Articles on mental disorder

Female Sexual Disorder & the Current Thinking Internationally!

Dr. Sharmila Majumdar, Sexologist
Sexual dysfunction is broadly defined as the inability to fully enjoy sexual intercourse. The disorder must be deemed to have caused significant distress. In addition to the existing specifiers of lifelong vs acquired & generalized vs situational, a new severity scale was added: the disorder can be described as mild, moderate or severe.A new criteria called “associated features” was introduced. It is subdivided into 5 categories: Partner factors (e.g., partner sexual problem; partner health status); Relationship factors (e.g., poor communication); Individual vulnerability factors (e.g., poor body image; history of sexual or emotional abuse), psychiatric comorbidity (e.g., depression; anxiety), or stressors (e.g., job loss; bereavement);Cultural or religious factors (e.g., inhibitions related to prohibitions against sexual activity); andMedical factors relevant to prognosis.Causal Factors in Sexual Dysfunction - predisposing factors, precipitating factors and maintaining factors.About 43% of women and about 31% of men have experienced sexual dysfunction based on several surveys. This makes sexual dysfunction one of the most common psychological problem.Specific techniques to overcome some of the disorder symptoms are to increase communication between the couple, increase self understanding and sensate focus exercises will help the couple Immensely alleviate some issues with immediate intervention and help of their doctor i.e. A sexologist or an andrologist.

10 Signs That Your Loved One Needs Psychiatric Help

Akshata Bhat, Psychiatrist
Even in this so-called ‘modern age’, there is still a significant stigma attached to consulting a psychiatrist. There is worry that the person will be labeled as ‘psycho’ or ‘mad’. People are reluctant to consult a psychiatrist or seek help due to the taboo that is associated with mental illness. More often than not, the psychiatrist is consulted at the end stage: after exhausting all options. The situation is often out of hand, with both the patient and his family suffering considerably. People prefer to go to faith healers or try alternative medicine. They attribute supernatural forces, spirits, ghosts or curses as the causative factors of mental illness. This commonly leads to a delay in proper diagnosis and treatment. Delay in seeking treatment increases the duration of mental illness and worsens the outcome. For the best prognosis, it is essential that the patient is diagnosed and treated at the earliest.How will you know if someone requires psychiatric intervention? These are some of the signs:Behavioral changes or disturbanceAny behavioral changes or disturbances, especially those happening over a short period of time, are something to be concerned about. These can include decreased self-care or excessive grooming, odd or eccentric behavior, social isolation or over socialization, decreased speech or excessive talking, over familiarity or withdrawn behavior, etc.Changes in sleep patternAny change in the previous sleeping pattern without any obvious causative factor is a cause for concern. This can be excessive sleep, decreased sleep, difficulty in initiating or maintaining sleep, or lack of restorative sleep.Appetite changes:A sudden change in appetite, whether increased or decreased should be looked into thoroughly. Also, unexplained weight gain or weight loss should be investigated in detail.Personality changeAbrupt personality change, whether from quiet to gregarious or from outgoing to reserved should be taken into serious consideration. Anger outburstsUnprovoked outbursts of anger or violent behavior are a red flag. This also includes verbal and physical abuse, which may be unprovoked, on trivial matters or disproportionate to the situation.Preoccupation with certain thingsA newly developed preoccupation with details, rigid or inflexible attitude, and excessive stubbornness all require further examination.SuspiciousnessHaving suspicion that people are against them, talking about them, mocking them or plotting against them (in the presence of evidence to the contrary) is a sign of mental illness.IrritabilityIrritability over trivial issues can be a sign of a much more serious underlying problem.Voicing suicidal ideas or harming selfPersons who voice suicidal ideations or have attempt suicide in the past or those who indulge in self-harm related activities are at a high for suicide. They also have some underlying mental illness which makes them feel so hopeless that they take such a drastic step.Sudden deterioration in social or occupational functioningA sudden deterioration in a previously well functioning individual is a definite cause for concern and has to be assessed thoroughly.It is always better to be safe than sorry. If you notice any of the above signs in someone, seek professional help. Consult a psychiatrist at the earliest.

