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Ms. Ms. Swati Sapkale

Psychologist, Bangalore

500 at clinic
Ms. Ms. Swati Sapkale Psychologist, Bangalore
500 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Ms. Ms. Swati Sapkale
Ms. Ms. Swati Sapkale is one of the best Psychologists in Whitefield Road, Bangalore. She is currently associated with Ojus Anytime Medicare PVt.Ltd in Whitefield Road, Bangalore. You can book an instant appointment online with Ms. Ms. Swati Sapkale on Lybrate.com.

Find numerous Psychologists in India from the comfort of your home on Lybrate.com. You will find Psychologists with more than 33 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 m suffering from anxiety and ocd. Had medicine for 23 months.Still not everything all right. Suggest

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 , Anxiety and OCD are mental disorders and not mental diseases. Medicines alone cannot cure mental disorders. Mental disorders need brain re-programming. Psychotherapy, meditation, change in life style etc help you achieve brain reprogramming. Give me more details about your anxiety and OCD. Be as detailed as possible. Take care.
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I have muscle twitching over medial side of thigh and over thumb, and burning sensation over back and limbs since 3 months. Is this related to anxiety, how to get relieved from this?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have muscle twitching over medial side of thigh and over thumb, and burning sensation over back and limbs since 3 m...
Hi apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
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I am 18 years old. I am not able to learn my syllabus or un able to study. please tell me some tips to help me to overcome this problem.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Mr, now in this age, the reason for unable to focus on studies might be due to any deviations, attractions, which is common in this age, or any family issues, or any lack of interest in subjects, or not able to nderstand the concept. If you r aware of any of these, then, its in your hands, to avoid thinking abt those issues, taking any assistance from friends/lecturers who can help you better in explaining, or go to group studies. Practice pranayama/meditation daily morning/evening or night, to avoid stress, & to improve concentration over studies. If you feel that you r getting more strained by studying, try to take break, get engaged in any other your interested games/hobbies/activities like reading other books, listening sngs, chatting with friends, family members etc, t get relaxed & then again you go t study again. ** try to take brahmi lehyam[ayurveda-1 spoonful]] or, aswagandha mother tincture [homeo. 15-20 drops in 1/4th cup of luke or normal water]daily twice m/n to imrove memory.
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How to fit my body and how to increase my mind power and ability and how to increase my body power.

MSc
Dietitian/Nutritionist, Chandigarh
Hi lybrate-user Try Naturopathy and never use other medicines or supplements, read the below tips to gain maximum health benefits: 1. Make sure you have your head in the south or east direction while sleeping. In this position your body is taking force of attraction. Sleeping in north is very unhealthy and will make you tired and lethargic because your body is taking force of repulsion. Attraction bring elasticity, ease, good blood pressure, sound sleep, relaxation, increase in height while North brings high BP, quick heart beats, muscle and internal body part contraction, your breathing will affect. In Indian culture head of the Dead body during Antim sanskar is kept in North direction. In west direction researches are going on, so don’t sleep till researches come. 2. It is advisable that you consume" cow ghee" take 1 spoon of cow ghee and warm it, With the help of a dropper, Pour one drop of cow ghee in each of your nostril. It may sound weird or a hectic job at first but trust me it is the most effective remedy for any kind of problem related to health. It Makes your head nerves lighter and healthier that too without any side effects. Cow ghee reaches those areas in your head where allopathic and homeopathic medicines fails to reach. 3. In the morning start consuming lukewarm water right after you wake up & sitting in sukhasaan (chaukdi) (see image) it is advisable to even do rinsing with the lukewarm water in your mouth and gulp it after that. Drink your water sip by sip instead of drinking it in speed, this process is done for the detoxification and cleaning of your stomach/intestines that has everything to with your health issues. After this your stomach condition will remain intact at pH7 condition (which is not alkaline or acidic in nature but neutral). The alkaline or saliva (laar) of your mouth should mix with the acid of your stomach to make stomach in neutral. This is only possible if you are drinking water sip by sip, slowly each time you consume water. This will not just help you in attaining a proper health but will keep you away from other health and weakness problems, which comes from the acids produced in stomach. In Ayurveda it is said to through this formula you can live for 100 years without disease or stress. You should also eat your all meals sitting in sukhasana (check image) 4. Other advice is that don’t drink water after your meals (lunch, dinner, breakfast, or any mini meal). Drink water after 90 minutes of meals. Drinking water after your meals reduces your digestion, and as you know if food is not digested it will produce acid, which in turn will increase your weight. Scientifically it is proved that food takes at least 90 minutes to digest, drinking water during that 90 minutes will bring almost 68 types of diseases of stomach. 5. Make sure you are walking at least 5000 to 12, 000 steps every day. It is strongly recommended that you start with a jogging regime also if possible. I suggest you to buy a Pedometer which will calculate your daily steps, Pedometer will cost you just Rs 300 from market but will help you a lot. 6. Start doing surya namaskar, its more than a weight loss exercise. From improving your posture, strengthening muscles to whittling extra inches around the waist, the benefits of Suryanamaskar are many, provided you adapt it the right way. A set of 12 fixed, cyclic postures define Suryanamaskar which when performed repeatedly at an easy pace can bring a sense of well being, almost immediately. However, those with a heart condition, arthritis or slip-disk, need their doctor's consent before starting the routine. 7. You should avoid late night dinners at any cost and make sure you are following a routine while having 3 main course meals of the day. Try having your dinner before sunset and not eat anything heavy after sunset this will surely help you with a better health. Try to sleep before 11: 00 P. M. And sleep for minimum 6 to 8 hours. Lack of sleep is also a leading factor of bad health. 8. Avoid processed food, sugar and its products as well as refined oil/double refined oil. Use pure oil of mustard (sarso), peanut, coconut, cow ghee, sesame. When you put 10 to 12 chemicals in these oils then they become refined oil and bring almost 68 diseases along with weight gain and bad health. Don’t follow what this television advertisement says about refined oil. It is all marketing. EAT PURE OILS. 9. Listen the music you love when you feel tired, music has a therapeutic energy and reduces stress and makes you energetic. 10. Bhramari pranayama is very effective in instantly calming your mind down. It is one of the best breathing exercises to release the mind of agitation, frustration or anxiety and get rid of anger. A simple-to-do technique, can be practiced anywhere at work or home, and an instant option available to de-stress yourself. 11. This breathing technique derives its name from the black Indian bee called Bhramari. (Bhramari = type of Indian bee; pranayama = breathing technique). The exhalation in this pranayama resembles the typical humming sound of a bee, which explains why it is named so. Thanks.
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I feel lot of stress. Gets worried unnecessarily. Lack of proper sleep. Could some one guide to get rid of this.

