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Dr. Shoba

Psychiatrist, Bangalore

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Dr. Shoba Psychiatrist, Bangalore
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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.
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Dr. Shoba is a renowned Psychiatrist in Malleshwaram, Bangalore. You can meet Dr. Shoba personally at Bangalore Neuro Centre in Malleshwaram, Bangalore. Book an appointment online with Dr. Shoba and consult privately on has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 43 years of experience on 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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How to Treat Depersonalization Disorder?

MBBS, M.D Psychiatry , Diploma in Psychological Medicine
Sexologist, Navi Mumbai
How to Treat Depersonalization Disorder?

A person suffering from depersonalization disorder often feels detached from their thoughts and is often faced with a steange feeling that you are being separated from your emotions and your body. Feeling disconnected from his or her surrounding environment is one of the main symptoms of depersonalization disorder. An affected person might feel like an alien, living in a world of fantasy and fear of getting crazy or depressed, anxious and panicky. A patient with depersonalization disorder does not lose his contact with reality and realizes that his perceptions are unreal. This health condition is a form of dissociative disorder, where the brain gets affected.

Treatment: People seeking treatment for depersonalization disorder are primarily concerned with the associated symptoms such as anxiety and disorder. Treatment is required when the disorder is recurring or long lasting, and when the symptoms cause severe distress. The aim of the treatment is to eliminate all causes of stress when the symptoms show up. The method of treatment depends on the nature of the triggers and on the severity of the symptoms. Here is a list of the most effective treatment methods:

  1. Psychotherapy: Psychotherapy is an effective treatment procedure for depersonalization disorder. Psychological techniques are used to help an affected person recognize his feelings and for communicating his thoughts to a therapist. Thoughts which may lead to depersonalization experience are expressed by a person in this process. Cognitive therapy is utilized for changing dysfunction thought patterns in an affected person.
  2. Medication: There are no medicines for the general treatment of depersonalization disorder. Several medicines are used to treat the symptoms. In patients who experience depression and severe anxiety, antidepressant and antianxiety medicines may be prescribed. Antipsychotic medicines are also used to cure disordered thinking and improper perception of reality.
  3. Family therapy: Family therapy educates the affected person's family about the disorder, its causes and the family members learn how to recognize the symptoms.
  4. Creative therapy: Creative therapies, such as art therapy or music therapy, enable a patient to recognize and express his feelings better in a creative and safe way.
  5. Clinical hypnosis: This process involves intense relaxation, concentration and focus of attention in order to achieve an altered state of consciousness. This makes a patient more aware, and he can explore his thoughts and feelings, which have been absent from his conscious mind.

Complete recovery from depersonalization disorder is possible for most of the patients. The symptoms go away by themselves after treatment. Treatment makes a person more effective in dealing with stress or trauma, which might act as triggers for further recurrence of this disorder. Treatment is necessary and avoiding treatment might cause severe complications later. It is recommended to consult a doctor for the best treatment measures.

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Is every little ulcer under the tongue in mouth due to smoking a cancer? Because I have a little ulcer under the tongue for almost three years. I have leukoplakia near the ulcer area and some time I feel pain on the ulcer. I am a smoker. Will the ulcer disappears by it's own if I can leave smoking?

General Physician, Chennai
Is every little ulcer under the tongue in mouth due to smoking a cancer? Because I have a little ulcer under the tong...
Not every ulcer is related to cancer. But an ulcer that is recurrent for chronic duration such as 3 years is mandatory to be checked out. Your doctor will give you local analgesic cream and antibiotics. You should be able to heal your ulcer however if not your doctor will take a swab of your ulcer to see under the microscope.
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Persistent sadness and hopelessness.
A feeling of worthlessness, helplessness.
Tremendous amount of guilt.
Anxiety, irritability and agitation.
Desire to cry often
Loss of interest in daily activities.
Poor memory and concentration.
Change in sleep pattern.
Increase or decrease in appetite and weight.
Lack of energy and easy fatigue.
Thoughts of suicide or death.
8 people found this helpful

I have been reading about nootropil recently as I was looking for enhancement medicine to improve brain function, memory and thinking capacity. Do these supps actually work? Do we have such drugs in India?

