Yearly Archives - 2025

A Closer Look at Depression

Depression is a profound feeling of hopelessness that can make it seem like nothing matters, significantly affecting one’s ability to function in daily life. Whether it’s school, work, or social interactions, depression can make even simple tasks—like getting out of bed—feel as daunting as climbing Mount Everest.

As a mental health professional, I want you to know that you don’t have to face this mountain alone. Reaching out for help is a sign of strength, not weakness, and it can provide you with the tools and support needed to make the climb easier. Remember, it’s okay to take small steps. You’ve got this, and together, we can work toward brighter days.

Warning Signs

There are several key signs that may suggest you’re dealing with more than just occasional sadness. As a mental health professional, I believe it’s important to recognize these indicators to address them effectively.

According to the American Psychological Association, symptoms of depression can include:

• A persistent low mood that lasts all day, every day, for an extended period.
• Significant weight loss or changes in appetite without intentional efforts.
• Persistent fatigue or lack of energy, even after adequate rest.
• Feelings of worthlessness or excessive guilt.
• Difficulty concentrating or making decisions.
• Recurring thoughts of death or self-harm.

If you recognize any of these symptoms in yourself or someone you care about, please know that help is available. You don’t have to face this alone—there are effective ways to manage and overcome these challenges.

Overcoming Depression: Steps to Take

Depression can make you feel isolated and alone, but you don’t have to face it by yourself. I’m here to remind you that support is available, and you are not alone in this journey. Together, we can work through these challenging times.

Here are a few ways to begin addressing your feelings of sadness:

1. Reach Out for Help

Connecting with someone you trust can make a significant difference. Talking to a real person can provide immediate relief and help you explore long-term strategies to lift yourself out of the darkness.

2. Prioritize Self-Care

When you’re feeling low, even basic self-care can seem overwhelming. Start small—focus on one task, like eating a meal, getting dressed, or taking a shower. Choose one thing, and take it one step at a time. Small victories add up.

3. Open Up to Someone You Trust

Depression often makes social interactions feel difficult, but maintaining connections is a powerful way to heal. Reach out to a friend or loved one. Start with a simple text, such as:
"Hey, I’ve been struggling lately and could use some company. Are you free to catch up?"
Letting someone in can provide comfort and support when you need it most.

4. Seek Professional Help

Remember, mental health is just as important as physical health, and sometimes, professional guidance is necessary. Talking to a mental health professional can help you develop a tailored plan to manage your depression. It’s never too early to seek help, and reaching out could unlock the tools and resources you need to feel better.

Taking the first step can feel daunting, but it’s a step toward healing. You’ve got this, and I’m here to help you along the way.

Types
Some of the frequently encountered types of depression are:

As a mental health professional, I’d like to share insights into some of the most common types of depression. Understanding these can be the first step toward finding the right support and treatment:

1. Major Depression

Major Depression, as identified by the National Institute of Mental Health, is the most common form of depression. It involves experiencing symptoms such as feelings of worthlessness, guilt, and a loss of interest in activities you once enjoyed, lasting for two weeks or more.

2. Bipolar Disorder

While Bipolar Disorder is distinct from depression, it often includes depressive episodes. These are characterized by mood swings, where you may go from extreme highs to very low periods of depression. Recognizing these patterns is key to effective management.

3. Postpartum Depression

The hormonal changes that occur after childbirth can sometimes trigger symptoms of depression. Postpartum Depression is more than just the "baby blues"—it’s a serious condition that requires care and attention. If you’re struggling, please don’t hesitate to reach out for help.

4. Premenstrual Dysmorphic Disorder (PMDD)

PMDD is a severe form of depression that some women experience in relation to their menstrual cycle. It’s more intense than typical PMS and can impact both the mind and body. Understanding the hormonal link can help guide appropriate treatments.

5. Seasonal Affective Disorder (SAD)

For some individuals, changes in seasons, particularly the transition to winter, can bring on feelings of depression. This is known as Seasonal Affective Disorder (SAD). The shorter days and colder weather often contribute to these symptoms, but you don’t have to wait for the next season to feel better—professional help can make a difference.

