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Dr. Anupama Zeena Sequeira

Psychiatrist, Bangalore

Dr. Anupama Zeena Sequeira Psychiatrist, Bangalore
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Anupama Zeena Sequeira
Dr. Anupama Zeena Sequeira is a popular Psychiatrist in Hebbal, Bangalore. She is currently associated with Bangalore Baptist hospital in Hebbal, Bangalore. Book an appointment online with Dr. Anupama Zeena Sequeira and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 29 years of experience on Lybrate.com. You can find Psychiatrists online in Bangalore 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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I cannot share with my husband freely I cannot control my self he is dominating person what can ido?

C.S.C, D.C.H, M.B.B.S
General Physician,
You have to have a frank talk and if he is not cooperative seek the help of elders or good friends. Both of you may need to see a marriage counsellor for help.
1 person found this helpful
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Alternative Medicine Specialist, Kharagpur
Keep your mind open always to be free from stress .
1 person found this helpful

Hello I have taken antidepressants for 2 and half years. After that I gradually decreased the dose n stopped it completely 6 months ago, but now am facing many side effects like concentration, dizziness, sexual problems.

MD - Psychiatry
Psychiatrist, Chennai
Hello I have taken antidepressants for 2 and half years. After that I gradually decreased the dose n stopped it compl...
After 6 months if you develop these symptoms those are not medication side effects. Antidepressants usually get washed off in 4-8 weeks. Your present complaints are most likely due to recurrence of Depression, consult your psychiatrist for remedy.
1 person found this helpful
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Sir/madam, From last 2 years , I am getting pain in right side foot and leg (only in night time while sleeping). I have also consulted doctor for this. They suggested me to take vitamin tablets and body pain tablets. But still problem not solved. Please suggest me any medication.

BSc
Ayurveda, Ujjain
Sir/madam,
From last 2 years , I am getting pain in right side foot and leg (only in night time while sleeping). I ha...
You take r compound tablet 2 in morning after lunch end 2 after dinner. Massaje narayan taila on food end complite leg take nurobion forte tablet 1 after dinner for one month than feedback to me for next advice.
2 people found this helpful
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Hi I am 40 years old male. I am having habit of chewing masala tobacco from last 15 years. Tried lot many times but never been able to quit the same. Now the urge has increased and intake has become more. Please help me in this regard.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
The urge to increase the consumption over time is what is called developing tolerance and dependence to the substance. This is why it is addicted and progressively damaging. Chewing tobacco is really harmful especially because it is known to cause oral cancer and oral submucous fibrosis (SMF). Since it is an oral habit there are many substitutes that can be used to replace the oral stimulation. Of course, since it is a stimulant you cannot get the same effect and that is worth the loss to give up this very addictive habit. A dense fibrous tissue is deposited in the submucosal layer of the soft palate and cheek, causing disabling symptoms like trismus. It contains betel nuts, tobacco, lime, catechu and permitted spices and flavors. The first four substances damage the sensitive mucosa, causing constant irritation and micro trauma to the mucosa. Chemicals present act as a toxin. The phenol in the betel nut, with its caustic burning effect, destroys the mucosa, causing oral ulcers. The betel nut also contains tannins, which act as astringents, precipitating protein and damaging the mucosa. Altogether, this substance is known to be physiologically addictive. You can use replacements like nicotine chewing gum (if you want the stimulant effect, especially in the beginning) or ordinary chewing gum, hard candy and any other orally satiating substance, especially when the urge is very strong. You would have got conditioned to the habit to different times of the day and different situations. You must particularly avoid those occasions and occupy yourself with something else attractive. You should get regular exercise, eat healthily, and get a good night’s rest every day. Visit a dentist and clean up your teeth and gums to wipe out all the reminders and damages of the habit. You may also get a thorough oral check up and treatment for any damages incurred. If you are unable to give it up on your own, you need to be admitted into a rehabilitation center nearby until you are completely out of it. They will have you deal with all other issues also. Even after you come out of the center, you must continue therapy and attend Smokers Anonymous meetings regularly.
2 people found this helpful
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I am suffering from a anxiety I suffer from last 3 months what is the best medicine for anxiety I take 1 tablet of pores cr 1 tablet of etizex 0.5 at night I am also suffer from early wake up problem sir please give me a answer as fast as possible.

