Doctor in Centre for Psychiatry/Sexology (Sunrise Hospital)
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Cognitive Behavioral Therapy
Memory Improvement Techniques
Obsessive Compulsive Disorder Treatment
Counselling And Stress Management
Treatment of Abnormal Behaviour
Psychological Diagnosis (Adult And Child)
Electroconvulsive Therapy (Ect) Treatment
Management of Emergency Conditions
Manual Therapy Treatment
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Patient Review Highlights
The experience with Dr. Tripathi was extremely good. He is a very knowledgeable doctor and has a knack of dealing with difficult issues in a very comfortable manner. His treatment has helped me significantly and i would highly recommend him
Serious mental disorders and side effects to varied medicines may cause hallucinations in many individuals. Psychosis and Schizophrenia are the most commonly known causes that may cause this condition. Hallucinations are sensations and feelings that may appear as real to the patient, convincing him or her of the occurrence of things that are not really happening in reality. Hearing voices, seeing people, and experiencing things that no one else can, are some of the ways in which hallucinations work.
Let us find out the varied signs and symptoms of this condition.
Hearing Voices: One of the most common signs of hallucinations includes hearing voices. You may hear voices from people who cannot be seen or heard by other people around you. In such cases, you may have the distinct feeling of hearing these voices from within or from a source outside your own mind and body. In many cases, you may feel like these voices are trying to talk to you or give you a certain message. Ringing of the ears on a persistent basis may also be experienced in such cases.
Visual Hallucinations: These hallucinations will make the patient see things. In such cases, the patient may be witness to a scene that cannot be seen by anyone else – a scene that may not be happening in reality. In visual hallucinations, the patient may also see people that other people in the room or the area cannot see. The patient may also see objects and other creatures like insects crawling across his or her hand, and may react with fear or anxiety, when in reality, no such scene may be happening. These kind of hallucinations also cause occipital seizures where the patient will see spots, shapes and rings of brightly coloured lights that may be coming towards him or her, or even encircle him or her.
Feeling Things: These kinds of hallucinations will make the patient feel things that may not really be happening. For example, these hallucinations will make the patient feel hot during winters or feel a blast of air even when there has been none.
Taste Hallucinations: In these hallucinations, the patient may get a salty taste from sweet food, or vice versa. These hallucinations make the patient imagine that he or she tastes a certain flavor when in reality, this may not be true. These are also called gustatory hallucination.
- Olfactory Hallucinations: These hallucinations have to do with odd smells that the patient may get a whiff of. In these hallucinations, the patient imagines certain smells like burning, or other odours. Patients may also feel that their own bodies are letting out certain odours which may not be the actual case.
Delusion vs. Hallucination
A delusion is a false belief based on incorrect inference about external reality that is firmly sustained despite what almost everybody else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary. The belief is not one ordinarily accepted by other members of the person's culture or subculture (e.g., it is not an article of religious faith).
A hallucination occurs when environmental, emotional, or physical factors such as stress, medication, extreme fatigue, or mental illness cause the mechanism within the brain that helps to distinguish conscious perceptions from internal, memory-based perceptions to misfire. As a result, hallucinations occur during periods of consciousness. They can appear in the form of visions, voices or sounds, tactile feelings (known as haptic hallucinations), smells, or tastes.
Delusions are a common symptom of several mood and personality-related mental illnesses, including schizoaffective disorder, schizophrenia, shared psychotic disorder, major depressive disorder, and bipolar disorder. They are also the major feature of delusional disorder. Individuals with delusional disorder suffer from long-term, complex delusions that fall into one of six categories: persecutory, grandiose, jealousy, erotomanic, somatic, or mixed.
Q. What is depression?
A: Depression is a common medical illness that affects the way one feels and thinks. It causes feeling of sadness and decreased enthusiasm/interest in life activities.
Q. What are the symptoms of depression?
A: The following are the common symptoms of depression:
- Feeling sad most of the time
- Loss of interest in activities once enjoyed
- Repeated crying spells for no reasons
- Changes in appetite — weight loss or gain
- Trouble sleeping or sleeping too much
- Loss of energy, getting tired easily
- Negative thinking
- Poor concentration
- Thoughts of death or suicide
Q. How common is depression?
A. It is one of the commonest medical illness and around one in six people will experience depression once in their life time.
Q. How is depression different from normal sadness?
A. Feeling sad once in a while is normal however in depression sadness stays for most of the day and one is not able to feel good despite trying to do so. Even if a person cheers up once in a while, its very short lasting and gloom tends to return back.
Q. What causes depression?
A. Multiple factors are responsible. Changes in levels of certain brain chemicals such as serotonin, norepinephrine and dopamine are the main cause. Also, genetics is an important factor. Depression tends to run in families. Finally, any stressful life event can trigger the depression.
Q. What is “smiling depression”?
A. In some cases depression is not so evident. Patients are able to hide it from others and may keep a smile on their face, however they suffer from inside.
Q. Is depression a dangerous disorder?
A. Not really. Since its easily treatable, it can’t be called as ‘dangerous’. However, it should not be taken lightly. Depressed patients can develop medical complications like high blood pressure, diabetes etc. Also, depression is the most common cause of suicide. So prompt treatment is important.
