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Dr. Karthik

Psychologist, Chennai

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Dr. Karthik Psychologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Karthik
Dr. Karthik is an experienced Psychologist in Mogappair East, Chennai. Doctor is currently associated with Life HealthCare in Mogappair East, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Karthik on Lybrate.com.

Lybrate.com has an excellent community of Psychologists in India. You will find Psychologists with more than 39 years of experience on Lybrate.com. You can find Psychologists 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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Life HealthCare

#8, Valayapathi Salai, Mogappair East, Valaiyapathi Road, Padi Pudur Nagar, Anna Nagar West, ChennaiChennai Get Directions
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Sir... I have suffer from depression problem my mind has does not work to do any work properly and I do not concentrate our business tell me how I reduce our stress and what meditation I do.

M.A.(H)Psychology, PG Diploma in Child Guidance and Family Therapy
Psychologist, Delhi
Sir... I have suffer from depression problem my mind has does not work to do any work properly and I do not concentra...
Hello Sahil Bansal first start overcoming from depression “ I feel ‘trapped’ inside the negative thoughts and have 0 motivation for anything. It’s an effort to do anything and I really fear that I will never be normal. “ This is a descriptive symptom of depression. And so is the fear that you are feeling. These things will be greatly diminished or even disappear if and when you receive treatment for what is making you sick. Normal lives are ONLY EVER led by people who recognize when they are sick and do something about it. If they break a leg, they go to the doctor to get help. If it is a bad break, then they ask for the best treatment they can get. Your life is definitely worth this much effort. You have a chemical imbalance in your brain that makes you feel really bad. You feel as though your hands are tied. BUT THEY ARE NOT. You must ignore how you feel, and do what I say to you, and that you now know is correct: Get help, recieve the best treatment and get better. It is so much easier and so much better to get help now than it was even just 10 years ago. So much more is understood. Be the smart person I believe you are. Find a doctor and tell them what you have said to me. You definitely CAN feel better by DOING this. follow these steps for overcoming from depression............. The reason you are having a lot of negative thoughts is because your mind is idle. The reason your mind is idle is because you don't have energy to do anything. The reason you don't have energy to do anything is because you are channeling the bulk of your energy into suppressing your emotions, as a result of your negative thoughts. Negative thoughts -> negative emotions -> use energy to suppress emotions -> no energy to do anything else -> mind is idle -> more negative thoughts The fear that you will not be normal is one such negative thought. It's all connected, but it can be hard to see when you're in the thick of it. It's all one big haze, one neverending cloud of darkness. The first thing to realise is that you cannot trust your own thoughts. That's scary, I know. But when you're in the midst of a depressive episode, you cannot trust your own mind. That means some of the things that your mind thinks are real, some are not, and you are unable to differentiate which is which. In such times when you can't even trust your own mind, who can you trust? your parents your spouse your best friend your therapist Pick one or two, and trust that person’s words over your own, against your better judgement because during these times, your judgement is impaired. The second thing to do is to reduce the number of thoughts that come to mind. Remember, the reason you have so many is because your mind is idle. Give your mind something to do. I highly encourage going out into the sun and doing some vigorous exercise. Sunlight and exercise and great ways to lift the cloud of darkness around you, for physiological reasons. You may feel like you don't have energy. This is a negative thought your mind feeds you with and it is lying to you. You have in you to do it. Once you give your idle mind something to do, it will produce fewer negative thoughts. This creates fewer negative emotions, and you will channel less energy towards suppressing them. This frees up more energy for you. Use this to see a therapist. Learn new skills, such as how to manage your emotions better. Third, learn what are the triggers that cause a depressive episode to occur and avoid them. Depression is a sign that the way you've been living your life thus far isn't working. Hence, you need to change some things in your life. Start with your triggers. They are the most obvious signs. To recap: ONE: Realise you can't trust your own mind. Find someone you can trust. TWO: Reduce the number of negative thoughts by giving your mind something to do. Vigorous exercise highly encouraged. THREE: Learn what triggers your depressive episodes. Remember, depression is a self-defense mechanism telling you that the way you've been living your life isn't working. To get out of depression requires a lifestyle change. Don't be under the illusion that this will be a simple change of sleeping time. Likely there are multiple factors that have contributed to your depression. You may have to change your job, your diet, your sleeping habits, your exercise routine, your religion, and/or the people you hang out with. Step by step. Bit by bit. You'll be a new person at the end of this. A better person. thank you all the best