C.S.C, D.C.H, M.B.B.S
General Physician,
These drugs do not give any significant effect Nootropil Tablets contains the active ingredient Piracetam. It acts on the brain and nervous system and is thought to protect it against a shortness of oxygen. Nootropil Tablets are used in combination with other medicines to treat myoclonus
1 person found this helpful
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I lost my girlfriend last week and I depressing now all time and my performance day to day is very dull. Please help me.

MD - Psychiatry
Psychiatrist, Kolkata
I lost my girlfriend last week and I depressing now all time and my performance day to day is very dull. Please help me.
I am sorry for your loss. Feeling sad during this time is normal. There is nothing you can do other than giving yourself some time. After sometime you should be able to feel better and move ahead. But if the symptoms continue over few months then you should get yourself evaluated.
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I am a sports person with thin body I have problem while bending my knees. With a popping sound coming out of it.

Physiotherapist, Noida
I am a sports person with thin body I have problem while bending my knees.
With a popping sound coming out of it.
Quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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I'm taking daxid 100 mg for social phobia lamosyn 50 mg for bipolar disorder and arpizol 10 it helped me a lot but now I'm feeling emotion less ,no feelings .no interest in doing any work even taking bath .the work I loved to do now it's to tough to focus because of no interest. I have left medicine for 20 day and I think I can feel little alive Please help me how to get my emotions ,motivation back.

MBBS, MD Psychiatry
Psychiatrist, Delhi
I'm taking daxid 100 mg for social phobia lamosyn 50 mg for bipolar disorder and arpizol 10 it helped me a lot but no...
Hello, from the information above it appears that you have bipolar disorder and currently you are having a depressive episode. You need to consult thePsychiatrist for proper dose adjustment which will definitely help to obercome all your symptoms. Kindly do not stop taking medication as it will not help to get out from depression and also there is chance of relapse of manic which is definitely more devastating for you and your family. Stoping medication abruptly will disturb your bipolar illness course and there are more chances of more frequent and serious episodes. Kindly consult Psychiatrist for proper management. Thanks.
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I am 25 year old. I feel I am in depression. I am taking tablet of zossert 50mg. Please help me to come from it.

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
Apart from adequate doses of antidepressant, you can also undergo counseling or cbt with a trained psychotherapist or psychiatrist.
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What are the major causes of depression? How to free my friend from this, pls help.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
What are the major causes of depression? How to free my friend from this, pls help.
There are a number of reasons why a person may go into depression. Here are a few major causes: 1. If there is something wrong with the body like if there is hormonal imbalance or some glands have abnormal secretions, it may affect the mind/mood of a person. Any kind of physical sickness may induce depression. 2. If the person is sad for a long time and is unable to cope up with the life situations. 3. If the person has faced some trauma in life, like loss of dear ones, loss of intimate relationship, being abused physically and/or mentally. 4. If the expectations do not match the reality of life. 5. If a person feels lonely and feels that he/she is not worthy of anyone's love. 6. If the person has low self esteem. 7. If the people around do not appreciate the person's skills, achievements or strengths. The person thinks he/she is useless. Kindly assure your friend of your support and love. Focus on his/her strengths and encourage your friend to meet new people, take up new challenges, pursue his/her own hobby. Give plenty of genuine positive strokes. Empower your friend to move on. Encourage your friend to have open communication with people.
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Hi All, I am 29 years old and single. 4 month's back I joined in a new company to continue my carrier. And here I am going through a hard time. There is one woman here who was showing lot of interest to me but I was ignoring her as she has 2 kids and married too. I do not know weather she has husband or not but I know only one thing she has 2 little ones. And I was tired off ignoring and a feeling came in my mind to speak with her. I tried a lot to talk with her but could not make out. Coz I am a introvert boy and never had any girl friend in my life till date. Later I added her in office communicator to start talking with her. Then again I realised what I am I doing she has kids and it's not good to go and than I stopped and did not tested her. After few days we met each other in lift and started talking and since then she used to walk through my bay to reach pantry quit often, And she calls everyone and says hi but not to me. All of sudden she started Ignoring me. And I said hi hello many times but she did not give me a response and keep ignoring me. I have not done anything wrong to get but still she behaves like that. Before this she was keep in starting me from for for a long time and I did not turned my face and continued my work coz when I greeted her she did not response why to go and talk and moved into different direction. From that time she is not giving me response and keep ignoring me. Because of that I am not able to concentrate on work and keep on thinking about her. And even I do not want to go close to her. But still feel like to quit the organisation as she always be in my mind. She looks so sweet may be because of that reason I started talking to her and started feeling guilty what I have done wrong why she is not speaking with me. And it's affecting my productivity. Please any one here tell me how to keep calm my self and work in normal way at my office though she ignores me and because I have to see her everyday coz to go out from the floor or pantry she has to pass by my bay. Suggest me and give me tips how to overcome with this situation. Please your help much needed. And even m not getting sleep properly because of this. So please help me to come out of this situations or else I will be in big trouble. And Thank you. I will be waiting for response.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Hi All, I am 29 years old and single. 4 month's back I joined in a new company to continue my carrier. And here I am ...
I think, first you be sure about your own feelings towards her. It's not a crime, if you want to talk to her or if you like her. If you are getting attracted towards her sexually then you need to be cautious. You please be very clear about your own feelings towards her. And how, her having 2 kids is affecting your feelings. Since, you ignored her initially, probably she is doing the same now. Just because you do not know anything about her husband does not mean she does not have one and she may be happy with him. You also need to be clear about what you want from this acquaintance. She is your colleague and you cannot ignore her but getting close to her also may not be feasible and advisable unless your own intentions are clear. Finally you need to ask yourself, why this whole thing has become so important for you? if you have other colleagues who have good relations with you, try to be with them. This lady may be having her own issues and may not be doing anything intentionally. Probably she may not be even aware that you feel neglected. To get out of the present situation, whenever you get a chance, talk to her openly. May be you can appologise for your earlier behaviour and also tell her you feel ignored by her now. Ask her if she has anything on her mind. Try to focus on your work and understand why this job is important for you. Take charge of your life.
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I am feeling very depressed I feel like hurting myself and I have done it also by doing so I feel relaxed. I am feeling very lonely please help me.

