The normalcy till December 2019 is dearly missed by the people across the globe, with no restrictions, stepping out at any time of the day, be it to simply hang out with friends or to sit and have a little “me time” at the café. The sudden outbreak of the deadly virus has affected people of all age groups. The normalcy was an excuse for some to escape the toxic environment of home and take a break from the reality. Alas, 2020 wasn’t in their favour.

Since the lockdown had been implement worldwide, the aim was to eradicate the spread of the virus and eventually, the virus itself. Confining themselves at home, the mental health wasn’t given much of a thought, with the routine life coming to a halt altogether.

For children, they found comfort and pastime in extreme exposure in front of Television screens, and gadgets supporting the usage of internet. In a study it was found for such a prolonged exposure can lead to lower the child’s self-esteem with the internet proving out to lead in an addiction disorder in many. With limited external interaction, the “indoor pollution” can affect the development of a child and hence results in limited cognitive abilities. Internet is a home to cyberattacks as we as cyber bullying, henceforth, affecting the mental of a child. Therefore, the children plunge themselves in an ocean of depression, anxiety, avoidance behaviour and even PTSD. The same set of problems are faced by children who have been confined in the hospitals from being infected by the deadly virus, especially with the rise of reports in children being sexually harassed during the confinement, the child lives through a traumatic experience without anyone to turn into, apart from their family takes a toll on the child.

A drastic impact proved to be on students and adults living away from home and migrant laborers stranded in their temporary homes, for those living on rent, it put them in a tough situation for them to pay the rent before the regulation of work from home came into effect.  Most adults drove into the decoy of satisfaction by online pornography. The disruption in most people’s sexual lives persuaded the individuals to use such platform to cope up from the on-going stress of rendered jobless with a deadly virus outbreak, living afar from their beloveds, which sadly could lead to depressive symptoms.

Another age group drastically affected by this were the elderly and sick. For those who were assigned caregivers to look after the sick, now were rendered helpless and alone in their homes. Such people are also known to have a higher risk of acquiring an infection, and for those who continued with their jobs were left in wonderment if they weren’t the carriers of the infection which could affect them and their families.

This year also saw an alarming rise within the cases of Domestic Violence alone. Between March 25 and May 31, 2020, 3,11,477 complaints were recorded which were made by women. The complaints recorded within a 68-day period were higher than those recorded between March and May in last 10 years. Delhi and U.P. saw the highest number of complains, followed by Maharashtra, Tamil Nadu, Himachal Pradesh, Kerala and Andhra Pradesh. According to the data, 86% of women who were victims to the violence during that period never sought help, 77% victims didn’t mention the dreadfulness of the situation to anyone.  Women faced Physical, Sexual and even both. The highest number of sufferers documented were the ones who faced Sexual Abuse, which summed up to about 80.6 who never dared to tell anyone. For those who had reported the incidents were 14% but only 7% reached out to relevant authorities, but more than 90% of the victims sought help only from their immediate family.

A study was conducted by a team of researchers via an online survey which was proliferated over the social media between May 9 to May 15, 2020, using an anonymous Google form. The team used items like anxiety, depressive symptoms, symptoms of internet addiction, pornography addiction, experiences of hostility, changes in food and sleep habits, social empathy and relationship quality, to construct the overall picture of social and psychological experience during the lockdown period. They also conducted 14 qualitative interviews from May 10 to May 17, 2020. The subjects were self-selected by broad social media invitations. The survey included a total of 282 Indian adults, in which ¾ of people belonged to the age group of 30 years and younger. Following the figures, 88% were educated beyond the 12th standard about 81% were urban residents.

The concluded with depressive symptoms, higher amongst those who an addiction towards pornography. The presence of depressive and anxiety symptoms was expected and linked to a higher chance of self-reported sleep disorder and changes in food patterns. For those who were connected with their loved ones and shared their vulnerabilities shoed more social empathy and better social relationships.