PhD - Clinical Psychology, Diploma in Clinical and Community Psychology, MA - Clinical Psychology, BA - Psychology
Psychologist, Delhi
I am suffering from a anxiety I suffer from last 3 months what is the best medicine for anxiety I take 1 tablet of po...
Hello there, It is not advisable to get medicines prescribed online as it needs much more detailed medical and psychological inputs from the client to reach to final diagnosis. Also, much detailed history is required to decide regarding medicines and their dosage so that client get best result. Also, in case of Anxiety disorders Combined therapy with Psychiatrist and Psychologist works best. It would be best for you to meet your nearest Psychiatrist and Clinical Psychologist to get best treatment for your symptoms. Good luck.
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Hi, I am Samiksha, age 28 and mother of two daughters. After my first child was born, I left my job and became a full time mother. Before that I worked as Legal Manager in Thompson Routers. I feel easily frustrated, depressed, my BP and sugar level goes down, unable to control my anger and thousand other bad things happening with me which in contrary ruining my Marriage. Since past 7 year, I have been suffering from thyroid mal function. Many times due to depression, I had suicidal thoughts but then I feel bad for my small kids. My husband is also a independent Lawyer. I stay at home alone for whole week with my kids and no one talking and sharing my feelings. I keep thinking all crazy and junk. My husband feel I m reason for every bad things happening. I lost my job, career, hopes, patience and peace of mind. I want to make my self happy so that I can make my love ones happy. PLease help.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Wow, that is a whole lot of complications for one person, in one lifetime and with no resolution at the end. I am glad that you gave up on the suicide idea, but not for the reasons you mention. You need to first live for yourself and then the others i.E. You daughters and husband will benefit. Your husband?s assessment is not at all justified. There is no such thing. However, you must look at your life and see, is God a significant part of it? I don?t hear that at all. You must turn to God in all these times of good and bad. ?When God is for you, who can be against you, very true and sensible. Please do cultivate your spiritual wellbeing and you will see some wonderful affects in your life. Then you need to take life into your own hands and make things happen too. Perhaps you are not made to be a mom-at-home kind of person. If the kids are old enough, get them some nanny-care and get out into the vast world full of opportunities. You will make good in the field out there with your background. Do also take charge of your wellness: exercise, eat and sleep well, spend time in the sun every day, meet people, do something productive with your time, work at improving your married life, and bring back your hope, love, peace of mind and activate your career. Things do not happen to us, we do things to attract them to us. If you are positive, you will find positive things happen to you. As you think, so are you. Change your thoughts and you will change who you are. It is as simple as that. Your husband will not find labels and accusations to throw at you. If you let things be as they are, it will become overwhelming and everything can be lost. You end your plea rather beautifully and correctly: I want to make myself happy so that I can make my loved ones happy. Now go out there and do it. Keep me posted with all good developments.
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Stress Management

MD - Psychiatry
Psychiatrist, Alappuzha
Stress Management

The pace of modern life makes stress management a necessary skill for everyone. Many people juggle multiple responsibilities, work, home life, caregiving, and relationships. Learning to identify problems and implement solutions is the key to successful stress reduction.

The first step in successful stress relief is deciding to make stress management an ongoing goal, and to monitor your stress level.

Once you start monitoring your stress level, the next step is identifying your stress triggers. When or under what situations do you experience the most stress? some causes of stress are easy to identify, such as job pressures, relationship problems or financial difficulties. But daily hassles and demands, such as commuting, arranging child care or being overcommitted at work, also can contribute to your stress level.

Positive events also can be stressful. If you got married, started a new job and bought a new house in the same year, you could have a high-stress level. While negative events, in general, are more stressful, be sure to also assess positive changes in your life.

Once you've identified your stress triggers, you can start thinking about strategies for dealing with them. Identifying what aspect of the situation you can control is a good starting point.

For example, if you have a difficult time falling asleep because you're stressed out, the solution may be as easy as turning off the tv when the evening news is too distressing. Other times, such as high demands at work or when a loved one is ill, you may only be able to change how you react to the situation.

And don't feel like you have to figure it out all on your own. Seek help and support from family and friends. You may want to ask them what stress-relief techniques have worked well for them.

And many people benefit from the daily practice of stress-reduction techniques, such as deep breathing, massage, tai chi or yoga. Many people manage stress through practicing mindfulness in meditation or being in nature.

And remember to maintain a healthy lifestyle to help manage stress - eat a healthy diet, exercise regularly and get enough sleep. Having a healthy lifestyle will help you manage periods of high stress.

