Mai Dr. Rahul Chandhok mai ek senior consultant psychiatrist hun apnay clinic madhoc clinic mai or dehli ncr mai.
Aaj mai batt karunga schizophrenia k baray mai jo k ek prakar mansik rog hai schizophrenia ki pehchan abi b bhut kam hai takreeban jo humari population hai us mai dekha jata hai or jisko pehchanna mushkil rehta hai. Kyu k ajj b bhut log sochtay hai k schizophrenia k lakshan hai k koi bhoot preet agaya hai, k koi saya agaya hai ya ye log pagal ho gaye hai. Aur inka koi hall nae hai par ye ek aisai bemari hai k wektik ko lagta hai k log meray khilaf hai. Kissi ne muj par jado tona kar diya hai ya usay asazain ati hai jub k asal mai wahan nae hota. Usay lagta hai k tv ya akhbaar mai raha hai to humaray samnadid araha hai. Usaay neend anay mai dikkat hoti hai, concentration wo nahi kar pata, decision wo nahi lay pata, kahi baar to jub halaay bigarh jati hai to ye b hota hai nahana dhona b choot jata hai or apni dekh baal nahi kar pataaa. Aam bhasha mai aisi samasiya ko pagalpann k roop mai dekha jata hai. Par ajj k hissab say agar baat karaain to ilaaj uplapdh hai or koi b weaikti agar sahi samay par iski pehchan ho jaye or iska elaj properly ho jaye to utni he achi jewan wiyakti kar sakta hai jitna ki koi normal wiyakti par samasiya yebati hai k kahi par pehchan honay k bad elaj honay k bad aksar log dawai band kar daitay hai. Us ki waja say bar bar ye bemari lout k ajati hai or unhay lagta hai k shayad elaj sahi nahi ho pata or unhay ye samjnay ki zarurat hai schizophrenia jo bemari hai wo ek parkar say waisay he hai jaisaay kissi ko sugar blood presurd hojaye apko sahi theek awasta mai b dawai khani hoti hai agar ap aisa nahi karaaaain gay to apkay demag mai jo dopami naam ka chemical hai wo fir say bharna shru hojata hai jiss ki waja say bemari hoti hai is elawa agar ap nasheelay substance use kartay jaisay bhang ganja charas ya phir or nashelaay pradan jo apkay demag par asar daltay hai to wo b apkaaaay baaar baar aisay roog k ubhar anaay k chances banay rehtay hai so mai ye samjhana chahunga k schizophrenia ya is prakar ka roog agar apko hogaya hai to uska proper elaaj karwaiya jo phychatris duwara kiya jata hai agar apko lagta hai k han app ne pooja paat karna hai ya kissi baba wagaira k pass jana hai To ap us k sath kar saktay hai par ilaj jo dawa k duwara kiya jata hai ya injection k duwara kiya jata hai usay band na karain agar aisa karain gay to ap khud b acha jewan wiyaktit karain gay or apka pariwar b ziyada sukhi rahay ga humaray pass aksarvaisay marrez hai jo k kafi lambaay samay say is bemari mai theek hai or apna nokri karvrahay hai or apny pariwar k dekh bhal b kar pa rahaain hai.
Me Doctor Rahul chandhok hon me ek single consultant psychiatrist hu ar me apni practice medrok clinic me ar fortress hosiptal Delhi NCR me.
Aj me ap sy bat karu ga depression ky bary me .wesy to depression ky bary me jan kari kafi sary YouTube channel ,akhbar ar patrekaaron ky madham sy ati rehti hy par me ye kehna chahu ga ky depression ko ly kr ky abi bhe bht sari bhayantia public ky maan me rehti hein. Ye esa mehsus kiya jata hy ke depression ki dawai ek bar shuru ho gai to fir wo chalti he rahy ge par esa bilkul nahi hy.
Depression ky ilaj me dawa ka lia jana kai baar bht zruri ho jata hy kiu ke agar admi bohat nirash ho jy to sirf samjhany sy wo nirasha sy nahi nikal pata. Kafi samy tk rehta h ya phir koi bari ghatna ho jati he to us me apky dimagh me neurochemical hein jesa ke serotonin wo kam ho jaty hein. Inky kam hony ky bad apko nirasha ,negativity, nind na ana ,ghabrahat rehna is prakaar ki samasiya hoti hein par agar ham apko samjhayn bhe to bhe apko sab kuch maloom hony ky bawajood ap is chakarview sy nahi nikal paty ar tab dawa k ilaj ki zrurat parti he.