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
You could be subjected to abuse in your early past or childhood. That psychological pain needs relief. Thats why you feel physically self inflicted pain is a relief. That is why you could be suffering from micro depressive episodes as well. Some people go on to develop borderline personality disorder with lots of relationship problems. Consult your psychiatrist for a resolution of the same.
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Quit Smoking

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur



If you have tried to quit smoking and failed before, take comfort in the fact that most smokers fail several times before quitting successfully. Your past failures are not a lesson that you are unable to quit. Instead, view them as part of the normal journey toward becoming a nonsmoker.
The information below will ease your way and help insure that this is the last time you ever need to go through the quitting process. You can do it!
Please wait a few moments while this page loads. You may wish to print it out.

The most important step to take is the first step --admitting you have an addiction.
When asked why you smoke, you might have said, "I just like to smoke!" or "It's my choice to smoke."
The tobacco companies have promoted the idea that smoking is a matter of personal choice. As I see it, there really isn't as much choice as they have suggested to their customers.
Ask yourself, and be totally honest: Am I addicted to tobacco? Am I truly making a freely made choice when I smoke?
You might consider that you need to have a cigarette. Studies have shown that nicotine addiction is as hard to break as heroin or cocaine addiction.
In Nicotine Anonymous' 12 Step program, which sprang from the venerable Alcoholics Anonymous program, the first step is admitting to yourself, "I'm powerless over tobacco." Making this admission may seem trivial to you, but for many it is a very significant part of completing the journey to becoming a non-smoker.
By telling smokers that smoking is a personal choice, the tobacco industry has helped to keep its customers in denial about the true extent of their addiction. If smoking is a choice, then what's the rush to quit? The tobacco companies have used this spin to help keep millions of customers buying their deadly products.
Admitting that you're smoking more out of addiction than choice will help motivate you to go on to the next steps -- taking control of yourself and becoming a nonsmoker.
This admission will further serve you by helping you stay smoke free later. In the months and years after you quit, when temptations to smoke occasionally overpower you -- and they will -- remind yourself, "I have an addiction and I'm powerless over tobacco." Saying this to yourself in overwhelmed moments of desire will help give you the strength to say no to "just one" cigarette.
If you can make it for just five minutes without giving in, the urge to smoke be controllable or disappear. In this way, you'll be able to stay smokefree for life.
For me there were two very distinct and EQUALLY IMPORTANT phases to quitting:
Phase One — Quitting with helpPhase Two — Staying smokefree and not relapsing
Phase One:Quitting with help
When quitting, people who are the most successful at living life typically get help, and plenty of it.
For example, they might read up on how to prevent illness, and go to the doctor when sick. In business, a businessperson will get a lawyer to write the contracts, a marketing firm to do the marketing, an ad agency to create the ads, an accountant to do the accounting – and so on. The fact is that people who are successful in life get help. Real men ask directions!
Sadly, eighty percent of smokers who quit do so without being in any program – and studies show that 95% of these self-reliant quitters fail, and go right back to smoking. It's the same rate of recidivism as with heroin. With a 95% chance of failure without a program, you may wish to consider getting some help this time around.
For those who have repeatedly failed at quitting in the past, it's comforting to learn that most smokers in fact fail several times before stopping successfully. Your past failures are not a lesson that you are unable to quit. Instead, they are part of the normal journey toward becoming a nonsmoker.
I certainly failed -- 11 times. Every time I failed, I lost a little more faith that I could really quit. So each time I quit, it got harder and harder to motivate myself to set a date. I had begun to feel it was hopeless.
My mission here is to restore your faith in yourself. You CAN quit. Even if you've failed several times in the past, understand that this is normal. You're not alone.
You need to get your resolve up, and try again. YOU CAN DO IT!