Stress won't disappear from your life. And stress management isn't an overnight cure. But with ongoing practice and incorporation of resiliency into your lifestyle, you can learn to manage your stress level and increase your ability to cope with life's challenges.
 

Sir. I have indigestion problem as lose motion occur and gas in stomach. As I also smoke cigarette.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Cigarette smoking is acidic and can increase the gaseousness. You could be under some stress for these symptoms to persist. Please meet with a counselor and talk talk about your emotions and you feel better and many f these symptoms will disappear.
1 person found this helpful
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I am 40 years old I have serious urge for alcohol I was in rehab for sometime can I have permanent solution to stop.

Fellow Observership, Certificate in Forensic Psychology, MD-Psychiatry, MBBS
Psychiatrist, Akola
Hello sir, from your description it is very clear that you shall need some medicines for sure under supervision of psychiatrist. In addition, specialized counselling from a psychiatrist or psychologist known as relapse prevention counselling (rpc) will also do wonders for u. Another alternate is attending local alcoholic anonymous (aa) meetings. Good luck.
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Hello. Doctor I have some short temper I am unable to control my short temper I am highly tempered when someone irritates me please doctor pleas give me proper suggestion for my disease.

C.S.C, D.C.H, M.B.B.S
General Physician,
Some of the "typical" responses to frustration include anger, quitting (burn out or giving up), loss of self-esteem and self-confidence, stress and depression. Anger management: 10 tips to tame your temper ANGER: There is a saying "Frustration begets anger and anger begets aggression." Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. GIVING UP: Giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. LOSS OF CONFIDENCE: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that If we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "It is worth it!" and by following through, it not only gets the job done, but it builds self-confidence. STRESS: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme, or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of: irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. DEPRESSION: Depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one think about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. OTHER REACTIONS: abuse of drugs & alcohol is self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions Whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Learning To Deal With Frustration It is unrealistic to believe you can rid yourself of frustration forever, but you can learn to do things to minimize your frustrations and to make sure you do not engage in unhealthy responses to frustration. You will need to learn to distinguish between what you hope will happen, what will probably happen, and what actually happened. Life inevitably has its ups and downs -- its moments of relaxation and times of tension. When you learn to truly accept this reality, you come one step closer to being able to deal with frustration in a healthy way. There are several types of problems that we encounter in everyday living: those which you know can be solved, those which you are not sure if they can be solved or not, those you know are totally out of your control, and those you are so confused about that you do not even know what the problem is. You need to be able to accurately assess your abilities to alter situations that prevent you from solving your problems and reaching your goal. Then you will be able to assess which of the types of problems you have encountered, and you will then be able to develop a realistic plan. Learning to take things in stride will also help you to be more content and happy which, in turn, will help you to more easily overcome anger and frustration. If you are upset, sad, anxious, or depressed you will have less patience and tolerance for everything and everybody.
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Please suggest some medicine to flush out Nicotine from the body as I am a chain smoker and wanted to quit it. Tried to quit it for some time however unable to continue it.

C.S.C, D.C.H, M.B.B.S
General Physician,
No such medicines and you have to stop smoking and do breathing exercise .Best age to stop smoking is before 40 ,In fact do not start all Only by using strong will power and avoiding all situations where you feel like smoking, chewing tobacco or drinking or using drugs/ weed, avoiding friends who smoke and diverting mind by reading or chewing a gum, like NICORETTE and taking a walk when you crave for a smoke can all help. You can chew Nicorette gum which is nicotine replacement. There are medicines available. Which can be prescribed if asked personally Cigarette smoking is a leading preventable cause of mortality. It kills more than 60 lakh people worldwide every year. More than 50% of regular smokers would invariably die from tobacco-related illnesses which includes heart attack, cancer or asthmatic lung diseases. Best age to stop smoking is before 40 31st May is “World No Tobacco Day” Quitting smoking before the age of 40 is associated with larger decline in premature death than stopping it at a later date. Best age therefore to stop smoking is before 40. However, stopping smoking even after the age of 50 is still associated with lower risk of death as compared to those who continue to smoke. Even in smokers aged 80 years or more, quitting smoking appears to reduce some mortality.
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Hi. I am 29 year old man. My problem is unnecessary I think to much. I dont know why. Can you give some tips. Thanks.