Dosri is bat ki public me chinta rehti hy ke hamara wazan barh jy ga ya ham har waqt soty rahein gy. So esa he ky ye sambhav he ky kch ilaj me wazan barh jany ki sambhavna rehti h par har dawai k sath esa nahi hota h. Dosra agar wazan barhta hy to wazan ghaat bhe jata h. Teesri bat jahan tk rahi ke wayakti sota rehta hy esa purany zamany me jo dawaiyan istimal hoti thi unky sath tha magar ab jo naai dawaiyan ai hein us me is parakar ky side effects nahi dekhy jaty.Ziada tar mareez dawa chalny ky sath sath apna kam kar paty hein, apna daily routine follow kar paty hein ar samy py so kr samay py subah uth bhe paty hein.
Esa rehta hy ke depression me apka ilaj thek hony ky bawajud bhe chalta hy. Is lye kaai logo ko lagta h ke ek baar dawa shuru hogi to ye chalti rahy gii ar ye sahi nahi he. Depression me agar pehli bar kisi ko depression hva ho To wo 6 mahiney tk dawa khany ky bad dawa ko hatany ka pryat kiya jata hy par agar unhy anxiety ki samasiya hy ya koi personality issue hy tab aise me ho sakata hy kii dawa aur lambi chalay par ye bilkul wesa he hy ky jesa ham chashma pehnty hein tou hum ye tou ni kehty ky hamy chashma pehn'ny ki adat par gai.
Ham ye manty hein ky hamy chashma pehn'ny ki zrurat hy is liye ham chashma pehanty hein wesy he jesy apky sharir ko blood pressure ki ya diabetes ki dawa ki zrurat parhti, hy bilkul usi tarah kch wayaktio ko depression ki dawa ki bhe zrurat parti hy. Is liye usy swikaar karen ar apny ilaj ko bech me na rokain.
Mai Dr. Rahul Chandhok hun. Mai ek senior consultant psychiatrist hun. Mai apni practice Medoc clinic faridabad me karta hun aur fortis hospital Delhi NCR me parha hun. Aaj mein ap sy bat karu ga bipolar disorder k bary me. Mery khayal sy bohat kam wayaktio ny is ky bary me suna hoga siway unky jinky kisi pariwar ky sadasiye me ye bemari hoti hai. Abhi bhe jisko ye bemari ho jati h uski pehchan karna ar iska ilaj karvana mushkil ho jata h kiu ky bipolar disorder ek tarah ka mood disorder h jis me ya to wayakti usdasi me chala jata h ya phir teji me chala jata .teji ka matlab usy nind kam ati . Usy asal me nind ki zrurat he kam mehsus hoti h. Usy lagta h ky wo 2 ghanty so kr hi itna taro taza hogya jitna ky wo 8 ghanty so kr hva. Wo 2 ghanty sony ku bad apny kariya-karab shuru kar deta h ,baki logo ko jagana shuru kar deta h.Apny kam waghera shuru kar deta h. Usy lagta h ky agr mery pas itni taqat hy to kiu na abi sy he sb kch shuru kar dia jy. Usy esa mehsus hota hy ky mery pas bht rupia pesa h me kuch bhe khareed sakta hu ya koi bhe political activity kar ky jeet sakta hu. Boht sary log apni esi bemari ki episode me jisy ham mania kehty hein kai bar election tk lar jaty h ar jb unki episode thek hota hy tb unhy pta chlta h ky ham ny kitni apna nuqsan karva liya.Is me jo smjhny wali bat hy wo ye hy ky bipolar disorder ek anu-vanshik disorder h. Ye kai bar pariwaro me chalta hy is liye ye boht zruri ho jata hy ke jb ap is ka ilaj karvayn ya koi doctor apko boly kii apky mareez ko bipolar disorder h to wo ilaj poora karvayn is me jo dawaiya istimal ki jati hein Unhy mood stabilizers kaha jata hy yani ki ye man ki awastha ko na to udaasi me jany deti hein ar na he tezi me jany deti hein. Is wja sy inhy lamba chalana parta hy warna jesy he ye dawai chotti hy kai bar episodes dobara hony ky chances bany rehty h. Dono he parikar ky episodes is me dekhy jaty hein, udaasi bhe ar teji bhe jisy ham mania kehty h. Dawai is me mukhiye role play karti hy kiu ke dimagh jo imbalance ho jata h usy dawa ky duwara he balance me rakha ja sakta hy ar ye lamby samay tk chalti h. Agr koi bipolar ka mareez apny substance abuse karta hy yani ky nasheely padarto ka sewan karta hy jesa ky bhaang ,charas,ganja,sharab to usky episode ky bar bar hony ar sath he sath shaak ki samasiya ky chances bhe barh jaty hein. Is lye in sabhi padarto sy dur rahiye par agar ap apni dawa properly lyty hy ar doctor sy milty rehty hein to ap utny he achy reh sakty hein jitna kii koi ar wayakti ar koi bhe ya nahi jan pay ga ki ap ko esa koi rog hy.
