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Dr. T.M.R Panicker

MBBS, MD - Psychiatry, M.Sc - Physiology

Psychiatrist, Chennai

42 Years Experience  ·  500 at clinic
Dr. T.M.R Panicker MBBS, MD - Psychiatry, M.Sc - Physiology 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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Education
MBBS - ..... - 1975
MD - Psychiatry - ... - 1979
M.Sc - Physiology - .... - 1977
Languages spoken
English

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# New182, Old#-927, Poonamalee High Road, Landmark: Land Mark: Near Dasaprakash Hotel, ChennaiChennai Get Directions
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My age is 30. I have more emotionally attach with my husband so when he hurt me at that time i m totally being negative.And i feel that i m so alone and my mind become so stressful at that time i think about suicide or want to go very far from my family.So i want to know is there a problem in my mind? I have BP problem also.And i am under treatment for BP.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You may be very sensitive and you may also have weak ego boundaries. These two in combination is causing havoc to you and to the relationship. You must learn to detach from your husband and know where he is responsible for something and where you are. You take on the entire blame easily on yourself and your reasoning is getting clouded in the bargain. The fact that you have a BP problem at such an early age suggests that you stress yourself very much and you do not handle it well either. You may be getting very angry and are unable to contain it and that leads to thoughts of suicide. It is not worth dying for anybody. You cannot be so delicate as a person. You must toughen yourself and develop your defenses to a stronger level. In fact most of what you are supposed to take as precautions for your BP, will be good for you. There is a very comprehensive book written by Dr. Dean Ornish titled, Reversing the Heart Disease. It is an excellent read and gives you amazing guidelines as to how to conduct your life in many areas of concern. Very simply I can say that he proposes exercise, stress management, Yoga and meditation, vegetarian diet, and no smoking. Meet with a counselor to determine how and where you developed this delicacy and sort it out. I would also suggest a personality development course that addresses the five areas of concern: physical, emotional, intellectual, social, and spiritual.
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I am 24 years old male. And I am suffering from piles from last more than 1 year. I smoke weed that's why it is struggling. What can I do to quit it? What should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
Take fiber diet. use green vegetables. avoid constipation. take tab pilex one tab 3 times daily. use anovate ointment on anus. consult surgeon for detail advise.
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I am 40years old I forgot name of person I remeber person's address his attitude his nature for back 10 years but forgot his name when he ask me do you know my name & also when I read name of person in book also or confused in name?