Today Is Mental Health day.use Intuitions and 6th Sense.

Dr. Neelam Nath Bhatia, General Physician
There is No person with 100% correct mental /physical health. Every test carried out in blood has a range. A person is labeled diseased only if the limits exceed normal range or fall below the rangeThere are 3 types of personalities according to Ayurveda.Type A is like Air , Flighty ,always on the go , multitasking ,and result oriented. Type A need not be physically active all the time to achieve their goals. A racing mind is also associated with type A personality. Creative people ,leaders , intellectuals are Type A and the world is dependent on Type A types because They are the Leaders.Type B is like Water, flowy but slowly , working but without much strain on body or mind & We can call them Cool !Type C is like Earth , steady, accepting , not keen or adventerous ,dependent ,ready to please or get pleased.It is a colorful world consisting of all of the 3 types of people.Be Careful of manipulative people who can read the mind and trap the person , knowing well his/her vulnerabilities , exploit them and label the supposedly 'weak ' person as Mad.Remember the programme- Kamzor Kadi Kaun ? ( Who is the Weakest in the link ?)Bottled up Stress can make any normal human behave like Mad.Every Mental Illness does not require Medicines . A good counsellor can do a wonderful job.Who is a good counsellor? An MD doctor, An MA Psychology or an elder in the family or a close friend?It can be any of the above. I am sure one retains some of 6th sense / intuition to know about whom to confide without getting exploited More to get really Mad.Stay away from medicines for anxiety if possible.If none of the above is available as in our country Mental Disease is still a tag , unlike other physical diseases like heart and lung disease or the ones the person is borne with.Start writing a diary about positives and negatives that has happened in life so far. Write a page daily. It is like cleansing our souls. Give a pat to self for good job done daily and a slap for being bad and nasty.One has to maintain both Physical and Mental Health & we take care of physical health by going for a walk /exercising /eating the right food etc. Similarly Mental Health needs to be Protected by each one of us through our own ways.Know yourself before knowing others and analyse self before being Judgemental.Social isolation can increase the risk of both cardiac and mental illness and sometimes it can be a Deliberate attempt to Isolate Seniors of family for Selfish purposes. Do Not Yield in. Remain connected with like minded people and do contribute to society like volunteering,mentoring,joining a civic club or scheduling outings with friends.Medicines should be the last resort of cure of mental disease for a person of any age, a mother can read her child and analyse the demands,adult child of same mother can be able to read the mind of mother. Never mind if child is settled well far away.Dementia or forgetfulness are 1st stages of routine mental illnesses and these are preventable by just doing simple Self Analysis.

