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    Megan Fox’s interview with the Allure

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    Talk to your kids about mental health!

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World No Tobacco Day

poster-hi-res

आपण नेहमी पाहतो तंबाखू खाणाऱ्याचे किंवा बिडी सिगारेट द्वारे तंबाखूचे सेवन करणाऱ्याचे जगणे. तंबाखू मळताना किंवा बिडी सिगारेट ओढताना त्याचे स्टेन्स व वास कपड्यावरती पसरतात, दातांवरती दिसतात, आणि हवेतूनही पसरतात. आणि त्याचा प्रत्येक दिवस, प्रत्येक क्षण पुढची वेळ, पुढचा क्षण कधी येईल?, कधी तलफ होईल व कधी झुरका घेता येईल याच विचारात जातो. जर तुम्ही त्यापैकी असाल तर हा दिवस तुमच्यासाठी आहे. कारण तंबाखूमुळे फक्त तुमच्या आरोग्याला किंवा जीवाला धोका नाही तर तुमच्या वैयक्तिक , आर्थिक , कौटुंबिक, सामाजिक प्रगतीलाही धोका आहे. एवढंच नव्हे तर समाजाच्या व देशाच्या प्रगतीला पण धोका आहे…

दरवर्षी ३१ मे हा दिवस १९८८ पासून जागतिक तंबाखू विरोधी दिन म्हणून साजरा केला जातो. तंबाखूच्या व तंबाखूजन्य पदार्थाच्या सेवनामुळे व वापरामुळे होणाऱ्या विविध वाईट परिणामांविषयी जन-जागृती करणे व तंबाखू व तंबाखूजन्य पदार्थपासून लोकांना दूर करणे व त्यासाठी लोकांना प्रवृत्त करणे हा त्यामागचा हेतू होय. या वर्षीचे जागतिक तंबाखू विरोधी दिनाचे घोषवाक्य आहे… “तंबाखूचा विळखा आणि प्रगतीला धोका”.@ डाॅ अतुल ढगे
दर वर्षी तंबाखूमुळे जगभरामध्ये ७० लाख लोकांचा मृत्यू होतो. २०३० पर्यंत हाच आकडा ८० लाखापर्यंत जाईल असेल निदर्शनास आले आहे. तंबाखू व तंबाखूजन्य पदार्थ वापरणाऱ्या लोकांपैकी ५० % लोक तंबाखूमुळे आज न उद्या मृत्युमुखी पडतात.

तंबाखूचे आयुष्यावर व आरोग्यावर दूरगामी व घातक परिणाम होतात. तोंडाचे, फुफुसाचे कैन्सर ( कर्करोग ) व त्यामुळे होणारा मृत्यू हा सर्वात मोठा परिणाम. त्यासोबतच हृदयाचे व रक्तवाहिन्यांचे विकार , श्वसनसंस्थेचे विकार जसे कि अस्थमा, ब्रॉन्कायटिस इत्यादी आजार, मेंदूला रक्ताचा अपूर्ण पुरवठा व त्यामुळे येणार पक्षाघात किंवा इतर आजार हे काही महत्वाचे आरोग्यावर होणारे परिणाम आहेत.

तंबाखूच्या व तंबाखूजन्य पदार्थाच्या वापरामुळे फक्त त्या व्यक्तीवरतीच नाही तर त्याच्या कुटुंबावरती, लहान मुलांवरती व सहवासातील इतर व्यक्तीवरही खूप मोठा परिणाम होतो. ज्यावेळी एखादी व्यक्ती घरामध्ये, ऑफिसमध्ये, हॉटेल किंवा रेस्टॉरंट मध्ये किंवा सार्वजनिक ठिकाणी सिगारेट किंवा बिडी ओढत असते त्यावेळी तो धूर व सिगारेट/ बिडी मधील केमिकल्स इतरांच्या शरीरात जातात. अशा तंबाखूच्या धुरामध्ये ४००० पेक्षा अधिक केमिकल असतात त्यापैकी जवळपास २५० केमिकल हे मानवाच्या आरोग्यास अपायकारक असतात तर तब्बल ५० केमिकल हे कैन्सर होण्यास कारणीभूत असतात. त्यामुळे नाहक कारणास्तव आजूबाजूंच्या जीवितास व आरोग्यास बिडी किंवा सिगारेट ओढणारी व्यक्ती धोका पोहचवत असते. अशा सेकंड हॅन्ड स्मोकिंग मुळे इतर व्यक्तीस दमा, हृदयाचे आजार तर कधी कधी कैन्सर सुद्धा होऊ शकतो.

