Showing posts with label Counsellor. Show all posts
Showing posts with label Counsellor. Show all posts

Friday, December 23, 2011

Merry Christmas


Effective Living Clinic and Rejuvenate greets you all Merry Christmas

Gold Medal for Dr. Kurien


Dr. Kurien S. Thomas, Founder - Executive Director of Effective Living Clinic and Chief Editor of Rejuvenate an online health and beauty magazine from Effective Living Clinic received Gold Medal Award from Indian Board of Alternative Medicines for his extra ordinary contributions in the field of Alternative Medicines. Dr. Kurien is an excellent Corporate trainerClinical Psychologist, PsychotherapistYoga therapistLife Coach, Writer, Orator, Philanthropist, Counsellor and a registered Medical Doctor practicing in Alternative Medicines at Vashi Navi Mumbai. His areas of specialization includes stress management, dilated cardiomyopathy due to stress, life coach, yoga therapy, prescribing exercises, clinical psychology, psychotherapy, building up positive personality, improving inter-personal relationships, counselling, treating various physical ailments with alternate medicines, etc. He has trained numerous executives, managers, students, housewives, retired personnel etc. to become successful in their personal and professional life. He has delivered lectures on various subjects all over India and Abroad. His unique approach blends synergy of the wisdom of the east and transformation technologies in the west.
Effective Living Clinic
B-3/19, 0:1, Sector 3, Vashi
Navi Mumbai 400703
Tel: 9987223811 / 9969105310
www.effectivelivingclinic.com

Begin your day with oats


Everybody needs to be health conscious today, because most of us face health risks due to various reasons like bad food habits, lack of exercise, stress, obesity, drinking alcohol , smoking, etc.

Being healthy begins by eating healthy. Most of us begin our day by having breakfast that is high in fat and calories, for eg. butter jam toast, cheese sandwiches, omelettes, sheera, vadas, dosas, etc. which is bad for the heart. You need to begin your day with a non-oily nutritious breakfast, for example, having oats. It's quick and easy to prepare, so you can't complain about not having the time to prepare breakfast. Here are some of the benefits of oats:

- Oats contain soluble fibre called beta glucan, which is known to help in reducing cholesterol by the blocking of re-absorption of cholesterol when it passes through the digestive system. Regularly having oats lowers the cholesterol levels in the body.

- Oats contains low levels of sodium. This reduces the risk of contracting high blood pressure and hypertension.

- The soluble fibre present in oats tends to slow down the digestion of carbohydrates, thereby reducing the spikes in the blood sugar levels, which in turn do not lead to unwanted urges to eat.

- Eating oats leaves one much fuller, therefore you tend to eat less. This is especially good for those trying to lose weight.

- Oats contains very less amount of fat and lesser calories. This makes it good for overall health.

- Being a good source of natural dietary fibre, oats are beneficial in curbing the problem of constipation.

- Oats are also known to contain compounds called phytochemicals that can reduce one's risk of cancer.

Effective Living Clinic
B-3/19, 0:1, Sector 3, Vashi
Navi Mumbai 400703
Tel: 9987223811 / 9969105310
www.effectivelivingclinic.com

Do's and don'ts to get fit by 31st December


With the New Year just round the corner, everyone wants to look their best for the multiple upcoming parties.
If you've spent much time staring wistfully at that hot outfit you wished you could wear come 31st December, then look no further. Nutritionist Rekha Sharma, President of the Indian Dietetics Association helps us understand diet do's and don'ts in order to get fit by 31st December.

To be clear: Weight loss can never function in a
healthy manner within just a couple of weeks. What we are looking at today is a simple plan to avoid extra weight gain, bloating, and eating habits that help you be the fittest you can currently be. A healthy, balanced diet combined with adequate exercise is a must for a toned body that looks great all year round. As tempting as a crash diet might appear, it will only work to your advantage in the short term and the few pounds that you lose by denying your body proper nutrition will result in you feeling completely drained of energy- something you clearly don't want while celebrating the New Year!