If you recognize any of these patterns in yourself or a loved one, remember that help is available. These conditions are treatable, and early intervention can lead to significant improvements.

What Contributes to Depression: Causes and Risk Factors

When it comes to depression, several factors can increase the likelihood of experiencing this condition. As a mental health professional, I want to help you understand some of the key risk factors and causes:

1. Family or Personal History

Your personal or family history can play a significant role in the development of depression. If you’ve had previous episodes of depression or if there’s a history of mental health conditions in your family, your risk may be higher.

2. Major Life Stressors

Significant life changes or stresses—such as the loss of a loved one, the end of a relationship, moving to a new place, or changing careers—can trigger depression. Trauma or difficult experiences can also be contributing factors.

3. Chronic Health Conditions or Medications

Living with chronic illness can increase your vulnerability to depression. Additionally, certain medications used to treat various conditions can have depression as a side effect. It’s important to speak with your healthcare provider if you suspect this might be a contributing factor.

4. Drug and Alcohol Use

Substance abuse, including alcohol and drugs, can both contribute to and worsen depression. Addiction can interfere with the brain's chemistry, making it harder to manage depressive symptoms.

5. Gender and Age

Women, particularly those in their late teens to early 30s, are at an increased risk of depression. Hormonal changes, societal pressures, and life transitions during this time can all contribute to vulnerability.

If you recognize any of these risk factors in your own life, it's important to take proactive steps. Understanding the causes can help guide treatment and lead to a more effective approach to managing depression.

Effective Approaches to Treating Depression

Depression, even in its most severe form, is treatable. The earlier you seek help, the more effective the treatment. Typically, treating depression involves a combination of therapy and medication. Additionally, there are other important factors to consider when managing depression:

1. Exercise Regularly: Physical activity can significantly boost mood and reduce stress.
2. Prioritize Sleep: Establish a consistent sleep routine for better mental health.
3. Stay Connected: Spend time with loved ones and accept help when needed.
4. Be Patient: Understand that improvement will take time, and progress may be gradual.
5. Stay Informed: Work with your doctor to learn what helps and what doesn’t.
6. Consult Your Doctor: Discuss your feelings and explore treatment options with a healthcare professional.

By combining these strategies with professional treatment, you’ll be on the right path to managing your depression.

Contact Us for more information
Dr. Praveen Godara
(MBBS, M.D. Psychiatry)

We've all experienced loneliness at some point—whether it's being left out of a gathering, feeling forgotten by friends, or simply not having found your close circle yet. It's normal to feel lonely from time to time. However, when loneliness lingers, it can take a serious toll on your mental well-being.

Indicators of Loneliness

When the feeling of being alone and disconnected lingers for long periods, even while surrounded by others, what might start as quality, rejuvenating alone time can transform into crippling loneliness. Chronic loneliness can lead to:

• Low energy or brain fog

• Difficulty falling asleep or staying asleep

• Loss of appetite or disinterest in food

• Increased alcohol or drug use

• Feelings of hopelessness, worthlessness, or deepening depression

• Heightened anxiety

• Frequent illnesses or feeling run-down

• Physical discomforts like headaches, stomachaches, or muscle tension

• Compulsive shopping or excessive attachment to material possessions

• Spending excessive time binge-watching television

The Various Faces of Loneliness

If you’re feeling lonely, the chances are you are actually not alone in that feeling. In fact, loneliness is so common that researchers have classified the feeling into three main categories:

• Situational Loneliness – This type of loneliness often arises when there’s a significant change in your life. It could be starting at a new school, moving to a new place, or adjusting to a new routine. These shifts can make it hard to connect with familiar faces and places. The good news is that, with time, as you adapt to these changes, this feeling of isolation usually fades.
• Developmental Loneliness – You might start feeling like everyone else is moving forward in life—getting promotions, starting families, or achieving milestones—while you feel stuck or left behind. This sense of being overlooked or not progressing as others can trigger feelings of loneliness and isolation. It’s important to remember that everyone moves at their own pace.
• Internal Loneliness – This is a bit tricky because it happens even when you’re surrounded by people. You could be at your favorite hangout spot, with friends around you, yet still feel an overwhelming sense of loneliness. Internal loneliness often stems from feeling disconnected from the world, even in social settings, and is more about how you perceive your relationships rather than the reality of being alone.

