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Dr. T.M.R Panicker

MBBS, M.Sc - Physiology, MD - Psychiatry

Psychiatrist, Chennai

42 Years Experience  ·  500 at clinic
Dr. T.M.R Panicker MBBS, M.Sc - Physiology, MD - Psychiatry Psychiatrist, Chennai
42 Years Experience  ·  500 at clinic
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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. T.M.R Panicker
Dr. T.M.R Panicker is one of the best Psychiatrists in Poonamallee High Road, Chennai. You can visit him/her at K.J.Hospital-Research & Postgraduate Center in Poonamallee High Road, Chennai. You can book an instant appointment online with Dr. T.M.R Panicker on Lybrate.com.

Lybrate.com has an excellent community of Psychiatrists in India. You will find Psychiatrists with more than 36 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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Specialty
Education
MBBS - ..... - 1975
M.Sc - Physiology - .... - 1977
MD - Psychiatry - ... - 1979
Languages spoken
English

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# New182, Old#-927, Poonamalee High Road, Landmark: Land Mark: Near Dasaprakash Hotel, ChennaiChennai Get Directions
500 at clinic
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Manic Depressive Disorder - 10 Signs to Help You Spot it

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Manic Depressive Disorder - 10 Signs to Help You Spot it

Manic depression, also known as bipolar disorder in recent days, is a major mood disorder characterized by hypomanic or manic episodes (deviation from one's usual mood along with abnormally high energy levels). Mania involves sleeplessness, along with psychosis, hallucinations, rage, grandiose delusions or paranoia. Mania or hypomania isn’t usually harmful to the patient and they might exhibit increased capacity for work and creativity. Depressive episodes however, can be debilitating and often life threatening as the person becomes self-destructive and suicidal in many instances. 

The extent of mood swings can vary from extreme to very mild. They can occur progressively or suddenly and might last for few days to weeks. Patients affected by bipolar disorder may experience disturbances in thinking apart from depressive or manic episodes. Distortions of perception and impaired social functioning are also not uncommon. The cause of bipolar disorder is not fully understood like most mental health conditions and is often thought to be hereditary.

The extent of the seriousness of the bipolar symptoms varies from person to person. In some people, the disorder is not full blown and they don’t exhibit all the symptoms. Others who aren’t that lucky might have to be hospitalized multiple times in their lives as the symptoms creep into their work and personal life and make living a normal life a tough challenge. 

Psychotic symptoms such as disorganized thinking, hallucinations and delusions might make a person do things that demand the urgency of hospitalization to keep them safe from their suicidal impulses. These symptoms might need to be urgently addressed by a psychiatrist and with the help of medications, the person might be able to regain control of their lives.

The symptoms of bipolar disorder are many and can be mainly categorized into two (sometimes overlapping) categories of mania or hypomania and depression:

Manic symptoms include: 

  1. Grandiose delusions (delusion of grandeur) 
  2. Racing thoughts which are often disconnected
  3. Sense of euphoria or false elation
  4. Irritability without cause
  5. Hampered social functioning
  6. Increased sexual inclination and risky sexual behavior
  7. Hyperactivity
  8. Increase in talking volume or speed
  9. Impaired judgment
  10. Reduced sleep requirements owing to extra energy levels
  11. Increased productivity and creativity

Depressive symptoms include:

  1. Abnormal eating patterns like over or under-eating to the extent of severe medical complications accompanied by drastic changes in weight
  2. Difficulty in concentration, making decisions and remembering
  3. Lack of energy or fatigue 
  4. Contemplating about death for prolonged periods of time and suicidal behavior
  5. Oversleeping, insomnia or early awakening
  6. Persistent pessimism 
  7. Irritability and restlessness
  8. Feeling of hopeless and negative attitude

Mood stabilizers, such as lithium are commonly employed to treat bipolar disorder. Anticonvulsants, benzodiazepines and anti psychotics can also be used in the treatment. Along with medications, support from family and friends is of the utmost importance as they need to help provide all the support required in making the person functional and healthy.

3 people found this helpful

I am suffering from hypnotism, please help me to overcome this problem.

PhD (Psychology), MSc Psychology, MS
Psychologist,
I am suffering from hypnotism, please help me to overcome this problem.
Dear , please tell me what do you mean by this? hypnotism is the induction of a peculiar psychical [i. E, mental] condition which increases the susceptibility to suggestion. Who is suggesting and what? please provide me more details about your mental state. Take care.
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I am facing some time memory loss what should I do?

BHMS
Homeopath,
I am facing some time memory loss what should I do?
Take bacopa menomery 1x tab. (homeopathic) two times a day. Practice yoga and meditation. Start walking in open air 15 minutes daily.
1 person found this helpful
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I've noticed a developing tremor in my left arm over the last month that I've never had before, and it can get distracting enough to prevent daily tasks such as making coffee without spilks, and I've had a verbal stammering and stuttering problem. It's not severe, but I've become easily annoyed by small, simple tasks in my life and I'm uncertain what caused the onset. Is this an immediate concern, or one I can consult my family doctor about?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You must consult your doctor. These are not normal symptoms. Apart from the doctor please do meet with a counselor. At your age a lot of things could happen around hormonal imbalances and also from developmental issues that will come up for the last time seeking a resolution. Together they can compound matters to make you feel disturbed. But whatever the case tumors must never be neglected.
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Doctor my father is sometimes happy and suddenly shouting and getting angry and again crying then again he is normal like this he is doing for the past 1 month what problem?

