#Red Flags Of #Suicidal Students

I live in Kota a,go-to-place,for many aspiring doctors and engineers.Students from many places come here to join the local Coaching Institutes.What pains me immensely is the fact that many of them commit suicide when they feel that they cannot achieve their target.I have written about the possible causs of such incidents in my post about the Coaching Institutes of Kota.

Let us now consider the Red Flags which could indicate that a student is considering suicide--

• The student stops going to his classes when he realizes that he cannot fathom the subject being taught.
• His performance deteriorates.
• He avoids meeting his class mates and chums.
• He does not take part in social or institutional get-togethers.
• He becomes lethargy or sleepy.
• His remarks are often very pessimistic.He may talk of death and what happens after someone dies.
• He may say he has no chance of passing.
• He laments the lack of support from anywhere.
• He becomes violent and irritable.
• he may begin to take drugs or alcohol.
• He has a break-up with his close friend.
• After a lenghty isolation he suddenly appears tp be happy.

The above factors could inicate that a student is about to take the plunge.If someone notices this and talks to him,the impending tragedy can be averted.Hence this post.

Though written about boys,it is equally applicable to girls.

Ill-effects Of A Guilt-complex

Guilt-complex is a persistent feeling of guilt about a misdemeanour which happened in the past.The person may or may not have been at fault,but the feeling of a lapse or misdeed haunts him strongly.It is so powerful that he is unable to sleep or do any constructive work.

• The Ill-effects-He worries a lot about his act and it's repercussions.Feelings of guilt and shame hound him.He repents what he did.Severe anxiety will not let him sleep or rest.He may have gastric problems or muscle tension too,which will produce new physical symptoms daily.A sense of inadeqacy may impel him to give up his goals and flounder in life.His relationships will be tarnished and his support groups too will dwindle.If this happened in relation to another person he might even suffer from paranoia,a fear that the opponent might take revenge upon him or cause him some other phyical harm
• Causes-Those who are perfectionists find it difficult to overlook even small imperfections.A person who has been brought up in a strict,upright environment sets high standards for his own behaviour.
• Remedy-Curing a guilt complex demands self-compassion and kindness.The sufferer should try to assess the situation rather that blaming his own self endlesly.Was he really at fault?May be yes,maybe not.We humans are not Gods.A fault here or there only asks that it should not be repeated and if possible,amends should be made.A person who follows a very strict code of conduct may unduly blame himmself.He should review the past and gauge if he  really was at fault.Perhaps anyone else would have done what he perforce did.Since he worries a lot about his guilt,he should identify  the triggers and  decide to not blame himself the next time a feeling of guilt surfaces.He should review the past from a new perspective,set more realistic standards for his own conduct and think if he would blame a known dear person as strongly,if he had done what he himself did.What happened in the past cannot be undone,it is best to forgive himself and move forward.Considering all aspects of that situation will help him to be more judicious.It is also   essential to set boundaries for his own behaviour in future and forgive himself if he erred.

Whatever the cause or type of a guilt complex,the fact remains that it is a terrible handicap.It erodes his self-esteem to such an extent that he shies from meeting and talking to others.Rumination about that past deed totally isolates him,inflicting more damage upon his mental health and daily life.He should desist from giving too much importance to any event,review the past in a balanced state of mind and seek professional help  without delay.Balanced judgement and rationality will give him solace.

Dealing With Change

If we can be sure of one thing,it is this-that changes will happen.Whether we like it or not!The changes can be of any kind-good and inspiring or bad and depressing.The good ones require no elucidation,we all imbibe them willingly.But the bad ones need more consideration.