The Emotional Roller Coaster: Borderline Personality Disorder

Dr. Kavita Sagarkar, Psychiatrist
For someone suffering from Borderline Personality Disorder (BP) and for the parents, siblings, partner or children of those having BP, it is usually  a frustrating journey literally from hell to nowhere....your very own emotional roller coaster ride!How would you know if someone suffers from BP?The patients of BP usually would be seen by a Psychiatrist during one of these  scenarios....they have become suicidal, attempt to cut their wrists, burn themselves or are threatening to kill themselves or family members because they hate them!  This may have been happening for some time before family members realize it to be a Psychiatric disorder.It is pretty scary for the family. BP patients can get completely out of control with rage, the very family members they idolized may suddenly be the hated ones. So, they are suicidal and depressed. But it is more than just plain Depression. They are literally on a path of self destruction. They tend to over idolize  people and a seemingly small remark can make them get into a rage and lead to self destructive behaviors. They become uncontrollable and unmanageable- one minute ago they were fine and the next minute you might find them suicidal or homicidal!Most of these behaviors  occur with family members only and to outsiders they may appear either  happy individuals or sometimes shy or under confident , that's all! Because of this trait they are usually labelled as being 'manipulative' by family members who get frustrated by their mood swings and constant suicide threats...They also tend to go from one failed relationship to another and usually these relationships are abusive...they tend to get into relationships with controlling, demanding and abusive people and may do almost anything to cling to the relationship...or sometimes just as suddenly their idolization can turn to bitter hatred leading usually to self destructive behaviors in the form of Alcoholism or drug abuse or drug overdose...While the diagnosis may be based on history of the symptoms described above , Psychological tests like Rorschach and MMPI personality tests may also aid in concluding the diagnosis of BP. Usually a history of childhood neglect and/or abuse is there. Even prior to the diagnosis and definitely after the diagnosis, these patients go from one Psychiatrist to the other or from one counselor to another in the hope of getting relief. While it has been proved that people with BP have imbalances in their brain chemicals(Neurotransmitters), medication may at most help in controlling aggression or alleviating Depression to some extent. Also, as symptoms vary at different times it becomes a mess of a number of anti-psychotics, anti- depressants, mood stabilizers , etc..But there is hope...Specific therapies like Dialectical Behavior Therapy( DBT) , Rational Emotive Therapy and  NLP(Neuro-Linguistic Programming) based techniques can help patients and families deal with BP.The goal of therapy is multi-fold.First and foremost, is Emotion regulation,  bringing about control on our emotions through various mindfulness techniques , NLP based techniques and understanding how our perceptions cause us distress. Second, would be impulse control through simple techniques like body scan and 3 minute  breathing technique. Learning to identify triggers and moving from reactivity to responsiveness. Try this 'Step out of the waterfall' technique for impulse you feel yourself falling into a cascade of negativity like a cascading waterfall, imagine stepping out of the waterfall and observing calmly the rushing water go by...soon you will realize that  the negative impulse did not can now think about things affecting you calmly.Third, is to bring about improvement in Interpersonal relationships and lastly, to improve self- image. These patients usually have a love-hate relationship with family members as well as suffer from self-loathing. They are dialectical in their thinking patterns, opposing thoughts co-exist within them .  This can be handled by correcting faulty belief systems usually developed in childhood due to neglect or abuse. The road ahead may be long and arduous but together we can succeed! 

Mental illness, Time to Talk About It!

Dr. Anamay K. Bidwai, General Physician
Today is mental illness day.Incidences of mental illness are going up in India, a recent study shows that every fourth Indian might be having some symptom or might have had some symptoms like depression, anxiety, panic attacks, phobias etc.The reason for increase in the number of patients with mental illness is change in life style, increasing day to day stress, break down of joint family structure resulting in less moral support.Another reason is increasing awareness about mental illness, more and more people are coming out to get treated, more and more are being diagnosed, so those who were hiding their disease and suffering in silence are now getting treatment and enjoying better quality of life.Mental illness has been the taboo associated with it, time has come that we understand that brain too is an organ like any other organ like heart, liver or kidney.So if heart, liver, kidney can develop malfunction why not brain? Like other organs brain too might have some problem, like heart, liver, kidney diseases, even brain can be treated with medicines and other measures.There is nothing wrong if you have depression or anxiety, talk to your family members or close friends about it, see a psychiatrist, if you neglect your problem it will only increase with time.There was a time when any one who went to a psychiatrist was considered " pagal" or " mad", it is not so any more, we must remove the taboo created around mental illness and accept it as any other health issue.Many great people who had mental health issues like schizophrenia, dyslexia, autism, bipolar disorder, organic depression have gone on to win noble prizes, have made great inventions, gone to become heads of states, all this because they got treated in time, used their will power to come over the problem and made best use of their potential.If you suffer from loss of sleep, unexplained loss of weight, loss of apatite, urge to remain alone all time, loss of interest in work, loss of interest in sex, mood swings, anxiety of going to crowded places, lethargy, unwillingness to meet new people, you must see a doctor and seek advice.It is always very important to have a person with you during the steps of treatment, it may be your wife, mother, father, close friend or some one you trust. Today, lets resolve  not to treat mental illness as taboo, lets open up and understand that a person with mental illness can be treated, with treatment he/she can enjoy a good quality of life and contribute positively to family and community.

