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Mr. Alfred Mascarenhas

Psychologist, Bangalore

Mr. Alfred Mascarenhas Psychologist, Bangalore
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Mr. Alfred Mascarenhas
Mr. Alfred Mascarenhas is one of the best Psychologists in Kasturi Nagar, Bangalore. He is currently practising at Crest Councling Centre in Kasturi Nagar, Bangalore. Book an appointment online with Mr. Alfred Mascarenhas and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Psychologists in India. You will find Psychologists with more than 35 years of experience on Lybrate.com. You can find Psychologists 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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I am 20 yr old male with panic attack problem.

MBA (Healthcare), Ph. D - Psychology, M.Sc - Applied Psychology, MS Psychology, Bachelor of Occupational Therapy (BOT), Diploma in Psychological Medicine
Psychologist,
I am 20 yr old male with panic attack problem.
Distract thoughts, live engaged in work, listen to music, try to distract. It will lower panic attack.
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Hello, my neighbour is a female age of 28 She wants to have sex with me, always I denied, I explain her it's wrong but she is not listening, pls suggest what do I do?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You are right to refuse her and you must keep far away from her as you could be a huge temptation for her. She is far older than you and her libido may be stimulated to high levels making it difficult for her to contain herself. She should ideally seek to get married and settle down in life. You have so many other things to do in life and cannot be caught up with this situation, which can bring a lot of disturbances in your scheme of things in life. Please focus on your career and academics. This can be very difficult especially at your age but it is certainly not a welcome distraction.
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I am 27 year male having a g.f and want to make a relationship with her. But when I talking something personal related to sex then my penis leaking something and when I going to make sex then I just fall in 30 seconds. please help me what to do. I feel embarrassed in front of her.

MBBS, DPM
Psychiatrist, Bangalore
I am 27 year male having a g.f and want to make a relationship with her. But when I talking something personal relate...
Dear lybrate-user, don't worry about the leak. There are other fluids which are secreted by other glands. It may not be semen from testicles. If you have erection and lose erection in 30 seconds, it does not matter. Don't feel embarrassed. Induce your g f to handle your penis. Erection comes in waves. Again you will have erection if you are stimulated. Come on private consultation with more details for further advice.
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My husband is a chain smoker smoke minimum 10 to 15 cigarette per day. Please help me how he left this and started a new life without any alcoholic items.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine------------ daphne-indica 1x tabs (wilmar schwabe india) chew 2 tabs 3 times daily----------------- avena-sativa q (dr reckeweg) drink 20 drops in 20 ml fresh water twice daily------------ but before taking medicine the patient should be determined and take a positive approach towards quitting this bad habit---------------myself is a homoeopath and if your husband is serious regarding this then I can help him by advising him certain technicalities in how to quit this smoking habit-------------------consult me----------
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Ladki ya aunty ko dekh kar sex karne ka man krta hai or fir bathroom me hand use krta hun is lat ko chodne ka upaye.Please tell.

MD - Psychiatry, MBBS
Psychiatrist, Patan
Ladki ya aunty ko dekh kar sex karne ka man krta hai or fir bathroom me hand use krta hun is lat ko chodne ka upaye.P...
Dear lybrate user, thanks for writing to us. I understand your concern about masturbation (hand shaking). It is normal to sexual arousal in these situations at your age. This is because of raising hormone levels in your body. Masturbation in private or with a partner is a normal and healthy part of sexual enjoyment. It is just like sexual intercourse (in fantasy) with the partner you really love. It works as a safety valve which lets you release the sexual tension and urges. Sexual intercourse is not bad habit, so also the masturbation. I recommend psychological counseling with sex therapist or psychiatrist. Wish you health sex life ahead.
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Can family issue trigger a panic attack? And also I wanted to know how to deal with it.

Masters in Clinical Psychology
Psychologist, Lucknow
Can family issue trigger a panic attack? And also I wanted to know how to deal with it.
Hi lybrate-user, First of all lets learn what is panic attack- A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can’t breathe. You may even feel like you’re dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities. But panic attacks can be cured and the sooner you seek help, the better. With treatment, you can reduce or eliminate the symptoms of panic and regain control of your life. Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home. The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour. A full-blown panic attack includes a combination of the following signs and symptoms: Shortness of breath or hyperventilation Heart palpitations or a racing heart Chest pain or discomfort Trembling or shaking Choking feeling Feeling unreal or detached from your surroundings Sweating Nausea or upset stomach Feeling dizzy, light-headed, or faint Numbness or tingling sensations Hot or cold flashes Fear of dying, losing control, or going crazy Yes, any trigger can cause a panic attack. When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too: Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. So read up on anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t going crazy. Avoid smoking and caffeine. Smoking and caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications. Learn how to control your breathing. Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of. Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine. Take help from a psychologist to deal with it better. All the very best.
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5 Types of Common Depression