Dhanaywaad. read more
Me Dr. Rahul Chandhok hon me ek senior consultant psychiatrist hu ar me apni practice medhok clinic me ar fortress hosiptal Delhi MCR me.
Aj me ap sy bat karu ga panic disorder ky bary me. Panic disorder ek esa rog hy jis m jo diagnosis hy wo hamesha physician ya cardiologist ky duara banaya jata h kiu ke patient jo he usy mehusu hota he ky ya to mery ko sans ni a ri he ya mery daam ghut ra hy ya mery dil ki dharkan itni barh gai he ke mjy heart attack hony wala he ya mery ko bilkul meri chaati py bhaar rakha huva hy. Esa mehsus hony py wo emergency me bhagta hy ar wahan py ja kr ky uski sari jhanch ki jati he ar jhanch me kuch ni paya jata tb ye conclude kiya jata hy ky ye shayad ek panic attack tha. Panic attack ek prakar ka anxiety ka dora hy jis me boht jadatar jab ye hota he khas kar ke rat mein to wayakti so raha hota he. Soty soty achanak nind khul jati h usy lagta he ke shayad mjy sans ni a ri hy mera dum ghut ra h mera gala ghonta ja ra h khriki darwazy khol do bahar nikal jauon ar usy lagta h ky shayad emergency me jany sy thk hoga. Jadatar esy cases me jab poucha jata he to wo tanavv me koi nishchit karan nahi bata pata ky kiu wo pareshan he par esi history zrur milti h ky wo kafi samay sy kisi bat ko ly ky pareshan thy. Agr ye dekha jy kii iski paretishat to boht sary log jo emergency me jaty hein unka diagnosis actual me panic hota h Wo ye realize nai kar paty ky hamara dimagh sharir k sabhi angoo ko control karta he ar isi wja sy jb us py kisi wja sy tanavv parta he to wo apny kisi ankhh me ya to phephry me ya to dil me ya pait me signal bhej deta h jis ki waja sy ya to sans me takleef hony lagti he ya dil ki dharkan boht barh jate hy ya acidity hone lagte hy. Mareez ye samjhta hy ky uska koi na koi angg khrb hogya he ya sary he angg kharab ho gy hein is liye wo emergency me bhagta he par iska taluuq jo he wo dimagh me ek neurochemical hy cerotonin us sy hota he agartanavv ki wja sy ya ghambheer paristiti ki waja sy ye neurochemical kam ho jata he to wayakti ki negativity barh jate he ar usy ghabrahat rehny lagte he par iska ilaj bilkul sambhav he ap doctor ky pas jayen. Kch dawao sy ye neurochemical dobara barhaya ja sakta he .iska course poora karen.bech me na chorein. Otherwise bar bar dikaat ky chances rehty hein. Kai baar panic attack ky sath ye bhe hota he ky bahar jany me hichkichahat rehny lagti he .sankosh rehny lagta h .fobia ho jata he kii agar ham bheer bhari jaga me jayen gy to kahen hamy esa ho na jy to hamara kiya hoga .ham wahan kesy nikly gy is lye log jo hein platform py ya cinema ghar me ya mely me jahan bheer bharaka ho jana avoid karty hein par is bemari ka ilaj he. Apny doctor sy milyn apny psychiatrist sy milein ar iska ilaj karvayen ar panic attack sy nijaat payen.read more
Hello friends. I am Dr Rahul Chandok. I am a senior consultant psychiatrist with the Fortis group of hospitals. And I am having my own practice at my clinic, My home clinic in Faridabad.
Coming to today’s topic which is understanding OCD or Obsessive Compulsive Disorder. OCD, also known as Obsessive Compulsive Disorder is affecting about 2% of the population at some point of time in their life which makes it 1 in 40 persons is going to have it. It is 2 to 3 times more common than other chronic psychiatric disorder like schizophrenia or bipolar disorder. So every person has a brain and I believe the brain thinks. When it comes to OCD we have to understand that the thinking becomes affected. When the thinking is normal, it is under the person’s control and is as per his or her will. But when the brain gets under stress there is a neurochemical called serotonin which becomes less. And because of that the thinking becomes automatic. Thoughts come on their own, that are uncontrollable, unwilling, they are excessive. Person gets them repetitively. And they are negative. The person also understands they are baseless. But because of the fear which arises out of that, the person becomes excessively anxious. And to reduce this anxiety of fear the person does certain acts which suppose the person gets a doubt then the person does checking, suppose the person has a thought that might be the hands are dirty or the person is not clean enough. Or the germs will affect him or her. The person repetitively does washing. If the person is not able to do any activity to reduce anxiety, then the person starts avoiding things. And if the person is not able to do any of these the person gets angry. If all these persists for a period of time, then the person might go into depression.
