Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 31 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 Male Sexual Problems
Sex Addiction Counselling
Treatment Of Female Sexual Problems
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Quit Smoking Techniques
Cognitive Behavioral Therapy
Memory Improvement Techniques
Obsessive Compulsive Disorder Treatment
Treatment of Abnormal Behaviour
Psychological Diagnosis (Adult And Child)
Submit a review for Dr. Vinay H.RYour feedback matters!
Follow 5 As (Ask, Advise, Assess, Assist, Arrange)
Assessing tobacco use status during healthcare visits increases the likelihood of smoking-related discussions between patients and clinicians, as well as increases smoking cessation rates.
All smokers should be advised to quit smoking. Even brief advice to quit has been shown to increase quit rates.
For smokers who are willing to quit, manage them with combination of behavioral support and pharmacologic therapy
Behavioral intervention generally consists of brief clinician counseling in the office, but smokers should also be referred to a free telephone quit line
Smokers who fail to quit on an adequate trial of first-line pharmacotherapy may benefit from second line pharmacotherapy.
Also attempt to intensify behavioral counseling.
Patients who successfully quit but experience relapse be treated with a pharmacologic agent that previously helped the patient to achieve abstinence and was tolerable
Enhancing treatment by adding another pharmacologic agent or more intensive behavioral support can also be considered.
Smokers can also be advised about the health risks of secondhand smoke exposure to their household members and urged to commit to keeping their home and car smoke-free, especially if children are present.
5As of quitting Smoking
Ask: Implement an office wide system that ensures that, for every patient at every clinic visit, tobacco-use status is queried and documented. Repeated assessment is not necessary in the case of the adult who has never used tobacco or has not used tobacco for many years, and for whom this information is clearly documented in the medical record.
Advise: Strongly urge all tobacco users to quit in a clear, strong, personalized manner. Advice should be clear - "I think it is important for you to quit smoking now and I can help you" "Cutting down while you are ill is not enough" It should be "As your clinician, I need you to know that quitting smoking is the most important thing you can do to protect your health now and in the future. The clinic staff and I will help you" and it should be personalized. Tie tobacco use to current health/illness, and/or its social and economic costs, motivation level/readiness to quit, and/or the impact of tobacco use on children and others in the household.
Access: Determine the patient's willingness to quit smoking within the next 30 days; If the patient is willing to make a quit attempt at this time, provide assistance; If the patient will participate in an intensive treatment, deliver such a treatment or refer to an intensive intervention; If the patient clearly states he or she is unwilling to make a quit attempt at this time, provide a motivational intervention and If the patient is a member of a special population (adolescent, pregnant smoker), provide additional information specific to that population.
Assist: Provide aid for the person to quit.
Arrange: Schedule follow-up contact, either in person or by telephone. Follow-up contact should occur soon after the quit date, preferably during the first week. A second follow-up contact is recommended within the first month. Schedule further follow-up contacts as indicated.
Congratulate success during each follow-up. If tobacco use has occurred, review circumstances and elicit recommitment to total abstinence. Remind the person that a lapse can be used as a learning experience. Identify problems already encountered and anticipate challenges in the immediate future.
Last month I got periods again after 14 days counting day one as first day. And this time it was for 10 days. 3/4 days Before commencement I used to get pinching pain only I the tip of my breasts. It went away after the period started those ended on 6th march. Again I M getting pain in the tips. Some times its really bad, I have to hold them, rub gently, press lightly for few mins. It's more on one side. FYI I am going through a lot of stress. Stress beyond my capabilities. Nowadays. Financial crises, no mediclaim. Is it due to that.. Or is this Menopause. Please help. Pleaaassseee.
4 Must-Do Ways Of Coping With A Break Up
Breakups can be devastating. The non-availability of a person you loved dearly can give rise to emotions of anger, helplessness, emptiness, frustration and sometimes even guilt. Coping with a break up is extremely difficult for most people. So what is the best way of dealing with it? Read on...