तंबाखूच्या व तंबाखूजन्य पदार्थाच्या वापरामुळे त्या व्यक्तीचे व कुटुंबाचे खूप मोठ्या प्रमाणात आर्थिक नुकसान होत असते. तंबाखू वापरण्यावर अमाप पैसे खर्च तर होताच परंतु त्यासोबतच त्याचा कामावरतीही परिणाम होतो व त्याची उत्पादन क्षमता कमी होऊन आर्थिक वाढ खुंटते. परिणामी गरिबी वाढते, चांगले शिक्षण, चांगले आरोग्य, तसेच चांगले अन्न व चांगल्या सुविधा यापासून ती व्यक्ती व त्याचे कुटुम्बीय वंचित राहतात व त्या व्यक्तीचा व इतर कुटुंबीयांचा वैयक्तिक व आर्थिक स्तर ढासळतो. देशाचा बराच पैसा या तंबाखूमुळे होणाऱ्या आजाराच्या व आरोग्याच्या समस्येवरती खर्च होतो, उत्पादन क्षमता कमी होऊन दरडोई उत्पन्न कमी होते. यासोबतच तंबाखूच्या वापरामुळे वातावरणावरतीही वाईट परिणाम होतात. तंबाखूचा धूर व केमिकल्स हवेच्या प्रदूषणास कारणीभूत ठरते. तसेच तंबाखूच्या शेती मध्ये हि तिथे वापरले जाणारे कीटकनाशके तणनाशके यामुळे मातीचे, पाण्याचे व हवेचे प्रदूषण होते.

*काय करता येऊ शकते*
यासाठी सरकारी व वैयक्तिक दोन्ही स्तरावरती प्रयत्न होणे गरजेचे आहे. वैयक्तिक स्तरावरती जे लोक वापरत नाहीत त्यांनी आयुष्यात कधीही तंबाखू व तंबाखूजन्य पदार्थ वापरणार नाही अशी शपध घेऊन त्याप्रमाणे व्यवहार करणे गरजेचे आहे. जे लोक वापरतात त्यांनी सोडायचा प्रयत्न करणे गरजेचे आहे. गरज पडली तर त्यासाठी मनोविकारतज्ज्ञाची मदत घ्यायला हवी. जर मनोविकारतज्ज्ञाची मदत घेतली तर निम्मे लोक तंबाखू व बिडी सिगारेट वापरणे बंद करू शकतात असे निदर्शनास आले आहे. जर स्वतःहून सोडू शकत नसेल तर कौंसेलिंग व औषधउपचाराच्या साहाय्याने चांगले होऊ शकतात.

सरकारी स्तरावरती विविध नियम बनवले जाणे, त्याची काटेकोरपणे अंमलबजावणी करणे व त्या विषयी सर्वसामान्य लोकांना जन जागृत करणे व शिक्षित करणे गरजेचे आहे. तसेच तंबाखू व तंबाखूजन्य पदार्थाच्या विक्रीवरती मोठा कर (टॅक्स) लावणे गरजेचे आहे.

*सिगारेट अँड ऑदर टोबॅको प्रॉडक्ट्स ऍक्ट ( COTPA )-२००३*
१. सार्वजनिक ठिकाणी धूम्रपान करणे गुन्हा आहे. अशा ठिकाणी तेथील मालकांनी “येथे धूम्रपान करण्यास सक्त मनाई आहे” असा बोर्ड लावणे बंधनकारक आहे.
२. तंबाखू व तंबाखूजन्य पदार्थाची जाहिरात प्रसारित करणे, प्रसिद्ध करणे तसेच अशा जाहिरातीत काम करणे गुन्हा आहे.
३. १८ वर्षाखालील व्यक्तीस किंवा शैक्षणिक संस्थांच्या १०० मीटर च्या आवारात तंबाखूजन्य पदार्थ विकणे गुन्हा आहे.
४. तंबाखूजन्य पदार्थ ज्या मध्ये विकला जाईल त्यावरती मोठ्या आकारात पिक्चर वॉर्निंग असणे व लिखित वॉर्निंग असणे बंधनकारक आहे.

२००३ कॉटपा च्या कायद्यातील हे काही महत्वाचे नियम असले तरी त्याची काटेकोर अंमलबाजवणी होणे व त्याबद्धल लोकांना शिक्षित करणे हे खूप महत्वाचे आहे.