• Fear Of Change-If we confront a change which is not pleasant,or inscrutable to say the least-it leaves us perplexed.We do not like it because it portends something unknown whereas we are comfortable with the way things are at present.We don't want to leave old associations,a comfortable routine and all that we are accustomed to.We lose sleep and spend hours worrying about the future.We are afraid of  all that it might bring in it's wake.Yes,but it  is a falacy to presume that it could be detrimental to our health and happiness.We should keep an open mind about it's repercussions.Because of this fear we  delay coming to terms with that change.
• Accepting a Change- Everything around us is in a constant flux and changes are inevitable.It is no use negating them by burying our heads in sand.When faced with a drastic change think carefully if it is compulsory to accept it.Can we reject or shelve it till a more convenient time?If the circumstances indicate that we should accept it,then we should treat it as a necessary evil so that we can take charge of the situation and chart our course of action.While it is true that a  change  lodges us into an unknown territory,it has often been seen that a change which appears devastating at first turns out to be good for us.
• The Benefits Of Accepting A Change-When it becomes clear that this change has come to stay it is best to become friends with it.Changes usher progress and growth.Indeed even if we face some ill-effects in the short run,it  could be the gateway to a better future.Changes compel us to re-evaluate our goals and aspirations,learn new skills,make new associations and in this way they enlarge our scope.We can then determine the steps to be taken for fulfilling our needs.In this ever-changing world it is impossible to stay in a safe cocoon for ever.That is impossible.It is wiser to try and set our own house in order.Prompt action cuts losses.
• Negative Changes-An ominous change-whether in the sphere of our health,relationships,job or domicile-can turn out to be unsavory.It could shake us to the core,but what can we do?By fighting what has come to stay we will  only exhaust our energy.The sooner we accept it the faster will we progress on the road to recovery and resettlement.The heartburn and damage will be less if we rebuild our life according to it.Even if this change comes with some ill-effects,there could be a few fringe benefits too.Sometimes one has to go with the flow.A change in job or place will add to our friend-list and also enable us to get rid of old irritants and advrsaries.Changes in health are difficult to gulp but once we accept this fact we can start remedial action.A change in relationships is harder to   embrace but it happens precisely because the old relationship had begun to jar.Who knows better luck might be on the way?
• Be Alert To Subtle Changes-The shock due to major changes can be considerably dulled if we keep our antennae finely tuned to the rumblings which precede it.Leaving aside the sudden calamities no change is sudden.An alert observer will see the signals beforehand.A couple may begin to have daily fights instead of occasional bickering,a boss may show his displeasure in various ways.If we notice these changes then we will not be taken by surprise. 
• Adapt To The Change-Once we have made up our mind to live with a new development the next step naturally is to adapt to it as well as possible.Alter your habits,priorities and attitudes wherever necessary.Admittedly this is the most taxing part but it becomes easy if you learn new skills and converse with those who are already there.Build a new chapter of life around this new event.You will then fit comfortably in the new scenario.If there is still any bias about this new happening counteract it with hope and action..

If we wish to prosper and be happy we shall have to synchronize with the changes which are taking place in our life and around us.When circumstances change we too have to change.Otherwise we shall remain a misfit--incompetent and unhappy.

This post is only about the mundane life and related issues.The changes brought about by science and technology are not in my field.

The Tentacles Of Depression

 Anxiety is like a dark cloud.It shadows everything.No harm!Because it often helps us to face challenges and achieve targets too.But it becomes an enemy when it lingers on in the absence of any real danger.That should be discerned because it can shove you into the pit of Depression.Hence it is imperative to recognize the red signals.If you have become asocial,incommunicative,inactive and melancholic,then it should be a wake-up call for you.

Do something about it.Resolve to arrest further detirioration in your mental health.Given below are a few simple tips to help you do this-

1. Do you tend to sleep or lie down long after your usual waking time?Throw off your duvet and get up.
2. Compel yourself to leave the bed and freshen up.
3. Begin the routine which you had before this affliction shackled you.
4. Make a cup of your favorite beverage.Sit down and enjoy it with a biscuit or two.If you live with your family then enjoy it in their company.
5. Put on a smart dress.Go to the mirror,smile and see how much better you look with a smile on your face.
6. Walk out of your home and visit a park.
7. Accost those you meet.
8. Take a brisk walk.
9. Sit down on a bench to relax.Watch the world around you-the people,the trees,the birds,the flowers and the sky.
10. Return home if you feel tired.
11. Lie down or sprawl on an easy-chair.
12. Consider-was it that difficult?Don't you feel better after having done all this?Hasn't the negativity in your mind decreased?
13. If your answer is negative then consider how you can further improve this session tomorrow.What else should you have done?
14. If the answer is positive then resolve to repeat it tomorrow and every day.

This is a  common early morning walk but it has the power to kill the hormones which cause depression and energise you for constructive actions.Be happy,you have taken the first step that distances you from a bout of depression.Keep it up and you will soon be your own healthy, positive self again!

There Is Hope Only If There Is Life!

 Just like a rainbow,our life too has many shades;radiant and joyous at one time,or gloomy and desolate at another.We try to do our best as far as possible but sometimes it becomes very difficult.Our plans go awry,relationships break,loved ones depart and we are left hurt or disillusioned.

Some people take it in their stride,some others carry on hopefully but there are also those who just wish to throw in the towel and end it all.There has been an alarming increase in the incidents of suicide and also a decrease in the age of suiciders lately.A peson who does this feels that there is no charm left in life.His reservoir of pain tolerance is full to the brim and he cannot live with it any longer-hence the suicide.But what if the pain decreased?Wouldn't life be worth living again?

Therefore the first thing to do is to lessen the pain.It can be done only if that person shares his tormenting thoughts with someone;gives an outlet to that volcano.He should talk to someone who will give him full attention and also respect his privacy-a friend,a relative,a teacher or a colleague.

If there is no such person on his radar then it is time to look for a professional-a counsellor,a psychologist or a psychiatrist.He should not hesitate to ask for help.It does not indicate that he is a weakling or a failure.In fact it indicates that he is wise enough to take a good step at the right time.The spark is there in him yet. 