The message which I would like to extend is that OCD is definitely treatable. You have to understand how and what is happening. We have to correct the level of serotonin which is possible through the use of medication which are definitely in today’s times are much better what we had earlier.
Side effects are very less and the results are pretty quick. And yes we definitely use therapy work to make the person understand or to fight OCD or what to do with the thoughts. The trick is that we have to learn to ignore these thoughts because at some of their lives every person gets negative thoughts but they are able to ignore them But a person with OCD is stuck so OCD is definitely treatable take help of the doctor or psychiatrist. Don’t be afraid of the medication and learn how to tackle it.
You can either contact me for treatment at my various work places or at my clinic. Or you can contact me through Lybrate for its management. Thank you.
6 Things that make you prone to heart diseases the most
Every year almost 2 lakh people opt for heart surgeries in India; and as of 2015 there were about 30 million people in the country suffered from heart diseases. There are several factors that increase the threat of heart diseases, among which some can be controlled and some can't. On one hand, where factors like being a man, old age, being a woman in the post-menopausal phase of life, and a family history of heart diseases are beyond your control; other risks can be minimized by making some lifestyle changes.
Although natural processes like ageing, which narrow down your arteries and weaken the heart muscles increase the risk of heart diseases here are 7 factors, which dramatically increase your chances of getting heart diseases, while you are still young.
1. Genetic Factors:
If someone in your family is already suffering or has suffered from a heart disease, especially at a young age, it increases your probability of getting a cardiovascular disease.
2. High Levels of Cholesterol in the Blood:
Chances of formation of plaque on the inner walls of the arteries increase with increasing levels of bad (LDL) cholesterol in the blood. This may be a major cause of the heart disease, atherosclerosis, which happens due to accumulation of fatty substances inside the arteries.
Smoking causes constriction of your blood vessels and may damage their inner lining due to the effect of nicotine on them. This can put you at high risk of developing atherosclerosis. Moreover, studies suggest that people who smoke are twice as prone to heart attacks in comparison to non-smokers.
If your blood pressure level is usually above normal, it can give rise to thickened arteries, which, in turn, can reduce the passage for the flow of blood through the vessels. This damages your heart health to a large extent and makes you prone to heart diseases.
Uncontrolled diabetes increases your chances of getting a heart attack, especially because diabetes almost goes hand in hand with diabetes and obesity, which are risk factors of heart diseases.
If you fail to keep your levels of stress and anger in check, they may have a damaging effect on your arteries. This can make way for strokes and heart attacks in the future.
Doctors in Fortis Escorts Heart Institute & Research Centre - Okhla Road
Patient Review Highlights
thanks for helping me . it was nice consulting with you
Hello, i got to meet Dr. Vishal Chhabra in the year 2007... i ws under severe depression / mental illness and got treated by him in gtb hospital, shahdra... he rathr than jst being a doctr ,becam more of a frend cum doctr for me.. he ws th only one wd whom i used to share all my thogts n feelings... n by his endeviours i cud come out of tht illnes very easily... tody m living a vry happy n healthy life... hv many timz recommnded his name to many in need... wish all d luv n luck to Sir Vishal Chhabra.. will alws b greatful to u for wt u dd for me... u gave me a new life... regrds shivali singh
My father was suffering from some mental illness for which we were looking for a psychatrist. I saw Dr Vishal Chhabra clinic's advertisement in newspaper and that is how we referred him. My father is so much benefitted with his electroconvulsive therapy (ECT), that he is perfectly fine now. Even in case of emergency, the staff is always willing to help. Whatever tests he prescribed, were very correct and gave us an exact idea about my father's condition. Fortis Flt. Lt. Rajan Dhall Hospital - Vasant Kunj has all the latest technology in place to handle severe cases.
A friend of mine referred to Vishal Chhabra. Thanks to the expert care and guidance, I feel much better than before. In order to diagnose my problem completely he asked me a number of questions. I must say the hygiene was maintained very nicely in the Fortis Hospital. Over the period of time the obsessive compulsive disorder treatment has helped me a lot. he is not just friendly, but also is very motivating.
The mood disorder was increasing day by day. Thanks to the expert care and guidance, I feel much better than before. Dr Vishal handIed my case with ease and I owe him a big thank. He is not just friendly, but also is very motivating. I must say the hygiene was maintained very nicely in the Fortis Hospital - Vasant Kunj.
dr. vishal is a caring and patient doctor , he listens to the problems at length and then comes up with ways to tackle them........ he's not in the habit of prescribing meds just for the sake of it!! i feel a lot better about my bipolar sincce i started my treatment with him........
I visited dr Vishal Chabbra at Chabbra Psychiatry Centre located in Rohini, New Delhi. He diagnosed me with some emotional issues and gave me medication for it considering the abnormal behavior treatment aspect. The treatment has helped me a lot at gaining back my confidence.
