Anxiety in children : is it common now?

Anxiety in children becomes a problem when it starts to get in the way of their day -to- day life. In anxiety, children face to fear everyday challenges,hard to concentrate,have problems with eating or sleeping,have negative thoughts going in their brain.

In children, anxiety is severe,persists and interferes with their everyday life.

Generally children tend to feel anxious about different things at different ages.

Actually, anxiety disorder affects one in eight children. It is often co- occur with depression as well as eating disorder.

Researchers say that untreated children with anxiety disorders are at higher risk to perform poorly in school, escape in social activities and engage in substance abuse.

When children misbehave whether it is because of anxiety or some other issues,it can be extremely stressful for parents.

There are so many researches trying to explain why such a rapid increase in the rates of anxiety among children.

When a child feels anxious,his behaviour can be different to manage and he may act out. Children who suffer from an anxiety disorder have face the fear , stress, nervousness and shyness. They try to avoid crowd places, and social activities. Anxiety children don’t perform better in school, game activities and trying to escape on important topics and activities.

Fearful and anxious behaviour is common in children especially as they come across new situations and experiences.

Anxiety interfere with their ability to do things that other children their age can do.

Anxiety can also result in physical symptoms such as sleeplessness, diarrhoea, stomachache and headache. Other symptoms may include irritability, difficulty concentrating and tiredness. They suffer lack of confidence.

Anxiety in children can occur due to family issues, performance in school and relationship with parents and friends.

There are different types of anxiety disorders and each disorder has different types of symptoms and treatments.

Among anxiety, generalised anxiety disorder is common. They worries like fear of bad things happening in the future such as global warming or parents divorcing, being on time or making mistakes, poor academic performance and natural disasters.

Some children have obsession or unwanted thoughts, images or urges that make them anxious or uncomfortable and they engage in compulsion ( repetitive physical or mental behaviour) .

They are starting to think that bad things are going to happen, avoiding everyday activities. Some children feeling insecure such as family arguments and conflicts or a car accident.

So, parents should focus on exploring solutions with child in stead of just talking about all the things that could go wrong. People often think of anxiety in children and teens as being displayed primarily as fearfullness and worry. This might be true when a child is afraid to leave the family in the case of seperation anxiety or having an extreme fear about something such as phobia or being afraid of social situations such as social phobia or having symptoms of panic attack such as heart palpitations, sweating, trembling and shortness of breath etc.

They are rigidity, argumentative, inflexible thinking and suffer from some somatic problems such as fatigue, headache and stomachache. They tried to avoid the social activities and getting upset easily.

So, Parents should not neglect the behaviour of their children and spend time with them.

Dr S.K.jha


Exercise and community

A life with good health is a great blessing. Without good health one can hardly enjoy life. Health is certainly more important than any other things.

To live life healthy,we should follow 4 basic principles of health.

1) Exercise

2) Attitude

3) Rest

4) Nutrition

Early to rise and early to bed availing nature’s gift of fresh air, sunshine, exercise daily and adequate rest , having a positive attitude, having simple and nutritious diet ensures healthy body and sound mind.

Health is a large word. It embraces not the body only,but the mind and spirit as well.

People are much more interested today in taking the responsibility for their own health than they were in the past. Millions of individuals have improved their health outlook by stopping smoking, changing their diet and starting regular exercise.

Adoption of regular exercise habits has one of the significant health habits. Many more people are active now than was before.

If the people are fully realised about their health benefits than promotion of exercise must be increased.

The prevalence of inactivity is much higher than the prevalence of several other deleterious health behaviours.

If the entire population become aware of their health benefits then exercise adoption may be more important.

Their are some risk factors: sedentary lifestyle, cigarettes smoking, overweight, hypertension and Parental history of heart attacks.

But , the fact remains however that due to the strong association between exercise and health and the high prevalence of sedentary living in the population,lack of exercise is a very significant health problems.

All of us know that increased levels of physical activity are beneficial to the overall health of the community.

Habitual exercise is beneficial to health for all age groups. Habitual exercise has become of interest to the public community because it prevents or retards the development of several diseases.