Q. If i am feeling depressed, does that mean i am a ‘weak person’ ?
A. Not at all. Any one can develop depression. It has got nothing to do with being strong or weak. The important thing is to accept the problem and to work on it. If someone develops ‘high blood pressure’, we don't call that person weak , similarly, we should not presume that depression occurs in weak people.
Q. But i was a very ‘positive person’. How can i develop depression?
A. You are still a ‘positive person’. Thats why you have come to seek help and get better. Please remember depression is a medical illness. Once it gets treated, you will be back to your normal happy self.
Q. Is depression treatable?
A. Absolutely yes. Between 80-90% of patients respond to treatment. A combination of medications and psychotherapy (counselling sessions) is the best approach.
Q. Do I need to take treatment lifelong?
A. Absolutely not. In majority of patients, a course of six months to one year is enough. If one have had multiple episodes of depression in the past, treatment may be longer.
Q. But antidepressants are habit forming and have serious side effects?
A. Totally untrue. Antidepressants are not habit forming. There is no possibility of developing addiction to antidepressants. However one should not stop them suddenly. Its important to gradually decrease the dosage of medicines before stopping it. The side effects are uncommonly seen and even when they occur they are mild such as acidity, stomach upset etc. You should discuss about the side effects with your doctor.
Q. But the google search shows a lot of side effects of medications?
A. Anybody can write anything on the internet. You should not blindly trust it. The list of side effects that you see on internet includes the ones which are extremely rare, so no need to get scared of those. The doctor sitting inside the chamber has put tens of years in studying about these illnesses and treatment. Please trust your doctor more than any random google search.
Q. Can i do something on my own to get better?
A. Yes, many things. To start with, go for a short ten minutes run everyday. Practice yoga or meditation. Try not to be alone. But most importantly, take medicines regularly and come for therapy sessions regularly.
For a fully functional and productive life, a person requires a healthy body and a healthy mind. Mental health issues could range from depression, bipolar disorder, anxiety disorder, dementia, obsessive-compulsive disorder, schizophrenia, autism and other causes. Hence, it is important that a person pays attention to these mental health disorders to avoid further problems in their lives, as well as the lives of the people around them.
Here are a few reasons as to why a person should not avoid or ignore their mental health problems:
- Better Physical Health: There is a solid association between the brain and the body. In case you are in physical pain, your work and family life might be influenced or you will be unable to do the activities you might like. This can prompt anxiety, nervousness and depression. People with physical health issues are three times more prone to look for mental health care than those without physical conditions as physical health problems can prompt mental distress and mental health issues can impair your physical health.
- Enhanced Productivity and Financial Stability: Stressful situations may trigger reactions that can make a person unproductive and lead to financial problems as well. Some people end up abandoning their homes, going bankrupt or homeless after trying to manage some sort of mental illness.
- Less Strain on the Family: Mental sickness or disorders influence families as well. The children of individuals with mental health issues are at more serious danger for misuse, disregard and an extensive variety of emotional and behavioral issues. Since they cannot look up to their parents for help and they frequently isolate themselves from their friends and most of them do not get the required social backing. Much of the time, the impact extends into adulthood, driving children to look for psychological or mental treatment of their own.
- Evasion of Crime and Victimization: A few studies recommend that individuals with untreated mental health, particularly in combination with other risk factors, might be at risk of carrying out criminal activities, violence or most probably becoming victims themselves. The danger increases gradually when the individual uses medications or alcohol or has acute symptoms. It could also happen if they are not aware of their mental state or have a poor adherence to medication. Usually, acts of violence happen against relatives or somebody in the individual's nearby group of friends or in close proximity to them.
- A Longer, Happier Life: Individuals with even a mild mental health issue may have a lower life expectancy and a short life span. Those with the largest amounts of depression or nervousness had the danger of death that increased an incredible ninety-four percent, mostly identified with heart diseases. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
Depression follows the trajectory opposite to contentment. It has adverse effects on a person's mental and physical health. Being depressive is not a choice; it is a condition. The fact that despondency is not an elected way of life is a mystery to many. People surrounding a depressed person should make conscious efforts in treating them with love and dignity. Subjecting a person to strict deadlines, stringent rules or excessive pressure could worsen their situation.
Ways to tackle a depressed family member:
- Create occasions to enjoy a hearty laugh: If you have a family member suffering from depression you should probably share the benefits of laughter with him or her. Laughter is the best medicine to remedy acute depression. Look for opportunities to crack a joke or make the concerned person play with a pet. You can also take the person to watch humorous movies.
- "You are impossible" is the worst way of approaching a problem: In many cases a depressed person is reported with instances of negativity. Though the expressed negativity makes you feel morbid, do not give up on your family member. The person involuntarily finds reasons to feel hopeless. You should never think the case is beyond any kind of betterment.
- Keep them in a positive environment: Positive ideas can counter dejection. Help the person plan for a great future. Lay stress on how important that person is to you and to the world in general. Keeping one's mind creatively occupied can prove to be effective. Music or any other passion for that matter can help a person get over phases of depression.
