Dr. CJ Jayesh Chander

Epilepsy n dissociative disorders r different. Not sure from your account from which you r suffering. May be both. Your treating doctor will decide how long you have to take medication. You can side by side try for psychotherapy for dissociative disorder. Thanks.

Dear lybrateuser, - It is your age where you should concentrate on your studies as it is a matter of your future & career - keep a fixed time for your phone use like an hour in the morning & one in the evening or whichever time you think is suitable after a session of study, it will be as a break between studies - then close it & keep it away from your sight or in a another room to avoid the urge to seek it - it is your own will power & determination will can help you out of this .

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. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1. Approve it / Acknowledge it: The first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong, but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'You are wrong to react like this', you can say, 'I understand what you are feeling. Is there a way we can resolve this situation?' 2. Understand / recognize the signs: Once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3. Free the mind/Find ways to let it go: Not all arguments end in closure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time.

Dear user, 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. 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. Please post a private question to me and I will help you with "effective learning" techniques. Avocados, Beetroots, Blueberries, Broccoli. Celery, Coconut Oil, Dark Chocolate etc are good for improving concentration. Take care.

Dear Ms. lybrate-user, I went through your query in detail and from what you have mentioned, it is clear that despite being on medicines, you are still having the symptoms of depression. The medicines that you have mentioned consists of two salts, an anti depressant Escitalopram and a sedative Clonazepam. Youu haven't mentioned how long you have been taking this tablet. If it has been more than two weeks, had I been your psychiatrist I would have considered increase in dose of the antidepressant. The best way forward will be to talk to your psychiatrist and discuss with him the option of increasing the dose. You can also consider adding psychotherapy sessions which will help you recover. Best wishes.

Cigarette smoke does affect your skin, eyes, and hair among other things. I am glad that you want to give up smoking. About the possibility of cancer, it is difficult to say depending on various factors. But for this level of smoking we may assume that you may not have caused that kind of development. Usually, when you cease smoking a lot of the damage that was caused earlier due to the smoking can be reverted back to good health. Again, when you drink and smoke, they together can cause more damage to the liver than indulging in drinking alone. All of these can be restored by stopping cigarette smoking. Here is how to go about it: the best way is to find out about the harmful effects of smoking and tobacco. The knowledge itself helps keep the intention to stop active. But as you know that is not enough but it does have a telling effect. I remember that in the early nineties, we knew that smoking was reducing by 1% annually in the west while it was growing by 2% in india, all because of the awareness created by various agencies in the developed countries. The knowledge is astounding and scary. That information itself should help you stay out of it. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged. The nicotine in tobacco smoke stimulates the heart beat to raise the blood pressure in no time at all. And one of its effects is to affect the erectile capacity of your penis. There are more than 4000 harmful chemicals in cigarette smoke! then you need to identify why you smoke: there is an oral need, the nicotine effect, the psychological effect of covering up some other issue, for style, to impress, etc. You may discover that the reasons may be unimportant at this stage because you have become too addicted and the habit has become compulsive. You should start exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try yoga), and replace the oral urge with some healthy food substitute to satiate the need, for a little while. You may take hard candy or chewing gum. If the urge is too strong, then use nicotine chewing gum or nicotine patches, for a little while until the smoking drive reduces, substantially. You may join smokers anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i. E. At least for the first 21 days. Above all, announce it to everyone that you have quit smoking. Here? s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world? you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages, and when temptations are at their highest.

You are absolutely right, my friend! It may be a anxiety disorder.Have you gone for other investigations apart from ECG. If yes pls provide me with that. Just remember one thing.If it had to happen.It would have happened by now. So just cool down a bit n relax.

Dear lybrateuse -you can reduce the effects of dementia by keeping your brain & body active, read regularly, do regular exercises like walking for 20-30 min in the morning, do yoga & meditation regularly for 10-15 min in the morning -keep your glasses, hearing aid in one place nearby where you can see them & remember to wear them -for back pain do back exercises, use a hard or firm matress to sleep, apply painkiller gel 3-4 times a day -for pain & swelling at hernia site use over the counter analgesics, use hernial support belt, avoid coughing, bending, straining at time of passing stools -get check up done by your doctor.

This is a typical anxiety attack which is a cycle of irrelevant thoughts which make you panic over nothing. Perceived future is a probability. Focus on what you have to do now. Not about what may happen in future.

Epilepsy is a complex disorder of the brain which has various psychiatric components in it. Anxiety and depression are common. Encorate chrono is no doubt a very good medication for epilepsy. But i hope you have investigated yourself in detail for the first attack of epilepsy at your age. Epilepsy due to some reversible and treatable cause should always be sought for complete cure. Sounds from your mind/ ear need evaluation because sounds in tinnitus are peculiar and can hardly be confused with anything else.