It may be real or unreal , but their distress is real!!!

Tags

, , , , , , ,

 “ Real beauty isn’t about symmetry or weight or makeup; it’s about looking life right in the face and seeing all its magnificence reflected in your own.”

(Valerie Monroe)

bdd-2

“15 yr old 10th grade girl, not attending school, saying that she was not good looking and her face has some asymmetry. She doesn’t want to go out, and if at all she goes out, she covers her most of her face with scarf. She expresses severe suicidal ideas and was very much depressed.”

Most of us have something we don’t like about our appearance — a crooked nose, an uneven smile, or eyes that are too large or too small, but they don’t interfere with our daily lives.

Body Dysmorphophobic Disorder (BDD) people think about their real or perceived flaws for hours each day.

bdd-1They can’t control their negative thoughts and don’t believe people who tell them that they look fine. Their thoughts may cause severe emotional distress and interfere with their daily functioning. They may miss work or school, avoid social situations and isolate themselves, even from family and friends, because they fear others will notice their flaws.

They may even undergo unnecessary plastic surgeries to correct perceived imperfections, never finding satisfaction with the results.

Who they are? & what they do?

BDD is a body-image disorder characterized by persistent and intrusive preoccupations with an imagined or slight defect in one’s appearance.

They can dislike any part of their body, but most commonly find fault with their hair, skin, nose, chest, or stomach. In real sense, a perceived defect may be only a slight imperfection or nonexistent, but for people with BDD, the flaw is significant and prominent, often causing severe emotional distress and difficulties in daily functioning.bdd-1

Most often it develops in adolescents and teens, and research shows that it affects men and women almost equally.

They suffer from obsessions about their appearance that can last for hours or up to an entire day. This can lead to low self-esteem, avoidance of social situations, and problems at work or school.

They may avoid leaving their homes altogether and may even have thoughts of suicide or make a suicide attempt.

They may perform some type of compulsive or repetitive behavior to try to hide or improve their flaws.

 Examples are:

  • Camouflaging (with body position, clothing, makeup, hair, hats, etc.)
  • comparing body part to others’ appearance
  • seeking surgery
  • checking in a mirror
  • avoiding mirrors
  • skin picking
  • excessive grooming
  • excessive exercise
  • changing clothes excessively

Treatment

CBT & Antidepressants

“The human body is the best work of art.” 

(Jess C. Scott)

It’s Ability and not Disability

Tags

, , , , , , , ,

disability-4

“Let us work together for the full and equal participation of persons with disabilities in an inclusive and sustainable world that embraces humanity in all its diversity.” 

(UN-Secretary-General Ban Ki-moon)

According to the 2011 World Report on Disability by the World Health Organisation, there are an estimated 1 billion persons with disabilities worldwide. It also states that 1 in 5 of the world’s poorest people has disabilities

Numbers

  • 7 billion people: world population.
  • Over 1 billion people in the world have some form of disability, that’s 1 in 7.
  • More than 100 million disabled persons are children.
  • Children with disabilities are almost four times more likely to experience violence than non-disabled children.
  • 80% of all people with disabilities live in a developing country.
  • 50% of disabled persons cannot afford health care.

Disability

A condition or function judged to be significantly impaired relative to the usual standard of an individual of their group. It used to refer to individual functioning, including physical impairment, sensory impairment, cognitive impairment, intellectual impairment, mental illness, and various types of chronic disease.disability-5

Persons with disabilities

“The world’s largest minority”, has generally poorer health, lower education achievements, fewer economic opportunities and higher rates of poverty than people without disabilities. This is largely due to the lack of services available to them (like information and communications technology (ICT), justice or transportation) and the many obstacles they face in their everyday lives. These obstacles can take a variety of forms, including those relating to the physical environment, or those resulting from legislation or policy, or from societal attitudes or discrimination.

International Day of Persons with Disabilities, 3 December 2016- “Achieving 17 Goals for the Future We Want”.

The 2030 Agenda has 17 goals for sustainable development. disability-7

Disability is referenced specifically in parts related to education, growth and employment, inequality, accessibility of human settlements.

Goal 4 on inclusive and equitable quality education and promotion of life-long learning opportunities for all focuses on eliminating gender disparities in education and ensuring equal access to all levels of education and vocational training for the vulnerable, including persons with disabilities.

Goal 8: to promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all, the international community aims to achieve full and productive employment and decent work for all women and men, including for persons with disabilities, and equal pay for work of equal value.