Diet Do's
- Eat small portions at regular intervals through the day.
- Picking the right food is the key especially in such a short time frame.
- The meal should contain food which is high in proteins and fiber such as egg white, whole pulses and beans, low fat milk and milk products, whole grains, oats, beans, broccoli, papaya, orange, guava etc.
- Excessive consumption of foods high in fat should be avoided.
- Choose cooking oils that are high in MUFA (mono-unsaturated fat) as these fatty acids control bad cholesterol. Oil such as canola is the right option as it is healthy for the heart and free from bad cholesterol.

Diet Don'ts
- Food containing fat should not be completely eliminated from the diet as there are good fats such as omega 3 and mono-unsaturated fats which our body needs more.
- Fasting and skipping meals should be avoided, as when this happens the body goes into a conservation mode and the basal metabolic rate (BMR) falls, which results in preservation of energy leading to no weight loss. On the other hand small frequent meals keep the BMR boosted and exercise further raises it, thus leading to the weight loss.

Break a sweat!
Having regulated the intake of food, it is important to break down the fats that are already in our body. The quickest way to do that is by following a regular workout regime. In order to shed the fat, you need to break into a sweat! You can do that by doing aerobic exercises like running, swimming, cycling or pretty much anything that increases your heart rate and keeps it up. Stomach crunches alone will not help you lose weight and will only tone the muscles.
Staying active through the day is also a great way to get some additional exercise. Simple things like taking the stairs instead of the elevator and walking a few extra steps everyday can keep you fitter than you think.
Effective Living Clinic
B-3/19, 0:1, Sector 3, Vashi
Navi Mumbai 400703
Tel: 9987223811 / 9969105310
www.effectivelivingclinic.com



How stress affects your oral health


Excess stress may give you a headache, a stomachache, or just a feeling of being "on edge." But too much stress could also be doing a number on your mouth, teeth, gums, and overall health.
The potential fallout from stress and anxiety that can affect your oral health includes:
·         Mouth sores, including canker sores and cold sores
·         Clenching of teeth and teeth grinding (bruxism)
·         Poor oral hygiene and unhealthy eating routines
·         Periodontal (gum) disease or worsening of existing periodontal disease
So how can you prevent these oral health problems?
Mouth Sores
Canker sores -- small ulcers with a white or grayish base and bordered in red -- appear inside the mouth, sometimes in pairs or even greater numbers. Although experts aren't sure what causes them -- it could be immune system problems, bacteria, or viruses -- they do think that stress, as well as fatigue and allergies, can increase the risk of getting them. Canker sores are not contagious.
Most canker sores disappear in a week to 10 days. For relief from the irritation, try over-the-counter topical anesthetics. To reduce irritation, don't eat spicy, hot foods or foods with a high acid content, such as tomatoes or citrus fruits.