DPM Gold Medalist - , MD Psychiatry Gold Medalist - , MBBS
Psychiatrist, Mumbai
5 Types of Common Depression

Depression is a very common emotion you might have experienced at least once during your lifetime. Depression refers to a state of mind when you are feeling low due to persistent sadness and loss of interest. But if the depression is chronic and long lasting for you, then it indicates that you are suffering from clinical depression. Under clinical depression, it is preferable that you go through a proper treatment course by a certified therapist. The Most common types of depressions are:

  1. Major depression - Under this type of a depression you will be depressed for most days of the week and if this condition extends for a period greater than 2 weeks, then it is a case of major depression. The most common method to treat a major depression is to talk to a mental health specialist and take medications called antidepressants (only after a prescription by a certified doctor).
  2. Persistent depressive disorder - This is a more severe and long lasting type of depression which is identified if you are depressed over a period longer than 2 hours. The most common symptoms of this type of a disorder are - change in your appetite, too much or too little sleep, lack of energy or fatigue, low self-esteem, trouble concentrating or making decisions, feeling hopeless among others.
  3. Bipolar disorder - If you are experiencing extreme ups and downs of mood abruptly and without any apparent reason, then you might be suffering from this disorder. This disorder is commonly known as a maniac depression, because during an up phase you will be extremely happy, joyful outgoing and talkative but during the low phase you will be sad, tired and depressed.
  4. Seasonal affective disorder - This type of a depression might bother you only during the winter season. This happens whenever the days are shorter and your body is not able to get enough of sunlight. This mostly happens in the case of people who are very fond of sunlight, and they prefer the sunshine over dark periods of the night. This disorder is treated by SAD antidepressants and everyday light therapy of 15 to 20 minutes.
  5. Psychotic depression - Under this type of a depression, you will have a major depression along with some psychotic symptoms like - hallucinations, delusions, and paranoia. Hallucinations mean viewing things that are not there, in reality, delusions are false beliefs or misconceptions and paranoia is the constant fear that somebody is going to harm you.

'Consult'.

Related Tip: Depression: Why is this SILENT KILLER taking our YOUTH away?

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I am feeling depressed for about a month, and so cannot concentrate also losing the spirit to stick to career issues and/or practice.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I am feeling depressed for about a month, and so cannot concentrate also losing the spirit to stick to career issues ...
Depressive symptoms only since a month could be due to adjustment issues or a brief depressive phase. Underlying causes like hormonal disturbances, associated stress and anxiety etc also need to be dealt with. However depression like any other illness is completely treatable. Feel free to consult me online or consult a psychiatrist in your vicinity with her details for an appropriate management.
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I am 48 years old man, vegetarian. What should be my proper diet to keep away from depression. I can not understand the phrase" ruminating constantly"

M.Sc - Psychological Counseling, B.A ( Hons) - Psychology
Psychologist, Delhi
I am 48 years old man, vegetarian. What should be my proper diet to keep away from depression.
I can not understand t...
Hello lybrate-user, at your age one should eat lots of seasonal vegetables, seasonal fruits (stick to the permitted fruits list if you're diabetic), sproted lentils and moderate amount of lean protein, like eggs, paneer, tofu, soya bean and lentils. Red meat should not be consumed for more than two times a week and consumption of deep-fried, oily, very spicy and food items with high quantities of grains should be avoided. Add exercise to your daily routine and have plenty of fluids. Ruminating constantly means thinking about negative past events again and again.
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I have thyroid. I feel like I'm losing my memory a lot bcoz of it. I am taking required medication but still I feel very worried about this memory issue. Please suggest me a way out.

M. S. in Psychotherapy and Counselling
Psychologist, Jaipur
Hi, I can understand your worries. Take medicines as directed. Along with this you must do some physical exercise. Brisk walking is the best exercise but put the sport shoes on. Also have some proper healthy diet. To enhance memory 3r's are important i. E. Review, repeat and revise. If you are preparing for some exam then visualise topics. Record your answers and play them again and again. You might discover your own techniques also. Mnemonics may also help.
3 people found this helpful
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I am suffering from work tension and lot of stress, and tension for the last 6 months.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am suffering from work tension and lot of stress, and tension for the last 6 months.
The stress that you feel is not dependent on the stressor i.e. the work. It is entirely dependent on your perception of stress. Life is difficult no doubt, as a general rule, but what we do adds to the stress in our response. We add to the stress of life instead of reducing it or learning to deal with it. Many of us follow a policy of avoidance. We cannot do that all of our lives. So the first thing to do is to change your perception. For example, look at it as a challenge that you would like to meet with a positive outlook. See everything as a gift from God to perform as though you are doing it for Him. God never gives us work to do beyond our capacity. Now you may argue that it is the company that is giving all the work. That is true in the overt sense, but if you look at it with spiritual eyes, you know that it is ultimately given by God. Secondly, build a good constitution mentally, emotionally and physically to combat stress. Eat healthily, sleep well, and exercise regularly. Talk about your emotions regularly to a good friend every day. Learn stress management techniques. Do Yoga and meditation. Pray every day to God to give you the strength, and offer your work as a prayer to Him – you will give your best and you will feel so satisfied when you do it well. You must also talk to your superior that the workload is getting beyond your means and that you need more personnel to support you. Finally, learn to delegate much or some of your work to subordinates. If you do not trust, you will find it difficult to delegate.
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My kid is 2 years old now and he is not able to speak, what is correct age to speak.