The researchers concluded by stating, “To our knowledge, this is the first study to look at the differential psychological impact of the lockdown across different social groups in India. Our study also highlighted a few positive aspects of the lockdown, underscoring the increase in social empathy and strengthened social bonds among Indian adults.”

Image source-https://www.cedars-sinai.org/blog/hidden-symptoms-of-stress.html

It is out there to be serious about mental health these days, specially with the numerous cases of suicides which been rising. But how aware are the citizens of India about the exodus of children who have been victims of PTSD amidst the political insurgency for decades?

Kashmir, a pulchritudinous state of India, now declared as a union territory (UT) has been a victim of the political skirmish which has, in turn, diddled the indigenous beings of Kashmir leading to death of thousands of people including family members, sexual abuse, damage to property and various natural disasters, namely- earthquake and snowstorms. According to reports, majority of the people suffer from PTSD (Post Traumatic Stress Disorder). As the name suggests, the psychiatric disorder arises in wake of traumatic events. The events are digested and affect each person differently. 

In Kashmir, majority of the children are diagnosed with PTSD. The age group to which these children belong to were above 6 years of age and maximum belonged to 11-15 years of age. The children diagnosed with Abnormalities in brain electrical activity on electroencephalogram were also noted. Children with PTSD were found to perform poorly by affecting their attention, abstract reasoning and executive functioning. Children diagnosed with PTSD were detected in schools because of their behavioural changes and their deteriorate performances. Maximum minors affected belong to rural areas as compared to the urban areas.  Following the figures, 75% of the children belonged to the lower middle class, followed by middle class which entailed 25% respectively. 

Post-Traumatic Stress Disorder consists of risk factors which affects the children to a great extent; lower educations, lower intelligence, absence to social support, sexual harassment, lower socio-economic status, family history of psychiatry illness, multiple traumatic events- are some of the risk factors. Unfortunately, 49% of the children have been witnesses to death of a family member or close friends, followed by arrest, torture of a close relative or being caught up in cross-firing and hearing about the death of a close relative. It is absolutely unimaginable as to what the future of this country has to go through. Kashmir has been regarded as the place called “heaven on earth” but the heaven contains a hell within which largely ignored. Amidst this turmoil , the emphasis ought to be put on the psychological distress, a scar invisible yet the power of changing the entire personality of the human being, affecting the course of their actions and changing the outlook of life, for life.

The destruction of educational infrastructure, in addition to the unlawful detentions, leaves a lifelong impact on children, perpetuating a cycle of trauma, fear and bitterness. The literacy rate in Kashmir is 54.4% as compared to some parts of India, which have resulted in 65% 

The following 3 dimensions which were focussed were shown by the affected for a month which proved them to have paediatric PTSD- 

1. The affected re-experienced the event with deteriorate recollections in the form of dreams, flashbacks, with psychological and psychical distress.

2. They persistently avoided the stimuli associated with trauma that might recall the memories or events of the trauma.

3. There was also an increase in arousal in the form of hyper vigilance and exaggerated startled response, experienced difficulty in sleep, irritability.

In children older than 6 years, there was a repetitive play occurred in which themes or aspects of traumatic events were expressed. They also experienced frightening dreams without recognizable content, a dream which the minors aren’t able to express and even dissociative reactions (eg flashbacks) in which they felt the traumatic events were recurring. Such reactions may occur in continuum, and the most extreme expression of their feeling is expressed by complete loss of awareness of the present reactions.

The unfortunate events lead to persistent and exaggerated negative beliefs about the oneself, others and even the world. In other words, they express themselves by stating, “I am Bad”, “The world is bad and dangerous”, “My whole life is ruined” or “My entire nervous system is ruined”. This leads them to have distorted cognition about the cause and consequences of the events which leads them to blame themselves or others for it.