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My dad is 63 years old. From last 6 months he's been forgetting some specific part of his life and lack of sleep, delusions, hallucinations, and negative symptoms like reduced motivation, speech and activity are occurred. Now he is on medications for that. He is on tab quiet 25 mg (Quetiapine Fumarate INN 28.728 mg equivalent to 25 mg of Quetiapine) once daily. 1 hour after taking this medicine he gets calm and sleeps. Even if he wakes up in the middle of the night, he was not in his senses at that time. Most of the time he urinates while he is asleep. Even he forgets to go to washroom and he poops in his pants but he forgets to wash himself. His condition is not improving. Kindly please suggest suitable medication which can cure above said things of his health.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
My dad is 63 years old. From last 6 months he's been forgetting some specific part of his life and lack of sleep, del...
Hi there ~ Dementia and Alzheimer’s Care Planning and Preparing for the Road Ahead Improving Emotional Health Alzheimer's disease and other types of dementia can be a challenging journey, not only for the person diagnosed but also for their family members and loved ones. Caring for someone with Alzheimer's or dementia can seem overwhelming at times, but the more information and support you have, the better you can navigate the demanding road ahead and determine the long-term care options that are best suited to you and your loved one. Preparing for Alzheimer’s and dementia care As you come to grips with an Alzheimer’s or other dementia diagnosis, you may be dealing with a whole range of emotions and concerns. You’ll no doubt be worried about how your loved one will change, how you’ll keep him or her comfortable, and how much your life will change. You’ll also likely be experiencing emotions such as anger, grief, and shock. Adjusting to this new reality is not easy. It’s important to give yourself some time and to reach out for help. The more support you have, the better you will be able to help your loved one. While some of these tips are directed specifically at Alzheimer’s patients, they may equally apply to those with other types of dementia as well, including vascular and mixed dementia. Early-stage Alzheimer’s care preparations There are some Alzheimer’s care preparations that are best done sooner rather than later. It may be hard to consider these questions at first, as it means thinking about a time when your loved one is already well down the road of his or her Alzheimer’s journey. However, putting preparations in place early helps a smoother transition for everyone. Depending on the stage of diagnosis, include the person with Alzheimer’s in the decision-making process as much as possible. If their dementia is at a more advanced stage, at least try to act on what their wishes would be. Questions to consider in preparing for Alzheimer’s and dementia care: Who will make healthcare and/or financial decisions when the person is no longer able to do so? While a difficult topic to bring up, if your loved one is still lucid enough, getting their wishes down on paper means they’ll be preserved and respected by all members of the family. Consider meeting with an elder law attorney to best understand your options. You’ll want to consider power of attorney, both for finances and for healthcare. If the person has already lost capacity, you may need to apply for guardianship/conservatorship. More information can be found in the Resources section below. How will care needs be met? Sometimes family members assume that a spouse or nearest family member can take on caregiving, but that is not always the case. Caregiving is a large commitment that gets bigger over time. The person with Alzheimer’s will eventually need round-the-clock care. Family members may have their own health issues, jobs, and responsibilities. Communication is essential to make sure that the needs of the Alzheimer’s patient are met, and that the caregiver has the support to meet those needs. Where will the person live? Is his or her own home appropriate, or is it difficult to access or make safe for later? If the person is currently living alone, for example, or far from any family or other support, it may be necessary