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When Rashi had her first panic attack she was appearing for school board exams .She didn’t know she was having one till her throat felt dry ,her hands started trembling and all of a sudden she felt she was going to faint .That made her cry out loud for help .She wanted to immediately get out of the examination hall.

However a timely intervention by the people around helped her recover faster as she was given the first aid support in time.

Panic attacks do not come with a warning and they become too scary to those who suffer one all of sudden and if a timely help is not available the same can turn a little damaging too .

Rashi did have some stress of her ensuing examination but she had also been suffering from fever for a few days and had not yet fully recovered . She had been feeling weak, a bit tired and sleepy . In this kind of stressful situation she had suddenly developed an anxiety   and lost control of mind .Her breathing seemed to have become very shallow,rapid and she had hyperventilated .

The feeling passed after little first aid support and within a few minutes she felt better although still dazed .No one knew that she had experienced her first panic attack that day, until it happened again when she was in a crowded shopping mall .

How to know if it is a panic attack

It can happen to anyone and can take place in any situation.We discuss hereunder the early signs and symptoms indicating about panic attack :

Usually it begins with a dizziness of the head and the person feels a little disoriented to the environment around .The other symptoms not necessary all of them together can be :

  • Mild pounding of heart in the middle of chest and feeling of fast heart beats
  • Shortness of breathing and feeling of suffocation
  • Breathless and major discomfort breathing even though the environment is not claustrophobic
  • Feeling a sense of numbness in the arms or legs or both
  • Chest pain
  • Hot flashes or cold sweat
  • Nausea
  • Trembling and shaking of body parts

Anxiety attack vs. panic attack

An anxiety doesn’t come all of a sudden but it builds up over time ruminating or apprehending some of the anticipated events and it remains there even when the event may not take place .Thus anxiety is triggering of the apprehension but it stays as a constant feeling disrupting the normal functioning .

A panic attack on the other hand has more debilitating effect , comes out all of a sudden and much more intense episode of fear ,anxiety and a feeling of oncoming loss of consciousness and breathing difficulty takes over .

Anxiety and panic attacks even though have similar symptoms, but panic can make one feel like one is losing control of one’s awareness,orientation .The person feels that brain and body are not coordinating . This can happen repeatedly leaving one helpless and worrying of being vulnerable all the time .Resultantly one may stop stepping out of home alone .

Some of the ways to calm down during a panic attack

Rashi was lucky when her first panic attack lasted only a few minutes and went away after help from the people around but the second time she wasn’t because it occurred in a shopping mall and help took a little longer .

Panic attacks tend to peak within a few minutes and go away also sooner but for some occasions these attacks can last longer and the person becomes restless with fear of something happening to him or her and gets panicky .

How do we control when a panic attack seems to be occurring or seems imminent:

Perceptive and Meditative Breathing;

Deep breathing has often been recommended as the compulsory activity to do when stressed .

In anxiety and panic perceptive breathing can really do magic on your mood.Lets understand how :

  1. Close your eyes softly
  2. Keep your body and spine supple and stress free
  3. Now focus on the lower end (tail end ) of your spine and breathe from the nose very slowly .The mind must be completely involved in the breathing .
  4. Inhale slowly from the nose feeling it’s impact on the lower end of the spine .
  5. Exhale slowly from the nose taking as much time as you took inhaling
  6. Continue for five to seven minutes
  7. Soon you would realise your mind and body relaxing and the anxiety level coming to almost nil .
  8. Repeat this exercise as often as you want to .

Relax your muscles and body by kayotsarga (progressive muscle relaxation exercise )

Anxiety and panic can cause your whole body to tense up making you feel uncomfortable. You can help reduce the stiffness of muscles of the body relaxing them one muscle at a time .Focus on each muscle beginning from the toes of the feet one by one and going upwards covering all parts of body one by one .An auto suggestion like ( my toes are relaxing ,my calf muscles are relaxing cover till the top of your forehead .

Move your body:yes that’s true:

Rather than sitting or lying down in panic going out for a walk or doing brisk walk in the room itself can help you bring your stress anxiety and the impending fear to a much reduced level .

Preferably you can, go for a walk outside or do some light stretching. Take yourself out of the environment that’s causing your anxiety .It will help ease your symptoms.

If you feel a panic attack coming on in a closed environment like bus ,train or an aircraft while travelling and you can’t get up and move , try these basic breathing exercises to help ground yourself and reduce the intensity of the attack.

  • Do some deep breathes and focus on the tip of your nostrils to feel the air getting in and exhaled air coming out . Soon you will feel better with diverted focus .
  • Breathe in deeply and exhale every breathe from the fingers of your feet one by one and later through each finger and toes of your hands .You will feel an ease coming to your mind and body soon.
  • Rub the palms of your hands slowly and putting the palms on your eyes later will help .