Cold sores, also called fever blisters, are caused by the herpes simplex virus and are contagious. Cold sores are fluid-filled blisters that often appear on or around the lips, but can also crop up under the nose or around the chin area.
Emotional upset can trigger an outbreak. So can a fever, a sunburn, or skin abrasion.
Like canker sores, fever blisters often heal on their own in a week or so. Treatment is available, including over-the-counter remedies and prescription antiviral drugs. Ask your doctor or dentist if you could benefit from either. It's important to start treatment as soon as you notice the cold sore forming.
Teeth Grinding
Stress may make you clench and grind your teeth -- during the day or at night, and often unconsciously. Teeth grinding is also known as bruxism.
If you already clench and grind your teeth, stress could make the habit worse. And, grinding your teeth can lead to problems with the temporomandibular joint (TMJ), located in front of the ear where the skull and lower jaw meet.
See your doctor and ask what can be done for the clenching and grinding. Your dentist may recommend a night guard, worn as you sleep, or another appliance to help you stop or minimize the actions.
Poor Oral Hygiene
Being under extreme stress may affect your mood and cause you to skip oral hygiene habits such as flossing and brushing.
If you don't take care of your mouth, your teeth and overall oral health can suffer. If you already have gum disease, skipping daily hygiene may worsen the problem. If your mouth is in relatively good health, falling down on brushing and flossing can lead to gum disease or increase your risk of cavities.
When under stress, you may also develop unhealthy eating habits, such as snacking on large amounts of sugary foods or drinks. These habits increase the risk for tooth decay and other problems.
Just reminding yourself of the importance of hygiene and healthy eating may help. Boosting or resuming your exercise routine can help you relieve stress and feel energized enough to tend to your oral hygiene and cook healthier meals. Exercise will also boost your immune system -- and that, too, is good for your oral health.
Gum Disease
Stress can cause an increase in dental plaque, even when the high stress levels are short term. That's according to a study that evaluated people who cared for loved ones with dementia and who experienced stress.
Long-term, the stress these caregivers felt boosted their risk of bleeding gums, or gingivitis, which can progress to serious gum disease.
Stress can lead to depression. And depressed patients, according to recent research, have twice the risk of an unfavorable outcome from gum disease treatment compared to those who aren't depressed.
You can't make depression or the stress disappear, of course. But experts say that learning healthy coping strategies can help reduce the risk of gum problems getting worse. Healthy coping is "problem-focused" with active and practical strategies to deal with the stress and depression, experts say. 
Remember, eating a balanced diet, seeing your dentist regularly, and good oral hygiene help reduce your risks of periodontal disease. Make sure you brush twice a day and floss daily. 
Effective Living Clinic
B-3/19, 0:1, Sector 3, Vashi
Navi Mumbai 400703
Tel: 9987223811 / 9969105310
www.effectivelivingclinic.com