MD - Psychiatry
Psychiatrist, Chennai
Doctor my father is sometimes happy and suddenly shouting and getting angry and again crying then again he is normal ...
He might be having emotionally unstable personality, accept what he is, and ignore his negatives and take his positives. Speak with him softly when he is a good mood and you can encourage him to get the help of a psychiatrist or clinical psychologist to control his outbursts. All the best.
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Why different place of body having random pain like running from one place ot another everyday?

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Why different place of body having random pain like running from one place ot another everyday?
Hi there ~ what you describe seems to be a very classic case of radiating pain or vague bodily aches and pains that are related to a chronic medical condition. I hope you have yourself checked for diabetes, hypertension and other chronic medical condition. If you are a healthy individual with such pains somatization disorder may be a valuable diagnosis which could give you good relief from your symptoms in a quick and effective way. You will need to consult a neuropsychiatrist in that case to get your medications prescribed. Hope this helps. Take care and have a lovely day!
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I'm suffering from depression (anxiety disorder). Symptoms - oversleep, appetite issues. Kindly suggest ways to get rid of this illness.

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
Panic attacks and anxiety disorder can be managed with the help of psychotherapy, meditation, exercise and life style changes. Please post a private question to me with every detail. I will help you. Take care.
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Sir. I think I have disease called bipolar concern with mind problems. I am constantly in tension and can not do anything with fresh mind. I constantly keep thinking on silly think and can not stop thanking. I can never concentrate.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Sir. I think I have disease called bipolar concern with mind problems. I am constantly in tension and can not do anyt...
Hi lybrate user, as you r guessing it as bipolar, but may not be too. But certainly its mental stress related. You need to follow few stress releiving methods like yoga, meditation, regular practice of prabayama, breathing exercises will do help much to make you stress free&relaxed. Try to do rwgular exercises, mostly above mentioned, take food wise more healthy, proteinaceous, nutritious, avoid spicy, oily, junk food, packaged, processes food, carbobated drinks, alcohol etc. Consume more water, maintain 7-8 hrs of sleep. If, in honeopathy, with symptoms similarity, you can get suitable remedy which will improve your health in general, including your thought process also. Tc.
1 person found this helpful
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I am a drinker and smoker last few days my health is not good tell me any solutions.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am a drinker and smoker last few days my health is not good tell me any solutions.
YOu have to stop both drinks and smoking. Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol or may need professional help from a psychiatrist or de addiction centre. Try to do meditation and yoga. Read good books and listen to music and if you are believer attend Bhajans Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers .Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap some wine for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you.
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Depression - It Can Cause You to Feel 100 Years Old

Masters in Clinical Psychology
Psychologist, Jaipur
Depression - It Can Cause You to Feel 100 Years Old

Depression is a very unfortunate state to be in, in every sense of the word. It is a sickness of the mind and can only be felt by the person experiencing it. As a matter of fact, it is even worse when depression does not occur on its own, but is rather accompanied by another condition such as fatigue.

There are many cases where depression occurs along with chronic fatigue syndrome. The irony is that when a person is depressed, he or she is unlikely to be willing to get out of bed and when this is compounded by chronic fatigue syndrome, even if the depression alleviates, it would not make much of a difference as it would be a case of ‘mind willing, flesh weak’!

Many of the people who are diagnosed with depression have extreme patterns when it comes to sleep. Either he or she would sleep for extended periods of time and feel lethargic to do anything else. Or, the other situation is generally when he or she is more or less an insomniac and does not get sleep even if he or she would really like to grab a bit of shut-eye!

What are the Symptoms?
When a person is going through depression, it can be said to be of the highest importance to be able to judge the symptoms of the condition soon, so that the person can go and seek treatment. The symptoms, which are being talked about include extreme eating habits, that is, either eating way too much or not enough at all, along with a continuous sense of anxiety which, depending on how severe the case of depression is, can cause a person to have his or her mind clouded by the anxiety which over sweeps all other thoughts. In addition to these symptoms, there are other signs which appear with the onset and continuance of depression. These include disinterest in hobbies, which once appeared enjoyable to take part in.

