Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 40 years of experience on Lybrate.com. Find the best Psychiatrists online in Bhopal. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Manish Borasi
Treatment Of Male Sexual Problems
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)
Electroconvulsive Therapy (Ect) Treatment
Management of Emergency Conditions
Manual Therapy Treatment
Submit a review for Dr. Manish BorasiYour feedback matters!
Patient Review Highlights
While sex is an important part of an adult’s life, it may also come with a number of problems for certain people. Sexual addiction is a problem faced by many and includes a wide range of behavioural patterns when it comes to sex and excessive indulgence in the same. This condition may impact the life of an individual in a significant and even debilitating manner. While many people may confuse this with mere addiction to porn, this is not true. Let us find out more.
Types of Sexual Addiction: There are a number of ways in which sexual addiction may be characterised. As mentioned above, it does not merely include addiction to pornography or any other aspect of sex. It may include an addiction of one or multiple aspects, which include pornography as well. The various forms of sexual addiction include pornography addiction, addiction to fantasy or masturbation, addiction to sadistic behaviour, addition to prostitution, and other excess sexual activities and pursuits like exhibitionism.
Symptoms and Signs: There are a number of physical and emotional symptoms and signs of this condition. The patients suffering from this condition may end up isolating or alienating their partners, which is one of the most common giveaways of this condition. They may also go from one relationship to another in no time at all, with multiple partners in many cases. Also, they will not really have healthy relationships with their partners because of their fantasy based perceptions when it comes to sex. The physical symptoms of this condition include falling prey to venereal diseases and infections on a frequent basis, as well as the exposure to unwanted pregnancy in at least 70% of the cases, as per many medical reports. Anxiety, depression and substance abuse are also some of the common outcomes of this kind of addiction.
Treatment: Sexual addiction and sexual dependency can be treated by first of all treating the physical manifestations of this condition and its symptoms like infections and other ailments. This will be done with the help of medication in most cases. Further, the patient will be put through CBT or cognitive behavioural therapy as well as other forms of sex therapy so that the evaluator or psychologist may find the root cause behind the condition.
This kind of therapy usually follows the route of exhaustive discussions in which the patient will be asked to talk about his or her emotions and problems. These will then be used in order to reprogram the attitude and thinking of the patient. In such cases, the patient will also be encouraged to invest time and effort in the emotional side of a committed relationship so that the dependency on sex may reduce.
Is your child refusing to grab anything other than chicken nuggets? When your child’s nutrition is an aching subject to deal with in your household, remember you are not the only one. Many parents are actually worried about the fussiness of their children over food. But your child’s food preferences would also mature with age. Until then, you can consider trying out these following tips to avoid any kind of mealtime hassles.
Respect your child's appetite or lack of one: Respect your child’s level of appetite and never force a meal, if your child is not hungry. Rather, serve small portions to give them an opportunity to ask for more, on their own.
Stick to the routine: Maintain a routine and serve snacks and meals at about the same time every day. Also, keep a check on the number of times you serve those mid meal snacks and try to stick to that count.
Be patient with new foods: Have patience with new food. Take time in introducing it to your child by talking about the food’s shape, color, aroma and texture, if not the taste.
Make it fun: Try out innovative ways of garnishing your food so as to make the whole eating experience a fun and a thrilling one for your child.
Recruit your child's help: At the grocery store, ask your child to help you select vegetables, fruits and other healthy foods. But keep off those foods which you would not want you child to eat.
Set an example: Set an example by yourself by eating all kinds of nutritious and healthy foods, in order to set that perfect example for your child.
Cut Distractions: Make sure to switch off from any sort of a distraction, such as the television or the washing machine and other electronic gadgets while feeding your child.
Don't offer dessert as a reward: Do not reward your child with desserts at the end of the meal as this sends them an indication that the dessert is the best dish among all.
Do not cook a separate meal: Do not cook a separate meal for your child after he/she has refused the original one as this might encourage picky eating even more. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
Manic depression, also known as bipolar disorder in recent days, is a major mood disorder characterized by hypomanic or manic episodes (deviation from one's usual mood along with abnormally high energy levels). Mania involves sleeplessness, along with psychosis, hallucinations, rage, grandiose delusions or paranoia. Mania or hypomania isn’t usually harmful to the patient and they might exhibit increased capacity for work and creativity. Depressive episodes however, can be debilitating and often life threatening as the person becomes self-destructive and suicidal in many instances.
The extent of mood swings can vary from extreme to very mild. They can occur progressively or suddenly and might last for few days to weeks. Patients affected by bipolar disorder may experience disturbances in thinking apart from depressive or manic episodes. Distortions of perception and impaired social functioning are also not uncommon. The cause of bipolar disorder is not fully understood like most mental health conditions and is often thought to be hereditary.
The extent of the seriousness of the bipolar symptoms varies from person to person. In some people, the disorder is not full blown and they don’t exhibit all the symptoms. Others who aren’t that lucky might have to be hospitalized multiple times in their lives as the symptoms creep into their work and personal life and make living a normal life a tough challenge.
Psychotic symptoms such as disorganized thinking, hallucinations and delusions might make a person do things that demand the urgency of hospitalization to keep them safe from their suicidal impulses. These symptoms might need to be urgently addressed by a psychiatrist and with the help of medications, the person might be able to regain control of their lives.