*तंबाखू किंवा सिगारेट सोडायची आहे, काय कराल ?*
१. सर्वप्रथम तंबाखू सिगारेट मुले आपल्या आयुष्यात प्रॉब्लेम निर्मण होतोय हे मान्य करा.
२. त्यामुळे होणारे शारीरिक, मानसिक, कौटुंबिक, आर्थिक, सामाजिक परिणाम लिहून काढा.
३. बंद केल्यास आपल्या आयुष्यात काय चांगले बदल घडून येतील ते लिहून काढा.
४. बंद करण्याचा दिवस ठरवा.
५. त्यासाठी कुटुंबीयांची किंवा मनोविकार तज्ज्ञाची मदत घ्या.
६ तल्लफ निर्माण करणारे ट्रिगर्स ओळखा व दूर करा.
७. हळू हळू प्रमाण कमी करत आणा व ठरवलेल्या तारखेला पूर्णपणे बंद करा.
८.ठरवलेल्या प्रमाणे कितीही तल्लफ झाली तरी घेणे टाळा, ट्रिगर्स टाळा.
९. प्रत्येक दिवशी त्यादिवशी तंबाखू / सिगारेट नाही वापरल्या बद्धल स्वतःला शाबासकी द्या.

चांगले आरोग्य निवडायचे कि तंबाखू हे आपल्या हातात आहे. आजपासूनच तंबाखू टाळा व स्वतःच्या प्रगतीमधील अडथळा दूर करा व तसेच त्यासाठी इतरांना पण मदत करा.

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डाॅ अतुल ढगे
मनोविकारतज्ञ, व्यसनमुक्तीतज्ञ व लैंगिकसमस्यातज्ञ
रत्नागिरी

Let’s analyze!!

Image result for Obsessive compulsive disorder analyze

Not all those who know the rules of a game can play the game. Similarly, knowing about OCD is different and analyzing and understanding its symptoms is different.

Occurrence of an image or a thought repetitively out of a person’s control is obsession but thinking occasionally about getting sickness or safety is not.

Repetitively performing time consuming activities can be a compulsion but practicing bedtime routine or religious activities is not.

Similarly, there are many different activities which are/ are not a symptom of OCD. Let’s brief them so as to understand the disease.

OBSESSIONS:

  • Thoughts, images, or impulses that occur over and over again and feel out of the person’s control.
  • The person does not want to have these ideas.
  • He or she finds them disturbing and unwanted, and usually knows that they don’t make sense.
  • They come with uncomfortable feelings, such as fear, disgust, doubt, or a feeling that things have to be done in a way that is “just right.”
  • They take a lot of time and get in the way of important activities the person values (socializing, working, going to school, etc.).

NOT OBSESSIONS:

  • It is normal to have occasional thoughts about getting sick or about the safety of loved ones.

COMPULSIONS:

  • Repetitive behaviors or thoughts that a person engages in to neutralize, counteract, or make their obsessions go away.
  • People with OCD realize this is only a temporary solution, but without a better way to cope they rely on the compulsion as a temporary escape.
  • Can also include avoiding situations that trigger their obsessions.
  • Time consuming and get in the way of important activities the person values (socializing, working, going to school, etc.).

NOT COMPULSIONS:

  • Not all repetitive behaviours or “rituals” are compulsions. Bedtime routines, religious practices, and learning a new skill involve repeating an activity over and over again, but are a welcome part of daily life.
  • Behaviours depend on the context: Arranging and ordering DVDs for eight hours a day isn’t a compulsion if the person works in a video store.

 

The descriptive analysis done here may help you to know if a person is suffering from OCD.
No cure can be started before diagnosing the disease and hence to diagnose or cure OCD, along with patience and methods to diagnose, a deep study and understanding of the mentioned disorder is required.

 

OCD and its Victims

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Follow the dead cacophony, sing the broken lyrics, do the work that might seem esoteric.
Can you relate it even a bit?
Can you understand the avalanche that has broken?
Can you understand the pain and the anxiety?

We whole heartedly wish you don’t but if you do, don’t worry!
We are there to help you, understand you and to listen to your heart.

OCD: All we stated above is the misery of a victim suffering from OCD. Not clinically a dangerous disease but can even lead to abnormality, anxiety and collapsing of a beautiful mind and body.
We all follow our heart as feelings don’t lie but unfortunately, if you have OCD, they do lie. OCD comes in play when the warning system of your brain stops working properly, it will warn you about a danger even when you are not near to any.
Those tortured with this disorder are desperately trying to get away from paralyzing, unending anxiety.

Let’s talk about victims of this havoc.

Considering the situations prevailing in United States, facts reveal that every 1 in 200 children and teens have OCD. No treatment can be given to them unless one analyzes and understands their situation better. Let’s put some light on some common issues of OCD in children and teens.

