Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 41 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.
Book Clinic Appointment
Treatment & Management of Stress
Treatment of Mood Disorder
Treatment of Abnormal Behaviour
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Obsessive Compulsive Disorder Treatment
Cognitive Behavioral Therapy
Electroconvulsive Therapy (Ect) Treatment
Critical Care Procedures
Treatment Of Learning Disorders
Management of Emergency Conditions
Treatment Of Female Sexual Problems
Treatment Of Male Sexual Problems
Manual Therapy Treatment
Memory Improvement Techniques
Submit a review for Dr. RajiniYour feedback matters!
Insomnia is a disorder where a person has difficulty sleeping. One can have problem falling asleep or staying asleep for long. Some people also have disturbed sleep. This can be a major problem as due to lack of sleep one feels tired and fatigued all day.
Recurring cases of insomnia hamper your daily activities and interfere with the smooth functioning of your life. Therefore, this condition should not be ignored and treated immediately.
Here are the various ways to treat insomnia:
Non-Medical (Cognitive and Behavioral treatment)
Several psychological and behavioral techniques can be used for the treatment of insomnia. Many of these methods can be easily self-taught and others require a therapist to be carried out properly.
- Relaxation training, which is also called progressive muscle relaxation involves the patient to tense and relax his muscles systematically in various parts or regions of the body. Relaxation techniques, such as breathing exercises, various forms of meditation, mindfulness and guided imagery are used for treating insomnia people. The use of audio recordings for guidance in these techniques is quite popular.
- Stimulus control enables building an association between the bedroom and sleep. This is done by limiting several kinds of activities done in a bedroom. This may include going to bed only when very sleepy and leaving bed if you cannot sleep within twenty minutes. A strict bedtime and wake up time schedule has to be maintained.
- Cognitive behavioral therapy or CBT involves changes in behavior like maintaining a strict sleep time schedule, elimination of afternoon naps and other habits related to sleep. A cognitive component is also added to this method. Unhealthy beliefs and fear regarding sleep are challenged and positive, rational thinking is encouraged. CBT is a very effective procedure for treating insomnia and the track record regarding success is high.
- Changes in lifestyle are required to treat insomnia and prevent recurrence of insomnia, you should change certain habits and start some new practices. You should limit your intake of caffeine, alcohol and nicotine. Do not consume coffee or tea before going to sleep and avoid smoking. The habits may be stimulating and will keep you awake. Your diet should be balanced. You should avoid having rich and spicy food before going to bed. Avoid late meals and maintain a proper schedule for meals. Regular exercise can improve the symptoms of insomnia and you should try to work out every day.
Medical Treatment: There are many forms of medicines, which can treat insomnia. This includes over-the-counter medicines, as well as prescribed medicines. The type of medicine required completely depends on the severity and symptoms of your insomnia and other factors related to health. Therefore, you must consult a doctor before having any kind of medicine for treating insomnia.
The most common medicines for insomnia, which are usually prescribed by doctors are benzodiazepine hypnotics, non-benzodiazepine hypnotics and melatonin receptor agonists. However, medicines should only be taken after consulting with a specialist. Insomnia not only affects your health but also interferes with all your daily activities. Proper treatment should be taken to treat the same. If you wish to discuss about any specific problem, you can consult a psychiatrist.
My friend is tensed these days. Due to work pressure and personal problems. He is feeling some weakness and stomach irritation and anxiety. Can this turn out to be worrisome or just home remedies will do?
I have been trying to concentrate on my studies. But when I start to study, I am having headache and dizziness and I am not able to concentrate on any other activities. Pls help me.
I feel very depressed and over obsessive about making things happen my way. Like a compulsion and impatience.
How stress affects family life? Effect of stress is not limited to mind. It has serious effects in the body. It affects blood circulation and the heart. It puts pressure on nerves. It also alters the blood sugar level. And he end result is diabetes, hypertension (high blood pressure) and heart diseases. Ultimately these diseases affect all the organs of our body. Some people try to get rid of stress by smoking and alcohol. These will simply put burden on already affected heart and blood.
