Doctor in Dr. Anil Yadav- Alwar Clinic
Treatment of Depression
Treatment & Management of Stress
Treatment of Anxiety
Treatment of Alcohol Addiction Disorder
Treatment of Mood Disorder
Treatment of Fear
Treatment Of Male Sexual Problems
Treatment of Eating Disorders
Treatment of Memory Loss
Treatment of Anxiety and Depression
Treatment of Overeating Disorders
Treatment of OCD
Treatment Of Anxiety Attacks
Treatment of Panic Disorders
Treatment of Stress at Work
Sex Addiction Counselling
Treatment Of Female Sexual Problems
Treatment of Schizophrenia
Treatment of Bipolar Disorder
Anger Management Therapy
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Patient Review Highlights
Being away or oblivious to social media is synonymous to not following the herd. Social media probably is no more the latest fad; it is the given code to take a deeper look into the present age. The rewarding fact about social networking sites is their ability to transport us to people and places millions of miles away from us. This epoch with its dictates of overproduction and maximum utilization of labor, snatches away the boon of communication. Social media gifts us with easy communication and wider access.
1. Social media creates peer pressure - Coming in continuous contact with occurrences in other people's life can lead to mental setback. You may feel low on comparing your achievements with that of others. Consciously or unconsciously you are struggling throughout to be at par with them who are seemingly jubilant. Virtual peer pressure is realized by many.
2. It can bring us at close quarters with penitence - Persistent grief or regret can take a toll on your mental health. It can make you depressive. Depression is again not a healthy thing for personal growth and development. It usually results in lack of motivation.
3. You tend to panic more through continued use of social media - If you have not been in touch with social media for a couple of days you are instilled with the fear of losing out on incidents. You panic regarding what has been happening all over the world that in reality will in most cases bear no effect on you.
4. It accustoms you to the glamorous appeal of drugs - Social media tends to showcase the ills of society as glamorous contributing factors of life. It celebrates the vices of drugs and other addictive agents as virtues. Young adults are therefore easily incited to give in to addiction.
Positive effects of social media on your mental health :
1. Social media will let you take a break from hovering tasks and responsibilities.
2. Helps you connect with long lost friends. Social networking sites will bring you close to new and old friends alike.
3. Real society is overly judgmental. It prohibits you from coming across as your true self. Virtual media allows you to come out of your cocoon and helps you feel comfortable about yourself.
A particularly stressful situation or event that has created terror or been overly dramatic or dangerous can lead to stress and anxiety long after the individual has physically come out of the situation. This kind of a traumatic condition is usually what characterises Post Traumatic Stress Disorder (PSTD).
In simple words, PTSD is a neurological disorder which affects individuals after experiencing severe traumatic situations.
Symptoms of PSTD
- Mood symptoms: mood swings are the most common outcome of these symptoms. The patient may experience a complete lack of enthusiasm and drive to indulge in activities like hobbies and socialising. Also, the patient may end up harbouring feelings of negativity towards family, friends and strangers, besides going through phases of guilt and self blame for the occurrence of the traumatic event.
- Re-experiencing symptoms: these symptoms include flashbacks and life like re-imagination in the form of dreams and nightmares. In many cases, the patient may remember and re-experience the entire scene or series of events that have led to the trauma in the first place. This can be triggered by a memory or association with words, events and other such things that have to do with the memory of the traumatic episode.
- Arousal symptoms: arousal or reactivity symptoms may trigger the same reactions that the person showed during the traumatic experience. These may include being on edge constantly in anticipation of a reoccurrence, or even getting startled by the slightest thing since the mind is already occupied with thoughts of the event, constantly. Anger and emotional outbursts may also be caused due to these symptoms.
- Avoidance or rumination: Those suffering from PTSD avoid being reminded of the trauma, such as people, situations or circumstances associated with the event. They try to suppress memories associated with the event.- Many others ruminate excessively and prevent themselves from coming to terms with it.
Duration of PSTD
PSTD usually lasts up to six months. Yet, there are cases where it lingers on and requires treatment for some particular types of symptoms or behavioural changes.