Chronic fatigue syndrome kills off any urge to partake in any activity, which is voluntary in nature. With the combination of these two conditions, it can be quite possible, rather unfortunately, for a person to find himself or herself to be stuck in a vicious cycle. Sleep disorders, such as sleep apnea can really kill a person’s zing and as a result of the same, make it harder for him or her to get out of depression and more likely to fall into depression if he or she has not yet. Curing depression includes changes schedules, engaging in yoga and other similar activities. Dietary changes may also be warranted. However, the recovery should take effect soon! If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4515 people found this helpful

I have a memory less problem. What to do? I forgoing what I reading. Please help me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You may be under some stress. So if you handled stress better, you will certainly improve. 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, 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 are some memory enhancing techniques and study methods that your teacher will be able to guide you with. Recently they have discovered that moderate consumption of red wine and peanuts do help.
21 people found this helpful
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Sir I am a student, I am a chain smoker How can I quit smoking.

Reparenting Technique, BA, BEd
Psychologist,
I suppose you got into ti from peer pressure. They are very influential all through your life. You may have to give up their company for a while.You have made a wonderful decision and it will affect you positively in the future for sure. But it is not easy because there is a lot of conditioning associated with it and these can be spread over the whole day and night!!! When you decide, it must be done immediately and abruptly. Waiting another day will jeopardize the decision. Since you want to do it I recommend that you seek the help of a counselor and do it with support. You need to identify with why you smoke: there is an oral need, the nicotine effect, the psychological effect of covering up some other issue, for style, to impress, etc. You may discover that the reasons may be unimportant at this stage because you have become too addicted and the habit has become compulsive. 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, for a little while. If the urge is too strong, then use nicotine chewing gum or nicotine patches, for a little while until the smoking drive reduces, substantially. You may 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. To help process all of the above and to get support, go for counseling and persevere with it until you are completely over it.
1 person found this helpful
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I am acting Like I've Some Depression Issue. How Can I Overcome?

MD - Alternate Medicine, BHMS
Homeopath,
I am acting Like I've Some Depression Issue. How Can I Overcome?
For now, please do meditation and yoga for atleast 5-10 mins in morning. If this does not help you within a month or so, then please consult a homoeopath for it.
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Hello sir Last some years my moms feet having cracks And its very painful We trying lots of medicine and Dr. BT its not complete cure after dome times its showing She has Parkinson's also So giving me details about condition.

MBBS, MD - MD- Skin & VD
Dermatologist, Ahmedabad
Hello sir Last some years my moms feet having cracks And its very painful We trying lots of medicine and Dr. BT its n...
Hello, parkinson's desease can cause skin changes making skin extremely dry. It could also be a side-effect of a medicine as the medicines given for parkinson's are strong. For cracked and painful heels, the solution is moisturizing and nuetralising the dryness. I don't know what medicines you have used, -use polysporin cracked heels cream or put vaseline petroleum jelly on the cracks, put in good amount. -massage feet with a lot of moisturiser. -try to scrape the dry skin by dipping feet in hot water for some time.(avoid the areas that are painful) - never let the feet dry, apply moisturiser and vaseline repeatedly. -at last, in the night before bed, make her wear cotton socks after moisturising. -do not walk bare feet, wear soft chappal, if possible, wear socks most of the time. You will have to help her for applying moisturiser and make her follow all the instructions as she is suffering from parkinson's and might not be able to take so much care on her own.
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Sir, I enjoy the company of my relatives, friends, but feel hesitate going out in the crowd as I feel people are looking at me, talking about me, giving me comments, laughing at me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Sir, I enjoy the company of my relatives, friends, but feel hesitate going out in the crowd as I feel people are look...
The problem in your case seems to be a combination of inferiority complex and lack of self confidence. People speak about everyone. The way we look at it is important. Try this very simple and effective exercise to improve your confidence and esteem stand in front of the mirror. Keep your shoulder straight, chest high, chin slightly lifted up. Say to yourself aloud - I am a smart and confident woman. I have many talents and people respect me for that. Say this out aloud ten times. This will help improve your confidence greatly also start engaging yourself in any sort of work that you love doing like, embroidery, stitching, knitting, cooking - anything that you love doing and are talented in. This will help keep you occupied and take you away from the negative thoughts the advice that I have given you is based on what you have told me. There are many more such remedies in psychotherapy. If you want to know more consult in person.
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I am 25 years old and I have a smoking addiction. What should I do?

Reparenting Technique, BA, BEd
Psychologist,
When quitting, you must take one day at a time. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. 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 chewing gum or 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.
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I am not feeling well, I have fever little bit body pain cough what should I do.

MD Psychiatry, MBBS
Psychiatrist, Ghaziabad
I am not feeling well, I have  fever little bit body pain cough what should I do.
It could be viral. Very common in this season. Have plenty of fluids, rest, do betadine gargles, take steam. For fever you can take antipyretics like pcm. Hopefully it should improve in a week. If not consult a physician.
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I am 25 years old. I am feeling depressed please tell me what to do. I want to share my problem to some one. There is no one to listen me.

BHMS
Homeopath,
I am 25 years old. I am feeling depressed please tell me what to do. I want to share my problem to some one. There is...
Dear lybrate user, try biochemic kali phos 6x tablets to get rid of your depression. Take 4 tablets, thrice daily, with a cup of lukewarm water.
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How can l increase my memory? I forget things after some time. Please suggest me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
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 are 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.
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