Community exercise provides a broad spectrum of psychological benefits such as improved confidence, feeling of well-being , anxiety reduction,sexual satisfaction, intellectual functions and others.

Exercise has a beneficial emotional effect across gender and all ages. Exercise is associated with the reduction of stress and anxiety.

A habitual exercise is found to be healthier than a non- exerciser in every sense of word, physical, mental and even psychologically meaning that the internal hormonal and chemical environment of the body is more efficiently functional.

Exercise of almost any kind can reduce the risk of developing diseases.

Physical activity reduced blood glucose levels also.

How many of us observe the basic rules of physical and mental health, take proper foods and follow good habits.

It is not doubt that at any age the active individuals have greater physical capacities than their inactive people. For example, the active 60 years old person may be as physically fit as the inactive 30 years old.

So, the active and physically fit people is much better able to meet the physical demand of life.

Your mental health, emotional health and spiritual health are all just as important as your physical health.

Remember, exercise makes you happier.

It reduces stress.

It increased productivity during the day.

Helps you get fit.

Improve memory

Strengthen bones and muscles

It reduces insulin resistance

It makes you feel great

Boost immune system.

Community exercise

So, I hope all of you agree with me.Do exercise regularly with your friends, family members or join the classes.

You can do in the park also and make friends there.

Dr S. K.jha

Disruptive Mood Dysregulation Disorder

There are a lot of mental illness in the world and most people have different types of mental illness.Here I am try my best for lightening on one of the mental illness among children and adolescents,which are yet to reaserch is going and exact causes are unknown for Researchers.

This one is Disruptive Mood Dysregulation Disorder.

It is a mental disorder in which children or adolescents experience ongoing irritability,anger, frustration,frequent anxiety and intense temper outbursts.

Children with Disruptive Mood Dysregulation Disorder may have trouble in school and experience difficulty maintaining healthy relationship with family members and friends.

As Disruptive Mood Dysregulation Disorder is a new diagnosis so,not a lot of research has been conducted on its causes, symptoms and treatments.

Children suffering from disruptive mood dysregulation disorder may experience situations and incidents more intensely than other children.

They may also lack any self – regulation skills appropriate for their age to control such feelings.

Children is difficult to regulate and manage their emotions inappropriate way.

Children and adolescents suffering from this condition experience extreme impairment which may be require of medical treatment. Children will have significant problems such as adjusting at home, school and with friends. They may also have high rates of hospitalization in critical condition.

Researchers show that dysruptive mood dysregulation disorder occur mostly in boys rather than the girls.

Researchers show that this condition usually develops during early childhood.


1) irritability

2) outbursts of anger

3) difficulty in functioning

4) difficulty in adjustment in new environment

5) lack of self control

6) living alone

7) yelling, screaming

8) lack of interest in home works

9) they may have trouble in keeping healthy relationship with family members and friends


Exact causes of DMDD is unknown,but some factors may be causing of this disorder:-

a) genetic factors

b) negative childhood experiences

c) co- occuring mental conditions

d) temperament vulnerability ( irritability, anxiousness,moodiness,difficult behaviour)

e) poor parental support

f) family conflicts

g) substance use

h) disciplinary problems at school

i) parental hostility

It is a challenging disorder that can be hard to identify and diagnose. Moreover,it can lead to serious problems in different aspects of a child’s life.

If this disorder untreated,it may result in anxiety and depression in their adulthood and affecting their ability to function in daily life.

This condition usually develops before the age of 11 or 12.


1) Medical history

2) persistent, severe and outbursts of temper

3) persistent angry or irritable mood

4) the behaviour and symptoms must be experienced in multiple phases.

5) psychological tests


The exact treatment for this disorder is not confirmed yet. Still, there are some medical treatment and other methods might be helpful for recovering from this disorder.

1) Medication

a) antidepressants, antipsychotic medicine

2) Psychotherapy ( cognitive behavioral therapy)


3) Psychological treatment as computer based training, parents training, supportive or behaviour therapy

Psychological treatments are considered as the first line of treatment for this condition.

Parents are advised to contact their doctors and keep in touch with him.

Dr S.K.jha

Psychotic Depression: what is it and what are the symptoms,signs and treatment?

