Emotional torture at work place

What is emotional torture or emotional abuse?

Any non physical intentional repeated work related behavior between persons with or without difference of power that has adverse effects on employee’s emotional and mental well-being in the working place.

This is worldwide phenomenon, all because of emotional abuse being a pervasive presence in the workplace. Despite all efforts to encourage a culture of teamwork and promoting harmonious working relationships in the workplace, companies, organization and businesses still face issues on workplace conflicts, decreased productivity, high employee turnover, and in general poor employee satisfaction. Studies show at least 50% people suffer from emotional abuse at their work place in their career. The abuser never left any chance to deliver insults, directly, indirectly or by showing cold body language. They usually call by offensive names and insulting language. They also constantly monitor their schedule and work, try to control, demean and simply demonstrate this superiority over him. They give confusing instruction for work and make them culprit for wrong doing. Sometimes they publicly neglect, humiliate, intimidate.

Examples of mental abuse can include

• Purposefully failing to provide critical information necessary for the victim to do his job.
• Interrupting him, ignoring his input and isolating him.
• Screaming or swearing at the employee in front of others.
• Sabotaging or obstructing work.
• Stealing the credit for work the victim performed or becoming impolite for them.
• Dismissing the legitimate complaints of victims or rewarding bullying behavior with promotions, plum assignments and pay raises.

What are the Factors attributing emotional abuse?

• Significant changes to business operations, such as workplace restructuring.
• Inadequate communication between divisions or departments.
• Failure to consider workers’ opinions and input into policies, account or business.
• Difficult working situations.
• High work load.
• Inadequate or poor skilled staff.
• Lack of division of roles and responsibilities of employee.
• Suspiciousness over employee.

Effects of emotional abuse

Emotional abuse among employee is very alarming signs of productivities of organization. It always reduces the out puts, high turnover of staffs, resignation in the organization, people start gossiping and trying to demean each other.  People remain frustrated and feel mentally upset. They remain afraid going to office or find difficulties to facing each other. It has impact on physical as well as mental health. It’s very hard to ease emotional pain, and the scarring can be more permanent. Anxiety, depression, sleep disturbances are very commonly seen among the staffs. They feel low mood, poor self esteem, feelings of inferiority, lack of confidence, incompetent and worthless for their work. They remain afraid and irritated, have poor attention and concentration and frequent mistakes are generally seen in their work.

What is the responsibility of office?

• Zero tolerance policies for any kind of abuse and managers must follow the policies strictly by documenting. A formal team should be there to handle such cases. The decision should be follow strictly otherwise it gives a bad example among employee and decrease the courage for complain from next time.
• Regular training of soft skill and official rules and regulation for the employees must be conducting. It should also be mention to handle abusive situations and teach workers to recognize unacceptable behavior rewarding appropriate behavior,
• The Maintaining an open-door policy and encouraging ethical and responsible teamwork throughout the organization.

What should do to overcome from it?

• Minimize your anger and keep yourself calm and cool. Usually they provoke and make you feel irritated, that is their approach. Ignorance and showing that nothing has happened or avoidance should be first step for coping the situation.
• Talk to the abuser directly with confidence and a rational attitude rather than taking to someone about the situation. Make them clear that you are not going to bear it and if it will persist then will take the help of higher authority.
• Even after proper communication and warning, the abuser doing this persistently, then it is high time to report the matter to higher authority. Matter should be escalated though proper documentation and proper channel. Collect your evidence and witness, if any, to produce in front of authority. Don’t try to make false allegation, it will make you weak and will decrease your confidence to confrontation.
• Keep yourself strong and confident. Discuss your problems with spouse, family, friends with you have trust. Official gossips will, make you weak and you will feel harassed.

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How UDGAM will help in treatment?

It is very common that a person suffers from anxiety or depression during such situation. Take help from psychologist or mental health expert to reduce your anxiety or emotional sufferings. We comprise a dedicated team of mental health professionals who believe that right interventions can bring impactful changes in their life. We have online based programme to manage your problems. We provide quality care, support & multidisciplinary services to achieve this and promote Hope, Health & Happiness.

