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Dr. T.C.Ramesh Kumar

Psychiatrist, Chennai

500 at clinic
Dr. T.C.Ramesh Kumar Psychiatrist, Chennai
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. T.C.Ramesh Kumar
Dr. T.C.Ramesh Kumar is an experienced Psychiatrist in Anna Nagar West Extension, Chennai. He is currently practising at Schizophernia Research Foundation India in Anna Nagar West Extension, Chennai. Book an appointment online with Dr. T.C.Ramesh Kumar on Lybrate.com.

Lybrate.com has an excellent community of Psychiatrists in India. You will find Psychiatrists with more than 25 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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Plot No R/7a, Landmark:Anna Nagar West Extension, North Main Road, ChennaiChennai Get Directions
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Pathological Gambling - 5 Ways to Control it

Ph. D - Psychology, Psychology
Psychologist, Delhi
Pathological Gambling - 5 Ways to Control it

Pathological gambling is a situation in which a person is unable to resist the impulse to gamble and this leads to harmful consequences on the personal and social front of an individual. Pathological gambling is repetitive in nature, and a person cannot stop gambling by any means. The person would try to get money anyhow to gamble and he would feel uncomfortable or irritated at the idea of quitting gambling.

In order to control pathological gambling, it is advised that a person should quit gambling totally. Here are some measures which you can follow to control pathological gambling.

  1. Rehabilitation Programs: Both inpatient and outpatient rehabilitation programs can curb pathological gambling in a person. The program of a treatment center, if followed by heart, can cure the gambling problem. Moreover, by staying at a rehab for a period of time, a person will also stay away from gambling and will not get a chance to do so. Outpatient rehabilitation programs like group sessions and classes or one-on-one therapy sessions can also prevent gambling addicts from gambling without staying away from home.
  2. Twelve-step Program: The twelve step program by Gamblers Anonymous or GA may help a person overcome pathological gambling. For people who cannot afford long term rehabilitation programs, the twelve steps are ideal. Based on the same principles of the Alcoholics Anonymous, this program helps you to build a support group comprising of other recovering or recovered gambling addicts. Meetings are held every day, and you must attend these meetings to get help and encouragement.
  3. Cognitive behavioral therapy: Other than group therapies and support groups, psychotherapy also helps in dealing with pathological gambling problems. A one-on-one session with a therapist is very essential as gambling addiction arises from deep emotional issues. Clearing these issues would benefit the affected person. Treating the underlying issues may stop pathological gambling. Opening up to a therapist may be effective.
  4. Medication: In certain cases, medication is required to help get over pathological gambling. Gambling addiction may result on account of other underlying mental health conditions such as bipolar disorder. Treating the underlying causes with proper medication will cure the pathological gambling problem. Your impulse must be taken under control.
  5. Changes in lifestyle: Pathological gambling causes extreme loss of a person’s financial condition. A recovering pathological gambler must hand over all his financial responsibilities to a trusted family member or friend. Places such as casinos or gambling events should be avoided to restrict relapse.

Pathological gambling is a severe situation, which can cause great loss and harm to a person from many perspectives. One must take all necessary measures required to bring pathological gambling under control.

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I used to take alcohol on daily basis for 4-5 years. Last two years it is stopped almost completely. I am married now and want a baby. But not getting successful. Kindly advise.

