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Dr. Purushottam T. Acharya

MBBS, DM - Neurology, MD - General Medicine

Neurologist, Bangalore

38 Years Experience  ·  100 - 400 at clinic
Dr. Purushottam T. Acharya MBBS, DM - Neurology, MD - General Medicine Neurologist, Bangalore
38 Years Experience  ·  100 - 400 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Purushottam T. Acharya
Dr. Purushottam T. Acharya is a trusted Neurologist in Race Course Road, Bangalore. He has been a practicing Neurologist for 38 years. He is a qualified MBBS, DM - Neurology, MD - General Medicine . You can meet Dr. Purushottam T. Acharya personally at Mallige Medical Centre in Race Course Road, Bangalore. Book an appointment online with Dr. Purushottam T. Acharya and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Neurologists in India. You will find Neurologists with more than 42 years of experience on Lybrate.com. You can find Neurologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Grant Medical College, JJ group of Hospitals Mumbai - 1979
DM - Neurology - Grant Medical College, JJ group of Hospitals Mumbai - 1985
MD - General Medicine - Grant Medical College, JJ group of Hospitals Mumbai - 1981
Professional Memberships
Indian Society of Nephrology (ISN)
Indian Academy of Neurology

Location

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Mallige Medical Centre

#31/32, Crescent Road, Near Race course Road & Shivananda Circle, Gandhinagar. Landmark: Opp. to Hotel Bangalore InternationalBangalore Get Directions
400 at clinic
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Mallige Medical Centre

#31/32, Crescent Road Landmark : Near Race course Road & Shivananda Circle,Opposite To Hotel Bangalore InternationalBangalore Get Directions
100 at clinic
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Kanva Diagnostic Services Pvt Ltd

#2/10,Dr Rajkumar Road,4th N Block,Rajajinagar, Landmark : Next to Suguna Hospital and Abhimani Vasti, BangaloreBangalore Get Directions
300 at clinic
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Kaade Hospital

No 320/C, 321A, 1st Stage, 2nd Phase, West of Chord Road, Manjunatha Nagar, Bangalore - 560010Bangalore Get Directions
400 at clinic
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I am 62 years old, suffering from msa-c. What is the treatment for this disease? is this curable?

MBBS
General Physician, Mumbai
Multiple systemic atrophy is a degenerative disorder of nerve cells of the brain and I am sorry to say that as of now it is not curable but we can prevent further damage of the nerves and would like to know your ongoing treatment for further guidance.
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I am 25 years old and I am suffering from migraine for last one mnth. Give me a proper suggestion?

