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Dr. Vimal Kumar provides answers that are practical, inspiring and very helpful. Thank u so much sir i will try to give my 100% in exams now thank you for encouraging me regards
An eating disorder, mostly appears when your food habits reach levels of extremity. Anorexia nervosa and Bulimia are two main and the most common eating disorders found in men and women. One is the lower extreme while the other is the higher extreme in terms of food intake.
1. Anorexia: People who are affected with anorexia think of themselves to be very overweight in spite of actually being very slim and thin. Anorexia inflicted people consume less than a thousand calories per day. They exercise rigorously and try to find more ways to lose weight. They vomit a lot due to the insufficient diet and suffer more. The treatment for anorexia nervosa generally includes a mix of mental treatment, and regulated weight gain program. An anorexia patient should seek treatment as early as possible. The best ways to deal with anorexia are:
Psychological Treatment: Various psychological treatments can be used to cure anorexia of different stages. They are cognitive analytic therapy, cognitive behavioral therapy, interpersonal therapy, focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be given.
Weight gain program: This measure will guide an anorexic patient to improve his diet habits and slowly gain weight. A patient is monitored carefully, traits are recognized and a likewise diet pattern is given.
2. Bulimia: Bulimia nervosa is another category of eating disorder. The main characteristic of this disorder is overeating in the highest level. Binge eating is observed, followed by attempts by the affected individual to lose weight. A bulimic patient is constantly trapped in the cycle of overeating and then thinking about losing weight.
Maybe you do not like the idea of binge eating and fear getting obese, but once affected by bulimia a patient cannot follow this and binge eats. Later, they adopt extreme measures for losing weight. The primary methods to deal with bulimia are:
- Psychotherapy: Psychotherapy, or talk therapy includes examining your bulimia and related issues with an expert. It is proven that these sorts of psychotherapies restrict the symptoms of bulimia. The three modes of psychotherapy include- Cognitive-behavioral therapy, Family-based therapy and Interpersonal psychotherapy.
- Medications: Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is a recommended and effective medicine.
- Proper diet plan: For bulimia affected patients, having a proper balanced diet is very essential. A diet expert should be consulted, who will make the most essential food pattern for you. Undertaking a weight loss program is also recommended.
Eating disorders such as anorexia and bulimia should be avoided, and you should know the best ways to deal with them.
I am suffering from severe anxiety and fear. At present taking thyroxine 75 mcg since diagnosed wih hypothyroidism. Tsh level is 3.5. Also Hb level is 18. I get tensed frequently .BP get shouted. Please advice.
I am 40 yes old married man suffering from generalized anxiety disorder and depression for last ten years and consult various psychiatrist and medicines but it is not curing rather it was worsen day by day. My mood is always in bad state. I am yoga therapy for very long time. I am taking anti anxiety medication and benzos and sleeping pills regularly but no improvement rather it was some time worse and I have to consult doc of and on. Kindly advice any advance medicine or treatment which can cure those problem.
She is feeling depressed as my brother got a job in chennai, we live in Delhi she is feeling so depressed and when she is alone she feels depressed and breaths heavily and she says heavy tension. She is a hypothyroid patient. Help me with this. How to get my mom from this problem?
I am taking nexito plus tablet for my anxiety past 6 months, I feel Sexual dysfunction so please inform how to solve this problem? And stay fit.
Sir, I'm studying at b.tech 3rd year. I had a friend in my clg. She is my class mate. She is very good girl. We are good friends. She shares all good things her worries with me. Helps me alot in studies and defends me with her friends. Because I'm always looking silent nd a good guy talk among my friends. I won't talk much .But chats with her in all social networking. She is really honest. She Shares all her sorrows. Shares all good things among us. I like her very much .she too likes me. She recently lost her father. She seems to a sensitive girl. When I heard the news I thought it would take more days to be normal for her. But she was normal with in 1 month. She however feel the pain inside is looking normal and talking freely. But since I knew about the news, I was all thinking about her. Why it all happened to her. I like her more. She crossed in my mind Almost everyday since I meet her. Sir I am even unable to sleep. I almost lost myself. She is my best of best friends. I feeling very sad. However I'm making her happy with some saying funny things and jokes. I feel very sad bcoz she lost her father at very young age. She had a younger brother nd her mother. Sir, please don't feel it as a story. I don't know with whom to share. Please help me.
I am feeling very depressed how to elevate my mood I can't do wat I want to I can't eat any tasty food coz m suffering from pcod and thyroid for that I need to control my weight I feel lyf is very difficult how to feel good plus I have no one to understand me. please give some advice I just want to listen good words thanks.
Depression refers to a state of mind when you are feeling low due to persistent sadness and loss of interest. Depression is a very common emotion you might have experienced at least once during your lifetime. But if depression is chronic and long lasting for you, then it indicates that you are suffering from clinical depression.
Most mental and emotional health issues are inconspicuous in nature and, therefore, cause more harm than they otherwise should. Most people live with a number of symptoms of depression without even realizing it or do little to address it. When the depressive symptoms last for more than 2 weeks and affect the individual's personal, social or occupational life, it is known as clinical depression or major depression.
Here are certain signs to watch out for to determine whether a person is struggling with depression:
- A significant change in sleeping patterns: If you've been experiencing insomnia lately or have got a habit of oversleeping, then these might be symptoms of depression.