MASLP
Speech Therapist, Hyderabad
Around 1 year age children generally speak few simple words. Communication delays must be addressed at early ages for better results. Speech pathologist can guide you reg. Intensive speech language stimulation. Any neuro motor problems must be ruled out. Seek professional help if there is absolutely no speech development yet.
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I am 55 years old, my problem is that I like only selected persons, usually I do not want to mix up with every one because I dislike most of the persons, I meet.

MBBS, MD (AIIMS, Gold Medalist), Diploma in CBT (Glasgow)
Psychiatrist, Delhi
This is probably a personality related issue. These kinds of problems are common and not treatable with medicines. This is particularly so if your nature has been so since early years. However, psychotherapy or specialized counseling can certainly help. It will need some time and effort from your side to do this.
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My face has shrunk I am handsome But My face is like a triangle shape I don't take tobacco or anything People makes fun of me Please doctor I need your help. Else I will suicide myself Please I need your help please I need your help.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
My face has shrunk
I am handsome
But My face is like a triangle shape
I don't take tobacco or anything
People makes f...
Dear lybrate user...I can understand your agony, but in life there will be numerous instances when it will be mandatory for you to take your stand and disagree with other people. Always the one's who keep their own point at the top priority are the one's who leave a mark behind them. Everyone is different and everyone has different body structure and shape. No one gets greatness for their external appearances even the movie stars, but what they get greatness for is the expertise they have got. You need to be proud to be yourself, to be a human being and once you start respecting yourself, people around you will start respecting you. There is no reason always for people who bully others, but the motivation for them to bully is the distress and reaction they produce in the other individual. Stop giving them the thrill they get by bullying you and this will mark the beginning of change. I hope this is useful to you. Take care
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How to forget a girl whom I loved a lot in the world but after the breakup of one year not able to get rid of her thoughts?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
How to forget a girl whom I loved a lot in the world but after the breakup of one year not able to get rid of her tho...
Breaking up is not easy, especially if the relationship lasted for a long time. But you will need to accept the reality and move on. This fixation on her must die out eventually. You must first exorcise her out of your mind. You can either do that by talking her out of your emotions first to a counselor and then starting on a new relationship by completely walking away from the past. You must express your bitterness and all the fond memories with the intention of purging her out the system. The professional will expertly guide you through the motion of exhaustively clearing away all memories along with the emotions so that you will be free of the ghosts of the past and are able to venture into new relationships. Once you have done that the memories will gradually fade away but the huge advantage you will have is that the emotions attached to those memories will be minus the energy of the feelings and they will become impotent. In the meantime I hope you have cleared your belongings and surroundings of all memories of this person; and also that you do not haunt the places and situations you used to visit. If she has ditched you, you must learn to forgive her for your own sake and live a life free of her eventually in the mind and then in the heart. She is now history, and has probably happily moved on. You need to be thankful that you were not betrothed to her when she dumped you: that would have been worse. And you need to learn not to give yourself to someone so much if the time was not ripe or suitable to do so. Now you should pitch yourself into a new relationship but do not focus too much into the serious end of the outcome but on the moment-to-moment development to see how it all unfolds to really enjoy that person. If you continue to cling on to her memories even after that, you may have some attachment problems too to explore with the counselor. You must become active; stay upright during the daylight time; meet people; never sleep during the day, and wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, eat more of proteins and vegetables, attend Yoga classes etc. Watch a lot of sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. I hope you can find someone to love and be loved soon. Whatever happens please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three things, lots of things will go well in life.
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I am suffering from depression for fifteen years. Taking serta 50 and petril md. But I feel always bore help less.