Root Causes of Loneliness

You might be going through a significant change in your life, or perhaps the friends you once connected with no longer seem to understand you. Maybe you're struggling to find someone you can confide in. There are countless reasons why loneliness can surface. If you're unsure why you're feeling this way, reflect on whether any of the following events have occurred recently in your life:

• Moving away from family or friends can create distance and loneliness.
• Losing a loved one or friend may leave you feeling isolated.
• Transitioning to living alone can lead to loneliness.
• Difficulty meeting new people due to accessibility issues.
• Poor physical or mental health can increase isolation.
• Avoiding social situations because of fear of rejection.
• Retirement, job loss, or quitting a job can cause disconnection.
• Living in a foreign country or facing culture shock can amplify loneliness.
• Being in a geographically isolated area can make you feel cut off.
• Spending excessive time on social media can heighten feelings of loneliness.

Ways to Cope with Loneliness

Ask for help if you are feeling lonely. You can also try:

• Reach out to loved ones: In today’s connected world, it’s easier than ever to reach out to friends and family. Even if they’re far away, a simple message can remind them you’re thinking of them. You might say something like, “Hey, I’ve been missing you lately. How have you been?”
• Start small interactions: Sometimes, loneliness can be alleviated by small connections with people around you. Whether it’s the barista making your coffee or the familiar face you see at the store, greeting them with kindness can boost both your mood and theirs.
• Seek a community: Research shows that finding people with similar interests plays a key role in improving mental health. Try joining activities like group workouts, community clubs, or even attending local events. Platforms like Meetup can help you find people nearby who share your hobbies.
• Consider getting a pet: Pets are not only comforting but can also improve mental health by reducing anxiety and stress. Plus, pets can help you connect with other pet owners, whether through pet-friendly parks or social events, giving you the chance to meet new people while enjoying time with your furry friend.

"Reach out for support. You're not alone."

Contact Us for more information
Dr. Praveen Godara
(MBBS, M.D. Psychiatry)

There is no single cause of suicide, but certain risk factors and warning signs can increase the likelihood of an attempt. Recognizing these signs could help save lives.

What factors contribute to suicide?

According to Dr. Praveen Godara, suicide doesn’t stem from a single cause. It often arises when stressors and health challenges combine, leading to overwhelming feelings of hopelessness and despair. Depression, the most common condition linked to suicide, is frequently undiagnosed or untreated. Mental health conditions like depression, anxiety, and substance use disorders, when left unaddressed, significantly heighten the risk. However, Dr. Godara emphasizes that with proper management and support, most individuals living with these conditions can lead fulfilling and engaged lives.

Factors That Increase Suicide Risk

Risk factors are characteristics or conditions that increase the chance that a person may try to take their life.

Health-Related Risk Factors

• Mental health conditions: Depression, anxiety, bipolar disorder, schizophrenia, substance use problems, aggression, mood instability, or poor relationships.
• Chronic physical health issues: Persistent pain or debilitating conditions.
• Traumatic brain injuries: Physical damage impacting brain function.

Environmental Risk Factors

• Access to lethal means: Firearms, drugs, or other harmful tools.
• Chronic stress: Harassment, bullying, unemployment, or ongoing relationship struggles.
• Major life events: Rejection, divorce, financial crises, or significant losses.
• Exposure: To another’s suicide or sensationalised portrayals of suicide.

Historical Risk Factors

• Previous attempts: A strong indicator of future risk.
• Family history: Suicide or mental health conditions in the family.
• Childhood trauma: Abuse, neglect, or early-life adverse experiences.

Recognising these factors is the first step toward providing support and intervention.

Red Flags for Suicide Risk

When concerned that someone may be suicidal, pay close attention to any changes in their behavior or the appearance of entirely new patterns. These changes are particularly alarming if they follow a painful event, significant loss, or major life change. Many individuals who contemplate suicide show warning signs through their words or actions, and recognizing these signals can be crucial.