Housewives, their mental health

1. Housewives, their mental health with everyone staying at home 24×7. ?
2. How can they get affected and solutions?

The lockdown and pandemic of corona did not reflect the apprehension of only health but also the financial, relationship, and job related stress. The feelings of negativity have permeated in every corner of life, like personal, family, professional or social. Gradually happiness has also gone for quarantine. People are staying at home 24×7, has brought happiness in some family, they started enjoying their togetherness, for what they had craved for long time,  at the second hand this togetherness suffocating few families. The happiness or sorrow in the family depends on the condition of emotional and mental harmony. Recently it has been observed the surge of domestic violence across the word. It has not affected only higher or middle socio-economic but also lower strata.

Factors for emotional disturbances

Behavior of children, husband, in laws creates emotional turmoil in the house wives. The fear of loss of job or financial loss, sitting idle at home, apprehension of health, lots of uncertainties, make husband or head of family member anxious and irritable. House wives are easy target of their frustration and it leads to emotional and physical violence. Increased food demand among family, lack of subsidiary help from maid, lack of domestic help from other family member, lack of interaction with friends, Unavailability of alcohol for husband, increased work for children are few factors those are affecting the mental condition of house wives. All time visibility, constant comment, conflict or rotten relationship, add few more effect on mental condition.  Lack of rest, sleep disturbances, high stress, making them frustrated, anxious, depressed.

Symptoms

Depressive Symptoms

• Lack Of Energy,
• Low Mood,
• Increased Irritation,
• Frequent Fight,
• Lack Of Interest,
• Decreased Pleasurable Activities,
• Sleep Disturbances,
• Lack Of Appetite Are Few Common.

Anxiety Symptoms

• Increased Palpitation,
• Shortness Of Breath,
• Tremors Of Body,
• Apprehension

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 How UDGAM will help in treatment?

Team UDAGM, the clinical psychologist expert in stress management counseling, will be your real friend and will help to manage your problems gracefully?

How can they get solutions?

• Acknowledgement of problems by husband and other family member. Mitigate the previous conflict if any; reduce the anxiety related to job or financial problems, take help from therapist.
• Proper communication among family member.
• Distribution of work among family member.
• Proper rest.
• Regular sleep.
• Talk to your friend and family who support you.
• Psychological help if required.

Sex and Marriage

Nancy Houston in her book “Love and Sex” writes it’s the only thing you have that is all yours. It’s your private heaven on earth. Make out on the couch, in the shower, in the car. Be sexual with each other. Make it all it can be. There are no limits, only the ones you put on it.

What is the Menu on a plate of marriage?

Love, care, affection – Perfect, what about Sex??

I am not biased, I usually ask my patient about their sexual life who come for psychiatric consultation.

I observed in my clinical experience if couple therapy, the need of sex in marriage is not a universal phenomenon. Some of them accept it as very much necessary and utmost important while others say this is just a physical need.  The opinion of people varies as also explained in Nancy’s thought. So one opinion does not fit for all and varies from couple to couple.I have come across a few married couples who get separated because of disturbed sexual life while others were leading a happy married life without sex for last 10-15 years. Some of the couple is date for years without sexual activities, few postpone it till marriage. So everyone has different opinion and it ultimately depends on their personal belief, desire, nature of the relationship and mutual agreement.  Many people have happy, fulfilling, romantic, stable, and joyful married life without having sex. So we can understand sex is not everything required for a satisfied and healthy marital relationship.

Why sex is important?

There is nothing wrong if one partner demands regular sex from other or believes this is a vital part of their relationship. Some people don’t feel emotionally connected if their sexual demands are not fulfilled. They feel that sex is a way to express their love; care and affection to partner .Few also think that having regular sex is a sign of loyalty. Person with high libido believe sex is a sign of love. Reasons for frequent and excessive desire of sex could be insecurity with partner, part of their fun or entertainment, boredom relief, assuage skin hunger, too much lust and many more often too complicated to define and understand.

Libido or sexual desire

It’s rare for two people to have matching sex drives. It happens occasionally, but to expect that your partner will always want precisely the same amount of sex as you do is mostly impractical.

