Doctor in National Institute of Mental Health and Neuro Sciences Hospital (NIMHANS)
Treatment & Management of Stress
Treatment of Mood Disorder
Sex Addiction Counselling
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Cognitive Behavioral Therapy
Obsessive Compulsive Disorder Treatment
Treatment of Drug Abuse and Addiction
Counselling And Stress Management
Treatment of Abnormal Behaviour
Nicotine De-Addiction Treatment
Management of Parenting Issues & Doubts
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In today's fast-paced world, the number of cases of teenagers with serious mental health problems like anxiety disorders has quadrupled. An anxiety disorder affects the thinking, feelings as well as the behaviour of a young person. It's important to seek professional help if one sees any of the warning signs of anxiety disorder in a youngster. Most of the normal anxiety issues are short-lived and the feelings may last for a few hours. However, an anxiety problem becomes an anxiety disorder when anxious feelings are very intense, severe and last for weeks or months. They start interfering in a youngster's ability to socialise, learn and daily activities.
Aviophobia: Fear of flying, also known as aviophobia, is an Anxiety Disorder classified as a situational Specific Phobia. The person with a fear of flying, heights has a continuing and excessive fear triggered by flying or the thought of flying or heights. Typically, flying is avoided or endured with intense anxiety, which may take the form of a panic attack.
Claustrophobia: Claustrophobia is a fear of being in an enclosed space. Thus, being trapped in a lift scare to those who have such phobia. Also, travelling through a tunnel or metro makes people anxious if you have claustrophobia. Sufferers can often feel distressed just with the thought of being in a bus, train or plane. Usually, any small, enclosed space would trigger a panic attack especially if you felt trapped.
The problem with this way of thinking is it spreads to other places. Subways, lifts, small rooms are the classic scenario but the person's intense fear is not restricted just to these places. The fear and the panic can be experienced in any place where the person perceives confinement, closeness or trapped feeling.
If an anxiety disorder in a youngster is ignored and left untreated, it can have long-term consequences on mental health and hamper development. The first step is to talk with the youngster and others who might be able to help like a general practitioner, school counsellor, family members or other parents. Identification of a teenage anxiety problem is difficult as youngsters are good at hiding their feelings and thoughts. They are able to mask those feelings with aggressive behaviour or withdrawal.
Young people might be diagnosed with more than one type of anxiety disorder. Social phobia or social anxiety disorder occurs when one develops an intense fear of being judged or embarrassed in public. Excessive worry about everyday situations is called generalised anxiety disorder. Panic disorder is repeated, unexpected panic attacks where one encounters panic in a situation where most people wouldn't be afraid. Excessive fear of being separated from home or a loved one is a separation anxiety disorder.
There are many things that one can do to support the youngster mentally and reduce the risk. Strong family support and relationships have shown to help protect youngsters from anxiety disorders. Seeking professional help early for the youngster is the best thing one can do when symptoms are seen or the youngster is experiencing severe anxious feelings which are interfering with his normal activities.
One must not ignore or dismiss youngster's fears. Encourage him gently to do things that make him anxious but do not push him to situations that he does not want to face. Also, praise him for doing things he's anxious about. Refer the youngster as brave and not anxious or shy. Set up a role model for him by managing your own stress and anxiety. Professional help for an anxiety disorder is vital for youngster's healthy development. Psychological treatment concentrates on strategies to help youngsters cope up with anxiety. Anti-depressants drugs are used to reduce the symptoms of anxiety disorders. One should also stop or reduce consumption of caffeine products such as coffee, tea, cola, energy drinks and chocolate.
Forensic psychiatry is generally identified as a specialized offshoot of psychiatry, dealing with the calculated treatment and evaluation of mentally disordered offenders in secure hospitals, prisons and in the community. This branch of psychiatry requires an in-depth understanding and thorough knowledge of the connection between legality and mental health. Patients are generally those with personality dysfunctions, mental illness, psychopathic disorders, organic brain damage, learning disability and other conditions such as histories of abuse and traumatic experiences as well as substance abuse and misuse.
Nature of the work-
The most important prerequisite of this branch of psychiatry is a secure and safe environment where the subjects are liable to legal restrictions. Evaluation and assessment may vary from highly secured hospitals and prisons to low secure units and community based services. Forensic psychiatrists must have a thorough knowledge of civil, criminal and case law because of their frequent dealings with criminal justice agencies and the courts. An important component of forensic psychiatry is risk assessment and evaluation. Forensic psychiatrists must be fluent and adept at handling patients during emergencies or routine situations. Moreover, they should be calm, composed and professional in their dealings especially with patients who display instability or violent and aggressive behavior.
The probation service, the prison service, and the courts generally rely on forensic psychiatrists for expert advice, precisely because of their familiarity with preparing reports for mental health review tribunals and criminal justice agencies.