1. Live For Yourself
Whether it’s your sleeping habit, or tastes in food or even music preferences, a relationship calls for a compromise in either or all of these. Since you’re free now, you can indulge in everything that you had to give up on. Even if it’s something as simple as peanuts, which gave him or her allergies, you should indulge in it by the handful. Go out; don’t keep yourself cooped up at home. Meet new people, form new bonds with the people you like and do whatever makes you happy.
2. Vent Out
Call your friends or family and share the pent up feelings with them. Friends and family are sympathetic, and can act as a shoulder to cry on. However, make sure you are smart about your venting. It’s pretty easy to fall into the habit of crying and drinking, laying in your bed, wallowing in your misery and ignoring all your responsibilities. Venting helps, but not at the cost of the rest of your life. Make sure you aren’t succumbing to complete self-pity as this will only add to your depression.
Exercising serves two purposes. One, it helps you get back in shape so that you feel confident and healthy. Two, exercise has been proven to reduce stress, by bringing about the release of the feel-good hormones, endorphins, in your body. Regular workouts will increase adrenaline and dopamine in your system. Being mood-enhancers, these chemicals work to make you happy and keep you stress-free.
4. Cut-off Contact
Many people say that they want to remain friends after breaking up, but that is mostly not a good idea. So what do you do? Try cutting off complete contact for a while, at least till you heal. Whether it’s Facebook, Twitter, LinkedIn, Gmail, or Pinterest, you need to deny yourself avenues to check out either your ex-partner or your past life with them. Avoid talking on calls and texts too. Get rid of their stuff in your house. If you have a song that reminds you of the time spent with your ex-partner, don’t listen to it in the immediate aftermath of the breakup. If you can’t do this yourself, ask a friend to help keep you on track or even do it for you.
I am 30 Years Male, due to some family problems I am very much depressed and very much tensed about my future, how to come out of the same.
Rent a funny movie, go to a yoga class, keep a journal — these proven stress relief methods work. Not only will you feel better, but you’ll be happier.
These days it seems everyone is living and breathing stress. Trying to undo the tension can just add more stress if you take the wrong approach. But there’s no need to do that; there are many healthy, proven ways to get stress relief.
Here are some tried and true tips to get stress relief:
“Run, do some yoga, punch a bag at the gym,”. Exercise is a way to manage stress that doesn’t have to add to your financial woes. For example, a 20-minute walk or jog around your block can yield up to 12 hours of improved mood. The main thing is to find a physical activity that you enjoy, whether it’s dancing or fly fishing.
Spending time with friends and family who give you a sense of belonging, purpose, and fun may provide all the stress relief you need.
Dedicating a period of time every day to write about a situation that is bothering you may reduce tension and give you stress relief for the rest of the day. Keeping a journal can also help you solve problems or find positive angles amongst the stressors.
Laughter really is the best medicine. It is proven to lower tension, and at the same time, improves blood flow and the health of your heart. Rent a funny movie or hang out with that wannabe-comedian pal, and forget about your worries for a while.
Take care of yourself
W'hen tension spikes, it can be tempting to put yourself last — but prioritizing healthy eating, physical activity, relationships, and sleep is necessary if you want to avoid making your stress worse.
Get some fresh air
If you are cooped up inside all day, take a few minutes to get outside and see the sun. A little time in the great outdoors can improve your mood and help you relax.
Be kind to yourself
Think about positive affirmations daily. Thinking negative thoughts only makes you feel bad and will increase stress. Tell yourself you are doing a good job, and believe it!
Practice deep breathing and meditation exercises daily, and when you feel tension rising.
Showing thanks for your family, friends, and loved ones and being thankful for the positive aspects of your life has a calming affect. Not only does it give you perspective, it makes other people feel good, too.
Make a change
Sometimes the best way to obtain stress relief is to remove your source of tension. “for example, if you are in a job working at a certain pace in an environment that is objectively painful because of your boss, coworkers, and so on, and you’re doing it because you can earn 10 percent more money than doing something else, you could calculate that you might be better off doing something else,”.