11 reasons to control your TV watching habit


What can be your favorite pastime when you think of unwinding? What do you do when you are alone at home? You spend hours in front of your television set. Right? And you think that the TV shows are giving you quality time and a healthy company!
In reality, television viewing is always considered to be bad for your health. You cannot accept this fact readily, but watching TV for a long time can put your health at risk. It is accepted that you can gain a lot of knowledge from a few television shows, but still the disadvantages outweigh these benefits with a big margin! TV serves as a medium of entertainment and education for all, but it is associated with a number of physical and mental health problems such as:
1.             Increase in the Risk of Heart Diseases: Based on the analysis of the data collected over a period of six years from 8,800 Australian men and women (over age 25 with no history of heart disease), researchers found that every hour of TV watching increased a person's risk of dying from cardiovascular disease by 18%, and increased the risk of death from cancer by 9%. This means that people who watched more than four hours of TV had an 80% increased risk of death from cardiovascular disease over the 6-year time period as compared to people who watched 2 hours or less each day. The problem normally crops up from a sedentary lifestyle which television offers to you. According to researchers, the human body evolved to move, not sit still for extended periods of time. So sitting in front of a TV or a computer screen for too long poses serious risks to health, and to life.
2.     Disruption of Sleep: The light emitted from the television can prove to be too stimulating to our systems. This can reduce the levels of the brain hormone melatonin, which usually increase in the evening as light levels fall. This may effect the body's natural rhythm, keeping you awake longer and results in irregular sleep and extreme fatigue. Reduced levels of melatonin have also been linked to early puberty in girls.
3.     Increase in the Risk of Diabetes: When it comes to controlling diabetes, TV watching habit can be included as the risk factor. A 2003 study of women published in the Journal of the American Medical Association suggests that the risk of diabetes increases by 14% for every 2 hours of television viewing in a day. Another study conducted in the same year and published in the journal Lipids found that men who watched more than 40 hours of TV per week were 3 times more likely to develop type 2 diabetes than men who watched TV less than 1 hour weekly. According to researchers, all this increased risk cannot be explained by the increased snacking and reduced activity linked with sitting in front of the television.
4.     Increase in the Risk of Obesity: Prolonged watching of television relates to an absence of muscle movement. If your muscles stay inactive for too long, it can disrupt your metabolism leading to weight gain. Additionally, when you are watching TV, you tend to eat more and eat unhealthy foods due to advertising and other food cues on TV. A study compared the television viewing habits of more than 50,000 women who participated in the Nurses' Health Study from 1992 to 1998, and found that weight gain increased as TV watching increased. For each two-hour increase in television watching per day, there was a 23% rise in obesity.
5.     Development of Attention Deficit Disorder: In the 1970s, a Professor named Werner Halperin suggested that the rapid changes of sounds and images on TV may affect the neurological system of a young child and can cause attention problems. Also, a study conducted by researchers at the University of Washington Child Health Institute found that 3-year-old child who watches two hours of TV per day is 20% more likely to have attention problems at age 7 than a child who watches no television.
6.     Increase in the Risk of Asthma: In the UK, a research studied the TV viewing habits of more than 3,000 children ranging in age from infants to 11 years. The results of the study established that children who spent 2 hours or more watching television per day had twice the risk of suffering from asthma.
7.     Greater Chances of Mindless Eating: Studies conducted by the Stanford University of Medicine prove that TV viewing is directly linked with mindless eating. You have more chances of eating junk foods while watching TV than in any other activity! It really feels very nice to enjoy burgers, pizzas and French Fries while watching your favorite shows.
8.     Negative Effect on the Mental Development: Watching TV for a prolonged period of time has a negative effect on the intellectual development of children. The American Academy of Pediatrics discourages TV viewing for kids under 2 and recommends no more than two hours a day for older kids. Prolonged watching of TV can also lead to a deterioration of the mental processing power in case of older people.
9.     Increase in the Eye Strain: Watching too much television is bad for your eyes, especially when watching television in a dark room. Focusing your eyes too long on any one object can strain your eyes.
10.  Portrayal of Aggressive Behavior: Young children are more likely to exhibit aggressive behavior after viewing violent TV shows or movies. As part of a study, researchers examined the data on more than 3,000 3-year-olds and found that children exposed to more television, directly and indirectly (exposed to the television while other people in the home are watching), are at increased risk for exhibiting aggressive behavior.
11.  Reduction of Social Interaction: Watching television may replace social interaction with friends and family, depriving children of sharing ideas and feelings with others. This may result various social phobias.
It would be quite difficult for you to control your TV viewing habit. But once you are able to do it, you won't have any repentance. You would want to spend the weekend by relaxing and this might mean sitting on a sofa and watching TV for long hours. Instead, you can go out and spend quality time with your family - a long drive and a family picnic are great options!

Effective Living Clinic
B-3/19, 0:1, Sector 3, Vashi
Navi Mumbai 400703
Tel: 9987223811 / 9969105310
www.effectivelivingclinic.com

Friday, December 16, 2011

Fibromyalgia: What You Need to Know


Jackie Yencha hit the wall at age 22. "I couldn't handle the pain any more," she says. "I was terribly fatigued, not feeling well, not sleeping well." But it took Yencha seven years to get an accurate diagnosis of fibromyalgia.

