Doctors in CHENNAI MIND CLINIC
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
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Dr. S. Gopinath provides answers that are very helpful. I thought it was a very bad habit but he he just advise to me in my way
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Dhat Syndrome is a condition usually found in the cultures within the Indian subcontinent, wherein male patients report really vague psychosomatic symptoms related to fatigue, anxiety, weakness, guilt, loss of appetite and also sexual dysfunction, mainly attributed by the person concerned to loss of semen in nocturnal emission through urine or even at the time of masturbation. Male patients feel that they suffer from impotence or premature ejaculation, hence tend to believe that semen is getting passed through their urine.
The ones who got presented with this syndrome were mainly either young, recently married, belonged to quite an average or low sub-economic status, hailing from rural area and their families having conservative approach towards sex.
Three Categories of Patients Suffering From Dhat Syndrome
- Dhat alone: This type of syndrome occurs among patients, who attribute their symptoms of feeling depressed or anxious due to loss of semen.
- Dhat with sexual dysfunction: The most commonly associated psychosexual dysfunctions are Erectile dysfunction and Premature ejaculation. Along with these, anxiety neurosis, depressive neurosis, hypochondriasis have been the psychiatric disorders, to get mostly reported among patients, who have been diagnosed with Dhat syndrome.
- Dhat with depression and anxiety: In this case the syndrome is seen as an accompanying symptom.
The word ‘Dhat’ gets derived from the Sanskrit word 'dhatu', which means metal, elixir or constituent part of the body, which gets considered as the most concentrated, perfect and powerful substance of the body and its preservation gives a guarantee of good health along with longevity.
As far as the knowledge regarding Dhat Syndrome is concerned, most of the patients believe that Dhat consists of semen along with pus, sugar, urine in concentrated form, any kind of infection. Some people are not even sure.
A large number of people have a feeling that masturbation or getting indulged into sexual activities in an excessive manner, could be the primary factors behind Dhat Syndrome.
Feeling tired all the time? Do you feel that you can’t focus on things anymore? Have you lost interest in things and people you once loved spending time with? Does your temper fly off the hook at the drop of a hat? If it is a ‘yes’ to the questions above, then you might be slowly but steadily succumbing to depression. Depression is a psychological disorder that is characterized by symptoms of extreme sadness, worthlessness and hopelessness over a prolonged period of time.
- Lack of Interest: This is probably the starkest of all the symptoms. Hobbies or activities that you used to enjoy once no longer catch your fancy. You do not find little or no pleasure in social activities or any other hobby of yours anymore.
- A constant Feeling of Hopelessness: You tend to develop a negative outlook towards life in general, as you feel that the current situation will never get better and will only worsen.
- Loss of Appetite: Loss of appetite is a common feature of depression; it can also lead to rapid weight loss. If engulfed by depression, one generally tends to ignore food completely and remain hungry. It goes on to worsen the situation of the patient.
- Changes in Sleep Patterns: Insomnia is a condition that is marked by a sheer inability to sleep, no matter how physically exhausted one is. Depression tends to exhibit this particular symptom in maximum cases. However, oversleeping, or sleeping more than the sufficient hours is also common.
- Reckless Behavior: Depression makes one more prone to reckless behavior; one can generally develop an angry and irritated persona; this in turn, may make one to exhibit reckless and rash behavior.
- Lack of Energy and Focus: Depression causes one to feel fatigued and sluggish the entire day. Factors such as a total loss of appetite contribute to this particular symptom. Stemming from these symptoms are two other major occurrences; an inability to focus on anything and an inability to decide on anything.
Self-help, Coping tips and Treatment-
- Connect with different people: Being isolated from the rest can and usually aggravates symptoms of depression. So, reach out to other people and your loved ones; talk to your loved ones and try to empty your mind when you are having a one-to-one with them. Interacting and talking to others will make you feel better and should go a long way in taking that huge rock off your chest.
