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Dr. Rakesh Patel

MD - Psychiatry

Psychiatrist, Ahmedabad

19 Years Experience
Dr. Rakesh Patel MD - Psychiatry Psychiatrist, Ahmedabad
19 Years Experience
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Rakesh Patel
Dr. Rakesh Patel is a popular Psychiatrist in Naroda, Ahmedabad. He has over 19 years of experience as a Psychiatrist. He is a qualified MD - Psychiatry . He is currently associated with Dr. Rakesh Patel Clinic in Naroda, Ahmedabad. Save your time and book an appointment online with Dr. Rakesh Patel on Lybrate.com.

Lybrate.com has a nexus of the most experienced Psychiatrists in India. You will find Psychiatrists with more than 32 years of experience on Lybrate.com. You can find Psychiatrists online in Ahmedabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MD - Psychiatry - Govt. Medical college ahmedabad - 1998
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English
Hindi

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My memory power seems to be low. Can you suggest me some tips for increasing my memory power naturally.

BHMS
Homeopath,
Dear Lybrate User, Take Homoeopathic ANACARDIUM 200, 5 drops, thrice daily, in empty stomach. Also take Homoeopathic Mother Tincture ASHWAGANDHA Q, 30 drops, thrice daily, after meals, in a cup of water.
1 person found this helpful
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I am class 12th medical aspirant and I can't focus on my studies which medicine should I take to improve my concentration on studies. I became diverted soon when I sit to study.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear , to have concentration in studies, you should be interested in your studies. To be interested, you need to have an aim in your life and should have the right attitude to achieve that aim. Please go for career related counseling or you may opt for online career counseling with me. Take care.
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I have a depression problem from 2 months. I changed many of the special doctor but I can't get relief. Now am not getting a sleep and I think that I will not be fine in my whole life. All time think to die. I think that I can't do any work. Some time I feared in night. I am a graduated student so I want my my mind calm and and without any bad thinking. So please suggest me something.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
Only medicines cant cure you completely, this is all stress and worries of life. May be issues of sex/love/future/marriage, you may be having insecurities and fear. Just relax. Ask yourself what bothers you? have a positive self-talk, and learn what are those things you don't like. You need to accept your self and move on. You need to take care of your lifestyle and learn to be happy. If you cant do it yourself, meet a life coach/ stress management super-specialist like me. Once you open your heart out, you will feel free and begin to fly in life. I assure you that I can manage this and help u. You may consult me as well.
2 people found this helpful
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Hello Dr. my exams are held in September m doing bsc nursing 1st years and m late admission only 1 month are left for my exams. What are the tips you give me for preparation for my exams and what are such things that one should do for better learning. Pls help me m so tensed n depressed. Thanks and regards.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem-solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning, at least, five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position, you must squat down and rise up and do this for five minutes every day. There is some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food. You may also include these noted foods that are good for your brain health: Brain-Friendly Foods MIND stands for Mediterranean-DASH Intervention for Neurodegenerative Delay. But the MIND approach “specifically includes foods and nutrients that medical literature and data show to be good for the brain, such as berries,” says Martha Clare Morris, ScD, director of nutrition and nutritional epidemiology at Rush University Medical Center. You eat things from these 10 food groups: •Green leafy vegetables (like spinach and salad greens): At least six servings a week •Other vegetables: At least one a day •Nuts: Five servings a week •Berries: Two or more servings a week •Beans: At least three servings a week •Whole grains: Three or more servings a day •Fish: Once a week •Poultry (like chicken or turkey): Two times a week •Olive oil: Use it as your main cooking oil. •Wine: One glass a day You avoid: •Red meat: Less than four servings a week •Butter and margarine: Less than a tablespoon daily •Cheese: Less than one serving a week •Pastries and sweets: Less than five servings a week •Fried or fast food: Less than one serving a week.
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PDDM, MHA, MBBS
General Physician, Nashik
DIET IN DEPRESSION

Neurotransmitters such as dopamine, serotonin and endorphin are responsible for regulating moods and behavior. The body is able to produce these neurotransmitters because of certain nutrients like protein, fatty acids and carbohydrates. Since these nutrients come from the food we consume, it is important to pay attention to your diet. Eating the right foods can help to prevent nutritional deficiencies and hormonal imbalances. This, in turn, helps to prevent or reduce mood changes and emotional disturbances, where dietary deficiencies may have been contributing factors. Here are some tips on what to eat to prevent depression:

The importance of eating a healthy breakfast cannot be stressed enough. It helps to maintain your blood sugar levels and thus keeps your moods stable.Oats make a good breakfast food because they help to combat stress and also keep your cholesterol levels in check.

Don’t drastically reduce fat from your diet. Some amount of fat is necessary for proper functioning. Try to ensure an intake of healthy fats such as omega-3 fatty acids which are found in foods such as nuts, fatty fish and seeds.