Goal 10, which strives to reduce inequality within and among countries by empowering and promoting the social, economic and political inclusion of all, including persons with disabilities.

Goal 11 would work to make cities and human settlements inclusive, safe and sustainable. To realise this goal, Member States are called upon to provide access to safe, affordable, accessible and sustainable transport systems for all, improving road safety, notably by expanding public transport, with special attention to the needs of those in vulnerable situations, such as persons with disabilities. In addition, the proposal calls for providing universal access to safe, inclusive and accessible, green and public spaces, particularly for persons with disabilities.

Goal 17 stresses that in order to strengthen the means of implementation and revitalise the global partnership for sustainable development, the collection of data and monitoring and accountability of the SDGs are crucial.

 Inclusive society

Evidence and experience shows that when barriers to their inclusion are removed and persons with disabilities are empowered to participate fully in societal life, their entire community benefits.

disability-2The Convention on the Rights of Persons with Disabilities (CRPD) recognises that the existence of barriers constitutes a central component of disability.

Accessibility and inclusion of persons with disabilities are fundamental rights recognised by the Convention on the Rights of Persons with Disabilities.

“Science may have found a cure for most evils; but it has found no remedy for the worst of them all – the apathy of human beings.”

(Helen Keller)

Stuttering

What is stuttering? 

Stuttering is a communication disorder in which the  smooth continuous flow of speech is broken by repetitions (I- I -I want), prolongations (lllllet  me go), or abnormal stoppages (no sound silence pauses) of sounds and syllables . There may also be unusual facial and body movements associated with the effort to speak. Stuttering is also called to as stammering. But if you talk effort fully, with multiples disruptions that should be taken into consideration.stutter-2

What causes stuttering? 

There are four factors most likely to contribute to the development of stuttering:

Genetics (approximately 60% of those who stutter have a family member who does also);

Child development (children with other speech and language problems or developmental delays are more likely to stutter);

Neurophysiology (recent neurological research has shown that people who stutter process speech and language slightly differently than those who do not stutter);

and family atmosphere  (high expectations and fast-paced lifestyles can contribute to stuttering).

What is the ratio of males to females who stutter?

Males are affected four times more than females.

I think my child is beginning to stutter.

Should I wait or seek help? It is best to seek ways that you, the parents. How can I help him/her as soon as possible? If the stuttering persists beyond three to six months or is particularly severe, you may want to seek help from a speech-language pathologist who specializes in stuttering right away.

Can stuttering be treated?

Yes, of course there are a variety of successful approaches for treating both children and adults. In general, the earlier, the better……

Shot of a little boy talking to a psychologist

I read about a new cure for stuttering. Is there such a thing? 

There are no instant miracle or treatment cures for stuttering. However, a specialist in stuttering can help not only children but also teenagers, young adults and even older adults make significant progress toward fluency.

Good Sleep is a Reachable Dream

sleep-2

Sleep:

Natural periodic state of rest for the mind and body, in which the eyes usually close and consciousness is completely or partially lost, so that there is a decrease inbodily movement and responsiveness to external stimuli.

Why to Sleep?

It plays a vital role in good health and well-being throughout your life. It protects your mental health, physical health, quality of life, and safety. We spent 33% of our lives in sleep.

Normal requirement:
3   to 5   yrs  —-  10 to 13  hrs
6   to 13 yrs  —-  9   to 11  hrs
14 to 17 yrs  —-  8   to 10  hrs
Adults           —-  7   to 9    hrs

Stages of Sleep

sleep-1Sleep follows a pattern of alternating REM (rapid eye movement) and NREM (non-rapid eye movement) sleep throughout a typical night in a cycle that repeats itself about every 90 minutes. NREM (75% of night): As we begin to fall asleep, we enter NREM sleep, which is composed of stages 1-4. REM (25% of night).

Numbers!
Almost 60 % of total population reports sleep problems at any point of their life time. Roughly 1/3 of general population are having sleep problems at any given time.

Common Sleep Disorders:

Insomnia (initial, middle, terminal insomnias or non restorative sleep).
Sleep apnea.
Restless legs syndrome.
Narcolepsy.

Impacts of Poor Sleep:

sleep-3Persons get irritable and exhausted, easily distracted and often don’t make sound decisions. Sleep deprivation negatively impacts the immune system, may also lead to weight gain, high blood pressure, cancer, heart disease, stroke, diabetes, bone loss and depression Sleep deprivation may also impair learning, memory, alertness, concentration, judgment, problem solving and reasoning, as well as increase your risk of accidents.

