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Dr. Shanti Karunakaran

Psychologist, Chennai

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Dr. Shanti Karunakaran Psychologist, Chennai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Shanti Karunakaran
Dr. Shanti Karunakaran is a popular Psychologist in Nungambakkam, Chennai. You can consult Dr. Shanti Karunakaran at Dhairyam Mental Health Nursing Home Centre in Nungambakkam, Chennai. You can book an instant appointment online with Dr. Shanti Karunakaran on has an excellent community of Psychologists in India. You will find Psychologists with more than 27 years of experience on 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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Dhairyam Mental Health Nursing Home Centre

New No 107 Old No 100, Sterling Road, Nungambakkam, Chennai, ChennaiChennai Get Directions
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I am using tobacco from few day. At night time if I won't wash my teeth and sleep does it effect my health.

Dentist, Vadodara
I am using tobacco from few day. At night time if I won't wash my teeth and sleep does it effect my health.
when you don't brush at night, foods accumulation on the teeth causes plaque. This will lead to gum infection and tooth decay. in addition to this tobacco causes infection in whole mouth, ulcers, bad breath, leading ultimately to cancer. so quit tobacco immediately. brush twice daily. use a mouthwash twice daily after brushing. eat balanced and healthy diet. maintain proper oral hygiene.
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MDS - Oral Medicine and Radiology, BDS
Dentist, Ahmedabad
If you are a smoker or a tobacco chewer and you see white patches in your mouth, be alert and quit your habit !
White patches in tobacco smokers or chewers are generally pre - cancerous. Quit tobacco and prevent cancer !
1 person found this helpful

I am 22 year male recently analysed off having dyslexia and adhd which is affecting my studies and when inquired about how to help myself got a reply that an adult of this age cannot be helped what can I do about this.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
It is difficult to treat adhd at any time in life, period. So, considering advanced ages, it makes it tougher because the behaviors are all set in and reinforced. However, do not lose hope: there is nothing that is impossible in life except that we have not yet discovered the solution. Every effort is worth it and you should never be in want for not having tried. I also believe that something done is better than nothing done, even if it is wrong: passivity is criminal. You need to combine medication and therapy for something effective to emerge for you. There are three areas of focus in therapy that needs serious work: concentration, hyperactivity, and impulse control. You will need to put yourself on a strict time-structure with planned activities which have reasonable and reachable goals. These must be monitored and assessed regularly to give you an idea of progress. There are concentration exercises in yoga, and the ear and eye exercise, that will benefit you a lot. Meditation will be tremendously useful to moderate your responses and to develop focus and good self-control. Emotional therapy will play a significant role to alleviate the impulsive behavior to a large extent. If all this is done in a social context i. E. In groups or by mixing with other people, you will gain tremendously. You need to be cooperative at all times. Your diet could do with less carbohydrates and a good bit of fiber. It is best to avoid high-energy foods. Vigorous exercise of at least 30 minutes a day will expunge the high energy levels. The treatment is long term and arduous but it is worth putting in this effort for a reasonable outcome. Regarding the dyslexia there are reading exercises by using index cards that will help you with those words that you particularly read wrong. Some teachers who specialize in treating this disorder have equipment and methods that employ the four avenues of word-learning: visual, audio, kinesthetic and tactile. They employ and associate letter and word sounds i. E. From the phonics with the phonemes.
1 person found this helpful
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How to focus on studies I usually get distracted when I start studying. While studying I usually start thinking blah blah. And waste my time Wt to do?

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, You must be able to understand Concentration, attention span, recollection and distraction. If you are able to watch a movie for two hours continuously, if you are able to play a game for an hour, then you do not have any concentration problems. You can't be attentive towards your studies because you are not interested in it. You are able to watch movie and play game because you are interested in it. Human cannot be attentive towards anything for more than 10 minutes. Then you should study in such a way that your attention is continued and make the subjects are interesting to you. Effective learning techniques should help you. Recollection depends on anxiety, stress and other physical and circumstantial factors. Distractions while studying are plentiful. You should be able to overcome distractions or avoid distractions. Please understand the above. Change your study style and attitude accordingly. Please post a private question to me and I will help you with "effective learning" techniques. Avocados, Beetroots, Blueberries, Broccoli. Celery, Coconut Oil, Dark Chocolate etc are good for improving concentration. Take care.
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

1 person found this helpful

My mother is suffering from schizophrenia, she is not willing to take any medicine now. Please prescribe any which we can give in her ignorance, she is 60 years old.