Psychotic Depression is a mental health problems in which the patient may cause symptoms of hallucinations or delusions. It involves symptoms of psychosis during an episode of depression.

It is estimated that about 3% to 12% of all people will experience severe depression during their lifetime.

Psychotic Depression affects roughly one out of every four people admitted to the hospital for depression.

In this case, the patient may have:-

1) Delusion

2) Hallucinations

3) a state of stupor

4) psychomotor impairment

It can affect the mood, behaviour, everyday life and physical health.

Psychotic depression is often considered a psychiatric emergency because the patient is at increased risk of suicidal thoughts and behaviour.


1) lack of interest and pleasure in all activities

2) a persistent low,sad, empty or hopeless mood

3) loss of appetite

4) sleeping difficulties

Sleeping difficulties

5) fatigue

6) difficulty in concentration

7) feeling of guilty

8) frequently feeling of worthlessness

9) suicidal thoughts

Psychotic Depression is always serious mental illness.

People with psychotic depression may spend a lot of time by themselves or in bed, sleeping during the day and staying awake in the night. A person with psychotic depression may neglect appearance by not bathing or changing clothes or that person may be hard to talk to.

Psychotic hallucinations and delusions might involve:-

a) believing that having a serious health problems

b) believing that having a unique power

c) believing that becoming an important person

d) hearing unwanted voices

e) paranoia or extreme suspicion of other people

Delusions and hallucinations often feel completely real. They can lead to distress,panic and tremor.

There is not exact cause of psychotic disorder. Researchers have yet to find oy if the actual cause of psychotic depression.

There are some possible cause for psychotic disorder are:-

1) Genetic

2) Environmental factors

3) Traumatic or stressful experience


Being diagnosed with psychotic depression, the patient may have five or more of the following symptoms:-

A) agitation

B) Loss of appetite

C) Depressed mood

D) Difficulty in concentration

E) Insomnia

F) A lack of interest in all activities

G) Low energy level

H) Suicidal thoughts

I) Feeling of guilty

Risk factors

1) Not having close friends

2) a family history of any mental health problems

3) a major negative life events in the past year

4) surviving extreme stress or trauma

5) living with chronic pain or chronic health problems

6) financial difficulties

7) age( older adults have a higher risk)

8) a family history of bipolar disorder with psychosis, schizophrenia or major depressive disorder with psychosis


The diagnosis and treatment usually involves a medical history.

1) Medications – if the patient experiences both depression and psychosis,then antidepressants, antipsychotic medicine can be given.

2) Electroconvulsive therapy – it can be used in severe depression condition.

3) Cognitive behavioral therapy – it is also used for depressive patients.

Psychotic depression can be frightening.

Dr S.k.jha

Schizoaffective disorder

Sizoaffective disorder is a chronic and serious mental illness which is characterized by symptoms of both schizophrenia and mood disorder.

It is combined with symptoms of

1) mania

2) hypomania and/or

3) depression

In this case , the person suffers from a set of schizophrenia symptoms such as delusion, hallucinations or paranoid thoughts. Mood disorder symptoms as mood swing, depression or mania can occur.


There are two types:-

1) Bipolar type

2) Depressive type

Males are more suffering than females. Around the age of 18 for male and 26 is in female.

Schizoaffective disorder is considered incomprehensible cases.

Each case is characterized by a mixture of symptoms of different behaviour and episodes that are differ from person to person.

The schizoaffective disorder is characterized by Cycles of acute symptoms followed by a period of improvement with fewer acute symptoms.

Depressive type schizoaffective disorder is characterized by episodes of major depression without mania

Bipolar type schizoaffective disorder is characterized by major depression and episodes of mania.


Symptoms of this case may vary from one person to another person.

These symptoms are: –

1) sensory hallucinations

2) troubled speech

3) difficulty in thinking

4) delusion

5) Depressive symptoms

6) thinking you are being controlled

7) mood disturbances

8) mania

9) disorganised thinking

10) lack of drive

Disorganised thinking

A depressive episode of the schizoaffective disorder requires six or more symptoms over a two week period.