MSW, Certificate in Clinical Psychopharmacology , Certificate in Treatment Planning and Progress Notation, Certificate in Neuro-Linguistic Programming
Psychologist, Jaipur
I used to take alcohol on daily basis for 4-5 years. Last two years it is stopped almost completely. I am married now...
Hello, It is a great and positive decision about stopping alcohol. Well done! Well, have you consulted specialized doctor who can advise you. Do not be discouraged. There is a right time for everything. God knows what you want, so trust God, and trust yourself that your desire will come true. If you wish you can take some few sessions on Positive Inspiration to help you stay positive, and be determined that you will be a Dad soon. Regards Stuti
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í hαvє σnє вrσthєr. Híѕ αgє 25, hє wαѕ αddíct drugѕ líkє αlphαzαlєm αnd gαnjαí. Wє αrє ѕuffєríng mαnч prσвlєmѕ, hє wαѕ ín mєntαl cσndítíσn whєn hє wαѕ uѕíng drugѕ. Hє íѕ nσt ѕlєєpíng frσm 2dαчѕ íncludíng níght αlѕσ. Plєαѕє gívє mє α ѕuggєѕtíσn cσmplєtє curє mч вrσthєr.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
í hαvє σnє вrσthєr. Híѕ αgє 25, hє wαѕ αddíct drugѕ líkє αlphαzαlєm αnd gαnjαí. Wє αrє ѕuffєríng mαnч prσвlєmѕ, hє wα...
You have to admit your brother into a rehabilitation program for at least 6 months to cure him of this addiction. If he has had mental problems too then he may require psychiatric care as well. Even after rehabilitation he must continue addiction counseling for at least three years to completely remove the physical and psychological conditioning and craving. He will be told and taught new lifestyles, schedules, habits etc. to totally recover. He must work on the oral issue, the rigid value system, the genetic factor and the script issue. Many people will not be able to resolve drug addiction in particular if they do not reach their ‘Hitting Rock Bottom’, i.e. the worst stage in their addiction to finally want to reform. Unfortunately for some unlucky few that can be death. So do be careful and do not delay seeking help now. If there are relapses, do not get too alarmed and give up. He must again persevere and fight this battle until he comes out victorious. The family members and medical fraternity must be there for him right through this recovery. He will also need to attend Narcotics Anonymous meetings for a long time too after the treatment is over.
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I am 25 years old I have a depression problem.

M. Phil Clinical Psychology
Psychologist,
You can be helped with counseling and medication. Please make sure that you go to a professional who can diagnose you correctly.
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I smoke regularly. I have noticed nicotine marks being formed on my teeth. How to remove them easily?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
I smoke regularly. I have noticed nicotine marks being formed on my teeth. How to remove them easily?
The simplest method of removing minor surface stains is polishing, or micro-abrasion if staining is more intrinsic. Provided that your discolouration is not due to inadequate enamel exposing the dentin, tooth whitening (bleaching) is often the most effective treatment for yellow stained teeth. Advance procedures can be done with laser. Use snowdent tooth paste for whitening until then. Apply snowdent paste on the teeth. Wait for 10 to 15 min. Then brush your teeth with the same paste. Applying it overnight for better results.
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I think I am loosing my memory power and concentration. What is the best way to improve memory power and concentration. What is the best medicine or powder. Please tell me the solution.

BHMS
Homeopath, Faridabad
Hello, there are few food items which helps you in boosting up your memory power, increases focus & concentration, so try to take more of these: 1. Choline: good sources of choline include liver, milk, eggs and peanuts. 2. Vitamin b: b vitamins are not synthesized in the body, and thus need to be obtained from food. B-complex vitamins are water-soluble vitamins, which means that they are not stored within the body. In consequence, the b vitamins need ongoing replenishment. Vitamin b1 (thiamine) rich sources include unrefined grain products, ready-to-eat cereals, meat (especially pork), dairy products, peanuts, legumes, fruits and eggs. Foods that contain high concentrations of vitamin b3 (niacin) in the free form include beans and organ meat, as well as enriched grain and cereal products. While niacin is present in corn and other grains, the bioavailability of the nutrient is much less than it is in protein-rich sources. The role of vitamin b9 (folic acid) during pregnancy is vital to normal development of the nervous system in the fetus. Good sources of folate include liver, ready-to-eat breakfast cereals, beans, asparagus, spinach, broccoli, and orange juice. Animal protein products are a good source of vitamin b12 (cobalamine), particularly organ meats such as kidney or liver. Other good sources are fish, eggs, and dairy products. 3. Vitamin a: the foods highest in vitamin a are any pigmented fruits and vegetables and leafy green vegetables. 4. Zinc: zinc is a very important part of the brain as well; many regions of the brain, such as the cerebellum, and hippocampus have neurons that contain this nutrient. Zinc is needed to maintain normal vitamin a levels in blood plasma. Sources of zinc are meats, certain seafood, whole grains, baked beans, oatmeal, milk (low-fat), cashewnut, almonds, kidney-beans, cheese, peas, spinach, sesame seeds, pumpkin seeds, flaxseeds. Medication: take homoeopathic medicine for increasing memory - anacardium 200/ once daily.
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Hi, My friend is feeling any time nervous. can you tell this problem give reply fast?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi, My friend is feeling any time nervous. can you tell this problem give reply fast?
His problem can be related to lack of self confidence and for that he needs some very good Counselling.So consult a counsellor for your friend problem.
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I am a schizophrenic taking Ziprasidone 40 mg once a day and Espazine 5 mg thrice day, I am a smoker a tea tottler I been taking these medication for almost 5 years now can they ever be reduced

MD - Psychiatry, MBBS
Psychiatrist, Patna
If you are symptom free it is because of effect of medicines, chances of relapse are higher after drug discontinuation.
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Nervous problems to be cured. How.

