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The Neuro Psychiatric Centre

  4.8  (94 ratings)

Psychiatrist Clinic

76A, Pocket-1, Platinum Enclave, Sector-18, Rohini Delhi
1 Doctor · ₹700 · 1 Reviews
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The Neuro Psychiatric Centre   4.8  (94 ratings) Psychiatrist Clinic 76A, Pocket-1, Platinum Enclave, Sector-18, Rohini Delhi
1 Doctor · ₹700 · 1 Reviews
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about The Neuro Psychiatric Centre
The Neuro Psychiatric Centre is known for housing experienced Psychiatrists. Dr. B.S. Arora, a well-reputed Psychiatrist, practices in Delhi. Visit this medical health centre for Psychiatrists recommended by 92 patients.

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03:00 PM - 07:00 PM

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76A, Pocket-1, Platinum Enclave, Sector-18, Rohini
Rohini Delhi, Delhi - 110085
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Impact of Stress on our health
Struggling with Stress?
Here are Symptoms of Depression
Symptoms of Depression

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Dr. B.S. Arora

DNB, DPM, MBBS
Psychiatrist
95%  (94 ratings)
23 Years experience
700 at clinic
₹250 online
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How To Manage Compulsive Sexual Behaviour?

DNB, DPM, MBBS
Psychiatrist, Delhi
How To Manage Compulsive Sexual Behaviour?

One of the emerging psychiatric disorder that has significant medical and psychiatric consequences is compulsive sexual behaviour or hypersexuality, is an obsession with sexual thoughts in which people cannot manage their sexual behaviour. It may involve a commonly enjoyable sexual experience as self-stimulation which becomes an obsession. The person suffering from the condition may also get involved in sexual behaviours that are outside the bounds of commonly accepted conduct like paying for sex or having extramarital affairs.

Untreated compulsive sexual behaviour damages one’s self-esteem, health, job, relationships and career. However, with treatment and self-help, one can manage compulsive sexual behaviour and learn to manage one’s urge. Males are more likely to be unfaithful than females because they have stronger sexual impulses and weaker self-control. Compulsive sexual behaviour symptoms vary in type and severity. During intense sexual impulses, one feels as if they're beyond control. This is the first and the most common symptom as the patient uses compulsive sexual behaviour as an escape route for problems like loneliness, depression, anxiety and stress. One has trouble establishing and maintaining emotional closeness, even if one is married or in a committed relationship.

The treatment for compulsive sexual behaviour involves psychotherapy and medications. A primary goal of treatment is to help one manage urges and reduce excessive behaviours while maintaining healthy sexual activities. If one has compulsive sexual behaviour, one may need treatment for mental health condition. People with compulsive sexual behaviour often have alcohol or drug abuse problems or a mood disorder such as depression.

Counselling sessions can help one learn how to manage one’s compulsive sexual behaviour. Intensive treatment programs for compulsive sexual behaviours focus on identification of core triggers and beliefs about sexual addiction. It assists in development of healthier choices and coping skills to minimize urges and deal with the preoccupation of sexual addiction. Psychodynamic psychotherapy can prove to be very useful as it focuses on increasing one’s awareness of unconscious thoughts and behaviours, and developing new insights into their motivations. Resolving conflicts using this therapy is also recommended. The other kind of treatment program is cognitive behavioural therapy. This therapy helps one to identify unhealthy, negative beliefs and behaviours and replace them with healthy, positive ones. Family therapy and couples therapy may restore trust, minimize shame and guilt thus establishing a healthy sexual relationship between partners.

Medications include anti-depressants like selective serotonin reuptake inhibitors, mood stabilizers and anti-androgens have also been used to treat compulsive sexual behaviour. Anti-androgens are prescribed as it reduces the biological effects of sex hormones in men thus reducing sexual urges. Luteinizing hormone is also prescribed as it reduces obsessive sexual thoughts by reducing the production of testosterone. Anti-seizure medications, naltrexone, and medications which decrease male hormones have been found to decrease the compulsive urges and impulses associated with sexual addictions for some sufferers. If you wish to discuss about any specific problem, you can consult a psychiatrist.

2592 people found this helpful

Depression - Know How It Is Killing You!

DNB, DPM, MBBS
Psychiatrist, Delhi
Depression - Know How It Is Killing You!

We are all emotional beings and often have our good and bad days. However, we are all wired differently, making our minds work in unique ways. Reasons that make a person feel low are different for different people; what may be depressing for one person may not be depressing for the other. The degree of sadness can also vary from person to person.

Depression, with a feeling of complete hopelessness and despair, is a mood disorder that is becoming increasingly common. Women are more likely to be diagnosed with depression than men. Depressed people describe life as impending doom (a feeling that something terrible is about to happen). They are often consumed with the feeling of living in a black hole not knowing what the future holds, and feelings of lifelessness, emptiness, anger, and restlessness.

