Monday, 7 July 2025

Relationship Problems – When the Heart Feels Heavy


 

By Dr. Mitali Soni Loya | Psychiatrist – Bhopal

Relationships are a big part of our emotional world. Whether it's between husband and wife, partners, friends, or family — strong connections make life better. But when there are problems, they can affect your peace of mind and even your mental health.

Let’s understand why relationship issues happen and what you can do to feel better.


Common Reasons for Relationship Problems

  • Poor Communication
    Sometimes, we talk — but don’t really listen. Misunderstandings and unspoken feelings can lead to arguments or silence.
  • Lack of Trust
    Doubt or dishonesty can break trust. And once trust is lost, the relationship starts to feel weak or unsafe.
  • Too Much Expectation
    Expecting too much or wanting your partner to behave exactly how you want can create pressure and disappointment.
  • Stressful Life Events
    Money issues, work tension, or family pressures often cause fights and emotional distance between people.
  • Emotional Distance
    Over time, people feel disconnected. The spark fades, and even when together, they feel alone.

Read Also:

How Relationship Problems Affect You

Unhealthy relationships can lead to:

  • Stress and anxiety
  • Sadness or depression
  • Overthinking and lack of sleep
  • Low confidence
  • Feeling stuck or alone

These problems don’t just hurt the bond — they hurt you from the inside.


When to Get Help

If you feel emotionally tired, misunderstood, or unhappy in your relationship, talking to a psychiatrist can really help.


As a mental health expert, I help people understand their emotions, improve communication, and rebuild their confidence — whether individually or as a couple.

Read Also:  How To Resolve Marital Problems


You Deserve Peace

No relationship is perfect, but with the right help and a little effort, things can improve. Don’t carry emotional pain alone.

🧠 Let’s talk. Let’s heal.
📍Bhopal | Dr. Mitali Soni Loya – Psychiatrist
📞 Book your appointment today

Read Also: Marriage counselor in Bhopal

 

Tuesday, 27 May 2025

Understanding Schizophrenia: Myths, Facts, and Hope


 

Schizophrenia is one of the most misunderstood mental health conditions, often surrounded by fear, stigma, and misinformation. At its core, schizophrenia is a serious but treatable brain disorder that affects how a person thinks, feels, and behaves.

People with schizophrenia may experience symptoms like hallucinations (hearing or seeing things that aren’t there), delusions (strongly held false beliefs), disorganized thinking, and difficulty managing emotions or daily tasks. These symptoms can interfere with work, relationships, and basic day-to-day functioning. However, it’s important to know that schizophrenia is not a split personality or something to be afraid of — it is a medical condition that can be managed with the right care and support.

The exact cause of schizophrenia isn’t fully understood. It’s believed to involve a combination of genetics, brain chemistry, and environmental factors. While it often appears in late adolescence or early adulthood, early warning signs can sometimes be seen in childhood or teenage years — such as social withdrawal, unusual thoughts, or changes in behavior.

If you or someone you love is showing signs of schizophrenia, it’s essential to seek professional help early. A trained psychiatrist in Bhopal can assess the symptoms, provide a proper diagnosis, and guide you toward a personalized treatment plan. Treatment usually includes a mix of medication, therapy, lifestyle changes, and support from family and mental health professionals.

Unfortunately, stigma still prevents many people from getting the help they need. But schizophrenia is not a life sentence. With early intervention and consistent treatment, many people with schizophrenia lead fulfilling, independent lives. The key is ongoing support and a compassionate, non-judgmental approach.

In Bhopal, access to mental health care is growing, and individuals have more options than ever to receive quality treatment close to home. Whether you’re just beginning to notice symptoms or have been struggling for a while, consulting a psychiatrist in Bhopal could be your first step toward recovery.

Remember, schizophrenia is not the end of the road — it’s the beginning of understanding, acceptance, and healing. You are not alone, and with the right help, there is always hope.

Can Anxiety Affect You Physically Without You Realizing?

Most people associate anxiety with racing thoughts, constant worry, or a feeling of nervousness. But what many don’t realize is that anxiety can also affect your body — sometimes in ways you may not immediately recognize.