Assessment:

    • Keep a sleep log, Polysomnography (sleep lab)
    • How to treat?
    • Sleep hygiene
    • Medicines
    • Behavioral treatments
    • Surgery (OSA)

Sleep Hygiene:

  • Avoid napping during the day.
  • Avoid stimulants such as caffeine, nicotine, and alcohol too close to bedtime.
  • Exercise can promote good sleep.
  • Food can be disruptive right before sleep.
  • Ensure adequate exposure to natural light.
  • Establish a regular relaxing bedtime routine. Associate your bed with sleep.
  • Make sure that the sleep environment is pleasant and relaxing.

Medications: What to know about it?

  • Avoid as much as possible.
  • Always with advice from the specialist.
  • Be cautious about addiction.
  • Avoid driving while on medications.

“Sleep is that golden chain that ties health and our bodies together”

(Thomas Dekker)

Language Problem or Late Talking?

Tags

, , , , ,

 Our parents are smart. They are really concern about their child talk and how he / she communicate. They also listen to his or her peers who are at same age and may compare what older brothers and sisters did at the same age. This is how our parents mentally compare their child’s performance with other children. They immediately create an impression of whether the child is developing speech & language at normal rate or not.

st3If parents feel that development is slow, they check their impression with the other parents, relatives, and their pediatrician. You probably get an answer such as Oh!! Don’t worry, he / she will outgrow it. Look at my child she was so quiet and now she is a chatter box, give him/her time.

But…… suppose he / she doesn’t? Even after giving adequate time. 

st2You would feel guilty waiting and then finding out that I should have acted earlier. Waiting is so hard, why we have to be frustrated at last . We want the best for our child. What’s a parent to do?

But……. You’re not sure of what to do.

st1It’s hard to say the exact age when they hit speech and language milestones. It varies a lot on factors such as the child’s inborn ability to learn language, other skills the child is learning, the amount speech and language input he/she gets. and how others respond to his/her communication attempts .

Do you praise him/her? Listen to him/her carefully?

These factors can slow down or accelerate the speed of speech and language development of our children. Be aware of the certain factors that may increase the risk of late-talking child in the 18 to 30 month old age range even with normal intelligence.

The sooner The Better

If you are concerned about your child’s speech and language development, you should see a speech-language pathologist. The speech-language pathologist may suggest on early intervention program with follow up sessions. It’s important to have formal therapy sessions in case of severe problems.

Do you really want to wait for him/her to outgrow???Don’t leave a chance which leads you to feel guilty that I would have done with everything I could

To undergo treatment, you have to be very healthy !!!

Tags

, , , , , ,

Drug Safety (Rational and Safe use of Medicines)

“To undergo treatment you have to be very healthy, because apart from your sickness you have to withstand the medicine” (Molière)

pharmacovigilanceDrug safety ( Pharmacovigilance) – The science and activities relating to the detection, evaluation, understanding and prevention of adverse drug reactions or any other drug-related problems.

Why drug safety? – Adverse Drug Reactions are among the top ten causes of mortality. The percentage of hospital admissions due to drug related events in some countries is about or more than 10%. Economic impact Drug related morbidity and mortality expenses exceeded US$ 177.4 billion in the USA in 2000.ADR database shows- No of reports: more than 3.5 million, each year increase ~160,000 / year.safe

Drug safety heavily focuses on Adverse Drug Reactions (ADR), which are defined as any response to a drug which is noxious and unintended. ADR is considered serious if it meets one or more of the following criteria:

  1. Results in death or is life-threatening;
  2. Requires inpatient hospitalization or prolongation of existing hospitalization;
  3. Results in persistent or significant disability or incapacity;
  4. Results in a congenital anomaly (birth defect)

FDA drug categories – A, B, C, D or X

Category A

Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy

Category B

Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.

Category C

Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Category D

There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Category X

Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use of the drug in pregnant women clearly outweigh potential benefits.

Eg: atorvastatin, warfarin, methotrexate,

Pharmaceutical companies perform clinical trials, testing new drugs on people before they are made generally available to see their risk / benefit profile

Specific Patient Populations

Senior man and daughter at homePregnant woman with daughter

Pregnant and lactating women

A pregnant woman must not take any medication without consulting a specialist about the safety of the medication as it may affect the formation of the fetus. During the period of lactation, mothers should consult professionals before use of any medication because some medications can be excreted in breast milk, which may have a negative impact on the infant.