M.D,Psychiatry
Psychiatrist, Amritsar
It may be due to lack of mental concentration due to depression or some other organic cause go for mri 2d brain.
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Hi. I am male 22. I get scared when I see people now a days. I am suffering from depression. For that I am consulting a psychiatrist now. But I am still not able to come out of this. Specially if it is the opposite sex. I freak out. Please suggest me how do I come out of it.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
The fear of people has to do with your lack of social development. We are all social animals, gregarious by nature and need each other. But if there has been poor exposure and skills around people, we become very intimidated. Surprising we are into relationships all through our lives, yet we fear people. In your head you are probably comparing yourself and worrying whether you match up or not. You may feel inferior and inadequate around them. When it comes to a girl it can get very complicated because of the sexual connotation. The depression has a lot to do with this fear. I suggest you do a personality development course and a personal grooming course too. Meet with a counselor for your depression but also deal with your emotions, extensively. The distortion about people and especially girls will also be dealt with as you develop yourself. Go to a gym and do some body building and feel your image develop into a tough and strong young man. I hope you are studying well too? education can boost your self confidence. Do a lot of deep breathing exercises to calm yourself down. The bottom-line is we all want to be loved and to love. Learn this very important need of all humans: love people. Where there is perfect love there is no fear.
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I am 24 years boy and I have a bad habit chewing of tobacco product. So please doctor help me how to quite it in few days.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
If it is Hans and gutkha products, they are both very dangerous. I am so glad that your intention is to quit these habits. There are no guarantees about stopping one?s addiction. But that does not mean we should not keep at it, over and over again until we succeed. Both are tobacco products and will therefore have addictive components to them. It may feel like you can?t stop but that it really not true. If you do not try, then it will never happen. You must try and try again until you succeed. The problem with addiction is that you have two products which are both conditioned to various events in your daily life and as such it will make it difficult but not impossible. You could work with an addiction counselor to help you process the rehabilitation. It is important to first find out about the ill-effects of tobacco use to have a reason that alarms you about continuing in the habit. The information is really scary and true. The nicotine in tobacco 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 consuming any tobacco related items with immediate effect. Nicotine also reduces the erectile capacity of your penis to hamper satisfying sex. You should start vigorous exercises, gradually increasing it over a period of time. You need to 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 tobacco drive reduces, substantially. Both will help but I am inclined to favor the gum because it is an oral habit and it will occupy the mouth just as though you were still chewing tobacco. When you want it will be easier to give up the gum.Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-users for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit consuming Hans. 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 suffering from stress due to competition exam .exam will held tomorrow on 9 o clock .and still now I could not repeat syllabus .pls suggest me immediate.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am suffering from stress due to competition exam .exam will held tomorrow on 9 o clock .and still now I could not r...
As the exam is tomorrow you have to just relax and meditate and calm your mind. You will remember all that you have studies and last minute fear is very common for all students
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I am suffering from anxiety for over 4 weeks. What should I do? Please tell best medications exercises?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am suffering from anxiety for over 4 weeks. What should I do? Please tell best medications exercises?
Homoeopathic treatment ACONITE NAPELLUS 200 ( Dr.Reckeweg) Drink 5 drops in 1 spoon fresh water twice daily ALPHA T.S Drops ( Wilmar Schwab India) Drink 20 drops in 20 ml fresh water 3 time daily ACONITE NAPELLUS 200 ----During acute anxious state of mind start take ACONITE 200 1-2 drop direct on tongue every 5-10 minutes until symptoms subsides. Shruti the above medicines will help you 100% but always keep one thing in mind that Anxiety at your age has a solid cause and to beat this anxiety it is important to remove that cause from your life. I want that you adopt naturopathy in your life style nd for that I will recommend you to do BHRAMARI PRANAYAM daily morning as this Pranayam is a very good stress burster nd relieve you from anxiety related problems. 1.Close your eyes. Focus on your breathing 2.Place your thumbs in your ears, your index fingers above your eyebrows, and your remaining along the sides of your nose. Keep each little finger near a nostril 3.Breath in deeply through the nose. First, feel the diaphragm move down, allowing the lungs to expand and forcing the abdomen out; then feel your chest expand with your collar bones rising last. 4.Use your Little fingers to partially close each nostril. Keep your lungs filled. 5.Breathe out through the nose while humming. Note that the humming sound should originate in your throat, not as a result of your partially-blocked nostrils. 6.Repeat three times Tips • Always do what is most comfortable for you. If any of these exercises makes you feel light-headed or uncomfortable, stop or slow down immediately. Take breaks often as necessary. • If you have a medical condition, consult with your doctor before doing pranayama. For example, if you have high blood pressure, heart disease, labored breathing, a hernia, or any other condition that could be exacerbated by especially fast, deep, or intense breathing, you may have to modify or skip some of the following exercises. • Make sure your nose isn’t stuffy. Nostril breathing is crucial in yoga, so if you have a head cold, you won’t be able to complete these exercise. • Don’t suck in your gut. Unless otherwise noted, it’s important that you relax your stomach muscles when doing yoga breathing exercises; when they’re held tight like a corset, you can’t take oxygen as deeply into your lungs. •If you prefer to do Pranayam in the evening, do it on an empty stomach; keep a several-hour gap between your meals and Pranayam. •Sit comfortably with your spine erect. You can sit in the traditional lotus position or simply make yourself comfortable in a chair. For additional tips, •It’s preferable to practice Pranayam in the morning.
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I am not able to concentrate on my education. When I sit for studying, I have started thinking on other matters. What should I do for better concentration?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Your distracted mind is playing havoc: there is a reason for that though.I firmly suspect that the adolescent issues with regard to hormones may be affecting your ability to concentrate and remember. When the hormones play up, it lasts for a period of close to two years and during that time you could be influenced by three signs directly impacted by the chemical: you will tend to become aggressive and rebellious, you will become sexually active, and you will have acne and pimple problems. The hormonal imbalances may not only impact your memory because of the chemical but also bring some distractions that come with it. But you may work on the following even if the hormones kick in: 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 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. 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.
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I am 65, male suffering from too much of anxiety. The other day when I went to board a train to go to Guruvayur, someone stopped me and started enquiring about my journey, claiming to be policemen. They let me off, when my wife, who was coming far back, came and questioned as to what is going on. The duo said that there were bad elements, out to deceive passengers of their belongings and so they called me to warn me to be careful. After this I am afraid to going to the station to board any train. This kind of fear occurs often and I keep imagining about some bad situation, blow it out of proportion and make not only myself miserable but others around me. Several times I have been confronted by people in railway station, bus stand, etc. Like this and duped of money and valuable and this has left a deep impression leading to awful anxiety. How to overcome this?