M.Sc - Applied Psychology, MS - Counselling and Psychotherapy
Psychologist,
I feel lot of stress. Gets worried unnecessarily. Lack of proper sleep. Could some one guide to get rid of this.
Hello Lybrate User. We all respond to stress differently so, there’s no “one size fits all” solution to managing stress. But if you feel like the stress in your life is out of control, it’s time to take action. Identify the sources of stress in your life Learn healthier ways to cope with stress Get moving Connect to others Practice the 4 A’s Make time for fun and relaxation Maintain balance with a healthy lifestyle Tip 1: Identify the sources of stress in your life It’s easy to identify sources of stress following a major life event such as changing jobs, moving home, or losing a loved one, but pinpointing the sources of everyday stress can be more complicated. It’s all too easy to overlook your own thoughts, feelings, and behaviors that contribute to your stress levels. Sure, you may know that you’re constantly worried about work deadlines, but maybe it’s your procrastination, rather than the actual job demands, that is causing the stress. To identify your true sources of stress, look closely at your habits, attitude, and excuses: Do you explain away stress as temporary (“I just have a million things going on right now”) even though you can’t remember the last time you took a breather? Do you define stress as an integral part of your work or home life (“Things are always crazy around here”) or as a part of your personality (“I have a lot of nervous energy, that’s all”)? Do you blame your stress on other people or outside events, or view it as entirely normal and unexceptional? Until you accept responsibility for the role you play in creating or maintaining it, your stress level will remain outside your control. Start a stress journal A stress journal can help you identify the regular stressors in your life and the way you deal with them. Each time you feel stressed, keep track of it in your journal. As you keep a daily log, you will begin to see patterns and common themes. Write down: What caused your stress (make a guess if you’re unsure) How you felt, both physically and emotionally How you acted in response What you did to make yourself feel better Tip 2: Learn healthier ways to cope with stress Think about the ways you currently manage and cope with stress in your life. Your stress journal can help you identify them. Are your coping strategies healthy or unhealthy, helpful or unproductive? Unfortunately, many people cope with stress in ways that compound the problem. Unhealthy ways of coping with stress These coping strategies may temporarily reduce stress, but they cause more damage in the long run: Smoking Using pills or drugs to relax Drinking too much Sleeping too much Bingeing on junk or comfort food Procrastinating Zoning out for hours in front of the TV or computer Filling up every minute of the day to avoid facing problems Withdrawing from friends, family, and activities Taking out your stress on others If your methods of coping with stress aren’t contributing to your greater emotional and physical health, it’s time to find healthier ones. No single method works for everyone or in every situation, so experiment with different techniques and strategies. Focus on what makes you feel calm and in control. Tip 3: Get moving Physical activity plays a key role in reducing and preventing the effects of stress, but you don’t have to be an athlete or spend hours in a gym to experience the benefits. Just about any form of physical activity can help relieve stress and burn away anger, tension, and frustration. Exercise releases endorphins that boost your mood and make you feel good, and it can also serve as a valuable distraction to your daily worries. While the maximum benefit comes from exercising for 30 minutes or more, you can start small and build up your fitness level gradually. Short, 10-minute bursts of activity that elevate your heart rate and make you break out into a sweat can help to relieve stress and give you more energy and optimism. Even very small activities can add up over the course of a day. The first step is to get yourself up and moving. Here are some easy ways: Put on some music and dance around Take your dog for a walk Walk or cycle to the grocery store Use the stairs at home or work rather than an elevator Park your car in the farthest spot in the lot and walk the rest of the way Pair up with an exercise partner and encourage each other as you workout Play ping-pong or an activity-based video game with your kids Managing stress with regular exercise Once you’re in the habit of being physically active, try to incorporate regular exercise into your daily schedule. Activities that are continuous and rhythmic—and require moving both your arms and your legs—are especially effective at relieving stress. Walking, running, swimming, dancing, cycling, tai chi, and aerobic classes are good choices. Pick an activity you enjoy, so you’re more likely to stick with it. Instead of continuing to focus on your thoughts while you exercise, make a conscious effort to focus on your body and the physical (and sometimes emotional) sensations you experience as you’re moving. Adding this mindfulness element to your exercise routine will help you break out of the cycle of negative thoughts that often accompanies overwhelming stress. Focus on coordinating your breathing with your movements, for example, or notice how the air or sunlight feels on your skin. Getting out of your head and paying attention to how your body feels is also the surest way to avoid picking up an injury. When you’ve exercised, you’ll likely find it easier to put other stress management techniques to use, including reaching out to others and engaging socially. Tip 4: Connect to others Social engagement is the quickest, most efficient way to rein in stress and avoid overreacting to internal or external events that you perceive as threatening. Expressing what you’re going through can be very cathartic, even if there’s nothing you can do to alter the stressful situation. There is nothing more calming to your nervous system than communicating with another human being who makes you feel safe and understood. This experience of safety—as perceived by your nervous system—results from nonverbal cues that you hear, see and feel. The inner ear, face, heart, and stomach are wired together in the brain, so socially interacting with another person face-to-face—making eye contact, listening in an attentive way, talking—can quickly calm you down and put the brakes on defensive stress responses like “fight-or-flight.” It can also release hormones that reduce stress, even if you’re unable to alter the stressful situation itself. Of course, it’s not always realistic to have a pal close by to lean on when you feel overwhelmed by stress, but by building and maintaining a network of close friends you can improve your resiliency to life’s stressors. On the flip side, the more lonely and isolated you are, the greater your vulnerability to stress. Reach out to family and friends and connect regularly in person. The people you talk to don’t have to be able to fix your stress; they just need to be good listeners. Opening up is not a sign of weakness and it won’t make you a burden to others. In fact, most friends will be flattered that you trust them enough to confide in them, and it will only strengthen