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January 21, 2021 By GOQii 2 Comments

Simple Ways to Overcome Depression

Overcome DepressionMost of us tend to feel low when things don’t work in our favor. At times, we give a 100% to a task expecting something good in return. When these expectations aren’t met, we succumb to negative thoughts and depression.

Depression drains you of energy and hope. At times, it makes you feel helpless. It makes any task all the more difficult. Depression becomes a problem when it fails to pass and we don’t fight back. Feeling low is a part and parcel of life and is completely natural. But if this feeling intensifies and stretches over weeks or months, it could become problematic.

Are You Really Depressed? 

It is important to identify whether we are really depressed or we are just upset. It is easy to work on it once you know for sure. If we are upset, it is just a matter of time and everything is normal. If we are in depression, the sinking feeling of helplessness, loneliness and other negative feelings can go on for weeks or months with no end in sight. Depression is unhealthy for your mind and body but you can fight it!

Simple Ways To Overcome Depression

  • Get Into a Routine: If you feel depressed, have a routine and follow it regularly
  • Start Small & Stay Focused: If you feel the work you are doing is too much, break it into small tasks. For instance, if you are unable to walk 10km at a stretch, start with 1 km and gradually increase it. Eventually, you will be able to complete 10km at a stretch
  • Talk to Your Friends: Talk to a friend you trust. You will feel relaxed and your thought process will change
  • Sleep: Depression leads to issues with sleep. We should aim for at least 8 hours of sound sleep
  • Eat Healthy: There is no diet that can fix depression. It is better to keep an eye on what we eat. If Depression makes you feel like overeating, then keep portion control in mind
  • Challenge Negative Thoughts: To overcome depression, a lot of work is mental. Change the way you think. We tend to leap to the worst possible conclusions when depressed. The next time you are feeling terrible about yourself, use logic as a natural depression treatment. Ask yourself why you are feeling this way? Is this really true? Can you do anything about it? Is it possible to let go? It takes practice to clear your mind, but in time, you can beat back those negative thoughts before they get out of control
  • Exercise: It temporarily boosts endorphins and makes you feel good. It may also have long-term benefits for people with depression. Regular exercise seems to encourage the brain to rewire itself in positive ways

The solution to a depression-free life is to use all the tools you can to get better. If you feel that your depression is getting worse, seek professional help. Needing additional help doesn’t mean you are weak, it is the most practical solution. It is completely possible to get lost in negative thoughts. Just remember that depression can be treated and you can feel better!

We hope this article helps you overcome depression. Do leave your thoughts in the comments below. For more on mental health and emotional wellness, check out Healthy Reads or tune in to LIVE sessions by experts on GOQii Play.

#BeTheForce 

October 2, 2020 By Anusha Subramanian 1 Comment

GOQii’s Mental Health Study Reveals 43% Indians Plagued With Depression

depression

The current Pandemic situation across the world has taken a toll on people and Indians are no different. It has led to fear, panic and anxiety among people. The corona-stress is taking a toll on the mental health of people world over. To add to it, social distancing – key and essential steps taken to curtail the spread, is leading to minimal human contact and negligible physical social connections. The pandemic has only intensified depression.

With the fear of losing livelihood and going out, insecurity for oneself and loved ones, anxiety, health scares and the overall volatile environment, stress levels are at an all-time high. Copious amounts of stress can lead to depression.

A recent study undertaken by GOQii indicates that 43% of Indians are depressed and are learning to cope with it. Another 26% Indians are facing mild depression, 17% face a more strenuous kind. It is concerning to note that 6% Indians are severely depressed, the study indicated.

How Has The Lockdown Affected Mental Health? 

The study was conducted by GOQii, across 10000+ Indians, to understand how COVID has changed lifestyle and how Indians are adapting to the new normal. This is a comparative study and highlights the glaring difference in lifestyle habits pre-corona and post lockdown. As per the study, a large section of the population has little interest in doing things in the current scenario.

