Dr. Manjula Rau

I am very concerned that your brother has not reached what we call, ‘Hitting Rock Bottom’ as yet. To me, his Rock Bottom seems to be death if he is a heavy drinker and is completely sloshed everyday i.e. Only death can stop his addiction! Anyway do not despair as yet and you may attempt the following and see how it works: you may have tried a de-addiction center but he should not have been released if he was not ready. So in this attempt, he may be taken to another de-addiction center that is stricter and will also have follow up treatment and AA meetings for him to compulsorily attend. Ideally, your brother should want to give up alcohol himself to begin with. If not, it is going to be an uphill task and to the most part impossible. However, you should not be in want of trying. If he is unwilling to seek help, he needs to be admitted to a rehabilitation center for at least 6 months by force. If not, there are centers who will come and pick him up when he is drunk, when his resistance will be ineffective. This will require his wife's permission and written consent. After your brother returns from therapy, there will be a lot of follow-ups, both in the house and in his daily activities that must be meticulously adhered to. There is a medicine called Disulfiram, which only the doctor can prescribe, and it is very powerful that even if he attempts to drink a small quantity, he can have serious reactions that may sometimes entail hospitalization. You have to monitor his intake of the medicine and keep a close watch on him. He also has to go for regular counseling for at least three years! Apart from his health, he will also affect the family and all his children will carry genetic factors for alcoholism. If he is into business or working, he will soon not be able to continue and he will go into financial ruin. He will lose all his friends and become ostracized by his society. He will lose his dignity, self-esteem, self-confidence, and become a misfit. He will also lose his sexual capacity, liver function, heart function, kidney etc. These are all elements of the Rock Bottom concept. T will be difficult since he has become addicted to alcohol for some time and has a lot to do. The consumption of Antabuse has to be carefully monitored to see that he not only consumes the medication but is also avoiding alcohol. Ultimately, it is his will power and the support that he receives from the medical fraternity and his close and dear ones. He must also learn to substitute and deal with the oral need, a rigid value system, the script issue, and of course take a look at all the genetic factors to plan a strategy not to get into what is called ‘cross addictions’ i.e. Another form of addiction that may appear alright but is in fact as bad as the primary addiction. The center or hospital and the counselor will advise and guide him on several measures and precautions he will need to take to stay with his resolve. Even after the rehabilitation he must attend AA meetings and continue this support for a long time. The family will also need to attend some sessions and go for Al-anon meetings for their co-dependency issues. He cannot be treated in isolation because the family has gotten used to his drinking and have made some unhealthy adaptations to somehow cope. The children, and whoever else is there, will also have to attend meetings to work out their issues because of the father’s habit. In fact, they are all suffering from the Adult Children Of Alcoholics Syndrome (ACOAs), which in effect means that people are genetically predisposed to alcoholism or can have cross addiction problems and that you will have similar traits of the abusing alcoholic but in a milder form. There are special support groups for them all over the world. Should they touch or indulge in alcohol or any addictive substances or behaviors, they could also become full-fledged addicts themselves. Now you should not give up on him but neither should you harass him. Be continuously after him and in the end, you will succeed. His medical condition warrants a very strict course of action. He needs to identify why you needs to drink, and go back into his childhood to find out other influences on his personality that makes him prone to addiction. Meet with an addiction counselor and work with them to sort out this drive. The simplest thing to do is to do some other interesting activity during the evening times. Meet his oral needs with some other non-intoxicating drink like soups, juices, and sodas with lime, etc. If you think that he will find it very difficult, then admit yourself to a hospital and go for de-addiction: which normally lasts for about two weeks. Then follow that up with addiction counseling from a professional for at least three years to completely get rid of the habit. If this is also not enough, then admit yourself into a de-addiction center and stay there for at least 6 months and after that attend counseling with a professional.

Dear lybrate user. I can understand. As you are aware, depression is a neuro chemical disorder and therefore the treatment should be targeted towards enhancing or reducing those chemicals biologically. But these medicines are used for maintaining the balance. In that sense, with the present medicines, you will have to continue forever. I suggest online cognitive therapy. Take care.

Hello, it's a common complaint amongst interview /oral exam givers. It is termed as" performance anxiety. Medicines like beta blockers and benzodiazepines should solve your problem without much hassle. Take care.

Sir go for a complete detox of your body with the help of ayurveda's panchakarma therapy. It includes abhyangam (massage with medicated oils) n medicated steam bath. This wud rejuvenate your body - improving your work efficiency and bettering your sleep. It will also strengthen your nerves and muscles. These procedures will take out the harmful toxins out of your body - cleansing your body. Also take shirodhara which would completely take the stress out of your body and you will feel light, fresh and full of energy. Strictly avoid all junks, oily -spicy food, pickles if you r eating, drink lots of water, juices or daily have fresh fruits. Try to keep your bowel clear.

There are few medicines like Ashwagandha, Gingko biloba, Euphrasia in homoeopathy which have similar effect.. better consult so that a better medicine can be prescribed...

Dont not get scared, treatment options is available for problem you have described, what is her platelet level? Tell me name of hospital in which treatment is going on and send me picture of her CBC and USG reports

These are pubertal feelings which usually upsurge at your age, do not seek a companion for these reasons. A companion for sharing one's thought and feelings can be more fruitful. Respect others as you want them to respect you. Masturbation occasionally is alright but do not make it a compulsive habit. Better concentrate on developing your career and personality.

take sinarest one tab at night for 3 days. honitus 2 tsf 3 times daily for 5 days.. do gargle.take steam. it will be ok.