Phd, Mphil, MSc, Bed, BA (Clinical Psychologist and Parent Child Relationship Expert)
Psychologist, Noida
Hi. I am 29 year old man. My problem is unnecessary I  think to much. I dont know why. Can you give some tips. Thanks.
May be you are not making best use of time and wasting on immaterial stuff, instead why not set goals and try accomplishing for sense of achievement and high self esteem.
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I have adjusting problem and do not how to control my anger. I lost many jobs due to anger. I become angry when someone cheats. I am doing exercises and yoga. But still I can not control anger.

MD - Psychiatry
Psychiatrist, Chennai
Follow these anger management tips 1. Think before you speak In the heat of the moment, it's easy to say something you'll later regret. Take a few moments to collect your thoughts before saying anything — and allow others involved in the situation to do the same. 2. Once you're calm, express your anger As soon as you're thinking clearly, express your frustration in an assertive but nonconfrontational way. State your concerns and needs clearly and directly, without hurting others or trying to control them. 3. Get some exercise Physical activity can help reduce stress that can cause you to become angry. If you feel your anger escalating, go for a brisk walk or run, or spend some time doing other enjoyable physical activities. 4. Take a timeout Timeouts aren't just for kids. Give yourself short breaks during times of the day that tend to be stressful. A few moments of quiet time might help you feel better prepared to handle what's ahead without getting irritated or angry. 5. Identify possible solutions Instead of focusing on what made you mad, work on resolving the issue at hand. Does your child's messy room drive you crazy? Close the door. Is your partner late for dinner every night? Schedule meals later in the evening — or agree to eat on your own a few times a week. Remind yourself that anger won't fix anything and might only make it worse. 6. Stick with 'I' statements To avoid criticizing or placing blame — which might only increase tension — use "I" statements to describe the problem. Be respectful and specific. For example, say, "I'm upset that you left the table without offering to help with the dishes, instead of, "You never do any housework. 7. Don't hold a grudge Forgiveness is a powerful tool. If you allow anger and other negative feelings to crowd out positive feelings, you might find yourself swallowed up by your own bitterness or sense of injustice. But if you can forgive someone who angered you, you might both learn from the situation. It's unrealistic to expect everyone to behave exactly as you want at all times. 8. Use humor to release tension Lightening up can help diffuse tension. Use humor to help you face what's making you angry and, possibly, any unrealistic expectations you have for how things should go. Avoid sarcasm, though — it can hurt feelings and make things worse. 9. Practice relaxation skills When your temper flares, put relaxation skills to work. Practice deep-breathing exercises, imagine a relaxing scene, or repeat a calming word or phrase, such as, "Take it easy. You might also listen to music, write in a journal or do a few yoga poses — whatever it takes to encourage relaxation. 10. Know when to seek help Learning to control anger is a challenge for everyone at times. Consider seeking help for anger issues if your anger seems out of control, causes you to do things you regret or hurts those around you.
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What kind of pill would be best for a severe stress, anxiety level and also help with depression?

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
What kind of pill would be best for a severe stress, anxiety level and also help with depression?
Dear Hamjad, You need to be assessed psychologically for diagnosis. You should consult a psychologist / psychiatrist for diagnosis. Alternatively you may consult a psychologist online too. Please do not try to diagnose self and ask for medicines. That may be dangerous. Take care.
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Dear sir I want to know about weed is good for human body or bad and what's the negative affects on human body because sometimes during smoking weed some people's are facing memory's loss and bla bla and am regularly trying to convince my friends to avoid smoking weed but thy are telling me that you don't know smoking weed is good for health and it avoids cancer and alts for diseases so please give me complete details.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
That is a lot of hype. Yes, it is true that it does help with some medical conditions as a treatment measure. People are mistakenly taking that to mean that weed is completely harmless. That is far from the truth. Here are the facts and feel free to share this with your friends: If you know it is harmful why would you want to play with it? The obsession and compulsive use is when you become addicted to the substance. Just for your information here’s what WebMD has to say: ‘No matter how it gets into your system, it affects almost every organ in your body, and your nervous system and immune system, too. When you smoke pot, your body absorbs THC right away. (If you eat baked goods or another item, it may take much longer for your body to absorb THC, because it has to break down in your stomach before it enters your bloodstream). You may notice changes in your body right after you smoke. The effects usually stop after 3 or 4 hours. Smoking pot can increase your heart rate by as much as two times for up to 3 hours. That’s why some people have a heart attack right after they use marijuana. It can increase bleeding, lower blood pressure, and affect your blood sugar, too. We don’t yet know if marijuana is linked to higher odds of getting lung cancer. But the process does irritate your lungs -- which is why regular pot smokers are more likely to have an ongoing cough and to have lung-related health problems like chest colds and lung infections. Other physical effects of marijuana include: •Dizziness •Shallow breathing •Red eyes and dilated pupils •Dry mouth •Increased appetite •Slowed reaction time (If you drive after using marijuana, your risk of being in a car accident more than doubles.) If you’re a long-time user, you can have physical withdrawal symptoms -- like cravings, irritability, sleeplessness, and less appetite -- when you stop.’ It being a hallucinogen, it can lead to hallucinations and even a phenomenon called ‘cross hallucinations’ i. E. For example, you can see sounds and hear colors!
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My name is ashoe and I am 16 years old and I have problem in my studies while at study and gaming time I cannot concentrate so please help me.