1) difficulty in concentration

2) depressed mood

3) the feeling of guilty or worthlessness

4) thought of death or suiside

5) decreased sleep

6) loss of appetite

7) lack of energy

8) slowing of movement

9) the lack of pleasure

Similarly, a manic episode of schizoaffective disorder requires a period of irritable or elevated mood for atleast three of the following symptoms.

These are:-

1) increased energy

2) increased activity

3) increased self- esteem

4) more goal- directed activity

5) engaging in risky behaviour

6) speedy thoughts

7) less Sleep

8) becoming talkative

9) irritability

10) being easily distracted

The general signs and symptoms of schizoaffective disorder is :

1) hallucinations

2) delusion

3) major depressive episode

4) unusual behaviour

5) sudden increase in activity

6) deficiency in the job and social performance


The exact cause of schizoaffective disorder is unknown. But, there are some factors that can lead to this disorder:-

1) Genetic factor

2) Environmental factor

3) Delayed development of brain

4) Birth defects

5) Taking drugs

6) Exposure to toxins

Risk factors

One of the most important factor that increase the risk of developing the schizoaffective disorder is a close relatives ( blood relative) who suffer from one of the following:

1) schizophrenia

2) bipolar disorder

3) clinical depression


People with schizoaffective disorder are at increased risk of:-

1) suicide or suicidal thoughts

2) family and personal conflicts

3) social isolation

4) anxiety disorder

5) manic and depressive behaviour

6) excess drug abuse and alcohol consumption

7) major health problems

8) unemployment


There is no specific tests for diagnose schizoaffective disorder:-

But, a) physical examination

b) medical history

c) Lab test

d) MRI test

These tests make sure that another type of illness is not causing the symptoms.


It is treated with a combination of Psychotherapy, cognitive behavioral therapy, medications and skill therapy. The electroconvulsive therapy is also useful for some patients.

So, mental illness is very serious and sometimes fatal. So, there is help and hope for recovery.

Dr S.k.jha


Alcohol is the most popular drug in the world. For thousands of years,alcohol has been used and as long as there has been alcohol,there has been abuse of this drug.

There is no system or organ in the body that does not take a health hazard as a result of excessive alcohol consumption. The physical damage caused by alcohol can and does cause misery, illness and death.

According to WHO, it is estimated that more than two millions people each year die due to drinking of alcohol.

Alcohol poisoning is a serious and potentially lethal result from consuming a lot of alcohol in a short amount of time.

Young adults and college students are more likely to become the victims of alcohol poisoning,an alcohol overdose can happen to anyone who drinks too much.

Binge drinking and continued alcohol use in large amounts are associated with many health problems. These include high blood pressure,stroke ,heart related disease, liver damage, nerve damage, inflammation of stomach, permanent damage to the brain, malnutrition and cancer of the mouth and throat.

Memory loss is one of the most common symptoms associated with brain impairment due to alcohol.

Liver damage is due to heavy drinking. The liver is a vital organ. On overdose and long term drinking, cirrhosis of liver can be happens. Before a liver reach the point of being cirrhotic,it may be fatty or inflammed. The first stage of damage is a fatty liver,a build- up extra fat in the cells.

This can cause fatigue, weakness and weight loss. If a person stop drinking, the condition can be reversed.

A person who consume alcohol daily as a overdose having problems of cerebellar degeneration, neuropathy, leukemia, gastrointestinal problems as pancreatitis, gastritis,folate deficiency, cirrhosis, testicular atrophy etc.

Ataxia, incoordination , confusion,coma and even death can occur at progressively higher blood alcohol levels.

Signs of alcohol withdrawal may include shaking, sweating, hypertension, tachycardia, insomnia and anxiety etc.

Psychotic symptoms can include visual,auditory and olfactory hallucinations. Seizure can occur.

Lab investigation

Blood test, GI endoscopy or radiology,Liver spleen scan, abdominal ultrasound or CT ,liver biopsy,EEG, ECG, and cranial CT. may show evidence of alcohol related organ dysfunction.

Alcoholism or alcohol dependence has long been associated with a set of classified symptoms such as experiencing alcohol withdrawal or continuing to drink alcohol even after suffering physical or psychological health problems.