your bond. And remember, it’s never too late to build new friendships and improve your support network. Reach out and build relationships Reach out to a colleague at work Help someone else by volunteering Have lunch or coffee with a friend Ask a loved one to check in with you regularly Accompany someone to the movies or a concert Call or email an old friend Go for a walk with a workout buddy Schedule a weekly dinner date Meet new people by taking a class or joining a club Confide in a clergy member, teacher, or sports coach Tip 5: Practice the 4 A’s While stress is an automatic response from your nervous system, some stressors arise at predictable times—your commute to work, a meeting with your boss, or family gatherings, for example. When handling such predictable stressors, you can either change the situation or change your reaction. When deciding which option to choose in any given scenario, it’s helpful to think of the four A's: avoid, alter, adapt, or accept. Avoid unnecessary stress It’s not healthy to avoid a stressful situation that needs to be addressed, but you may be surprised by the number of stressors in your life that you can eliminate. Learn how to say “no” – Know your limits and stick to them. Whether in your personal or professional life, taking on more than you can handle is a surefire recipe for stress. Distinguish between the “shoulds” and the “musts” and, when possible, say “no” to taking on too much. Avoid people who stress you out – If someone consistently causes stress in your life, limit the amount of time you spend with that person, or end the relationship. Take control of your environment – If the evening news makes you anxious, turn off the TV. If traffic makes you tense, take a longer but less-traveled route. If going to the market is an unpleasant chore, do your grocery shopping online. Alter the situation If you can’t avoid a stressful situation, try to alter it. Often, this involves changing the way you communicate and operate in your daily life. Express your feelings instead of bottling them up. If something or someone is bothering you, be more assertive and communicate your concerns in an open and respectful way. If you’ve got an exam to study for and your chatty roommate just got home, say up front that you only have five minutes to talk. If you don’t voice your feelings, resentment will build and the stress will increase. Be willing to compromise. When you ask someone to change their behavior, be willing to do the same. If you both are willing to bend at least a little, you’ll have a good chance of finding a happy middle ground. Manage your time better. Poor time management can cause a lot of stress. But if you plan ahead and make sure you don’t overextend yourself, you’ll find it easier to stay calm and focused. Be more assertive. Don’t take a backseat in your own life. Deal with problems head on, doing your best to anticipate and prevent them. If you’ve got an exam to study for and your chatty roommate just got home, say up front that you only have five minutes to talk. Adapt to the stressor How you think can have a profound effect on your stress levels. Each time you think a negative thought about yourself, your body reacts as if it were in the throes of a tension-filled situation. Regain your sense of control by changing your expectations and attitude to stressful situations. Reframe problems. Try to view stressful situations from a more positive perspective. Rather than fuming about a traffic jam, look at it as an opportunity to pause and regroup, listen to your favorite radio station, or enjoy some alone time. Look at the big picture. Take perspective of the stressful situation. Ask yourself how important it will be in the long run. Will it matter in a month? A year? Is it really worth getting upset over? If the answer is no, focus your time and energy elsewhere. Adjust your standards. Perfectionism is a major source of avoidable stress. Stop setting yourself up for failure by demanding perfection. Set reasonable standards for yourself and others, and learn to be okay with “good enough.” Accept the things you can’t change Some sources of stress are unavoidable. You can’t prevent or change stressors such as the death of a loved one, a serious illness, or a national recession. In such cases, the best way to cope with stress is to accept things as they are. Acceptance may be difficult, but in the long run, it’s easier than railing against a situation you can’t change. Don’t try to control the uncontrollable. Many things in life are beyond our control—particularly the behavior of other people. Rather than stressing out over them, focus on the things you can control such as the way you choose to react to problems. Look for the upside. When facing major challenges, try to look at them as opportunities for personal growth. If your own poor choices contributed to a stressful situation, reflect on them and learn from your mistakes. Learn to forgive. Accept the fact that we live in an imperfect world and that people make mistakes. Let go of anger and resentments. Free yourself from negative energy by forgiving and moving on. Practice gratitude. When stress is getting you down, take a moment to reflect on all the things you appreciate in your life, including your own positive qualities and gifts. This simple strategy can help you keep things in perspective. Tip 6: Make time for fun and relaxation Beyond a take-charge approach and a positive attitude, you can reduce stress in your life by carving out “me” time. Don’t get so caught up in the hustle and bustle of life that you forget to take care of your own needs. Nurturing yourself is a necessity, not a luxury. If you regularly make time for fun and relaxation, you’ll be in a better place to handle life’s stressors. Set aside relaxation time. Include rest and relaxation in your daily schedule. Don’t allow other obligations to encroach. This is your time to take a break from all responsibilities and recharge your batteries. Do something you enjoy every day. Make time for leisure activities that bring you joy, whether it be stargazing, playing the piano, or working on your bike. Keep your sense of humor. This includes the ability to laugh at yourself. The act of laughing helps your body fight stress in a number of ways Tip 7: Maintain balance with a healthy lifestyle In addition to regular exercise, there are other healthy lifestyle choices that can increase your resistance to stress. Eat a healthy diet. Well-nourished bodies are better prepared to cope with stress, so be mindful of what you eat. Start your day right with breakfast, and keep your energy up and your mind clear with balanced, nutritious meals throughout the day. Reduce caffeine and sugar. The temporary "highs" caffeine and sugar provide often end in with a crash in mood and energy. By reducing the amount of coffee, soft drinks, chocolate, and sugar snacks in your diet, you’ll feel more relaxed and you’ll sleep better. Avoid alcohol, cigarettes, and drugs. Self-medicating with alcohol or drugs may provide an easy escape from stress, but the relief is only temporary. Don’t avoid or mask the issue at hand; deal with problems head on and with a clear mind. Get enough sleep. Adequate sleep fuels your mind, as well as your body. Feeling tired will increase your stress because it may cause you to think irrationally.
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The Effects of alcohol on the Body

