats. Ventricular fibrillation, characterized by chaotic and ineffective heartbeats, is the prevalent arrhythmia linked to sudden cardiac arrest. Monitoring heart rhythms through devices like pacemakers or defibrillators, along with medications, can assist in managing arrhythmias and averting cardiac incidents.

Family History

A familial history of sudden cardiac arrest or specific cardiac conditions can amplify an individual's risk of experiencing sudden cardiac arrest. Genetic inclinations can impact the development of conditions like CAD, arrhythmias, and cardiomyopathies. Genetic analysis and counselling can offer valuable insights into familial susceptibilities, enabling proactive steps to mitigate the likelihood of sudden cardiac arrest.

Can sudden cardiac arrest be managed?

Strategies for sudden cardiac arrest prevention differ in individuals with a weak heart compared to individuals with a normal heart. In people with a normal heart, correcting life's simple 8 risk factors is the most important strategy to lower the risk of all heart ailments including sudden cardiac arrest. Regular screening for these risk factors as advised by your physician represents the first step in identifying and optimising these risk factors.

In individuals with a weak heart, compliance with recommended medications is of paramount importance in addition to strategies for optimising risk factors. Technological advances by trained cardiac electrophysiologists have contributed considerably to lowering the rates of sudden cardiac arrest in the western world and are increasingly being adopted in India.

 

 

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Thursday, October 28, 2021

Doctors explain how substance abuse wrecks the body and ways counselling can help

Ways substance abuse can affect our body

Addiction can take a serious toll on a person's physical and mental well-being, and in some cases it can even prove fatal. Substance abuse is a form of addiction wherein a person misuses drugs to the extent of losing the ability to stop when needed. Mostly, people start using drugs to experiment or to experience something new, it is almost harmless initially. However, once it becomes more frequent, the body and the mind becomes accustomed to the substance, making it more difficult to resist.

Why do people indulge in substance abuse?

It is important to understand that substance abuse or drug addiction is not only about heroin, cocaine, marijuana or any other illegal drugs, but it also involves overconsumption of prescribed medications, stimulants, opioids, alcohol, nicotine and legal drugs.

Initially, it is all about how the drugs make you feel. You may believe that you're in control and have the sense and sensibility to manage how much and how often you use the drug. But over time, as it becomes more frequent, your brain may be affected in a way that it is deprived of its cognitive powers and you may lose the ability to reason.

In many ways, substance abuse not only affects your mind and behaviour, but it may also impact different parts of your body. Keeping aside the sociological aspect of how it disrupts relationships, self-identity and much more, it can take a great toll on people's body and health.

That being said, we have well-established doctors from different medical fields elaborate on how substance abuse can disrupt our bodily functions and can cause severe damage to various parts of the body. Read on to find out.

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The impact of substance abuse on the brain

Substance abuse aggressively targets the human brain.

According to Dr. Nithin Kumar N, Consultant – Neurology, Fortis Hospitals, Cunningham Road, Bengaluru, "The brain is the most delicate organ in the human body and the center of all human activity." Substance abuse, on the other hand, "is attributed to both short and long-term detrimental effects on the human brain, leading to the destruction of brain cells and an influenced mind and body upon the drug's interaction with the brain's limbic system altering its chemistry."

Given that the drugs target the brain's reward system, inducing the nerve cells to release an excessive quantity of a chemical called dopamine, it produces a high intensity of pleasure, leading to a constant urge to do more drugs, which can be detrimental.

Prolonged use of drugs may also cause certain changes in the brain circuits and chemical systems, which may damage one's decision-making abilities, judgement, cause memory problems and impact a person's ability to learn.

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Can it increase the risk of cancer?

As far as substance abuse is concerned, it can increase the risk of chronic health conditions, including cancer. As per the American Cancer Society, substance abuse and addiction sum up about 30% of all cancer deaths.

Dr Niti Raizada, Director - Medical Oncology and Hemato-Oncology, Fortis Hospitals, Bangalore suggests that long-term abuse of any drug can make people prone to numerous health problems, including the risk of developing cancer. "Tobacco is the leading cause of lung cancer and accounts for 80% of cancer deaths; 3,500 per day in India alone," she says.

Furthermore, as per the Lancet Oncology Journal, heavy alcohol use was associated with 5% of cancer diagnoses last year while the National Cancer Institute attributes 3.5% of deaths due to the same, Dr. Raizada explains. According to her, it interferes with DNA repair leading to cirrhosis and sex hormone deregulation leading to breast cancer.

That said, when it comes to cancer patients particularly, besides the general risks associated with substance abuse, Dr. Raizada says, "cancer patients face complications specific to the disease and its treatment like reduced efficacy of treatments or therapies in some, while side effects such as nausea and vomiting in others."

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The link between ketamine abuse and kidney damage

Our kidneys play an important role in removing wastes and extra fluid from the body. It helps maintain a healthy balance between water, salts and minerals in our blood.


Having said that, while substance abuse in all its forms is bad for your overall health, ketamine is a dissociative anesthetic used on animals, abused for recreational purposes. It is a sedating drug which induces unconsciousness in a patient. Due to its dissociated amnesia effect, it's also known as a "date rape drug", says Dr. Vinod S Dibbur, Consultant – Nephrology, Fortis Hospitals, Bannerghatta Road, Bangalore.

Delving deeper into the effects of ketamine on the kidney, the doctor says, "Upon prolonged abuse of Ketamine, the byproducts of Ketamine accumulate in the urinary bladder, which results in chronic, usually irreversible damage (in early stages)."

"However, with continued exposure, other complications can occur such as a small shrunken urinary bladder, hydroureteronephrosis (excess fluid in the kidneys), which is found in 50% of the cases. This inevitably affects the overall functioning of the kidneys", he adds.

Burning micturition, incontinence, increased frequency of urination, and bloody urine are some of the symptoms associated with it.

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The role of counselling in managing drug cravings and preventing a relapse

Substance abuse is more than just a physical urge to do or misuse drugs. It is also an illness of the mind, driving a person to give in to the cravings.

Having said that, counselling plays an important role in curbing drug cravings and may even make a person proficient in resisting it. "Detoxification, or the removal of drugs and toxins from the body, is the first step in which one learns to control drug cravings while avoiding relapse", says Akanksha Pandey, Consultant Clinical Psychology, Fortis Hospitals, Bannerghatta Road, Bangalore.

Given that the chances of a recovering patients/addicts experiencing a relapse is high, as per Ms. Pandey, "Counselling assists one in overcoming cravings and learning to cope with life's challenges, aims to change people's behaviors and attitudes as well as strengthens life skills, and supports other treatments."

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

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https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
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