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Dr. Premkumar Prabhu

Psychiatrist, Bangalore

Dr. Premkumar Prabhu Psychiatrist, Bangalore
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Premkumar Prabhu
Dr. Premkumar Prabhu is a popular Psychiatrist in Rajaji Nagar, Bangalore. You can visit him at S.V Medical And Holistic Centre in Rajaji Nagar, Bangalore. Book an appointment online with Dr. Premkumar Prabhu on Lybrate.com.

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75th E Cross, Rajkumar Road, 6th Block RajajinagarBangalore Get Directions
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I am addicted of tobacco. I want to quit this but I am not able to do. please give me some suggestion and medicine which helps Me on quit tobacco.

Reparenting Technique, BA, BEd
Psychologist
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It feels like that especially in the first 21 days. But if you persevere you will succeed. Regarding medicines you will need to consult a doctor because it is given on prescription only. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. 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 but true and you must remind yourself about this every day. 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 gums and 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.

Me and my wife is having lots of misunderstandings. and she approached police too her family also listening to her only didn't even approached me. Police people called me twice to council. and my wife is at her mom's home for last two months til date. Now I'm trying to contact her still she is ignoring me. Please advise.

B.A. Psychology, M.A. Psychology, Ph. D - Psychology
Psychologist
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Take the help of some family members or common friends and resolve the issues. Everything is possible through dialogue. But certain caution needs to be exercised during this dialogue- do not begin with blaming. In a relationship both parties may fail to fulfill other's expectations. You may have some complaints, so will she - this is never ending. For a marriage to work you will both have to let go of the past and start afresh.
1 person found this helpful

Hello. Am 24 years old. College going student and a part from my studies I have more than enough knowledge to survey. But I studies am not able to concentrate. Help me.

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
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Dear lybrate user, welcome to lybrate. 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. If the task is boring, it is natural that that person will sleep or feel sleepy. 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 search internet for" effective learning" techniques. Take care.

Homeopathic medicines for Hypertension. Please suggest

B.H.M.S., Senior Homeopath Consultant
Homeopath
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Please take following medicine:- Dr. Reckeweg's r -85 / 10 drops in little water thrice a day for one month. Revert back after one month with feedback.

I am 26 year old female and I feel many times hand pain. I have used many times pain relief cream but some time relief only. So please tell me, what should I do now?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I am 26 year old female and I feel many times hand pain. I have used many times pain relief cream but some time relie...
Hi apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.

Hi, I sometime feels that I am going through a depression phase but not sure about that. Is there any specific way to confirm and analyze?

MD - Psychiatry, MBBS
Psychiatrist
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Yess. Depressed mood, loss of intrest in previous pleasurable activities, easy fatiguability, crying spells, sleep and appetite decreased and ideas of hopelessness and worthlessness. U can also see hamilton rating scale for depression on internet and rate urself.
1 person found this helpful

What should I do if I feel depressed?

PGDAP, MBBS
Psychiatrist
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What should I do if I feel depressed?
You should try to discuss your feelings and thoughts with your close friend or relative. Despite it, if you don't feel better than you need to talk to your family doctor/ counsellor/ psychiatrist.

I am having regular smoking and drinks habits. What is the effect on my body. How should I skip all the habits. Any treatment now to confirm the status of body now in 2015. Please advice if you can.

Reparenting Technique, BA, BEd
Psychologist
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One of the immediate concerns will be cirrhosis of the liver. The combination of smoking and drinking increases the risk many times. There is also the enlarged heart and weak heart beat after long duration of alcohol consumption. There is the danger of cancer of so many organs that it is too long to list all the problems. Here are just a few: Blocked arteries, loss of stamina, lung damage, skin damage, kidney, hepatitis B, eyes, teeth and gums, hair, etc. You can go for a complete medical and psychiatric evaluation. The problem is that even if you know the dangers you will not quit unless something dramatic happens.There is only one reason, and that is, that you have not reached your ?Rock bottom? so that you will be stopped right in your tracks! Before that happens you must, on a war footing, exercise restraint and stop the use of all these substances. Since you have probably tried and found it extremely difficult I suggest you do one of the following: It sounds like you are in an advanced stage of alcoholism and tobacco use and need admission to a rehabilitation center to ideally help deal with this problem. There are no guarantees about stopping one?s addiction. But that does not mean we should not keep at it, over and over again until we succeed. Now it is difficult to give up all by yourself because you have become addicted to alcohol and tobacco and there is so much to do. Under such circumstances it is best that you admit yourself into a de-addiction center and stay there for at least 6 months and after that you can attend counseling with a professional. There are medicines that help with the drinking just to ease the initial craving and to act as an antabuse i.e. you will have a serious reaction, if you consume even a small quantity of alcohol or alcohol based substances. It has to be carefully monitored to see that you do not only consume the medication but you are also avoiding alcohol. 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 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 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. The 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 in particular and have made some unhealthy adaptations to somehow cope. Your children 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 they are genetically predisposed to alcoholism or can have cross addiction problems, and that they 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. Make a serious plan with whoever else?s support you can get and act on it fast. If you are not cooperative, there are some centers that will come and pick you up, after you are completely drunk, and admit you by force. This will however, require the wife and family?s consent. Do not delay for any reason and stop fooling around with half decisions. This must be your last and final attempt and make it a successful one.