Warning sign: Talk
If someone talks about:

• Wanting to end their life
• Feeling hopeless or like there's no reason to live
• Feeling like they're a burden to others
• Experiencing unbearable pain or feeling trapped

Warning sign: Behavior
Certain behaviors may signal risk, especially following a painful event or loss:

• Increased use of substances like alcohol or drugs
• Searching for ways to end their life
• Withdrawing from regular activities or isolating from loved ones
• Drastic changes in sleep patterns
• Saying goodbye or giving away valued possessions
• Exhibiting aggression or fatigue

Warning sign: Mood
Individuals contemplating suicide often exhibit moods like:

• Depression or anxiety
• Loss of interest in things they once cared about
• Irritability or feelings of humiliation/shame
• Agitation, anger, or sudden relief as if they’ve found a solution
  

Contact Us for more information
Dr. Praveen Godara
(MBBS, M.D. Psychiatry)

Dr. Praveen Godara emphasizes that parents can approach suicide prevention much like they address other health or safety concerns for their children. By gaining the right knowledge, parents can better understand the factors that heighten the risk of suicide and identify the protective measures that offer the strongest support.

Should Parents Be Concerned About Teen Suicide?

Dr. Praveen Godara highlights that suicide among teens is a growing issue, frequently discussed in the news and portrayed in popular media. As a parent, you have a vital role in supporting your child’s mental health. By recognizing the risk factors and warning signs of suicide, being present and approachable, engaging in empathetic and caring conversations, and understanding that professional help is always available, you can make a meaningful difference in your child’s well-being. Your awareness and support can be life-changing.

How Can I Help Protect My Teen or Tween From Suicide Risk?

Dr. Praveen Godara advises parents to teach and model healthy habits for mental well-being, just as they do for physical health. Prioritizing your own mental health, discussing it openly, and seeking therapy when needed can set a powerful example for your child.

When children see you face challenges and learn from mistakes in an open and honest way, they begin to understand that it’s okay to struggle and grow. This helps them build resilience, compassion for their own missteps, and empathy for others. It also normalizes the understanding that life can be challenging and unpredictable for everyone at times.

Dr. Godara recommends checking in with your child regularly, beyond the routine of daily tasks like homework. Inviting deeper conversations can foster trust and connection. Guidance on how to approach these discussions is available on this page.

For children with a history of depression, anxiety, suicidal thoughts, self-harm, or substance use, Dr. Godara emphasizes closer monitoring and seeking professional support when needed, whether during critical periods or for ongoing care in chronic conditions

How Can I Tell If My Child’s Behavior Is Normal Teenage Moodiness or Something More Serious?

Dr. Praveen Godara explains that during puberty, changes in a child’s body and brain often lead to behavioral shifts, such as moodiness, irritability, and distancing themselves from parents. These are typically part of normal adolescent development. However, parents should be concerned if they observe signs of hopelessness, worthlessness, withdrawal from friends or activities, or thoughts and behaviors related to suicide—these are not typical aspects of teenage angst.

Dr. Godara advises parents to trust their instincts. You know your child’s usual patterns of behavior, how they react to frustration and challenges, and what their good and bad days look like. If their behavior seems to go beyond these norms, it may indicate deeper physical or mental health issues.

Engaging your child in open, compassionate conversation is essential. It helps you understand what they are experiencing and gauge the severity of their struggles. If your teen or tween’s sleep, energy, appetite, motivation, or ability to handle frustration does not return to normal within a few days, Dr. Godara strongly recommends consulting a GP or mental health professional to ensure they receive the appropriate support.

How to Talk to Your Teen About Mental Health and Suicide
It’s vital to approach conversations about mental health and suicide with sensitivity and care. As a parent, don't shy away from these difficult topics. Start by simply asking your teen, “How are you really doing?” or “Is there anything on your mind that you'd like to talk about?” This opens the door for a conversation without feeling forced.