PhD (Psychology), MSc Psychology, MS
Psychologist,
Dear, I think you are referring to anxiety and related symptoms. Anxiety and related symptoms are part of human body defense mechanism and you don't have to worry much about it. Please let me know the full details and symptoms of your'nervous problem. Let us find a lasting solution. Take care.
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Im 20 and im suffering from hand shaking from few days im worried. I drink alcohol daily. Is it related to it.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Im 20 and im suffering from hand shaking from few days im worried. I drink alcohol daily. Is it related to it.
Yes, it is related if your consumption is heavy. You must quit immediately. If you smoke too, the handshaking would become even more pronounced. It does not matter when you feel like drinking, as long as you need your drink. This could lead to increased tolerance levels so that over time you will need to drink more to get the same or greater effect. You need to identify why you need to drink, and go back into your childhood to find out other influences on your personality that makes you prone to addiction. Meet with an addiction counselor and work with them to sort out this drive. Your already display the classic tendency to first obsess about it and then compulsively feel driven to meet that need. The simplest thing to do is to do some other interesting activity during the evening times. Meet your oral need with some other non-intoxicating drink like soups, juices, and sodas with lime, etc. If you think that you will find it very difficult, then admit yourself to a hospital and go for de-addiction: which normally lasts for about two weeks. Then follow that up with addiction counseling from a professional for at least three years to completely get rid of the habit. If this is also not enough, then admit yourself into a de-addiction center and stay there for at least 6 months and after that attend counseling with a professional. There are medicines that help with the drinking just to ease the initial craving. Ultimately, it is your will power and the support that you receive from the medical fraternity and your close and dear ones. You must also learn to substitute and deal with the oral need, a rigid value system, the script issue, and of course look at all the genetic factors to plan a strategy not to get into what is called ‘cross addictions’ i.e. Another form of addiction that may appear alright but is in fact as bad as the primary addiction. The center or hospital and the counselor will advise and guide you on several measures and precautions you will need to take to stay with your resolve. Even after the rehabilitation you must attend AA meetings and continue this support for a long time. Your family will also need to attend some sessions and go for Al-anon meetings for their co-dependency issues. You cannot be treated in isolation because the family has gotten used to your drinking and have made some unhealthy adaptations to somehow cope. Make a serious plan with the family and whoever else’s support you can get and act on it fast. As a combination these two therapies (counseling and rehabilitation) will aid in dealing with the addiction. It will however take a long time to completely come off of the enslavement.
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I used to drink 5-6 pegs daily for almost 15 years. I have stopped alcohol since last two years. Will this have any other effect. I feel like memory loss.

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
You are the finest example for alcohol deaddiction. Kindly spread its awareness by your example and you will be doing the society and community the greatest service. Once you involve in all such activities, your memory and everything else will come back.
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I have pain in my whole body since last night I can lost my energy I can't do work what can I do.

