Lybrate.com has an excellent community of Psychiatrists in India. You will find Psychiatrists with more than 42 years of experience on Lybrate.com. You can find Psychiatrists online in Chennai 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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Treatment & Management of Stress
Treatment of Mood Disorder
Treatment Of Male Sexual Problems
Sex Addiction Counselling
Treatment Of Female Sexual Problems
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Quit Smoking Techniques
Cognitive Behavioral Therapy
Memory Improvement Techniques
Obsessive Compulsive Disorder Treatment
Treatment of Abnormal Behaviour
Psychological Diagnosis (Adult And Child)
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I sincerely loved a girl but she cheated me now I could not live without her. I need help immediately. Please help me. Please. Please.
I want to be mentally strong. I always desperate about thinking about my crush. I want to think about my priorities. But still I fail. What should I do?
Doctor, I am suffering with anxiety from past 10 years. I am taking Venlift OD 37.5 mg daily once. How can I get rid of this tablet and is anxiety can be completely curable?
I am a 61 year old male. About two years ago my domestic help had assaulted a neighbour's servant with the sword that had been presented to me years back in a gurudwara. The victim wanted to rope us in in order to extort money from us as he could get nothing from our poor servant. This led to my being subject to tremendous stress. For over last year and a half or so I experience pain in arms and elbow joints and legs and knees. What could be the reason for this pain? Is it stress induced pain or due to something else and what is the treatment? Thanks.
I am suffering from severe anxiety disorder because of which I have insomnia. I keep awake throughout the night worrying about so many personal and financial matters.
I am 36 and I had stroke because of smoking now I left smoking and leaving healthy lifestyle what will be my life expectancy? Also I drink beer only how many beer I can take? What are the chances of getting second stroke?
I am 60 years old always I am thinking negative I do not know how it happens I am peacefully leading my life please advise.
I am feeling like vomiting and my body is totally paining but I am not getting any fever but feeling very weak.
What the main cause for hatred towards female so much shy in expressing with others and not so much talking rather live in lonely.
Ageing is a natural process, and as much as we don’t like it, it is inevitable. The effect of ageing is different from different organs, and with regard to the brain, dementia is one of the main effects. Dementia is not an isolated condition, but a set of symptoms that includes decreased memory and reduced thinking ability, making it difficult for the person to perform daily activities efficiently. Ageing is one of the main causes of dementia. Dementia is usually progressive, with a person beginning to forget his/her purse, taking pills, etc., and then progressing to forget more important things like close family members’ names or finding one’s way back home.
Though dementia is not reversible, it is possible to control the rate of progression and arrest symptoms if detected in the early stages. There are various reasons for dementia, with senility or ageing being one of the main reasons. Alzheimer’s, vascular dementia, hypothyroidism, depression, etc., are some of the other reasons and treating these can help control the symptoms of dementia. Treatment for dementia would include a combination of medications aimed at treating the underlying reason for dementia and supportive palliative care, which forms a huge component of the treatment, which includes the following:
- Vitamin B12 replacement in people with vitamin deficiency
- Treat hypothyroidism with thyroid replacement
- Manage depression with antidepressants
- Change or substitute medications leading to memory loss
- Mild to moderate Alzheimer’s disease can be controlled with acetylcholine esterase inhibitors like rivastigmine and galantamine; more severe forms with memantine hydrochloride.
- Manage behavioural changes with antipsychotics
- Recommend surgical removal if there are brain tumours that cause increased pressure
- Treat brain infections like encephalitis, if present.
- Manage risk factors by managing high blood pressure, cholesterol, diabetes, and quitting smoking
In addition to the above, supportive palliative care is also very essential. The intention is not to cure, but to improve patient care by including the following:
- Help the affected person become independent and manage daily activities on their own.
- Include cognitive stimulation with activities and games to improve memory and cognitive functioning.
- Validation therapy and behaviour therapy are also used, depending on the symptoms.
- The affected person would usually feel mixed feelings of anger, fear, anxiety, and sadness. To address this, use medications that improve the mood, control the behaviour, and improve cognitive functions. Support and counselling from friends and family are very helpful.
- As much as it might be uncomfortable, decisions such as caretaker, type of care, financial planning, etc., should be discussed and decided.
As dementia is irreversible, the key is to detect the symptoms in their early stages. This will help in effective management by arresting the symptoms from progressing, thereby improving the quality of life. If you wish to discuss any specific problem, you can consult a psychiatrist.