to relocate or consider a facility with more support. Find out what assistance your medical team can provide in these areas. In some countries, you can also hire a care manager privately. Geriatric care managers can provide an initial assessment as well as assistance with managing your case, including crisis management, interviewing in-home help, or assisting with placement in an assisted living facility or nursing home. Developing day-to-day routines Having a general daily routine in Alzheimer’s and dementia care helps caregiving run smoothly. These routines won’t be set in stone, but they give a sense of consistency, which is beneficial to the Alzheimer’s patient even if they can’t communicate it. While every family will have their own unique routine, you can get some great ideas from your medical team or Alzheimer’s support group, especially regarding establishing routines to handle the most challenging times of day, such as evenings. Keep a sense of structure and familiarity. Try to keep consistent daily times for activities such as waking up, mealtimes, bathing, dressing, receiving visitors, and bedtime. Keeping these things at the same time and place can help orientate the person. Let the person know what to expect even if you are not sure that he or she completely understands. You can use cues to establish the different times of day. For example, in the morning you can open the curtains to let sunlight in. In the evening, you can put on quiet music to indicate it’s bedtime. Involve the person in daily activities as much as they are able. For example, a person may not be able to tie their shoes, but may be able to put clothes in the hamper. Clipping plants outside may not be safe, but the person may be able to weed, plant, or water. Use your best judgment as to what is safe and what the person can handle. Communication tips As your loved one’s Alzheimer’s progresses, you will notice changes in communication. Trouble finding words, increased hand gestures, easy confusion, even inappropriate outbursts are all normal. Here are some do’s and don’ts on communicating: Communication Do's and Don'ts? Do Avoid becoming frustrated by empathizing and remembering the person can’t help their condition. Making the person feel safe rather than stressed will make communication easier. Take a short break if you feel your fuse getting short. Keep communication short, simple, and clear. Give one direction or ask one question at a time. Tell the person who you are if there appears to be any doubt. Call the person by name. Speak slowly. The person may take longer to process what’s being said. Use closed-ended questions which can be answered “yes” or “no.” For example, ask, “Did you enjoy the beef at dinner?” instead of “What did you have for dinner?” Find a different way to say the same thing if it wasn’t understood. Try a simpler statement with fewer words. Use distraction or fibs if telling the whole truth will upset the person with dementia. For example, to answer the question, “Where is my mother?” it may be better to say, “She’s not here right now” instead of “She died 20 years ago.” Use repetition as much as necessary. Be prepared to say the same things over and over as the person can’t recall them for more than a few minutes at a time. Use techniques to attract and maintain the person’s attention. Smile, make eye contact, use gestures, touch, and other body language. Don't Ever say things like: “Do you remember?” “Try to remember!” “Did you forget?” “How could you not know that? Ask questions that challenge short-term memory such as “Do you remember what we did last night?” The answer will likely be “no,” which may be humiliating for the person with dementia. Talk in paragraphs. Instead, offer one idea at a time. Point out the person’s memory difficulty. Avoid remarks such as “I just told you that.” Instead, just repeat it over and over. Talk in front of the person as if he or she were not present. Always include the person in any conversation when they are physically present. Use lots of pronouns such as "there, that, those, him, her, it. Use nouns instead. For example, instead of "sit there" say "sit in the blue chair. Use slang or unfamiliar words. The person may not understand the latest terms or phrases. Use patronizing language or “baby talk.” A person with dementia will feel angry or hurt at being talked down to. Use sarcasm or irony, even if meant humorously. Again, it can cause hurt or confusion. Planning activities and visitors As you develop daily routines, it’s important to include activities and visitors. You want to make sure that the Alzheimer’s patient is getting sensory experiences and socialization, but not to the point of getting overstimulated and stressed. Here are some suggestions for activities: Start with the person’s interests. Ask family and friends for memories of interests the person used to have. You’ll want to tailor the interests to the current level of ability so the person doesn’t get frustrated. Vary activities to stimulate different senses of sight, smell, hearing, and