Her first diagnosis -- reflex sympathetic dystrophy -- resulted in experimental surgery that did nothing to relieve her pain. In fact, numerous surgeries followed to correct the problems from that procedure. Years went by. Yencha was still in pain, still getting little sleep.
"I became desperate ... the pain never got better," Yencha tells WebMD. That's when she headed to the Cleveland Clinic, where comprehensive testing showed she had fibromyalgia.
"You need to find a doctor who will listen and who really knows fibromyalgia," says Yencha.
"A lot of doctors out there don't know much about it," she explains. "We hear from people all the time ... people in small towns who say no one here has ever heard of this."
What Is Fibromyalgia?
Fibromyalgia is a chronic condition that causes disabling pain all over the body -- as well as stiffness and tenderness in muscles, tendons, and joints, experts say. It is most common among women ages 35 to 55.
Although it's one of the most common muscle problems, the cause is a mystery, fibromyalgia researchers say. There is no inflammation or joint damage, as occurs with arthritis. There is no damage to internal body organs, as with rheumatoid conditions like lupus. It is called fibromyalgia syndrome because it is identified by a collection of symptoms.
Indeed, the list of possible fibromyalgia symptoms is a long one:
·         Chronic muscle pain
·         Muscle spasms or leg cramps
·         Sleep problems
·         Severe fatigue
·         Anxiety
·         Depression
·         Morning stiffness
·         Headaches
·         Difficulty concentrating
·         Skin sensitivities
·         Irritability
·         Intestinal problems
But these are also common to liver disease, lupus, Lyme disease, thyroid dysfunction, heart disease, arthritis, degenerative joint disease, chronic fatigue syndrome, irritable bowel syndrome, and other disorders -- and therein lies the difficulty in diagnosing fibromyalgia.
How fibromyalgia develops is also a mystery. "The onset can be fairly abrupt, triggered by a motor vehicle accident or a mishap at work," says Steven Berney, MD, chief of rheumatology at Temple University Health System in Philadelphia. "Very quickly the condition sets in. You feel bruised for the next couple of days, but there's the expectation that whatever is disrupted will heal. When the pain doesn't wear off, it becomes clear something else is going on."
More typically, there is a gradual onset, Berney tells WebMD. "The pain becomes more severe over time. That's more difficult to diagnose. You're looking for something that set this off, and you can't find it."
Fibromyalgia research shows that the disorder seems to run in families. Recent studies show that genetic factors may predispose some people to fibromyalgia. An illness or injury that causes trauma to the body can make subtle fibromyalgia symptoms more apparent -- and more troublesome, according to the National Fibromyalgia Association.
"The pain is very real and markedly impedes their lives," Berney says. "People who were very active become disabled by pain and fatigue. 'I want my life back' becomes the charge."
The Tender Points of Pain With Fibromyalgia
While it's not clear what exactly triggers fibromyalgia, researchers are homing in on the basic mechanisms. Fibromyalgia  is considered a disorder of pain regulation. Patients have higher levels of two substances -- a nerve chemical called substance P, and nerve growth factor in the spinal fluid. They also have lower than normal levels of the brain chemical serotonin, as is also true with people suffering from depression and anxiety.
All this produces a dysfunction in the body's ability to process pain -- and creates supersensitive nerves throughout the body, explains Andrew J. Holman, MD, a rheumatology specialist at the University of Washington in Seattle. To make things worse, people with fibromyalgia have difficulty getting a good night's sleep -- so they constantly wake up feeling fatigued.
The result: Everyday sensations of discomfort and pain are amplified beyond the norm. Slight bumps and touches can cause disabling pain if you have fibromyalgia. This pain can be aggravated by outside factors -- noise, weather changes, and stress.
To figure out what's going on, doctors diagnose fibromyalgia by examining specific "tender points" on the body. "There are 18 specific tender points -- specific locations that are tender for everyone," says Holman. "But for people with fibromyalgia, these points are significantly more tender. People are more sensitive at those points. A dysfunction in the central pain processing amplifies their sensations."