Alcohol withdrawal is treated with thiamine ( 50-100mg IV daily for 5 days) , multivitamins,CNS depressant drugs and in some cases anticonvulsants .

Fluid and electrolytes status and blood sugar levels should be closely followed. Care should be taken to searc for evidence of trauma or infections that may be masked by prominent withdrawal symptoms.

Treatment of chronic alcoholism depends on recognition of the problems by patients.

Rehabilitation programs and support groups may be helpful.

So, it is my advise that we should avoid alcohol.

Dr S.K.jha

Panic attack: what are the symptoms of it ?

A panic attack is a sudden episodes of intense fear that triggers several physical reactions when there is no real danger or cause. Panic attacks can be very frightening. When panic attacks occur, people might think that they are losing control, having a chest pain or even dying.

People with panic disorders may be extremely anxious and fearful,since they are unable to protect when the next episode will occur.Women are twice as likely as men to develop the condition and it’s symptoms usually begin in early childhood.

It is not clear the cause of panic attacks.people who suffer from panic disorders are more likely than others to suffer from depression, attempt suicide or to abuse alcohol or drugs.

The fear that a person experiences during a panic attack are not be related to what is happening around them.

The chest pain of panic attack usually stay in mid – chest area ,may have rapid breathing, increased heart rate and fear. Panic attack come and disappear suddenly,but leave exhausted.

If a person has four or more than these symptoms,may be suffering from a panic attack.

1) sudden high anxiety with or without a cause

2) an increased heart beat

3) feeling dizzy or weak

4) a feeling of choking

5) nausea

6) feeling sweating

7) chest pain or discomfort

8) breathing difficulties

9) shaking

10) feeling a loss of control

11) tingling and numbness in hands and fingers

Panic attacks are generally short or lasting less than 10 minutes, although some of the symptoms may last longer.

People who have had panic attack are at greater risk for another compared to those who have never had one.

In most cases, the trigger for panic attacks are related to physical, mental and emotional exhaustion.

Physical exhaustion can be the result of overwork or not getting enough rest. It may also be the result of bad eating habits.

Mental exhaustion can be result of excessive worrying and stress. If a person constantly feel mentally drained and are finding it difficult to cope with emotions and may be at risk for having a panic attack.

Emotional exhaustion is conflict with loved ones and relationship problems can be triggers for panic attack.

In a sensitive States, small things can cause excessive anxiety and make vulnerable to a full- blown panic attack.

Panic disorder is a treatable condition. Psychotherapy and medications have both been used , either single or in combination.

Dr S. K.jha

How to stop negative thoughts from your mind and life?

We all have thoughts that screw our brains from time to time and mess with our minds.

Negative thoughts can lead to hurting yourself however,it is possible to stay positive in the negative situations and critical conditions.

Research shows that having negative thoughts over and over,can lead to serious emotional and physical problems.

Negative energy affects all of us and more often than we realise that negative thoughts ruins our life.Because for many of us, negative thinking comes easier than positive thoughts.

Remember,life is not simple all the time that something is supposed to go wrong anytime.

Life comes with ups and downs.But when everything is going right in life, sudden unnecessary obstacles come and can create life miserable.

Now, the main question is that how do we get rid of this negative energy from our life and mind?

There are some tips we have to follow for removing this negative thoughts from our minds and life.

1) watch your feelings – your feelings can tell you if you are ready for emanating positive or negative energy right now . If you feel good, happy, excited then you are ready for emanating negative thoughts from your mind.If you feel sad, jealous or angry, you are emanating negative energy. But feeling these negative thoughts don’t make you strong. So, you have to come over thes emotions and it is important to win over this negative thoughts.

2) Replace negative thoughts from mind with positive ones- You experience negative feelings due to internal or external circumstances.You feel energy because someone did wrong with you or you had negative thoughts in your mind.

But whatever the circumstances, you have to control the reaction.

When you let anger or grief to live inside you for prolonged periods,you become a hopeless person.

No one wants to live as a negative feel through your negative emotions when it comes and release it as soon as possible and smile.

3) Avoid gossiping – you should avoid people who spred negative energy and always think about the negative thoughts. Gossiping with negative thoughts is a big stealer of positive thoughts and energy. When you gossip, you focus on the negative of others.You focus on lack and you judge others when you are not perfect yourself.