The symptoms of bipolar disorder are many and can be mainly categorized into two (sometimes overlapping) categories of mania or hypomania and depression:
Manic symptoms include:
- Grandiose delusions (delusion of grandeur)
- Racing thoughts which are often disconnected
- Sense of euphoria or false elation
- Irritability without cause
- Hampered social functioning
- Increased sexual inclination and risky sexual behavior
- Increase in talking volume or speed
- Impaired judgment
- Reduced sleep requirements owing to extra energy levels
- Increased productivity and creativity
Depressive symptoms include:
- Abnormal eating patterns like over or under-eating to the extent of severe medical complications accompanied by drastic changes in weight
- Difficulty in concentration, making decisions and remembering
- Lack of energy or fatigue
- Contemplating about death for prolonged periods of time and suicidal behavior
- Oversleeping, insomnia or early awakening
- Persistent pessimism
- Irritability and restlessness
- Feeling of hopeless and negative attitude
Mood stabilizers, such as lithium are commonly employed to treat bipolar disorder. Anticonvulsants, benzodiazepines and anti psychotics can also be used in the treatment. Along with medications, support from family and friends is of the utmost importance as they need to help provide all the support required in making the person functional and healthy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. A person’s mood and emotions can be altered drastically due to bipolar disorder, but they do not have more than one personality. Split personalities problem is more commonly seen in those with personality/dissociative disorders.
There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior (known as manic episodes) to very sad, “down,” or hopeless periods (known as depressive episodes). Less severe manic periods are known as hypomanic episodes.
- Bipolar I Disorder— defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depression and manic symptoms at the same time) are also possible.
- Bipolar II Disorder— defined by a pattern of depressive episodes and hypomanic episodes, but not the full-blown manic episodes described above.
- Cyclothymic Disorder (also called cyclothymia)— defined by numerous periods of hypomanic symptoms as well numerous periods of depressive symptoms lasting for at least 2 years (1 year in children and adolescents). However, the symptoms do not meet the diagnostic requirements for a hypomanic episode and a depressive episode.
- Other Specified and Unspecified Bipolar and Related Disorders— defined by bipolar disorder symptoms that do not match the three categories listed above.
The disorder has two strong phases: 1) Bipolar Mania and 2) Depression.
Mania is a state of heightened energy and euphoria - an elevation of mood. It is in direct contrast to depression. Mania can vary in severity from hypomania, where, in addition to mood and energy elevation, the person shows mild impairment of judgement and insight, to severe mania with delusions and a level of manic excitement that can be so exhausting that hospitalisation is required to control the episode.
The mood, energy and other related symptoms define both mania and hypomania, with psychotic features being an 'add on' component experienced by a sub-set of individuals.
You have an intense sense of well-being, energy and optimism. It can be so strong that it affects your thinking and judgement. You may believe strange things about yourself, make bad decisions, and behave in embarrassing, harmful and - occasionally - dangerous ways.
Like depression, it can make it difficult or impossible to deal with day-to-day life. Mania can badly affect both your relationships and your work. When it isn't so extreme, it is called 'hypomania'.
If you become manic, you may notice that you are:
- very happy and excited
- irritated with other people who don't share your optimistic outlook
- feeling more important than usual.
- full of new and exciting ideas
- moving quickly from one idea to another
- hearing voices that other people can't hear.
- full of energy
- unable or unwilling to sleep
- more interested in sex.
- making plans that are grandiose and unrealistic
- very active, moving around very quickly
- behaving unusually
- talking very quickly - other people may find it hard to understand what you are talking about
- making odd decisions on the spur of the moment, sometimes with disastrous consequences
- recklessly spending your money
- over-familiar or recklessly critical with other people
- less inhibited in general.
If you are in the middle of a manic episode for the first time, you may not realise that there is anything wrong – although your friends, family or colleagues will. You may even feel annoyed if someone tries to point this out to you. You increasingly lose touch with day-to-day issues – and with other people's feelings.
The feeling of depression is something we all experience from time to time. It can even help us to recognise and deal with problems in our lives. In clinical depression or bipolar disorder, the feeling of depression is much worse. It goes on for longer and makes it difficult or impossible to deal with the normal things of life. If you become depressed, you will notice some of these changes:
- feelings of unhappiness that don't go away
- feeling that you want to burst into tears for no reason
- losing interest in things
- being unable to enjoy things
- feeling restless and agitated
- losing self-confidence
- feeling useless, inadequate and hopeless
- feeling more irritable than usual
- thinking of suicide.
- can’t think positively or hopefully
- finding it hard to make even simple decisions
- difficulty in concentrating.
- losing appetite and weight
- difficulty in getting to sleep
- waking earlier than usual
- feeling utterly tired
- going off sex.
- difficulty in starting or completing things – even everyday chores
- crying a lot – or feeling like you want to cry, but not being able to
- avoiding contact with other people.
- Biological Causes: Experts say that patients with bipolar disorder often show physical changes in their brains. Nobody is sure why the changes lead to the disorder.
- Genetic Traits: Researchers are involved in finding out whether or not the causes of bipolar disorder arise out of genes and other hereditary factors. If you have a first-degree relative or a sibling who is/was affected by this condition, you would probably have it too.
- Neurotransmitters: Mood swing disorder is caused by an imbalance in brain chemicals known as ‘neurotransmitters’.
Initial Treatment: The initial treatment method is to take medications to balance and control the mood swings. After the symptoms are in control, one has to start working with his/her trusted doctor for chalking out an effective and practical long-term treatment procedure.
Day care treatment: Day care treatment programs can be recommended by your doctor. This treatment method includes counseling and support which keep the bipolar traits under control.
Hospitalization: Hospitalization or immediate medical support is recommended in case of suicidal thoughts or when a person starts exhibiting erratic behavior (being psychotic).
Medications: Medications include the administration of antipsychotics (such as ziprasidone, olanzapine), antidepressants (usually in combination with a mood stabilizer or an anti-psychotic), mood stabilizers (such as valproic acid, lithium, divalproex sodium) and anti-anxiety medications. If you wish to discuss any specific problem, you can consult a psychiatrist.