Tenderness or pain in at least 11 of these 18 points is the hallmark of fibromyalgia, says Holman. Also, the pain is widespread on both sides of the body -- neck, buttocks, shoulders, arms, upper back, and chest. Tender points are around the elbows, shoulders, knees, hips, back of the head, and the breast bone.
Doctors test these tender points to make the fibromyalgia diagnosis. Yet it's not always so clear-cut what the widespread pain indicates. It takes a careful ear to discern what's really going on, explains Martin Grabois, MD, chairman of physical medicine and rehabilitation at Baylor College of Medicine in Houston.
"Physicians are used to diagnoses like a herniated disc, where there's pain in a specific location," Grabois tells WebMD. "That's not so with fibromyalgia. Some pain is above the waist, some below the waist, at the shoulders, etc., and there are sleep disturbances, fatigue. These are symptoms of a number of diseases. They are not isolated to fibromyalgia."
The muscle pain can range from mild discomfort to severe enough that it limits a person's everyday life -- including work and social activities. The pain is often described as burning, gnawing, throbbing, stabbing, or aching. When the person relaxes, the pain may be more noticeable -- and less so when they're active.
Sleep Dysfunction Affects Pain Sensitivity
The sleep problems associated with fibromyalgia -- insomnia and fragmented sleep -- may be the root of the pain, says Holman. It deprives people of stage IV deep sleep, the non-rapid-eye-movement sleep that helps us feel refreshed in the morning.
Sleep Dysfunction Affects Pain Sensitivity continued...
Fibromyalgia research is showing that an automatic arousal is triggered in the brain during sleep, Holman tells WebMD. "The basic fight or flight response is activated at night while you're sleeping. The hormones epinephrine and adrenaline are released as the body becomes vigilant, aware. That causes the transition from deep restorative sleep into light sleep."
These disruptions rob the person of restorative processes that occur during deep sleep, he explains. "It's during deep sleep that most growth hormone is produced. Muscles regenerate and heal, and neurotransmitters are replenished in the brain. The body's ability to recuperate from the day's stresses -- including small pain sensations -- is believed to occur during deep sleep."
The brain has a "pain threshold," Holman adds. "During the day, low signals in the brain can be ignored and you continue doing what you're doing. But if the system is overwhelmed, at night the normally nonpainful stimuli become painful. Lack of deep sleep amplifies all sensations -- what we call central pain amplification."
"When people finally get deep restorative sleep, fibromyalgia improves substantially," Holman says. "But the best strategy to treat the sleep is not a sleeping pill. The strategy is to turn off the arousal in the brain stem that's interrupting the sleep. We want to allow people to sleep."
Difficulty Diagnosing Fibromyalgia
As with chronic pain, sleep problems are common -- and it's not always easy diagnosing fibromyalgia syndrome as the problem.
"The primary care doctor is at somewhat a disadvantage," Berney tells WebMD. "There are no specific tests for fibromyalgia diagnosis. To make a diagnosis, one has to make sure it's not something else -- lupus, thyroid dysfunction, rheumatoid arthritis. The list of possible diseases associated with these symptoms is fairly extensive. It's the vagueness of the symptoms that delays the diagnosis."
"You won't necessarily have all of the symptoms of these disorders, but you can have a component of each," says Grabois. "Patients often go to a lot of doctors trying to figure out what's wrong. The doctors are not familiar with fibromyalgia syndrome so they don't necessarily know the diagnostic criteria for it -- and they don't necessarily check for it."
Also, the level of misery is different for each patient, he points out. "Some have pain worse than others." For some, the pain is continuous. For others, it comes and goes. Some people wake up feeling like they have been exercising all night.
Getting a Correct Diagnosis
If you have seen several doctors -- yet still don't have relief -- see a specialist, Grabois advises. The National Fibromyalgia Association provides a list of specialists who understand the disease -- experts in pain management, rheumatology, and neurology.