MBBS
General Physician, Cuttack
1. Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack, apply ice pack, massage scalp/temple 2. Drink plenty of water and take rest. 3. Avoid stress, anxiety, depression, agitation, exposure to loud noise, bright light, strong smell inadequate sleep, continuous use of cell phone since it precipitates migraine attack 4. Avoid salted /processed food, aged cheese, excess tea/coffee/alcoho (red wine)/caffeinated beveragesl. Don’t skip/postpone your meal, avoid hunger since it triggers the attack 5. Go for regular exercise, reduce weight if over weight 6. Practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis like propranolol/ vasograin after consulting physician 8. Consult neurologist to exclude other causes of headache and if required, take CT scan of brain.
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Respected doctors, I am a male of 29 years of age, I am suffering from generalized anxiety disorder feeling like I am in a dream like state, light headed, foggy vision, stiff head, head feeling numb, depersonalization, tough to carry on life since 1 and half year. One of psychiatrist tell me that I had taken lots of medicine as I was hospitalized 3 times in a year and therefore depersonalised has taken place and feeling numbness in entire head due to heavy medicine and waves r feeling in my head. Eat healthy sleep healthy will create stamina and slowly your anxiety will be improved. Please answer.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
Respected doctors, I am a male of 29 years of age, I am suffering from generalized anxiety disorder feeling like I am...
• sir go for a complete detox of ur body with the help of ayurveda's Panchakarma therapy. It includes Abhyangam (Massage with medicated oils) n medicated steam bath. this wud rejuvenate ur body - improving ur work efficiency and bettering ur sleep. It will also strengthen ur nerves and muscles. These procedures will take out the harmful toxins out of ur body - cleansing ur body. Also take Shirodhara which would completely take the stress out of ur body and u will feel light, fresh and full of energy.
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I am 63 years old man. and suffering from parkinson I am very much disturb with cramping in the legs. Can it be cure?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Pain is the most common reason people in the United States visit their doctors each year. Although pain is highly subjective and difficult to describe, a working definition is ?an unpleasant sensory and emotional experience associated with actual or potential physical damage.? Its components are physical, cognitive, behavioral, emotional and perceptual. Among people who have Parkinson?s disease (PD), pain is a major complaint. In fact, up to 85 percent of people with Parkinson?s report pain as a troubling symptom. Some of these people experience pain as an early symptom of Parkinson?s, before their disease has even been diagnosed. Yet, pain in Parkinson?s disease often remains undiagnosed and untreated. Thus, it is important to understand that pain can be part of the Parkinson?s experience and to learn ways to manage it. Causes of Pain in Parkinson?s Pain researchers use a classification system that is based on the separation of tissue pain receptors from the nerves that transmit pain signals. Pain can be classified as nociceptive, which relates to tissue damage, implicating the pain receptors in the skin, bones or surrounding tissues; as neuropathic, indicating pain arising in nerves; or as a mixed pain syndrome involving both nociceptive and neuropathic pain. In Parkinson?s, most pain experiences seem to result from tissue that is injured or has the potential to be damaged: causes include persistent tremor, muscle rigidity, dystonia, musculoskeletal injury (i.e., sprains, bruises, bone fractures resulting from a fall etc.), burns and inflammation. The pain is typically well-localized to the affected body part; it may fluctuate with the medication dosing. Pain caused by dystonia can be diagnosed when there is visible twisting, cramping or posturing of the painful body part. The most common areas of the body where people with Parkinson?s experience pain are the neck, upper back and extremities. In Parkinson?s, neuropathic pain is less common than nociceptive pain, and includes a number of conditions not directly related to PD, such as shingles, cancer pain, carpal tunnel syndrome, diabetic neuropathy, and peripheral neuropathy. The pain may present as burning, numbness and tingling, sharp sensations, or electric shock qualities. Pain due to nerve or root disease is most commonly caused by akathisia, an extreme inner restlessness. Parkinson?s specialists gain insight from the perspective of the pain specialist, and often select treatments based on the nociceptive versus neuropathic classification. In practical terms, it often proves helpful to conceptualize the experience of pain in Parkinson?s as relating to one or more of the following five categories: pain from the muscles or skeleton, pain from nerves or spinal roots, pain related to sustained twisting or writhing, discomfort from akathisia and pain caused directly by changes in chemicals in the brain due to Parkinson?s. The Impact of Pain It is important to address pain because it may interfere with day-to-day activities, mood, sleep and overall enjoyment of life. Specific problems resulting from chronic pain may include sleep disturbance, malnutrition, social withdrawal, physical and functional decline, depression, anxiety and impaired cognition. Pain also accounts for increased overall health care costs. A person?s perception of pain can be affected by emotional factors. Scientists have shown that depression, which affects approximately 40 percent of individuals diagnosed with Parkinson?s, plays an important role in the way people perceive pain. Similarly, tension and muscle stress caused by anxiety can compound pain. Cognitive processes ? how a person views pain and how he or she pays attention to it ? also