Get help -- lots of it. Get into a good program, or better yet, a combination of more than one.
Call your local branch of the American Cancer Society, or the American Lung or Heart Associations. All have inexpensive and effective, mainstream programs.
Other top of the line, physician-endorsed methods: nicotine replacement and Zyban. The nicotine patch or gum are now available over-the-counter at any pharmacy. The anti-depressant Zyban and nicotine inhaler require a prescription.
The Schick-Shadel Treatment Centers offer aversion therapy -- self-administering a mild electric shock from an ordinary 9 volt battery as one smokes a cigarette. They claim a 95% initial success rate, and 50% after a year. I used this therapy successfully, and will come back to this later.
Buy a How to Quit Smoking Book, or a motivational cassette tape program in a bookstore, and listen to the tapes in your car. Every little bit helps!
In addition, visit our Quitlinks page, for to see the results of recent studies on which quit products work best.
Talk to a live human being free
Call 1-800-QUIT NOW for free support with a trained counselor, who will talk to you whether you are ready to quit or just thinking about it. This number will forward to your State's tobacco cessation program, which offers live phone support in your area. When you call, a friendly staff person will offer a choice of free services, including self-help materials, a referral list of other programs in your community, and one-one-counseling over the phone.
There is also the National Cancer Institute's Smoking Quitline, 1-877-44U-Quit, offering proactive counseling by trained personnel.
Try a free meeting
If joining a small group of other quitters appeals to you, then try a Nicotine Anonymous meeting. It's likely there's one near you where you live. It's a 12-step program based on AA; they're nonprofit and free. Ask directory assistance to get the number for a local Nicotine Anonymous chapter, or call the national line at (800) 642-0666. You can also check their website. (A for-profit company trademarked "Smokers' Anonymous" -- so you want the FREE program -- Nicotine Anonymous).
Don't count on any of these programs to make it a breeze. None of them will do that -- but they WILL reduce your distress by 15% to 50%, depending on how addicted you are psychologically, vs. physically.
I'm not promising it will be easy -- it won't. So get your resolve and willpower up, because you'll need it! And you CAN do it.
Don't ask, "Does this program work?" Rather, ask yourself, "Am I willing to DO the work?" You know how to work, don't you? I'm betting that you do.
I come from a wealthy background, and at one point it occurred to me that wealthy folks may have a much harder time quitting smoking, alcohol, or even dieting -- because they're used to getting whatever they want, whenever they want it. If you count yourself among this group, you might wish to consider an inpatient treatment center. You'd reside in a hospital for up to a week with a group of other people who are also quitting.
A Note About Tobacco Ads
Many teens, if asked, would say that tobacco ads have no influence over them. However, new studies tell us that advertising plays a greater role than even peer pressure in getting teens to smoke.
And one recent study shows that the three most heavily advertised brands are the same three brands most often smoked by teens -- Camels, Marlboros and Newport. It's no accident. Cigarette ads clearly influence our teens. Tobacco ads may not influence your conscious mind -- but they do influence the unconscious mind.
Your Unconscious Mind
What is the unconscious mind? In a famous study, the Russian scientist Pavlov rang a bell every time he fed his dog -- and eventually the dog would salivate just on hearing the bell -- even though there was no food there. The dog had made an unconscious association between the ringing and dinner, and began to drool!
Cigarette ads reach our unconscious minds. These ads create an unconscious association between the addiction of cigarettes and strong, positive images of attractive, healthy people, sports like tennis or mountain climbing, beautiful country scenes, cowboys gathered around a campfire or on horseback, masculinity and manhood, being feminine and womanhood, being a 'real person,' and so on. As of 2000, the tobacco industry has been spending over $5 billion annually to advertise its deadly products. That's a lot of bell ringing! And it's not lost on our kids.
The smoker's unconscious mind also makes repeated pleasant associations with the act of smoking -- watching the smoke slowly curling, putting a cigarette to the lips, languidly inhaling and exhaling, absently handling a cigarette -- all these are very much a part of the psychological addiction to tobacco. Quitters often feel as though they are losing a best friend.