  • Disrupted Routines which makes their life stressful, difficult and exhausted.
  • Problems at school that include homework, attention in class and school attendance.
  • Physical complaints like stress, poor nutrition, loss of sleep which makes children physically ill.
  • The stress of hiding rituals from peers, time spend with obsessions and compulsions can affect all their social relationships.
  • Problems with self esteem which lead to embarrassment or make them feel “bizarre” or “out of control”.
  • Sometimes even when parents set reasonable limits, kids and teens with OCD can becomes anxious and angry leading to anger management problems.
  • Additional mental health problems that include depression, additional anxiety disorders, trichotillomania, attention-deficit hyperactivity disorder, tic disorders, disruptive behaviours, etc., results due to lack of attention with patients suffering from OCD.

Just like the way charity begins at home, first aid procedure for the victim of OCD also begins at home. There are few responsibilities as well as measures that a person might take care of if a person in his/her family is suffering from OCD.

  1. Learn about OCD
  • Read books on OCD
  • Join the International OCD Foundation
  • Attend OCD support groups
  • Research online
  1. Learn to recognize and reduce “Family Accommodation Behaviours”:
  • Participating in the behaviour
  • Assisting in avoiding
  • Helping with the behaviour
  • Making changes in family routine
  • Taking on extra responsibilities
  • Making changes in leisure activities
  • Making changes at your job
  1. Help your family member find the right treatment
  2. Learn how to respond if your family member refuses treatment:
  • Bring books, video tapes, and/or audio tapes on OCD into the house
  • Offer encouragement
  • Get support and help yourself
  • Attend a support group

Remember, when you fight against it, you are not alone. We and hundreds of people are out there who are there to help you when you need it, support you if you all and encourage you if you ever fail. Don’t give up on yourself; don’t give up on your friends or family.
Keep walking even if you  can’t see the road.
Mansi Pareek

Myths and Facts about OCD

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MYTH: WE ARE ALL “A LITTLE BIT OCD” AT TIMES.
FACT: OCD is not a personality quirk or a character trait — it is a very real mental health condition that affects about 2 to 3 million adults, and half a million youth, in the US alone. While many people can have obsessive or compulsive traits, OCD stands for obsessive compulsive disorder, and people who are diagnosed with OCD cannot simply “turn it off.” Research has shown that their brains are wired differently than the brains of people without OCD, and as such OCD strongly influences their thoughts and actions.

MYTH: OCD IS NOT THAT BIG A DEAL, PEOPLE JUST NEED TO RELAX AND NOT WORRY SO MUCH.
FACT: Having OCD is not simply an overreaction to the stresses of life. While stressful situations can make things worse for people with OCD, they do not cause OCD. People with OCD face severe, often debilitating anxiety over any number of things, called “obsessions.” This level of extreme worry and fear can be so overwhelming that it gets in the way of their ability to function. To try to overcome this anxiety, people with OCD use “compulsions” or rituals, which are specific actions or behaviors. These compulsions are not activities a person with OCD does because they want to, but rather because they feel they have to in order to ease their fears. OCD is not about logic — it is about anxiety and trying to get relief from that anxiety.

MYTH: OCD IS JUST ABOUT HAND-WASHING, CLEANING, AND BEING NEAT.
FACT: Triggers related to cleanliness and symptoms related to washing make up only a small part of the range of OCD triggers and symptoms. People with OCD can have obsessions related to a wide variety of things, including losing control, hurting others, unwanted sexual thoughts, and many more. Similarly, the anxiety caused by these obsessions can be lessened by different compulsions, such as “checking” (e.g., re-checking door locks, repeatedly making sure the oven is off), “repeating” (e.g., doing the same action or ritual over and over to be sure it was done “correctly”), and “counting” (e.g., doing things in certain numbers, counting items to certain numbers).

MYTH: PEOPLE WITH OCD ARE JUST “WEIRD,” “NEUROTIC,” OR “CRAZY” AND THERE IS NO HOPE FOR THEM TO EVER LEAD HAPPY, FUNCTIONAL LIVES.
FACT: With proper treatment, it is very possible for people with OCD to lead full and productive lives. Many people respond positively to behavioral therapy and/or medication. Specifically, Exposure and Response Prevention or ERP is considered the first-line treatment for OCD. Additionally, medication (such as anti-depressants like
SSRIs) may also be recommended for people with OCD. Family therapy can also be very beneficial since family members (including parents, siblings, and spouses) often play a major role in recovery. Finally, many individuals report that support groups are very helpful. Support groups provide a safe, understanding place for people with OCD to feel less alone, as well as to teach and learn from their peers. People with OCD use one or several of these options to help them manage their OCD, as well as the support and understanding of their loved ones

Source: https://iocdf.org/wp-content/uploads/2014/10/OCDMyth-Handout-092313.pdf

Excessive hand washing the commonly observed OCD symptom

Many people with OCD engage in compulsive hand washing.  This habit can become excessive, at times resulting in raw and broken skin. There are two ways that hand washing can get out of control: 1) time spent washing, and 2) frequency of washing.