Psychiatry and Mental Health Related Myths Busted !

Dr. Darpan Kaur, Psychiatrist
Psychiatry is a branch of medical science that deals with the treatment of psychiatric disorders. Psychiatrists are specialist medical doctors who deal with treatment of psychiatric disorders. Delirium, Dementia, Schizophrenia, Substance dependence, Bipolar Affective Disorder, Psychosis, Depression, Anxiety Disorders , Stress and Somatoform disorders, Personality disorders, Sleep disorders, Eating disorders, Sexual Dysfunctions, etc are classified under the DSM and ICD  classificatory systems in Psychiatric disorders. Despite modern advances in psychiatry globally and nationally in research and clinical care, there still exists lack of knowledge, misconceptions, stigma and discriminatory attitudes towards psychiatric disorders in the community. I have attempted to write this psycho-educative  perspective in form of myths and reality which I hope can be helpful in reducing stigma and creating awareness towards psychiatry and psychiatric disorders in the community.Myth 1: Only a mad person visits a psychiatrist!Reality: This is a common myth held in certain societies that only mad people visit psychiatrists. Although it is true that psychiatrists do treat patients with certain chronic psychiatric illness who can  appear emotionally, behaviorally and socially abnormal in society, however a lot of mental health has moved towards positive preventive mental health as well . Psychiatrists nowadays, cater towards all groups of patients such as children, adolescents, adults, elderly, etc. for mental health problems. Exam stress, financial stress, family stressors, relationship stressors are very common nowadays and can occur to anyone. Stress can lead to depression, stress disorders, anxiety disorders, addictions, etc. It may be a prejudiced and negative view to hold that only mad people visit a psychiatrist. Consequences of long standing untreated mental health problems could be even worse, if one ignores mental health issues and does not seek professional help at the right time from mental health care professionals just because of the stigma attached to it. Myth 2: Psychiatry is an old outdated forsaken branch of medicine dealing with crazy people all the time!Reality: Psychiatry has really advanced with Neuropsychiatry, Addiction Psychiatry, Child and Adolescent Psychiatry, Consultation Liasion Psychiatry, Geriatric Psychiatry etc. are emerging as sub and super specialty clinical care.  Medically sick patients such as those with Cardiac Illness, Hypertension, Diabetes, Thyroid Dysfunction, Vitamin Deficiencies, Tuberculosis, Bronchial Asthma, IBS, Cancers, HIV AIDS, Epilepsies, etc can have psychiatric disorders because of their medical illness.  There has been a broadened scope of mental health where today mental health plays an important role along with one’s physical and cosmetic health. It may be incorrect to hold a negative stereotypic attitude in today’s world towards psychiatry as a field and psychiatric disorders at large in the face of global and national advances in research and clinical care in mental health!Myth 3: ECT( Electroconvulsive therapy) is given to all psychiatric patients regardless of their disorder! Reality: This myth that the common man can sometimes have could be because of lack of awareness or hearsay stuff from his friends or relatives or an unfortunate unintentional  depiction of such stuff which he may have come across  from other sources of information. Psychiatric treatment has evolved globally and nationally. There exists proper guidelines and protocols for giving ECT . Psychopharmacology, Psychotherapy, Counselling, Occupation therapy and Rehabilitation are all modalities of care in mental health.  ECT is a modality of treatment which has its own specific indications, advantages and disadvantages. ECT is certainly not given to each and every patient who presents to a psychiatrist for treatment.  It is reserved for its specific indication when needed and clinical expertise as per school of training with proper protocol followed.Myth 4: All that Psychiatrists do is to put their patients to sleep with medications! Reality: Psychiatrist do a detailed history taking, clinical examination, and then plan some tests and assessments and make a clinical impression of the patients problem from a psychiatric and psychological perspective. Psychiatrists prescribe medications and also, do counseling and psychotherapy to patients and their families. The Psychiatrist uses his best knowledge to treat the disorder as well as take care of side effects. In today's generation, most people are working and a steady job forms an important part of everyone’s life, hence the psychiatrist will preferably choose medications that give less or no sedation