It is a complex biological phenomenon that depends on psychological as well as physical condition of the body and the mind.

The Biology behind low libido

• Psychological reasons like high stress or tension in life, work pressure, anxiety, depression, marital conflict, obsessive compulsive disorder, addiction, history of sexual abuse, low self esteem, poor body image, sleep problems, psychotic symptoms, day night shift, brain trauma, organic brain symptoms are common.
• Physical or medical reasons include diabetes mellitus, chronic pain, hormonal imbalance (low testosterone), spinal injury, aging, few medicinal side effects, surgical reason, chronic illness like cancer, kidney or liver diseases.

The Biology behind high libido

• Psychological reasons like manic symptoms, intoxicated state, ecstasy drugs, sexual addiction, unsatisfactory sex, unresolved sexual trauma, distorted beliefs about love, sex and intimacy, impulse control behavior, personality disorder like antisocial or borderline, epilepsy may be the reason for this.

Benefits of sex

Psychological Benefits of Sex

• Better Self-Image
• More bonding
• Relief from stress and boost happiness
• Sleep Quality Improvements
• Enhanced brain function

Physical Benefits of Sex

• Better physical fitness
• Improved immune function
• Lower pain levels
• May Promote Weight Loss
• Positive cardiac effects

Is sex necessary for maintaining the married life?

Healthy sex in married life is one of the most visible traits among happy couples.  These couples usually are able intimacy for years and enjoy the marital bond for long. In couple therapy or in marital therapy where sex remains a reason for compromised marriage, open communication helps. Open Communication offers a comprehensive discussion about the desired frequency of sex, likes, dislikes, and preferences that can improve things. You can also have a Fun filled sex if u know each other desires and practice it. This can make your marriage more fun and romantic and you will feel more connected to each other.

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How udgam will help you?

Don’t be sad and hopeless. We have a team of relationship experts to guide you. At Udgam we provide couple or marital therapy for all such problems in marriage. They will discuss the problem with couple in detail, their likes and dislikes and will provide you the cognitive behaviour therapy to improve your sexual life. At Udgam with the help of our experts many couples who were struggling for years and were finding it difficult to sustain their marriage found simple solutions.  So don’t lose hope, take expert help and give yourself another chance for a happy married life.

Obsessive-compulsive disorder

About

Obsessive-compulsive disorder (OCD) is represented by a diverse group of symptoms that include intrusive thoughts, rituals, preoccupations, and compulsions. These recurrent obsessions or compulsions cause severe distress to the person. The obsessions or compulsions are time-consuming and interfere significantly with the person’s normal routine, occupational functioning, usual social activities, or relationships. A patient with OCD may have an obsession, a compulsion, or both. In contrast to an obsession, which is a mental event, a compulsion is a behavior. Specifically, a compulsion is a conscious, standardized, recurrent behavior, such as counting, checking, or avoiding. A patient with OCD realizes the irrationality of the obsession and experiences both the obsession and the compulsion as unwanted behavior. Although the compulsive act may be carried out in an attempt to reduce the anxiety associated with the obsession, it does not always succeed in doing so. The completion of the compulsive act may not affect the anxiety, and it may even increase the anxiety. Anxiety is also increased when a person resists carrying out a compulsion.

Prevalence

Among adults, men and women are equally likely to be affected, but among adolescents, boys are more commonly affected than girls. Early twenty is the onset of illness in both gender.

How to recognize? Symptoms of OCD?

Person feels thoughts and anxiety, most days for at least 2 successive weeks and be a source of distress and/ or interference with usual activities.

1. They have recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress.

2 . The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action by performing a compulsion. Compulsions are repetitive behaviors (e.g., hand washing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently)

OCD comes generally 4 categories:

• Checking,
• Contamination,
• Symmetry and ordering,
• Ruminations and intrusive thoughts, .