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
I am 65, male suffering from too much of anxiety. The other day when I went to board a train to go to Guruvayur, some...
Dear, these type of problem and negative thoughts are due to obsessive thoughts. Obsessive thoughts are common for everyone. But for everyone, these thoughts happen for a certain amount of time, say 24 hours. Then, they recover mainly because they get themselves busy in some other areas of their life. That is what you have to do. Get yourself engaged in some other areas of life. Take care.
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Hello sir, I'm 3 years old how do I increase my memory power my memory power is very poor whatever listen no understand bad common sense I'm anxiety patient whatever eat no recover my body please advise me.

M.Sc - Applied Psychology
Psychologist, Bangalore
Memory can be increased by encoding data using various memorising techniques like mnemonics. You have mentioned that you are suffering from anxiety and depression and are on medication. Please do regular exercise like jogging or walking or yoga etc, eat well balanced food, sleep well and spend time in activities that you enjoy doing. You can consult a counsellor for exploring your issue. You can take guidance of your psychiatrist too.
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I am a very heavy smoker and lover and drinker so kindly help me to come out from this.`

C.S.C, D.C.H, M.B.B.S
General Physician,
Only by using strong will power and avoiding all situations where you feel like smoking, chewing tobacco or drinking or using drugs avoiding friends who smoke and diverting mind by reading or chewing a gum, like NICORETTE and taking a walk when you crave for a smoke can all help. You can chew Nicorette gum which is nicotine replacement. There are medicines available. Which can be prescribed if asked personally Cigarette smoking is a leading preventable cause of mortality. It kills more than 60 lakh people worldwide every year. More than 50% of regular smokers would invariably die from tobacco-related illnesses which includes heart attack, cancer or asthmatic lung diseases. Best age to stop smoking is before 40 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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Cure for anxiety and panic attacks during sleep? Is diazepam better than clonazepam? Or is there better option with lesser sedation and addiction?.

MBBS, DPM
Psychiatrist, Bangalore
Cure for anxiety and panic attacks during sleep? Is diazepam better than clonazepam? Or is there better option with l...
Already another doctor answered that it may be a sleep disorder. You need to get diagnosed and assessed properly by a psychiatrist. Both diazepam and clonazepam are of the same group of drugs called benzodiazepine. Both have addiction potential in vulnerable persons. The sedation is for longer time in diazepam than clonazepam. Both are dose dependent. Knowing these, if you still want a benzodiazepine only, clonazepam is better, because it acts only for 6-8 hours.
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I am 28 year old professionally a software engineer I feel that I procrastinate things ,become confuse with spellings while writing. Finds difficulty in continuously speaking and prompt answering. Rate of thought generations seems slow to me as I compared myself with few other people. My attentions wanders from recent tasks and so I take more time for doing things. Overall it reduces my performance at my work place and I have been asked for performance improvement previously at my work place .How I should control and reduce it to improve my performance . Also I want to improve the way of doing things I closely observed successful people from IITS and NITS , and I want to change my living style as like them. Can study of NLP (Neural linguistic programming ) help me ?Please help. I Want to achieve my dreams.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Dear lybrate user, it is excellent to have a dream and it is wonderful to make sincere efforts to achieve the dream. It is also very important to have rational expectations, so that the goal is achievable. Hence, don't look at iitians and nitians. Focus on your dream and understand what skills will be required to achieve that dream, make a systematic plan, have a detailed schedule for each month/week/day and try to do things as per the schedule. Remember that what you do today is going to affect your future. So you will have to make conscious efforts to get rid of your habit of procasination. You probably are under stress and have fatigue. Try to take healthy diet, lots of water, do some exercise, and try to get at least 7 - 8 hours of sleep every day. Stop comparing yourself with others. Every person in this person is unique. There will always be many people who will be better than you and there will be many people who are not as good as yourself. So stop comparing. Always compare your current performance with your previous performance. Try to improve on that, learn new skills. Nlp would be helpful. You may also talk to a counsellor. Take care.
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One of my family member is addicted with smoking and is unable to relax. How can he quit smoking?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Whoever it is, this much is clear, whoever has the smoking habit has to want to stop the habit himself, first. Anybody else that wants to stop someone else’s habit, even if you use force, cannot succeed in the long run until the person himself wants to stop it. Now the person will want to stop the habit as soon as he has ‘Hit Rock Bottom’ when he is really ready to give it up and wants help and support. You can keep encouraging and warning him about the damage he is causing to himself and that the effects may be visible much later. Initially he needs to meet with a counselor who will encourage him to give up the habit by pointing out the imminence of ‘Hitting Rock Bottom’, and some responsive candidates respond with a serious motivation. Once that has been achieved he can be taken for detoxification either to a hospital or to a rehabilitation center and he can then follow their schedule for complete cessation. If it is not too serious, he can cope with counseling itself to sufficiently give it up.
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I have recently had a breakup with my GF i find it very difficult To get her put of my mind that is the reason i feel depressed lost and alone all the time i cry everyday i have felt a drastic decrement in my apetite and have loat 12 kg in 2 months i still want to talk to her but she refuses to talk i hurt myself i was not this kind of a person previously i used to enjoy life and was very happy i was called upon by my frnds all the time because of my jolly nature but now no one want to talk to me.I even get suicidal tendencies many times I want myself back any kind of help or suggesstion will be highly appreciated. Thanks in advance