A close friend of mine left me. I fell in love with her initially and was in love but it didn't affect me when we were friends. We had some misunderstandings. Slowly it became a problem and we exchanged harsh words. I made few mistakes and apologized for the same. She left me now. It's been a month. Initially, I was better, but after a week, I started suffering. I am very much depressed and have been constantly crying everyday for more than 2 hrs. It's been several days since I slept. My mind doesn't sleep at all. I always keep thinking about whatever happened. I feel like I have been betrayed. I trusted her and valued her the most. Things have gone so worse that she made a complaint in the office I work against me for disturbing her through texts. Now its all clear, we will not be back again. I accept that. I want to move on. I have some exams next month. I really cannot concentrate on exams with such mood. Not just that I am not doing good at my job. I feel the need to take sleeping pills and anti-depressants. Could anyone suggest me the sleeping pills and anti-depressants? ​I am having some mood swings, sometimes I feel happy and some times I feel sad? I am not able to really move on, I don't have any other friends as well.

B.A. Psychology, M.A. Psychology, Ph. D - Psychology
Psychologist
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A close friend of mine left me. I fell in love with her initially and was in love but it didn't affect me when we wer...
If you really want to move on , you will need to forgive her and yourself. Your guilt will not let you move ahead in life. Secondly , start focussing more on what you want in life , rather than what is left behind. You don't need anti depressants- all you need is cultivate some hobbies, listen to good music , spend more time with family and friends . Include a exercise regime in your daily schedule, eat healthy and drink lots of water. Whenever you are alone - listen to good music and check yourself going on a guilt trip.

I am taking Sertraline100 mg in the morning and Mirtazapine 15 mg in the night for Depression. My doubt is whether these are compatible with each other ie whether both of these can be taken together without any side reactions?please advice

DNB (Psychiatry), DPM, MBBS
Psychiatrist
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I am taking Sertraline100 mg in the morning and Mirtazapine 15 mg in the night for Depression. My doubt is whether th...
Sertraline and mirtazapine can be prescribed together. As per what schedule you r taking its correct, avoid taking them together as mirtazapine in morning hours may cause drowsiness. My comments are only useful" if you are taking a valid prescription after consulting psychiatrist"
2 people found this helpful

His age is 21 but he still looks like a school kid. He is not all growing.

Advanced Skills in Counselling, BSIC, Advanced Trainee of Transactional Analysis, DCS, Hypnotherapist
Psychologist
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His age is 21 but he still looks like a school kid. He is not all growing.
Please be more specific about what you mean by not growing at all. Physically or mentally? some aspects which are genetic cannot be changed like height, facial features etc. Some mental aspects can and may change with time as he grows and gets more experience in life. If you find that he's very much lagging behind his peers in mental development then take him for assessment to clinical psychologist. For physical growth he can participate in physical activity like sports, gym, marathon etc to develop his muscles and look more grown up. However looks are not what matters ultimately. It's their character and personality that makes a person excel in life.

I am losing my memory day by day also I have constipation. I am losing my memory day by day.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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I am losing my memory day by day also I have constipation.

I am losing my
 memory day by day.
take syrup duphalac 30 ml three times daily ,, get investigated for thyroid hormone levels for forgetfullness
1 person found this helpful

How can I stop my hair falls, while am just now completed 26 years its increases my tension level. Even I am using oils, onions, egg, etc.and always my body is burning under overheat ,is this the reason behind? In spite there is a gene problem. I need to save my hair as well as my head.