Examples of obsession include:

• Fear of being contaminated by touching objects others have touched
• Doubts that you’ve locked the door or turned off the stove and having difficulty tolerating uncertainty
• Intense stress when objects aren’t orderly or facing a certain way
• Images of driving your car into a crowd of people
• Thoughts about shouting obscenities or acting inappropriately in public
• Unpleasant sexual, religious images
• Avoidance of situations that can trigger obsessions, such as shaking hands

Examples of compulsion include:

• Hand-washing until your skin becomes raw
• Checking doors repeatedly to make sure they’re locked
• Checking the stove repeatedly to make sure it’s off
• Counting in certain patterns
• Silently repeating a prayer, word or phrase
• Following a strict routine
• Arranging your canned goods to face the same way
• Demanding reassurance

The types of obsessions and compulsions you experience can also change over time. Symptoms generally worsen when you experience greater stress.

OCD, usually considered as a chronic and  relapsing and remitting course of illness, can have mild to moderate symptoms or be so severe and time-consuming that it becomes disabling.

Complications if untreated

Problems resulting from obsessive-compulsive disorder may include,

• Excessive time spent engaging in ritualistic behaviors.
• Health issues, frequent hand-washing may lead to contact dermatitis.
• Frequent absenteeism job, school or difficulties to attend social function.
• Poor academic, work, job performance.
• Relationship problems.
• Overall poor quality of life.
• Suicidal thoughts and behavior.

What people feel about treatment?

This is only a habit, you try to control it.  Very difficult to treat, medicines have to take long life; basically medicines are sedative, addictive.

Benefits of treatment

One can reduce his or her anxiety can save time for work, make relationship healthy, improve quality of life, and reduce financial loss.

Treatment

If your obsessions and compulsions are affecting your quality of life consult psychiatrist and psychologist. Many patients with OCD tenaciously resist treatment efforts. They may refuse to take medication and may resist carrying out prescribed therapeutic homework assignments and other activities. Pharmacotherapy, behavior therapy, or a combination of both is effective in significantly reducing the symptoms of patients with OCD.

The decision about which therapy to use is based on the clinician’s judgment and experience and the patient’s acceptance of the various modalities. About 8 to 1 6 weeks are usually needed to obtain maximal therapeutic benefit.

Pharmacotherapy:

Few medicines are very effective to reduce the irrational thoughts, anxiety and improve quality of life. Ant anxiety, anti depressants is very useful. SSRI, SNRI, TCA Clomipramine, Benzodiazepines are very helpful medicine. Repetitive Trans-magnetic Stimulation (rTMS) is a modern therapy. Very rarely neuro-surgery is also helpful.

Psychotherapy: Many clinicians consider psychotherapy is treatment of choice for OCD. Its very effective treatment along with medicines.

• Behavior therapy – Desensitization, thought stopping, flooding, implosion therapy, and aversive conditioning have also been used in patients with OCD.
• Cognitive behavior therapy
• Exposure and response prevention
• Dynamic psychotherapy

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How UDGAM will help in treatment

Team UDAGM, the clinical psychologist expert in counseling, will be your real friend and will help to manage your OCD and its complications, and will try to take out from this debilitating illness.

Insomnia

Insomnia is subjective perception of difficulty with sleep initiation, duration, maintenance, quality, or non refreshing sleep, despite adequate opportunity or situation for sleep. It must be present for at least 3 nights per week for at least 3 months, and not be related to other sleep, medical &surgical or mental disorders. Studies showed the prevalence of insomnia is 10%–30% of the adult population. It is common in older adults, females, and people with medical and mental ill health. Sleep serves a restorative, homeostatic function and appears to be crucial for normal thermoregulation and energy conservation. As NREM sleep increases after exercise and starvation, this stage may be associated with satisfying metabolic needs.

10-15% of adult people experience long-standing, 25-30% has occasional sleepless nights.

It is an easy-to-diagnose condition but still unrecognized in a significant number of patients attending outpatient department (OPD) for other medical conditions.

What Are REM and Non-REM Sleep?

A sleep cycle lasts about 90 minutes, and during that time we move through five stages of sleep. The first four stages make up our non-rapid eye movement (NREM) sleep, and the fifth stage is when rapid eye movement (REM) sleep occurs.