Doing this activity with your hands can help take your mind off anxiety a calmness sets in .

Repeat positive affirmations to yourself

A positive affirmation is a phrase or a sentence you repeat to yourself over and over but if you can write it and read it aloud ,the impact is many times more and empowering .

The statement can be

“ I am a calm person I am a powerful person “

or “I am a powerful person I can handle this situation “

Or “ I am a powerful person I have the power of mind “ .

Reading and saying these affirmations out loud can help, but if you’re in a public place and don’t feel comfortable with that, just say it silently to yourself. Make sure to read or speak the words slowly in your mind.

Get help of psychologist /Counselor

In order to prevent repeated occurrences ,you must seek the help of a psychologist .You can reach out to us at

Alka Mansik Pramarsh Foundation

http://www.mansikpramarsh.com

Family Therapy India

http://www.familytherapyindia.com

Or email

mansikpramarsh@gmail.com

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Please note: All names and identifying details in the following article are fictional and used for illustrative purposes only.

Worry is a natural human emotion. It serves a purpose when it prompts us to constructively analyze a situation and plan a course of action. However, when worry spirals into constant fear and apprehension, it can become a debilitating emotional disturbance, hijacking the mind with perceived dangers that may never materialize. This chronic state can lead to anxiety, phobias, irrational thoughts, and obsessive behaviors.

Photo by energepic.com on Pexels.com

Case Studies: Two Sides of Worry

The impact of excessive worry can manifest in various ways. Consider Mrs. Sharma, whose daughter, Julie, attends a local kindergarten. Initially, Julie was excited about school. However, she suddenly began complaining of stomach aches and refused to go. A pediatrician found no physical cause, leading to counseling sessions with Julie, her parents, and her teacher. These sessions revealed that Julie was constantly worried about her mother being alone at home.

This anxiety mirrored Mrs. Sharma’s own behavior. Concerned about her daughter’s safety on the school bus, Mrs. Sharma’s concern evolved into obsessive behavior. She would repeatedly ask the bus driver to drive slowly, and even follow the bus on her scooter until it reached the school gates. This “melodrama,” as the article calls it, continued for over a month, eventually prompting the bus attendant to request Mr. Sharma’s intervention.

Another example is Mrs. Narwhal, whose fear of germs led to elaborate rituals. She kept a separate set of clothes in her bathroom to change into immediately upon returning home. She would then bathe and wash the clothes she had worn outside, believing this would cleanse her of any contamination. While this ritual provided her with temporary relief, it disrupted the peace of her family. Any attempts to dissuade her from these practices were met with resistance, further isolating her.

The Psychology of Excessive Worry

Just as young Julie’s mind created a narrative of her mother’s potential vulnerability at home, excessive worry can distort reality for adults. It can trigger a cascade of fears, apprehensions, and dark imaginings about the safety of oneself and loved ones. This can manifest as:

  • Chronic anxiety: A persistent feeling of unease and apprehension.
  • Phobic thoughts: Irrational fears of specific objects or situations.
  • Obsessive compulsions: Repetitive behaviors performed to alleviate anxiety.
  • Generalized anxiety: Worrying about a wide range of everyday matters.
  • Panic attacks: Sudden episodes of intense fear accompanied by physical symptoms like rapid heartbeat, shortness of breath, and sweating.

In severe cases, individuals may even begin to worry about their own worrying, creating a vicious cycle.

The Physical and Emotional Toll

Chronic worry can also have significant physical effects, including:

  • Breathlessness
  • Rapid heartbeat
  • Excessive sweating
  • Choking sensations
  • Mental suppression and distress
  • Difficulty focusing and concentrating
  • Sleep disturbances

Seeking Help

When worry becomes chronic and debilitating, professional help is crucial. Effective treatments include:

  • Psychotherapy: To address the underlying causes of anxiety and develop coping mechanisms.
  • Cognitive therapy: To identify and challenge negative thought patterns.
  • Holistic therapy: To address the mind-body connection and promote overall well-being.
  • Mindfulness and meditation: To cultivate present moment awareness and reduce anxiety.

Conclusion

While occasional worry is a normal part of life, excessive worry can have a profound impact on mental and physical health. Recognizing the signs and seeking appropriate treatment are essential steps in reclaiming control and living a more fulfilling life.

-Ramneek Kapoor – Family Therapist, Psychologist Counselor and Science of Living Expert

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Rita, 32, has been negative and irritated for over a month. Her husband’s job is uncertain, and her bosses discuss similar issues at work.

David, 49, hasn’t dealt well with being denied a promotion. He feels his education, skills, and years of performance have been wasted. He fears premature retirement despite having more to offer.

Ashvani, 45, works globally but hasn’t had a project in a while, causing anxiety about his job. His family notices his stress, boredom, and anxiety.