Although it is true that for a lot of psychiatric conditions like Schizophrenia, delirium, substance withdrawal, depression, anxiety disorders problems in falling asleep (insomnia) can be a part of the disorder or a chief complaint and certain medications do cause excess sleep, it is untrue that all that psychiatrists do is to put all patients to sleep. Nowadays, there are so many advances in psychopharmacology, psychotherapy, counseling, all of which holistically work towards helping patients recover. However, when there is a serious psychiatric disorder, certain medicines may be given which can cause excess sleep to help the patient recover from the serious problem in the best way possible as per guidelines and expertiseMyth 5: All Psychiatric medications have to be taken life long for all psychiatric disorders!Reality:  Different psychiatric disorders have different course and duration of treatment as per guidelines. It is incorrect to consider that all psychiatric medications have to be given life long for all psychiatric disorders. It depends on the expertise, guidelines, type of disorder, severity, relapses and there are well formed guidelines on duration of treatment and tapering and stopping the medications for the psychiatric disorders for holistic care of the patients. Myth 6 : All Psychiatric patients are dangerous and harmful!Reality:  Kindly note that many patients with psychiatric disorders can be the nicest, respectful and kindest people on earth. Society may wrongly judge them as being weird and misfitted . People can sometimes unknowingly hold discriminatory negative attitudes towards all patients with psychiatric disorders, because of lack of awareness and negative attitudes and tend to change their mindset only much later when they themselves or someone in their families gets affected with some problem. Remember depression, stress disorder, OCD, anxiety disorder, psychosis, delirium, addictions can happen to anyone anytime! Although a certain group of patients with psychiatric disorders can have some dangerous behaviors, it is untrue to hold a prejudice that all patients with psychiatric disorders are dangerous. However with proper treatment consisting of psychopharmacology, psychotherapy, family therapy, rehabilitation, outcomes may be improved holistically!Myth 7: If  someone is facing a psychiatric or psychological problem, it is failure of their will power!Reality: It is sad that when  people blame a person suffering from a psychiatric disorder that it has happened to him only because of failure of his will power and that he was not strong enough, etc . There are many psychiatric disorders such as Schizophrenia, Bipolar Affective Disorder, Depression, Anxiety Disorders, OCD, etc which maybe due to chemical abnormality in their brain such as their neurotransmitter systems and there maybe absolutely no role of will power failure in that. It would be incorrect to blame the person for something which may not be totally in their control!Myth 8: If someone is facing a psychiatric problem, they and their family must feel ashamed and hide it and feel stigmatized about it!Reality: In certain societies, because of misconception, the stigma can be very high! It is our duty to keep fighting the stigma!  There is absolutely nothing to be ashamed of if you or your family member suffer from a psychiatric disorder. Nowadays, there are many support groups available online consisting of patients and caregivers. Kindly do not let the stigma affect you!Myth 9: If your friend or relative  is having some psychiatric problem, one must avoid them and stay away from them!Reality: If you genuinely care for your friend, you must help your friend and be there for them always irrespective of them having a psychiatric problem or not. Infact, your friend or relative may need your support and care and friendship even more when he or she is depressed, anxious or fearful. You must help them recover better by including them in your conversations, valuing their opinions, emotions and thoughts and avoid judging them as they are also a part of the same world that you live in!Myth 10 : If your friend is having a psychiatric problem, its okay to make fun of them and crack jokes on them even when u know it is a problem.Reality: Its often sad that some people make fun of patients with psychiatric problems and make jokes on them and their behaviors. Certain psychiatric illness can have associated deficits and disabilities in their speech, social behavior, emotions, intellect, etc. Certain disorders can have certain disability in social life, educational and occupational life. It would be wrong to make fun of them as they too have their dignity! One must give them their deserved respect and dignity in our family and work towards rehabilitating them in society!