When anxiety builds up over time, it doesn’t always show up as panic attacks or restlessness. Instead, it can creep in as chronic fatigue, muscle tension, digestive issues, or even skin problems. You might visit a doctor for recurring headaches, an upset stomach, or tightness in your chest — not knowing that the real cause could be underlying anxiety.

This happens because anxiety triggers the body’s “fight or flight” response, even when there’s no actual danger. Over time, this constant state of alert wears down your system, leading to physical symptoms that feel like something else entirely.

Many people live with unexplained body aches, frequent illness, insomnia, or shortness of breath without linking it to anxiety. It’s common to hear patients say, “I thought it was just stress” or “I didn’t know anxiety could do that.” The truth is — it can, and it often does.

If you’ve been feeling physically unwell without a clear medical reason, it might be time to consider your emotional health too. A qualified psychiatrist in Bhopal can help you understand the connection between your body and mind. They can guide you through managing anxiety not just emotionally, but physically — with a personalized treatment plan that may include therapy, relaxation techniques, or medication if needed.

You don’t have to live with unexplained pain, tension, or discomfort. Addressing your mental health can often bring relief to your body as well. And no, it’s not “all in your head” — it’s a very real experience, and help is available.

If you’re in Bhopal and suspect that anxiety might be affecting you in ways you didn’t expect, speaking with a psychiatrist in Bhopal could be the next step toward feeling better — both mentally and physically.

 

Wednesday, 16 April 2025

Why Are Panic Attacks So Hard to Predict – and What Can You Do About It?

Panic attacks are sudden, intense waves of fear that can strike without warning. One moment, you're feeling fine; the next, your heart is racing, your chest feels tight, and it seems like you're losing control. The unpredictable nature of panic attacks often leaves people feeling confused and fearful of the next episode. But why are they so hard to predict?

Panic attacks are often linked to anxiety disorders, but they don't always follow a clear pattern. Some people may experience them during stressful situations, while others can be caught off guard in calm or familiar settings. This unpredictability is partly because our brains process threats—real or perceived—differently depending on our emotional and physical state. Hormonal imbalances, unresolved trauma, or even certain medications can contribute to sudden onset panic episodes.

Another reason they're hard to predict is that many early symptoms are subtle and easy to dismiss. Lightheadedness, slight nausea, or increased heart rate can be mistaken for fatigue or hunger. By the time someone recognizes what's happening, the panic attack is already in full swing.

So, what can you do about it?

First and foremost, seeking professional help is crucial. A qualified psychiatrist in Bhopal can help diagnose underlying anxiety disorders and develop a personalized treatment plan. This may include therapy, lifestyle changes, and in some cases, medication.

Cognitive Behavioral Therapy (CBT) is one of the most effective tools for managing panic attacks. It helps individuals identify triggers, reframe anxious thoughts, and gradually regain control. Breathing exercises, mindfulness, and grounding techniques also help calm the nervous system during an episode.

Tracking your experiences in a journal can also help you notice patterns over time. What were you doing before the attack? Were you sleep-deprived, stressed, or overwhelmed? Recognizing these cues can help you take preventative steps in the future.

Lastly, don’t try to face it alone. Talk to a friend, join a support group, or consult a trusted psychiatrist in Bhopal who understands the impact of panic attacks on everyday life. With the right guidance and support, you can reduce their frequency and intensity, and eventually regain peace of mind.

 

Can Anxiety Cause Physical Symptoms You Didn’t Expect?


 

Anxiety is more than just a mental struggle—it can affect your entire body in ways you might not expect. While most people associate anxiety with constant worry or racing thoughts, many are surprised to learn that anxiety can also cause a range of physical symptoms. These symptoms can be so intense that they are often mistaken for serious health problems.

Some of the most common physical symptoms of anxiety include a racing heart, shortness of breath, muscle tension, and stomach issues. However, anxiety can also manifest in more unexpected ways—like dizziness, blurred vision, tingling sensations, and even chest pain. These symptoms can be alarming, leading many people to believe they’re having a heart attack or experiencing another medical emergency.

What’s even more surprising is how anxiety can affect digestion. You might experience nausea, irritable bowel syndrome (IBS)-like symptoms, or sudden changes in appetite. Headaches, fatigue, and a feeling of being “on edge” are also frequent complaints among those living with chronic anxiety.