Psychiatrist, Bangalore
Dear lybrate-user, This is a common problem which people living with schizophrenia face. The psychiatrist who diagnosed her as schizophrenia, knows this problem. Please contact her/him so that you can get the drugs that is needed for your mother. You can give it to your mother. There are liquids, dispersible tablets and long acting injectables available in India. Get into self help group of family members living with schizophrenia. They can help guide you how to give the drugs prescribed.
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I have forget something sometimes. It's really dangerous situation. I am punished by the teacher for lesson. Please suggest me how can improve the memory power using the home materials.

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 Aditya, at your age, Memory problems like amnesia, dementia or Alzheimer's are not common. Many young people do complain having problems with memory. These problems are due to either they are too busy or due to anxiety and stress. Busy people use organizers or employ a personal assistant because they can't remember every task. You need to understand this. If you still say, you are having memory problems, we need to check your memory using memory test. You may contact a clinical psychologist or neurologist for memory test and further investigation. Take care.
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I lost somebody close last year and since then feel very depressed and prefer keeping to myself all the time. please help me.

MA In Clinical Psychology
Psychologist, Pune
I lost somebody close last year and since then feel very depressed and prefer keeping to myself all the time. please ...
Hello lybrate-user. Thank you for chosing lybrate. This is really sad that you lost somebody who was closer to you. This is really very natural feeling but hitendra life never stops na. We have to move forward. Its not easy to forget that person. Still try to engage yourself in a fruitful activity while doing you will get positive output.
3 people found this helpful
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I am chewing tobacco last 4 years. I am not open mouth. I don't eat spicy food easily. And under my mouth there is bluish colour around it. Please suggest me Thanks.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You should just quit chewing tobacco. Meet an ENT specialist and let that person examine you thoroughly to rule out any extensive damage and to treat whatever harm has already being inflicted. Chewing tobacco is really harmful especially because it is known to cause oral cancer and oral submucous fibrosis (SMF). Since it is an oral habit there are many substitutes that can be used to replace the oral stimulation. Of course, since it is a stimulant you cannot get the same effect and that is worth the loss to give up this very addictive habit. A dense fibrous tissue is deposited in the submucosal layer of the soft palate and cheek, causing disabling symptoms like trismus. It contains betel nuts, tobacco, lime, catechu and permitted spices and flavors. The first four substances damage the sensitive mucosa, causing constant irritation and micro trauma to the mucosa. Chemicals present act as a toxin. The phenol in the betel nut, with its caustic burning effect, destroys the mucosa, causing oral ulcers. The betel nut also contains tannins, which act as astringents, precipitating protein and damaging the mucosa. Altogether, this substance is known to be physiologically addictive. You can use replacements like nicotine chewing gum (if you want the stimulant effect, especially in the beginning) or ordinary chewing gum, hard candy and any other orally satiating substance, especially when the urge is very strong. You would have got conditioned to the habit to different times of the day and different situations. You must particularly avoid those occasions and occupy yourself with something else attractive. You should get regular exercise, eat healthily, and get a good night’s rest every day. Visit a dentist and clean up your teeth and gums to wipe out all the reminders and damages of the habit. You may also get a thorough oral check up and treatment for any damages incurred.
42 people found this helpful
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I am male, 28 years old. A smoker an alcoholic. From last fifteen days not able to get a proper hard on. please help.

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, Positive Psychiatry and Mental Health
Psychologist, Palakkad
I am male, 28 years old. A smoker an alcoholic. From last fifteen days not able to get a proper hard on. please help.
Dear lybrate user. Please don’t panic. You must understand ERECTILE DYSFUNCTION. There is nothing called erectile dysfunction while having masturbation. Loosing erection in the initial stages of sex or not having erection at all or having late erection or lack of sexual desire are called erectile dysfunction. Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain, and low self-confidence. The main symptom is a man's inability to get or keep an erection firm enough for sexual intercourse. Patients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. If treatment of the underlying conditions doesn't help, medications and assistive devices, such as pumps, can be prescribed. Yoga, meditation and diet could be prescribed once we know the basic reasons for it. Two natural treatments for ED that have shown promise are red ginseng and pomegranate juice. Ginseng is thought to increase nitric oxide production, leading to improved blood flow. Pomegranate juice is a potent antioxidant and can help too. Watermelon could also help. Psychological reasons usually get cleared with sex therapy. I suggest online sex therapy. Take care.
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