For most addicted smokers, the addition is about half mental, half physical. Studies show that the ratio varies with each individual. The physical portion of the addiction is to nicotine. As to the mental or psychological aspect, a smoker's conscious mind says, 'I will stop smoking -- no problem.' But the unconscious mind has been conditioned for years that cigarettes give pleasure, and that's all it can focus on. The unconscious mind says, 'Gimmie a cigarette -- now!' It only recognizes what feels good. It demands a cigarette, without regard to right or wrong, and ignores the conscious mind's intentions. Aversion therapy is one way to help counteract this.

During the process of quitting, the new habit of being a nonsmoker forms. The ex-smoker's unconscious mind gradually gets used to being a nonsmoker, as the urges to smoke slowly fade away.
The Boilerplate Points

Do your best to follow as many of these as you can. The points below are advocated by most of today's credible quit-smoking products and programs. They are widely accepted as an essential and necessary part of quitting successfully. Just using the patch or Zyban without following the points below will hinder your chances to quit for good this time.

DEEP BREATHING PERHAPS THE SINGLE MOST POWERFUL AND IMPORTANT TECHNIQUE Every time you want a cigarette, do the following. Do it three times. Inhale the deepest lung-full of air you can, and then, very slowly, exhale. Purse your lips so that the air must come out slowly.As you exhale, close your eyes, and let your chin gradually sink over onto your chest. Visualize all the tension leaving your body, slowly draining out of your fingers and toes, just flowing on out. This is a variation of an ancient yoga technique from India, and is VERY centering and relaxing. If you practice this, you'll be able to use it for any future stressful situation you find yourself in. And it will be your greatest weapon during the strong cravings sure to assault you over the first few days. This deep breathing technique will be a vital help to you. Reread this point now, and as you do, try it for the first time. Inhale and exhale three times. See for yourself!

The first few days, drink LOTS of water and fluids to help flush out the nicotine and other poisons from your body.
Remember that the urge to smoke only lasts a few minutes, and will then pass. The urges gradually become farther and farther apart as the days go by.
Do your very best to stay away from alcohol, sugar and coffee the first week or longer, as these tend to stimulate the desire for a cigarette. Avoid fatty foods, as your metabolism will slow down a bit without the nicotine, and you may gain weight even if you eat the same amount as before quitting. So discipline about diet is extra important now. No one ever said acquiring new habits would be easy!
Nibble on low calorie foods like celery, apples and carrots. Chew gum or suck on cinnamon sticks.
Stretch out your meals; eat slowly and wait a bit between bites.
After dinner, instead of a cigarette, treat yourself to a cup of mint tea or a peppermint candy.

In one study, about 25% of quitters found that an oral substitute was invaluable. Another 25% didn't like the idea at all -- they wanted a clean break with cigarettes. The rest weren't certain. Personally, I found a cigarette substitute to be a tremendous help. The nicotine inhaler (by prescription) is one way to go: it's a shortened plastic cigarette, with a replaceable nicotine capsule inside.