influence the level of pain a person feels. A person who pays more attention to his or her pain and reacts to pain with a high level of stress will likely experience more pain than someone who tries to ignore the pain and considers it irrelevant to his or her daily life. Feeling helpless to control pain ? that is, believing that pain is uncontrollable or that there are no treatment options or health professionals available to assist in managing pain ? can also make pain seem worse. Fortunately, many options exist for treating pain. How can you find which are right for you? The first step is to talk to your doctor who can assess your pain and then help to build a pain management plan. Assessing and Managing Pain Your doctor can assess pain through a clinical interview and neurological examination, sometimes performed in both the unmedicated state and when the Parkinson?s medications are working fully. Your doctor may also ask you to describe the characteristics of your pain. For example, when do you feel pain? Where in the body is your pain? Does the pain feel hot or cold, stabbing or burning? You also may be asked to report how pain impacts your daily activities ? for example, walking or sleeping. The more information you can provide about your pain, the better your doctor will be able to diagnose and treat it. Management options for pain in Parkinson?s include both the pharmacological (i.e., medications) and the non-pharmacological. A combination of both may offer the best pain control, and an interdisciplinary model of care can lead to optimal results for pain management. Some treatment options include: medications physical therapy massage botulin toxin injections nutrition management exercise acupuncture/acupressure psychotherapy (emphasis on pain management) stretching Because of the relationship between dopamine and pain, dopaminergic medications such as levodopa can affect a person?s perception of pain. People with Parkinson?s who are in the ?on? levodopa state, when the medication is at peak effectiveness, report less pain than those in the ?off? state. Pain due to rigidity or dystonia can be relieved by dopamine drugs, but on the other hand, may cause dyskinesias. Therefore, effective management of levodopa medication for people with Parkinson?s may help to reduce pain. Because certain thought processes and behaviors can alleviate or worsen pain, some people find psychotherapy helpful for managing their pain. Techniques such as cognitive-behavioral therapy (helping to control the psychological response to pain; teaching diaphragmatic breathing, visual imagery exercises, relaxation techniques, etc.), and biofeedback may help ease pain, but are unlikely to eliminate it completely. A physical therapist can help you select and modify appropriate exercise routines. Of course, you should avoid activities or exercises that make your pain worse.
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Hi I am 28 years old and I have migraine problem before 2-3 weeks so what should I do for it.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
migrane can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed by me, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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My father is suffering from paralysis since 10 months. He is unable to speak. He suffered from paralysis attack twice in last 10 months. We consulted many doctors but all in vain. Please help me.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Treat the cause of stroke, which may be high blood pressure, diabetes, dyslipidemia, clotting disorders or cardiac arrythmias. Get him evaqluated thoroughly and with medicines and physiotherapy ,he will recover surely.
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I am 22 male, frm past 2 weeks I cnt sleep properly, my mind is full of thoughts while sleeping and if I manage to sleep anyhow, I woke at early mrng do notknow wts going on, is it insomnia? If I took sleeping pill will I be addicted to tht fr lifetime?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I am 22 male, frm past 2 weeks I cnt sleep properly, my mind is full of thoughts while sleeping and if I manage to sl...
Don't take sleeping pills, use ayurveda, yoga, meditation. Take brahmi vati with gold of baidyanath pharma 1 tab morning and evening after food with honey, take kalyan ghrit 1 tsf with milk at bed time. Also take jatamansi churan 1/2 tsf at night. Do yoga and meditation regular in 3 to 4 weeks you will be fine. Don't take fast food, junk food, spicy food.
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Hi I'm 39 years old having continue numbness in both palms, any body may suggest any medications.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Hi I'm 39 years old having continue numbness in both palms, any body may suggest any medications.
Do Take An Cervical spine mri and do rule out any Cervical spine lesion do Take appropriate Therapy best wishes.
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I have a migraine problem and some times my eyes is going red after headache how should I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have a migraine problem and some times my eyes is going red after headache how should I do?
Do Take proper balanced diet and avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
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Respected sir/mam, I m 22 years old boy. I have shaky fingers problem from childhood most left hand. Same problem even had my my brother. Shaky even worst when someone seeing task, interview, exam or typing. I getting lot of fear for future. Please help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
It is your nature and gets worse when you are tense like when someone is watching and you can control your mind and alleviate this .YOur mind control is the remedy and some medicine can be taken on occasions like exam or public speech
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I am 19 years old student and suffering from epilepsy what cure should I remember?