One of the reasons anxiety causes such a wide range of physical symptoms is because it triggers the body's "fight or flight" response. This ancient survival mechanism floods the body with adrenaline, preparing it to face a threat—even if there’s no actual danger. Over time, this heightened state can take a serious toll on your health and well-being.

If you’re experiencing unexplained physical symptoms and suspect anxiety could be the cause, it’s essential to seek help from a qualified mental health professional. A proper diagnosis can rule out other medical conditions and confirm whether anxiety is behind your symptoms.

If you're looking for expert guidance, the best psychiatrist in Bhopal can help you understand the root of your anxiety and develop an effective treatment plan. Treatment may include therapy, medication, or a combination of both—tailored to your specific needs.

Remember, anxiety is highly treatable, and you don’t have to suffer in silence. Physical symptoms might feel overwhelming, but with the right support, you can regain control and improve your quality of life. Don’t ignore what your body is trying to tell you—reach out for help and take the first step toward healing.

Friday, 28 March 2025

Why Do Panic Attacks Happen, and How Can You Prevent Them?


 

A panic attack is a sudden episode of intense fear or discomfort that triggers severe physical reactions, even when there is no real danger. Many people experience panic attacks unexpectedly, leaving them feeling helpless and afraid. Understanding why panic attacks happen and how to prevent them is crucial for managing this condition effectively.

Why Do Panic Attacks Happen?

Panic attacks occur due to a combination of psychological and physiological factors. Here are some common triggers:

·        Stress and Anxiety: High levels of stress can overwhelm the nervous system, leading to sudden panic attacks.

·        Genetics: If you have a family history of anxiety disorders, you may be more prone to panic attacks.

·        Imbalance of Brain Chemicals: Changes in neurotransmitters like serotonin and dopamine can contribute to panic attacks.

·        Phobias: Facing a deep-seated fear (such as public speaking or heights) can trigger a panic attack.

·        Medical Conditions: Certain health issues, such as hyperthyroidism or heart problems, can mimic symptoms of a panic attack.

·        Substance Abuse: Excessive caffeine, alcohol, or drug use can increase the risk of panic attacks.

If you frequently experience panic attacks, consulting a psychiatrist in Bhopal can help you identify the root cause and develop coping strategies.

How Can You Prevent Panic Attacks?

While panic attacks can feel overwhelming, there are several ways to manage and prevent them effectively:

·        1. Practice Deep Breathing

Controlled breathing techniques, such as slow inhalation and exhalation, can help reduce the severity of panic attacks.

·        2. Engage in Regular Exercise

Physical activity releases endorphins, which help reduce anxiety and stress levels.

·        3. Identify and Avoid Triggers

Keeping a journal to track panic attacks can help you recognize patterns and avoid potential triggers.

·        4. Adopt a Healthy Lifestyle

Getting enough sleep, maintaining a balanced diet, and reducing caffeine intake can significantly lower the risk of panic attacks.

·        5. Seek Professional Help

If panic attacks persist, a psychiatrist in Bhopal can provide therapy, medications, or relaxation techniques tailored to your needs.

Conclusion

Panic attacks can be distressing, but they are manageable with the right strategies. Identifying the triggers, practicing relaxation techniques, and seeking professional help from a psychiatrist in Bhopal can make a significant difference. If you or someone you know struggles with panic attacks, don’t hesitate to reach out for support.

What Is the Difference Between Anxiety and Panic Attacks?


 

Anxiety and panic attacks are often confused with one another, but they are distinct conditions with different symptoms and triggers. Understanding the differences between anxiety and panic attacks is essential for proper diagnosis and treatment. If you or a loved one experiences these symptoms frequently, seeking professional help from a psychiatrist in Bhopal can provide the right guidance.

What Is Anxiety?

Anxiety is a persistent feeling of worry, fear, or unease. It is a normal response to stress but can become overwhelming when it starts interfering with daily life. Common symptoms of anxiety include:

-          Excessive worry about everyday situations

-          Restlessness or feeling on edge

-          Difficulty concentrating

-          Irritability

-          Muscle tension

-          Sleep disturbances

Anxiety tends to build up gradually and is often triggered by specific stressors, such as work pressure, financial concerns, or social situations. Unlike panic attacks, anxiety symptoms are usually long-lasting and can persist for weeks or even months.

What Are Panic Attacks?

