Mental Health Disorders (Credit: Canva)
How often do you hear people calling each other "psychopath"? Or how often do you witness people labelling themselves as "bipolar" or "depressed"? Quite frequently. Right? These are names of some serious, often life-threatening mental disorders which have been included in common vocabulary. Ayushi Jolly, a PhD scholar opined that "mental health disorders are not adjective to be thrown around."
Obsessive Compulsive Disorder (OCD)
Today, many people who are organized and prioritize santitation and hygeine, label themselves as suffering from OCD. However, in psychology, OCD is a long-lasting disorder in which a person experiences uncontrollable and recurring thoughts (obsessions), engages in repetitive behaviours (compulsions), or both. This condition can significantly impair daily functioning, leading to severe anxiety and distress. Without proper treatment, it can escalate, affecting relationships, work, and overall quality of life.
Depression
"I am so depressed, I act like it's my birthday everyday," these are lyrics from a chart-topping Taylor Swift song. However, the singer-songwriter has never been diagnosed for the same. Similarly, people throw away the term even at the slightest discomfort. But, this mental health disorder is life-thretening, serious mood disorder. It causes severe symptoms that affect how a person feels, thinks, and handles daily activities, such as sleeping, eating, or working. Note, to be diagnosed with depression, the symptoms must be present for at least 2 weeks.
Attention Deficit Disorder (ADD)
Any person who is high on energy and gets distracted easily could be heard saying "I'm suffering from ADD." In reality, ADD is a type of attention-deficit/hyperactivity disorder (ADHD) that's characterized by problems with concentration and focus. ADHD is a developmental disorder that can affect a person's daily life, including their ability to perform at school or work and their social relationships.
Bipolar Personality Disorder
Broke up with your partner? Chances are you'll end up calling them bipolar. The terms has also been used in various films and songs, sans the knowledge of it's seriousness. Formerly known as manic-depressive illness or manic depression, this condition is a lifelong mood disorder that causes intense shifts in mood, energy levels, thinking patterns and behavior. A person suffering from this disorder witnesses intense shifts in mood, energy levels, thinking patterns and behavior, for long periods of time.
Paranoid Personality Disorder (PPD)
Being "paranoid" has become more like a negative adjective among teens and young adults. However, a person who suffers from this condition is incapable of maintaining succesful relationahips. Paranoid Personality Disorder (PPD) is a group of personality disorders categorised under "Cluster A". A person with PPD thinks in odd or eccentric ways, and suffers from unrelenting mistrust or suspicion of others, even when there is no reason to be suspicious. This disorder usually begins in early adulthood and appears more common in men than women. People with PPD are always on guard, believing that others are constantly trying to demean, harm, or threaten them. People with this disorder also doubt the commitment, loyalty, or trustworthiness of others. PPD patients also might have difficulty relaxing.
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Breast cancer is the most common cancer among women in India. According to various estimates, it accounts for about 26% of all cancers diagnosed among women, with nearly 2,00,000 new cases estimated in India each year.
Family history is an important risk factor, as some women inherit genetic changes that can increase their risk of developing breast cancer. Hereditary breast cancers can result from inherited genetic susceptibility, including mutations in high- or moderate-penetrance genes. BRCA1 and BRCA2 are among the best-known genes associated with hereditary breast cancer. Therefore, knowing family history is important.
But the absence of a family history does not mean that women are free from risk. In fact, around 80-85% of breast cancer cases occur in women with no known family history. These are generally referred to as sporadic cases.
Breast cancer risk factors can broadly be divided into those that cannot be changed and those that can potentially be modified.
Among the non-modifiable factors are age and certain reproductive and hormonal factors. Longer lifetime exposure to hormones such as oestrogen and progesterone can increase breast cancer risk. Early menstruation, later menopause and having a first pregnancy at a later age are some factors associated with longer hormonal exposure.
Potentially modifiable risk factors are largely lifestyle-related and include alcohol consumption, physical inactivity, excess body weight (particularly after menopause) and tobacco exposure. Maintaining a healthy weight, staying physically active, avoiding tobacco and limiting alcohol can help reduce the risk.