Treatment for PSTD
Mindfulness meditation (not a treatment option) helps in recognizing cognitive dissonances and affected thought patterns and aids in recognizing and overcoming their influence. Other therapies, including Cognitive behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) are also done depending on the patient's condition.
Aggression or aggressive behavior can often lead to violence and destruction which can be really harmful to their loved ones. When dealing with an aggressive person, it is important to understand that aggression is not always an after effect of some provocations and can often be spontaneous. Excessive and frequent aggression can wreak havoc, affecting the person and their loved ones physically, mentally as well as emotionally. Reports suggest that cases of aggression among youngsters are rising at an alarming rate. It has also been noted that the boys exhibit more aggression than girls. Thus, proper action needs to be taken at the earliest to avoid serious consequences.
- The person may have mood swings and remain irritated all the time. Depression may be commonly seen in such people.
- The person isolates himself or herself from the outside world.
- Insomnia and eating disorders are common.
- An unstable mental health.
- The person may exhibit signs of self-destruction. They may also cause harm to the others, including their loved ones.
- There may be hallucinations, delusions, confusion and poor communication skills.
- There may alterations in his or her personality.
- Lack of concentration. A person may find it difficult to read or write.
- Lethargy is also common in people with aggressive behavior.
Underlying factors that may trigger aggression
A person may appear aggressive physically, mentally, verbally or even emotionally. The aggressive behavior can be an outcome of a myriad of factors such as:
- A negative environment during the growing period: How a child is brought up can play a significant role in shaping their character. A person who had seen a lot of fights, arguments or aggression in their childhood often grows up to be aggressive.
- Genetics: People who have a family history of aggression and aggressive behavior (immediate family) are more likely to be aggressive.
- An unstable mental health with conditions such as schizophrenia, conduct disorder, bipolar disorder or Attention deficit hyperactivity disorder (ADHD) can also cause aggression. Aggression can also be triggered by traumatic brain injury, stress, meningitis, stroke or substance abuse (as well as withdrawal symptoms).
Managing Aggressive Behavior
A person needs to have a lot of patience while dealing with aggressive people. Such people need your support, love, care, and affection.
- For effective management, try and find out the triggers of aggression and then work towards improving the situation.
- Meditation can have a great soothing effect and can play an important role to calm down the person. Music may be equally helpful.
- Sound sleep and proper rest can work miracles in reducing the associated symptoms and complications.
- Maintain a positive environment around the affected person. Keep the person happy, cheerful and stress-free.
- Don't let the person live in isolation. Try and make them interact with people. Don't give them the impression that they are not normal. Don't over sympathize with them. They need your support more than the sympathy.
- Don't shy away from medical help. Love and care with proper medications can work wonders.
Schizophrenia is a disease of the mind that is usually degenerative in nature. The complex disorder is generally characterized by symptoms, such as delusions, hallucinations (both auditory and visual) and disturbances in speech and is usually chronic in nature. The symptoms are not regular and can appear at any point of time. So it is highly possible that a person suffering from schizophrenia may sometimes bear resemblance to any other normal person and all of a sudden, might exhibit symptoms typical of Schizophrenia.
The causes of Schizophrenia include:
- Brain Dysfunction: Abnormalities in the cerebral cortex (the cerebrum’s outer covering that is vital in regulating consciousness) of the brain is the most common cause of this disorder. This is due to the presence of abnormally enlarged ventricles in that region. The decreased brain size owing to the enlarged ventricles is often related to the hallucinations and delusions experienced by schizophrenics.
- Genetic Factors: Studies have also stated ‘genetics’ to be an important cause behind this disorder. Closer the family ties, higher the risks of transmitting the disorder.
- Biochemical Factors: More than one neurotransmitter is being targeted by recent drugs to control schizophrenia.
- Hallucinations: These are sensory experiences of things that do not exist outside the mind. Hallucinations usually manifest in the form of auditory or visual images.
- Delusions: Delusions on the other hand are false beliefs one has about oneself. Delusions are of 3 major types:
- Grandeur: Wherein the person imagines himself to be a famous personality
- Persecution: The belief that somebody somewhere is plotting against you and the whole world is going to get you.
