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Dr. Prema

Psychiatrist, Bangalore

800 at clinic
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Dr. Prema 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. Prema
Dr. Prema is a trusted Psychiatrist in JP Nagar, Bangalore. You can consult Dr. Prema at Cadabam's Mind Talk in JP Nagar, Bangalore. You can book an instant appointment online with Dr. Prema on Lybrate.com.

Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 40 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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Cadabam's Mind Talk

942, 21st Main, 9th Cross, JP Nagar 2 Phase. Landmark:Opp to Innis Free School, Bangalore Get Directions
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I want to control a smoking my age is 23 I want to leave a smoke because I working I have a pressure so that only I am smoking.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Deal with the pressure that you have mentioned with a counselor and it will make it easier. The habit can be very difficult to halt because of the many conditions attached to smoking. In fact these conditions can exist all through the day unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing in the habit. The information is really scary. The nicotine in tobacco smoke stimulates the heart beat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous 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. You may also 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 also 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. All the damage you incurred earlier because of the smoking can be reverted back to normal in quick time.
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Patient suffering from depression does not want to see a doctor. There lies the problem. How to convince him/her that unless they see and discuss their problem with the doctor they cannot be cured.

Master in clinical psychology
Psychologist, Delhi
Patient suffering from depression does not want to see a doctor. There lies the problem. How to convince him/her that...
Hi. Patient like this who are not willing to go, just tell them we are visiting a friend and will just discuss the phase we are going through.
1 person found this helpful
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I smoke 2 to 4 times a day. By that can my health may be affected? And how to quit cigarettes? Or is one or two cigarettes are also going to be treble for me?

C.S.C, D.C.H, M.B.B.S
General Physician,
Even one will affect health. 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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A friend (in her early 30's)is going through a post trauma of her divorce. She has lost her interest in life. How to council her, please suggest?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Divorce is very painful and difficult. If there was any abuse, it will be even more hurtful. But the earlier she deals with that pain, the earlier will she get out of it. Please make her talk about the marriage until she purges herself of all the negativity. Let her use her own language to describe it, and let her talk extensively. When you are able to spare time, take her out and let her relate to others and the world around her. Gradually she will come out of it. If she broods over the divorce, withdraws, or is unwilling to talk, she could get into more problems. When listening to her, reserve your judgment, and just be a good listener. Occasionally, empathize with her and show a lot of understanding. The worse regret in a divorce is when the person realizes that there was something more that could have been done, but was left without adequate pursuit. This thinking usually follows later when it is too late. If that is the case, she will need to be consoled and know that both of them were responsible but that it is too late. Life has to go on and she has to move on. If she is working, it will be a lot easier, if she attends to her job. Tell her not to meet too many people who knew the couple well, and definitely she should not indulge in bringing out dirty linen. Help her understand the lessons to be learned and the role she played in this downfall. That is extremely important for her recovery.
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I am new mom. Motherhood is a very exciting journey for every mom. I am enjoying my motherhood but the problem is that I am suffering in a severe depression after child birth please give me tips about this matter.

M.Sc- psychology, Masters in Clinical Psychology, M.Sc Counselling Psychology
Psychologist, Delhi
I am new mom. Motherhood is a very exciting journey for every mom. I am enjoying my motherhood but the problem is tha...
Hi lybrate-user, Welcome to Motherhood! It indeed is an exciting journey. What you're describing is post partum depression. Being a mother is a blessing but your body changes and the shifts in your physician and emotional self can have a lot of effects. The hormone changes can result in feelings of depression. Firstly, start by enrolling into an exercise regime, whatever you would like, this will balance your hormones and other chemicals in the brain. Also, try to practice deep breathing to release all the feelings associated with your depression- whether you're not feeling beautiful, attractive, feeling unworthy, not feeling supported etc (whatever you are specifically feeling), dark chocolate helps too. Eat well, nourish your body and take out time for you as wel, do things you enjoy. If you still feel that you need support, You can reach me here if you would like to book a session. Feel better soon. Good luck!
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I feel like to sleep always and I will not get any interest to do work if I try to work I will get tried soon. And I am unable to concentrate on my studies please help to get out of this problem.