In order to recover from this the children are subjected to maladaptive method of coping. It was recorded that females prefer for maladaptive method of coping more than males who were associated with PTSD in Kashmir. Most of these patients were even aware what they suffering from and indulged in self-medication, for even somatic issues which included headaches, stomach aches, palpitations, breathlessness, anxiety, panic attacks, loss of appetite etc, which eventually leads to addiction. Popularly benzodiazepine, opioids, and cannabis. In contrast to world reports, alcohol was the used the least (4.8%).

Amidst this turmoil, the children residing in a place regarded as “heaven on earth” go through hell every single day. Not a single day can they have a goodnight’s sleep, a sleep without the fret of being a victim to the worst thought of never seeing the face of a family member anytime. three-year-old boy described the sequence of events leading to the killing of his grandfather. The minor had been subjected to extreme events, events from which even veterans aren’t able to cope up from.  

Picture reference: https://medium.com/@ovaiskarni /psychological-impact-of-armed-conflict-on-kashmiri-children-97c76e77bef1

Money never sleeps but humans do!

India can grow two-fold by simply sleeping more!

Sacrificing Sleep is the crazy frenzy ‘Habit’ to end up making big bucks in this productivity-obsessed world. Inadequate sleep not only hinders individual health and well-being, but its effects ripple into the economy.

In pursuit of chasing money and fame, people are fast forgetting the power of sleep- a biological necessity and body’s own way of recovery. Vitamin M (money) has become the globally understood language.

Who saw a time where sleep had to be advertised? In lust for monetary increments, we, so called ‘rational consumers’ have lost sight of all rationale.

 In India, 93% of the population is sleep deprived which increases risk of mortality and causes Type II diabetes, hypertension, low mood, depression, cardiovascular diseases etc. Japan incurs losses of around $138 billion and Germany of $60 billion as a result of lack of sleep.

If the United States, starts sleeping for 7 hours on an average, the economy could grow by $226.4 billion. Think about India.

If sleep has such huge economic impacts, why then is a rational human sacrificing this luxury?

The mismatch in trade-off between sleep and productivity leads to poor sleep. So, if you engrossed to be productive, be ready to spend that hard earned bucks on repairing your health. The problem of poor sleep is not restricted only to the working class, children and teens are spending more time on their fancy gizmos This has detrimental effects on health in two alarming ways – one, the light impairs eyesight and two, it leads to ‘gadget-addiction’ for which there is no known cure.

Sleep is the only mechanism through which information gets stored from our short-term memory to long-term memory. The three stages of sleep – light, deep and REM (rapid-eye movement) or the dream stage. Deep sleep aids physical recovery and REM - memory and mental recovery. Thus, cutting down on sleep affects us mentally and physically, making the labour force more and more unproductive.

The cost of this sleep debt is then ill health and lower productivity that culminates into billions of dollars’ worth economic losses. Individuals need to proactively ensure clean sleeping habits with consistent wake up times and combined with awareness camps in educational and corporate institution.

While the recommended sleep hours are said to be anywhere between 7-9 hours, this is not an arbitrary number, everyone is known to have his/her unique ‘sleep signature’. Some can make do with 5 hours of efficient sleep, while others may need up to 11 hours. Outliers exist in all walks of life, but this doesn’t take away from the fact that globally we are tending towards a sleepier planet. Time is money, and sleep takes up a substantial amount of time. More sleep could thus mean less money earned. We sleep less in order to do more, but people need to soon realize that this madness is only backfiring.

Sleep deprivation is a vicious cycle, sleep gets cut short due to various work-related stresses, poor mental health, obesity, sleep disorders, etc. This then causes further mental distress that results to prolonged sleep deprivation. The cost of this sleep debt is then ill health and lower productivity that culminates into billions of dollars’ worth economic losses. Individuals need to proactively ensure clean sleeping habits with consistent wake up times and combined with awareness camps in educational and corporate institutions. Who saw a time where sleep had to be advertised? In lust for monetary increments, we, so called the ‘rational consumers’ have lost sight of all rationale.