Children

We should take extreme caution when using any medications for children. The reasons are- the lack of scientific studies and clinical trials needed to evaluate the safety of these medications in this age group and also their vital organs are not mature, and thus exposure to certain medications may lead to toxic side effects as the body is mostly unable to fully metabolize or excrete the drugs.

Old people

This group is considered to be most vulnerable to the effect of medications and so it is very important to consider their health status before prescribing any medication, for several reasons. The physiological functions of many body organs decline with age, especially important organs such as the liver and kidneys. Older people can suffer from many chronic illnesses, such as high blood pressure, diabetes, and high blood cholesterol and lipids, possibly necessitating the chronic use of multiple medications, which may conflict with each other.

Drug interactions

Every patient must ensure they are aware of all necessary information regarding those drugs, as well as the possibility of interactions with other drugs or certain food types, through consulting the pharmacist or physician. Groups that are at extreme risk and exposure to those drug interactions include: Patients who use multiple medications, Elderly patients, Patients with multiple chronic diseases and illnesses

Ensuring drug safety

Drug safety is the main aspect of medical therapy that can play a major role in deciding which drug should be given to a patient. Considering the concept of benefit–risk balance drugs with a high risk profile should be avoided unless needed. Personalized medicine should be considered when medications are given to patients.

It is possible to avoid these side effects by using the drug in the proper way, and by following the instructions included in the drug leaflet or provided by the pharmacist or the physician. Knowing the necessary information about a medicine is considered the first step in avoiding side effects.

The risks from medications could be minimized through patient education about drug safety and openness with the patient, allowing him/her to ask questions related to their disease or medications. A good relationship between the medical team and the patient is one of the most important determinants for drug safety.

“Dying from a disease is sometimes unavoidable. But, dying from an adverse drug reaction is unacceptable”(Dr. Vladimir Lepakhin)

Myths About Mental Illness

images-3

Mental illnesses can affect anyone. We all likely know someone who has experienced a mental illness at some point. Yet there are still many hurtful attitudes around mental illnesses that fuel stigma and discrimination and make it harder to reach out for help. It’s time to look at the facts. Here are ten common myths about mental illnesses.

psychiatry-myth-n-fact-1Myth #1: Mental illnesses aren’t real illnesses.
Fact: Mental illnesses are not the regular ups and downs of life. Mental illnesses create distress, don’t go away on their own, and are real health problems with effective treatments. People who experience mental illnesses should be treated with the same concern and respect shown to a cancer patient or a person with pneumonia.

psychiatry-myth-n-fact-2Myth #2: Mental illnesses will never affect me.
Fact: All of us will be affected by mental illnesses. You may not experience a mental illness yourself, but it’s very likely that a family member, friend, or co-worker will experience challenges.

psychiatry-myth-n-fact-3Myth #3: Mental illnesses are just an excuse for poor behavior.
Fact: It’s true that some people who experience mental illnesses may act in ways that are unexpected or seem strange to others. We need to remember that the illness, not the person, is behind these behaviors. No one chooses to experience a mental illness. People who experience a change in their behavior due to a mental illness may feel extremely embarrassed or ashamed around others.

psychiatry-myth-n-fact-4Myth #4: Bad parenting causes mental illnesses.
Fact: No one factor can cause mental illnesses. Mental illnesses are complicated conditions that arise from a combination of genetics, biology, environment, and life experiences. Family members and loved ones do have a big role in support and recovery.

psychiatry-myth-n-fact-5Myth #5: People with mental illnesses are violent and dangerous.
Fact: People who experience a mental illness are no more violent than people without a mental illness. It’s also important to note that people who experience mental illnesses are much more likely to be victims of violence than to be violent.

psychiatry-myth-n-fact-6Myth #6: People don’t recover from mental illnesses and should be kept in hospital for life.
Fact: People can and do recover from mental illnesses. Today, there are many different kinds of treatments, services, and supports that can help. No one should expect to feel unwell forever. The fact is, people who experience mental illnesses can and do lead productive, engaged lives. They work, volunteer, or contribute their unique skills and abilities to their communities. Even when people experience mental illnesses that last for a long time, they can learn how to manage their symptoms so they can get back to their goals. If someone continues to experience many challenges, it may be a sign that different approaches or supports are needed.