MBBS
General Physician, Cuttack
I feel like to sleep always and I will not get any interest to do work if I try to work I will get tried soon. And I ...
Cause of Over sleeping A) Alcohol, smoking, drugs caffeine, sleeping pills B) stress, depression, fatigue inadequate/disturbed sleep, C) obesity, lack of physical activity D) Environmental factor like room is too hot/cold, excess light, noise, un cofortable bed E) Hypo thyroidism, diabetes, Heart disease F) sleeping dis order like sleep Apnoea (Breathing disorder where you stop breathing periodically in the night, due to blockage of Airway), narcolepsy (day time sleep), Restless leg syndrome Treatment A) Have a proper sleep schedule-Get up and go to bed at same time everyda y (body’s natural clock –cicardian rhythm will be accordingly activated) B) Good sleeping environment (Quiet, cool, dark, comfortable bed room without noise, light), C) Avoid caffeine/alcohol/nicotine 4-6 hours before bed time, D) Avoid day time sleep, daily exercise, light reading for 15 minutes daily before going to bed E. Avoid anxiety/stress/depression/fear/boredom/lack of motivation.
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I am chewing tobacco products like pan Masala from last 4-5 years. Due to this my mouth is not opening properly. I can put only one finger inside my mouth. Is this problem can b solved and of it is then how much money will I be charged for complete treatment.

MBBS
General Physician, Allahabad
I am chewing tobacco products like pan Masala from last 4-5 years. Due to this my mouth is not opening properly. I ca...
It may take years to get the problem solved by medicines but may take 2-3 months by surgical procedures in which they will relive the fibrosis at temporomandibular joint causing restrictions in opening mouth. The surgical treatment may cost you about 20,000 Rs by an cosmetic ENT surgeon.
6 people found this helpful
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In my heels the bone has been extended .and its pain very badly. So what is the solution for it ?

MD - Psychiatry
Psychiatrist, Chennai
In my heels the bone has been extended .and its pain very badly. So what is the solution for it ?
You have to confirm plantar fascitits by x-ray of the ankle, take short term medicine, use memory foam slippers and also do ultrasound treatment for 7-10 days from physiotherapist. You will recover.
1 person found this helpful
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When I wake up in the morning. Why my voice is low. Please give me remedy for this. I am a vocalist, so it's very irritated and my voice is getting low at afternoon. What to do the voice range high?

MBBS
General Physician, Jalgaon
Please Wake up early Do pranayam and yoga daily Do meditation regularly Udgit pranayam is very helpful for voice Take Tab geriforte by Himalaya 2 2 regularly Suck mulathi pieces Three times a day.
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Hello, I am 20 years old female and I am suffering from some problems that is called as tic disorder. I am doing these involuntary actions from last 7 years now I am fed up of this as I have completed my graduation I have to get rid of this problem what should I do? I consulted a psychiatrist she gave me some medicines but I am afraid of taking those kindly give me some solution and tell me if I need to have proper medication for this or not.