Masters in Clinical Psychology
Psychologist, Lucknow
The Effects of alcohol on the Body

When you drink alcohol, it's absorbed into your bloodstream and affects every part of your body. In the long term, this can put your health at serious risk.

When you drink alcohol, it's absorbed into your bloodstream and affects every part of your body. In the long term, this can put your health at serious risk.

Even a small amount of alcohol has an effect on your body. When you drink, alcohol is absorbed into your bloodstream and distributed throughout your body. A tiny amount of alcohol exits your body in your urine and your breath.

You absorb alcohol more slowly if you eat, especially if the food is high in fat. However, if you drink more than your body can process, you'll get drunk. How quickly alcohol is metabolized depends on your size and gender, among other things.

Alcohol consumption causes physical and emotional changes that can do great harm to your body. The long-term effects of alcohol abuse are many, putting your health in serious jeopardy and endangering your life.

Excretory system

The excretory system is responsible for processing and eliminating waste products like alcohol from your body. As part of that process, the pancreas secretes digestive enzymes that combine with bile from the gallbladder to help digest food. The pancreas also helps regulate insulin and glucose.

Excessive alcohol use can cause the pancreas to produce toxic substances that interfere with proper functioning. The resulting inflammation is called pancreatitis, a serious problem that can destroy the pancreas. One of the most frequent causes of chronic pancreatitis is alcohol abuse.

The liver's job is to break down harmful substances, including alcohol. Excessive drinking can cause alcoholic hepatitis which can lead to the development of jaundice (yellowing of the skin and eyes). Chronic liver inflammation can lead to severe scarring known as cirrhosis. This formation of scar tissue can destroy the liver. When the liver fails to perform, toxic substances remain in your body. Liver disease is life threatening. Women are at higher risk for alcoholic liver disease than men because women's bodies tend to absorb more alcohol and take longer to process it.

When the pancreas and liver don't function properly, the risk of hypoglycemia (low blood sugar) rises. A damaged pancreas can cause the body to be unable to utilize sugar due to a lack of insulin, which can lead to hyperglycemia. Unbalanced blood sugar levels can be a dangerous problem, especially for people with diabetes. Alcohol abuse also raises your risk of liver cancer.

Central nervous system

One of the first signs of alcohol in your system is a change in behavior. Alcohol travels through the body easily. It can quickly reach many parts of your body, including your brain and other parts of your central nervous system. That can make it harder to talk, causing slurred speech, the telltale sign that someone who has had too much to drink. It can also affect coordination, interfering with balance and the ability to walk.

Drink too much, and your ability to think clearly is in trouble, as are your impulse control and ability to form memories. Over the long term, drinking can actually shrink the frontal lobes of your brain. Acute alcoholic withdrawal can lead to seizures and delirium. And severe alcoholism can progress to permanent brain damage, causing dementia.

