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June 18, 2022 By Divya Thampi Leave a Comment

Autism Spectrum Disorder – There’s More To It Than We Know

Autism Spectrum Disorder

Photo by Anna Kolosyuk on Unsplash

“Anita starts fondling materials of certain textures, seemingly, without regard for where and on whom the fabric may be located”; “Vansh sometimes asks the same question over and over again, even when he had been given the answer”; “Suhas suddenly starts flapping his arms for no particular reason, and goes on for over five minutes without stopping”

These are descriptions of certain behaviours observed in people/children living with Autism.

The Autism Spectrum Disorder (ASD) is not just a single disorder

The word “spectrum” refers to a wide range of symptoms and severity. ASD impacts the way the brain is wired and this difference in wiring can make people in the spectrum good at certain tasks that others find difficult, such as, maths, music or arts. It can also do the opposite, where they find the activities that other people find easy, incredibly difficult, such as socializing and making friends. As per a report published in 2018, one in 59 children will be diagnosed with ASD. Signs usually become evident in children by 2 years of age.

Children/ adults in the spectrum experience difficulties in three main areas – communication, social interaction and behaviour.

Following are some symptoms and types of behaviors seen in people diagnosed with ASD:

  • Failing to, or being slow to respond to someone calling their name
  • Resists cuddling and holding and seems to prefer playing alone, retreating into his or her own world.
  • Makes little eye contact and lacks facial expression
  • Doesn’t speak or has delayed speech, or loses previous ability to say words or sentences.
  • Can’t start a conversation or keep one going
  • Difficulty in understanding simple questions or directions.
  • Limited or no expression of emotions or feelings and appears unaware of others’ feelings.
  • Repetitive behaviours like repeating words or phrases.
  • Intense and lasting interest in certain topics, such as numbers, details, or facts.
  • Getting upset by slight changes in a routine.
  • Being more or less sensitive than other people to sensory input, such as light, noise, clothing, or temperature.

The person experiencing Autism Spectrum Disorder has no control over any of these but is often and easily judged by others to be stoic, uncaring, self-centered or many other unkind and unfair ways.

Alongside these symptoms most people experiencing Autism Spectrum Disorder also have to deal with biomedical problems like Seizure disorders, Gastrointestinal disorders, Psychiatric disorders, Metabolic conditions, Sleep irregularities and Obesity. However, these issues often go unaddressed and can aggravate behaviours that seem inappropriate.

As humans, our senses (sight, sound, smell, touch, taste) are constantly sending information to our brain about our surroundings and about other people. This helps us to choose appropriate responses. And yet to cope with situations that feel uncomfortable or chaotic, each of us develop behaviours that help to calm us down, like fidgeting, biting nails or running our hand through the hair. In Autism Spectrum Disorder where the brain and its senses don’t communicate well, the brain can become overwhelmed and confused, impacting how the person sees the world. People in the spectrum may try to cope with a sensory overload like bright lights or loud sounds, smells or touch (which may feel normal to others, but extreme to them) by rocking themselves, flapping hands, swaying, spinning or doing a number of other things. These actions may seem unusual to others but it is just their way of trying to feel calm. When you see them this way, it means that they are having a hard time.

The kind thing to do is NOT to make it harder for them by getting angry, or ignoring or mocking them. Instead they need friends and family who take the time and patience to understand them and support them.

When in the spectrum, one may often have a difficult time understanding and processing societal norms, especially in terms of social interactions. It doesn’t mean that they are immature or that they don’t care. All it means is that sometimes they don’t know how they are supposed to act or respond. Impatience and misunderstanding by others can often leave people in the spectrum, feeling lonely, anxious and isolated.

They are not ill or broken.

They don’t need fixing.

They just have a different way of experiencing things around them and a unique view of the world. Contrary to popular belief people experiencing ASD also have feelings and care for others. They may not be able to pick up sarcasm but often make some of the best and most honest friends.

“I don’t want to be autistic. But I am, so don’t be mad. Be understanding.” – Carly Fleischmann

For more articles on mental health and emotional wellness, check out Healthy Reads.

#BeTheForce 

January 5, 2022 By Divya Thampi Leave a Comment

What I Learned About Bringing A Real Change In Self

It wasn’t long ago that two of us friends visited a common friend and her family. As we all got chatting on a particularly interesting topic, I grew excited and participated enthusiastically. Everyone seemed to have a good time and I went back in good spirits pondering about some of the things we spoke about.