psychiatry-myth-n-fact-7Myth #7: People who experience mental illnesses are weak and can’t handle stress.
Fact: Stress impacts well-being, but this is true for everyone. People who experience mental illnesses may actually be better at managing stress than people who haven’t experienced mental illnesses. Many people who experience mental illnesses learn skills like stress management and problem-solving so they can take care of stress before it affects their well-being.

psychiatry-myth-n-fact-8Myth #8: People who experience mental illnesses can’t work.
Fact: Whether you realize it or not, workplaces are filled with people who have experienced mental illnesses. Mental illnesses don’t mean that someone is no longer capable of working. Most people who experience serious mental illnesses want to work but face systemic barriers to finding and keeping meaningful employment.

psychiatry-myth-n-fact-9Myth #9: Kids can’t have a mental illness like depression. Those are adult problems.
Fact: Even children can experience mental illnesses. In fact, many mental illnesses first appear when a person is young. Mental illnesses may look different in children than in adults, but they are a real concern. Mental illnesses can impact the way young people learn and build skills, which can lead to challenges in the future. Unfortunately, many children don’t receive the help they need.

psychiatry-myth-n-fact-10Myth #10: Everyone gets depressed as they grow older. It’s just part of the aging process.
Fact: Depression is never an inevitable part of aging. Older adults may have a greater risk of depression because they experience so many changes in roles and social networks. If an older adult experiences depression, they need the same support as anyone else.

These myths—and many more—exclude people with mental illnesses from our communities and create barriers to well-being. If we want to reduce the impact of mental illnesses on our communities, we need to learn the facts and start with our own assumptions and behaviors.

WORLD ANESTHESIA DAY 2016

Medical ampule with syringe on blue background

  • 16th October is observed as World Anaesthesia Day all over the world. It was for the first time that anesthesia was administered to a human being in 1846 in Massachusset General Hospital America. It is observed to raise awareness about safe anaesthesia.
  • Since then the specialty has travelled a long journey from open ether technique to sophisticated computer assisted technology.
  • The Anaesthetic mortality which was 1:10000 in 1960 has been reduced to over 1:100000.
  • Today anaesthetists’ job is not limited to operation theatres. Rather they act  as Peri-operative physicians.
  • Todays’ Aaesthetist takes charge of patient before operation starts. Optimization, preparation, anaesthetic management, post operative care are now looked after by anaesthetists in modern health care system.
  • They are involved in Labor analgesia, Intensive care units, Radiology and gastroenterology suites, Pain clinics, trauma team, Cardiac arrest team and recently they have started palliative care services for terminal cancer patients.
  • In simple words; in any hospital 70 to 80 percent work revolves around department of anaesthesia.
  • It is no more a surgical subspecialty; rather it is a major discipline without which hospital cannot function effectively.
  • We face certain challenges in providing these services. These are Shortage of staff, maintaining quality and safety during anaesthesia, lack of monitoring equipment, and above all meeting the standards of Heath Care commission.

localanesthesia“Safe Anaesthesia is not a luxury it is patients’ right”

“Safe anaesthesia – Safe surgery”

Slogan of World federation of Societies of Anaesthesiologists: 

“SAFE-T:    SAFE ANAESTHESIA FOR EVERYBODY TODAY”

“At IMH ,we have SAFE OT ,SAFE ANESTHETIST ,SAFE SURGEON & SURGERY and SAFE PATIENTS -A QUALITY CARE BY TEAM OF ANESTHETISTS “

Mammography

Tags

, , , , , , , ,

What is mammography?

Mammography is pro-bably the most important tool doctors have to help them diagnose, evaluate, and follow women who’ve had breast cancer and also for screening women for breast cancer.

Safe and highly accurate, a mammogram is an X-ray photograph of the breast. The technique has been in use for about thirty years. It can detect most breast cancers at an early stage, before symptoms develop. Routine mammography is not available to women under 30 unless you have a first degree relative (mother or sister) who has had breast cancer at a young age.

Why is mammography important?

digital-mammographyMammography saves lives. About 1 in 12 women develop breast cancer at some stage in life, mostly over the age of 50. The earlier breast cancer is detected, the better the chance of a cure.

Finding breast cancers early with mammography has also meant that many more women being treated for breast cancer are able to keep their breasts. When caught early, localized cancers can be removed without resorting to breast removal. Research studies have shown that mammography screening has significantly reduced the number of deaths from breast cancer.

When to get a mammogram?

