Cricket and the rise of the 'D' word!

'Depression doesn't care who it attacks: if it wants you, you cannot beat it off with a CV or a bank balance' - Marcus Trescothick

 I am writing this post in the wake of the recent events in the ongoing Cricket World Cup 2011, where an English Cricketer withdrew from the team because of depression. Michael Yardy, the left arm spinner from the England squad left the camp last week citing depression. It was so brave and honest of him to have come forward and accept the situation and letting it know to the authorities. But this is not the only event in which sports with the cruel and demanding image it has today, has taken its toll on the mental health of the athletes.

(Courtesy: Internet)

The 30-year-old Sussex man, who has played a bit-part role during the tournament but has been a regular on the one-day scene over the last two years, is flying back to England immediately after discussions with the squad's medical team. But Yardy was not the only English cricketer to feel the blues. Marcus Trescothick, the Ex-English opener too failed to beat depression  during his 2006 tour of India, which lead him to take a decision to quit his international career in 2008, cowed into submission by what he called the “black wings” of stress, sleeplessness and psychological torture.

The erratic schedule and the huge burden of expectations with lack of quality time with the loved ones have all contributed in players confronting their demons every now and then. The simple fact that Yardy spent only 4 days at home with his wife and the two kids in a span of 5 months explains the apathy of these brave sportsmen. I call him brave because Yardy did not try to beat around the bush by faking injuries or feigning illness. Instead he uttered the 'D' word with courage and honesty.

Graham Thorpe and Phil Tufnell were also the victims of the curse of Cricket. It is said that Tufnell had even spent a night in the psychiatry ward during the Ashes tour of 1994-95. Lou Vincent, who made a century on debut for New Zealand against an Australian attack containing Glenn McGrath and Shane Warne, also dropped out of top-class cricket because of depression.

Cricket today is such a game where the players spend more time with their team mates than their own families. Moreover, the uncertainty and the huge pressure to fight for your place in the playing eleven, especially in teams like India, South Africa, Australia who boast a terrific bench-strength, sometimes tears at the nerves. It has become a one-cap wonder game. One match you play good, you are the apple of so many eyes. The very next match you under perform, and you are on the hit-list of many. Though sport is all about showing your strengths and not your weakness, burning out of the cricketers due to a crazy schedule is becoming a serious issue today. Self-doubt, loneliness and home-sickness are the demons that these cricketers are confronting in this mad world of cut-throat competition.

But I believe there are more Yardys and Trescothicks in other teams too. And they are certainly not going to be the last ones. It is high time that constructive steps are taken into considerations, so as to avoid such circumstances. People like Geoffrey Boycott, should not criticize and overlook such new problems the current generation of cricketers are going through. These oldies need to realise one thing, that cricket has changed drastically today. It was very insensitive on Boycott's part to have correlated Yardy's confession of being depressed with his cricketing abilities. 

Depression is just like any other illness. It has nothing to do with the 'strength' or 'weakness' of one's mind. It is due to an imbalance of neurotransmitters in your brain that are responsible for your mood in your day to day activities. Comments like 'Pull yourself together mate' or 'Cheer up boy' will not serve any purpose. Once depression attacks someone the only way out is to seek professional help and even more importantly accept it honestly. Yardy did it with courage. Hats off to him. Wishing the man a speedy recovery...

Do not forget... 'Everyone is vulnerable!'

Liver or 'Lover'? Alcohol kills both!

William Shakespeare once said, 

"Alcohol provokes the desire but takes away the performance"

(Courtesy: Internet)

It is perfectly true that medically it is advisable to have alcohol in small amounts especially the red wine, as it increases the HDL which is the 'good' cholesterol. When in moderate amounts, it is also seen as an aphrodisiac, thereby increasing the libido during sex by removing the sexual inhibitions and intensifying the feelings of well-being and sexual satisfaction during intimacy. But the catch word here is 'moderate'. Overconsumption often leads to the culmination of the euphoria and thus results in the impotence that follows later. So how is alcohol and impotence connected? And what are the symptoms?

I have already discussed how Smoking may lead to impotence. Impotence is when the man is not able to maintain his erection sufficient enough to complete his act of sexual intercourse with his partner. The erection is lost much prior to ejaculation. It only includes the lack of sustaining the erection and not any other problem like failure to ejaculate, loss of libido, etc.

There are many theories why excessive alcohol can cause impotence. 

1. Long term alcohol abuse can result in interference in the signal pathways between the brain's pituitary gland and the genitals. This system is responsible for engorging the penis with blood by dilating the blood vessels in the penile architecture.