- Control: The belief that a larger force, let’s say a witch, a demon or even a duck for that matter is controlling your actions.
These positive symptoms generally respond well to medications.
In addition to this, schizophrenics think and speak differently than the rest of the society. They jump from idea to idea, lose track of speech mid-way and often speak in fragmented and haphazardly joined sentences. They are, in fact, unable to fix their attention on anything in particular.
Examples of the most common negative symptoms include:
- The flat effect: The individual basically shows no facial expression and always has a flat emotionless mask on while staring into space. At times, they have inappropriate reactions to situations. Example - they might laugh at somebody's death and cry ad get angry when something good happens.
- Avolition: This condition occurs when the individual just sit for hours doing nothing as well as behaves in a way lacking any motivation or enthusiasm.
Loss and grief are two unfortunate partners where the latter follows the former. While the type of grief or the nature of the loss may differ from person to person, there are five distinct stages of loss and grief that all people universally go through, when faced with such a situation.
Here are the five stages of this process and the different ways in which one can cope with each stage.
- Denial and Isolation: In this phase, the patient usually ends up blocking out the words as well as the thoughts and reactions that surround this sad event, which can lead to a numbing action of the brain. While we all do this in some measure during such situations, some people take it especially hard by acting as if nothing has happened at all. If this phase does not come to pass within a short frame of time, then psychological and medical intervention may be required.
- Anger: When a person begins to acknowledge the loss, there is a sense of unfairness which can lead to frustration and anger that is basically the way the person may be dealing with the re-emergence of the pain and the fact that it is here to stay. Therapy and sedation may be required if this frustration and repeated spells of tantrums carries on for a prolonged period. Do not hesitate to talk things out rather than flaring up at this point, as the unchangeable has already happened.
- Bargaining: In this phase, desperation enters the mind of the patient where a lot of 'what ifs' come up. The patient begins to question what if things had been done differently and other such aspects. If not dealt with in an engaging manner and with empathy, this phase can lead back to anger and frustration.
- Depression: Private mourning of the loss and regret to do with the practical aspects like loneliness and the cost of the loss can strike at this stage. Here, the patient must be made aware of rights as well as the people around him or her who can help out to prevent this depression from becoming a full-fledged condition.
- Acceptance: In this final stage, the patient becomes more accepting of this new reality. Yet, even this must be taken up cautiously as a grief stricken heart may lead to a variety of mental ailments in the long run.
The way to deal with these stages is with therapy and proper guidance where the patient is allowed to channel all the thoughts and anger before accepting the situation. Do not hesitate to ask for counselling and embrace the changes in your life without regret, guilt and depression.
Asperger's Syndrome or Asperger's Disorder is a neurotypical condition that affects the development of the child the effects of which continue into adulthood. This condition typically shows up as difficulties faced by the patient when it comes to social interactions as well as other nonverbal means of communication. It should not be confused with autism as the patient has no speech and cognitive development delay.
Asperger's syndrome can show up as restricted and repetitive patterns in the behaviour of the patient. It lies at the higher end of the autism spectrum and the signs are usually less obvious.
Here are a few ways with which you can effectively deal with someone who is suffering from this disorder:
- Routine: The patient suffering from this condition will need a certain kind of stability as it is very difficult to predict what will happen in the near future or to even plan for it. The best way to tackle this scenario is with the help of a proper routine that can help the patient achieve some kind of control over the situation surrounding him or her so that he or she is better equipped and more capable of handling normal functioning and social situations as well.
- Information: It is also a good idea to help these patients in looking at and in processing information. While normal people may easily be able to discard insignificant or unimportant information, the brain of the patient suffering from asperger's syndrome does not allow him or her to do so. In many cases, the patient is not able to filter the important and the unimportant information. This can debilitate many functions. So, it is important to be present to help the patient in making decisions and processing information that is actually relevant to his or her functioning.
