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Dr. Narayana P.L

Psychiatrist, Bangalore

350 at clinic
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Dr. Narayana P.L Psychiatrist, Bangalore
350 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Narayana P.L
Dr. Narayana P.L is a popular Psychiatrist in K R Puram, Bangalore. She is currently practising at Dr. Narayana P.L@Brookefield Hospital in K R Puram, Bangalore. Book an appointment online with Dr. Narayana P.L on Lybrate.com.

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Brookefield Hospital

#521/522, Vijayalakshmi Square, ITPL Main Road, K R Puram Hobli, Kundalahalli Landmark : Near Cosmos MallBangalore Get Directions
350 at clinic
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A Guide to Borderline Personality Disorder

M. D. Psychiatry, Diploma in Psychological Medicine-DPM, MBBS
Psychiatrist, Noida
A Guide to Borderline Personality Disorder

Borderline Personality Disorder (BPD) is a mental illness. A patient suffering from BPD maintains unstable relationships with other people, shows inappropriate emotional reactions and possesses suicidal or self-harm tendencies. It is purely a personality disorder caused due to multiple factors. Patients suffering from BPD may find it difficult to stay alone. They fear abandonment and loneliness. Yet they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life.

It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with BPD.

Symptoms of Borderline Personality Disorder:

The signs of suffering from BPD are listed below:

  1. Intense and frantic effort to avoid abandonment or loneliness
  2. Unstable relationships with people and changing the attitude towards them drastically. It can change from being in immense love with each other to intense hatred.
  3. Developing paranoid thoughts and having dissociative feelings-The patient often lacks the feeling of self and suffers from identity crisis.
  4. Suicidal feelings and attempts
  5. Tendency to cause self harm or destruction by drug abuse, driving irresponsibly or be having unprotected sex
  6. Reflecting intense depression
  7. Chronic boredom
  8. Sudden anger and hostility

Causes for Borderline Personality Disorder: Borderline Personality Disorder can be caused due to multiple reasons. Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.

Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for BPD. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.

Diagnosis: There is no particular clinical test that can diagnose BPD. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.

Treatment:  The treatment of BPD involves three steps- psychotherapy, medications and support from peer and family. Dialectical Behavioral therapy, cognitive behavioural therapy and psychodynamic psychotherapy are used in treating the patient. There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed.

3882 people found this helpful

Can we identify by doing any test that what might be the epilipecie position of my wife and what dosage is enough for her My wife is epilipecie and thyroid and B.P patient Epilipecie is since 35 years Thyroid since 17 years B.p since 8 years For epilipecie she is consuming 1) encorate croon 500 mg. Twice a day 2) fusion 5 mg in morning & 10 mg in night 3) tegrital CR. 200 mg twice day For B.P arbitel-h once in a day for Thyroid Thyroxn150 mg in fasting.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Thanks for the query. By doing an EEG (Electro Encephalo Gram) it is possible to know how is the condition in case of epilepsy. Based on that a neurologist should be able to decide with regard to treatment and usage of various drugs. As regards BP regular check up does help in adjusting the dosage of drugs being taken. In case of hypothyroidism TSH level is the guideline, should be maintained between 3 to 4 mU/L. Thanks.
1 person found this helpful
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My mom 52 years old. She is suffering from anxiety disorder. Whole day she thinks she is going to die. No allopathy medicine suit her and she allergic to medicine. Now we are going to ayurveda and they suggest us for shirodhara treatment for one week. We are in dilemma what should we do now.

BHMS
Homeopath, Delhi
My mom 52 years old. She is suffering from anxiety disorder. Whole day she thinks she is going to die. No allopathy m...
Hi Anxiety disorders are usually quite troublesome for the patient as well as for family members as it is impossible for them to make the patient understand the reality. Its almost impossible for anyone to make the patient relax. Patient continuously thinks and speaks about only those things which are in her mind. Patients suffering from Anxiety Disorders are not ready to take medicine easily as they think its not a medicinal problem and medicines will harm me further with their side effects. It seems more so in case of your mom. As far as ayurvedic treatment is concerned I cannot throw much light on that being not an expert on the field; but, I will suggest homoeopathic treatment for your mom because our medicines are quite effective in these kind of cases. Moreover homoeopathic medicines are very easy to take and are free of any kind of side effects. BUT, its very important that her case needs to dealt with sensitivity as she might not trust any physician. On basis of the short history I can not suggest any medication as a detailed history is required for successful treatment, which includes listening to her patiently and then figuring out the origin of the problem and then treatment can be done accordingly. For that you can make use of this platform to contact me.
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I was in relationship with a girl, I am in real love with her and I cant live without her. But uncertainly we had breakup because of some circumstances like misunderstanding and mind wash by her friends. These days I am much stressed and I need her back, but I don't think that she will come back because we had a fight also between us due to her friends, her friend says that I am a fake guy and I am just doing time pass, but its not like that, I really love her by heart. She is far away from me, so I can't do anything. I had tried a lot and gave my best to bring her back. But none of my plans got success. I have much stressed and my exams are on my head. Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
I was in relationship with a girl, I am in real love with her and I cant live without her. But uncertainly we had bre...
Dear lybrate-user, in teenage to till marriage love is very common, but every individual thinks that it is only his problem it is not some people they express some people will not, when you love you need to build family 1. To have family life we need money 2. To earn money we need to have good job to get into this cycle, most important don't spoil your career. Counselling is first line and best treatment 1 or 2 sessions of counselling will change life,
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Homeopathy in day to day life

BHMS
Homeopath, Delhi
Homeopathy in day to day life
Arnica is a fabulous homeopathic remedy for physical trauma (from accidents to childbirth), shock, bruising, exhaustion, jet lag and much more.