touch. For example, you can try singing songs, telling stories, movement such as dance, walking, or swimming, tactile activities such as painting, working with clay, gardening, or interacting with pets. Planning time outdoors can be very therapeutic. You can go for a drive, visit a park, or take a short walk. Even sitting on a balcony or in the backyard can be relaxing. Consider outside group activities designed for those with Alzheimer’s. Senior centers or community centers may host these types of activities. You can also look into adult day care programs, which are partial or full days at a facility catering to older adults and/or dementia patients. Visitors and social events Visitors can be a rich part of the day for a person with Alzheimer’s disease. It can also provide an opportunity for you as the caregiver to socialize or take a break. Plan visitors at a time of day when your loved one can best handle them. Brief visitors on communication tips if they are uncertain and suggest they bring memorabilia your loved one may like, such as a favorite old song or book. Family and social events may also be appropriate, as long as the Alzheimer’s patient is comfortable. Focus on events that won’t overwhelm the person; excessive activity or stimulation at the wrong time of day might be too much to handle. Handling challenges in Alzheimer's and dementia care One of the most painful parts of Alzheimer’s disease is watching a loved one display behavior you never would have thought possible. Alzheimer’s can cause substantial changes in how someone acts. This can range from the embarrassing, such as inappropriate outbursts, to wandering, hallucinations, and violent behavior. Everyday tasks like eating, bathing, and dressing can become major challenges. Painful as some behaviors are, it’s critical not to blame yourself or try to handle all the changes in behavior alone. As challenging behavior progresses, you may find yourself too embarrassed to go out, for example, or to seek respite care. Unfortunately, difficult behavior is part and parcel of Alzheimer’s disease. Don’t isolate yourself. Ask for help from the medical team and reach out to caregiver groups for support. There are ways to modify or better accommodate problem behaviors. Both the environment you create at home and the way you communicate with your loved one can make a substantial difference. Considering long-term Alzheimer's and dementia care It’s the nature of Alzheimer’s disease to progressively get worse as memory deteriorates. In the advanced stages of Alzheimer’s, your loved one will likely need round-the-clock care. Thinking ahead to these possibilities can help make decisions easier. To find links to organizations in your area that may be able to help, see Resources and References below. Care at home There are several options for extending care at home: In-home help refers to caregivers that you can hire to provide assistance for your loved one. In-home help ranges from a few hours a week of assistance to live-in help, depending on your needs. You’ll want to evaluate what sort of tasks you’d like help with, how much you can afford to spend, and what hours you need. Getting help with basic tasks like housekeeping, shopping, or other errands can also help you provide more focused care for your loved one. Day programs, also called adult day care, are programs that typically operate weekdays and offer a variety of activities and socialization opportunities. They also provide the chance for you as the caregiver to continue working or attend to other needs. There are some programs that specialize in dementia care. Respite care. Respite care is short-term care where your loved one stays in a facility temporarily. This gives you a block of time to rest, travel, or attend to other things. Is it time to move? As Alzheimer’s progresses, the physical and mental demands on you as caregiver can gradually become overwhelming. Each day can bring more challenges. The patient may require total assistance with physical tasks like bathing, dressing, and toileting, as well as greater overall supervision. At some point, you won’t be able to leave your loved one alone. Nighttime behaviors may not allow you to sleep, and with some patients, belligerent or aggressive behaviors may exceed your ability to cope or feel safe. Every situation is different. Sometimes the gap can be bridged by bringing in additional assistance, such as in-home help or other family members to share the caregiving burden. However, it is not a sign of weakness if moving to your loved one to a facility seems like the best plan of care. It’s never an easy decision to make, but when you’re overwhelmed by stress and fatigue, it’s difficult to maintain your caregiving standards. If the person with Alzheimer’s is living alone, or you as the primary caregiver have health problems, this option may need to be considered sooner rather than later. When considering your caregiving options, it’s important to consider whether you are able to balance your other obligations, either