NREM (75 percent)

Stage 1 : 5 %, eyes are closed, but it’s easy to wake you up, very light sleep, transition from wakefulness to sleep, last 5 -10 minutes.

Stage 2: 45 %, body temperature drops and heart rate begins to slow, body is getting ready for deep sleep, lasts about 20 minutes.

Stage 3 : 12%, deeper sleep, arousal,  body muscles relax, decrease of heart rate and blood pressure.

Stage 4: 13%, most of stage 4 sleep occurs in the first third of the night, deepest sleep, difficult to arouse, if someone woke you up, you would feel disoriented for a few minutes.

REM (25 %)

Most REM periods occur in the last third of the night, brain becomes more active, body become relaxed and immobilized, and dream occurs, eyes move rapidly.

During the deep stages of NREM sleep, the body repairs and re-grows tissues, builds bone and muscle, and strengthens the immune system. With age NREM sleep get less, and REM sleep duration increases.

GENERAL SYMPTOMS OF INSOMNIA

• Difficulty falling or staying asleep
• Daytime fatigue
• Headache or heaviness of head
• Generalized body ache
• Poor attention and concentration
• Strong urge to take naps during the day
• Irritability or anxiety
• depression
• Poor work performance
• work- related/motor vehicle accidents
• overall poor quality of life

WHAT PEOPLE FEELS ABOUT TREATMENT

People ignores treatment of insomnia, they think it is normal with aging, increased responsibility. They remain afraid from the treatment that these medicines will be addicted, after stopping of medicine again sleepless, will harm the brain activities, dementia will develop, and will make insane.

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BENEFITS OF TREATMENT

• Makes easy and comfortable sleep
• Relaxes mind
• Reduces the clinical symptoms of insomnia
• Improves immunity
• Increases work potential

MEDICAL TREATMENT:

Detailed history of insomnia is the first step of diagnosis. Investigation like polysomnography (sleep study) should be done if required. Anti anxiety, anti depressants, melatonin supplements, sleep inducing medicines, are helpful. Treatment of underlying health issues, allergy or cold medication, use of breathing device or surgery (usually for sleep apnea), a dental guard (usually for teeth grinding) is useful.

LIFE STYLE CHANGES:

Udgam has a team of qualified and expert team professionals who help for various mode of treatment of insomnia. Life styles changes, cognitive behavior therapy, behavior therapy, relaxation techniques are very helpful method to treat insomnia if it is related to stress and mental health problems.

Sleep hygiene a set of guidelines and tips which are designed to enhance good sleeping, and provide long-term solutions to sleep difficulties.

There are many medications which are used to treat insomnia, but these tend to be only effective in the short-term. Ongoing use of sleeping pills may lead to dependence and interfere with developing good sleep habits independent of medication, thereby prolonging sleep difficulties.

Talk to your health professional about what is right for you, but we recommend good sleep hygiene as an important part of treating insomnia, either with other strategies such as medication or cognitive therapy or alone.

SLEEP HYGIENE TIPS

 1) Fix sleep time. This is the best ways to train body and mind to sleep well, even on weekends and days off! Go to sleep only when feel sleepy, or tired, rather than spending too much time awake in bed.

2) Get up & try again. If you haven’t been able to get to sleep after about 20 minutes or more, get up and do something calming until you feel sleepy, then return to bed and try again. Sit quietly on the couch with the lights off, read something. Avoid doing anything that is too stimulating or interesting, as this will make you alert and wake you up even more.

3) Avoid caffeine & nicotine. It is best to avoid consuming any caffeine (in coffee, tea, cola drinks, chocolate, and some medications) or nicotine (cigarettes) for at least 4-6 hours before going to bed. These substances act as stimulants and interfere with the ability to fall asleep

4) Avoid alcohol. Many people believe that alcohol is relaxing and helps them to get to sleep at first, but it actually interrupts the quality of sleep.

5) Bed is only for sleeping. Don’t try to use your bed for anything other than sleeping and sex, so that your body comes to associate bed with sleep. Don’t use to watch TV, eat; read, work on your laptop, and other things.

6) No day time naps. It is best to avoid taking naps during the day.