- Try to ditch that sedentary lifestyle; go out in the open: An early morning jog can feel daunting at first but the benefits are immense. Exercising regularly has been proven to be as effective as anti-depressants in combatting depression. Even a 20 minutes jog early in the morning releases ‘endorphins’ in the body, also known as the ‘feel good hormones’. These hormones induce a feeling of happiness and relaxation, thus taking your mind off any particular event or circumstance that has been ruining your sanctity of late.
- Avoid Alcohol and Drugs: Avoid alcohol and drugs to come out of your sadness; they have never helped and will never help. Taking these substances provides a temporary solution to depression, as it will again show up once the effects of the intoxicants wear off. It will also interfere with other medications that you may be taking to combat depression, thus reducing their potency.
- It’s high time you bought the meditating mat: Sleep has a beneficial effect on your mental health as it has been proven to improve memory and other cognitive and brain functions. Another way to improve brain function and be more relaxed is to meditate regularly. Meditation induces a state of relaxation, and if done on a regular basis, can be an effective treatment for depression. Meditation also helps with an improved focus and reduced anxiety.
- Medications can always help: Medications such as anti-depressants are administered to treat depression and they are of great benefit in treating depression. Selective Serotonin Reuptake Inhibitors (SSRIs), including citalopram, fluoxetine and sertraline are the most commonly administered medications to cure this condition. Generally, medication would take atleast 2 weeks to show its effectiveness. However, it is advised to try the above mentioned methods to deal with depression until the medicines show promising results.
Mental illness affects the patient as well as the immediate family. Once the affected member has been diagnosed with a mental illness, his family members find it difficult to accept this situation. They are in a state of denial. This state later gives way to feelings of frustration, resentment, anger and helplessness.
To overcome these feelings, it is important for the family to move beyond the mental illness of its relative and not away from him. The family members must accept the reality that someone among them is ill and it is their duty to help him recover from his mental illness.
Effect of social stigma
- Unfortunately, mental illness draws social stigma. Many relatives of mentally ill people who are afflicted do not discuss their predicament with others. The reason is not too hard to discover- large sections of society think that mental illness is something very horrible. Very few people know that psychiatric disorders are treatable and they are as good or bad a disease as others.
- Strangely, while the society comes out in support of people suffering from cancer and other life-threatening diseases, in cases of mental illness it adopts a position of aloofness. The underlying thought in the minds of people is that there must be something wrong in the family of the mental illness patient.
- The net result is that the family withdraws from the society and gets into a shell. Guests are not invited over on social occasions and it often happens that the family gets into depression.
- Coping with frustration and helplessness
- Psychiatrists also point out to another range of emotions affecting the family members of a mentally ill person- feelings of frustration, helplessness and anger.
- Imagine a situation where a schizophrenic child is unable to perform even normal tasks, such as eating food. The parent will try to convince the child to have her food but the mentally ill child cannot perform even that basic function. Unless the parent understands that this is not a normal child, she will continue to try to feed it. The child will, on the other hand, resist. This will continue till the time when the parent gets frustrated and angry at her child’s behaviour. The parent will wonder why her child is not having the food by herself.
- This situation will not arise if the parent and other family members accept that the child is ill and needs medical intervention.
- This feeling can later lead to a sense of resentment and anger. Family ties can be ruptured because the members would begin to think that their social activities depend upon the medical condition of their sick family member who needs constant attention.
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 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.
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.
Recovery from substance abuse: Problems related to excessive alcohol and drug abuse are solved by this therapy. Failing this step, this disorder can be unmanageable.
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.
While being shy in unfamiliar conditions and with unknown people is normal for many people, it is considered a disorder when it starts to interfere with your life and stops you from seeking out new opportunities, meeting people or generally living your life to the fullest. The primary cause for this in most people is the fear of judgment or evaluation in the eyes of the others. Social anxiety may thus interfere with your personal as well as professional goals. Some of the ways you can take care of this problem are mentioned below.