A few weeks later the friend who had accompanied me for the visit, gently pointed out to me that I had dominated the conversation that evening; chiming in more often than was necessary, cutting off others in my enthusiasm. As he shared his observation, I could feel the blood rushing to my head. Every cell in my body demanded that I put this friend in his place by giving free reign to the hurtful words that awaited their release from the tip of my tongue.

All through the din of my internal battle drums, a very quiet voice from somewhere close to my heart, stopped me. It calmly pointed out that may be this friend was not so completely wrong. But I still hadn’t reached a place of unconditional self-acceptance so as to receive such feedback with grace and gratitude. I was foaming at the mouth instead.

Just about managing to hold back the venom that was ready to spew through my words, I sat through the next 5 minutes in stoic silence letting my loving friend squirm in discomfort, though he deserved better for his courage and honesty. With the passing of minutes I managed to calm down sufficiently to be decent to him. We even managed to finish our coffee and share a few smiles before going off our different ways.

That evening I sat with my journal painfully writing down an honest account of what had happened on that particular evening — the evening of the get- together, when I was supposed to have been behaving like a self-centred loud mouth. As I sifted through the scenes, it became clear that my friend had been spot on in his feedback.

As all of us had engaged in discussing and debating on an interesting topic, I had kept pushing my point of view, expressing my thoughts and increasing my volume just a wee bit, enough to suppress any attempts by others to oppose me, not pausing for breath; almost as if I was scared that if I paused someone may take my place as the Prima donna.

I remembered observing and ignoring fleeting expressions of frustration and impatience on the listeners faces, as they experienced themselves being cut off half way through their sentences. I recalled the grace with which they chose to listen to me rather than express their irritation. I even remember having the nagging feeling that I should stop, slow down, pause and let others participate, but something kept egging me on. This “something” is what I was scared to confront. Because according to my judgment this “something” — the need to feel important, made me a pathetic person.

I felt embarrassment and anger course through me — Embarrassment about my appalling behaviour and anger towards myself for not doing better. After a few hours of internal battle, I came out relatively unscathed, resolving to work on changing my behaviour. I am glad to say that I have made progress since then.

As I looked back on that evening of introspection and asked – why was the experience so painful? What was it that helped me come out a better person, through it? This is what I learnt.

I had experienced shame and anger at the beginning because I had been judgmental about myself, telling myself that I was expected to be thoughtful and considerate at all times. Effectively I was holding myself up to standards that I may never be able to live up to — of not making mistakes. However after calming down with a few deep breaths, I had told myself what I tell many of my clients, who are trying to bring about change in themselves — You are more than your words and actions; acknowledging a flaw in a behaviour does not imply that you are a bad person. I had practiced with great difficulty what I preach to my clients — self-compassion and self-love.

I had held myself lovingly through the pain of knowing that in those moments I must have behaved like a selfish inconsiderate idiot, but had also assured myself that I still wasn’t any of that; that it was a behaviour demonstrated in a moment of ignorance and poor judgment; that I was capable of bringing about change. I had reminded myself that pain is the strongest indicator of growth.

Self-compassion and self-love had saved the day. And I will admit that it is not always easy to practice these. I had help — help in the form of all those friends and family who, in my life journey, not only showed me compassion but also let me know that I was loved, through my moments of weakness and strength; help in the form of those masters and authors who made themselves the instrument of change and generously laid out their life experiments for others like me, to learn from; help in the form of clients who dug deep into their being, to come up with the courage to care for themselves despite their flaws. I was grateful to them for allowing me to witness the transformation they brought in themselves with such love, for instilling in me the confidence that true personal growth needs a mix of honesty, courage, love and self-compassion and for giving me the inspiration to grow.

As I write this I wish and hope that more of us can practice self-compassion and self-love because we need it, we deserve it and because I am convinced that the only way we can bring about substantial change and growth in ourselves, is through love and compassion.

#BeTheForce 

November 18, 2021 By Divya Thampi Leave a Comment

Three Powerful Relaxation Techniques For Immediate Relief From Stress

relief from stress

“The school just expects the parents to engage children all day, my son is hardly occupied for 2 hours with online classes!”

“Don’t step out of home for the next few days, the neighbors just arrived from their home town. They could be infected.”

“I have been sitting at my home study desk, attending calls all day, my brain’s fried!”