A simpler way to go is bottled cinnamon sticks, available at any supermarket. I used these every time I quit, and they really helped me. I would chew on them, inhale air through them, and handle them like cigarettes. After a while, they would get pretty chewed up on one end -- but I'd laugh, reverse them and chew on the other end. Others may prefer to start a fresh stick. Once someone asked me, "Excuse me, but is that an exploded firecracker in your mouth?" I replied that I was quitting smoking – and they smiled and became supportive. Luckily, I never needed the cinnamon sticks after the first three days of being a nonsmoker.
Go to a gym, sit in the steam, exercise. Change your normal routine – take time to walk or even jog around the block or in a local park.
Look in the yellow pages under Yoga, and take a class – they're GREAT! Get a one hour massage, take a long bath -- pamper yourself.
Ask for support from coworkers, friends and family members. Ask for their tolerance. Let them know you're quitting, and that you might be edgy or grumpy for a few days. If you don't ask for support, you certainly won't get any. If you do, you'll be surprised how much it can help. Take a chance -- try it and see!
Ask friends and family members not to smoke in your presence. Don't be afraid to ask. This is more important than you may realize.
On your quit day, hide all ashtrays and destroy all your cigarettes, preferably with water, so no part of them is smokeable.
To talk to a live human being, call the National Cancer Institute's free Smoking Quitline, 1-877-44U-Quit. Proactive counseling services by trained personnel will be provided in sessions both before and after quitting smoking.

At Nicotine Anonymous meetings, you'll find warm bodies, which can be more comforting than a computer screen. If this appeals to you more, pick up your telephone and ask directory assistance for the phone number of your local chapter. These are based on the classic 12-steps, borrowed from AA. The meetings are free and run entirely by volunteers. If there are no meetings in your city, try calling (800) 642-0666, or check the website. There you can also find out how to start your own meeting. That's how it spread all over the U.S. Support groups like Nicotine Anonymous might initially seem unnecessary -- but they provide a GREAT outlet to vent verbally. This could help spare your family and friends much grumpiness. It's truly therapeutic to see how other quitters are doing in their own struggles to stop.

Write down ten good things about being a nonsmoker -- and then write out ten bad things about smoking. Do it. It really helps.
Don't pretend smoking wasn't enjoyable – it was. This is like losing a good friend – and it's okay to grieve the loss. Feel that grief, don't worry, it's okay. Feel, and you heal. Stay with it -- you can do it!
Several times a day, quietly repeat to yourself the affirmation, "I am a nonsmoker." Many quitters see themselves as smokers who are just not smoking for the moment. They have a self-image as smokers who still want a cigarette. Silently repeating the affirmation "I am a nonsmoker" will help you change your view of yourself, and, even if it may seem silly to you, this is actually useful. Use it!
Here is perhaps the most valuable information among these points. In Phase 2, the period which begins a few weeks after quitting, the urges to smoke will subside considerably. However, it's vital to understand that from time to time, you will still be suddenly overwhelmed with a desire for "just one cigarette." This will happen unexpectedly, during moments of stress, whether negative stress or positive (at a party, or on vacation). If you are unprepared to resist, succumbing to that "one cigarette" will lead you directly back to smoking. Remember the following secret: in these surprise attacks during Phase 2 -- and they will definitely come -- do your deep breathing, and hold on for five minutes, and the urge will pass.
In conclusion, get the info and support you need to make the stopping process a little easier. DO NOT try to go it alone. Get help, and plenty of it.

Go cold turkey, or gradually cut down?
This is a personal choice. Do whichever you think will work best for you. Smokenders is a gradual quit program. But I wasn't one of those who could quit by slowly cutting down – although that works best for some. I always went cold turkey.
I'd always quit on a Monday -- a regular workday, when work would occupy my thoughts. My usual routine tasks were familiar and helped get me through the first few difficult days, which were always the most difficult part for me.
Once I tried quitting during a vacation. I found there was little to do, except to obsess all day long over having a smoke. I failed that time. The positive stress of being on vacation actually added to my stress in quitting. More about positive stress in the crucially important section which now follows. Do read on!
Phase TwoStaying smokefree and not relapsing
Here is the most valuable secret I can share with you, and probably the most important information on this page.
After the urges to smoke have become more and more infrequent, overwhelming surprise attacks are sure to come, a few weeks and months into your new smokefree life.
When these nearly out-of-control urges came (and they always engulfed me in unexpected moments), I learned that if I did my deep breathing (see above), and if I could just HOLD ON for 5 minutes -- the overpowering urge to smoke would completely pass.
That is by far the single most important thing I learned -- the hard way -- about how to quit successfully.
Because I didn't know this, I failed 11 times. I finally stopped for good on my 12th try, in Spring 1985. It's the key to what has empowered me to stay smokefree for the past dozen years or so.
So know that out-of-control, very nearly irresistible urges to have "just one" are going to take you by surprise, like a sudden gale that seems to come from nowhere. This will happen one or more times in the coming months.
Every time it does, do your deep breathing (see above), hold on for 5 minutes -- you can do it -- and the urge will completely pass.
I'm convinced that this is the single most important secret to quitting for life.