Damage to your nervous system can result in pain, numbness, or abnormal sensations in your feet and hands. Alcoholism can cause a thiamine (vitamin b1) deficiency, which can result in involuntary rapid eye movements, weakness, or paralysis of the eye muscles.

Men and women metabolize alcohol differently. It generally takes less alcohol to affect women.

Over time, a heavy drinker can become physically and emotionally dependent on alcohol. It may be very difficult to gain control. Unlike most other common addictions, acute alcohol withdrawal can be life threatening. Cases of severe, chronic alcohol addiction often require medical detoxification.

When an alcoholic stops drinking abruptly, they're likely to experience symptoms of withdrawal, such as:


Nausea
Anxiety
Nervousness
Tremors


In severe cases, it may lead to confusion, hallucinations (delirium tremens), and seizures. Detoxification can take between two and seven days. Medications can help prevent side effects of withdrawal.

Digestive system

Alcohol can wreak havoc on your digestive system, from your mouth all the way to your colon. Even a single incidence of heavy drinking can injure parts of your digestive tract.

Alcohol abuse can damage the salivary glands and irritate the mouth and tongue, leading to gum disease, tooth decay, and even tooth loss. Heavy drinking can cause ulcers in the esophagus, acid reflux, and heartburn. Stomach ulcers and inflammation of the stomach lining (gastritis) can occur.

Inflammation of the pancreas interferes with its ability to aid digestion and regulate metabolism. Damage to the digestive system can cause gassiness, abdominal fullness, and diarrhea. It can also lead to dangerous internal bleeding, which may be due to ulcers, hemorrhoids, or esophageal varices caused by cirrhosis.

Alcohol makes it harder for your digestive tract to absorb nutrients and b vitamins or control bacteria. Alcoholics often suffer from malnutrition. Heavy drinkers face a higher risk of mouth, throat, and esophagus cancers. Moderate drinking in the presence of tobacco use can raise the risk of these upper gastrointestinal cancers. Colon cancer is also a risk. Symptoms of alcohol withdrawal may include nausea and vomiting.

Circulatory system

In some cases, a single episode of heavy drinking can cause trouble for your heart. It's even more likely your heart will suffer if you're a chronic drinker. Women who drink are at even higher risk of heart damage than men.

Circulatory system complications include:


Poisoning of the heart muscle cells (cardiomyopathy)
Irregular heartbeat (arrhythmia)
High blood pressure
Stroke
Heart attack
Heart failure


People with diabetes have an increased risk of low blood sugar levels, especially if they use insulin. Deficiencies in vitamin b6, vitamin b12, thiamine, and folic acid can cause lowered blood counts. A common symptom of anemia is fatigue.

Sexual and reproductive health

Erectile dysfunction is a common side effect of alcohol abuse in men. It can also inhibit hormone production, affect testicular function, and cause infertility.

Excessive drinking can cause a woman to stop menstruating and become infertile. It also can increase her risk of miscarriage, premature delivery, and stillbirth. Alcohol has a huge effect on fetal development. A range of problems, called fetal alcohol spectrum disorders (fasd), can occur. Fasd symptoms, which include physical abnormalities, learning difficulties, and emotional problems can last a lifetime.

For women, the risk of breast cancer rises with alcohol use.

Skeletal and muscle systems

Long-term alcohol use makes it harder for your body to produce new bone. Drinking puts you at increased risk of osteoporosis (thinning bones) and bone fractures. Muscles become prone to weakness, cramps, and even atrophy.

Immune system

An immune system weakened by alcohol abuse has a hard time fighting off viruses, germs, and all types of illness. Heavy drinkers are more likely to get pneumonia or tuberculosis than the general population. Chronic alcohol use increases your risk of many forms of cancer.

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I am 21 year old male. Recently from 2-3 days im behaving vary confusingly and like in fear all the time. How can I com out from this life? Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
I am 21 year old male. Recently from 2-3 days im behaving vary confusingly and like in fear all the time. How can I c...
Dear lybrate-user, we understand your feelings you need counselling, counselling will help you to come out of your problem and many patients are cured and enjoying better life after counselling,
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I am a college going girl of 20 years. I always keep thinking about anything bad and remain sad. I always want to be alone and leave my home or to hurt myself in anyway. If I am with my friends then I'll be ok and don't let them even know about that I am depressed but as they leave I am again like before. I feel like. Lie on bed and remain silent. Dont want to speak even a word, don't even want to move, neither wanna eat anything nor drink. I don't even want anyone around me. I want to be alone forever. I want to be at a place where no one knows me. I am feeling like i am going mad.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am a college going girl of 20 years.
I always keep thinking about anything bad and remain sad. I always want to be ...
To really understand your problem in its totality, is to go back home to your family of origin to trace some of the genesis of your problems. You may ignore all my assessments for want of complete evidence, and that is okay. I am not the world’s perfect diagnostic man, nor do I boast of knowing it all. So feel free to take what appeals and dump the rest in the garbage can. In my opinion, I think that your problem lies in the fear of rejection. This rejection is usually founded in your family of origin, and is somewhat manifest in some descriptions you have given already. This is not to find fault in your parents: they may have done a lot of things with good intentions but may have inadvertently set up rejection. If you go way back, and see if there was any rejection prenatally or postnatally (again all this with intention or without), the child will pick up the sensation or feel like she is not wanted or even rejected. As you can see, I am presuming all this. You will have to give it substance, if you so have the substance. Without reaching to any conclusions, just indulge in this thought to see if there is any semblance of truth to explore it further. Your parents may throw light on this but don’t share too much of what I saying until it has been verified. Also find out, if there was an abortion or miscarriage before or after you were born. Whether you were wanted by both parents at birth. Whether they expected a male child and were disappointed that you were a girl. How long were you breast-fed by mom etc? These will all throw some light on my proposal of rejection, if there is any truth. You must be your best friend but when you want to hurt yourself then it is a sign that you have become your worst enemy. The solution is really very simple: you must accept and love yourself, first. Take all this material and meet with a counselor with your parents and get some help to resolve the rejection. Withdrawn from people will add to the depression: your resolution lies with being and loving people!
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I have quit drinking and furthur iwant to be healthy what tablets I have to use.