- Cultivation of a pessimistic approach about everything in life: You feel a sense of hopelessness and that your situation in life will always be the same without any improvement is a sure shot sign that you are suffering from depression
- Anger or irritated mood: Having a low level of tolerance, getting angry quickly or always being in an irritated mood can be a prominent sign of depression
- Sudden variation in weight or appetite: If you suddenly find that you have lost or gained a significant amount of weight without any substantial reason, then chances are high that it is happening because of your depression
- Feeling of guilt without any particular reason: If you have started feeling guilty or constantly blame yourself for everything you've done in the past then the reason behind this may be your state of depression.
Depression is as curable as any other illness. Both medical management and psychotherapy are helpful in treatment. Type of treatment depends on patient's condition, the severity of illness as well as availability.
Hi sir/ madam my wife suffering with depression and also she has eczema severe we don't get proper treatment for the eczema pls help here if any body free consultant and medicine always we thankful you.
Alien Hand Syndrome or AHS is a neurological disorder that causes the patient's hand to move involuntarily. The individual has no control over the movement of the hand and sometimes, he or she may not even be aware of the action! The patients often report feeling like their hand does not belong to them anymore. The disease has no cure but the symptoms can be treated and reduced. Usually the hand is kept occupied constantly by holding a light object.
Causes of Alien Hand Syndrome:
Though the exact causing factor of AHS is unknown, there are a number of instances which have been shown to influence the development of the condition. The chief factors are:
- Brain injury: Injury caused to the brain by blunt force trauma or faulty surgery can lead to Alien Hand Syndrome. This is particularly seen if the frontal lobe (the brain center of voluntary movement) or the corpus callosum (the bundle of nerve fibers connecting the left and right hemispheres of the brain) is affected. These are the areas that regulate motor functioning and the neural pathways to execute the actions.
- Brain tumor: A tumor (a mass of abnormal cells) pressing on the motor centers of the brain can cause involuntary movements of the left hand in a right handed person. This is because the right hemisphere of the brain controls the left side of the body and vice versa. Tumors blocking the neural pathways usually cause errant movements of the predominant hand.
- Neurodegenerative conditions: Diseases like Alzheimer's disease and Creutzfeld & Jakob Disease are characterized by memory loss, rapid changes in personality and growing defects in the central nervous system. AHS could be a complication of such disorders. Effects of Alien Hand Syndrome This is an extremely rare condition. There have been less than 80 known cases around the world since 1908.
The disorder is often unreported because it is mistaken for a psychiatric problem due to its unusual symptoms and effects.
- The patient may not even be aware of what his 'alien hand' is doing. The hand may even begin functioning of its own accord when the patient is asleep.
- AHS can result in feelings of guilt and shame because of the embarrassing actions of the hand that the patient has absolutely no control over. The hand is often said to be governed by primal animalistic urges of hitting others, tearing clothes off etc.
- The condition often leads to social anxiety, depression and paranoia.
Dear sir I have some little panic attack. And I want to know what is the best way to stay always healthy and stress free. And fight to fear.
Hi sir I was advised by an ayurvedic doctor for Anxiety to take medicines that are smritisagar ras. Anxiomo. Ashwagandha. Manasamitra vattakam. Saraswatarista. But I forgot to ask how long to take actually I made appointment when I am in city but now I came back to my home town please help me sir and my symptoms. Are trembling heart shaking of lower legs and my voice is also shaking especially during social encounters and confusion in mind getting fatigue easily and along with this I am going for therapist also but please don't tell me to use English medicine as it is sleepy all day no improvement I am getting some what better with this medicine and with cbt techniques thanks.
I am suffering from depression since last 4 yrs. I have not taken proper treatment yet .once I visited psychiatrist he gave me symbal 2.0.10 mg. I regularly taken that 10 days after then I stop n stop visiting doctor .i often get mood swings .i can not help it i'm dying day by day seriously. I started thinking negative day by day plzz help me to get better treatment. I do not only want to eat medicine .i want to talk to doctor but he directly gave me medicine without listening my problems. Please help me I can not focus on my work my family is depend on me. Im so tired I have forgot that i'm alive. Please I can not sleep at night my mind thinks 24 hours .when I wake up in morning my mind already starts thinking. Please I want to sleep i'm so tired of my life.
Forensic psychiatry is generally identified as a specialized offshoot of psychiatry, dealing with the calculated treatment and evaluation of mentally disordered offenders in secure hospitals, prisons and in the community. This branch of psychiatry requires an indepth understanding and thorough knowledge of the connection between legality and mental health.
Patients of Forensic Psychiatry, generally are affected with personality dysfunctions, mental illness, psychopathic disorders, organic brain damage, learning disability and other conditions, such as histories of abuse and traumatic experiences as well as substance abuse and misuse.
Nature of the work
The most important prerequisite of this branch of psychiatry is a secure and safe environment where the subjects are liable to legal restrictions. Evaluation and assessment may vary from highly secured hospitals and prisons to low secure units and community based services. Forensic psychiatrists must have a thorough knowledge of civil, criminal and case law because of their frequent dealings with criminal justice agencies and the courts.
An important component of Forensic Psychiatry is risk assessment and evaluation. Forensic psychiatrists must be fluent and adept at handling patients during emergencies or routine situations. Moreover, they should be calm, composed and professional in their dealings, especially with patients who display instability or violent and aggressive behavior.
The probation service, the prison service and the courts generally rely on forensic psychiatrists for expert advice, precisely because of their familiarity with preparing reports for mental health review tribunals and criminal justice agencies.
- Quintessentially, the obligatory role of a forensic psychiatrist requires:
- Ability to treat others with understanding and respect
- Ability to work flexibly
- Emotional resilience along with the ability to empathize with patients
- Anticipation and an inherent initiative to work in challenging situations
- Good communication skills
- A scientific and analytic approach and assessment
- Good leadership qualities