Panic attacks, on the other hand, are sudden episodes of intense fear that peak within minutes. They occur unexpectedly and are accompanied by physical symptoms, including:

-          Rapid heartbeat or palpitations

-          Shortness of breath

-          Chest pain or tightness

-          Dizziness or lightheadedness

-          Sweating and trembling

-          A sense of impending doom or loss of control

Unlike anxiety, which is often a response to prolonged stress, panic attacks can happen without an obvious trigger. The intense physical symptoms can sometimes be mistaken for a heart attack, making them extremely distressing.

Key Differences Between Anxiety and Panic Attacks

-          Duration: Anxiety is long-lasting, while panic attacks are short-lived but intense.

-          Onset: Anxiety builds gradually, whereas panic attacks occur suddenly and without warning.

-          Triggers: Anxiety is often linked to specific stressors, but panic attacks can occur unpredictably.

-          Symptoms: Anxiety primarily involves emotional distress, whereas panic attacks include severe physical symptoms.

Seeking Treatment for Anxiety and Panic Attacks

Both anxiety and panic attacks are manageable with the right approach. If you experience frequent episodes, consulting a psychiatrist in Bhopal can help determine the best anxiety treatment in Bhopal for your needs. Treatment options may include cognitive behavioral therapy (CBT), medication, relaxation techniques, and lifestyle changes.

Conclusion

While anxiety and panic attacks share some similarities, they are distinct conditions that require different treatment approaches. Understanding these differences can help you take the right steps toward managing your mental health. If anxiety or panic attacks are interfering with your life, don't hesitate to seek professional help.

Saturday, 22 February 2025

How Does Drug Addiction Affect Mental Health?


 

Drug addiction is a serious issue that not only affects physical health but also has a profound impact on mental well-being. Substance abuse alters brain chemistry, leading to various mental health disorders, emotional instability, and cognitive impairment. Understanding the link between drug addiction and mental health is essential for seeking the right treatment and support.

The Psychological Impact of Drug Addiction

1) Increased Anxiety and Depression – Many addictive substances interfere with neurotransmitters like serotonin and dopamine, which regulate mood. As a result, individuals struggling with addiction often experience heightened anxiety and deep depression.

2) Cognitive Decline – Chronic drug use impairs brain function, affecting memory, decision-making, and concentration. Long-term addiction can lead to permanent cognitive damage.

3) Psychosis and Hallucinations – Certain drugs, such as hallucinogens and stimulants, can cause delusions and hallucinations. These symptoms can persist even after stopping drug use, leading to severe mental distress.

4) Emotional Instability – Drug addiction often results in extreme mood swings, aggression, and irritability, making it difficult to maintain healthy relationships and social interactions.

5) Co-occurring Mental Disorders – Many individuals with addiction also suffer from underlying mental health conditions such as bipolar disorder, schizophrenia, or PTSD. Consulting a psychiatrist in Bhopal can help in diagnosing and treating both addiction and co-existing mental health issues.

How to Address Mental Health Issues Caused by Drug Addiction?

1) Seek Professional Help – A psychiatrist in Bhopal can provide therapy, medication, and rehabilitation programs to help individuals recover from addiction and its psychological effects.

2) Cognitive Behavioral Therapy (CBT) – This therapy helps individuals recognize and change negative thought patterns associated with addiction and mental health struggles.

3) Support Groups and Counseling – Joining addiction recovery groups or engaging in individual counseling can provide emotional support and guidance during the recovery journey.

4) Healthy Lifestyle Changes – Regular exercise, a balanced diet, and adequate sleep play a crucial role in improving mental health and reducing addiction-related stress.

5) Mindfulness and Stress Management – Meditation, yoga, and deep breathing techniques can help manage stress and prevent relapse.

Conclusion

Drug addiction significantly impacts mental health, leading to anxiety, depression, cognitive decline, and emotional instability. Seeking professional help from a psychiatrist in Bhopal can provide effective treatment and support for overcoming addiction and improving mental well-being. Early intervention and the right care can make a significant difference in the recovery process.

Can Anxiety Cause Physical Symptoms Like Chest Pain and Dizziness?


 

Anxiety is more than just feeling stressed or worried; it can manifest in physical symptoms that may be alarming. Many individuals experience chest pain and dizziness during episodes of anxiety, leading them to believe they are suffering from a serious medical condition like a heart attack. However, these symptoms are often caused by the body’s response to stress and fear.