B.Sc(Hons) Mumbai Univ., ND, MD - Alternate Medicine, Aroma Therap., Bach Flower Rem, Mental Health Cert.
Alternative Medicine Specialist, Mumbai
Hello, I am 20 years old female and I am suffering from some problems that is called as tic disorder. I am doing thes...
Hi I will prescribe some harmless but effective flower remedy available in homoeopathy shops. Try to buy original medicines. Mix 3 drops of Aspen.+ 3 drops of Mimulus + 3 drops of white chestnut + 3 drops of Vine. Mix these with 100 ml water and drink it every morning and night.(same dose) on empty stomach. If problem continues consult me online.
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I am 26 year old male. I am suffering from Depression by thinking about the past incidents/events which happened to me 3-4 years ago .I do my Yoga ,pranayama and meditation regularly but still at times I get depressed by thinking about the past incidents that happened to me ,and I end up blaming ,cursing and hating some people in my past for ruining my Life or whom I consider responsible for bad incidents that happened to me ,I have developed hatred for those people .I regret a lot about the past and mostly dwell in the past also at times I curse God about the past. I also at times find it tough to accept the present situation and reality and I always question a lot that why these things happened to me ? Also I consider myself Unlucky that those incidents happened to me. I find it difficult to live in the present and happily and I can not completely concentrate and focus on my work .And I feel I was a victim and injustice happened to me .How should I get out of this thought cycle and depression ?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 26 year old male. I am suffering from Depression by thinking about the past incidents/events which happened to m...
The answer to your question is quite obvious but still I think it would be very useful to meet with a counselor and purge the past out of your system by talking to that person. By delving into the past it is affecting your present and future. Also, the danger I am concerned about it that you may find yourself in self-pity a lot of the time and that is extremely bad for you. You cannot change the past but you can make your present and future far better than what it is now by closing the past. Counseling will certainly help tremendously. I suspect that you are one of many who have been taking medicines but not working with a counselor in tandem. You need both counseling and medical intervention. The combination is ideal for the cure to be complete. In fact, counseling will need to go on for a long time to develop skills and techniques to cope with everyday challenges of your life. If you remain episode-free for three years at least, you can be weaned off of the medication. So I assume that for all of these many years you have been letting the medicine do all the work on your depression and very little effort from your side. This will not do at all. So please start counseling immediately. In the meantime please do the following that can be done all by yourself as you desire: You must be active and work towards your reformation. Many lifestyle changes need to be made to progress away for the condition. When you are depressed, you will feel lazy though I would like to call it lethargy. There is an inertia and lack of energy to even think, let alone act. You are required to literally do the opposite of what you feel like doing. Depression makes you want to withdraw, lie down, sleep, become lethargic, slow down, make you too lazy to even think etc. So when I suggested doing the opposite, you will need to fight this disease. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, eat more of proteins and vegetables, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three things, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. If you are young and you can do it with some commitment. The doctor and counselor are there only to facilitate you, all the hard word must come from you, and your cooperation with them is very critical for your success.
3 people found this helpful
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I am 24 years old, I never get interest in a girl I only gets, attracted by guys what should I do. Is it normal but if it is normal so y did not I get feelings for girls ever.

Masters in Clinical Psychology
Psychologist, Lucknow
I am 24 years old, I never get interest in a girl I only gets, attracted by guys what should I do. Is it normal but i...
Hi lybrate-user, same-sex sexual attractions, behavior, and orientations per se are normal and positive variants of human sexuality; in other words, they are not indicators of mental or developmental disorders. Same-sex sexual attractions and behavior can occur in the context of a variety of sexual orientations and sexual orientation identities sexual orientation probably is not determined by any one factor but by a combination of genetic, hormonal, and environmental influences. Be comfortable with what you are, do not feel pressurized by society or any one for that matter.
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I am 27 year old suffering from schizophrenia. I can't study or can't do anything. Taking tablets fludac and trazin h. I feel I am changed. How long it will take to get cured.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Antipsychotic medications reduce the risk of future psychotic episodes in patients who have recovered from an acute episode. Even with continued drug treatment, some people who have recovered will suffer relapses. Far higher relapse rates are seen when medication is discontinued. In most cases, it would not be accurate to say that continued drug treatment ?prevents? relapses; rather, it reduces their intensity and frequency. The treatment of severe psychotic symptoms generally requires higher dosages than those used for maintenance treatment. If symptoms reappear on a lower dosage, a temporary increase in dosage may prevent a full-blown relapse. Because relapse of illness is more likely when antipsychotic medications are discontinued or taken irregularly, it is very important that people with schizophrenia work with their doctors and family members to adhere to their treatment plan. Adherence to treatment refers to the degree to which patients follow the treatment plans recommended by their doctors. Good adherence involves taking prescribed medication at the correct dose and proper times each day, attending clinic appointments, and/or carefully following other treatment procedures. Treatment adherence is often difficult for people with schizophrenia, but it can be made easier with the help of several strategies and can lead to improved quality of life. There are a variety of reasons why people with schizophrenia may not adhere to treatment. Patients may not believe they are ill and may deny the need for medication, or they may have such disorganized thinking that they cannot remember to take their daily doses. Family members or friends may not understand schizophrenia and may inappropriately advise the person with schizophrenia to stop treatment when he or she is feeling better. Physicians, who play an important role in helping their patients adhere to treatment, may neglect to ask patients how often they are taking their medications, or may be unwilling to accommodate a patient?s request to change dosages or try a new treatment. Some patients report that side effects of the medications seem worse than the illness itself. Further, substance abuse can interfere with the effectiveness of treatment, leading patients to discontinue medications. When a complicated treatment plan is added to any of these factors, good adherence may become even more challenging. Fortunately, there are many strategies that patients, doctors, and families can use to improve adherence and prevent worsening of the illness. Some antipsychotic medications, including haloperidol (Haldol®), fluphenazine (Prolixin®), perphenazine (Trilafon®) and others, are available in long-acting injectable forms that eliminate the need to take pills every day. A major goal of current research on treatments for schizophrenia is to develop a wider variety of long-acting antipsychotics, especially the newer agents with milder side effects, which can be delivered through injection. Medication calendars or pill boxes labeled with the days of the week can help patients and caregivers know when medications have or have not been taken. Using electronic timers that beep when medications should be taken, or pairing medication taking with routine daily events like meals, can help patients remember and adhere to their dosing schedule. Engaging family members in observing oral medication taking by patients can help ensure adherence. In addition, through a variety of other methods of adherence monitoring, doctors can identify when pill taking is a problem for their patients and can work with them to make adherence easier. It is important to help motivate patients to continue taking their medications properly. In addition to any of these adherence strategies, patient and family education about schizophrenia, its symptoms, and the medications being prescribed to treat the disease is an important part of the treatment process and helps support the rationale for good adherence.
3 people found this helpful
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Dear Lybrate. Help me out. How can I concentrate in my studies. I can't remember properly what I heard in yesterday's class, but I know what exactly it mean and I can't able to think do same thing next day. How to increase my memory power. Thanks.