Those seem to be some common themes of many a conversation happening around us today. Is it any surprise that people are more stressed than usual? These are unprecedented times and if you find yourself feeling sad, anxious, angry, confused or scared without explanation, you are not alone. The specific reasons for the stress experienced during these times are as varied as the people themselves but there’s hardly anyone who can escape the clutches of stress. How does one remain grounded and feel a sense of equanimity in the midst of all that’s going on during these COVID times? Here’s help!

Following are three go-to relaxation techniques that therapists use to help their clients relax. Not all techniques may work for everyone but at least one of these should work for you:

1. Progressive Muscle relaxation

This exercise is very effective in lowering stress levels and can also reduce physical problems like headaches or stomachaches that accompany feelings of stress. This practice also improves sleep. When you are stressed your muscles tighten without your conscious awareness. Regular practice of PMR helps you to become aware of the difference between a tensed muscle and a completely relaxed muscle, thus improving your ability to recognize your bodily response to anxiety and mitigate it.

  • Sit down on a chair with a backrest such that you are sitting erect but not tensed.
  • Close your eyes and take a few deep breaths.
  • Once you breath slows down, progressively tighten one muscle group (neck and shoulders or upper arm and lower arm) at a time for about 10-15 seconds.
  • Once the time is up, release the tension in the muscles completely with a long exhalation and observe the sensation in the relaxed muscles.
  • Continue this with each muscle group from head to feet.
  • You could do this 2-3 times a day and even before going to bed.
  • Avoid doing this with any part where there is a sprain or other injury.

relief from stress2. Diaphragmatic Breathing –

Also known as belly breathing, it is the optimal way of breathing as it actively engages your diaphragm. Belly breathing leads to improved oxygen flow to the rest of the body. This kind of breathing triggers a relaxation response by stimulating the vagus nerve, the longest nerve emanating from the brain. This nerve has a significant role to play in reducing blood pressure, heart rate, improving calmness, relaxation, and digestion. When engaging in breath based meditations most people practice belly breathing. Chest breathing is something we learned to do as a reaction to stress. For belly breathing, follow these steps:

  • Sit comfortably or lie flat on your bed or any other comfortable surface and relax your shoulders.
  • Place one hand on your chest and the other on your stomach.
  • Breathe in through your nose for 2-10 seconds (according to your capacity).
  • Feel the cool air moving through your nostrils into your abdomen, making your stomach inflate. During this type of breathing, make sure your stomach is moving outward while your chest remains relatively still.
  • Press gently on your stomach, and exhale slowly for about 2-10 seconds.
  • With every exhalation you will notice the stomach deflate under your palm
  • Repeat these steps several times and observe your body relax.

3. Guided Imagery

This is a focused practice that involves all or most of the 5 senses, to kindle calming responses in the mind and the body. Guided imagery uses imagination to take one to a calm, peaceful place, internally. This is a powerful tool that has a positive impact on blood pressure, breathing, oxygenation and heart rate. It can reduce pain and also improve the healing process of the body and mind. Our body reacts the same whether we experience something in reality or imagine it. So when you imagine yourself sitting in a beautiful green meadow and watching a clear stream of water flow over smoothened rocks, your body responds as if you were actually in the meadow.

  • Sit down or lie down comfortably and close your eyes.
  • Take a few deep breaths to help you relax.
  • Imagine a scene that is calm and peaceful. This could be a beach, a meadow, a valley, the mountains or a riverside, according to your preference.
  • Visualise the scene and slowly add some details, like a gentle breeze, fragrance of the grass, gurgling sound of water or the chirping of birds. Is the sky a clear blue or do you see fluffy white clouds?
  • It helps to visualise you walking through the scene and experiencing the beauty and serenity using all your senses.
  • And as you walk through the scene and go deeper you feel more and more relaxed.
  • Continue to breathe slowly and experience the sense of peace that envelops your body and mind. Think of a word or sound that you can use in the future to help you mentally return to this place.
  • When you feel ready, gently bring yourself back to the present. Tell yourself that you will feel relaxed and refreshed when this is done and slowly open your eyes. Notice how you feel right now.
  • You could also use a recorded guided imagery audio, which is generally available on many of the free versions of meditation apps.