2. Some physicians also believe that the alcohol abuse can cause damage to the nerves of the penis thereby hindering the sensory input during the intercourse which is essential for the erectile mechanism to initiate.

3. After initial euphoric stimulation of the brain's libido center, excessive alcohol further causes inhibition of the center, thus reducing the sexual desire terminating the sexual pleasure. Concentration and judgement become cloudy as the brain is suppressed by the inhibition through alcohol and physical activity and movement are also impaired.

4. Many scientists believe that alcohol has a deleterious effect on the testosterone producing capacity of the cells in the testis. Testosterone is the masculine hormone that is responsible for differentiating a man from a woman.  Low levels of testosterone thus diminishes the sexual drive and function.

5. Heavy drinkers are often associated with co-morbid psychological conditions like depression, stress and anxiety. This makes them all the more susceptible to impotence. It is a vicious cycle in this case leading to the aggravation of the physical and psychological deterioration in their health increasing the chances of impotence. 

6. Since alcohol has a really bad effect on the liver, the body may develop chemical substances within the skin that create inflammation as well as irritation which will make sexual activity so uncomfortable that the psychological effect may cause your body to disassociate with intimate contact. Cirrhosis will even cause hypogonadism which atrophies a mans testicles, also reducing or even ruining the lovemaking drive and/or performance.

So what do you do when you end up with alcohol induced impotence?

a. Firstly you need to acknowledge that the problem exists and that Help is available. Early intervention can almost cure the disorder with effective co-operation between the physician and the patients themselves.

b. It is always advisable to just avoid alcohol when its time for intimacy or before your love making. Alcohol being a depressant, lowers blood pressure making it tough to stay in rigidity while keeping focused. Since alcohol constricts the bloodstream, particularly the smaller capillary routes, there is certainly much less awareness within the sensors which support erectile performance.

b. There are medicines available such as Viagra which can be prescribed by the physician after taking into consideration, the etiology, the risk factors and the benefits of starting the drug. 

c. If the impotence is as a result of physical damage to the vessels of the penis or the nervous system there are injectables that your doctor may offer you for correcting the impotence. 

d. Alcoholic induced impotence can best be addressed with a lifestyle adjustment. When one cannot remove drinking completely, one could at the least cut it right down. A 50% decline in drinking can give significantly enhanced efficiency potential. Changing to a more gentle kind of alcoholic drink, such as wine beverages, may also assist the return of sexual performance if this continues to be the main reason for impotence

So think ahead before sipping that glass before making love, because you may not just kill the liver inside you but also the 'lover' inside you...

(The above post is written only from informative point of view. Kindly do not consider it as a prescription. Talk to your physician for further details of the treatment discussed here.)

Are you addicted to Pornography?

What is pornography? Wikipedia states it is the portrayal of explicit sexual subject matter for the purposes of sexual excitement and erotic satisfaction. With the advent of the internet and in the age of YouTube, the current young generation have an easy access to free sexual content at the click of a button. There are hoards of websites scattered around the internet that provide ample of free uncensored sex related media that ranges from free pictures, watch videos, mms, movies and free webcam chatting too. Today in India even a schoolboy knows what 'XXX' stands for. In the land of Kamasutra, it wasn't long when 'desibaba' was a huge sensation in the adolescent minds, which has now given way to 'Savita Bhabhi'.

Porn: Good or Bad?

But it waits to be seen that whether pornography and the associated internet addiction does really have any effect on the psychology of these young minds. Some believe that pornography is not that bad as it is an healthy outlet for one's sexual needs. But most other psychologists are of the opinion that pornography can contribute to a distorted view of sex and unhealthy personal relationships. Medically speaking, some psychiatrists believe that this porn addiction can be a cause or an effect of depression, anxiety and bipolar disorder as well.

Love and Porn:

For a person to have a good mental health, love plays a very important role. But the uncensored sexual information that is relayed across the websites often depict the sex partner as an object of exploitation. Instead of looking at sex as a way to develop an emotional bond between the partners, a wrong message is usually passed through that it is all about reaching the big 'O' someway or the other. Love helps develop emotionally satisfying sexual relationships.

Whereas while indulging in Pornography it is usually one-sided. There is complete absence of emotional angle to it. It is usually followed with masturbation and hence can further push the subject into loneliness and depression. Low self esteem is often a sequelae. Clinical studies have proved a possible correlation between masturbation and depression in individuals. 

Relationships and Pornography:

Watching porn excessively not only alters sexual attitudes but also behavior. It is seen as a major threat to marriage, to family, to children and to individual happiness. In undermining marriage it is one of the factors in undermining social stability. Married men addicted to porn are found to be emotionally less interested in the real conjugal relations with wives and feel less satisfied. This gives way to infidelity and divorce collapsing even long relationships.