How Does Anxiety Cause Chest Pain?

When a person experiences anxiety, the body enters a fight-or-flight mode, triggering a release of stress hormones like adrenaline. This leads to increased heart rate, muscle tension, and rapid breathing, all of which can contribute to chest pain. The discomfort may feel like a tightness or sharp pain, but it is usually harmless and subsides once anxiety levels decrease.

The Connection between Anxiety and Dizziness

Dizziness is another common symptom of anxiety and can occur due to hyperventilation, a rapid breathing pattern that disrupts oxygen and carbon dioxide levels in the blood. This imbalance can lead to feelings of lightheadedness or even fainting. Additionally, anxiety causes muscle tension, which can affect blood flow and contribute to dizziness.

Differentiating Anxiety Symptoms from Medical Conditions

Since chest pain and dizziness can also be symptoms of heart or neurological conditions, it is essential to seek medical advice if these symptoms are persistent or severe. A psychiatrist in Bhopal can help determine whether these symptoms are related to anxiety or require further medical investigation.

Coping Strategies for Anxiety-Related Symptoms

1.      Controlled Breathing: Practicing deep breathing exercises can help regulate oxygen levels and reduce dizziness.

2.      Progressive Muscle Relaxation: This technique helps relieve muscle tension and reduces the intensity of chest pain.

3.      Mindfulness and Meditation: Staying present and focusing on slow, controlled thoughts can help alleviate anxiety-driven physical symptoms.

4.      Physical Activity: Engaging in regular exercise releases endorphins, which improve mood and reduce stress.

5.      Professional Help: Consulting a psychiatrist in Bhopal can provide tailored treatment options, including therapy and medication, to manage anxiety effectively.

Conclusion

Anxiety can cause physical symptoms such as chest pain and dizziness, which may feel distressing but are often not life-threatening. Understanding the connection between anxiety and physical health can help individuals manage their symptoms better. If anxiety significantly impacts daily life, seeking professional help from a psychiatrist in Bhopal can make a positive difference in overall well-being.

Tuesday, 28 January 2025

How Does OCD Manifest Differently in Children and Adults?


 

Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by intrusive thoughts (obsessions) and repetitive behaviors (compulsions). While the core symptoms are similar, the way OCD manifests in children and adults varies significantly. 

OCD in Children 

In children, OCD symptoms often revolve around magical thinking, fears of harm, or superstitions. For example, a child may feel compelled to repeatedly check if their parents are safe or perform rituals to prevent imaginary dangers. Younger children might not fully understand their compulsions or be able to articulate their distress. Often, OCD behaviors in children are mistaken for developmental quirks, delaying diagnosis and proper OCD treatment in Bhopal. 

OCD in Adults 

In adults, OCD symptoms are more structured and linked to specific fears, such as contamination, symmetry, or moral responsibility. Adults tend to recognize that their compulsions are irrational, but they still feel compelled to perform them to reduce anxiety. These symptoms can significantly impact relationships, work, and daily functioning. Adults may hesitate to seek help due to stigma, making it essential to connect with a qualified psychiatrist in Bhopal for diagnosis and support. 

Overlapping Challenges 

Both children and adults with OCD often experience anxiety, frustration, and difficulties in school or work. However, children may rely heavily on parents or caregivers to accommodate their rituals, while adults are more likely to internalize their struggles. 

Treatment Options 

Effective OCD treatment includes Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and, in some cases, medications. In Bhopal, specialized psychiatrists provide personalized care to manage symptoms and improve quality of life. 

Early intervention is critical for both age groups to prevent OCD from interfering with daily life. If you or a loved one needs professional help, consult a trusted psychiatrist in Bhopal today.

How Can Journaling Help in Managing Stress Effectively?


 

Stress is an unavoidable part of modern life, but managing it effectively is crucial for overall well-being. One powerful yet simple tool to alleviate stress is journaling. Writing your thoughts and emotions can be a therapeutic exercise that helps you gain clarity and control. For those struggling with chronic stress, consulting a psychiatrist in Bhopal or exploring professional stress treatment in Bhopal can complement the benefits of journaling.

What is Journaling? 