Names are changed, but their situations are real. Careers seem to be falling apart suddenly. Why is their life in parentheses now?

Photo by Andrea Piacquadio on Pexels.com

The dreaded pink slip is making a comeback in IT and other industries after a decade of growth. Layoffs at companies like Microsoft, Google, and Amazon are causing anxiety and stress among employees. A job isn’t just a source of income; it’s a career, personal identity, and self-fulfillment. When threatened, it leads to negativity, self-criticism, and alienation.

From adolescence, we’re pushed to pursue careers that may not exist yet. We spend the first quarter of our lives getting educated and skilled for a job, and then our entire lives working. This affects our overall well-being. Realizing your job and career, the essence of your life, is being taken away can cause sleeplessness, stress, and unhappiness.

The threatening environment in the current job can negatively impact all aspects of life. It’s a wake-up call to reflect, evaluate, and plan—whether updating skills, upgrading, or finding a new career path.

How does this impact me and my family?

In today’s competitive era, any stage of life can bring the realization of a job’s psychological impact. Clients from early starters to top executives, exhausted and burnt out, question their career path. Well-intentioned parents push children into careers for financial security, often overlooking personal and professional needs.

Unfulfilling jobs negatively impact mental health. This needs addressing.

Signs of being in an unfulfilling career:

  1. Feeling Wasted Time: Not living up to potential.
  2. Low Self-Esteem: Unworthy, insecure, and fearful.
  3. Job Threats: Worry about job security and financial well-being.
  4. Negativity: Contagious pessimism affecting relationships.
  5. Relationship Stress: Long hours, dissatisfaction, and unappreciation.

What can I do to help myself?

  • Identify Emotions: Recognize how your career impacts your mental health.
  • Seek Professional Support: A psychologist can provide objective help.
  • Communicate: Discuss job stress with your spouse to avoid misunderstandings.
  • Journal: Reflect on your situations calmly.
  • Self-Care: Physical health is essential. Implement a self-care routine.
  • Change Perspective: Notice positive aspects of your job.
  • Make Changes: Evaluate options within your current position or environment.
  • Career Shift: If necessary, explore new career paths for fulfillment.

If your current career is negatively impacting your mental health, and you want to make changes, talking with a mentor, close friend, or family member can help. If you’re experiencing anxiety, anger, feelings of depression, or other negative emotions, and they are impacting your life, working with a therapist can help. You can get in touch with us at:

Email: mansikpramarsh@gmail.com
Phone: +91-731-4263087

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Have you of late been feeling deep in the woods? Do you feel the world is out to get you? Do you really feel the next Johnny is better than you? Do you want to just lie down and not look at the world in the daylight, with the curtains drawn and the lights off all the time? The day just seems to drag on, the night becomes all the more difficult, and sleep seems to have eluded you for many days. Do you look at the world as a real queer place with all the folks giving you advice to go and do something about it?

Do you:

  • Beat yourself up over silly mistakes,
  • Feel always sick and tired on account of not sleeping well,
  • Constantly grapple with unwanted thoughts running through your mind all the time,
  • Feel tormented with traumas and pains of life’s doings and undoings.
Depressed man sketch clipart“/ CC0 1.0

The doctor might say you have depression and a mood disorder. Others would simply call it an inability to face the stresses of the world and may associate it with anxiety attacks. Some could have compassion for you, or some could just call you a lazy buff. But do you really feel all that advice is necessary when all you are doing is being comfortable in the discomfort of inertia and the negation of the self?

But is it not a fact that you do want to feel truly good, only if someone could help you overcome this inertia of depression? The visits to the psychiatrists do not seem to have helped much, as they do nothing but prescribe a different medicine every time you go to them.

Here is a simple remedy that can help you overcome the negativity that seems to have entered your mind and life.

Make an attempt to accept yourself and feel a profound sense of warmth and self-importance. No, I am not advising you to become a megalomaniac, but asking you to feel the powers that be within you to resurrect your life. You have some magnetic power that makes you unique, that makes you “ME.” Identify this “ME” and make all efforts to become “ME.”

We often look at others and not only compare ourselves with others but also be always busy in the process of becoming others. But would becoming others make us happy or satisfied? No, not at all. The more we look outward towards others, the more we get dissociated with the self, the real “ME,” that always wants to excel and be recognized. But the rat race of becoming others, the eagerness of doing like the others do, pushes this “ME” to the unknown depths of ignominy.

We regularly conduct Preksha Meditation classes at Alka Mansik Pramarsh Foundation, and our experiences reveal that the meditation of self-acceptance makes people gain positivity and a happy state of mind which cannot be compared to others because, in this, there is no “other.” The learning of the self can definitely be compared to the learning of new things and being part of something bigger, some sacred and celestial happiness and satisfaction.

If you want to feel this, self-acceptance is the habit you need to inculcate gradually in your mind.