There is a cause of concern with more than 59% of the population having little pleasure in doing things these days, out of which 38% have this feeling on a few days and 9% feel so more than half of the days. 12% of the population have little interest almost every day in these times.

“Anxiety is one of the symptoms of depression. Most people are anxious on various counts. For some it is about not having a regular routine as they did in normal times,” says Divya Thampi, an Emotional Wellness Coach on GOQii Play, the interactive video coaching platform. 

As a counsellor, she has found that for many individuals, it’s related to the work from home (WFH) situation. Work hours have invariably extended, there is lack of boundaries, lack of sleep, lack of motivation to work and lots of nervousness – all leading to anxiety.

Many are experiencing the ‘MEH’ feeling. This is an emotion that says a lot without saying much. It is a feeling where one has little interest in doing things, does not want to get up from the couch, wants to eat copious amounts of food and especially the urge to eat sugary things, procrastinating to do certain tasks that need to be done and many such things.

Key Insights of the Study 

As per the GOQii study, approximately 10% feel down and depressed more than half of the days or nearly every day.  The study further indicates that a large section of the population has little interest in doing things in the current scenario. There is a cause for concern with more than 59% of the population having little pleasure in doing things these days, out of which 38% have this feeling on a few days, 9% feel thus on more than half of the days and 12% of the population have little interest in anything almost every day.

The fact that there are no boundaries, no routine to follow and also that many have yet not been able to adjust to the new normal is creating problems for some. “Most people feel energetic when there is sense of purpose or a goal to achieve,” Thampi adds.

Counsellors and mental health practitioners say that from a pandemic perspective, the number of people reaching out for help is increasing and many are newcomers. The common feeling among most is that of ‘not feeling okay’.

Given The Situation, How Does One Cope With Depression?

What are the coping mechanisms that can ease the stress of those going through some or the other mental condition?

Coping mechanisms are varied. Under normal circumstances, walking in nature is advised, as it calms you and relaxes your mind. But in the current scenario, being indoors and not being able to step out is a challenge for many. Also, most look for a safe place to be able to talk to someone or their counsellors. Mental health practitioners say these days many are unable to do that. Given such a scenario what is the way out?

Thampi says, “When there a purpose or a goal set for yourself, you will be occupied to get that task or goal completed. Taking up something as a challenge works well as it gives you some engagement. Secondly, if you cannot go out, having plants around you is a good option as that is a connection to nature as well.”

Mental practitioners recommend that individuals in this condition should talk to people with whom they feel safe. One should also reach out for therapists if necessary. The positive factor is that people are reaching out for counselling. Counsellors and Mental Health practitioners echo one point that mental health is now being discussed openly by families, parents and even corporations. It is being taken seriously.

Mental health is an important part of overall health and wellbeing. It affects how we think, feel and act. It may also affect how we handle stress, relate to others and make choices during an emergency. We need more conversations around the issue and people need to realise its ‘okay’ to talk about it.  

October 29, 2017 By Trishala Chopra 3 Comments

How much cardio should you do?

 

cardio exercise

 

CARDIO- The only form of exercise which has grabbed everybody’s attention and why not, almost all the common activities are a form of cardiovascular exercise.

Whenever I ask someone about what exercise you do throughout the day- their reply is mostly WALKING. Hours of walking sometimes.

So, what does cardio include?

  • Walking (As already mentioned above)
  • Running
  • Swimming
  • Cycling
  • Aqua-aerobics
  • Aerobics
  • Zumba
  • Rowing
  • Boxing

I have seen people concentrating only on cardio exercises for years without any change in their routine. Some people consider themselves to be fit with simply walking.

Fitness is measured by different things and not just your overall structure.

As a part of your fitness routine, these 3 components are very important which is as follows: –

  • Cardiovascular exercises
  • Strength training exercises
  • Flexibility exercises

None of the components can be skipped.

All these 3 components are very important for a proper fitness regime.

The question which I always get is (which also became an idea to write this article) how much cardio should I do?