A NOTE TO NONSMOKERS If you live with a smoker, or are close friends with one: don't be a NAG about their smoking habit! (You can make noise about their smoking in the house or near you, because their second hand smoke hurts you – but don't nag them to quit. There's a BIG difference!)
Just three times a year you can ask your loved one – briefly – VERY briefly – to please quit smoking -- in VERY loving and warm tones. (Try surrounding your request with HONEST complements, keep it BRIEF, and they might be more open to hearing you.
But if you speak up more than three times per YEAR, then you're a yukky, obnoxious NAG. Ick! And your beloved smoker will be so ANGRY with you that they'll keep smoking just to spite you. You'll be defeating your very purpose.
I ask nonsmokers to honor their smoking loved ones, and treat them like adults.
And if your loved ones are nagging you, don't fall into the old trap of hurting yourself by continuing to smoke out of your anger toward them. Instead, let them know how you feel.
Sometimes, life is painful. It's supposed to be that way. All of us are faced with grief, loss and struggle. And it's by our struggles that we define and strengthen our character.
In my live talks and video for youth, I revive the ancient practice of initiation. As I initiate them into life, I let teens know that sometimes life will be painful.
"And when those moments come, you need to take the ADULT path," I tell the students, "and stay with the difficulty -- and not go lighting a cigarette, raiding the icebox, taking drugs, blasting music or switching on the TV -- or, going to work for too many long hours. All these are just ways of avoiding painful feelings and numbing them out."
If you stay with your pain, you'll begin to see what's causing it. And when you're ready, you can take a step to solve the problem.

Having bony pain and mild swelling in left elbow (lateral aspect of upper radius) since yesterday, generalised body pain and had fever last night now controlled by paracetamol.

General Physician, Mumbai
Having bony pain and mild swelling in left elbow (lateral aspect of upper radius) since yesterday, generalised body p...
apply crepe bandage on elbow take analgesic like ibugesic tablet apply volini gel. you probably have tennis elbow.
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Sir what is the cause of sudden pain in ny part of body or and at the same time I am getting irritation type and itching sometime. Is my immunity is going down.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Sir what is the cause of sudden pain in ny part of body or and at the same time I am getting irritation type and itch...
It occurs due vitamin d and b12 deficiency. Please take multivitamins regularly for 6 mths atleast.
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Hii. I am 21 Male. I feeling something is happening inside my mind. How can I explain my self? Its like I am good for a while i'll talk more, laugh more sleep and eat normally But then something happens Like a switch turn off somewhere And all I left with is the darkness of my mind. But each time it seems like I sink deeper and deeper. And I am scared. Terrified that one day I won't make it backup. I feel like I am gasping for air. Screaming for help. But everyone just look at me with confused faces wondering what I am struggling over when they are all doing fine. And its make me feel crazy What the hell is wrong with me?

General Physician, Gurgaon
Hii. I am 21 Male. I feeling something is happening inside my mind.
How can I explain my self? Its like I am good for...
It is due to lack of confidence, and lack of spiritual wisdom Follow advise given below: 1.Involvement in creative activites according to her capabilities spiritual organization in your city like Brahmakumaris they teach meditation free of cost and this meditation mood and emotions 3. Daily outing morning evening and spend some time with nature like in Park will certainly help 4. Soft music and involvement in religious/ spiritual programme will help certainly Get following test done and review with reports get following tests done and review with reports Complete blood count S. B12 Thyroid stimulating hormone Fasting blood sugar S. Vit D.
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I easily get angry on small small things but why my nature has drastically change after marriage.