How long to court before you commit


Your courtship might be a fairy-tale romance and marriage is the next thing that is on your mind.
But do you think you have spent enough time with your would-be partner or know him/her well enough to stay with them forever? If you have the slightest doubt, then hold on because before you realise it you may not even like to be in the same room as that person.
The latest example being of Kim Kardashian and Kris Humphery's larger than life wedding. The couple tied the knot after dating for less than a year in a lavish ceremony but their marriage was a 'big mistake' as Kim has been heard quoting. This is not the first time such a thing has happened and there is a awfully long list of famous people who married rather impulsively.
Says psychiatrist, Anjali Chabria, "More than time it is about how realistic you are about the relationship. They do not see the warning signs even if they are right in front of them and just hurry into tying the knot."
An international daily quotes that there is a brain chemical that is responsible for triggering the feeling of love. The chemical called Dopamine makes you feel overly positive which might make you overlook the fact that your union may not last that long.
This positive feeling wears off in about six months and that is when fights start happening and the generally cute habits become irritating.
A lot of times people do not realise that their future plans do not match and issues start cropping up later in the relation, according to marriage counsellar Riddhi Patel. "There have to be common goals with respect to children, money, work etc. And for all this you need to spend time with each other before getting married," she says.


    Social networking may promote alcohol use


    Social networking may be promoting alcohol use among young people in so subtle a manner that users are not even aware of it.

    "It (social networking) is being employed to organise events, communicate with people while out drinking, and enabling participants to share photos of their socialising and drinking online," said Antonia Lyons, associate professor in psychology at Massey University who led the study.

    Lyons said the research has also revealed that just as some people saw excessive alcohol use as a way of excusing behaviour, some social networking users were expressing similar attitudes about their Facebook pages, according to a university statement.

    Researchers talked with groups of people aged between 18 and 25 years about different aspects of their online behaviour, drinking experiences and exposure to celebrities drinking via pop culture websites.

    Lyons said that while the respondents believed the links between social networking and alcohol promotion were pleasurable, fun and exciting, they were not aware of how closely aligned the marketing of alcohol had become with their online usage.

    "For example, many participants see themselves as 'savvy' online in respect to alcohol promotion and yet they spend time on alcohol brand sites, 'friend' them on Facebook, and engage in online interactions (such as playing alcohol-centred games or posting photos)."

    Drinkify is a website that matches a person's musical tastes to particular drinks. A new iPhone cover has been designed to double as a bottle opener and it comes with a free app that counts how many bottles have been opened, and plays selected music each time it is used, Lyon said.

    Why men start losing interest in sex


    Let's face it. In today's fast-paced world, priorities keep changing all the time. Stress at work, problems at home, managing relationships, all this can take a toll on the best of men. But when it starts affecting you in the bedroom, it's time you realized you have a problem.

    There are several reasons why men start losing interest in sex.

    Consulting psychotherapist and counsellor Dr Minnu R Bhonsle says, "The modern day man is constantly engaged in competitive strivings, aiming to achieve and sustain the good life with more material comforts and luxuries." says Dr Bhonsle.

    "This ambition, inner demand and drive to have more, cause stress hormones like adrenaline, noradrenaline and cortisol to be released in the body continuously, building pressure on the body-mind mechanism and affecting one's sex life."

    "Employers squeezing every ounce of your energy out in return for huge salaries, performance evaluations, a high pressure job environment with ruthless colleagues, crazy deadlines and targets, with the fear of being laid off constantly hovering, is a huge stressor, which takes a toll on one's sex life"

    Stressors
    Most men worry about whether they will be able to satisfy their partner. Such thoughts affect sexual performance. If the woman is aggressively demanding and taunting him about the lack of sex, his anxiety levels and the subsequent psychogenic impotence get aggravated.

    Other stressors include loan repayments, credit card debts, subscribing to 'enjoy now pay later' schemes, explosion of consumerism and need for instant gratification.

    Life brings its own set of stressors that can take a toll on one's sex life. If there is unresolved anger and resentment between a couple, if the man feels caught between family squabbles, if the health of parents or children is a matter of concern, this leaves little or no space for sexual feelings to arise.

    Physical stressors like chronic illnesses, obesity, fatigue, insomnia, excessive drinking and smoking and a general lack of fitness have an adverse effect on one's sex life.

    Gynaecologist Dr Suman Bijlani says, "If you're wondering what is making your man avoid physical intimacy, you need to find out what is bothering him. Stress, unrealistic expectations, monotony or even your attitude could be reasons. Are you unknowingly intimidating your partner? Do you genuinely express admiration and appreciation for him? Is your hygiene up to the mark?"

    "Much as women undergo an abrupt change during menopause, some men may experience a decrease in sex drive and a general decline in energy levels in their 50s and 60s, what is known as 'andropause'," says Dr Bijlani.

    Certain drugs used in the treatment of high blood pressure, epilepsy, depression, high cholesterol and others, can also be culprits. If your man shows an abrupt decrease in drive after starting a new medication, consult your doctor.

    Depression can also cause loss of libido and confidence. Fertility stressors and demands of planned intercourse during the course of fertility treatment can dampen gusto, too.