One of my neighbour's recommended Dr Vishal as I was suffering from Mood disorder. On the very first day he identified my problem. He gave me number of sessions and after each session I am feeling even better. I owe him a big thank for the treatment he provided.
Dr Vishal Chhabra is a great doctor and was quite cooperative while I was explaining my problem regarding Abnormal Behavior and gave me suitable motivational talks, medications, and therapies at his clinic Chhabra Psychiatry Centre located at New Delhi.
I underwent treatment from Dr.Vishal Chhabra from 2007 to2012 and found him to be extremely warm, sympathetic and efficient. I would not hesitate to recommend him to anybody in need of a good psychiatrist.
Besides being good at his profession........he maintains a degree of concern,humanity,kindness and empathy for the patients.A true "healer" of minds.Keep up the good work sir.God Bless.
If the world had more people like u it would be a better place. Saying thank you will never repay ur kindness. BEST DOCTER EVER. Lots of regards fr u SIR Neha n Sumit Hooda
Thoughtful, sensitive, compassionate - He has the gift of experience tempered with kindness. A good doctor, and an even better human being.
It was a great experience with Dr Vishal. He is calm, gives full time and in no hurry to move on to next appointment. Very good doctor
One of the doctors Who is not only best at his work , but he is an amzing soul...., so he heals his patient with love.
Dr vishal is a very great doctor. If I am alive in this world then just because of the two doctors Dr Vishal Dr Neha
Excellent experience. Dotor was very clear about the cause of knee problem and line of treatment to be taken
excellent doctor. know the job very well. gets to the route cause of problem and gives effective treatment.
Dr. Himanshu Gupta provides answers that are very helpful. ..sir operation period sep oct 2002 & 2008
Extremely gratifying. Dr Atul is not only a good doctor, he is also a wonderful human being
Dr. Himashu gupta Ji very kind and best doctor and good and deep knowledge of his work
He is excellent and Alhamdulillah he found out that I am safe and completely okay.
As people grow older, they age physically as well as mentally. Just as they become more susceptible to conditions such as arthritis, their risk of mental illnesses also increases. It is also important to note that physical ailments influence mental ailments. Thus, arthritis may not only be a problem in itself but may cause mental disorders as well.
Some of the most common psychological problems that affect the elderly are:
- Depression: Depression can affect people of all ages but the elderly have a higher risk of suffering from it. The symptoms and effects of this condition vary from person to person. These include feeling sad constantly, tiredness and lack of energy, lack of self-worth, unexplained weight loss or weight gain, insomnia and reduced appetite. This may be caused as a side effect of certain medications or treatment, as a result of frustrations caused by other physical ailments or just an effect of age.
- Memory Problems: As people get older, their memory weakens. Many lose their long-term memory skills. They may also lose their short-term memory. This is not the same as being forgetful. Characteristic symptoms of amnesia include confusion, memory loss, inability to recognize people, etc. Amnesia may be caused by a number of factors including trauma to the head, brain damage or psychological factors such as PTSD.
- Dementia: Dementia is characterized by the person’s mental inability to function normally. This could be in the form of random mood swings, apathy, confusion, changes in short-term memory or failed sense of direction. Dementia is typically caused by the death of brain cells due to tumors, infections, lack of oxygen, lack of nutrition etc. Parkinson’s disease, Huntington’s disease, vascular dementia and frontotemporal dementia are all forms of dementia.
- Alzheimer’s Disease: This is a kind of dementia as well. In such cases, the patient loses memory of where they are and believe themselves to be in another place and time zone. The patient may not be able to rationalize things happening around him and may be unable to recognize their own family members. This is a neurodegenerative disease that involves shrinkage of the brain cells. It may be genetic. Alzheimer’s can be treated and managed but it cannot be cured.
- Insomnia: Insomnia can be classified as a physical and mental ailment. It is characterized by the inability to sleep well at night. Some of the noticeable symptoms include tossing and turning for hours in bed before going to sleep, waking up frequently at night, waking up earlier than planned and falling asleep during the day. Insomnia in the elderly is typically caused by stress and anxiety. It may also be the result of certain types of medication.
Exercise is one of the best stress-busters for those who believe in it. Sweating it out in any form brings out renewed energy, both physically and mentally. Similarly, running unleashes vast amounts of energy and is one of the most vigorous workouts. Of late, running is a fad, and there are more and more people vying for the half and full marathons.
Hydration: Before getting into a running mode, take a minute to think if you have had enough water for the day. The amount of water consumed should be dependent on a number of factors including:
Weather/climatic factors including temperature, humidity etc.
Distance and speed of running
Toilet trips should be done during the day
Consumption of alcohol or caffeine – these will leave you dehydrated
Amount of water in the last 2 hours
Level of thirst
Drink water about 30 minutes before you begin to run, but not to the point that you feel water splashing in the belly and have to stop at the restroom every half an hour.