And my answer is (Always), you should actually ask how much of these 3 components I should do?

Well, I will be covering all these 3 components in 3 separate articles so for now, I will be concentrating on cardio.

So, going back to the question which I always get, I wish I had an answer to that which could be as simple as

Do 60 minutes a day or maybe 150 minutes a week!

But being a healthcare professional, I cannot give a generic answer.

In fact, that question has no specific answer.

The amount of cardio which should be done completely depends upon these 4 factors: – (Ps: – Please read all the factors before you come to a conclusion for yourself)

cardio ex1

(1) It depends on what you are aiming at.

Well, not everybody needs weight loss! Some people might be looking for muscle gain while someone else might need to run a marathon.

So, does that mean all of them will be doing 150 minutes of cardio per week?

Definitely not!

Along with the aim, you also need to know about your metabolism.

Metabolism is the rate at which your body needs calories while resting.

So, for a person who wants to lose weight will probably be needing a lot of cardio but for someone who wants to build muscle- the amount of cardio which you require completely depends on your metabolism. If you have a fast metabolism then you don’t need any cardio but if your metabolism is slow then you need to do some amount of cardio.

Someone who is into different sports like shot put or powerlifting or sprinting might require very little cardio.

Why am I targeting these 2 categories first?

It is because losing weight and gaining muscles are totally different things to talk about. For your body as well, it becomes a very confusing state because the body cannot do 2 things simultaneously. However, with proper training, it does become possible sometimes.

Then, what about fat loss? How much cardio should one do?

If losing weight is your only goal then it is okay to put your focus more on cardio and neglect the muscle gain part.

You just work on not losing muscles while you are losing your fat.

This can be achieved by 2 times a week strength training and adequate proteins in your diet.

What If someone is a marathoner? How much cardio should one do?

It also includes a good amount of cardio and minimum strength training but flexibility here is very important. It can all be divided throughout the week with a focus more on cardio and other endurance sports.

Although I don’t like putting anything in a restricted way I guess I can do with sharing some guidelines about the first factor which I have discussed in brief above so that it becomes easier for everyone to understand.

  • Building muscle + Fast metabolism = No cardio
  • Building muscle + Slow metabolism = 2-4 days per week with about 20-30 minutes every day.
  • Losing fat = 5-6 times per week with about 45-60 minutes every day
  • Marathoner= 4-6 times per week with about 30-60 minutes every day

*This is very generic; the requirement might differ in each person but this can be used as a guideline to work upon.

(2) State of your hormones

Well, the most common problem which most of us are facing is WEIGHT GAIN or UNABLE TO LOSE THE EXISTING WEIGHT which ultimately makes you hit the gym and your trainer will suggest you do cardio. He or she will decide the plan and everyone blindly follows that plan. But, do you think everybody needs exactly the same amount of cardio?

When your weight becomes a problem the hormone which comes into the picture is CORTISOL.

Cortisol is a hormone which is released all the time in the body but most commonly it reaches its peak under extreme stress. When the stress is often short-term like some assignment to complete or some exams to give then the graph of cortisol keeps fluctuating but when the stress becomes long term which goes on for months and years then the gland which produces cortisol is adrenal glands that starts burning out which means there won’t be enough cortisol which is produced. Well, none of this is good. Neither LOW nor HIGH. Everything goes well in balance.

So now that was about the theory, let’s understand how to practically apply it.

Symptoms of cortisol imbalance: –

  • Rapid weight gain
  • Muscle weakness
  • Chronic fatigue
  • Mood swings
  • Anxiety
  • Depression
  • Confusion
  • Insomnia
  • Fluctuating sugar levels

 

How to know about your cortisol imbalance?

  • It is important to do a stress test first and then go for the lab reports and get your 8 am cortisol checked.
  • Visit an endocrinologist with your reports.

 How much cardio should you do if your cortisol levels are not up to the mark?

  • Under 60% of your maximal heart rate.

How to calculate your maximal heart rate?