MBBS,J.R. Neurology
General Physician,
Epilepsy is when you have more than one episode of unprovoked seizures. Be precise while using the term. If you are an epilepsy patient then you should probably visit a neurologist and follow the medications prescribed. And stay calm and stress free. Take care.
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High BP. Numbness and pain in limbs and body. Occurring year after year. Ultrasound-Nothing abnormal found. Please give some advice (do's and don't) on my illness. Appreciate and thanking you for saving million of lives. God bless you.

MS - Orthopaedics
Orthopedist, Chennai
High BP. Numbness and pain in limbs and body. Occurring year after year. Ultrasound-Nothing abnormal found.
Please gi...
Hello, Thank you for your kindest gesture. The BP can be managed appropriately by medications, so stick to the prescription of your doctor. Pain and numbness in body can be due to various causes. But most commonly in my practise. It due to deficiency of Vitamin D and Vitamin B12. So check and correct them. It simple.
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Sir is this true? Epilepsy can be controlled Home REMEDIES 1) 1 tea spoon coconut oil 3 times daily to drink 2) Pranayama 3) Lime juice+baking soda daily 4) Orange Juice+Epsom salt 5) Garlic 6) Winter Melon-Mulaam palm 7) Exercise-walk 45 min 8) Calcium Magnesium Sodium check 9) Grape Juice daily 10) Ketogenic Diet 11) almond do nots 1) don't skip breakfast 2) don't eat white sugar dosa idly white rice 3) don't skip meals.Please tell.

MD - Psychiatry, MBBS
Psychiatrist, Pune
No not at all. Epilepsy isnot controlled by all this home remedies. You have to take medicines suggested by your doctor. Certain things you have to keep in mind always- epilepsy threshold is decreased (i. E. Increase chances of getting fits) whenever you are fasting, not sleeping adequately and in fever, alcohol consumption etc. Thus avoid fasting and consult your doctor during fever. Few things keep in mind that epilepsy itself has very less mortality rate but epilepsy/fits occuring at wrong places can be fetal. It can be controlled by antiepileptic drugs.
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What is migraine? is it any bad effect on human body? is it a uncurable disease or curable. Please tell.

MBBS, MBA (Healthcare)
General Physician, Delhi
It is headache due to vascular phenomenon , much of symptomatic treatment. there are different type of migraine . treatment and effect depend on that.
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Sir my father suffering for bells palsy from last I Week and he is diabetic patient .physiotherapy has started and steroid medicine is going on .But no improvement. How can he free from this situation?

BPTh/BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Gurgaon
Sir my father suffering for bells palsy from last I Week and he is diabetic patient .physiotherapy has started and st...
Go for muscle stimulator which will contract the paralyzed muscles of face. Also he should be doing facial expression exercises in front of a mirror.
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I am suffering from left hemiplegia after a stroke on 10th september 2014. Acute infarct right basal ganglia and right radiata. Mild diffuse atorphy. Please suggest if it can be treated. Unable to move properly.

MBBS, MD - General Medicine
General Physician, Delhi
It will take time. Take the medications as prescribed by doctor. Also take dvt prophylaxis. Continue physiotherapy. For details you can have a word with me on private chat.
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Brain Surgery - When It Is Required?

MBBS, DNB, Fellowship in Neurosurgery
Neurosurgeon, Kolkata
Brain Surgery - When It Is Required?

Brain surgery involves several medical procedures, which incorporate fixing issues with the brain, including changes in the tissues of the brain, cerebrospinal fluid and brain blood flow. Brain surgery is quite a complicated method of surgery and the type of surgery to be conducted depends on the underlying conditions.