Food: While it is not advisable to run on an empty stomach, it is not required to eat a full meal before running. Make it easy for the stomach by eating something light like a banana or oats. These are easily digestible and do not tire you out.
Shoes: The most important of all, ensure you are wearing running shoes which are lightweight. Ideally, the right shoes should not cause pain in the shin or the knees and can stand the long runs. Bad shoes can cause severe damage, therefore, it is always wise to invest in a good pair of running shoes.
Work towards a target: Running without having a target is not of much use. Your target could be in the distance covered, time you ran, calories burned, or matching your personal best timing. Whatever you choose, with each run, keeping the route, time, and distance in mind, set a target. Track your run against that target. This can help establish personal best times and help improve performance with other runners too. It also helps get a feeling of accomplishment and a purpose.
- Music: This just peps up your run and often adds to the spring in your foot. A nice lively song can increase the heart rate and prepare you for a longer run. Warming up to a good music also elevates mood and energy levels. Any runner would agree that he enjoys a good music during the run.
When a person is not able to identify a solution to a problem (professional or personal), the often heard suggestion is to get the advice of a counselor. What the counselor does is to give an objective view of the problem and see how they can be addressed. When any of us go through a difficult phase, it is difficult to disentangle ourselves from the problem, and see what can be done differently to manage it. Whether it is vocational or sexual, premarital or marital, it is a bit difficult as we are part of the problem. For a counselor, they can take an objective view as they are not as entangled in it. They can see clearly what the issue is and find a solution. Also, given their training and experience in handling different issues, they would have suggestions that will just do the trick.
Vocational counseling: Also called career counseling, this has gained significant importance recently. It helps identify if a person is good to be an entrepreneur or a marketing professional. With so much focus on people’s career and it involving such a large part of a person’s life, it is essential to understand how to approach a vocation and how to get the best out of it. This involves assessing the individual completely in terms of his skills, abilities, aptitude, interests and guiding on what could be a good career option for him. Detailed discussions along with questionnaires and tools will help identify the right career for a person, where he/she can shine. Supporting training and coaching are also provided.
Sexual counseling: People with complicated sexual issues are on the rise. Premarital counseling helps in aligning the couple as to what to expect from each other. Though it may sound a bit odd, it helps a lot of problems after marriage, and brings the couple together. Both know what to expect from each other and so the number of issues in post marriage are reduced. It also paves the way for a happier marriage, according to research.
For people who have sexual issues in post marriage, counseling again is a good solution. The couple is completely a part of the issue and often would not be able to find a solution, which could sometimes be to speak frank and open-mindedly . The counseling session provides this forum, and most issues like performance anxiety, sexual expectation mismatch, premature ejaculation and family planning that can be discussed here. While sex is often ignored as it is a discrete issue, discussing about it helps iron out a lot of issues and even improves the overall quality of the relationship, and makes way for a happy, married life.
Happiness and sadness are part and parcel of life. Some things make us smile while others make us cry. While life is full of mixed emotions, being persistently sad could be a sign of depression. It is a clinical condition that needs treatment just like a fever or any other sickness.
Depression is a common mental ailment that can affect children and adults of both sexes. This is characterized by a feeling of sadness, worthless and helplessness that lasts for more than 2 weeks. Other symptoms of depression include:
- Loss of interest in events and activities
- Social withdrawal
- Outbursts of irritation and frustration over small matters
- Sleep disturbances
- Loss of appetite
- Unexplained weight gain or weight loss
- Shorter attention span
- Unexplained headaches or backaches
Though the exact cause of depression is still unknown, there are many factors that could trigger depression:
- Fluctuating hormones: This is a very common cause of depression. This may occur during pregnancy or after delivery.
- Thyroid problems and menopause: People with thyroid issues and women going through menopause often face the problem of depression. In some cases, a change in how neurotransmitters behave inside the brain could cause depression.
- Genetics: It has been observed that 40% of depression cases have a genetic link. People with close relatives who suffer from depression may also suffer from the same condition.
- Traumatic events: People who have a traumatic past such as a history of physical or sexual abuse, the death of a loved one or a difficult relationship could also trigger depression.
- Alcohol and substance abuse: Excessive drinking and other substance abuse have been closely linked to depression.
- Other factors: Depression can begin at any age and men are at a higher risk of suffering from this condition as compared to women. This may be because women often seek help in the early stages of depression.
People with low self-esteem and a pessimistic outlook on life have a high risk of being depressed. Treatment for cancer, heart disease and other such chronic illnesses as well as certain types of medication could also contribute to depression.