- Take help from counseling or therapy: Some people may have serious issues interacting with other people in a social setting or have a fear of the stage although they want to get into public speaking and performance. In such cases, you may need to take the help of a doctor as it becomes necessary in order to be able to fulfill your professional goals.
- Have certain objective goals: One of the ways to overcome social anxiety disorder is to be able to achieve certain objective goals, even in social situations where there is no performance pressure. Say for example if you are with a group of people where you feel anxious, make two or three fruitful comments in your opinion in the group. This way, when you feel your voice is heard, it will help reduce social anxiety.
- Slowly expose yourself to incremental anxiety situations: One of the best ways to overcome anxiety is to expose yourself regularly to situations that may make you uncomfortable. You can write down a series of situations which have increased your level of anxiety. You can then expose yourself to the situation that scares you the least repeatedly until you become habituated to it. Then you can slowly move up the list and conquer each one of the socially fearful settings, one by one.
- Deep breathing and meditation: Meditation has been seen to clear up your mind and embolden you to face difficult situations. Practicing it daily can definitely help you overcome social anxiety. Even before you are about to engage in a large social or public gathering, deep breathing helps relax your muscles and also enables you to become calmer, thus reducing social anxiety.
- Self-help manuals: There are a lot of manuals out there which are meant to help you deal with your social anxiety; whether it is in general, with public speaking or in a room full of guests in an informal setting. Generally, these are used in conjunction with therapy from a professional, but you can try certain self-help books which can guide you through a detailed process and help you deal with the social anxiety that you may face in certain situations.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am masturbating twice in a week from past 25 years and now I am getting marry, it may cause my future life.
Do you find it too hard to figure out what to wear? Does taking some important decision leave you feeling paralyzed? These indicate that you suffer from compulsive indecisiveness. Struggling with this problem leaves you stuck in one place and causes you distress. Fear of taking the wrong decision is the primary reason, which makes people indecisive. It is also likely for you to bother too much about what other people think of you.
Here are five important steps, which you should take for overcoming compulsive indecisiveness:
- Forget your fear: Fear of something often causes indecisiveness. You need to figure out and write down your fears and what you would do if these occur. If you are indecisive about a job change or whether the new job will be paying you less, you should analyze how the reduced income will affect your life and how you can deal with it.
- Tune into your emotions: Maximum people who suffer from compulsive indecisiveness and struggle at making major decisions tend to over analyze situations a bit too much. In some cases, you cannot create an easy perception or a suitable side for a situation in spite of stressing over it from various angles. The situation will remain the same, no matter how much you think. Write down your options, think about them, rate them, and choose the top rated option.
- Practice on small things: For improving upon your indecisiveness, you should start practicing by taking small decisions every day. Aim at taking 10 major decisions everyday such as where to go for lunch, which route to take to work and more. Slowly, practice taking decisions quickly instead of pondering over a situation. Try to make instant decisions in various spheres of life.
- Learn to trust yourself: You need to list all your strengths. Write down whether you think if you are smart, creative or funny. Ask yourself whether you can infuse your strengths into your process of decision making. Try to test your strengths in all kinds of matters. Once you are sure of your strengths, you will be able to achieve your goals without hesitation.
- Pick one thing at a time: You should pick things and matters one at a time to focus on. If there are several things which bother you and add to your indecisiveness, try to handle them one by one. This way you will be able to give all your focus to one matter, and overcome your fears related to it. After that, move on to another fear.
It is important for you to let go and refrain yourself from analyzing whether a decision which you had taken is right or wrong. Instead, focus on activities which matter to you and do not ponder over old decisions.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hi Dr, I have anxiety, negative thought ,unable to make decisions and low steam issue. To whom I can consult without taking medication. Is hypnotherapy will work for me? I consumes alcohol and tobacco. I wants to leave these habits also. Normally how many sessions are required to boost confidence and get rid of anxiety in hypnotherapy or another therapy according to you?