Excessive hand washing may be the single most common observable symptom of OCD, and is probably the behavior most commonly associated with OCD. But how much is too much? Many people with OCD become quite comfortable washing their hands several times per day.  However, the frequency of hand washing can sometimes escalate, becoming a real impediment to living a “normal” life.  By the time someone with compulsive hand washing seeks help, they often say that they have forgotten how often a “normal” person will wash their hands.

A good guideline for typical hand washing situations is as follows: after using the restroom, before inserting contact lenses, before preparing food, after touching pets, pet food, or garbage, and before eating. (See more comprehensive list, below.) A good guideline for the typical length of time it takes to wash one’s hands is twenty seconds, including time to wet hands and apply soap. If you or someone you know is washing your hands in excess of this, it may be helpful to get a consultation with a professional. This is especially true if hand washing is getting in the way of leading your (or their) life. The Centers for Disease Control and Prevention offer some useful guidelines on hand  washing to promote healthy behaviors.  However, remember that if they recommend 20 seconds of hand washing that does not necessarily mean that 40 or 60 seconds must be better!

From www.cdc.gov/handwashing:

When should you wash your hands?

hand washing - when is it too much?

  • Before, during, and after preparing food
  • Before eating food
  • Before and after caring for someone who is sick
  • Before and after treating a cut or wound
  • After using the toilet
  • After changing diapers or cleaning up a child who has used the toilet
  • After blowing your nose, coughing, or sneezing
  • After touching an animal or animal waste
  • After handling pet food or pet treats
  • After touching garbage

 

Source: http://www.manhattancbt.com/archives/198/handwashing-how-much-is-too-much/

Megan Fox’s interview with the Allure

A Celebrity’s Struggle With OCD and Trichotillomania: Megan Fox

31064F3600000578-3438955-Still_quite_youthful_The_beauty_wore_a_red_sleeveless_dress_that-m-33_1455036393556.jpgDealing with obsessive-compulsive disorder (OCD) is complicated and stressful, with many manifestations such as trichotillomania (pulling out your own hair) and ablutomania (you simply can’t stop washing your hands). OCD makes you feel scared and panicked, and gives you a horrible pang of doubt that pinches the inside of your stomach. It also makes you feel alone and misunderstood. But if you struggle with OCD, you’re not alone. It’s an indiscriminate affliction that plagues millions – brothers, sisters, parents, teachers, athletes and even celebrities, who face the same fear, panic and doubt.

In 2010, Megan Fox, in a candid interview with Allure, revealed that she suffers from OCD, joining the ranks of other A-listers with the disorder such as Cameron Diaz, Justin Timberlake and Leonardo DiCaprio.

“This is a sickness, I have an illness,” Fox told the magazine.

The Transformers star explained that her OCD manifest in a variety of forms, from an aversion to public restrooms to an inability to use silverware at a restaurant.

“Every time someone uses a bathroom and they flush, all the bacteria is shot into the air,” she said. “(Or) putting my mouth where a million other mouths have been, just knowing all the bacteria that you carry in your mouth? Ucch!”

Fox has the looks, fortune and celebrity status that most of us only achieve in our wildest daydreams – but OCD disorders like trichotillomania levels the playing field, reminding us that behind the movie posters and magazine covers, she’s only human.

“I could go days, weeks, without talking to another human being,” Fox told Allure, describing how the stress of her illness can make isolation appealing.

Today, though, the star is a mother, and the experience has forced her to face things she once thought impossible.

“When they come out they are covered in all kinds of stuff,” she said in an interview with in Touch, talking about childbirth. “I took (Noah) right on my chest and, from that moment, nothing he does freaks me out.”

Knowing the feelings of helplessness OCD can instill in even the most confident person, Fox made the decision that she “(did) not want to give him a complex.” With her characteristic determination and newfound strength, she managed to overcome what once felt as much a part of her as her skin.

OCD is a mountain – tall and jagged with its peak hidden in the clouds. It can be terrifying. It can seem insurmountable. It’s not. With treatment and hope, OCD can shrink from Everest to an anthill; and you can walk right over it.

Anurag Ray

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