When you constantly think about the faults of others,you are filling your mind with negative energy.

Gossip spreads like wildfire and it gets passed through the people. You try to bring the frustration out by blaming others. But , the truth is,it only brings more negativity to your mind.

Becoming a happier person requires you to look on the brighter side that helps to look at the positive of other people too.

So,it is important to avoid such type of people who spread negativity and more important is to not become one.

So, avoid such type of people and think positive.

4) Do spiritual work and meditation – If you do spiritual work daily as part of morning time, you feel more energy inside and it becomes a habit, the outer circumstances don’t bother you much.

Meditation is a powerful practice.when you meditate, you learn to acknowledge your feelings and let them go without letting it affect you.

Negative thoughts will destroy you.Always do your best to keep a positive attitude.

5) Do something you enjoy – if you feel overwhelmed with negative thoughts,do something you love can help you think positively, improve your mood and make you happier. For example,you could engage in your hobbies, explore your creative Side,watch cartoon movies, listen to music and play indoor- outdoor games ,read or do anything else that brings you joy.

As you become distracted and immersed in the activity of your choice, negative thoughts might no longer overwhelm you and instead could be replaced by positive thoughts because you enjoy what you are doing.

6) Look for solutions rather than complain – complaining leads to more complaining and stress.when you are complain,you are acting from a place of ingratitude.It feeds the negativity inside you. Complaining also produces stress hormones in your body resulting in ailments like heart disease,high blood pressure, diabetes etc.

No matter how many issues you have in life to complain abouts, there are so many other things that you can be grateful about.

It immediately shifts your attention from negativity to positivity and you feel an immediate release of negative energy.

7) Walk in a nature – studies show that walking in a nature can reduce the negative thoughts and it also helps to improve immunity to lower blood pressure and to boost mood, to enhance creativity etc. It is also the reason that many people walk in the garden,park .They make sure that there is a better flow of positive energy into space.

If you stay positive in negative situations — you win.

8) Surround with yourself with positive people –Spending time with people that have an optimistic attitude can remove the negativity and you will find yourself thinking positive thoughts more often.Your attitude will change and you will start thinking positively about yourself and life will become happy and easier.

9) Laugh more –The old saying that Laughter is the best medicine. Having a good laugh can reduce stress,elevate mood and help in think positive thoughts when everything feels negative. So laugh at simply things,watch comedies,share humour, stories with family and friends,crake jokes and do anything else that brings out positive emotions and eliminate negative thoughts from your mind.

No one wants to live as a negative person. So,be positive in life and once you release the negative thoughts from your mind, you get better clarity and feel good to move forward as you are no more stuck with the negative energy.

10 ) Declutter to remove negativity – To get rid of negative energy,start decluttering your thoughts and think about positive thoughts.

Study shows that it is difficult for our brains to stay focused in a cluttered environment.

Remember, awareness is the first step to solving a problem.When you put these tips into action,you will be slowly able to become a more positive person and protect yourself from negativity easily.

Life becomes easier when you delete the negative thoughts from your mind.

Dr S.k.jha

Depression in teenage

The mental and emotional disorder in teenagers is known as teen depression.It is medically not different from adult depression.

The teen depression can be tough anyway and depression affects teenagers far more often than many of us realise.

Teen depression is a severe condition that is more than just sadness, moodiness. It can affect a teen’s physical health, relationship, ability to succeed and even their desire to live.

Depression in teen is a condition with many causes. It is a disorder of teen’s mood or emotions.

Teenage years can be a very unsettling time for his/her life which may be mixed with emotions and thoughts. It can be a difficult to make friends,get through school,do well at studies.

According to survey, around 9% of teens experience depression every year. Teen depression can cause difficulty in studies, difficulty in relationship and decreased enjoyment in life.

Teen depression goes beyond moodiness.It is a severe health problems that impact every aspect of a teen’s life.

Depression can damage the potential of teen’s personality and causing an overwhelming sense of sadness and anger.

According to survey,teen depression suicide is the third leading cause of death among people ages 15-24 old. In fact, more teens die from suicide than from hear disease, birth defects,cancer, pneumonia and more– combined.