Symptoms of depression vary from one patient to another. Hence, they can be difficult to diagnose in the early stages. Treatment typically includes medication, counselling, group therapy and a change in lifestyle habits. For example, it is imperative for depression patients to step outside their comfort zone and interact with others. For this, they may consider joining a hobby class. Regular exercise is also important as it increases production of serotonin and gives the person an opportunity to get out of the house. When it comes to depression, remember, it is very important for the patient to be supported by family and friends.
There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.
Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:
- Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
- Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
- Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
- Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
- Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.
There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:
- Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
- Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
- Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root.
ADHD, CDD, short-term memory loss, forgetfulness, insomnia and so many more terminologies we would have come across very often. They all seem to have evolved from a common origin and that is concentration issues. Have you pondered on these questions!! Why can’t it be easy to concentrate? Why can’t it be easy to remember everything? If yes, then read on to know more.
Concentrate! Focus! Pay attention! These are not just words but one huge and complicated process in itself. Many children and as well as adults often develop this issue wherein they find extremely difficult to concentrate.
Science behind concentration issues: When an individual performs a single task; for example reading a book, the image of what he is seeing hits the retina. From the retina, the nerve fibres carry the image to the brain which stimulates the brain cells to fire an action potential. The signal from here moves to the thalamus and proceeds to the visual cortex. This signal activates locus coeruleus which is a brain stimulant. It targets the particular area of the brain becoming the deciding factor as to how one responds to a stimulus, which in this case is an image. When there is deregulation of the locus coeruleus, it is then that a person develops disorders like ADHA, anxiety, depression, insomnia and others.
Factors influencing concentration:
Concentration is a skill that requires you to prioritize your senses while doing any work. It is an ability to block out distractions.
- Dedication to the task
- Interest in the task
- One’s ability to complete the task
- Physical and emotional state
- Conducive environment with few distractions.
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD)
Attention deficit hyperactivity disorder (ADHD) and concentration deficit disorder (CDD) are the two predominant concentration issues. The first one is more common among the children while the latter is observed in mostly the adults. Any individual with ADHD or CDD can show abnormalities in their behavior and social life.
ADHD individuals tend to be forgetful and face problems sticking to one task and may even display excessive fidgeting. CDD individuals tend to be lethargic, move slowly and have trouble in staying alert. Adults may become socially withdrawn and exhibit slow information processing.
Solutions for concentration issues:
Concentration issues require a lot of time to be overcome. You can try to figure out what causes the distractions and avoid them as much as possible by refocusing your mind only on what you are doing. You can give yourself timers which comprise of “distraction time” and “focus time”. This strategy helps if one’s mind is actively processing other things. You may also create subtasks by listing the things you need to do and then ruling out one by one once you accomplish them. Always breathe better and try for long inhalation and exhalation. This helps to bring down your anxiety levels which hinder the concentration.
Though the above-mentioned strategies are just to help you improve your concentration they are not the ultimate cure for any of the issues. Every individual is unique and sometimes accepting oneself can solve many complications as it reduces the need for unnecessary thinking. Always bear positive thoughts in your mind as it will act as a driving source.
Slip disk is a condition of the spinal column which consists of a stack of vertebras from the cervical, thoracic and the lumbar spine.The bones of the spine are cushioned by disks that are present to absorb shocks. Trauma to the spine may cause the disk to bulge or be ruptured. This may lead to pain in the neck and the back.
Causes of slip disk
Slip disk is caused when the jelly like substance present in the disks bulges out. The damaged disk thus puts pressure on the adjacent nerve causing excruciating pain. The various causes of a slipped disk are:
1. Incorrect form during exercise
If you are into weight lifting, it is important that you use proper form during exercising. Moves like barbell squat and deadlifts can put pressure on the spine and lead to disk problems, if not done correctly. Make sure you work on your core strength and keep your lower back straight while exercising.
Smoking causes the disks to lose their flexibility and thus, increases the risk of slipped disk.
Ageing decreases the content of water in the spine, thus leading to inflexibility.
The symptoms of slip disk are:
- Pain on one side of the body that tends to aggravate over time
- Activities such as sitting and coughing may lead to pressure on the spine causing pain
- Your range of motion on certain movements may be restricted
- Pain in the neck while moving it
- Numbness in the shoulder and the neck region
- You may experience tingling sensations in the genitals, hips and the legs
- You may have muscles spasms which lead to sudden contraction of the muscles
- It may also lead to partial paralysis of the lower body
- If you are overweight, try to reduce weight and then focus on maintaining healthy weight levels
- Maintain proper posture while sitting or standing
- Exercise on a regular basis to build strength and keep your joints healthy
- Don't remain in seated position for an extended period of time. Take small breaks in between to stretch
In case you have a concern or query you can always consult an expert & get answers to your questions!
Panic attacks can debilitate a person greatly. The panic or anxiety attacks can be extremely powerful and intense, can vary depending on the severity of the attack. Such people lose self-composure. In extreme cases, they cut themselves off from the outside world and recoil into their safe zone (Agoraphobia).