Add plenty of fresh fruits and vegetables to your diet as these will supply your body with a variety of essential vitamins and minerals.
Foods such as lean turkey, chicken and milk are high in tryptophan, an amino acid that stimulates the release of serotonin. Serotonin enhances mood.

Restrict your intake of caffeinated beverages and alcohol. Some studies have indicated a link between excessive coffee consumption and depression. Alcohol affects mood and can also interfere with sleep.

Avoid following restrictive or crash diets that eliminate an entire food group. These can considerably affect your normal body rhythm and may lead to hormonal imbalances.

DR SURBHI AGRAWAL
Consultant physician, diabetologist and wellness expert.
11 people found this helpful

I am 21 years old. I have a brother. I share everything with him. I like him very much. He if went to some place I feel very bad. I feel that i am lonely without him. I am so much addicted to him. I am very depressed. He is going to marry in 6 months. I am getting fear that I can not live without him. I am so depressed. Please help me what can I do? Some time i am feeling that I can not live without him what can do? I want to live happily even if he is far away with me.

MD
Psychiatrist, Hyderabad
Hi, I can imagine what you might be going through, but there are certain things which we, as normal human beings, need to remember. As human beings, we tend to cope with constant changes, by building new relationships at different stages in our life. However the priority keeps changing continuosly, like for example, a girl before her marriage gives utmost importance to her family. Whereas after marriage, her husband and children become her top priority, and this is the dictum. Similarly for you also the priorities should change and should start building new and healthy relationships with your friends at study or work place and you should make every effort to divert your attention and these feelings of insecurity. Remember that the basic human survival mechanism is based on the ability to adapt to changes, the failure of which will lead to mental unrest. Try to keep yourself as busy as possible and be surrounded by as many friends and other family members as possible. If it seems impossible to overcome this problem, then there is more to this problem and probably it needs to be dealt by a professional, either a psychiatrist or a counsellor.
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My bf doesn't understand my emotions, my feelings at all .we stay in different cities and he is always busy with work. Whenever I say something regarding this he feels I am sounding melodramatic. I feel so frustrated sometimes . What should I do?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate user. I can understand. You do not know your boy friend yet. Don't judge him with your limited knowledge and experience. You are just 20. Complete your education. Then devote a year or two to understand your boy friend. Also remember, knowing another person can never be complete. I suggest online counselling. Take care.
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Sir I do hand job daily. If I see any movie or program even some expose appears I'll doing that. This is my weakness. I'm not properly concentrate on my studies. What shall I do. Help me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Masturbation is not really bad; it is the addiction to it that is bad. Not even the number of years is a problem but the frequency and compulsiveness to do it is to be considered for its ill-effects. At your age you may feel it difficult and it can become addictive if you have alone time, if you obsess about it, and if you are not into relationships. The problem with addiction to this is that you may go on to prefer masturbation to heterosexual contact, even when you are married. That obviously would be an insult to your wife and will lead to a lot of conflict. Heterosexual contact is very wholesome and the physiology is made exactly for penile and vaginal contact. You will instead enjoy a poor replica of this and not know or care for the difference. The second thing that can happen with addiction is that it will become compulsive and will have no boundaries or limits, since it can be done all by yourself, whenever, wherever, and however too. The big problem a lot of children get into is the guilt around this. A useful way to discharge the energy is to get into contact games, or exercises, or even hobbies to channelize it. Also you should not spend too much time alone, and you need to keep your mind occupied with other interesting things and a lot of socializing. Even if you are not interested in marriage, for whatever reasons, it will help you to get into a friendship with a girl and enjoy the relationship where there will be a lot of excitement when you fall in love. Right now your hormones may be very active and your physiological apparatus is primed and ready for sexual stimulation. But because of your age and even otherwise it is important to develop good control and not feed into your impulses. Keeping yourself occupied and living a healthy social life are the keys to manage your sexual drives. You will improve your concentration as soon as you are stress-free of this masturbation. In the meantime do some of these recommendations very faithfully: Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem-solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning, at least, five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position, you must squat down and rise up and do this for five minutes every day. There is some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food. You may also include these noted foods that are good for your brain health: Brain-Friendly Foods MIND stands for Mediterranean-DASH Intervention for Neurodegenerative Delay. But the MIND approach “specifically includes foods and nutrients that medical literature and data show to be good for the brain, such as berries,” says Martha Clare Morris, ScD, director of nutrition and nutritional epidemiology at Rush University Medical Center. You eat things from these 10 food groups: •Green leafy vegetables (like spinach and salad greens): At least six servings a week •Other vegetables: At least one a day •Nuts: Five servings a week •Berries: Two or more servings a week •Beans: At least three servings a week •Whole grains: Three or more servings a day •Fish: Once a week •Poultry (like chicken or turkey): Two times a week •Olive oil: Use it as your main cooking oil. •Wine: One glass a day You avoid: •Red meat: Less than four servings a week •Butter and margarine: Less than a tablespoon daily •Cheese: Less than one serving a week •Pastries and sweets: Less than five servings a week •Fried or fast food: Less than one serving a week.
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Can I workout (like push-ups, lifting 5 kg dumbbells). My bilirubin is high 4.3. But im not encounter any other problems like pain in upper abdomen. Just have a little stress.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
Hi, Your body is under a stress and recovering viral infection of a vital organ ..LIVER. You are not supposed to exert your self now. Do not do gym now.
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Hello doctor, I am 24 years old currently jobless and preparing for higher education from past two yrs and I am facing mood swings from past six months which is increasing day by day. Every morning I dont feel fresh. Sometimes emotionless and sometimes restless. Even get irritated and angry very quickly. Am I suffering from depression? I dont know what to do. I' m also overweight 70kg and though tried gym yoga and medition but I cant stick to it because I dont feel motivated. Sometimes I feel like crying whole day for my current situation. Sometimes I feel happy but den few hrs later I again either become sad or emotionless. I thought of talking about this to my parents but I dont want to give them tension so was not feeling comfortable to consult them. Should I go to a phycatrist. Please help.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, you don't need to consult a psychiatrist for now. You need to understand the difference between depression and disappointment. You are disappointed due to the life happenings. If you interpret, you will know, whatever happened in your life, has reasons and you are also part of it. Understanding your life and life situations help you overcome the disappointment. Then disappointment also vanishes. Don; t be overly anxious about your current situation. Everything will change for sure. Be cheerful. Change your attitude towards your life and career. Always say everything will be alright. Take care.
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I have a habit of not remembering things I put on particular places like if I put my bikr keys at some place then after some time if I have to go outside I can not remember where it is! how can I overcome this disease?