  • 220 – your age= maximal heart rate

For example: –

Person who is 40 years of age,

220-40= 180 (Maximal heart rate)

60% of 180 = 108 beats per minute.

  • You should not cross 108 beats per minute while doing cardio in any case.
  • You must strictly monitor it and get yourself a personal trainer/coach who can help you understand this.

Why are we discussing cortisol imbalance and what is the reason behind reducing your cardio activities in such cases?

treadmill-2581437_640

  • All the exercise puts the body into some stress. This stress can affect stimulation of different hormones.
  • When you do steady cardio like a treadmill or cycling your body increases cortisol and reduces other hormones like growth hormone.
  • When you do interval training your body increases cortisol and growth hormone
  • When you do strength training with moderate repetition and sets your body increases growth hormone and cortisol by a small margin.
  • When you do strength training with heavy repetition and sets your body increases testosterone (Which is mostly seen in bodybuilders)

I have given you an in-depth reason here so that you can understand that doing cardio under any stress will increase the complication even more and will do no good to your body.

So before getting into intense workouts, check your cortisol levels.

If everything is okay then you can do the cardio as discussed above.

(3) Depends on your intensity

Whenever I try getting the history about exercises, I get to hear this very often: –

” I do cardio for about 1 and half hours in the gym but I am not getting any results “

” I walk for about 2 hours a day, one hour in the morning and one hour in the evening but I don’t think it is helping”

Well, the basic point to this is,

YOUR DURATION DOESN’T MATTER.

WHAT MATTERS IS- YOUR INTENSITY.

You can work out for just like 15 minutes and still get the same effect as you might get it from longer duration.

Since a couple of months, I often see people talking about high-intensity workouts, low-intensity workouts. I was actually very curious to know their definition of these workouts. I was actually very surprised to know that out of 10 people not even 2 of them knew what exactly it is. They were talking about it because they read it on the internet or their trainer told or something else. You don’t need to be a doctor or personal trainer or a certified health expert. You as a common man to have the rights to know, after all, you are the one who is actually, going to follow that advice. Well, writing this article in this depth is just for everyone to understand the basics behind all the theories which are coming up.

So, coming back to the theory behind intensity.

What is a low-intensity workout?

  • Under 60% of your maximal heart rate (How to calculate it is mentioned above) is a low-intensity workout.
  • These intensity workouts will not increase the endurance but do have relaxation benefits.

What is moderate intensity workout?

  • In between 60-85% of your maximal heart rate is moderate intensity workout.
  • This is a basic workout if your goal is to lose fats.
  • Start with 3-4 times per week and for 30-45 minutes
  • This is just about cardio however in this routine strength training is also required which will be covered in the upcoming article.

What is a high-intensity workout?

  • Anything above 85% of your maximal heart rate is high-intensity workout
  • This can be maintained only for about 1-4 minutes before your speed drops and then gradually goes ahead.
  • Start with 2-3 times per week for about 20 minutes.
  • This course will include proper strength training also which will be covered in upcoming article

Note: – High-intensity workout is not suggested for anybody who has not done any cardio exercises for past 4 months, for someone who has serious cardiac issues. Please consult your doctor before getting into these kinds of workout. Inform your coach and coaches too can take this as a basic part of history taking.

(4) Depends upon how well your response to cardio exercises.

  • As I mentioned in the beginning of the article, every individual is different and there is no same answer to HOW MUCH CARDIO YOU SHOULD DO?
  • It all depends on your responses which can vary from person to person
  • I can simply guess that maybe you require this much workout but I am never sure about it unless I check the response for minimum 15 days.

My players always ask me that why do I give the workouts for 15 days and then think so much for the next set of workouts. Sometimes it so happens that I refuse to change the workout and make then repeat it for 15 days. I know it’s annoying, like very annoying but it is better than any serious injury. Unless I am sure about the responses and progress I do not go ahead in case of workouts.

This article only gives you insights about CARDIO but your workout routine is incomplete with strength training and flexibility.