Stress also alters important hormone levels in our body. The hormones needed for basic reproductive function (sex, conception and pregnancy) are either increased or decreased. Prolactin hormone is increased. Normally prolactin is needed to secrete milk from breast to fed the baby. But abnormally increased prolactin leads to milk secretion from breast (even without pregnancy) and irregularities in periods. Very high prolactin may even lead to problems with ovulation (at middle of each period, the egg gets released from ovary) and as a result, the woman cannot conceive a baby. Even in male, high prolactin leads to difficulty in erection of penis. In some male, it can lead to gynaecomastia (growth of male breast). Excessive high dose of prolatin leads to loss of sex desire in male and interferes with spermatogenesis (sperm production).
Apart from increasing prolactin, stress can directly affect the hormones secreted from the pituitary gland of both male and female, the testes in male and the ovaries in female. As a result, all the reproductive functions get disturbed leading to problems in sex (loss of desire in both male and female, problems in erection and ejaculation in male), irregular periods in female and ultimately pregnancy cannot occur.
The diseases occurring as a result of stress (diabetes, hypertension etc) also affect the normal functions of ovaries causing irregular periods, even no periods at all. There may be problems in ovulation and thus difficulties in achieving pregnancy. Even if pregnancy occurs, it may be aborted because of these diseases. Similarly in male, diabetes and hypertension will cause sexual dysfunction and will affect sperm production.
The lifestyles accompanying stress are also responsible for harmful effects on family life. Smoking and alcohol have been mentioned earlier. Stress may be associated with abnormal weight gain and that will affect the woman’s life in badly manner. There will be disturbances in periods, ovulation problems, infertility and even pregnancy loss. Sitting for long time while driving or keeping laptops on laps, will increase the temperature of scrotum in male and thus will decrease the sperm production.
Again there is a vicious cycle- stress leads to family problems like problems in sex and in having pregnancy. That will in turn increase pressures from family (especially in-laws) and the society. This will simple aggravate the stress.
So, what can be done to avoid these problems? The answer seems to be simple- that is avoiding stress. But it’s very easy to say and difficult to commit. First thing is try to bring stress at home just keep it at your workplace. Avoid smoking and cut down alcohol consumption. Avoid sitting long time in front of computers and take periodical rests when you are working continuously. The rest does not mean that you have to lie down in bed; just have a short walk. Start exercise that will keep you healthy and reduce your stress. Yoga is an Indian culture that taught the Western world how to reduce stress. Take plenty of water and green vegetables and fruits. Avoid fast food. Always put on comfortable dresses. And if all of these do not work, try if you can do something to avoid the stress- like changing the workplace, talking directly to your co-employees or the employer. If still all these cannot help, consult psychological counselor. A timely counseling will reduce stress significantly. In very few cases, drugs may be needed to reduce stress. But remember, drugs can only be useful if you are trying all the other measures. Simple dependence on drugs won’t help much.
Now regarding family problems associated with stress follow simple measures. Often we feel embarrassed to discuss these issues. Try to enjoy time of personal intimacy to the fullest. Don’t think of any problems during that time. If still there are problems, don’t hesitate to take medical help. And please remember, the drugs used to solve sexual problems may have side effects. So, these should be taken only after medical consultation.
In case of female, maintain optimum weight. Avoid fast food, alcohol and smoking. If periods are irregular, maintain a menstrual diary. Consult a doctor to find out if there are some serious issues associated with these problems (like hormonal problems, thyroid diseases, even some tumours). You doctor will then decide the best treatment for you. If there are low desire for sex, don’t hesitate to take help of doctor. It may be a symptom of hormone deficiency that can affect your different systems (like bone, heart, blood etc). Now a days, there are lots of treatment options available for this.
For male, if there is low desire, consult your doctor to find out the cause of this problem. At the same time, avoid any anxiety, alcohol and smoking. Sometimes there are problems with erection. Instead of trying drugs shown in media or newspaper, feel free to talk to your doctor; because erection problem may be caused by some serious issues like heart disease, diabetes etc. So, if you have erection problems, consult doctor. He/ she will counsel you and give you the best treatment. Now if the problem is with ejaculation (like early loss of semen or very low semen), that issue can also be solved in the same way.