- Learning: One of the most crucial things to remember with the Asperger's patient is that they tend to understand and process things when they have a visual presentation rather than being told verbally. So showing them things practically in the proper manner is the right way to help them learn and process situations in a correct way. This will prevent them from doing things in the same old way even when their brains tell them that it will lead to wrong results.
- Physical Abilities: Poor motor skills as well as lack of proper organisation skills are traits that usually characterise these patients. It is important to make them aware of this during games and activities that require management as well as use of social skills. For example, football and other such activities can be introduced in the routine. This will promote interaction with the team in order to play and enjoy the game.
- Pharmacotherapy: It is therapy in which pharmaceutical drugs are used as distinguished from therapy using surgery (surgical therapy), radiation (radiation therapy), movement (physical therapy), or other modes. It is highly beneficial in treating Asperger's Syndrome.
Benefits of tobacco cessation are many. You reduce your risk for hypertension, cancer, cardio-vascular diseases and other serious chronic diseases substantially, at whatever age you quit your nicotine habit. The earlier you quit, the more you benefit. If you quit before the age of 50, you bring down your risk of dying from smoking-related diseases by 50%. But if you’ve crossed 60, suffer from heart disease and/or hyper tension, you can manage these diseases better through tobacco cessation.
Here are a few other health benefits of stopping tobacco use:
- Reduces risks of heart disease, cancer especially lung cancer and chronic obstructive pulmonary disease (COPD)
- Cuts down risks of Impotence due to erectile dysfunction in men, and fertility problems in women
- Optic neuropathy affects the optic nerve that conducts visual signals from the eyes to the brain
- Cataract Macular degeneration is breakdown of the tissue at the back of the eye
- Gum disease
- Losing teeth early
- Osteoporosis or spongy, thin bones
- Complications in pregnancy i.e. women who smoke have more complications during pregnancy and have low-birth babies.
Your food and drink also tastes better once you kick the tobacco habit.
So, how can you stop smoking? Are there any medications and strategies available? The answer is a definite ‘Yes’. Tobacco cessation has been honed into an art these days.
- Clinics: There are tobacco cessation clinics that help you with tobacco cessation. These are manned by psychiatrists, who can provide detailed information, encouragement, and tips to stop smoking.
- Medications: You can use many medicines while you’re trying to stop smoking. This increases your chance of quitting and including nicotine replacement therapy (NRT). NRT can be in the form of gums, sprays, patches, tablets, lozenges, and inhalers. NRT is even available without a prescription. Medicines called bupropion and varenicline also very useful.
- Electronic cigarettes: Electronic cigarettes or e-cigarettes are designed to look and feel like normal cigarettes. These contain a heating element that vapourises a solution and looks like smoke. Some may also contain low levels of nicotine. There is currently controversial evidence on their efficacy.
- Counselling and behavioural therapy: They are both very effective too, especially if you are being guided by a cessation expert. He or she can help you with a personalised quit plan, including ways to cope with nicotine withdrawal. Apart from this, online support is also available for those who don’t have the time or money to engage in personal, face-to-face counseling.
A panic attack is the result of a sudden enormous burst of fear and anxiety. The heart tends to beat faster and breathing becomes difficult. A person gets a feeling of going crazy and dries up. If the treatment is not taken on time, this condition can aggravate to panic disorder and such other problems. It is totally curable if the symptoms are addressed properly.
Symptoms of panic disorder:
Panic attacks can lead someone to panic in any place. It takes only 10 minutes to reach its peak and typically lasts for 25-20 minutes. A patient is a prime candidate of a panic disorder if he frequently suffers from the following symptoms:
- The discomfort of the chest
- Profound sweating
- Fear of losing control of life
- Feeling of detachment from the surrounding
- A choked feeling
- Heart palpitation
- Sudden cold flashes and tingling sensation
Apart from the above symptoms, if a patient suffers from anxiety in between panic attacks in anticipation of another panic attacks, he could be suffering from panic disorders. it is often witnessed that patients suffering from panic disorder avoid certain situations and places.
What causes panic disorder?