- You should not associate depression with perpetual sadness: Depression can have plenty of symptoms. The symptoms vary from one person to another. While some people lack in motivation some might want to harm themselves or others. Many become a recluse. The minute you associate depression with sadness you limit your overview of the actual problem.
- Help the family member take his or her medicines diligently: While counseling helps a few patients of depression some others require medication. A bout of depression will dissuade a person from sticking to his or her medical routine. As a loved one it is your due responsibility to persuade him or her to take medicines regularly. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
Do you feel disinterested in getting physically close to your partner? If yes, then it can be a sign of HSDD, that is Hypoactive sexual desire disorder. It is a sex disorder marked by disgust and disinterest towards sex. This disorder affects both men and women.
Men with Hypoactive Sexual Desire Disorder
Men are generally perceived as highly sexual beings, but in reality, 1 out of 5 men may be suffering from HSDD.
Some possible causes of male HSDD include:
- Psychological issues: Anxiety and stress due to the strain of family or relationship problems, rigours of daily life or mental disorders such as depression are some of the factors that influence sexual desire.
- Medical causes: Diseases (for example: diabetes), conditions (such as high cholesterol, high blood pressure and obesity) and drugs (such as hair loss medications) have adverse effects on sexual desire.
- Hormonal problems: Low levels of testosterone usually lead to low sexual desire. Other hormones, such as the thyroid hormone or prolactin (hormone that governs the development of breast milk) can also contribute to the cause.
- Low levels of dopamine: Dopamine is a neurotransmitter, which is responsible for the pleasure perception in your brain. Low levels of dopamine usually signify low sexual desire.
How it can be treated ?
If the cause is psychological, then sex therapy (psychological counselling based on sexual issues) is used to treat HSDD. But if it is hormonal, testosterone supplements are used.
Women with Hypoactive Sexual Desire Disorder
Female HSDD is more complicated and is difficult to diagnose. HSDD can affect women across all ages.
In women, this disorder can have a wider spectrum of causes, which include:
- Interpersonal relationship problems: Certain problems such as the partner’s performance issues, loss of emotional gratification with relationships, childbirth and becoming nothing, but only a loved one’s caregiver can all lead to low sexual desire.
- Sociocultural influences: Media’s portrayal of sexuality, peer pressure and job stress have negative influences on sexual desire.
- Low testosterone: Women produce testosterone as well, and similar to men, low levels of this sex hormone cause a significant dip in sexual desire.
- Medical problems: Mental illnesses such as depression or medical problems, such as fibroids or endometriosis (a disorder characterized by the growth of uterine tissues outside the organ) affect women, physically and mentally, thus making ‘hypoactive sexual desire disorder’ a possibility.
- Medications: Excessive use of antidepressants, oral contraceptives and blood pressure drugs can lower sexual desire.
- Age: The androgen (sex hormone) levels lower drastically as a woman ages, thus negatively impacting her sexual desires.
Sex therapy (therapy that concerns itself with counselling and addressing one’s physical or psychological hindrances to sex) medication changes, diagnosing underlying medical problems, vaginal estrogens and testosterone therapy (therapy that helps in managing the effects of low levels of testosterone) are mostly used to increase sexual desire in women. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
The brain is not a stagnant realm fed with a granted quota of intelligence and memory at birth. It is always in a state of flux. Exercising your brain in various ways accelerates its ability to perform better. It is in your hands to have a sharper take on situations and occurrences. Playing games that require brainstorming, solving quizzes, crosswords or playing chess makes you feel rejuvenated and tired at the same time; the reason being activated brain cells. A healthy brain will affect your life decisions positively and you probably will think rightly before you leap.
Tips to exercise those brain cells:
1. Meditate and calm your mind: Ten minutes of meditation each day can help you get over anxiety. When your mind is at peace you think out pros and cons with enhanced insight. This composure reflects in each of your actions. Meditation demands your brain to be quiet when it is accustomed to work; you therefore have greater control over it.
2. Music can improve your brain abilities: Music is the best antidote for a sloppy brain. Music excites the neurons healing a bruised memory. It gifts you with clarity of thought. Apart from listening to music one must try to play a musical instrument. Teaching yourself things puts your mind through a strict regimen of constructive activities.
3. Take out time to learn a new language: We are paralyzed the minute our brain gives up. Due to several external and internal reasons each one of us is likely to suffer from cognitive disorders on being subjected to extreme pressure or shock. Trying to learn a new language motivate your brain cells to have a wider vocabulary, which further restricts your chances of brain damage.
4. Mental mathematics could better your intelligence: Calculators, computers and phones are ridding us of our ability to compute individual data. Computation and consolidation of data helps your mind to work faster with precision. So, you now know those lessons on mental mathematics in childhood were actually the key to a well-rounded brain.
5. Think of something novel: The more the number of neurons the merrier is your brain. Take pains to direct your mind on a novel track. Thinking beyond what is given and expected helps your brain grow new neurons. It builds up your creativity letting you discover more of your capabilities. If you wish to discuss about any specific problem, you can consult a Psychiatrist.