7 Steps You Can Take for Mental Well-Being

Akshata Bhat, Psychiatrist
Take care of yourselfAs simple as it may sound, the mere act of taking care of you is the first step to good mental health. Eat healthy, exercise and get adequate sleep every day. These are the building blocks to good physical health, which translate into mental well-being.Prioritize It is not possible to do everything. The constant effort to do so creates unrealistic expectations. It eventually results in disappointment. Life is too short to waste on unnecessary things, so figure out what your priorities are and focus on them.Invest in yourselfEnvision yourself as a company set up and funded by you. Whatever you invest, you will get the returns accordingly. Give yourself the best; whether it is moral support, top notch grooming or courses to equip you with skills in the field of your choice. Hold nothing back when it comes to you.Let it goHolding on to anything, be it anger, pain, jealousy, failing relationships, dead end jobs or toxic friends will only bring you unhappiness. Let it go. Cut the cord. Break the cycle. Letting go will make you receptive to newer and better opportunities in your life.Take a breakGetting caught up in the daily grind leave you with little time for yourself. Your mind and body need to recharge from time to time. Take time out for yourself everyday to do something you enjoy. ‘Me’ time will help you relax, and motivate you to meet your daily challenges.Be ridiculousLaughing helps to reduce stress and is an instant mood elevator. Having a good sense of humor helps you see the bright side in difficult situations. It makes you optimistic and hopeful. Humor is also a very attractive quality, and it will draw people towards you.Ask for helpOften people feel that asking for help is a sign of weakness; or that by doing so, it lowers your prestige. Thus, even in very tough times, we tend not to ask for help and try to handle everything by ourselves. The truth is that it takes immense courage to admit that you need help, and there is nothing wrong in asking for it.

Relating to an Adult With Asperger’s Disorder

Dr. Hvovi Bhagwagar, Psychologist
Raman* age 26, reached my clinic after a series of unfortunate life events. He had been forced to quit his job after his employers discovered that he had helped an ex-colleague leak company secrets, one of his female friends had humiliated him on a social media site and his colleagues deserted him. Deeply disturbed he had an overdose of sleeping pills.Sitting before me I saw a full grown man who showed no expression on his face despite the trauma he had been through. His only concession to emotion was angry words but his facial expressions didn’t match them. Depression seemed to be his primary diagnosis but his lack of emotional range alerted me that there was more to the story. After administering a series of evaluations and consulting with a psychiatrist we diagnosed him with Asperger’s Disorder.What is Asperger’s?Asperger’s Disorder was a stand-alone diagnosis until 2013 when the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), changed its classification. Now Asperger's syndrome is part of a broader category called Autism Spectrum Disorder (ASD). Even so, lots of people still use the term Asperger's. This group of related mental health issues includes:Reduced sharing of interests, emotions, and a failure to initiate or respond to social interactions.Difficulties in nonverbal communication. Trouble making eye contact or using gestures effectively. Sometimes there is a total lack of facial expressions.Challenges in developing, maintaining, and understanding relationships, often a complete absence of interest in peer relationships.People diagnosed with Asperger’s also have restricted repetitive & stereotyped patterns of behavior, interests and activities.As Frederick Douglass said "It is easier to build strong children than to repair broken men." Sadly, Asperger’s remains under-diagnosed in childhood which lands people like Raman in unfortunate crisis. Early childhood intervention makes behavior modification easier and can prevent many adult calamities. How do you identify someone with Asperger’s ?“Aspies”- as people with Asperger’s are often referred to- may have learned to cover up their problems,so signs of the condition will often be quite subtle. An Aspie could be that colleague who loves cars and describes in minute detail the latest car model completely ignoring your hints about getting back to work. Or your brilliant school teacher who never made eye contact with a single student or your socially awkward cousin who embarrasses you at every social event. People with Asperger’s are often physically awkward and socially tactless. They may have vast knowledge about a highly technical subject and can speak endlessly about it. Yet they may seem to lack empathy and can be painfully honest, often putting people off and ending relationships.How can you relate to someone you know or love who has Asperger’s?The following strategies are adapted from the book “Loving Someone with Asperger’s Syndrome” by psychologist Cindy Ariel.Learn as much as you can about Asperger’s. Aspies are not mentally challenged or speech deficient but according to Dr.Ariel, their brains process information differently. They cannot easily read between the lines or pick up on other people’s intentions, so make it as easy for them by offering clear instructions of what you want.Don’t provide tips on shyness or expect them to mingle. Knowing that they lack skills, people with Asperger’s often avoid socializing for fear of being rejected or humiliated. For people with Asperger’s syndrome, the most effective emotional repair mechanism is often solitude and they assume this works for others too. Don’t take their thoughtlessness personally, learn to manage your emotions with external support.Accept the condition. You will feel physically and emotionally exhausted if you try to change an Aspie. Avoid telling them "many people suffer much worse than Aspergers".Learn to be okay with their social awkwardness and look for their strengths and try to work as a team. Soon you will see they relate well with you.*Names changed to protect identity. Material shared with Client’s permission.