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. Worrying about memory and being tensed anout education matters is the main culprit. The more you worry or be tensed, the more you forget. So stop worrying first. Second study with a systematic approach and pattern. Get enough rest and sleep. Exercise. Play games. Engage in social activities. Nuts, fruits and vegetables are good for memory. Take care.
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Homeopathy: Best to Deal to With Mental & Physical Stress

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homeopathy: Best to Deal to With Mental & Physical Stress

Stress is the physical or emotional response of the body to an internal or external stimulus that upsets the equilibrium of the body. The stress hormones which are secreted in animals only during starvation, childbirth or torture are secreted in human beings all the time.

Medically, the mental or emotional aspects of stress are exceedingly important. Unhappiness, shock, illness, fear and much else can cause stress, which in turn can make people vulnerable to so many different illnesses both mental and physical. Stress and anxiety go hand in hand; every illness has a degree of anxiety. Even a predominantly physical illness like a sore throat can cause some stress. Certain illnesses have a very large stress component; particularly illnesses like depression, anxiety states and panic attacks.

A person’s tolerance of stress varies enormously – some people thrive on it; high-powered businessmen, for instance, who constantly have to make important decisions. Others buckle under quite small stresses and this may lead to illness.

For the past two centuries, Homeopaths have concentrated on the interconnection between psychology and physiology.

To start with, the homeopathic enquiry is a very profound one and very often during a consultation various factors come to light, which may be creating some degree of anxiety or stress in the patient’s life. A discussion as to how they may be overcome, removed or mitigated, can often be very helpful. Discussion itself can be extremely therapeutic. In many cases, the patient is anxious or worried because nobody has taken time to talk to them. The homeopathic physician spends a lot of time with patients. It is however very important that the practitioner should have a sound knowledge of conventional medical diagnosis because during the discussion signs and symptoms of disease which need conventional (sometimes urgent) treatment may emerge and a qualified doctor with a knowledge of diagnosis knows when to refer a patient urgently to the appropriate specialist and is able to do so.

Having carefully assessed the patient, taking into account not only his illness and how he is reacting to it, but his whole make-up, the homeopathic physician then tries to work out the patient’s constitutional remedy. If he succeeds in selecting the right remedy, the patient’s well­being, resistance, resilience, general health and ability to cope are enhanced and many stress symptoms can be helped.