Start by writing all the positive things about you on a paper, even if you feel there is nothing positive that you can write about yourself, just write the following statement:

“I am a powerful person. I have the power of mind.”

Continue writing a full page, then meditate on this, and you will gradually start feeling good.

You must accept yourself in a positive fashion, and that will help you overcome barriers to self-acceptance. Come and learn with us the daily self-acceptance practices that result in psychological and emotional healing.

Ramneek Kapoor, Clinical Psychologist and Family Therapist, Science of Living, Preksha Meditation Expert

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There’s a common misconception that children can easily bounce back from anxiety, often by receiving positive reinforcement, treats like chocolate, gifts, or by distracting them with video games. However, anxiety doesn’t affect children in the same way as it does adults. It can manifest in various forms such as panic attacks, tantrums, sudden bursts of energy, or defiant behavior. Unfortunately, as parents, we sometimes overlook these signs, attributing them to mere misbehavior or peer influence. Yet, children’s reactions are influenced by their immediate circumstances, past experiences, and future expectations.

As psychologists, counselors, and family therapists, we frequently encounter parents and family members of our clients who grapple with anxiety. Interestingly, even in families with good parental coordination, children may also struggle with anxiety.

Some parents choose to conceal their own anxieties and issues from their children, attempting to maintain a façade of normalcy. However, children are perceptive and can pick up on anxiety cues through verbal and nonverbal communication, parental mood swings, or even by witnessing family events. Consequently, children may develop anxiety or panic attacks in response.

In cases where parents argue or undermine each other, the impact on children can be profound. Witnessing parental discord can lead to feelings of fear, abandonment, and emotional distress in children. For them, family represents security and stability, and any disruption to this dynamic can trigger anxiety.

It’s crucial for parents to recognize that children absorb stress and trauma experienced by their parents, even if it’s not overtly expressed. Children may internalize anxieties stemming from family dynamics, leading to feelings of insecurity and fear of abandonment. Even seemingly minor issues for adults can significantly impact children, causing deep-seated insecurities and anxieties.

Children often blame themselves for parental conflicts or separations, harboring feelings of guilt and abandonment. They struggle to emotionally connect with the single parent they live with while maintaining a make-believe relationship with the absent parent, further exacerbating their anxiety.

Parental disputes can shatter a child’s sense of security, eroding trust and self-confidence. Despite assumptions that children are resilient and adaptable, prolonged exposure to anxiety-inducing environments can have lasting effects on their mental well-being.

During counseling sessions, we’ve observed various symptoms of anxiety in children:

  1. Dissociation: Children may mentally disconnect from family stressors, creating imaginary worlds to cope with emotional pain. For instance, Riya, aged 6, began conversing with her doll as a means of escape from her parents’ constant arguments.
  2. Behavioral Issues: Anxiety may manifest as behavioral problems like hyperactivity, impulsiveness, and inattentiveness, as seen in Monty, aged 9, who exhibits symptoms of ADHD due to parental neglect.
  3. Depression: Chronic emotional outbursts within the family can lead to mood disorders in children, as observed in Deepa, aged 10, who was diagnosed with depression.
  4. Gastrointestinal Issues: Anxiety can manifest physically, such as in Meenu, aged 5, who experiences abdominal discomfort and constipation due to parental stress.
  5. Validation Seeking: Children may lack self-confidence and constantly seek validation from parents or caregivers, as seen in Divya, aged 11, who struggles to express herself confidently.

It’s essential for parents and educators to recognize these symptoms and provide appropriate support. Seeking professional help from psychologists for evaluation and counseling can be beneficial for both children and parents.

By acknowledging that children can be affected by parental anxieties and providing a supportive environment for open communication, parents can help alleviate children’s anxieties and promote emotional well-being. Encouraging children to express their fears and concerns openly and reassuring them of parental support can foster resilience and coping mechanisms to navigate familial stressors.

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Feeling sad, stressed, or down occasionally is normal, but prolonged periods of low mood may indicate depression. Depression symptoms include persistent sadness, loss of interest in activities, feelings of guilt or worthlessness, changes in appetite or weight, fatigue, sleep disturbances, and physical pain. If these symptoms persist for more than a week or two, it’s essential to seek mental health support.

Depression isn’t a sign of weakness or negativity; it’s a serious mental health issue that requires medical attention. It can affect various aspects of life, including careers, relationships, and daily functioning. If you or someone you know is experiencing suicidal thoughts or behaviors, immediate intervention is crucial.

While the exact cause of depression isn’t fully understood, factors such as altered brain chemistry, trauma, chronic illness, and hormonal changes may contribute to its development. Diagnosing depression typically involves a psychological evaluation to assess symptoms and their severity.