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
Dea, you are 24 years and you should have the logical approach towards this problem than emotional approach. Logical thinking settles the relationship down. You are still worried because you still hope to get her. That is over. If you don't realize it now, you may be requiring psychiatric treatment in the future. Grow up, dear. Take care.
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We are twins . He wants to have sex with mom but my mom is satisfied with my dad . They do sex every week. And sometime mom also gives signal . How to help him .he wants to sex with mom anyhow.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
We are twins . He wants to have sex with mom but my mom is satisfied with my dad . They do sex every week. And someti...
He has a fixation with his mom that he needs to grow out of. All children have a phase when they want to marry their mother or father depending on the sex of the child. This is quite normal but then the child has to resolve this attraction and learn that this is normal but it is there to help him find a sexual resolution. He will, in normal circumstances, accept his sexuality and resolve the sexual identity according to how well his mother has accepted him and helped him understand (not in so many words) that she is his mother and his father's wife, period. When this is done properly and often quite naturally, he will move on. So talk to him and explain that he is fixated in a childlike state and needs to happily move on. He has to find his attraction in other girls that he meets and cultivate a good relationship with them and know that those are his peers from which he will choose a partner in life. If he is not receptive to you, then take him to a counselor.
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Recently my mother died of abdominal pain which resulted in heart attack. I saw my mother die with severe pain till last breath. I am under severe depression and tremendous grief with an intense feel of guilt, frustration and anguish on myself that I couldn't save her. I can't sleep at night and her death has scared me badly. At night I wake up and the memory of her death haunts me. I experience cramps in my stomach the way she did during death and l feel that I am also going to die the same way. Please help. I can't sleep or concentrate on anything and life seems to be hopeless.

MBBS
General Physician, Ahmednagar
Recently my mother died of abdominal pain which resulted in heart attack. I saw my mother die with severe pain till l...
It is but natural that you have witnessed a death of beloved in agony. Memories of death will hurt you of course. But do not curse yourself. Because it is not fault of yours. It was a destiny. Similar feeling in you are because you think too much. You don't have relate everything in your life to mother's death. Take tablets from your family doctor to calm your mind.
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I am suffering from fever last night and pain my chest, hand almost full body pain and vomiting last night what I can do plss help.

MBBS
General Physician, Chandigarh
I am suffering from fever last night and pain my chest, hand almost full body pain and vomiting last night what I can...
Take tab combiflam twice a day after meals for fever but it is advisable that you get investigated for fever to get its proper treatment.
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How to solve the problem of depression and dyslexia. These two diseases are connected.

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, dyslexia, also known as reading disorder, is a learning disability characterized by trouble with reading despite normal intelligence. Depression is a state of low mood and aversion to activity that can affect a person's thoughts, behavior, feelings and sense of well-being. Dyslexia and depression are not related. Clinical depression is usually treated with a combination of psychiatric medicines, psychotherapy, life style changes, meditation and exercise. I hope you are undergoing psychiatric treatment, otherwise, please approach a psychiatrist.
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