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The five important warning signs include:
These signs do not automatically mean cancer. But they should not be ignored.
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If you notice any of these signs, particularly a new or persistent change in your breast, do not ignore it or try to diagnose it yourself. Seek medical evaluation promptly. A doctor will assess the breast and, if necessary, recommend what is known as a triple assessment: a clinical examination, breast imaging such as ultrasound or mammography, and tissue diagnosis when required. In selected cases, an MRI may also be recommended.
Tissue sampling may involve Fine Needle Aspiration Cytology or a core/true-cut biopsy. Together, these assessments help determine whether a breast abnormality is benign or malignant. It is important to distinguish this from screening. Screening is done in women who do not have symptoms, with the aim of detecting breast cancer at an early stage. When a woman has a symptom or notices a new breast change, she needs diagnostic evaluation rather than simply screening.
Finding a lump can understandably cause anxiety. However, most breast lumps, particularly in younger women, are benign. Common causes include fibroadenomas, breast cysts and fibrocystic changes.
Fibrocystic changes are often influenced by hormonal fluctuations. A lump may become more prominent or painful one to two weeks before menstruation and become smaller or less uncomfortable after the period. Some women may also experience a feeling of heaviness or tenderness in the breast.
An injury to the breast can also result in tissue damage and inflammation, producing a lump-like area. Therefore, a lump should not be assumed to be cancer, but neither should it be dismissed without appropriate evaluation.
Early detection can make a significant difference in the successful management of breast cancer. Women should remember that having no family history does not mean they are not at risk. At the same time, a breast lump or other change does not necessarily indicate cancer. The key is to know your own breasts, be aware of the warning signs and seek timely medical evaluation whenever a new or persistent change is noticed.
By Dr Megha B - Surgical Oncologist in Trichy - Breast, GI & Cancer Surgery Specialist, Kauvery Hospital
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ADHD may be less about an inability to pay attention and more about difficulties sustaining engagement with tasks, according to a US psychiatrist who has questioned whether the condition's name adequately captures its symptoms.
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition that affects attention, executive function, impulse control, and activity levels. It typically begins in childhood, with symptoms appearing before age 12, and frequently persists into adulthood.
According to the National Institute of Mental Health, ADHD symptoms fall into two primary categories:
Inattention: Difficulty sustaining focus, missing details, making careless mistakes, forgetfulness in daily routines, and struggling to stay organized.
Hyperactivity and impulsivity: Fidgeting, excessive talking, restlessness (including internal restlessness in adults), interrupting others, and acting without thinking.
However, Dr. Awais Aftab, a psychiatrist in Cleveland, Ohio, and clinical associate professor of psychiatry at Case Western Reserve University, has questioned whether the term “attention deficit” adequately captures the condition.
“The condition’s name notwithstanding, ‘attention deficit’ may be the wrong conceptual framing for ADHD,” he wrote in an article in The New York Times.
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Aftab argued that ADHD may involve difficulties with the brain's ability to assign importance to a task and sustain the effort needed to complete it, rather than simply an inability to filter out distractions.
People with ADHD can often concentrate on activities that interest them. The difficulty may arise when they need to maintain attention and effort over time, particularly when tasks are repetitive or offer little immediate reward.
“If attention is about the mind homing in on what’s relevant in a given moment, engagement is about keeping that spotlight pointed at the same target over time,” Aftab wrote.
His argument offers a different way of thinking about some of the everyday challenges associated with ADHD, including starting tasks, staying organized, and following through on activities that require sustained mental effort.
ADHD is often treated with stimulant medications, such as Adderall, which can help reduce symptoms and improve attention and impulse control.
Aftab argued that the effects of these medications may extend beyond attention itself.
“Stimulants create what looks like improved attention and focus, but they really do so by enhancing the salience of mundane activities – tricking the brain into assigning greater worth and significance to things like math homework and laundry,” he said.
Citing a study published in Cell that examined the effects of stimulants on the brain, Aftab suggested that the medications' effects on brain networks could support a broader understanding of ADHD. However, findings about how stimulants affect the brain do not, by themselves, establish that ADHD is primarily a problem of motivation or task engagement rather than attention.