1. The first thing he should do is,sit at a quiet place and think with his head  rather  than his heart.Which is the most depressing part of the situation?What can he  do about it?
2. If he is too bewildered to arrive at any decision then he should find a good counsellor.
3. He should explain his problem relating all the relevant incidents in detail.
4. He should follow the counsellor's advice fully.
5. Another beneficial activity is starting the day with a healthy routine of Yoga,exercise,walking or jogging.Exercise increases the flow of feel-good chemicals like serotonin,dopamine & endorphins --the last are natural pain killers & mood elevators.This also uses up the excessive stress hormones like adrenaline & cortisol.
6. Along with this he should also chart a scedule of his daily activities,like when to sleep and wake up,when to eat and when to finish his pending chores.Cleaning his cupboard and straightening his room will enable him to forget his troubles.
7. It is also therapeutic to spend time with family &friends .He will be glad to realize that they all care for him.Even if he was somewhat disillusioned with them,he should give them a second chance.Perhaps he misjudged them or they may be regretting their callousness towards him & this initiative will give his family ties  a new lease of life.
8. He should take up a pastime that gives him pleasure.If he recalls what gave him joy  before all this happened he will find happiness & peace of mind again.Unless he tries really hard he will not get out of this rut.
   
9. He should also find out how others cope in similar situations.
10. It is essential to continue his liaison with his counselor /doctor.
    

He should let the closest member of his family know that he was on the brink of suicide so that they will be on guard for him.Remember life is much larger than any misfortune,failure or emotional set-back.Time does heal.The pain will lessen and the sun will shine again.If one door has closed look for other options.Don't be dogmatic about wanting only that which has been denied to you.Be flexible.Look forward,not backwards.

If he does all this he will be fine !!!!!

#MajorDepression-A True Case History

 This is about Pawan,who came to me for counselling three months ago.I could see at a glance that he was severely depressed.His facial expression,posture,gait,voice-everything proclaimed this to any casual observer.Before starting the session I assured him that according to the norms of us counselors,whatever he told me would not go beyond the walls of my clinic,so that he could rest easy on that score.

He told me he was 60 yrs old,had three sons,and they all lived in a three storied bungalow.He was happily married,and had been an elite performer in his company till a few years ago,though lately it was all becoming too much for him.He felt bowed down with duties and responsibilities.His sleep was very poor and though healthy,he felt very lethargic.He had been on psychiatric medicines since many years.It turned out that he had suffered two episodes of #Depression many years ago.At present He was taking a medicine prescribed by his old doctor but it was not doing him any good.

I asked him what it was,which was troubling him so much.He replied that one of his sons had started construction work in his portion a few days back but he agreed to stop it after the father's  objection.That way,his sons were quite obedient.Besides this he could not state any specific problem which was distressing him.He just felt overworked and incapable of sorting his issues.I asked him to gather his family,reveal his tensions and ask who could do what,to lessen his burden.

I suggested that he should go for a physical check up to rule out any disease which could be the cause of his tensions.I also encouraged him to go for morning walks and do regular exercises.He was asked to be more active during his waking hours,since his official duties were not much to speak of.He replied that he did not have any friends or hobbies so there was nothing for him to do.I told him that he could do small things aroind the house,chit-chat with his family,reveal his worries and ask about their concerns.

He was asked to try his best and report after four days.He did not come after four days but did after two months.He was even more woebegone this time.I recommended a psychiatrist whom I knew as being very competent.Perhaps a change of medicine and approach was needed.

And mere medicine was not enough.In order to get relief he had to change his whole routine and lifestyle.He must interact with those around him,greet people and say a few words to them.Even to the vendors.He should talk about his difficulties to those whom he could trust.Instead of thinking all the time about his own problems he should be more mindful of his surroundings,watch all that was happening around him and take interest in others' lives and problems.Yoga and meditation too,were very good for calming the min.If he started doing all this his track of negative thoughts would be replaced by a better one and his depression would ease. 

He was asked to return after one week.But true to his nature, he did not return after one week.Instead,he came after one month and told me that he felt as if his mind was failing him.He had not consulted the psychiatrist suggested by me.His whole life was in disarray.Uptill now he had striven to earn more and more,without any consideration of it's effect on the whole structure of his and his family's life.The way in which he had expanded his house and let in various tenants,now could not be undone.But it had definitely multiplied his problems.

I asked him to recount the steps he had taken to lessen his anxiety.He replied that he went for swimming in the morning and felt better after that.I explained that physical exercise consumed the harmful chemicals generated through worries and fears,and it was very beneficial for lessening anxiety-he should do more of it. It turned out that he was doing things like clapping his hands or meditating but not reaching out to anyone around him.

I asked him if it was because he felt that his personality had deteriorated and people would look down upon him.He said yes.I told him he was not the only one suffering from anxiety and most people had so much on their minds that they had little time to judge others.His self imposed isolation was doing him more harm than anything else.Those who did not isolate themselves recovered faster.Since his old methods were not showing good results it was time to change them.He was again motivated to go out and connect with others.

I asked him to  clarify his thoughts and come next week.However he did not come.I asked about his wellbeing after one month,but he did not respond.Then I left the onus on him and closed the case.