Journaling is the process of recording your thoughts, feelings, and experiences in a structured or free-flowing manner. It’s a personal outlet to express emotions, reflect on daily events, and track progress over time. Unlike verbal communication, journaling allows you to process your emotions at your own pace without judgment or interruptions. 

How Does Journaling Reduce Stress? 

Journaling offers numerous ways to manage stress effectively: 

1)     Emotional Release: Writing down your feelings provides an outlet to express bottled-up emotions, reducing mental pressure. 

2)     Identifying Triggers: Journaling helps you pinpoint specific situations, people, or habits that trigger stress, enabling you to address them proactively. 

3)     Problem Solving: Writing about challenges helps you analyze situations objectively, making it easier to brainstorm solutions. 

4)     Perspective Shift: Journaling promotes gratitude and positive thinking, helping you reframe stressful events in a more constructive light. 

5)     Tracking Progress: Regular journaling helps you monitor patterns and progress, reinforcing the changes you make to reduce stress. 

Tips for Effective Stress Journaling 

1)     Write Regularly: Dedicate 10–15 minutes daily to writing about your thoughts and experiences.  

2)     Be Honest: Write freely without worrying about grammar or structure; focus on expressing yourself authentically. 

3)     Use Prompts: Start with questions like, “What made me feel stressed today?” or “What am I grateful for?” 

4)     Experiment with Techniques: Explore gratitude journaling, stress logs, or freewriting to find what works best for you. 

When to Seek Professional Help 

While journaling is highly effective, it may not resolve severe stress or related issues alone. If stress persists or affects your daily life, seeking professional support is essential. A psychiatrist in Bhopal can provide tailored stress treatment in Bhopal, combining therapy, medication, and lifestyle changes. 

Conclusion 

Journaling is a simple yet impactful tool to manage stress and improve mental clarity. Start small and stay consistent—over time, it can transform how you handle life’s challenges. If stress feels overwhelming, don't hesitate to consult an expert for comprehensive care.

Thursday, 2 January 2025

How Does Low Self-Esteem Impact Mental Health?


 

Low self-esteem can significantly affect mental health, creating a cycle of negativity that can be challenging to break. In a bustling city like Bhopal, seeking help from a female psychiatrist in Bhopal or a mental doctor Bhopal can be a crucial step in addressing these issues effectively.

The Connection between Low Self-Esteem and Mental Health

Low self-esteem often stems from negative experiences, unrealistic societal expectations, or childhood trauma. It influences how individuals perceive themselves, their worth, and their abilities. This distorted self-view can lead to a host of mental health challenges, such as:

1) Depression: Individuals with low self-esteem often internalize negative thoughts, leading to feelings of hopelessness and sadness.

2) Anxiety: Fear of failure, rejection, or judgment can cause chronic anxiety, affecting personal and professional relationships.

3) Social Isolation: People with low self-esteem may withdraw from social interactions, fearing embarrassment or criticism.

4) Chronic Stress: Constant self-doubt can lead to an overwhelming sense of stress, affecting overall well-being.

5) Substance Abuse: In some cases, individuals turn to alcohol or drugs as a coping mechanism to numb feelings of inadequacy.

Why Seek Help in Bhopal?

If you’re struggling with low self-esteem, professional guidance is essential. Consulting a female psychiatrist in Bhopal or a mental doctor Bhopal can provide tailored therapeutic approaches, such as:

-          Cognitive Behavioral Therapy (CBT): This therapy focuses on identifying and changing negative thought patterns.

-          Mindfulness Techniques: Practicing mindfulness can help individuals become more aware of their self-worth.

-          Support Groups: Sharing experiences with others can provide a sense of community and reduce feelings of isolation.

How Professional Help Makes a Difference

Mental health professionals understand the deep-rooted impact of low self-esteem. They create a safe space where individuals can explore their thoughts and feelings without judgment. A mental doctor Bhopal can design a personalized treatment plan, focusing on rebuilding confidence and addressing underlying issues.

Final Thoughts

Low self-esteem is more than just a lack of confidence—it’s a barrier to a fulfilling life. If you or a loved one are experiencing the effects of low self-esteem, don’t hesitate to seek professional help. A female psychiatrist in Bhopal or a trusted mental doctor Bhopal can guide you toward a healthier, more positive outlook on life. Remember, seeking help is a sign of strength, not weakness.