Aftab also suggested that some patients may rely on medication to keep up with lifestyles that are not suited to their needs. This raises broader questions about how treatment, daily demands, and individual needs intersect, rather than suggesting that medication is unnecessary.
He also emphasized evidence linking ADHD medication use with lower risks of adverse outcomes, including death, self-harm, transport accidents, criminality, and addiction-related problems.
Credit: iStock
Joint pain in your 30s and 40s can stem from sports injuries, obesity, a sedentary lifestyle, muscle weakness, or repetitive strain. It can also signal arthritis, including rheumatoid arthritis and osteoarthritis, which can affect younger adults.
On World Arthritis Day, experts warned that joint pain that persists, keeps returning, or occurs with swelling, prolonged morning stiffness, or restricted movement should not be ignored. Sudden, severe pain in a hot, swollen joint—especially with fever—requires urgent medical evaluation.
Dr. Atul Shrivastava, Consultant, Orthopedics and Joint Replacement Surgery, Narayana Hospital, Howrah, told HealthandMe that chronic joint pain should not be dismissed as fatigue or the result of a sedentary lifestyle.
“Prolonged sitting, a sedentary lifestyle, weakened muscle tone, and sudden leaps in physical activity can all contribute to musculoskeletal pain without necessarily indicating the presence of arthritis.”
Dr. Rakesh Rajput, Head of Orthopedics, CK Birla Hospitals, CMRI, Kolkata, said, “Sedentary lifestyles, obesity, poor posture, sports injuries, nutritional deficiencies, and repetitive strain from daily activities can contribute to joint problems.”
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Occasional stiffness after waking up or sitting for long periods may result from inactivity or muscle strain. However, recurring morning stiffness accompanied by swelling, tenderness, or restricted movement warrants medical attention.
“Occasional stiffness after waking up or remaining in one position for a long time may result from inactivity or muscle and joint strain. However, recurring morning stiffness, especially when accompanied by joint swelling, tenderness or restricted movement, deserves attention,” Dr. Shrivastava said.
Morning stiffness lasting 30–60 minutes or longer may be associated with inflammatory conditions such as rheumatoid arthritis. Osteoarthritis can also cause stiffness after rest, which often improves with gentle movement. However, these patterns alone cannot confirm a diagnosis.
Other warning signs include:
Rheumatoid arthritis can affect the same joints on both sides of the body, particularly the hands and wrists, although symptoms vary. Persistent symptoms warrant medical assessment rather than reliance on painkillers or home remedies.
A suddenly hot, swollen, and severely painful joint, particularly when accompanied by fever, requires urgent medical evaluation to rule out a serious condition such as a joint infection.
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Knee pain can result from sports injuries, ligament or meniscal problems, kneecap-related conditions, muscle weakness, overuse, or early osteoarthritis.
Dr. Shrivastava said, “Knee pain in the 30s and 40s can have several causes, and arthritis is only one possibility. Pain may arise from sports injuries, meniscal or ligament problems, kneecap-related conditions, muscle weakness, overuse or early osteoarthritis. Identifying the cause is essential because treatment differs depending on the underlying problem.”
Excess body weight increases stress on the knees, while weak supporting muscles and sudden increases in exercise intensity can aggravate symptoms. However, appropriately selected, progressive exercise can improve muscle strength and joint function.
Persistent pain, recurrent swelling, locking, or instability should be assessed by an orthopedic specialist. Sudden severe pain, an inability to bear weight, or a hot, swollen knee requires prompt medical attention.
Treatment depends on the underlying cause and may include physical therapy, activity modification, weight management, and medication when appropriate.
Maintaining a healthy weight, strengthening the muscles that support the joints, staying physically active, and preventing injuries can help maintain joint health. Gradually increasing exercise intensity and avoiding prolonged inactivity may also help reduce strain on the joints.
Not all forms of arthritis are preventable. Persistent pain, swelling, or stiffness should prompt medical evaluation rather than self-diagnosis.
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