DNB in Psychiatry, completed course from Asha Hospital, Hyderbad
Psychiatrist,
Quit drinking and have healthy food.... No need to take any medicines as long as you are comfort without consumption of alcohol..
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Sir iam suffering with wet dreams at regular intervals weekly 3 4 times since last 2 years how to control it is there any problem to be cured?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Why dont you try easing yourself before retiring to bed and try bio combination no 28, 4 pills 4 times a day. You wil get it from any homeopathic shop .
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Good morning sir. I am very very depressed now a days, sometimes I lost in my mind, please help me sir. I feel like suicide Everytime. My confidence has become zero. I don't know what to do. I don't have money also. I do Job of 6k per month. Please help me before I die.

MD - Psychiatry
Psychiatrist, Chennai
Good morning sir. I am very very depressed now a days, sometimes I lost in my mind, please help me sir. I feel like s...
You seem to be suffering from severe depression, do not bother about money. Consult nearest govt medical college hospital psychiatry department. Consultation is free, and medicnes also r given free most of the times. All the best, do not delay.
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I am 37 years old male after 9 years of long struggle I got married 9 months before with my lover I cried and I got more problems in this period, after marriage my grandma died within 3 months she is very affectionate to me I always caring grandma and frequent visiting to hospital for grandma and after death of grandma within a week I got panic attack and then I take medicine from General Physician for a week and stopped and after 1 month again I got panic attack I take same medicine and stop after a week and after 1 month again I got panic attack I went MD neurologist he suggest me to take medicine for at least 4 to 6 months now I am on 4th month but till now im feeling sometimes anxious, dizziness, always thinking about my health like I would die and I can not travel alone in a bus and lack of interest and feeling uncomfortable in chest can not take spicy food. But panic attacks is not shown from past 4 months thank god. Please suggest me what to do further im just 9 months married im trying for baby I got varicocele problem also for that im. Taking medicine along with anxiety medicines in my wife get more worried about me.

Masters in Clinical Psychology
Psychologist, Lucknow
I am 37 years old male after 9 years of long struggle I got married 9 months before with my lover I cried and I got m...
Hi lybrate-user, if you really want to cure your anxiety forever, you need to have a long term treatment plan that takes into consideration your anxiety symptoms, what you're suffering from, how badly you're suffering, and your specific anxiety disorder. First and foremost, don't let your anxiety cause you to make poor decisions about anxiety treatments. The reality is that most" rapid" treatments don't work. You'll find many people that claim that they have an extract or a medicine that can cure your anxiety immediately, and unfortunately it's never the case - it's people taking advantage of you in your time of need, and hoping the placebo effect will be enough to cure your anxiety. Even prescription medications have a" false" component. Prescription medicines can give you some help with anxiety, but that help is only temporary, and your mind and body can actually become dependent on these medications. As soon as you stop taking them, your anxiety may not only come back - it could even be worse than before. Curing your anxiety is a process - it's a process that can happen, for everyone, but those that hope they can get instant anxiety help are going to be disappointed, and possibly taken advantage of. Your symptoms define your anxiety if you really want to cure your anxiety forever, you need to have a long term treatment plan that takes into consideration your anxiety symptoms, what you're suffering from, how badly you're suffering, and your specific anxiety disorder. Imately effective treatment. Setting up a long term plan - making realistic goalsi possible to reduce your anxiety every day. There are countless tips to learn to manage it. But you need to do two things: you need to make sure that you're giving yourself realistic goals. You need to make it a long term plan. You can get anxiety help now - help that will genuinely reduce your experience with anxiety. But it will only reduce it so much. You'll still need to keep at it, and commit to it in a way that will guarantee short and long term results. Realistic goals will ensure that you don't give up. You're bound to have setbacks, because life isn't stress free. A long term plan will also make sure that you keep at it - you'll not only have something to do next, you'll also know what to do next. For example, let's look at several strategies you can do right now that will reduce your anxiety: start jogging jogging isn't just for your health. Jogging releases endorphins, which are neurotransmitters that improve mood. It also tires muscles, and there is evidence that extra energy in muscles becomes converted to a feeling of anxiety. Sleep better getting more sleep will fight anxiety right away. Far too many people are allowing themselves to be sleep deprived, but sleep is one of the most important and easy tools your mind has for coping with stress. Breathing training many anxiety symptoms, particularly for those with anxiety attacks, are a result of inadequate breathing techniques. Anxiety can actually train your body to breathe poorly, leading to hyperventilation and a variety of related symptoms. Exposure therapy exposure is a cognitive behavioral technique that trains you to get used to things that used to cause you anxiety. For example, if you often get anxiety when you feel dizzy, you spin around in a chair and use a variety of techniques to calm your mind. Lifestyle changes many lifestyle changes that you will need to make in order to live with anxiety also require long term changes. For example, who you spend time with may need to change, as will how you react at your workplace. These strategies take longer, and require more effort and planning on your part. They're also not immediately successful, and there are often setbacks. Realistic goals and an effective and healthy plan can reduce the effects of these setbacks. You'll also need to be okay with admitting to yourself that you have an anxiety problem that needs to be solved. If you continue to try to fight the truth about your anxiety, you'll struggle to overcome it. Anxiety and stress are very real problems that affect people every day, and there's nothing wrong with you if you suffer from them. As soon as you can come to terms with your anxiety, you'll be on the right path towards treating it. Consult for psychotherapy for anxiety.
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I am not feeling comfortable to do something. Maybe Stress is the reason. Every work I do I fell like Lazy and Frustrated. I Sleep all day. But could’t find any resolving thing for this. What should I do?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am not feeling comfortable to do something. Maybe Stress is the reason. Every work I do I fell like Lazy and Frustr...
Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, 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, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive everyday and learn to be contended with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.
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I am feeling Killing stress. Some pressure in mind even thought to suicide how can be comfortable.

