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Dr. H S Narayanan

Psychiatrist, Bangalore

Dr. H S Narayanan Psychiatrist, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. H S Narayanan
Dr. H S Narayanan is a trusted Psychiatrist in Wilson Garden, Bangalore. He is currently associated with H S Narayanan Clinic in Wilson Garden, Bangalore. You can book an instant appointment online with Dr. H S Narayanan on

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Suffering from ocd since 5 yrs. On psychiatric meds. Is OCD totally curable? Any particular diet that will help?

MD - Psychiatry
Psychiatrist, Chennai
Ocd is due to change is serotonergic (serotonin is a neurotransmitter), connections in the brain. It s purely a medical/ psychiatric disorder. Based on the severity it is treated with medications and behavior therapy. Psychiatrist consultation is must and will give relief in most instances. Treatment usually is long drawn process like diabetes or hypertension, so rather than bothering about the duration of treatment, more concern should be on symptom relief and re-integrating into routine life without suffering from the symptoms. Since you r having it for 5 years, mostly the treatment is for many many years.
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Hello sir /mam, I'm just completed my graduation I'm hunting for job in my field only as I'm mechanical background but my friends choose other field n they r doing jobs. Due to lack of unemployment I'm getting depressed please suggest me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
Dear lybrate - user, yes it is hard work to search job, there are many websites for jobs, mean while keep doing some kind of local jobs than being ideal that helps you.
1 person found this helpful
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I have failed in an exam and now negative thoughts are prevailing on me. What should I do to remove negativity and be positive once again?

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. The duty of your mind is to think. If you allow your mind to think, then it will always drift into negative territories. In that case you may not be able control your mind at all. To avoid this, you should try to be active. Physical exercises, outdoor games socialization entertainment etc can help you. Take care.
1 person found this helpful
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

1 person found this helpful

why my heart beats fast when I remember by past which I spent with my ex:(how to forget those memories help me out.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Memories are never forgotten. However new memories with positive emotions can gradually take over past stressful memories so that even if you remember traces of the old ones they won't bother you. This is a gradual process and is going to take time. In the mean while if you feel you continue to feel sad of the past and that keeps haunting your day to day routine, consult a psychiatrist for help with counselling. Medications can be used if required.
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I am 28 old marriage female and I am quick out in 5 min bed so my husband is angry so please suggestion?

DHMS (Hons.)
Homeopath, Patna
Hi, you r under wt. It seems you r not interested to cooperate in sexual coition with your partner as you don't desire to go for sexual enter course due to certain reasons or circumstances. You need to go for the under norms * tk, plenty of water to eliminate toxins and to regulate metabolism to abserve neutritions, vitamins, to feel energetic. * go for meditation for 30 mnts to reduce stress, anxiety if any and to nourish your brain to calm down your nerve to r release the mental blocks, you possess regarding sexual enter course. Your diet b easily digestible on time. Tk, apples, carrots, cheese, pumpkins, spinach, milk, almonds, walnuts. Tk, homoeo medicines: sepia 200-6 pills at bed time. Alfalfaq-10 drops, thrice with little water. Avoid, caffeine, junk food, dust, scorching sun, polluted atmosphere, conteminated water intake. Tk, care.
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Hello I am 22yers old. If I use kwiknic nicotine gum to quiet smoking. Is it any harmful effects or any benefits from this type of nicotine replacement.

Homeopath, Faridabad
hi,you can use this nicotine replacement therapy but you need to know these precautions to follow:- Avoid eating & drinking for 15 minutes before and during chewing of KWIKNIC • Do not use removable dentures while chewing KWIKNIC • Consult your doctor prior to using KWIKNIC • If you are pregnant, breast-feeding, or below 18 years of age • If you have any medical condition - including uncontrolled blood pressure, stomach ulcer, kidney or liver diseases, heart or circulation problems, allergies, inflammation of mouth, overactive thyroid, adrenal gland cancer or if you are insulin dependant - If you are taking any medicine including those containing theophylline, tacrine, clozapine or ropinirol • If you have had previous reactions to gums or other nicotine containing products these are the side effects of Kwiknic:- it May induce headache, nausea, hiccups, vomiting, throat irritation, dyspepsia, excess salivation, sore mouth or throat, jaw muscle ache and sleep disturbance.
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To what degree is it appropriate to be controlling when your significant other is having an outbreak of mental illness?