There’s a lot of confusion about when and how often to get a mammogram. For now, the recommendation is that women get a mammogram once a year, beginning at age 40. If you’re at high risk for breast cancer, with a strong family history of breast or ovarian cancer, or have had radiation treatment to the chest in the past, it’s recommended that you start having annual mammograms at a younger age (often beginning around age 30).

What if there is an abnormality?

Most women have a normal mammogram. Some women are asked to attend again if the X-ray picture is not clear, or to look more closely at a special area of the breast which needs a further detailed check. A small number are found to have early breast cancer and are offered referral to a surgeon for treatment. If any abnormality is detected, the patients would be advised to have an ultrasound of the breast with FNAC (A small needle would be put through the area of abnormality with or without ultrasound guidance, where cells would be taken from that site and sent for microscopic evaluation for cancer cells.)

Three important things to know about mammograms

1. They can save your life. Finding breast cancer early reduces your risk of dying from the disease by 25-30% or more. Women should begin having mammograms yearly at age 40, or earlier if they’re at high risk.

2. Don’t be afraid. It’s a fast procedure (about 5-10 minutes), and discomfort is minimal. The procedure is safe: there’s only a very tiny amount of radiation exposure from a mammogram. To relieve the anxiety of waiting for results, go to a centre that will give you results before you leave.

3. It is our most powerful breast cancer detection tool. However, mammograms can still miss 15-20% of breast cancers that are simply not visible using this technique. Other important tools-such as breast self-exam, clinical breast examination, ultrasound, and MRI can and should be used as complementary tools, but there are no substitutes or replacements for a mammogram.

Parents & Mind Wellness of Kids

WHO says “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” This reiterates the importance of mental wellbeing to live and remain healthy.

bigstock-family-love-heart-symbol-10963130Raising kids is one of the toughest and most fulfilling jobs in the world and we are least prepared for that. Children’s physical and emotional status, as well as their social and cognitive development, greatly depends on their family dynamics. The rising incidence of behavioural problems among children could suggest that some families are struggling to cope with the increasing stresses they are experiencing.

Parenting styles and tips for healthy parenting:

There are four major recognized parenting styles: authoritative, neglectful, permissive, and authoritarian.

“Authoritative parenting” is one that communicates in a warm, accepting and nurturing manner, while maintaining firm expectations and restrictions on their children’s behaviour. (The most accepted or the best way of parenting)

“Authoritarian Parenting” is an extremely strict form of parenting that expects a child to adhere to rules and regulations set out by the parents with little to no input and communication from the child.

“Permissive Parenting” is an extremely relaxed approach where parents are generally warm, nurturing and affectionate. However, they are overly accepting of their children’s behaviour, good or bad.

“Uninvolved Parenting”, as the name implies, the parent is totally dis- engaged and emotionally uninvolved in their child’s life. There is little, if any expression of love and affection…

Parenting tips

kids-cooking-clipart-clipart-panda-free-clipart-images-irj2nx-clipart-1             c8c53762a9f33e17e41ec4ea88e709c6

  • Be a Good Role Model
  • Make Time for Your Kids(kids misbehaviour and acting outs are basically attention seeking behaviours)
  • Communicate with your kids with respect
  • Enhance Your Child’s Self-Esteem (giving acknowledgement, praising, allowing them to do things independently- All these will increase their self esteem; at the same time avoid belittling comments.)
  • Reward your Kids when they do Good(try to find something to praise every day)
  • Set Limits and Be Consistent with Your Discipline; practice time out (This help kids choose acceptable behaviours and learn self-control.)
  • Be Flexible and Willing to Adjust Your Parenting Style
  • Show That Your Love Is Unconditional
  • Know Your Own Needs and Limitations as a Parent

Common behavioural problems:

Tantrums,stuttering,Autism, ADHD, Conduct disorders and Learning disability are common early childhood problems,  while Depression, Anxiety disorders, Substance use disorders and Eating disorders are the common adolescent behavioural problems,

Warning signs in children

Irritable, distractible children with poor scholastic performance points towards early childhood behavioural problems

Mood changes, intense fear, drastic changes in personality, difficulty in concentrating, unexplained weight loss, physical symptoms, and self harm behaviour- these are some of the warning signals of adolescent behavioural problems

What the parents can do?

Reach out to our kids…

Be an empathetic non judgemental listener…

Take history from his peers and teachers…

Give him unconditional support and instil confidence

Understand and accept this as like any other medical problem

Don’t hesitate to take help from an appropriate mental health professional