There are certain symptoms that are associated with depression which occurs simultaneously.

These symptoms may include low appetite, trouble sleeping, exhaustion, stomach or digestive problems, anxiety or irritability and weak immune system.



1) irritability

2) aggressive behaviour

3) sadness

4) feeling hopelessness

5) decreased interest in hygiene or appearance

6) feeling of worthlessness or low self-esteem

7) memory loss , lack of interest

8) inability to take decision

9) withdrawal from friends and family

10) restlessness and agitation

11) loss of interest in any activities

12) self harm

13) poor school performance

14) running away from responsibility


Parents can help them by their love, affection, guidance and support can go a long way towards helping their teen overcome depression and get back to normal in life.

In some cases, the situation is treatable with specific medication and psychotherapy provided in teen treatment.

There are some options also –

1) regular exercise

2) getting enough sleep

3) balanced diet and healthier meal

4) teach the importance of self care

5) avoiding the consumption of alcohol

So, these are some ways to help the teen from depression.

Dr S.k.jha

Panic attack: How to stop it

A panic attack is a sudden episode of intense fear that triggers severe physical reactions.when panic attacks,the person might think,they are losing control, having a heart attack or even dying.

Most of people have just one or two panic attacks in their lifetime and the problem goes away perhaps when a stressful situations ends

Panic attacks typically begin suddenly without warning.They can strike anytime – ether driving a car or in the middle of working time.

Before getting panic attack,we have to know something as

1) know the signs- the people don’t have to be in a scary situation to have a panic attack.They could be on a hike,at a restaurant or asleep in bed. All of a sudden the person gets a strong surge of fear.This triggers physical symptoms like a increased heart rate , sweating,shortness of breath,nausea ,chest pain or trembling. It can be last 5to 25 minutes.

2) Live life fully – it is understandable that the person has want to avoid a panic attack at all costs. But it is important not to let fear control the life . For example, don’t avoid places where the people have had panic attacks in the past. If they have one,stay there for a few minutes.,if it is safe.when the attack is over, the people will realise that nothing terrible happened


3) talk and busy in work –when the people feel a panic attack coming on, remind that they are feeling anxiety and not getting real danger. People can even directly addressing the fear

4) don’t distract yourself – as it was tempting as it may be try to focus the mind elsewhere the healthiest way to deal with a panic attack is to acknowledge it .

5) Breath through it- An attack may make take quick, shallow breath and feeling of breathlessness,so get the breathing under control.Close the eyes,put the hand on the bottom of ribs and try to inhale through nose and slowly.if it helps then do it 5 to 8 times on each inhale and exhale. I hope, after a few minutes,you will feel better.

6) keep the mind calmness – Notice that five things the person can see around him.Then,four things he can touch.Three things he can hear.Two things he can things he tastes. So , Focus the mind something better to do and then feels better and fear or anxiety will goes away.

7) H.A.L.T. attack- H.A.L.T stands for hungry, anxiety, lonely and tired – four feelings that bring out the burst in everyone.if any one prone to panic attacks ,they can turn into triggers.when symptoms develop,check it and can essential steps to fix it.

8) progressive relaxation – when the person feeling a panic attack coming on- tense muscles at a time and then relax it. Repeat this until the whole body is relaxed.

9) Rate the fear – when the fear scrambles the mind,rate it on a scale of one to ten every few minutes. It is also a good reminder that the person not on a ten the whole time.

10) careful with coffee, alcohol and smoking – caffeine make the person feel nervous and shaking,it can also help in awake, which can trigger tiredness later. Nicotine and alcohol can make the feel calm at first, then make jittery as the body processes it.These all three can trigger panic attacks or make them worse. So,it is best to avoid these things.

11) Get time to exercise daily – physical fitness lowers stress , which is one of the best remedy for prevention of panic the exercises daily,so heart rate , blood pressure and fitness will work for reducing the panic attacks.

12) Slow down – slow the body down and mind will follow.practice like yoga use slow body movements and train the mind to be calm and aware.

So ,this are the technique to control the panic attack.

Dr S.k.jha