financial or to other family members. Will you be able to afford appropriate in-home coverage if you can’t continue caregiving? Talk to your loved one’s medical care team for their perspective as well. Evaluating an assisted living facility or nursing home If the best choice is to move the Alzheimer’s patient to a facility, it doesn’t mean you will no longer be involved in their care. You can still visit regularly and ensure your loved one gets the care he or she needs. Even if you are not yet ready to make that step, doing some initial legwork might save a lot of heartache in the case of a crisis where you have to move quickly. The first step is finding the right place for your loved one. Choosing a facility There are two main types of facilities that you will most likely have to evaluate for a loved one with Alzheimer’s: an assisted living facility or a nursing home. Assisted Living Assisted living is an option for those who need help with some activities of daily living. Some facilities provide minor help with medications as well. Staff is available twenty-four hours a day, but you will want to make sure they have experience handling residents with Alzheimer’s disease. Also be clear about what stage your loved may need to move to a higher level of care. Nursing homes Nursing homes provide assistance in both activities of daily living and a high level of medical care. A licensed physician supervises each resident’s care and a nurse or other medical professional is almost always on the premises. Skilled nursing care providers and medical professionals such as occupational or physical therapists are also available. How do I choose a facility? Once you’ve determined the appropriate level of care, you’ll want to visit the facility—both announced and unannounced—to meet with the staff and otherwise evaluate the home. You will also want to evaluate the facility based on their experience with Alzheimer’s residents. Facilities that cater specifically for Alzheimer’s patients should have a designated area, often called a special care unit in the U.S. For residents with dementia. Questions to ask such a facility include: Policy and procedures – Does the unit mix Alzheimer’s patients with those with mental illness, which can be dangerous? Does the program require the family to supply a detailed social history of the resident (a good sign)? Environment – Is the unit clean? Is the dining area large enough for all residents to use it comfortably? Are the doors alarmed or on a delayed opening system to prevent wandering? Is the unit too noisy? Staffing – What is the ratio of residents to staff? (5 to 1 during the day, 9 to 1 at night is normal). What is staff turnover like? How do they handle meals and ensure adequate hydration, since the person can often forget to eat or drink? How do they assess unexpressed pain—if the Alzheimer’s resident has pain but cannot communicate it? Staff training – What training for Alzheimer’s care do they have? Does the facility provide staff with monthly in-service training on Alzheimer’s care? Activities – Is there an activity plan for each resident based on the person’s interests and remaining cognitive strengths? Are residents escorted outside on a daily basis? Are regular outings planned for residents? Services – Does the unit provide hospice services? What were the findings in the most recent state survey? What to expect during a transition Moving is a big adjustment both for the person with Alzheimer’s and you as their caregiver. Your loved one is moving to a new home with new faces. You are adjusting from being the person providing hands-on care to being an advocate. Remember to give yourself and the Alzheimer’s patient time to adjust. If you’re expecting to move, try to have essentials packed and ready to go, and as many administrative details taken care of as possible, as sometimes beds can come up quickly. Work closely with staff regarding your loved one’s needs and preferences. An extra familiar face during moving day, such as another relative or close friend, can also help. Each person adjusts differently to this transition. Depending on your loved one’s needs, you may either need to visit more frequently or give your loved one their own space to adjust. As the adjustment period eases, you can settle into the visiting pattern that is best for both of you. I hope this helps.
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I have some problem related to my mind I am unable to remind something it's very hard to remember everything also it is difficult to concentrate on study kindly suggest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Hi lybrate-user, Homoeopathy has good treatment for your problem and without side effects. Please take homoeopathic medicine Baryta carb 200 daily in the morning (5 to 6 pills each time. Contact me for any further consultation if required.
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I lost somebody close last 2 year and since than feel very depressed and prefer keeping to myself all the time. Please help me.