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 must understand what is mental disorder first. Mental disorder is not disappointment, distress, anxiety, stress, irritation, anger, aggression etc. You need to be more clear with the symptoms and the details you provide here so that we will be able to provide you with correct diagnosis and advice. Take care.
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My brain is blanked. I didn't have any memory.One told the any thing I forgot immediately.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
Get yourself checked up by a competent specialist and if it turns normal then you need to trust yourself, everything could be due to stress and worries of life. I f you cant manage yourself connect with a specialist like me. You will be fine.
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For some time my mind get disturbed and I can not able to do my work. What is this problem? How I reduce stress on mind?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Stress can be reduced by learning and practicing methods of relaxation like exercising, yoga, meditations, muscle relaxation exercises etc. Also learning stress management techniques and practising them may help a lot.
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I can't seem to focus on anything. I feel as if I am in a dream. None of my actions are conscious and I am also having problem understanding what people are saying.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Practise listening / meditate relax. Sleep well take a break listen listen and listen with cool mind. Try to cool down with pranayama yoga and meditation if fails try medication.
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Hello Doctor, I need your help I was a college student I was in my friends house for 2 Months I was so good in my way I was eating food in my friends house for 2 months I was good before after eating food for 2 Months I was so sick my weight reduced my symptoms are like felling like dry mouth anxiety Dizziness fear confusion my legs and and shakes I thought some thing bad is happening to me I went to neurologist to checkup my health he done mri scan blood test ecg everything showed normal and prescribed some medical after taking the medicine I am still sick feeling same symptoms like before some of my family member said me in your food some one added some kind of toxins she said go and consult a toxicologist I am so confused give me advice what can I do?

Psychiatrist, Bangalore
Dear lybrate-user, before meeting a toxicologist, please consult a psychiatrist. Sometimes people develop a delusion of poisoning when they are severely depressed. You have other symptoms of depression, anxiety, dizziness, fear, confusion, dry mouth, nausea, shivering, weight loss, etc. You are neurologically ok, it looks from investigations. Please let me know what medicine, in what dose, for how long. He/she prescribed and for how long you have taken them. Please remember that antidepressants act only at a particular dose and it takes 2-3 weeks to act.
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Chronic Pain

Pain Management Specialist, Navi Mumbai
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Symptoms and Treatment for Chronic Pain

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I have mild anxiety disorder. I face fearful dreams most of the days hence my sleep is not comfortable. What to be done? Pls help.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You have not been dealing with your fears for a long time, perhaps. All unexpressed feelings will find some other way of expressing itself in the body. These will lead to psychological problems of various kinds. You need to be trained in dealing with emotions and retain it as an ongoing process in life. Meet a counselor and get some guidance in this regard. In the meantime, please follow an exercise regiment, eat well and keep good company. Make your last meal, as far as possible, a pure carbohydrate meal. Eat early and make it a small meal too. Avoid all foods that cause flatulence. Sleep on your left ear most of the night. Every time you feel fear talk to someone about it. Do some deep breathing, with your left nostril shut, and you will immediately calm down. If it gets too much, place your index finger on your shut lips and puff up your cheeks tightly with air and hold it for some time. The back pressure of the air will press the vagus nerve at the rear of the throat and immediately reduce the heart rate to calm you down. I am only suggesting this because you say the anxiety is mild. If it is worse, please visit a psychiatrist.
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I feel headache when I do too much study, what can I do to get rid of this, I am an engineering student. I must study.

General Physician, Gurgaon
Tell me name of medicine you are using you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: Adequate sleep 6-8 hr in a day Get check eyes for refractive error complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis It may be due to stress This problem can be solved by Meditation you can go for regular Physical exercise consult privately
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Hi, am 24old guy, I am smoking from my 1pu, from last 2years I am trying to stop it, but I can't stop smoking, (per day I smoke 7 to 8) it ll affect my sexual life. please tell me how to quit smoking.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Since realizations is come, now next step to be determined &execute reforms, councelling &follow up, to get desired result,
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I am 20 year old guy and I feel stressed with no reason behind I don't understand what is been happening to me and sometimes I feel very alone I feel like I should quit this exhausting life. Please help me.

Homeopath, Raebareli
Please do morning walk daily do meditation to relieve stress. Take good sleep speak to your friends also take five phos - twice daily for next 2 weeks and get back to me for further treatment.
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