Treatment options for depression include therapy, medication, and social support networks. Preksha meditation, specifically the Perceptive Breathing Technique has shown promise in alleviating severe depression. This non-drug approach can complement traditional treatments and help individuals manage their symptoms effectively.

At our clinic, we offer comprehensive mental health support programs tailored to individuals struggling with depression. Our services include regular cognitive behaviour sessions, perceptive meditation sessions, counseling, and mental exercises aimed at promoting emotional well-being and recovery. If you’re ready to take the first step towards healing, contact us to learn more about our programs and how we can support you on your journey to better mental health.

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WHAT IS EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EDMR)?

EMDR (Eye Movement Desensitization and Reprocessing) is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences.

Francine Shapiro developed EMDR in 1987, she based EMDR on the notion that emotional distress can be processed when asleep during the rapid eye movement (REM). Phase.

She utilised this natural process in order to successfully treat Post-traumatic Stress Disorder (PTSD). Since then, EMDR has been used to effectively treat a wide range of mental health problems.

Repeated studies show that by using EMDR therapy people can experience the benefits of psychotherapy that once took years to make a difference.

It is widely assumed that severe emotional pain requires a long time to heal. EMDR therapy shows that the mind can in fact heal from psychological trauma much as the body recovers from physical trauma.

WHAT IS AN EMDR SESSION LIKE?

After a thorough assessment, you will be asked specific questions about a particular disturbing memory.

Eye movements, similar to those during REM sleep, will be recreated simply by asking you to watch the therapist’s finger moving backwards and forwards across your visual field.

Sometimes, a bar of moving lights or headphones is used instead.

The eye movements will last for a short while and then stop.

You will then be asked to report back on the experiences you have had during each of these sets of eye movements.

Experiences during a session may include changes in thoughts, images and feelings.

With repeated sets of eye movements, the memory tends to change in such a way that it loses its painful intensity and simply becomes a neutral memory of an event in the past.

Other associated memories may also heal at the same time.

This linking of related memories can lead to a dramatic and rapid improvement in many aspects of your life.

WHAT CAN EMDR BE USED FOR?

In addition to its use for the treatment of Post-traumatic Stress Disorder, EMDR has been successfully used to treat:

  • anxiety and panic attacks
  • depression
  • stress
  • phobias
  • sleep problems
  • complicated grief
  • addictions

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A desperate father wanting the child compete for competitive exam ,a helpless mother not able to help her child understand anything being taught in the class room or at the tutorials ,a frustrated teacher regularly complaining to the parents to displine their child or take him /her away from the class are instances that we come across every day. Instances of tantrums throwing , of anger bursts ,laziness regular fights with siblings , not listening to parents ,indulging into internet browsing ,surfing of unwanted sites,staying away from home till late hours or not listening to parents are often seen as bad behaviour ,bad habits and bad attitude by many parents.It is rather sad that parents do not understand all such things mentioned above could be on account of child’s poor mental health or mental disorders. Resultantly youngsters are not understood correctly and they suffer frustration and uncalled for irritation.A good mental health free from any kind of disease or disorder is what a child must possess . But what if and for those who are not so blessed ,do parents really understand how can they know if there is anything lacking in their child’s mental health and if so how to help their child cope up.

Differentiating Mental health and mental illnesses is very important for any parent ,teacher and all those who are involved in mentoring youngsters. A healthy mental health would mean that we are of sound mind and are capable of deciding what is good or bad for us and behaving well socially economically and emotionally. A mental illness may not necessarily mean that you can not be any of the above .It could mean that in some areas of your life you may be finding it difficult to behave and decide appropriately psychologically . A mental disorder or a psychological distress are two different concepts and parents need to understand how it may apply to their child if he /she exhibits a behaviour inappropriate to the situation.

Thus, it is essential to understand that psychological distress in a given situation does not indicate absence of mental health .A psychological disorder or distress can be short term ,or of a long lasting nature depending on how the person has been affected and hence affecting the child’s overall state of well-being. Mental illnesses, on the other hand, are health conditions involving changes in thinking, emotion or behaviour (or a combination of these). Mental illnesses are associated with distress and/or problems functioning in social, professional or family activities.

Mental health is a subjective phenomenon and an individualized experience, different for every person. A state of mental well-being for one individual may not be the same for another individual.  Factors that may induce mental well-being for individuals will also differ. The state of being sound at a mental level can vary within a day and from day to day. There can be an incident that may boost or degrade a person’s mental health on a daily basis.

Thus, mental well-being is a daily affair.

Mental health is often seen to be on a continuum, where the scale starts from mental well-being on one end to emotional problems and concerns in the middle to mental illnesses at the other extreme.