7) Sleep rituals. You can develop your own rituals of things to remind your body that it is sleeping time.

 8) Bath time. Having a hot bath 1-2 hours before bedtime can be useful, as it will raise body temperature, making sleepy.

 9) No repetitive clock-watching. Many people who struggle with sleep tend to watch the clock too much. Frequently checking the clock during the night can induce negative thoughts makes you alert and wakeful. Thoughts are like  “Oh no, look how late it is, I’ll never get to sleep” or “it’s so early, I have only slept for 5 hours, this is terrible” making them more difficult to sleep.

10) Use a sleep diary. This worksheet remains very useful way of making sure you have the right facts about the sleep, rather than making assumptions. it also helps to track the improvement.

11) Exercise. Regular and light exercise is a good idea for good sleep. Morning walks are a great way to start the day feeling refreshed.

12) Eat right. A healthy, balanced diet will help to sleep well, but timing is important. Too light and too heavy meal is not good for sleep. A warm glass of milk, which contains tryptophan, acts as a natural sleep inducer. Avoid fat and spice rich meal.

13) The right space and surroundings. It is very important that bedroom should quiet and comfortable for sleeping.

14) Keep daytime routine the same. Even if you have a bad night sleep and are tired it is important that you try to keep your daytime activities the same as you had planned. That is, don’t avoid activities because you feel tired. This can reinforce the insomnia.

You feel so lonely

And you start to cry

But nobody understands

Nobody sees

Just how broken you really are.

About depression

Depression is a mood disorder, and shows persistent symptoms of low mood for 2 weeks affecting person’s daily activities. It affects all age group and gender. But there are differences in presentation, severity and prognosis of illness. 20-40 age groups are most vulnerable age group, highest among individuals between 18 and 25, but it doesn’t spare child and adolescent’s age group and elderly population. It affects more female than male. Sometimes it has auto remission of course and wanes its symptoms gradually but many more suffer badly. Depressive disorder may recurrent episode and one can predict it. Yes few vulnerable factors are there those can support to predict the relapse of symptoms. Depressive episode can be a part of bipolar illness. But mostly it occur its own course.

Prevalence

Prevalence of depression ranges from 20% -25% in women and 7% – 12% in men, higher among adult females (9%) compared to males (6%), 9-10% of adolescent age group.

Symptoms

• Feeling low energy most of the time despite good physical health,
• Remain in low mood,
• low interest level in previously pleasurable activities, communication with friends and family, decreased interaction with others, study, work, sexual activities, exercises,
• Remain irritated, frequent anger, aggressive behavior,
• Sleep disturbances,
•  Loss of appetite and weight loss
• Feels worthless that I am useless,
• Hopeless that future is very pessimistic,
• Helpless that no one will help to improve his or her present condition.
• Frequent guilt feeling,
• Frequent death wish that is I should die; I am burden on my family,
• Suicidal ideation frequent rumination of suicide, where, when and how should I commit,

Apart from this patient has, body pain, headache, loss of appetite or increased appetite (in very few person), decreased attention and concentration, problems in taking decision, forgetfulness, anxiety, restlessness.

How is Depression Different from Sadness?

Sadness is temporary condition and associated with some stressors. It goes automatically in days. It does not affect much on other activities. Appetite, sleep, interest remain same. But depression is a persistent low mood and associated with other symptoms.

Possible reasons of depression:

Most of the episode not associated with any kind of stressors. but Relationship problems, financial loss, job loss or dissatisfaction may be reasons.

Medical illness can cause depression like postpartum, hypothyroidism, diabetes mellitus, hypertension, cancer, few neurological illnesses, and many more. There are few Biochemical changes like low serotonin, low dopamine level, increased cortisol level, is usually seen.

How it affects:

if remain untreated affects personal, family, professional domain of life like Marriage life,  relationship problems, friendship, job, finances, decreased performances, suicide are also common.

Myths about treatment:

People think medicines are very addictive and usually have hypnotics, how medicine or counseling will help? They also think depression is only a mental thought, will be fine automatically, go and tour, eat good, do party.