BHMS
Homeopath, Faridabad
Hello, there are few food items which helps you in boosting up your memory power, increases focus & concentration, so try to take more of these: 1. Choline: good sources of choline include liver, milk, eggs and peanuts. 2. Vitamin b: b vitamins are not synthesized in the body, and thus need to be obtained from food. B-complex vitamins are water-soluble vitamins, which means that they are not stored within the body. In consequence, the b vitamins need ongoing replenishment. Vitamin b1 (thiamine) rich sources include unrefined grain products, ready-to-eat cereals, meat (especially pork), dairy products, peanuts, legumes, fruits and eggs. Foods that contain high concentrations of vitamin b3 (niacin) in the free form include beans and organ meat, as well as enriched grain and cereal products. While niacin is present in corn and other grains, the bioavailability of the nutrient is much less than it is in protein-rich sources. The role of vitamin b9 (folic acid) during pregnancy is vital to normal development of the nervous system in the fetus. Good sources of folate include liver, ready-to-eat breakfast cereals, beans, asparagus, spinach, broccoli, and orange juice. Animal protein products are a good source of vitamin b12 (cobalamine), particularly organ meats such as kidney or liver. Other good sources are fish, eggs, and dairy products. 3. Vitamin a: the foods highest in vitamin a are any pigmented fruits and vegetables and leafy green vegetables. 4. Zinc: zinc is a very important part of the brain as well; many regions of the brain, such as the cerebellum, and hippocampus have neurons that contain this nutrient. Zinc is needed to maintain normal vitamin a levels in blood plasma. Sources of zinc are meats, certain seafood, whole grains, baked beans, oatmeal, milk (low-fat), cashewnut, almonds, kidney-beans, cheese, peas, spinach, sesame seeds, pumpkin seeds, flaxseeds. Medication: take homoeopathic medicine for increasing memory - anacardium 200/ once daily.
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My sister is suffering in schizophrenia from last 4 years, after taking medicine from last 1year, but the symptoms are increase in every month with more dangerous, what should I do? please help me.

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
Get effective treatment for your sister from an experienced psychiatrist. She may require admission if necessary.
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She is suffering from acute mental imbalance, emotional ups and down. Therapy and medicine are sounding useless.

B.Sc., B.A.M.S., C.C.Y.P., M.D. (Ayurveda)
Ayurveda, Aligarh
Hello You have to start Yoga and Meditation immediately. Along with this meditation give them Panchagavya Grita and Saraswatairtam. Both r an Ayurvedic medicine and have very good effect in this type of cases. You must provide your feedback.
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Hi doctor. My friend is suffering from extreme stress due to work levels in the office and cannot afford to take a leave and consult. so, please guide him through this stress. Thanking you.