Many people turn to unhealthy choices in an attempt to cope with tension, says goodstein. These include:
Drinking alcohol to excess
Even a seemingly harmless source of stress relief, such as computer games, can add to your problems if it cuts into the time you need to take care of yourself. Chances are that if you play computer games more than seven hours a week, you could be losing two hours of sleep a night — which will actually add to your tension in the long run. If you notice that you are starting to depend on unhealthy sources of stress relief and you can’t make a change on your own, seek help.
Some stressors are chronic and unremitting. “you may want to take a broad overview of your life to see if you have allowed yourself to be encumbered by factors that are making your life unpleasant.” if so, consider making a lifestyle change.
If you’ve been hiking, socializing, and taking care of yourself and you still have high levels of stress, talk to your doctor. Your tension could be a sign of another health issue.
Remember, you don’t have to live with tension. In fact, not only is tension unpleasant, but it is unhealthy. Keep trying out stress-relief techniques until you find the ones that work for you.
Hi doctor m 32 years old. I got married in March 2016. M trying for baby from last 2 months but not able to conceive don't understand why. I n my husband both have B positive blood group, does it creates any problems in conceiving. N on my menstrual day I have very light bleeding but before marriage it comes normally n remain for 3-5 days. M in great stress not able to understand what is happening with me. Kindly help us doctor.
Speech therapy me kya hota hai, aur kitna total kharch aata hai, aur insan kitne din me poori tarah thik hota hai?
I am a 23 year male and I want to left smoking but I am not able. I smoke since last one year how much it affect to me.
My father eats tobacco he wants to get rid from it. He tries it many time but unsuccessful .then from which medicines they get rid.
Testosterone is a powerful hormone, with the ability to control sex drive, regulate sperm production, promote muscle mass, increase energy, and even influence human behavior (such as aggression and competitiveness). It’s no wonder that a decrease in testosterone would cause quite a stir. However, it is a natural part of aging.
In the Womb
Testosterone plays an important role in shaping the developing fetus during pregnancy. It drives the development of the male reproductive system. Testosterone also masculinizes the brain.testosterone levels have to fall within a very narrow margin in order for the fetal brain to be healthy. High levels of fetal testosterone may be linked to autism.low levels of fetal testosterone may boost your chances of getting Alzheimer’s disease later in life.
Adolescence to Early Adulthood
Testosterone levels are at their highest during adolescence and early adulthood. The first physical signs of testosterone, or androgens, in the body are apparent during puberty. A boy’s voice changes, his shoulders broaden, and his facial structure becomes more masculine. But as men get older, their testosterone levels decline about 1 percent per year after age 30.
|Age:||T Level (ng/dL):||Age:||T Level (ng/dL):|
|0-5 months||75-400||0-5 months||20-80|
|6 mos.-9 yrs.||<7-20||6 mos.-9 yrs.||<7-20|
|10-11 yrs.||<7-130||10-11 yrs.||<7-44|
|12-13 yrs.||<7-800||12-16 yrs.||<7-75|
|14 yrs.||<7-1,200||17-18 yrs.||20-75|
|15-16 yrs.||100-1,200||19+ yrs.||8-60|
|Avg. Adult Male||270-1,070||Avg. Adult Female||15-70|
|30+ yrs.||-1% per year|
Testosterone and Aging
low testosterone levels can cause changes in sexual function, including:
- reduced sexual desire, or low libido
- fewer spontaneous erections
- impotence (erectile dysfunction)
Other signs of decreased testosterone levels include:
- changes in sleep patterns
- emotional changes, such as low self-confidence or lack of motivation
- physical changes, like increased body fat, reduced muscle bulk and strength, and decreased bone density
The normal range of testosterone levels in healthy adult males is between 280 to 1,100 nanograms per deciliter (ng/dL).
While the symptoms described here are considered a normal part of aging, they could also be signs of several underlying factors. These include:
- a reaction to certain medications
- thyroid gland disorders
- excessive alcohol use
- the best time of day to have a blood sample taken for a testosterone test is around 8 a.m.