Blessed are the parents whose children enjoy going to schools. Some parents have to sweat it out to convince and cajole their kids into going to schools. Every morning brings in a new struggle. You will often come across kids who hate going to schools. From complaining of a headache to stomach aches, they will try everything under the sun to give the school a miss. With time, however, things get under control, much to the parent's relief.
The situation gets dicey when children continue to panic, get stressed out at the mere thought of going to school (for a longer duration of time). With time, things get more and more complicated. A situation as critical as this is known as School Refusal Behavior. School refusal can affect children, adolescents, and even teenagers.
Factors that trigger school refusal behavior:
School refusal in children may be an amalgamation of many factors:
- In some children, the problem may be due to ADHD (Attention Deficit Hyperactivity Disorder). It is a common behavioral disorder that affects many children and even teenagers. In ADHD, children find it a herculean task to concentrate or to pay attention in class. Needless to say, this affects a child's overall performance in class. The fear of getting rebuked and punished (by teachers) may trigger school refusal in such children.
- Many parents set unrealistic goals for their children. They want their children to be the best. What they fail to realize is that in doing so, they end up suffocating the kids. In few extreme cases, the pressure to excel in academics grips them with an unknown fear. They start avoiding classes. They get panic attacks at the mention of schools.
- There are some menaces which can make life miserable. Being bullied in school (by classmates or seniors) is one such issue. As time progresses, the situation may get so unbearable that the child at the receiving end starts showing signs of school refusal.
- Children with undiagnosed and untreated depression, stress, and anxiety may show signs of school refusal. Such kids prefer to stay within themselves. They don't enjoy social gatherings or interacting with people much.
- Some children want to be with their parents all the time. Going to school would mean being away from parents. Thus, they look for excuses to avoid schools.
The symptoms characteristic of school refusal behavior include
- Irritability, inflexibility, and anger.
- Nausea, headache, stomach ache, vomiting.
- The affected child may show signs of separation anxiety.
- Sleep disturbance.
- Tantrums in the morning.
Diagnosis and Treatment:
School refusal needs to be dealt with as early as possible since the longer the child stays away from school, the more difficult it will become for him/her to return to school.
- The Screen for Child Anxiety Related Emotional Disorders (SCARED).
- The Children's Manifest Anxiety Scale.
- The Child Behavior Checklist.
Parents, physician, and school authorities should together chalk out a plan to deal with the situation.
- Cognitive therapy can produce fruitful results.
- Any student subjected to bullying should bring it to the notice of their parents and teachers.
- Parents should not pressurize their child to over perform.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Borderline Personality Disorder is purely a personality disorder caused due to multiple factors. An individual suffering from BPD maintains unstable relationships with other people, shows inappropriate emotional reactions and possesses suicidal or self-harm tendencies. Individuals suffering from BPD may find it difficult to stay alone. They fear abandonment and loneliness. Yet they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life.
It usually starts affecting the individual's life from early adulthood. It, however, seems to improve with age. The individuals also have distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with BPD.
Symptoms of Borderline Personality Disorder:
The signs of suffering from BPD are listed below:
- Intense and frantic effort to avoid abandonment or loneliness
- Unstable relationships with people and changing the attitude towards them drastically. It can change from being in immense love with each other to intense hatred.
- Developing paranoid thoughts and having dissociative feelings-The individual often lacks the feeling of self and suffers from identity crisis.
- Suicidal feelings and attempts
- Tendency to cause self harm or destruction by drug abuse, driving irresponsibly or be having unprotected sex
- Reflecting intense depression
- Chronic boredom
- Sudden anger and hostility
Causes for Borderline Personality Disorder: Borderline Personality Disorder can be caused due to multiple reasons. Usually it has been found by researchers that it occurs to individuals who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the individual's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.
Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for BPD. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.
Treatment: The treatment of BPD involves three steps- psychotherapy, medications and support from peer and family. Dialectical Behavioral therapy, cognitive behavioural therapy and psychodynamic psychotherapy are used in treating the individual. There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed. If you wish to discuss about any specific problem, you can consult a Psychiatrist.