The ointment is to be applied only on the injury. Why do you want to apply it on plain skin? even if you want to apply it on plain skin, any ointment can be applied anywhere. I do not get what problem you are having.

Dear lybrate user...OCD is a disorder consisting of various different obsessions and compulsions. Obsessions usually involve ruminating thoughts, cleanliness, based on religious or sexual themes. While compulsions involved are like counting, repeated checking, avoidance behaviors. It requires a detailed interview about the onset, duration and progression of your symptoms which you have not mentioned. Kindly get back with a detailed history so that a detailed management plan can be prepared. Take care

Obsessive-compulsive disorder (OCD) is a common mental health problem. Symptoms typically include recurring thoughts and repetitive actions in response to the recurring thoughts. A common example is recurring thoughts about germs and dirt, with a need to wash your hands repeatedly to "clean off the germs" However, there are many other examples like sexual thoughts, counting, checking, orderliness, etc. The usual treatments are cognitive behavioural therapy (CBT), a selective serotonin reuptake inhibitor (SSRI) antidepressant medicine, or both. Treatment often works well to reduce the symptoms and distress of OCD greatly. Consult any psychiatrist online or in person. All the best.

It might b because if muscle contraction. Or you had been lifted something heavy. Take muscle relaxant. Do not take pillow. Do exercise. If nt relaxed then consult your dr.

Dear Lybrate user Dhanyawaad sawal k liye. Low self-esteem ki waja se aisa hota hai. Stress depression or anxiety ye bhi aa jaati jai to or bura lagne lagta hai automatic negative khayaal aate man me inpe hamara control nai hota. Aap mind training le sakti hai or aapko usse kaafi faayde hoge. Psychotherapy clinical hypnotherapy or doosre methods use kiye jate hai jisse aapko acche or fast results milte hai. Aapki self esteem badhegi jisse aapko kisi ki baato se koi fark nai padega or aap life career k liye or focused ho jaaogi. Stress or anxiety management se negative khayal nai aayge or aap khush or santusht rahogi. Adhik jaankari or 1 free consultation k liye aap contact kar sakte ho.

Modify your stories, it should be indirect . The main character of the story should be a 4 yr old boy with similarities with him but not him. The moral of the story could be that it is mutual relationship in the world. Those who help get helped , make friends get more friends and the child in the end becomes happy & satisfied. You should purposely not give attention to him(ignore) when he is behaving improperly. He may not be sharing anything, give him time some kids take long to do that.He seems to have a certain personality, which is his genetic make-up. All the efforts should be passive/indirect or YOUR child takes it to his SELF(Strong sense of self/ego).

Forgetting past matters it is good attitude. But why do you think about that status before sleep. Do not think past matters. What is happend over. Do not think again before taking food. Every personality different from person to person. Some one different nature. It is ok. There is no rule we should be like this. As per your nature you are going like that. You get tension free life. When you have good attitude. Do not think about past incidents. Do not remember past things. Feel always comfortable. Every one cheated me it is a feeling. That no one can not cheat to you. If you have good attitude. You are thinking alone yourself that may cause this type of problems. You are suffering from inferiority complex. Better to come from this status. Better to make a good friendly relations with others. Better to make a very good best friends better to express your personal feelings and problems to them. They will help to you directly or indirectly. It is good for your mental health. Be sociable and be friendly. Think always in a positive aspects. Ok best of luck.

kindly take makardhwaja vati, 1 tab, twice a day after meals, with a glass of warm milk. Take cognium tabs, 2 tab, twice a day, 1 hr after meals. Apply nasal drops of cow's ghee, 2 drops in each nostril, twice a day before meals. Avoid cold eatables in your routine. Take liquid diet kie daliya, khichdi, moong daal in your diet, regularly. Do for a brisk walk for at least 30 mins daily. Continue the medicine for 2 months. Reduce the dosage to half after 2 months. Stop the medicine after 3rd month. Good luck.

When one is on dope, one flies off to an internal fanciful world to avoid stressful situation (but reduces the coping up mechanism) there is only psychological dependence, no physical dependence of weed. Since you have just left, the flying off is halted, so the real world looks little intimidating, but is temporary phase, it will wane soon. Try doing some physical activity and focus and enjoy on the increased awareness/alertness and higher physical energies.

Hi I will prescribe some harmless but effective flower remedy. The medicine you use should be Original. I supply original Swiss medicines for which I take only Medicine and Courier charge. If you want you can contact me for text consult for medicines. Mix 3 drops of Aspen+ 3 drops of Mimulus + 3 drops of Cherry plum + 3 drops of Scleranthus + 3 drops of White chestnut. Mix these with 100 ml water and drink it every morning and night.(same dose) on empty stomach. If problem continues consult me online.

Don't allow your mind to wander but bring the mind under control of your self with help of your intelligence. If you control your mind your mind can be your best friend but if you do not control your mind your mind can become your worst enemy.

It is natural to feel low and miss the person you have lost. However if it is interfering with your sleep, studies or general well being, or if you feel suicidal, you need to consult a psychiatrist. It is common to feel low, cry, feel like you are alone, or lose your self confidence. Usually time is the best healer. However if things are too difficult to handle you should talk to a psychiatrist or counselor. Confide in someone close to you, who will support you in this difficult time. Don't cut off from friends or family, even if you feel like you want to be alone.