It is often seen that mental health and mental illnesses are not understood correctly. There are a lot of myths that surround mental health and thus lead to the widely seen stigmatised approach. Let’s take a while to debunk the myths and understand the actual facts about mental health:

Myth #1: Mental illnesses are not 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. When someone is physically injured, they see a doctor. Similarly, mental health problems also require seeing a mental health professional- psychologist/counsellor/psychiatrist.

Myth #2: “Mental illnesses will never affect my child or me”

Fact: All of us can be affected by mental illnesses. Researchers estimate that as many as one in four Indians will experience a mental illness at some point in their life. You may not experience a mental illness yourself, but it’s very likely that a family member, friend or co-worker will experience challenges.

Myth #3: Mental illnesses are just an excuse for poor behaviour.

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 this behaviour. People who experience a change in their behaviour due to a mental illness may feel extremely embarrassed or ashamed around others. It is important to understand that people with a mental illness are one of us.

Myth #4: Stress causes mental illnesses.

Fact: No one factor can cause mental illnesses as these are complicated conditions that arise from a combination of genetics, biology, environment, and psycho-social factors. Stress may aggravate the mental or physical state of the problem for an individual but it is never the sole problem of an illness.

Myth #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. Excluding them from society because they are violent is because of a misunderstanding and stigmatic approach to mental health.

Myth #6 : People who experience mental illnesses are weak and they have a character flaw.

Fact:  Stress impacts well-being, but this is true for everyone. Many people who experience mental illnesses learn skills like stress management and problem-solving so that they can remain optimally functional. Taking care of yourself and asking for help when you need it are signs of strength, not weakness. Mental illnesses don’t determine the character of a person. Mental illnesses are like other ailments and can be managed.

Myth #8: People who experience mental illnesses cannot go to work or follow a regular lifestyle.

Fact: Mental illnesses do not certify 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. Medical or therapeutic help can allow them to resume work and a manageable lifestyle.

Myth #9: Children cannot have mental illnesses. 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 at a younger age as well. Unfortunately, many children don’t receive the help they need. It is important to remember that illnesses can occur and be diagnosed as early as 6-8 months of age.

Being mentally healthy is not about being perfect. Nor is it about being extraordinarily intelligent or successful or rich. Mental health is irrespective of these factors. These factors may influence the mental health of an individual but they are not a cause nor do they determine the state of an individual’s mental health. We all can suffer from mental health problems and we all can attain better mental s health and healthy state of mind if we recognise the deviation in time

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We often think that our children have better resilience to their anxiety and they become normal once we have either given them positive strokes, bought them a chocolate, a gift or diverted their attention by permitting them to play video games. But it needs to be understood that anxiety doesn’t happen to the kids like the way we experience it happening to us adults. Anxiety in children can trigger, in panic attacks, in their tantrums, in their sudden rush of energy or it may occur in the untimely defiant behaviour. We as parent just push it aside by ascribing it to their misbehaving or being in the company of wrong friends. However, children may react differently depending on the immediate situation, past incidents or future anticipations.

As psychologists counsellors and family therapists we have to deal with couples, parents and other family members of our clients who always appear to be suffering from anxiety, In most such cases their children too suffer from similar anxiety or otherwise children from families where there is a good coordination amongst parents struggle with anxiety too.

Some parents would pretend and hide their issues of anxiety and other concerns from their children. Even when kids are understanding the parents would try to act as if everything was fine. These parents would do everything they deem fit or within their reach to calm their wards and reset their nervous system through various practices of calming. Children can pick up anxiety from their parents through the verbal communication, through the body language of their parents, through their mood disorders or the kids themselves can react to any general event in the family and develop a full or partial panic attack.

We have seen many a parents fighting and undermining each other when they come to us. They fail to realise that when they behave so their children too suffer mental agony and a fear of being abandoned by either or both of their parents. Children feel abused when their parents fight. They feel cheated by their parents. Children want to live in a typical family life environment irrespective of the riches or poverty. Any thought of living without a parent causes them much mental pain and that triggers anxiety. To them, their family is their safety nest. Their family enables them to play, to study, to make friends. It helps them grow. It is the reason of their being here in the world. To them family is the only reality, rest all is just make believe. Any iota of doubt on family’s continuity causes deep anxiety.

Parents should remember that their children would always pick up the stress and trauma that their parents experience and exhibit. The parents may think that their children are safe and that children have not been exposed to any kind of stress, physical, sexual, or emotional or personality abuse. They may believe that they are offering their children a great childhood compared to parents’ own childhood or other experiences that parents had to suffer. But actual truth is far from this. Children can become anxious for many reasons triggered by the parents’ obvious circumstances or not so obvious happenings within the family. Some of these reasons could be the actual and some could be as perceived by the children. To us adults many of those reasons might not be major, but to a child they become quite significant in triggering insecurities and anxiety thereof. Should the parents happen to be separated or divorced the self-blaming mind of the children would always be devastated by the memories of the times when the family was together. They would not understand the sudden blow of isolation and the non-availability of the parental umbrella. They struggle to be emotionally available to the single parent they now live with and at the same time add on a make believe relationship with the parent they have been separated from which they continue to believe was on their account. A two edged anxiety of this kind breaks them. It shreds the very fibre of their mental balance.