- Quintessentially, the obligatory role of a forensic psychiatrist requires:
- Ability to treat others with understanding and respect
- Ability to work flexibly
- Emotional resilience along with the ability to empathize with patients
- Anticipation and an inherent initiative to work in challenging situations
- Good communication skills
- A scientific and analytic approach and assessment
- Good leadership qualities
Trust issues can destroy any relationship. Trust deficiency creates a feeling of insecurity and makes a person ponder over his partner’s faithfulness, genuineness, and truthfulness. As a matter of fact, trust is essential for any relationship, be it a romantic, friendly or business relationship. Here is a list of 5 ways by which you can sort out the trust issues and save your relationship from getting ruined:
- Figure out the root cause: Trust issues can arise from a lot of factors. There are people who have a natural tendency to distrust people for no particular reason. This can arise from a variety of reasons such as the way a person is nurtured, defence mechanism, confidence and so on. Make sure you know the reasons for which you are distrusting your partner. Identifying the root cause helps to sort it out quickly.
- Keep an open communication channel: The majority of the trust issues arise from lack of communication. It is therefore very important to have a very open communication channel with your partner. Keeping a doubt to yourself do not do any good for your relationship. A matter which might be causing you distress needs to be clarified and get over with. Apart from clearing doubts and mistrusts, good communication strengthens the bond with your partner.
- Gain trust: You partner will only place trust in you, if you do the same. In order to achieve this, take the lead. Trust your partner wholeheartedly devoid of doubts. Once this happens, your partner will feel a lot more at ease and would be willing to trust you. The key to achieving this is to make sure that you do not place any doubt on your partner to start with. While this might sound a little difficult to start with, the results are fruitful.
- Do not be spooky: At times we become overly curious about our partner's activity and doubt them for all the wrong reasons. While a critical analysis of a particular behaviour of your partner might make you suspicious, to gain trust it is essential that you do not judge your partner more often. Most things or activities are done by your partner are aimed with good intentions. It makes sense to appreciate those rather than becoming too judgmental about it.
- Do not compare your life with others: Many times trust issues arise out of nowhere. One tries to imagine problems that he or she might have heard or seen with their close ones. Try to appreciate your life with all the good and bad in it. Comparing your life with your friend’s one can unnecessarily crop trust issues in your life.
I am sai and my age is 25 years male, I am doing job in hyderabad. I am unable to concentrate on my career and my work always diverting. I am doing self batting and addicted to watching porn. How can I get out out of this. Self batting 10 times in a week is danger in future?
Hi, I Want to come out from alcohol addiction. From last few year I taking 180-200 ml alcohol regularly and now I am not able to recover from this. Please help.
We all have mood swings, but not all mood swings have the same intensity. People who have extreme mood swings ranging from depression to manic highs are said to be suffering from bipolar disorder. These extreme moods are known as episodes and usually last for a few days or even a few weeks at a time. A person suffering from bipolar disorder could have an episode several times a year. This is a very common psychological problem and can affect both children and adults. Though it cannot be cured, this disease can be managed with medication.
There are no known causes for bipolar disorder but genetics may play an important role in triggering this disorder. Hence, if a parent or sibling suffers from this condition, you have a risk of developing it as well. An imbalance in the neurotransmitters in the brain may also play a part in the development of this condition. Stress or traumatic events like the loss of a loved one can also increase your risk of suffering from this condition.
Given that mood swings affect almost each one of us, bipolar disorder can be difficult to diagnose. Some of the things to look out for are:
- Change in self-esteem
- Unusual talkativeness or quietness
- Being increasingly prone to distractions
- Decreased need for sleep
- Recklessness in terms of spending decisions, relationships etc
It must be kept in mind that a person must display at least 4 of the above symptoms simultaneously to be diagnosed as bipolar. Also, none of these symptoms should be a result or side effect of any kind of medication, drugs, alcohol or other intoxicants.
- Bipolar I: In such cases, the person has at least one episode of elevated moods and associated abnormal behaviour in his or her life. This may be preceded or followed by depressive episodes.
- Bipolar II: In these cases, the person must have suffered from at least one depressive episode. It is very similar to bipolar I except that in bipolar II the highs never reach the manic stage.
- Rapid Cycling: Some people can have 4 or more manic and depressive episodes a year. In such cases, they are said to be rapid cycling. This condition affects 10-20% of bipolar cases.
- Mixed Bipolar: Usually, bipolar patients show mood swings that alternate between manic and depressive moods. However, sometimes a person may experience both elation and depression simultaneously or in rapid succession of each other. These cases are known as mixed bipolar.
Once diagnosed, bipolar disorder can be managed with a combination of medication and psychotherapy. In some cases, electroconvulsive therapy may also be needed.