Panic attacks, should, by no means, be confused with depression. These attacks can be essentially divided into three phases; the start phase, it then reaches the pinnacle or the zenith, before sliding down (fades away). The duration of a panic attack can vary from long to very long periods. The whole experience can leave a person depressed, traumatized and drained out (physically and emotionally). A timely medical assistance can prove to be extremely fruitful.
Panic attacks- its causative, signs and symptoms
A panic attack, can, indeed, come out of the blue (unexpectedly). Extreme emotional turmoil or anxiety can trigger such an attack. An over-excited nervous system might turn out to be the wrecker in chief, throwing life in jeopardy. A person might be unprepared to deal with such a situation. Though extremely difficult, the best thing would be to try and relax. The attack is just an extreme state of mind, an abstract feeling that can never come true. It will pass off soon. Panicking will only pile onto your agony. Identifying the associated symptoms can prove to be effective.
Some of the important symptoms associated with pain attacks include:
- A feeling of breathlessness, suffocation and dizziness.
- The palms appear to be sweaty.
- A person may complain of uneasiness or chest pain.
- Increased palpitations are quite common during panic attacks.
- A person might experience severe chills or heat flushes.
- Twitching and trembling of the muscles are often observed during the attacks.
- An intense fear of death or going insane grips the person completely.
- Hands, legs, arms begin to tingle.
- During anxiety attacks, a person loses the reasoning ability.
Few short-term behavioural therapies can be of great help. Meditation, yoga and certain breathing practices can effectively ward off physical and mental fatigue. CBT or Cognitive Behavioural Therapy is a popular technique used to deal with panic attacks. This technique primarily emphasizes on the present conditions and factors resulting in panic and ways to minimize or completely eliminate the attacks.
Treatment can help reduce the intensity and frequency of your panic attacks and improve your function in daily life. The main treatment options are
One or both types of treatment can be recommended, depending on the severity of your panic disorder, your history, and whether you have access to therapists who have special training in panic disorders.
Medications can help reduce symptoms associated with panic attacks as well as depression if that's an issue for you. Various types of medication have been shown to be effective in managing symptoms of panic attacks, including:
- Selective serotonin reuptake inhibitors (SSRIs).
- Serotonin and norepinephrine reuptake inhibitors (SNRIs).
In case you have a concern or query you can always consult an expert & get answers to your questions!
You are likely to be aware that Slipped disc is a scenario where the disc, meant to cushion adjoining vertebras, slips from its original position and bulges out to press a nerve root resulting in pain. It can happen due to an injury or weakness. The condition is also known as Prolapsed or Herniated disc. Read on to know more about this condition.
All slipped discs don’t cause symptoms. Many individuals did not know they have slipped a disc until they met their physician. That is a reason why proper diagnosis is required before initiating any curative method, as it's related to the spine. Lower back pain may result from accidental injuries such as a sprain or strain. There are no other serious reasons to cause Slipped disc.
Factors that increase the risk of a slipped disc are:
- Professions involving the lifting of heavy item frequently
- Professions involving continuously sitting for a long time like driving
- Sportspersons involved in weightlifting or similar activities.
- Obese Patients
The first step of diagnosis involves enquiring about the complete medical history and physical exam to check nerve function and muscle strength. For this purpose, leg- raising test is conducted wherein you may be asked to raise the leg to observe the pain sensation. Your doctor would also check for an increase in pain while applying pressure on a nerve, sometimes with the help of a specialized tool. Other diagnostic tools that may be utilized are:
- Nerve conduction test
- Magnetic resonance imaging (MRI) scan
- Computerized tomography (CT) scan &
Nonsurgical treatments are the preferred course of action. You will be prescribed pain relievers, which helps in reducing the pain associated with a herniated disk. Also, the use of heat or cold, compressing methods, which have been found to cure similar cases are advised. It is also recommended to avoid bed rest, as it prevents any chances of putting the disc back in normal position.
Chiropractors are also one of the preferred choices of consults because exercises and physical therapy, with gentle stretching provide relief from pressure on the nerve root. These are some essentials to be performed one by one or together in combination for bringing the spinal column back to its normal shape. This is what physicians do with a more accuracy to treat patients suffering from the slipped disc without surgery.
But it is essential to follow your physician instructions and go about the therapy thoroughly else the condition can worsen and surgical reinstallation of the spine would be the only course of action. Ultimately, the bottom line is not to be anxious about the protruded disc and to keep going about your normal tasks as usual under the supervision of your physician to get cured.
In today’s day in between surgical n conservative measures there is another treatment modality Called Interventional Pain n spine treatment n this has excellent potential for chronic non healing discogenic back pains or leg pains. In case you have a concern or query you can always consult an expert & get answers to your questions!