6 Important Thoughts About Life

Dr. Swapna Patker, Psychologist
Depression is becoming common these days. People have many reasons to feel sad depressed and suicidal. More the advancement, more the expectations from life and more the disappointments. Less marks in exams, love break up, death of loved ones, professional disturbances, joblessness, loneliness, insults and helplessness are a few highlighted reasons that lead to severe depressions and suicides. Younger generation is less tolerant and gives up on the intimidation of every thing that's not as per their thinking. Of course, the pressure on the generation now is too high, to perform well, to live well, to look good and to be accepted. In the bargain, the mental health goes for a toss. Suicide is not an option at all. Meeting a psychologist and taking help is more easy, ethical and intelligent than leaving this world for some reason that could be sorted. 6 Important Thoughts that you need to know about life are: 1. Depression is a choice. If you allow too much negativity to seep in your thought process, you are bound to feel low. Positive attitude of people keeps depression away from their minds. Practice positivity for a depression free life. 2. Don't depend your life on people's judgements about you. Believe and respect yourself. Don't fall for over appreciation or hurting comments and insults of people. Don't give up your mood or  life because someone said something wrong to you. Be aware of yourself and don't let anyone tell you your worth. Take control of your self image and self worth. 3. Be comfortable with yourself. The way you look, the way you are and the way life is treating you is your life. Accept it. There are sarcastic and condescending people in this world, learn to mute them in real life. Don't let that affect your peace. Your life is precious; it's not worth giving it up for people who do not accept you the way you are. Learn to accept facts about yourself and plan to make the most out of whatever you already possess. 4. Mental wellness is more important than physical beauty and worldly pleasures. Skin colour, disability or illnesses should not be issues of depression in life. Love yourself. Some people intend to corner you and make things difficult for you. Don't fall for their trap. Safeguard yourself from people who are not concerned about your well being. 5. Each one feels low or lonely at some point time in life. Some succumb to the pressures of emotional turbulences and some get swayed away into the limbo called hopelessness. Take charge of your feelings and elevate yourself every time such negative thoughts touch your mind. 6. Help is available. If you ever feel that your mental pressures are beyond your control, take help of a psychologist or a counselor. Don't hesitate. It's better to take help and sort things than spoil or give up a precious life . Life is beautiful, if you can see it that way. Life will treat you the way you see it. Practice positivity and love yourself.