Post Graduate Diploma in Counselling, MA In Clinical Psychology
Psychologist, Pune
I am suffering from depression for fifteen years. Taking serta 50 and petril md. But I feel always bore help less.
Hmmm, can understand your problem. Do not worry. Sometime some diseases takes long time for recover. You need to continue the treatment, do regular with your Dr. If you r not feeling good after taking medicine then please inform to the Dr. Need to keep busy to self, always stay with your family / frnds, do not stay alone. Try to avoid your negative thoughts, I know it's difficult but if you keep busy to self then you can easily avoid it. Best luck, have a nice day.
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I am 20 years old. My younger brother is 2 years smaller than me he cannot tolerate me any more. What should I do?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, there is nothing like that. Everything is ok in brother relationship. Do not take things in negative sense. You and he has your own rights and duties. Stick to them and no problem. Take care.
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I lost my mother 17 days ago so now i am in depression.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist,
The 5 Stages of Loss and Grief The 5 Stages of Loss and Grief The stages of mourning and grief are universal and are experienced by people from all walks of life. Mourning occurs in response to an individual?s own terminal illness, the loss of a close relationship, or to the death of a valued being, human or animal. In our bereavement, we spend different lengths of time working through each step and express each stage with different levels of intensity. The five stages do not necessarily occur in any specific order. We often move between stages before achieving a more peaceful acceptance of death. Many of us are not afforded the luxury of time required to achieve this final stage of grief. The death of your loved one might inspire you to evaluate your own feelings of mortality. Throughout each stage, a common thread of hope emerges: As long as there is life, there is hope. As long as there is hope, there is life. Many people do not experience the stages in the order listed below, which is okay. The key to understanding the stages is not to feel like you must go through every one of them, in precise order. Instead, it?s more helpful to look at them as guides in the grieving process ? it helps you understand and put into context where you are. All, keep in mind ? all people grieve differently. Some people will wear their emotions on their sleeve and be outwardly emotional. Others will experience their grief more internally, and may not cry. You should try and not judge how a person experiences their grief, as each person will experience it differently. 1. Denial and Isolation The first reaction to learning of terminal illness or death of a cherished loved one is to deny the reality of the situation. It is a normal reaction to rationalize overwhelming emotions. It is a defense mechanism that buffers the immediate shock. We block out the words and hide from the facts. This is a temporary response that carries us through the first wave of pain. 2. Anger As the masking effects of denial and isolation begin to wear, reality and its pain re-emerge. We are not ready. The intense emotion is deflected from our vulnerable core, redirected and expressed instead as anger. The anger may be aimed at inanimate objects, complete strangers, friends or family. Anger may be directed at our dying or deceased loved one. Rationally, we know the person is not to be blamed. Emotionally, however, we may resent the person for causing us pain or for leaving us. We feel guilty for being angry, and this makes us more angry. Remember, grieving is a personal process that has no time limit, nor one ?right? way to do it. The doctor who diagnosed the illness and was unable to cure the disease might become a convenient target. Health professionals deal with death and dying every day. That does not make them immune to the suffering of their patients or to those who grieve for them. Do not hesitate to ask your doctor to give you extra time or to explain just once more the details of your loved one?s illness. Arrange a special appointment or ask that he telephone you at the end of his day. Ask for clear answers to your questions regarding medical diagnosis and treatment. Understand the options available to you. Take your time. 3. Bargaining The normal reaction to feelings of helplessness and vulnerability is often a need to regain control? If only we had sought medical attention sooner? If only we got a second opinion from another doctor? If only we had tried to be a better person toward them? Secretly, we may make a deal with God or our higher power in an attempt to postpone the inevitable. This is a weaker line of defense to protect us from the painful reality. 4. Depression Two types of depression are associated with mourning. The first one is a reaction to practical implications relating to the loss. Sadness and regret predominate this type of depression. We worry about the costs and burial. We worry that, in our grief, we have spent less time with others that depend on us. This phase may be eased by simple clarification and reassurance. We may need a bit of helpful cooperation and a few kind words. The second type of depression is more subtle and, in a sense, perhaps more private. It is our quiet preparation to separate and to bid our loved one farewell. Sometimes all we really need is a hug. 5. Acceptance Reaching this stage of mourning is a gift not afforded to everyone. Death may be sudden and unexpected or we may never see beyond our anger or denial. It is not necessarily a mark of bravery to resist the inevitable and to deny ourselves the opportunity to make our peace. This phase is marked by withdrawal and calm. This is not a period of happiness and must be distinguished from depression. Loved ones that are terminally ill or aging appear to go through a final period of withdrawal. This is by no means a suggestion that they are aware of their own impending death or such, only that physical decline may be sufficient to produce a similar response. Their behavior implies that it is natural to reach a stage at which social interaction is limited. The dignity and grace shown by our dying loved ones may well be their last gift to us. Coping with loss is a ultimately a deeply personal and singular experience ? nobody can help you go through it more easily or understand all the emotions that you?re going through. But others can be there for you and help comfort you through this process. The best thing you can do is to allow yourself to feel the grief as it comes over you. Resisting it only will prolong
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