DNB, DPM, MBBS
Psychiatrist, Delhi
The term stress is both an advantage and a disadvantage. It is advantageous because it is all-embracing and allows a synthesis of many aspects of life's experiences; it is disadvantageous because its referents are diverse. Pharmacological Approaches to Stress Management- it should be started after proper evaluation. Stress-Management Training-- it is important to highlight five skills that form the core of almost all stress-management programs: self-observation, cognitive restructuring, relaxation training, time management, and problem solving. This training can be done on Individual basis and also through video chat. if any further details are required let me know.
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I am 36 years old unmarried girl. My height is 5 feet 1 inch and my weight is 80 kg. I have depression from last 8 years and I am taking medicines from last 8 yrs. I feel lethargic. I feel laziness and lack of energy. After waking up in the morning I feel no energy to get ready and go to school as I am IT trainer. I feel frustrated most of the times. I find difficult to breathe. I do not have full breath. While doing breathing exercises even I do not have full breath. I have 12.2 hemoglobin and 20.2 Vitamin D. I also feel pain in body. How can I improve my breathing to full capacity? Please advise me.

MD - Alternative Therapies, BHMS
Homeopath, Mumbai
Hello, depression is a symptom cluster which are complexly interactive. Hence it requires a well tolerated treatment that provides both acute symptom relief and continued benefits without side effects. Allopathic medicines for depression have many known side effects like nausea fatigue and drowsiness insomnia increased appetite and weight gain dry mouth blurred vision, etc your laziness and lack of energy are mostly due to your medication. Your problem of difficulty in breathing is because breathing is a huge component of depression. Shallow breathing pattern is commonly observed in people affected by depression. You should walk barefoot on ground daily for 10-15 mins, this is called earthing- by this you absorb free energy from earth, you gain benefits of reflexology. You can consult me for a safer alternative to treat depression. Regards,
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I'm a b-tech final year student and most of my friends got placed. I'm still unplaced which gives me headache and feel depressed when I think about it and not able to concentrate on studies and having some health issues. So what should I do to overcome from this situation and how to concentrate on studies?

Diploma in Psychological Medicine, MBBS
Psychiatrist, Mumbai
Now your job is to focus on studies and not to give importance to others placement. So try to improve your concentration. Start meditation and yoga make a time table of self study and follow it group discussion take out time for your hobbbies hang out with your frndz proper diet brusk walk and can try ayurvedic medicines still no improvement, consult a psychiatrist!
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I want to know that can cigarette smoking cause anxiety disorder. Since I started smoking I feel more and more anxious and even panic I have all symptoms of anxiety disorder and social phobia. All my friends do smoking but they are not seems to be anxious why this happens to me only.

M. Phil (Clinical Psychology), M. A (Clinical Psychology)
Psychologist, Noida
Its depend on the individual to individual. Many times it has been found that addiction may lead to anxiety disorders and if you ll not stop smoking then it may get worsen. U need a clinical psychologist or psychiatrist to stop this habits through medicine. Now you will have to choose that you need a successful healthy life or any illness.
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Hi i am suffering due to my bad nature. Whom should I consult psychiatrist or psychologist?

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
you need a stress management specialist, psychotherapist, personality, relationship and life coach. Want to meet/speak to me?
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4 Reasons Why You Should Avoid Stress For A Better Sex Life!

MBBS
Sexologist, Jaipur
4 Reasons Why You Should Avoid Stress For A Better Sex Life!

Stress and sex is a bad combination, as it is a well known fact that it is because of stress that a person's love and intimate life often suffers. Listed below are few ways in which stress can affect your sex life:

  1. Negative body image: The hormones associated with stress are capable of affecting your metabolism. If you gain weight or feel sluggish, it makes you feel bad about your own body, which in turn hinders your desire to initiate sex. A lower self-image leads to less amount of sex and in turn, creates relationship problems. One of the main sources of stress can be your relationship; if you cannot nurture it, it might lead to elevation of stress.
  2. Negative effect on libido: Cortisol is a hormone that is produced by stress. It is needed by the body in small doses and over short periods of time. Increase in stress over a period of time results in increased levels of cortisol, which lead to suppression of sex hormones. Lower amount of sex hormones results in lower libido.
  3. Excessive drinking: It is of common knowledge that people drink to relieve stress. Maximum times, increased stress levels lead to excessive drinking. Men have difficulty having erections after they drink too much. In women, excess alcohol causes dehydration, resulting in reduced lubrication. These problems lead to dull sex.
  4. Impact on fertility and menstrual cycle: In women, stress affects the pituitary gland, which is responsible for the thyroid, ovaries and adrenal glands. Improper functioning of the ovaries can adversely affect the menstrual cycle. Periods might become irregular or menstruation might stop. If you wish to discuss about any specific problem, you can consult a sexologist.
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