Ph. D - Psychology, Professional Certified Coach
Psychologist, Ahmedabad
If you have started getting angry after your marraige, if this is what you mean then.. it may be due to moving to a new place, leaving the comfort of your known environment and friends and family. Adjusting to new life, taking much more responsibilities etc. all might be creating lot of pressure on your. and when under stress being angry is a very normal respose. As you havenot given much details it is difficult to give you situation specific response. but you may try follwoing stress management and resilience building tips for few months and you will see the difference. When things does not happen as we wish or people do not behave as we expect that is when out of disappointment, frustration, loneliness, anger, sadness. Etc we react and our mind starts thinking negative thoughts. Changing this pattern of responding to stressful situation requires both persistence and patience. Also you will only be able to work on this out of love and kindness towards you. Strong motivation will go a long way. Writing a statement about how would you want to respond in a similar situation and how will your life and your happiness will change if you do learn to manage your stress and how to respond to it. Once that is clear. Try following things to learn relaxation response which leads to better coping mechanism on a daily basis. To begin with doing guided progressive muscular relaxation before sleeping will help you relax. You could google and download an audio file. I would also suggest you to take a multiple small break to take 3 nice and deep breath while keeping your eyes closed. You could do this while sitting or standing or while even walking or climbing stairs (keep your eyes open in that case). When you take a nice and deep break there is actual physiological change in your body. This will help you to activate parasympathetic nervous system which promotes relaxation and helps you calm down and think more clearly. This will also actually improve your performance in your work. Along with this exercise is one of the best way to relive stress and stay fit. Engage in any kind of physical activity at least 4 times a week. This also helps in stress reduction. Along with this some relaxation exercises as well as engaging in joyful activities such as music, singing, dancing, reading, being in nature, gardening, talking with friends or anything which you enjoy will help reducing stress and rejuvenation of your mind and body. Have good routine for sleep and eating. Lot of research has now proven that sugar is very harmful for our health. Reduce sugar and refined white floor in your diet as much as you could. Along with this also increase consumption of raw vegetables in the form of salad in both the meals of your day. Let me. Know if you need any further help. Hope this helps wishing you very best.
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Tips on Managing Your Marriage Relationships

Post Graduate Diploma in Pyschology
Psychologist, Noida
Tips on Managing Your Marriage Relationships

Every married couple undergoes relationship troubles, but these troubles should not linger for a long time otherwise you might end up facing dreadful consequences. If you want to save your married life by maintaining a smooth relation with your partner, then you have to look for the best solutions that can resolve marital issues.

How to manage marital relationships?

  1. Maintaining Trust: Since trust is the base of every relationship, therefore you should make special effort in maintaining the same. Unresolved issues should be resolved quickly and there should be transparent communication between the married couples. Some of the special qualities that should be maintained in order to maintain trust within a marital relationship in long run are being on time, consistency, being sensitive towards feelings, avoiding lies, sharing feelings, respecting partner's feelings, avoiding jealousy and others.
  2. Healthy Communication: If the problems remain unresolved, then more and more conflicts will be invited. Have open discussions and clear up your points so that confusions can be eliminated. If you make efforts in understanding the real causes, then only the problems can be resolved. You need to put yourself in the shoes of the partner and understand where the person is coming from. Most conflicts occur because we only see our view points and not that of others.
  3. Giving time to the relationship: You can maintain your marital relationship in a healthy state only by considering the married life as the prior issue. Keep your marriage above every other social thing and then only relationship can be made secured. Give time for repairing all dubs and defects of your relationship. In this case, you can also take the help of any expert counsellor. Spend some quality time with each other so that the warmth of your relationship can be maintained.
  4. Tackling monetary problems: Do not allow any conflict to come into your relationship just because of a pathetic financial condition. It is important for both the partners to put-in efforts in saving money so that monthly expenses can be kept under strict control. A perfect budget needs to be scheduled so that financial strength can be restored. If you are incapable of catering financial support, support your partner at least mentally so that he can come out of the financial trouble as soon as possible.
  5. Maintain a Happy Sexual Life: Create a proper schedule for lovemaking in order to maintain a healthy sex life. You should try to know the sexual needs of your partner so that you can fulfil the expectations.
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Sir, I am 18 and I have problem that when I reads or doing some work then after few days I lost all kind of information and I don't remind my reading. It is very big problem I can't store data on my mind give me sir suggestion so that my memory power increase.

Psychiatrist, Bangalore
You need to think whether your mind is occupied with any other thoughts which have a disturbing outcome according to your imagination. It could be that you are thinking about a poor result and its consequences. Enjoy the journey of hard work in studying. Keep on telling yourself let me give the best try, at least I will have the satisfaction of trying.
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