Treatment

Depression is treatable, with talking therapies or antidepressant medication or a combination of these. It reduces suffering, duration of illness, and prevents relapses in future. Few anti depressants medicines are really helpful. Psychotherapy with well qualified psychologist is very vital component of treatment.  Cognitive behavior therapy, stress management, improvement of coping skills, mindfulness, meditation, yoga’s are helpful

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How UDGAM will help in treatment

People try their best to keep and correct the low mood and depression but fail to manage these ailments. Team UDAGM, the clinical psychologist expert in counseling, will be your real friend and will help to manage your depression and will try to take out from this debilitating symptoms.

ANXIETY DISORDERS

What people think about Anxiety

Every person do have experience of anxiety once in a life. Some part of anxiety is always needed for life. There is very thin margin between anxiety and anxiety disorder. However, people with anxiety disorders frequently have intense, excessive and persistent worry and fear about everyday situations that make their day to day functioning difficult and persistent over a protracted period of your time.

Symptoms

• Feeling nervous, restless or tense, Inability to relax
• Having impending danger, panic or doom, fear of death
• Having an increased heart rate
• shortness of breath (hyperventilation)
• Sweating, Trembling, Feeling weak or tired
• Poor attention and concentration.
• Having sleep disturbances
• Experiencing gastrointestinal (GI) problems, butterfly in the abdomen, frequent urge to pass stool,
• Having difficulty controlling worry
• Having the urge to avoid things that trigger anxiety

Several varieties of anxiety disorders exist:

•Agoraphobia could be a variety of anxiety disorder during which you fear and often avoid places or situations which may cause you to panic and make you feel trapped, helpless or embarrassed.
• Generalized anxiety disorder includes persistent and excessive anxiety and worry about general ordinary or routine activities or events.
• Panic disorder is repeated episodes of sudden feelings of intense anxiety and fear or terror that reach a peak within minutes (panic attacks), characterized by feelings of impending doom, shortness of breath, chest pain, increased heart beats (palpitations). These situations may result in constant fear or worrying about them happening in future and that they start avoiding such situations during which they’ve occurred.
• Obsessive Compulsive Disorder is characterized by Obsessions which are recurrent thoughts, ideas, images or impulses that are senseless, involuntary, unwanted and distressful and causing anxiety; and Compulsions which are repetitive mental or physical acts or rituals that are repetitive in nature and are performed to reduce the anxieties caused by the obsessions.
• Social anxiety disorder (social phobia) is high levels of tension, fear and avoidance behavior of social situations because of feelings of embarrassment, self-consciousness, self-criticism and concern about being judged or viewed negatively by others.
• Specific phobias are characterized by major anxiety when you’re exposed to a particular object or situation and a desire to avoid it. Phobias provoke panic attacks in some people.

When people should seek about treatment

• You feel like you’re worrying too much, have chain of thoughts and it’s interfering your work, relationships or other part of life.
• You remain afraid, feel panic, or your worry or anxiety is upsetting you, negative thoughts, death wish or suicidal thoughts and difficult to regulate these.
• You feel depressed, have started alcohol or drug use and causing physical health problems.

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How UDGAM will help in treatment?

To help the diagnosis and treatment of an anxiety disorder and rule out other condition team UDGAM offers a psychological evaluation with an in depth history and mental status examination. The two main treatments for anxiety disorders are psychotherapy and medications. You’ll benefit most from a combination of the two.

Psychotherapy
Cognitive behavioral therapy (CBT) is the most effective form of psychotherapy for anxiety disorders. CBT includes cognitive therapy, behavior therapy, systematic desensitization, during which you gradually expose the thing or situation that triggers your anxiety so you build confidence that you simply can manage the situation and anxiety symptoms.

Medications

Certain antidepressants are useful to treat anxiety disorder, few benzodiazepines for short-term relief.

Few tips for Lifestyle changes and residential remedies

•Keep physically active
• Avoid alcohol and recreational drugs
• Quit smoking and reduce or quit drinking caffeinated beverages.
• Use stress management and relaxation techniques.
• Make sleep a priority
• Eat healthy