    Each man's sex drive may differ at different stages in life. His libido is subject to variation in response to the demands of the various events in his life, the state of his mind and your relationship. Lift off the pressure. Chill and let him relax too.

    Cure
    Clinical psychologist and psychotherapist, Varkha Chulani says that psychosexual aspects unfortunately are rarely considered when it comes to a man's sexuality. "The importance of what a man thinks can't be emphasised enough. If a man has a nag of a wife or a pest in a partner, how can his juices flow? Instead of feeling sensuous, he's irate, dissatisfied and grumpy. Emotional well being in relationships determines to a large extent the sexual wellness.

    The overall
    relationship needs to be examined - how does the couple relate to each other in non-sexual aspects? Is there constant strife, discord, bickering? Does the man constantly feel criticised, blamed, unappreciated. If the man is using sex as a weapon or as a tool to settle scores bring it to his notice.

    "Teaching him better coping strategies and taking professional assistance may help. Keeping romance alive requires hard work. Innovating, experimenting, talking about preferences and what gets him turned on is one way. Do not have some unrealistic benchmark about how long you should last, how hard you should be or how often you should have sex. This is no competition - not with another and definitely not with you!" says Chulani.

    Some dos and don'ts to cope
    - Express love in non-sexual interactions. Do not pressure him.
    - Communicate. Don't accuse.
    - Work on yourself and the relationship. Don't feel guilty.
    - Understand. Don't sympathise.
    - Initiate and experiment. Don't dominate.


    For first time parents


    The first year of your baby's life can be an overwhelming and exciting one. Don't expect to be great and perfect at everything you do - everyone learns from scratch. Here are some of the most common mistakes that parents make during their baby's first year and how you can avoid them...

    Getting anxious over everything
    It's OK if your baby is spitting, vomiting or crying. Don't get stressed over it all the time. Your baby's bowel movements will get normal soon. Don't worry if your baby is spitting too much of if he/ she is getting enough to eat or whether the crying is more than usual. Pose all your doubts to your pediatrician and put your fears to rest.

    Worried about crying
    No matter what, your baby will cry - it does not mean that you're doing something wrong and that you need to fix it. Babies are designed to cry. You can change your baby's nappy, wrap them up, feed them and they might still cry. Don't freak out - more often than not, crying is just part of being a newborn. However, if you baby cries inconsolably for more than an hour, call your doctor.

    Waking your baby up for milk
    Your baby will cry for milk when he/ she requires it. Avoid waking them up in the middle of the night just because you think they might be hungry. Breastfed babies can sleep through the night. If they need milk, they will wake up themselves. Don't spoil your own or your baby's sleep if feeding isn't required.

    Confusing vomit and spit up
    All babies spit up. Don't think that they're throwing up their meal. If your baby is vomiting at regular intervals (around 25 to 30 minutes), something could be wrong.

    Fixing a car seat
    Taking your three-month-old baby out for a drive may seem like fun but make sure that the car seat you've installed is fixed properly. Ask for help if you aren't sure. It's better to be safe than sorry.

    Forgetting oral care
    Just because your baby doesn't have teeth, doesn't mean they don't need oral care. Take a soft cloth and gently dab your infant's gums. Once teeth start erupting, avoid giving your baby a bottle in bed. This will help avoiding cavities or baby bottle decay. You can start using a soft tooth brush meant for babies when your child turns one.

    Arguing with your partner
    Remember that parenting is a shared partnership. While taking joint decisions are fine, don't try to put your partner down by making them feel they are inadequate and don't neglect your marriage either. While you both focus on the new baby, don't forget that you're also a couple. If you find yourself arguing a lot with each other, remember that even a four-month-old baby can pick up vibes.

    Listening to all and sundry about parental advice
    How many people have advised you on how to hold your baby, how to feed and burp him/her, why your baby is crying and how he/she should be bathed? While suggestions are always welcome, don't act in haste and do what everyone has to say. Your child is unique - what works for another child may not work for yours.