Children are often left heartbroken if there happens to be a fight in their family. They tend to believe that all tension is on account of their being a cause of distress to their parents. Often they are left with a broken trust. They feel guilty with their self-confidence devastated by the memories of parents shouting at each other. They are afraid of the sudden isolation caused by such disputes amongst their parents.

We always assume that our children are understanding. They adjust to the life as they grow. That they have stronger plasticity. This could be applicable in some way but it is not the complete truth. They are not as strongly fortified against anxiety as we tend to believe. Children do build up their defence mechanisms but these defence mechanisms may prove more damaging to their growing personality during adolescence and later on in their grown up relationships. We often come across young persons and old people alike who suffer from the traumas of their growing up years in anxiety.

We give hereunder some of the symptoms that we have witnessed in children while counselling the families .

1) Dissociation: Children have exhibited dissociation by completely cutting themselves off mentally from what is happening in their families. They form their own make believe world to hide the pain. Though parents may believe that the child is being creative, when the child speaks to and play with imaginary characters. Riya 6 years is one such case. Her parents do not see each other eye to eye. Their constant bickering causes much anxiety to the child. The child is seen talking to her doll most of the times and refuses to part with the doll when she goes to school or goes to bed. Her parents eventually brought her to the counsellor when her teacher noticed the child talking to the doll she had brought into her school bag to the classroom.

Monty’s (9 years) parents had been advised by the psychologist that their child suffers from ADHD because that’s the only way he can get their attention and evoke sympathy from them. His parents both working, hardly find time to spend with their child. Their occasional outbursts cause him such a deep distress. He exhibits his anxiety by getting irritated, by indulging into hyperactivity, impulsiveness and inattentive behaviour.

Depression was diagnosed in Deepa (10 years) as a mood disorder because the chronic emotional outbursts indulged in by her grandmother and mother in their interactions caused much disturbance to the child.

2)Gastrointestinal: Meenu’s (5 years) anxiety has been cropping up in her difficult behaviour to ease up herself. She holds up her anxiety in her abdominal area. In spite of her feeling pressure on the stomach she would refuse to sit on the pot to clear her stomach. She suffers from constipation. Her bowel training has been conducted a few times. But whenever she needs to clean her bowels, she holds on to her stool and often soils her clothes. A better approach would be to ensure the child is offered a better protective environment at home free from tension and stress. We noticed she catches on to her parents’ anxiety and expresses her own in the manner described.

3) Obsessive seeking of Validation: Divya (11 years) exhibits lack of self-confidence. She most of the times struggles to express herself confidently. She would often speak in almost inaudible tone She needs to be reassured that others are paying attention to her and she must speak louder with confidence. She always needs validation from her mother.

Children themselves may not be aware of their anxiety but parents and the teachers need to read the symptoms and signs that speak of anxiety in the children.

If you can be aware that a life experience has created anxiety in their lives, you can bring attention to it and help them cope with that anxiety. You must take your child to a psychologist for evaluation and necessary counselling wherever needed. The psychologist may have to counsel the parents too.

Just being aware that your child can suffer from your chronic circumstances and catch on to anxiety should be taken as an initial step to prevention. Take them to a psychologist whenever or if they exhibit symptoms of anxiety. Whenever possible speak to them about their fears, concerns and phobias whether implied or implicit. Children should be trained and encouraged by both parents to discuss, open up and ask questions from parents should there be any stressful occasion in the family. This will help them to understand that there can be differences of opinions, arguments and even conflicts within the family but that you will always protect them and be with them to take care of them.

Family is Everything
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We reproduce below the interview of our Ramneek Kapoor Psychologist and Family Therapist once again for the benefit of our readers and clients.

1 .What is ‘stress’

“I would refer to stress as “the mental, psychological, intellectual, emotional and physical unease to the personal situation and the expectation rose either by the self or by others to face/handle the situation “.

  1. Are all kinds of stress bad? How do we identify between good and bad stress?

“All kinds of stress is not bad, only the distress caused is bad. Eustress is a good stress that gives a high and stimulates the adrenaline. When you feel good about certain situation and event and feel you are able to handle it, you look forward to such a situational stress which results into a moral boost and good emotional physical feeling”.

  1. Do you think people are aware what stress does to their mind, body and soul? Do you think that once they realise how negative stress has adverse effects on them, they will be in a better position to manage it?