BAMS, MD Ayurveda
Sexologist, Navi Mumbai
I lost somebody close last 2 year and since than feel very depressed and prefer keeping to myself all the time. Pleas...
I would recommend you to follow the following home remedy Natural home remedy using Indian gooseberry and nutmeg powder: 1. Cut, de-seed and crush 4-5 Indian gooseberries to paste 2. Press this paste on a sieve and extract the juice 3. Take 2 tsp of this Indian gooseberry juice 4. Add ½ tsp nutmeg powder 5. Mix well 6. Drink 2 times a day This remindy will be helpful.

How can I improve my grasping power. It needs time for me to understand where coordination is required.

MD - Homeopathy, BHMS
Homeopath, Vadodara
It can be improved by proper homoeopathic treatment... as it acts on brain and improves its function without any side effects... You can consult me through lybrate.. Till then you may start with.. Euphraisa Q 10 drops tds...
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Age is 49 years is alcoholic since 30 years drinks 180 to 300 ml of hard liquor daily now is facing high sugar ,cholesterol problems creatinine level is also high how can we solve this issue please guide.

MBBS, DPM
Psychiatrist, Bangalore
Age is 49 years is alcoholic since 30 years drinks 180 to 300 ml of hard liquor daily now is facing high sugar ,chole...
Dear lybrate-user, you are dependent on alcohol. Alcohol is a ready made sugar/glucose, fully digested. It will difficult for you to control your blood sugar level if you continue drinking. Cholesterol is produced in the body by liver. Probably your liver is damaged causing cholesterol problems. High creatinine level shows your kidneys are under protest. They may give up if you don't get treated. It is better for you to give up alcohol completely. It can not be done by yourself at home. It will have withdrawal symptoms which needs treatment in a hospital for at least 10-14 days. During detoxification itself your sugar, cholesterol and kidneys can be repaired with appropriate drips and tablets. You are still young. I think your children may be still dependent on you. Probably your parents may not be able to support. So there is an urgent need for you give up alcohol in a hospital and get treated for other medical problems. All the best.
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How control stammering at the age of 34, suggest a preferable ayurvedic medicine or homeopathic medicine.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Take straminium 30 1 dose for it. Wait for 1 week. If you find changes in it. Then continue with second dose of it. If not. Then please let me know about it. Need to change remedy.
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Hi! I believe my mother has paranoid disability disorder. She tends to overreact on everything. She believes everyone is wrong except her. She particularly becomes sarcastic around family, and is sometimes desperate for attention in front of others (non-family. She would never accept she needs help and doesn't want to see a psychiatrist .wat to do?

MD - Psychiatry
Psychiatrist, Chennai
Hi! I believe my mother has paranoid disability disorder. She tends to overreact on everything. She believes everyone...
You can take her to a psychiatrist on the pretext of medical illness or ask her to accompany you for your illness (pseudo). But brief the psychiatrist before, they will be able to assess her without her knowing and suggest how to treat. All the best.
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I want you to help me out with a problem that I am enduring right now. I have been married for 10+ years with two kids. My husband has been suffering from erectile dysfunction for quite sometime and we had gone to a sexologist who suggested some routine tests and a penile doppler but the doctor had said that everything was normal with him but gave him Sifasi 5000 IU and asked him to inject it once in three days and also gave Arginitric to consume daily. This happened two months ago and he has been taking the meds off and on. The problem is that he still has the same problem and is anxious most of the time. He has lost interest in everything and he does not like to spend time with either me, the kids or his dog though he claims most of the time that I do not spend time with him. Last week he lied to me and spent time from morning till night with a colleague of his with whom he worked five years back (unmarried girl) and had gone to a film, restaurant and ECR and when he returned home at 10 p.m. I questioned him to which he said I did not have any right to question him. We had a fight and from then he is not talking to me. I want to know what his problem is and why he did such a thing all of a sudden. My kids and I are very upset because of his weird behaviour. Please help.

MD - Psychiatry, MBBS
Psychiatrist, Patna
he is having performance anxiety that gradually increased upto the level of reduced self esteem and confidence. definitely he needs your support and psychiatric medication.
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