Reasons for Brain Surgery:
Brain surgery is performed for the correction of physical brain abnormalities. These abnormalities could occur because of diseases, birth defects and injuries. A brain surgery is required when the following conditions arise in the brain:

  1. Abnormal blood vessels
  2. Aneurysm
  3. Bleeding
  4. Blood clots in the brain
  5. When the protective tissue or dura is damaged
  6. Epilepsy
  7. Due to nerve damage
  8. Parkinson’s disease
  9. Any kind of pressure after an injury
  10. Abscesses
  11. Skull fractures
  12. In case of stroke and tumors

A surgery may not be required for all the above mentioned conditions, but in case of many, a brain surgery is very important as the conditions may worsen health problems.

Types of brain surgeries:

  1. Craniotomy: During this open brain surgery, an incision is made in the scalp, and a hole is created in the skull, near the area, which is being treated. After this process is complete, the hole or bone flap is secured in its place using plates or wires.
  2. Biopsy: This form of brain surgery helps in the removal of a small amount of brain tissues or tumors. After removal, the tissues or tumors are examined under a microscope. The creation of a small incision and a hole in the skull is indicated as a part of this process.
  3. Minimally invasive endonasal endoscopic surgery: This form of brain surgery enables the removal or lesions and tumors via the nose and sinuses. Private parts of the brain can be accessed without creating an incision. An endoscope is utilized in the process which is used to examine tumors all across the brain.
  4. Minimally Invasive neuroendoscopy: This process is similar to the minimally invasive endonasal endoscopic surgery. This method also involves the use of an endoscope for removal of brain tumors. Small, dime sized holes may be made in the skull to access some brain parts.

Risks:
Brain surgeries may be associated with several risks. They may be:

  1. Allergic reactions to anesthesia
  2. Bleeding
  3. Blood clot formations
  4. Swelling of the brain
  5. A state of coma
  6. Impairment in speech, coordination and vision.
  7. Problems in memory
  8. Strokes and seizures
  9. Infections in the brain

A brain surgery is a serious and very complex surgery. There are different kinds of brain surgeries, which are conducted depending on the condition and severity of the disease. If you wish to discuss about any specific problem, you can consult a neurosurgeon.

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I am 39 years old. I am suffering from servical problem with numbness in left thumb from 3 months. These happened from bike skiting that was controlled by right hand but suddenly a jerk happened in the left side of neck. I felt this could be ok later and went to the barber who massaged the neck and the problem started from there. I went to the nuro doctor but his treatment was not satisfied. Now there is a pain in my waist also from two days. Please suggest me what should have to I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Regarding your numbness in your hand which has started after massage or whatever that was, you need to get mri of your neck region done so that we can see what kind of pressure is there. As far as your waist pain goes, if it is your lower back which you are talking about and if there are no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you - physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied if your pain is acute, then hot fomentation can be done at home - analgesic spray for local application can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance.
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Yes sir I am hypertensive and I have pain in my shoulder? This is symptoms of paralytic problem?

Occupational Therapy (OT)
Occupational Therapist, Jaipur
Yes sir I am hypertensive and I have pain in my shoulder? This is symptoms of paralytic problem?
Can't be considered without proper examination. If you don't have any problems with doing activities then that's not. HTN is a lifestyle disease start modifications of lifestyle along with salt restrictions and physical activity of an hour daily.
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I am 47 years old male. I have intermittent explosive disorder from last 3 months. What should i do? please advise.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
This is all stress and worries of life. May be issues of sex/love/future/marriage, you may be having insecurities and fear. Just relax. Ask yourself what bothers you ? have a positive self-talk, and learn what are those things you don't like. You need to accept your self and move on. You need to take care of your lifestyle and learn to be happy. If you can't do it yourself, meet a life coach/ stress management super-specialist like me. Once you open your heart out, you will feel free and begin to fly in life. I assure you that I can manage this and help you.
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