There are a number of polychrests (medicines of many uses) often prescribed constitutionally, which are particularly appropriate for different sorts of worry and stress. The following I have used to good effect on many occasions: Lycopodium for the patient who greatly underestimates their abilities and anticipates every ordeal however small with pessimism; Silica patients are terrified of failure and Calc carbs are just too weak and exhausted to attempt anything! These medicines are only effective, of course, if they “fit” the patient so far as his whole constitution and make up is concerned.

3318 people found this helpful

Alcohol Withdrawal Syndrome - Symptoms And Treatment

MD - Psychiatry
Psychiatrist, Udaipur
Alcohol Withdrawal Syndrome - Symptoms And Treatment

Alcohol Withdrawal Syndrome is the name given to the symptoms seen in you if you consume heavy doses of alcohol frequently and then suddenly quit or reduce your alcohol intake considerably. These symptoms may surface anytime between six hours to a few days after you last drank.

Common symptoms of alcohol withdrawal syndrome:

All these symptoms may worsen over a few days and may even last till a few weeks.

What is the root cause?

Alcohol arouses your nervous system. In case you are a heavy drinker, your body gradually gets dependent on alcohol, and cannot adapt too easily to the lack of alcohol after you have abruptly quit. This is the root cause of Alcohol Withdrawal Syndrome (AWS).

Who is at risk?

You are at the maximum risk of AWS if you are an alcohol addict, or you cannot gradually cut down on its intake.

How do doctors diagnose AWS?

Usually, doctors will search for a few symptoms in you, like irregular heart rate, dehydration, fever, and tremors or minor fits. A toxicology screen also helps your doctor finding out the levels of alcohol in your body.

How is AWS treated?

Treatment depends on the severity of the symptoms. Usually are:

1. Home Care - Mild symptoms of AWS can be treated at your home. You need to go for your regular routine checkups and tests. You may also have to go to rehabilitation programs for recovering alcoholics.

2. Hospitalization - If your symptoms are more severe, you may have to be treated in a hospital, where you will be monitored and kept on a fluid diet to help prevent dehydration.

3. Medications - You can also be treated with sedatives.

Do you recover fully?

Usually, chances are that you will fully recover from AWS. If you quit drinking, take your medicines on time, and lead a healthy life thereafter. However, sleep disturbances and fatigue may persist. But, if you have severe symptoms of AWS, you should seek medical care as soon as possible to prevent any further fatal complications. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

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If we are in tension every time. We also not understand why. Our mind was always think about different different thinks. For this I have an several problem in my head. And I can't take rest properly. So give me some home remedies to give relief from this tension?

MBBS
General Physician, Cuttack
If we are in tension every time. We also not understand why. Our mind was always think about different different thin...
1.Go for regular exercise and play some games 2.Do yoga, meditation, and deep breathing exercise like pranayama to calm your mind, control your emotions and relieve stress 3.Sleep for 7-8 hours daily to remain healthy 4.Take good nourishing diet, plenty of green leafy vege tables, fruits and drink plenty of water 5.consult for further advice
2 people found this helpful
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Can I take antioxylitic for 2 to 3 months for severe anxiety and then take natural treatment.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Can I take antioxylitic for 2 to 3 months for severe anxiety and then take natural treatment.
Dose, duration of treatment and number of medications for anxiety disorders are decided according to various factors which include patient profile, nature and severity of symptoms, associated symptoms of sleep, diet, concentration, cognition, paranoia, aggression etc. So it is advisable to consult a psychiatrist personally with details before you start any treatment. Switching over of ongoing treatments for anxiety to so called natural treatments is completely a patients choice.
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I have been feeling headache from last 4 days and also stomachache, cannot study for this reason.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
I have been feeling headache from last 4 days and also stomachache, cannot study for this reason.
Hi there ~ you are probably suffering from viral infection in which case headache and stomachache can last for 2 days to a week. If you are taking good rest, eating regular healthy diet and hydrating yourself with enough water you should probably get better soon. I hope you visit with a psychiatrist as soon as possible even if you are not doing well with the above suggestions. Hope this helps. Take care and have a lovely day.
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I am man of 40 years suffering from alcohol addiction. What to do please suggest.

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, for any substance addiction, the best treatment method is to have awareness and use will power. There are rehabilitation measures, but they only work when the addicted person willfully accept it. You may consult a de-addiction specialist. Take care.
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