“Only a limited few numbers of people could be aware of the negative effects of the stress on their physical, mental, social, spiritual and emotional well being. Mere realisation that the stress is bad will not be enough. We need to also educate and inculcate in them the stress relieving self empowering meditation exercise routine on day to day basis. Preksha Meditation (perceptive meditation on the psychic centres) under the guidance of trained teacher will go a long way in relieving stress.

  1. In the world we are living in today, how important is it to spread awareness about stress? Are there any statistics that reveal how serious the problem of stress is one’s life?

“The very fact that more than 50 percent people suffer from the depression, anxiety and stress sometimes or the other in their life with no trained professional help to cope with this reflects the pitiable position of the awareness amongst common people. In fact no official statistics from any governmental source are available on the subject nor has any NGO worked on the subject authentically”.

  1. How do you think our previous generations managed stress better than today? Even with the state of the art technology and advance in medical sciences, why have we as humans not been able to cope/ deal with stress?

“It is a fashion to always refer to the better life of the previous generation. The fact is that the technological advancement has also brought with it the person related emotional, psychological and physical maladies in addition to making life easier. The state of art tech development has brought about personal isolation, in the midst of many. The person today is cut off and alienated from the self. He or she is always lost into an uncalled for competition with the others on the social media and into the realms of the imaginary virtual world.

  1. Do you think people today are ignorant about stress? Ignorance is bliss, but is this kind of bliss worth it?

“No they are not ignorant. They prefer living in the comfort of uncomfortable stress. The rat race takes its toll and the victims enjoy the bites of killing stress and anxiety and many other mental ailments. Eventually the person ends up with either cardiac problems or the chronic depression and anxiety will take toll on such persons “.

  1. Are there some observable and prominent symptoms a stressed individual will experience? Such as physical, mental, emotional, physiological etc.?

“Yes ;the breathing discomfort , sleeplessness , insomnia, loss of memory, eating disorder either binge eating or not getting hungry, social anxiety, irritation , unmanaged anger, repeated headache, psychosomatic pains , and weight gain/ weight loss are some of the prominent observable symptoms”.

  1. Who are the most stressed people according to you? What could be the causes for them being the most stressed?

“Adolescents, working women, housewives, company executives and even professionals with deadlines of times to meet are always under stress. But the large share of the stress cake goes to adolescents in the modern times. With the race to always look outwards and keep pace with the demands of peer aping the adolescents find it difficult to cope with the stress. This generation is neither amongst the younger generation nor are they amongst the adults. The social media, the rigid demands on their performances in academics and career aspirations’ of the parents for them, are some of the major reasons for this generation being most stressed

  1. What according to you triggers ‘stress? Do you think by being aware of the triggers we can be in a better position to manage stress?

Triggers of stress can be any event or situation that threatens the mental and physical equilibrium (homeostasis) of the body . The events can be either external or internal

. External can be the political, social, economic, competitive, family, academic, or work atmosphere. While internal triggers will relates to irresponsible behaviour, uncalled for self expectations, negative attitude towards life in general, and looking for perfectionism in self or others.

  1. What can be some of the long-term effects of stress? How does stress affect a person physically, mentally and emotionally?

The long term effects of chronic stress can be

  • Chronic sadness and depression. (2.) Chronic mental and physical fatigue. (3.) Chronic stress related illness (consistent headache, stomach ache, bowel problems, social anxiety) and other psycho somatic physical illness. (4) Isolating self, withdrawal, self destructive nihilistic thoughts .

Physical problems of the stress can be , sleep disorders, back, shoulder or neck pain, migraines , headaches, acidity, upset bowels, constipation, weight gain or loss, hair loss, loss of libido.

Emotionally the person can become nervous, edgy, depressed, moody, phobic, and not be able to focus and eventually suffering from Nervous breakdown.

  1. Please mention 5 useful tips for fighting/ managing stress? How can one follow these in his/her daily schedule and busy day?
    1. Accept life as it comes.
    2. Accept your self.
    3. Identify “ME” and try to become “ME” rather than becoming him, her ,they or she.
    4. Accept that perfectionism is a myth and utopia.
    5. Follow a healthy diet plan, an exercise and meditation routine to keep your heart health and positive.
  1. According to you, how can one prevent stress in everyday life? How do we know that the levels of stress have crossed the healthy limits? Until when can a person manage it on his/ her own?

“Stress is a natural occurrence but taking on too much can be avoided . Relax whenever you feel mentally, physically or emotionally exhausted before your stresses break you down”.

  1. Stress does not tend to only affect one person; its effects tend to spill over to the people around them. How do you think that we as a friend/ family member help a person dealing with stress?

“Stress is a personal problem but its manifestation can be felt and definitely seen in the family, friends and other areas of one’s life. The friends and family too should know that the life has to be lived in positive moments and as such the negativity should be eliminated from the life completely.

  1. What message would you like to give to our readers this Stress Awareness Month?

“Live life in positive emotions, the negatives are not meant for the living “.

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