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 user, welcome to lybrate. You must be able to understand concentration, attention span, recollection and distraction. If you are able to watch a movie for two hours continuously, if you are able to play a game for an hour, then you do not have any concentration problems. You can't be attentive towards your studies because you are not interested in it. You are able to watch movie and play game because you are interested in it. Human cannot be attentive towards anything for more than 10 minutes. If the task is boring, it is natural that that person will sleep or feel sleepy. Then you should study in such a way that your attention is continued and make the subjects are interesting to you. Effective learning techniques should help you. Recollection depends on anxiety, stress and other physical and circumstantial factors. Distractions while studying are plentiful. You should be able to overcome distractions or avoid distractions. Please understand the above. Change your study style and attitude accordingly. Take care.
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Tips on Managing Your Marriage Relationships

Post Graduate Diploma in Pyschology
Psychologist, Noida
Tips on Managing Your Marriage Relationships

Every married couple undergoes relationship troubles, but these troubles should not linger for a long time otherwise you might end up facing dreadful consequences. If you want to save your married life by maintaining a smooth relation with your partner, then you have to look for the best solutions that can resolve marital issues.

How to manage marital relationships?

  1. Maintaining Trust: Since trust is the base of every relationship, therefore you should make special effort in maintaining the same. Unresolved issues should be resolved quickly and there should be transparent communication between the married couples. Some of the special qualities that should be maintained in order to maintain trust within a marital relationship in long run are being on time, consistency, being sensitive towards feelings, avoiding lies, sharing feelings, respecting partner's feelings, avoiding jealousy and others.
  2. Healthy Communication: If the problems remain unresolved, then more and more conflicts will be invited. Have open discussions and clear up your points so that confusions can be eliminated. If you make efforts in understanding the real causes, then only the problems can be resolved. You need to put yourself in the shoes of the partner and understand where the person is coming from. Most conflicts occur because we only see our view points and not that of others.
  3. Giving time to the relationship: You can maintain your marital relationship in a healthy state only by considering the married life as the prior issue. Keep your marriage above every other social thing and then only relationship can be made secured. Give time for repairing all dubs and defects of your relationship. In this case, you can also take the help of any expert counsellor. Spend some quality time with each other so that the warmth of your relationship can be maintained.
  4. Tackling monetary problems: Do not allow any conflict to come into your relationship just because of a pathetic financial condition. It is important for both the partners to put-in efforts in saving money so that monthly expenses can be kept under strict control. A perfect budget needs to be scheduled so that financial strength can be restored. If you are incapable of catering financial support, support your partner at least mentally so that he can come out of the financial trouble as soon as possible.
  5. Maintain a Happy Sexual Life: Create a proper schedule for lovemaking in order to maintain a healthy sex life. You should try to know the sexual needs of your partner so that you can fulfil the expectations.
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I am suffering from a very weak memory. I tried my best to memorise but I couldn't memorise. If I memorise the whole day dan I ll forgot in next day. What do I do to strengthen up my memory.

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. At your age, memory problems like amnesia, dementia etc are not possible. Don't worry. Still if you insist on memory problems, we can conduct online memory test. Stress, anxiety etc can be the basic reasons for your memory problems. Take care.
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How to concentrate on my competition exams. I get emotional thoughts when I am studying. So many times I cried in the mud night about my future.

MBBS
General Physician, Mumbai
I will suggest you to do suryanamaskar pranayam daily as per your capacity for a minimum of six months
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