Panic disorder results from frequent panic attacks and the cause of the latter are not very clear. It is believed that certain life transitions such as divorce, getting married, acute stress, the death of loved one can result in panic attacks. A person has higher chances of getting this disease if it runs in the family. Some medical conditions that can cause panic disorder are hyperthyroidism, use of stimulants such as cocaine, caffeine and mitral valve prolapse.
How it can be treated?
- Behavioral treatment: Cognitive behavioral therapy is widely considered as one of the effective treatments for panic attacks. This form of treatment effectively focuses on thinking patterns and behavior that triggers panic attacks. It helps you to look at your apprehensions in a better light. Another method of treatment for panic disorder is called exposure therapy. This method exposes a patient sensation of panic in a controlled environment. The trick is to deal with it in a much better way. For instance, you might be asked to cross the road. When you successfully manage to do it without getting crashed, you are less likely to panic in foreseeable future.
- Medication Treatment: Medication can address the problem temporarily, but is not a good solution for long term. Certain medication such as antidepressants and Benzodiazepines are prescribed by doctors with time duration of every 1-2 hours. These are anti-anxiety drugs and gives immediate relief from panic attacks. However, it should be ensured that these medicines are only consumed once a doctor prescribes it.
Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.
People suffering from BPD fear abandonment and loneliness. Yet, they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life. It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with BPD.
Symptoms of BPD
- Disturbed self-image: People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
- Emotional instability: Intense feelings of rage, sorrow, anger, guilt and emptiness or loneliness are experienced by some sufferers of BPD. Extreme mood swings, lasting for a short span of time, are common in BPD. They may also have issues with their self-image where they cannot place themselves and don't know what they feel about themselves or who they are.
- Dysfunctional relationships: It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak. Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common. Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional Psychotic states are other possible symptoms of BPD.
Causes for BPD
- Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.
- Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for BPD. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.
Diagnosis for BPD
There is no particular clinical test that can diagnose BPD. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.
Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life.
It is a serious mental disorder that effects and impacts the brain.It is also reffered as a mental health disorder, a psychiatric condition. Specifically, it is a mood disorder characterized by persistently low mood in which there is a feeling of sadness and loss of interest.
Depression is known by different medical terms, some of which signify a particular diagnosis:
- Depression can affect appetite.
- Clinical depression.
- Major depression.
- Major depressive disorder.
- Persistent depressive disorder.
- Dysphoric disorder.
- Biological – with changes in noradrenergic, dopaminergic and serotonergic neurotransmitter levels theorized.
- Psychological and social/psychosocial.
Why do adolescents get it?
There are multiple reasons that account for depression in young ones.Some of them are:
- Life events – for example, unemployment, divorce, poverty, although these events lead to lasting, severe depression.
- Personality. Failure of adaptive mechanisms strategies to stressors.
- Genetic factors. First-degree relatives of depressed patients are themselves at higher risk, and occurrence of depression between identical twins is high.
Abuse of recreational drugs including alcohol, amphetamines.
- A past head injury
- Past diagnosis of depression.
Symptoms of depression include:
- Depressed mood.
- Reduced interest or pleasure in activities.
- Unintentional weight loss (without dieting) or low appetite
- Insomnia (difficulty sleeping) or hypersomnia (excessive sleeping).
- Psychomotor agitation (for example, restlessness, pacing up and down), or psychomotor retardation (slowed movements and speech).
- Feelings of guilt.
- Worsened ability to think, concentrate or make decisions.
- Recurrent thoughts of death or suicide, or attempt at suicide.
What treatments can be used to overcome it?
- Psychotherapy: Psychological or talking therapies for depression include cognitive-behavioral therapy (CBT), interpersonal psychotherapy and problem-solving treatment.
- Antidepressant medications.
- Support: ranging from discussing practical solutions to contributing stresses, to educating family members.
- Electroconvulsive Therapy: Severe cases of depression that have not responded to drug treatment may benefit from electroconvulsive therapy (ECT), which is particularly effective for psychotic depression.St. John’s wort, exercise and other therapies
- St. John’s wort is a herbal treatment (Hypericum perforatum) that may be effective for mild depression although the evidence is mixed.