MD - Psychiatry
Psychiatrist, Chennai
I am feeling Killing stress. Some pressure in mind even thought to suicide how can be comfortable.
The word stress is many a times loosely used. You seem to be depressed, as suicidal ideas are present in severe depression. The word depressed is a common everyday word. People might say" i'm depressed" when in fact they mean" i'm fed up because i've had a row, or failed an exam, or lost my job" etc. These ups and downs of life are common and normal. Most people recover quite quickly. With true depression, you have a low mood and other symptoms each day for at least two weeks consult a psychiatrist and get evaluated. Your depression needs to be evaluated, if mild option is cbt, cognitive behavior therapy alone or along with medicines, if moderate both, if severe, medication s mainly and later cbt.
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My Memory is too sharp before half year but I don't know what happens to me now it's difficult for me to remember thing that I read one aur two days before. Before a year everything that I read it would be stored at my brain fir year as it is read. As I am student it very important for me to memorize the thing properly. So it can't effect my studies. Please advise me.

C.S.C, D.C.H, M.B.B.S
General Physician,
Your brain is like a muscle. You need to exercise it regularly. The exciting thing is that you don’t have to be a millionaire to increase your brain capacity. All you need to do is invest a little time to regularly train your brain. So what can you do? Here are 10 simple ways you can increase your brain power and improve your intelligence! 1. Do something new When you experience something ‘new’ you actually ‘stimulate’ your brain! Don’t get stuck in a rut doing the same old things – the only way to change the structure of your brain is to do something new. This creates new neural pathways, increasing your intelligence. You could take a new route to work, try a new recipe for dinner, or even a new form of exercise – mix it up! 2. Exercise regularly It’s been proven that regular exercise helps to increase brain function and enhances neurogenesis. This means that every time you exercise you are creating new brain cells! Get off the couch and get moving! Your brain will thank you for it :) 3. Train your memory How often do you hear people say “I wish I had a better memory?’ Yet no-one does anything about this! If you discipline yourself to memorise phone numbers and other important numbers (passport, credit card, insurance, driving license) you will start to see a marked improvement in your memory 4. Be curious Instead of taking everything at face value, get into the habit of questioning everyday things/products, services that you come into contact with. By being ‘curious’ and questioning everything, you force your brain to innovate & create new ideas. Curiosity may have killed that cat, more importantly it created super important things like electricity and computers! 5. Think positive Stress & anxiety kill existing brain neurons and also stop new neurons from being created. Research has shown that positive thinking, especially in the future tense, speeds up the creation of cells and dramatically reduces stress & anxiety. Try and get a handle on negative thoughts and make an effort to replace them with positive ones. 6. Eat healthy Our diets have a HUGE impact on brain function. Our brains consume over 20% of all nutrients & oxygen that we consume – so remember to feed your brain with the good stuff! (i.e. Fresh fruit and veg & plenty of OMEGA 3 oils found in oily fish) 7. Read a book Reading relieves tension & stress (brain-cell killers) because it’s a form of escapism. Research has also shown that using your imagination is a great way to train your brain because you force your mind to ‘picture’ what you are imagining. Reading is a great way to trigger your imagination! 8. Get enough sleep Sleep is like a mini detox for the brain. This is when your body regenerates cells and removes all the toxins that have built up during the day. Get to bed between the hours of 9 pm and midnight to benefit from the most effective hours of sleep! 9. Avoid using the GPS Gone are the days of map reading! Geo Satellite Navigation may have made our lives easier, it has also made our brains lazier and less efficient at the same time! Go back to the old school and use a map to navigate every now and then (this exercises the part of your brain responsible for understanding spatial relationships). 10. Stop Using the calculator Remember back at school when we were taught to use our brains to do simple sums like times tables? It’s incredible how we now rely on devices like smart-phones and laptops to calculate really simple equations. Resist the urge to work things out using an external device – and use the device you were born with – your brain! CONCENTRATION TIPS Here’s some tips to get into a state of deep concentration where work / or studies flow easily so that you can do well in examinations/ and or do your work well. 1) Cut Off the Noise Getting into a state of concentration can take at least fifteen minutes. If you are getting distracted every five, you can’t possibly focus entirely on your work. Request that people don’t interrupt you when working on a big project. If you are required to answer phones and drop-in’s immediately, schedule work when the office is less busy. 2) Structure Your Environment The place you work can have an impact on your ability to focus. Try to locate yourself so you are facing potential distractions such as doors, phones or windows. This way you can take a glance to assess sounds that would otherwise break your focus. 