LCPS, BAM&S
General Physician, Pune
I have pain in my whole body since last night I can lost my energy I can't do work what can I do.
Take rest for two days. Don't look at any screen of tv, mobile, or computor. Drink water, eat only fruits and natural or home made food and just listen to work. It is related to stress. So go for a 10 days holidays to a hill station.
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Good afternoon Dr. My name is ravi. I was smoking last 10yrs. How to forget my habit. Please choose a medicine. Then tell how to use medicine. How many months.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact these conditions can exist all through the day unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing in the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heart beat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chewing gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. You must visit a doctor at the earliest and according to your condition and kind of abuse, he will prescribe the medication.
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I am 34 years old salaried man. I am not able to sleep properly during night time and next day I feel restless, tired and pain on my body. I feel sleepy during day time. So please provide me the reason of this and solution also.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
I am 34 years old salaried man. I am not able to sleep properly during night time and next day I feel restless, tired...
Hello lybrate user. There may be many reasons for sleep difficulty which needs further interview with you for exploring deep into your problems. In general medications for a short while usually help to get back to normal sleep. Along with this good sleep hygiene practices and decreasing stressful lifestyle helps. Good sleep hygiene involves having fixed sleep-wake schedule, not having coffee, tea or cold drinks after 5 in evening, usually not working in bright lights late in night, not using the sleeping bed for anything else other than sleeping and not doing anything interesting at the bedtime. Stress management involves having a healthy diet usually high in protien, having a daily exercise for 30 mins which can be chosen by you as per your interest (jogging, swimming, cycling, jimming, skipping) and a healthy work environment. Bringing compassion for other people and the nature around you can also help you decreasing the stress and live healthy. You can get in touch as a detailed interview with you can lead us to the actual reason of you having sleep difficulties and thus can the further management by medications be done.
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I am 20 years old. Sir, I had psychiachiatric problem. So I went to the psychiatrist. He diagnosed my problem as 1) depending personality disorder 2) depressive personality disorder 3) anxious personality disorder After came out of the problem I came to an idea and I started studying the people. I started being happy once unexpectedly misunderstanding happened between me and somebody, at that time I was asking apologise suddenly my father came and he said that my son (me) become mad that's y he misunderstood don't mine him. I was shock from that day onwards I lost interest on life, I decided that I will never enjoy in life. Is solution is there in for my problem or not. Even I unable to go out of the room I am a good student. Even sir I am not able to go for bath. I am expecting that I may have PTSD or panic disorder. If it is panic disorder (agoraphobia) which medicine is suitable for that. No doctor understanding me clearly please suggest me?

Masters in Clinical Psychology
Psychologist, Lucknow
I am 20 years old. Sir, I had psychiachiatric problem. So I went to the psychiatrist. He diagnosed my problem as 1) d...
Hi, you did not expect tour father to label you like that which led to your withdrawn behavior, lack of motivation and feeling stigmatised. See, you have a long life to go a long journey to complete. After birth we are on our own. You have to do yourself good by managing your illness. I'm sure a nice doctor will understand you. Stick to one doctor. Take proper medication. Full course and you will be able to overcome. Also its necessary to take psychotherapy/ counseling for which you can consult me. If both are done soon you will see a change and will be better. The thing is you don't have to focus on diagnosis you have to focus on solutions. Have faith and you will overcome it. Will help you. All the best.
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I am 30 years old. I am taking paxidep cr 25 for last 10 months. Can I stop now? My depression level now low.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 30 years old. I am taking paxidep cr 25 for last 10 months. Can I stop now?
My depression level now low.
You need to consult your doctor who has been tracking your progress to know whether it is time to take you off the medication. Usually, depending upon your condition, you can come off of the medication if you have been episode-free for at least three years. So talk to your doctor because you have been on medication for only 10 months. He will know better.
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I have lost my concentration. I can not focus on one thing. I get worried a lot. My mind is constantly thinking something else or the other. I want to calm myself down. Please help me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You need the help of a counsellor to sort out the worrying. Then you will feel less stressed and will have better concentration. In the meantime do the following: Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem-solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning, at least, five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position, you must squat down and rise up and do this for five minutes every day. There is some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food. You may also include these noted foods that are good for your brain health: Brain-Friendly Foods MIND stands for Mediterranean-DASH Intervention for Neurodegenerative Delay. But the MIND approach “specifically includes foods and nutrients that medical literature and data show to be good for the brain, such as berries,” says Martha Clare Morris, ScD, director of nutrition and nutritional epidemiology at Rush University Medical Center. You eat things from these 10 food groups: • Green leafy vegetables (like spinach and salad greens): At least six servings a week • Other vegetables: At least one a day • Nuts: Five servings a week • Berries: Two or more servings a week • Beans: At least three servings a week • Whole grains: Three or more servings a day • Fish: Once a week • Poultry (like chicken or turkey): Two times a week • Olive oil: Use it as your main cooking oil. • Wine: One glass a day You avoid: • Red meat: Less than four servings a week • Butter and margarine: Less than a tablespoon daily • Cheese: Less than one serving a week • Pastries and sweets: Less than five servings a week • Fried or fast food: Less than one serving a week
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I am 38 years old and I have forget problem.Please do help.

MBBS, MD - Psychiatry, (MRCPSYCH-UK)
Psychiatrist,
Forgetfulness is only part of a symptom group. Kindly get assessed by a psychiatrist for a diagnostic formulation of your problems.
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