My next blog is HOW MUCH STRENGTH TRAINING YOU NEED TO DO?.

 

October 11, 2017 By Dr Ashwin Nanda Leave a Comment

The Bipolar Journey

bipolar (1) (1)

In 2013, the celebrity world across the world was shocked when they heard that Catherine Zeta-Jones of Mask of Zorro, ‘Chicago’ and ‘Ocean’s Twelve’ fame declared she was suffering from ‘Bipolar II disorder’ and had checked into a hospital for treatment. There were a lot of discussions in media related to Bipolar Disorder- a kind of mood disorder which even the elite cannot escape away from if it grips them.

Similarly, I had a patient named Jalaj (name changed) who was detected with bipolar mood disorder. He got to know of his condition in a fairly unpleasant way. It began with him having trouble in his married life due to his unexplained aggression. Initially, his parents and wife were apprehensive to consult a psychiatrist because they considered seeking help for mental health a taboo. They thought he was stressed due to the financial burden. But, eventually, when his behaviour got worse, they consulted a psychiatrist who after diagnosing declared him to be ‘Bipolar’. His family, wife and friends stood by him in his trying times and he recovered in 6 months without medication. Unfortunately, most of us consider taking anti-depressants to be a sign of mental weakness.

When fights and Jalaj’s behaviour went out of control, it was on the insistence of his wife that the family consulted a shrink for professional help. On taking Jalaj’s history, the psychiatrist found that he had suffered a bout of depression 4 years ago also which was his first episode. He was 20 years old then.

Bipolar mood disorder typically starts in early adult life, between 18 to 22 years of age. Jalaj’s first episode of depression was also for no obvious reason. His wife Dimple reported that during the two years of their married life she did feel he had a lot of mood fluctuations. These mood fluctuations are called cyclothymic mood changes in medical terminology. The person swings between a mildly good and mildly low mood throughout the day and entire life. When his father came to know of his son’s diagnosis he confirmed that Jalaj’s grandfather was also bipolar. He used to have the bout of depression every 3 years and recover from it in 6 months. Bipolar Disorder is strongly hereditary and runs in families.

Let’s understand what is Bipolar?

A person afflicted with bipolar mood disorder goes from mild depression into moderate and then severe depression followed by a return to normal state for few months and then goes into mild mania and then hypomania in a cyclical and periodic manner throughout adult life. The word BIPOLAR means having two extremes which are poles apart. The medical reason is that the neurotransmitters serotonin, dopamine and norepinephrine fluctuate for no explainable reason. Hence it’s a chemical imbalance.

5% of world population is estimated to be bipolar. Impulsiveness is another hallmark feature of a bipolar. They hardly think before doing most things. When in an excessive happy mode, a bipolar tends to go on a buying spree. A bipolar person is also prone to aggression, alcohol, smoking and drug addiction, hypersexuality or promiscuous behaviour in mania phase.

Bipolar image 2 (2) (1)

Treatment

Treatment for Bipolar is psychiatric counselling and regular medication to control mood swings. Jalaj was counselled by a psychiatrist who made him understand that if he doesn’t take medication he will be jeopardizing his family life and career. Bipolars need daily and regular medication to function normally. The medicines called mood stabilizers prevent the mood fluctuations and prevent mania and depression.

Jalaj takes medication as prescribed and follows up with the shrink once every 3 months. Thankfully he is leading a happy married life again and Dimple also understands what he goes through and is able to counsel him. Daily meditation also helps Jalaj deal with his mood fluctuations. 8 hrs of sound sleep is essential on a daily basis for him so that he does not lose his sanity.

It is critical that bipolars’ take treatment because there are chances of attempting suicide during a major depressive phase. Many bipolar utilize the hypomania phase to be more creative and productive and achieve professional stardom. In a way, they turn it into a gift. Bipolar can be well controlled and one can lead a healthy life. On a lighter note, a bipolar person has a happening life with lots of ups and downs.

 

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