We hope these powerful relaxation techniques help you find relief from stress. Do let us know your thoughts in the comments below! For more articles on stress and stress management, check out Healthy Reads or ask a GOQii Coach directly by subscribing for personalized coaching here: https://goqiiapp.page.link/bsr

#BeTheForce 

October 10, 2021 By Divya Thampi 5 Comments

Let’s Talk About Mental Health

mental healthLast year, we released a study that revealed how 43% Indians are plagued with depression. But surprisingly, even in large metros like Mumbai, awareness of mental health is low, stigma is high and discrimination against people with mental health concerns is a harsh reality. The very recommendation that one should see a therapist or a mental health professional is received with distaste at best and anger at worst.

What is Mental Health?

The world over ‘Mental Health’ week is being observed but do we understand ‘Mental Health’?  It is important that we first understand what “Mental Health” means. It does not just refer to the absence of illness, rather it denotes a state of mind that allows people to believe in their abilities, work productively, cope effectively with day to day stressors, reach out for help when feeling overwhelmed, relate to others, and to work towards their highest potential.

While the mental health condition of a person is established by the individual’s ability to manage his/her thoughts, feelings, actions and interactions with others, mental illnesses and disorders are  often caused by a combination of factors including social discrimination, lack of protective policies, poor working conditions, poverty, lack of education, below average living standards, abuse (verbal, physical and sexual) and absence of familial or/and social support systems. It is true that certain genetics and specific personality attributes can make people more vulnerable to mental health issues, however contrary to popular belief, these are neither the only nor the most significant contributors to mental illnesses or disorders.

According to a survey conducted nationally, in 2018, on the attitudes towards people affected by mental health concerns, the top three attitudes prevalent in India were found to be the following:

  1. People with mental illness should not be given any responsibility
  2. One of the main causes of mental illness is a lack of self-discipline and will-power
  3. Mentally unhealthy people should have their own groups – healthy people need not be contaminated by them.

If one is diagnosed with cancer or with Malaria, would we ask them to get their act together and get better or expect them to use will-power to cure themselves? In terms of its prevalence and the number of people impacted by it, mental health issues are no different to physical health concerns and they need to be addressed with the same care and concern that is adapted to tackle a physical ailment, rather than with disdain and scorn.

With the existing attitudes, it comes as no surprise that the affected people, as well as the families, refrain from talking about their concerns or seeking the support they need due to the fear of being judged or labelled. But there are changes each of us can make that will help in creating an environment that promotes positive mental health.

Here are four steps you could take to do your bit in reducing social stigma attached to mental health concerns:

1. Educate Yourself About Mental Illnesses

General beliefs that people with mental illness are dangerous or are violent are myths which have unfortunately been propagated by movies. Often people with mental illnesses are victims of violence and abuse themselves. Question every stereotype and treat people with respect, irrespective of their diagnoses.

2. Stop Using Labels

Often people say things like ‘she is depressed’ or ‘he is schizophrenic’. The mental illness that someone deals with, is just one aspect of their lives and not their identity. Hence use language that separates the person from the health issue. For example, we could say “she deals with depression” or  “he’s been diagnosed with schizophrenia”. Use language that’s respectful and sensitive.

3. Support People

Remember that people who deal with mental health issues make important contributions to the world. Did you know that Mr. Kjell Magne Bondevik, the ex-Prime Minister of Norway had suffered from a depressive episode in August 1998 while he was still in power? He took some time out to recover and continued as PM till March 2000. Do not judge people to be incompetent or dismiss their capabilities based on a mental health condition they may be suffering from. Treat people with dignity, just like you would like to be treated yourself, had you been in their position. Encourage the actions that your own family members and friends take to overcome mental illness, support their efforts to get well and lead productive lives.

4. Encourage & Initiate Open Discussions

If you yourself have dealt with or are dealing with mental health issues, talk about it. Your courage will help in creating awareness and empower many others. If it is a family member or friend who is dealing with it, talk openly regarding the illness with their permission and in doing so, you will take away the shame attached to it.

The first Director-General of the World Health Organization (WHO), Dr. Brock Chisholm, in 1954, had quite aptly declared that “without mental health, there can be no true physical health.” On this very important day, let’s pledge to do our bit by becoming advocates to reducing the stigma surrounding mental health concerns and promote a world of inclusion and sensitivity.

For more on Mental Health, check out Healthy Reads or tune in to Emotional Wellness Expert Divya Thampi’s classes on GOQii Play.

#BeTheForce

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