What’s about infertility problems? Stress and infertility are inter-related, as described before. Now, if there is problem with fertility, please remember few facts. Even in totally healthy couples, the chance of pregnancy after regular intercourse in fertile period (in the middle of menstrual cycle, usually) is only 20%. Though it appears disappointing, majority of couples conceive in course of time. So, couples are requested to report to doctor only if they tried regularly for one year without any protection. Then your doctor will assess you and try to find out the problem. And again, treatment of infertility is also depending on chance. Hat means we have to increase the chance above the natural chance (which is 20%). So, even one treatment fails, there is enough scope, so no need to lose hope. In other words, there is no need to increase the stress.
So, stay healthy, keep your mind healthy by avoiding stress and keep your family relationship totally stress-free.
I am a 42 years married male suffering from depression for last 20 years. Presently on escitalopram&rivotril. But symptoms are aggravating anxiety panic attacks nervousness numbness insomnia lack of appetite palpitations.
I am having problem of over thinking, due to that I am suffering, stress in day today life. How can I overcome that and enjoy my present moment.
Everyday When I started for my study that time I feel heavy, like painful headache. Few month later my final exam (B. A). Please give me some home remedy without meditation. Because I try this from 1week, but it's not work for me! And I have also memory loss problem. please help me what should I do sir?
I am not happy about my family. My father used to get drunk and even create a lot of problems. What am I suppose to do.
I noticed that my memory IQ levels decreased and forgetting small issues. It is major problem or not. Is there any way to regain my memory power. Please help me.
My son is 2 yrs 8 months suffering with stammering. There is no stammering problem when start speaking but suddenly he is suffering with that problem and started stop pronouncing the words say Apple and so. Kindly please advise me.
Hi I am 25 year old working professional who is also preparing for upsc. I am feeling very sad and depressed lately. And its not going away. Affecting my work and studies and life as such. Not able to overcome it. Sometimes feel nauseated and suffocating. Nothing brings me up. Please help. Sometimes I even feel suicidal.
Hi I am 20 years old studying I am not able to have food and often I have stomach pain I did many things. And I am getting pimples on my face. Tell me what to do now? Please help me.
I do not know whats wrong with me I feel like to cry I am not happy with my job any psychologist over here. Earlier this year I was very confident and happy but know I get offended easily I am making mistakes during my work hours silly silly mistakes they scold me I feel bad I cry I think I have some anxiety problem I have no social life I have a boyfriend but he is also not worth keeping please suggest.
I am a student. My exams are going to be held after months. I am preparing from last month. Now since I have prepared. Now some thing has stuck in my mind. Which is making me afraid of appearing in exams. Even also stopping me from revising what I have prepared. What should I do. please help plz.
I am 20 year old men. What is symptoms of lungs cancer? Because I smoke more than 5 years. One day I vomit with blood. So I really scared about this. Please give any suggestions. Thank you.
There is a circle of control within which you are comfortable. For example if you are afraid of speaking in public, you may shy away from such an activity or you may on the other hand, choose to focus on what is under your control by working hard on practicing that speech with friends, family and supportive people in order to overcome your fear.
When issues outside the circle of our control begin to take prominence they are likely to cause hurt and disturbance. There are many ways to feel strong so that you are not always caught off-guard or unprepared for situations.
Not all stress is bad
We sometimes hear people say ‘I work better under pressure’ or ‘I thrive on competition’. There are others who endlessly crib about work pressure, increasing population, mounting prices, water shortage, etc. What we need is a balance. We need to feel stretched, but not so far that we might snap. Feeling bad or worrying about something does not fix the problem but adds to your feeling of helplessness. Being stressed is by itself, usually a cause for further stress.
The attitude of the person and the way they approach the situation makes all the difference. One person’s challenge may well be another’s way of life
Some stress is normal and even useful
A certain amount of stress is essential for normal health. Some stress is definitely required to stimulate us to do day-to-day tasks. Some levels of stress are beneficial for higher productivity and efficiency. A student may be nervous about studying for a competitive exam, but this does not automatically mean that it will cause him/her to perform poorly. The child may just become more conscientious with revision