Calendula ointment or cream is Nature’s finest antiseptic. Available in most health food stores, made from marigolds, it promotes rapid healing and prevents wounds from turning septic.

Hi. I am 23 years female. Working as telecaller. Im married for 1 year nd 3 months now. Sometimes I feel furious about nothing. I even do not know why i am angry. Sometimes I feel very low. Most of the times I feel like I want to run away from my job. I dont want work at all sometimes. But I am very worried about my career as well. I sometimes feel very dejected about my life. But sometimes I feel i am blessed in someway or other. But most of times. I feel i am not getting anything in life what I deserved. Right from my childhood. I do not know. Why i am like this. I was a kind of person. Who wants to work and be on my own. I was very independent kind of nature. But now. I feel like I have become too emotionally dependent. I do not know why.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
Hi. I am 23 years female. Working as telecaller. Im married for 1 year nd 3 months now. Sometimes I feel furious abou...
It seems that you are unhappy in your life due to somethings. For which an open interaction is needed with an expert one to one. Your anger and frustration is probably due to things are not as per your liking. Open your heart and find solutions. One need to go to root cause and find solutions, expert's direct help be of immense value. Move on be quick, avoid suffering in silence.
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I have lots of tension about my exams I should get early in the morning and start reading. Lots stress with headache. How I can reduce my stress and headache.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I have lots of tension about my exams I should get early in the morning and start reading. Lots stress with headache....
You must study regularly and prepare well for the exam. This gives you confidence. Take homoeopathic medicine Arsenic alb 200 once daily in the morning and give feedback after 6 days.
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Im 20 and im suffering from hand shaking from few days im worried. I drink alcohol daily. Is it related to it.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Im 20 and im suffering from hand shaking from few days im worried. I drink alcohol daily. Is it related to it.
Yes, it is related if your consumption is heavy. You must quit immediately. If you smoke too, the handshaking would become even more pronounced. It does not matter when you feel like drinking, as long as you need your drink. This could lead to increased tolerance levels so that over time you will need to drink more to get the same or greater effect. You need to identify why you need to drink, and go back into your childhood to find out other influences on your personality that makes you prone to addiction. Meet with an addiction counselor and work with them to sort out this drive. Your already display the classic tendency to first obsess about it and then compulsively feel driven to meet that need. The simplest thing to do is to do some other interesting activity during the evening times. Meet your oral need with some other non-intoxicating drink like soups, juices, and sodas with lime, etc. If you think that you 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. There are medicines that help with the drinking just to ease the initial craving. Ultimately, it is your will power and the support that you receive from the medical fraternity and your close and dear ones. You must also learn to substitute and deal with the oral need, a rigid value system, the script issue, and of course 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 you on several measures and precautions you will need to take to stay with your resolve. Even after the rehabilitation you must attend AA meetings and continue this support for a long time. Your family will also need to attend some sessions and go for Al-anon meetings for their co-dependency issues. You cannot be treated in isolation because the family has gotten used to your drinking and have made some unhealthy adaptations to somehow cope. Make a serious plan with the family and whoever else’s support you can get and act on it fast. As a combination these two therapies (counseling and rehabilitation) will aid in dealing with the addiction. It will however take a long time to completely come off of the enslavement.
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I am 24 years old. I have an anxiety for my relationship with a man. I am so anxious about the feelings of insecurity that I am afraid that it will ruin my relationship. I do not know what is happening to me. I think I need help. I have sleep disorders.

M.D in Psychiatry
Psychiatrist,
I am 24 years old. I have an anxiety for my relationship with a man. I am so anxious about the feelings of insecurity...
It is nice to be in a relationship. It is very exciting and thrilling as you try to build that relationship. Yes, one should be optimistic, and try to have a close relationship with trust. It looks like you have fallen in love for the first time, and you are excited about it and afraid of messing it up and loosing your love. Be calm. It is a two way affair. And the other person also should like you and love you. There relationship expects sustainability and keep growing. It should not be just liking external appearance, alertness, social and economic status. Even though physical attraction is also part of it but not the only attraction. Then there are chances of you yielding to temptaions and later might feel cheated, exploited, used and ditched. Go slow. You won't loose anything. Have faith in your self. Don't be afraid of loosing him for some other good looking lady. Try to understand him in a cool manner. Your dear of loosing him, will hasten you to become physical and into love making. You may feel this way you will be able to bind him. Don't be anxious and disappointed even if you loose in maintaining relationship. I am asking you not to jump to conclusions very fast. Hope I have not discouraged you. Be cautious. Wish you good luck. Haridas psychiatrist.
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I do not have memory power well. Wht things to do the To remember the to develop well Suggest mee good things.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Take lot of fruits and salad. Protein rich diet. Vit b12 injections also help a lot. Increase memory by exercises also.
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