3) Clarify Objectives Know what your goal is clearly before you start. If you aren’t sure what the end result is, the confusion will make it impossible to focus. 4) Divide Blobs . If you have a large project that needs work, clearly identify a path that you will use to get started working on it. If the sequence of actions isn’t obvious, it will be difficult to concentrate. Taking a few minutes to plan not only your end result, but the order you will complete any steps, can save hours in wasted thinking. 5) Know the Rules Get clear on what the guidelines are for the task ahead. What level of quality do you need? What standards do you need to follow? What constraints are there? If the rules aren’t clear from the outset, you will slip out of concentration as you ponder them later. 6) Set a Deadline Deadlines have both advantages and disadvantages when trying to force concentration. A deadline can make it easier to forget the non-essential and speed up your working time. If you give yourself only an hour to design a logo, you will keep it simple and avoid fiddling with extravagant designs. Time limits have disadvantages when they cause you to worry about the time you have left instead of the task itself. 7) Break down Roadblocks Roadblocks occur whenever you hit a tricky problem in your work. This can happen when you run out of ideas or your focus wavers. Break down roadblocks by brainstorming or planning on a piece of paper. Writing out your thought processes can keep you focused even if you might become frustrated. 8) Isolate Yourself Become a hermit and stay away from other people if you want to get work done. Unless your work is based on other people they will only break your focus. Create a private space and refuse to talk to anyone until your work is finished. Put a sign on your door to steer away drop-ins and don’t answer your phone. 9) Healthy Body, Sharper Mind What you put into your body affects the way you concentrate. Nobody would expect peak performance if they showed up drunk to work. But if you allow yourself to get chronic sleep deprivation, overuse stimulants like caffeine or eat dense, fatty foods your concentration will suffer. Try to cut out one of your unhealthy habits for just thirty days to see if there is a difference in your energy levels. I’ve found even small steps can create dramatic changes in my ability to focus. 10) Be Patient Before I write an article, I often sit at my desk for a fifteen or twenty minutes before I put finger on the keyboard. During this time I feel a strong urge to leave or do something else. But I know that if I am patient, I’ll stumble upon an idea to write about and enter a state of flow. Without a little patience, you can’t take advantage of flow when it rushed through you. If you need strong concentration I recommend periods of 90-120 minutes. Any less than that and you will waste too much time getting started before the flow can continue. More than this is possible to sustain focus, but you will probably benefit from a quick break. These are the general guidelines for concentration, studying well or doing your job. Regards.
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I have one problem when I speak somethings than I m stammering very much how can I remove this problem.

MBBS, cc USG
General Physician, Noida
Hello, This problem can be solved by Collection of Exercises, Speech therapy, treatment and home cure 1.Exercises are effective in treatment of physiological causes of stammering. In general, exercises are meant to provide strength to the organs associated with speech including tongue, lips, jaw, trachea and lungs. Kindly consult to good speech therapy clinic 2.Deep breathing exercise are very effective 3.chewing Indian gooseberry, Almonds, Black pepper, Cinnamon and dried dates are known to clear speech congestion 4.This problem can be solved by Meditation i can give you address of rajyoga meditation center near your house (this is free of cost)
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Am mentally stressed since last 1year I so PTSD. Low mood; impotence (ED; brain fog; hypertension; 130pulse; weight down to 48-43)

BHMS
Homeopath, Raebareli
Am mentally stressed since last 1year I so PTSD. Low mood; impotence (ED; brain fog; hypertension; 130pulse; weight d...
Please do meditation. Take morning exercise/walk daily. Keep bowels clear. Take balance diet. Also take five phos 4 tablets - twice daily for next 2 weeks and give me a feedback.
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How to reduce thoughts in my mind! I have musical hallucination and the song that I am hearing inside my mind is as clear as the real song. Sometimes while writing exams, during meditation etc music starts playing. This thing is disturbing me frequently. How to stop this? Please help.

MD - Psychiatry
Psychiatrist, Guwahati
How to reduce thoughts in my mind! I have musical hallucination and the song that I am hearing inside my mind is as c...
That you are hearing voices, it may be from various reasons: it may be an actual hallucination which may happen if there is an underlying psychotic process, or it may be a pseudo hallucination because of thinking problem, depression,anxiety etc, or it be substance induced, if you are addicted to any substance of abuse like alcohol, cannabis, inhalants, or may be because of some organic cause etc. You need to be evaluated. Get yourself evaluated by a Psychiatrist who will diagnose you after your mental status examination & Psycho diagnostic evaluation, & will give you treatment accordingly. With treatment, this problem will definitely go.
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