Psychology and Pornography:

Neuroscientists around the world have begun mapping the biological substrate of this unique addiction. It is found that an individual tends to become desensitized to the type of pornography they use. Eventually they become bored with it and then seek more perverse and more hardcore forms of pornographic content. Regular porn watchers have an increasing tendency towards abnormal and criminal sex behavior like rape, sexual aggression and promiscuity. Women are often seen as 'sex objects' by such men. The high risk behavior that follows often result in the individual getting exposed to STDs and legal issues like out-of-wedlock births, pulling them into a vicious cycle of stress and depression related debilities. 

Pornography and Help:

The main defenses against pornography are close family life, a good marriage and good relations between parents and children, coupled with deliberate parental monitoring of Internet use. The best way to deal with any kind of addiction is to seek the help of a qualified therapist. Though neither sex addiction nor porn addiction is considered an official mental disorder, they are definitely categorized under compulsions that can have serious effects on one’s sexuality and thus can be detrimental to social functioning.

So keep a check on yourself, the next time you type XXX in the search bar...

Are you really depressed?

Most of us feel sad in our daily life. Its not unusual for someone to feel the 'blues' now and then. But then what exactly falls in the criteria of being 'depressed'? Let me put up a few points for you to help you identify the signs and symptoms of Depression. Do NOT stop reading further! Even if you feel you are strong enough mentally to not 'encounter depression at any point ever', I insist you to go through this once, as it might help you help your dear ones or friends in their low times. I would specifically write focusing on the younger teen-agers who I feel are the most vulnerable lot during this exam season.

(Courtesy: Internet)

Being sad is not unusual but being sad most of the time is. The phrase 'most of the time' medically suggests a period of at least 2 weeks of sustained sadness of mood. If this sadness is often giving you problems with your studies or your performance in schools/colleges, your behavior at home or with friends or getting addictions like alcohol, smoking or problems during sex, then most probably you are going through DEPRESSION. To put it in a simpler way to help you identify I am putting down a check list below with criteria for depression. Remember that the following symptoms should not be secondary to any other medical condition.

1.You feel depressed most of the day, nearly every day like feeling empty or feeling sad. In younger age and children this may rather manifest as irritable mood. 

2. a significant decrease in interest in activities which used to be pleasurable before. 

3. a marked decrease or increase in weight or appetite. (>/= 5% of baseline body weight) 

4. inability to sleep or excessive sleep pattern 

5. feeling tired/lethargic most of the day, almost everyday. 

6. often feeling 'I am worthless' or excessive or inappropriate guilt about something. 

7. psycho-motor agitation/retardation : restlessness or slowing down while performing activities or doing mental work. 

8. inability to think rationally or finding it difficult to take any decision on your own. 

9. Lastly... recurrent thoughts about death and not just fear of dying, thinking about suicide with or without  a plan ready.

So if you check at least 5 out of the above 9 criterias, you are just one of the ten people in this world who are going through Depression. But as you can see, by that statistics, Depression is really common in todays world. At least 4 percent of adolescents get teen depression each year. But the good news is that you have treatment  ready and if you take early interventions, you need not worry much about the duration of the treatment or relapses.

(Courtesy: Aasra)

If you are depressed, please TALK to someone! It is very important to talk and ventilate yourself. There are many people out there waiting to LISTEN to you. The sooner you do this, the better. You can yourself visit some mental health professional or take someone's help, someone whom you trust the most, your family member, your friends, your teacher. Remember there is always some help around you. You need not feel ashamed of what you are going through, however down your life takes you. They say, "If you are going through hell... still Keep going!"

Having depression doesn't mean you are mentally 'weak', its just another ailment which needs 'treatment'. Some may require psychotherapy, some may need medicine and some need both. Your Psychiatrist, unlike few years ago, has many choices to choose the right medicines today with minimal side-effects. Anti-depressants are no longer always 'sedatives'. Psychopharmacology is an upcoming trend today. Needless to say, if you know someone who might be going through depression, please step forward and offer help. If directly helping doesn't work, talk to an adult related to that person whom you can trust. 

Why do people get depressed? The answer is a huge one. There are many causes for depression just like any other medical disease like diabetes, heart disease or say liver disease. Mental disorders are different only in the aspect that they affect your day to day activities and their management requires a psycho-socio-behavioral approach and not just an individualistic one.

I hope this article helps those who need help and also for those who are willing to help... Remember,

"We cannot help everyone, but Everyone can certainly help someone."