BHMS
Homeopath
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How can I stop my hair falls, while am just now completed 26 years its increases my tension level. Even I am using oi...
Hi. It's normal to lose up to 100 hair per day, and in most people, those hairs grow back. But many men -- and some women -- lose hair as they grow older. You can also lose your hair if you have certain diseases, such as thyroid problems, diabetes, or lupus. If you take certain medicines or have chemotherapy for cancer, you may also lose your hair. Other causes are stress, a low protein diet, a family history, use of bore water, or nutritional deficiencies. Need to rule out any causative factor or underlying medical condition. Management: Take diet rich in protein like non-veg, eggs (it's loaded with essential nutrients such as proteins, vitamin b12, iron, zinc and omega 6 fatty acids in large amounts and biotin), different pulses & legumes, sprouts, nuts (sp. Walnuts and almonds); iron-rich food like green vegetables, dates, carrots, prunes, green peas; also oats, shrimp, take flaxseeds, sunflower seeds, sesame seeds, green tea, soyabean, fruits, salads, etc. Take low-fat dairy products (they also contain whey and casein, two high-quality protein sources) take proper 6-9hrs of sound sleep. Give up the habit of smoking and excessive alcohol intake. Avoid junk food and any kind of beverages (tea, coffee, aerated drinks, cold drinks, etc.) avoid canned/ tinned food or food that contains preservatives (eat fresh ones). Avoid use of hard water to wash the head rather use boiled water for head wash. Avoid use of harsh hair colour, hair treatment like rebonding, straightening, perming, etc. Avoid vigorous exercises or any supplements provided by the gym! cover your head with scarf or cap while stepping outside. Use rose wood/ any wooden hair comb to brush your hair. Regularly massage head and hair with coconut oil, almond oil (depending upon your scalp type) 1 to 3 times a week. Regular exercising is also one of the important point, but should be done under some good, qualified yoga teacher or instructor for proper guidance; it also releases the stress/ tension in the mind and the body and keeps you fit and young! Medication: Take homoeopathic medicines - Schwabe's Wiesbaden 200 & Alfalfa tonic twice a day for 3 months. Use Schwabe's Arnica shampoo and Hair Growth oil regularly as per the condition of your scalp (minimum 3 times a week). After shampooing, use Bakson's Arnica hair conditioner as well after every head wash. Beside this, you can take one tablet of multivitamin Folli Hair once daily for 3 months. Get back to me for further advise.
1 person found this helpful

I am 28 year old I have a problem of high blood pressure My ear is ringing every time and I am loosing my memory day by day and also I am going to very much lazy and felling burden in my head What I do now please treat me.

BHMS
Homeopath
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I am 28 year old I have a problem of high blood pressure My ear is ringing every time and I am loosing my memory day ...
Dear lybrate user, take homoeopathic mother tincture rauwolfia q, 30 drops, thrice daily, after meals, in a cup of water for your problem of high blood pressure. Also avoid mutton, beef, chicken, ghee, butter etc. Kindly remember that medication to control high blood pressure will affect your sexual performance & it will diminish your sexual power.
2 people found this helpful

He had depression earlier. After medication he became normal. Now that condition rearrived and he is suffering again from depression. Rx for that?

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
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He had depression earlier. After medication he became normal. Now that condition rearrived and he is suffering again ...
Dear depression needs to be diagnosed by proper face to face methods and assessment tools. Please consult a psychiatrist face to face. Clinical depression or depressive disorder is a neurochemical disorder. Clinical depression is usually treated with a combination of psychiatric medicines, psychotherapy, life style changes, meditation and exercise. I hope you are undergoing psychiatric treatment, otherwise, please approach a psychiatrist. Once you make the necessary amendments in your life with the help of the above said therapies and life style changes, learn how to manage the depressive episodes without medicines and learn to relax, the medicines can be weaned off over a period of one year. The best option for you is to undergo counseling and depression related therapy. Take care.

Sir sometimes I am sick and sometimes I am happy. Doctor recommend me zapiz 0.5 mg to get relief. But sometimes I went to a deep depression and I don't know what to do.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist
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Sir sometimes I am sick and sometimes I am happy. Doctor recommend me zapiz 0.5 mg to get relief. But sometimes I wen...
You seem to have a bipolar personality, the one in which your mood keeps swinging from a happy to sad state, within different periods. Episodes of depression, particularly long lasting are common in such disorders. Instead of just continuing the prescribed medication as and when needed, consult your treating psychiatrist with detailed complaints. You may contact me online for any further queries and assistance.
1 person found this helpful

I have lost interest in sex. I got married 2 years back but I hardly feel sexually driven towards my wife although I love her a lot. I have got my testosterone levels checked and it is absolutely fine. My marriage is in a deep trouble. Please advise.

BHMS, DEMS
Homeopath
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I have lost interest in sex. I got married 2 years back but I hardly feel sexually driven towards my wife although I ...
Homeopathic treatment will give you best result. Do exercise daily. Eat high protein diet. Eat green vegetables, fruits. Time spend with your wife. Avoid alcohol and smoking. Avoid stress.

I am a smoker how I reduce smoking because I want to leave it but don't do it how I can?

Reparenting Technique, BA, BEd
Psychologist
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Yes, you would want to leave it and not just reduce it. You have made a wonderful decision and it will affect you positively in the future for sure. But it is not easy because there is a lot of conditioning associated with it and these can be spread over the whole day and night!!! When you decide, it must be done immediately and abruptly. Waiting another day will jeopardize the decision. Since you want to do it I recommend that you seek the help of a counselor and do it with support. You need to identify with 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 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, for a little while. 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. To help process all of the above and to get support, go for counseling and persevere with it until you are completely over it.
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