When they share, listen deeply and without judgment. Resist the urge to immediately offer solutions. Instead, focus on understanding their emotions and perspective. Ask open-ended questions like, “What’s been going on that’s been tough for you lately?” or “Can you tell me more about how that made you feel?” These questions help your teen reflect and share more about their experiences.

It’s important to validate their feelings. Even if you don’t fully understand what they’re going through, acknowledging their emotions can make a huge difference. You might say something like, “I can see this is really weighing on you,” or “That sounds really difficult.”

Keep the lines of communication open, but don’t pressure them to talk before they’re ready. Let them know that you are always available to listen, without judgment. Reassure them that their mental health matters and that it’s okay to ask for help when they need it.

By creating an environment where your teen feels heard, supported, and understood, you are helping them feel less alone in their struggles. Let them know they can turn to you with anything, no matter how tough it may seem.

Approaching Conversations About Mental Health Across Different Age Groups

When it comes to discussing mental health and suicide, the approach should vary slightly depending on your child’s age group, but the core principles remain the same. At Sharda Neuropsychiatry Hospital, we emphasize the importance of adapting your language to suit your child’s developmental stage and level of self-awareness.

For younger children (ages 8 to 12), you may want to focus on how they’re feeling physically and emotionally. Ask about things like stomachaches, headaches, or if they’ve been feeling upset or angry more often. If you notice signs that they seem overwhelmed, hopeless, or trapped, it’s important to ask direct questions, such as, “Have you ever thought about hurting yourself or ending your life?” This helps open the door for them to express difficult emotions in a safe and non-judgmental space.

For older children and teens (ages 13 to 17), their level of emotional awareness typically increases, so the conversation can dive deeper into their perceptions and emotional struggles. At this age, they might experience mood swings, sleep disturbances, feelings of hopelessness, or a sense of being trapped. You can approach the topic by asking about these feelings: “Have you been feeling really down lately?” or “Have you been finding it hard to sleep or concentrate?” It’s important to explore their thoughts and listen attentively to their concerns, offering your support without judgment.

At Sharda Neuropsychiatry Hospital, we encourage parents to maintain an open line of communication with their children, tailoring the conversation to their age and emotional maturity. By using appropriate language and creating a supportive environment, you can help your child feel heard and understood, ensuring they know they’re not alone.

• Dr. Praveen Godara
  Sharda Neuropsychiatry Hospital

What to Do If Your Child Is Not Ready to Talk?

If your child isn’t ready to talk, it’s important to leave the door open for future conversations. Gently reassure them by saying, “Whenever you’re ready to talk, I’m here to listen and support you,” and “I won’t judge you, and I’ll always be here, no matter what challenges you face.”

Often, your child may open up when you least expect it. This might happen while you’re side-by-side, engaged in an activity, or even in a casual setting like the car. These moments can feel less intimidating, making it easier for them to express their thoughts.

When your teen starts to open up, be careful not to immediately offer solutions or say things like, “You should…” or “Why didn’t you…?” Instead, focus on listening and providing understanding. Your role is to offer support and patience, allowing them to share their feelings on their own terms.

What If I’m Concerned My Child Is Thinking About Suicide?

If you're concerned that your child might be struggling with suicidal thoughts, it's crucial to address your concerns directly. Don’t hesitate to ask them if they’re experiencing mood changes, increased stress, or having thoughts of suicide. Asking your child about suicide won’t increase their risk or plant the idea—it opens the door for you to offer support and let them know that you care deeply enough to have this important conversation.

You could say, “It sounds like you’ve been going through a lot lately. Has it ever felt so tough that you thought about ending your life?”

If your child indicates they’ve been thinking about suicide, take their feelings seriously. Listen to them attentively, and continue to offer care and support. You can say things like, “Can you tell me more about what you’re going through? I’m really sorry you’re feeling this way, and I want to understand more about how it’s affecting you. I’m here for you, no matter what. There’s no problem too big that we can’t get through together. I’ll keep supporting you, and we’ll make sure you get the help you need to feel like yourself again.”

It’s essential to talk about the importance of seeking professional help, especially if you believe your child may be at immediate risk. Reassure them that you’re there for them unconditionally, and you’ll ensure they get the support they need to navigate through this difficult time.