Some of the telltale signs of depression are listed below:

  1. Feeling of hopelessness and helplessness
  2. Tiredness
  3. Lack of concentration
  4. Easily irritated, bothered, or angered
  5. Inability to control negative thoughts
  6. Losing interest in activities that you once enjoyed
  7. Reckless behaviour, which was not noticed earlier
  8. Change in sleeping and eating patterns
  9. Difficulty in performing tasks that you once accomplished easily
  10. Worsening alcohol and cigarette consumption

Here are some of the reasons why people feel depressed:

  1. Problems in marriage or relationships
  2. Financial issues
  3. Chronic health issues
  4. Alcohol or drug abuse
  5. Unemployment
  6. Recent life events that were stressful
  7. Lack of social support
  8. Loneliness and isolation
  9. Early childhood trauma or abuse
  10. Managing depression

Accepting that you are depressed is a big step, which helps in managing it better.

  1. Speak out: The most important thing is to find a person whom you can confide in. A trained person or a good confidante can help you by just listening to you.In most cases, depression can be managed by seeing a qualified counsellor. Medications may also be useful in some cases.
  2. Sweat it out: While it may sound very tiring, exercising for even 15 minutes can bring relief. The more you exercise, the better you are bound to feel. Exercise also releases mood-enhancing chemicals that beat depression.
  3. Eat right: Foods with omega-3 fatty acids can help improve one’s mood while foods with sugar and refined carbs can have a negative impact on one’s mood. Change your diet to include mood elevating foods. Binging on junk food is common among depressed people, leading to weight gain and other complications.

So, while you may feel like you are in a black hole, there is definitely light at the end of the tunnel.

3 Ways To Treat Avoidant Personality Disorder!

DNB, DPM, MBBS
Psychiatrist, Delhi
3 Ways To Treat Avoidant Personality Disorder!

Don’t like social gatherings? Have you always been the one who avoids family get together? If your answer is affirmative, then you are probably suffering from Avoidant personality disorder (APD).  Avoidant personality disorder is a psychological condition wherein, one feels extremely shy. Becoming overly sensitive to rejection and developing feelings of inadequacy are common signs of this disorder. This disorder can lead to problems in your work life and relationships. 

Symptoms
With APD, the commonly surfacing symptoms would include disapproval and disregard of situations and people, rejection and embarrassment. It generally gets very difficult for the one to get acquainted with new people and form intimate relationships. One generally ends up misinterpreting people’s comments and criticism thus, feeling angry and frustrated all the more. 

Causes
The exact cause of APD has not been established yet. It is believed that environmental and genetic factors play a role in this disorder. People who are inherently shy and reserved are usually prone to developing this psychological anomaly. 

How do you treat APD?
In order to treat APD, you can opt for the following modes of treatment:

  1. PsychotherapyCognitive behavioral therapy is a treatment option for APD wherein, the doctor counsels on how to change one’s thinking patterns and thought process, thus, influencing his/her actions.
  2. Psychodynamic psychotherapy: Psychodynamic therapy involves you becoming aware of the unconscious thoughts. It helps you figure out how your past experiences frame your behavior. Your past emotional pains can be resolved with this technique so that you can move ahead with your life. 
  3. Medications: Anti-depressant medications used to treat depression and anxiety can be used to treat APD. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.
2399 people found this helpful

Stress Management - Manage and Reduce your Stress!!

DNB, DPM, MBBS
Psychiatrist, Delhi
Stress Management - Manage and Reduce your Stress!!

Stress management encompasses techniques intended to equip a person with effective coping mechanisms for dealing with psychological stress.

Definition of stress: Stress management defines stress precisely as a person's physiological response to an external stimulus that triggers the "fight-or-flight" reaction.

Causes of stress: Many things can trigger the stress reaction, including danger, threat, news, illness, as well as significant changes in one's life such as the death of a loved one.

Techniques of stress management include:

  • Self-understanding (e.g. self-identification as a Type A or as a Type B personality)
  • Self-management (e.g. becoming better-organized)
  • Conflict resolution
  • Adopting a more positive attitude
  • Self-talk
  • Breathing exercises
  • Meditation
  • Exercise
  • Altering your diet
  • Taking more regular and effective rest

Time Management Techniques

Some techniques of time management may help a person to control stress. For example:

  • Becoming more organized and reducing the generation of clutter 
  • Setting priorities can help reduce anxiety
  • Using a "to-do" list of tasks that a person needs to complete can give a person a sense of control and accomplishment

Effective stress management involves learning to set limits and to say "No" to some demands that others make.

Manage and Reduce your Stress

If you are one of the many people who want to alleviate your stress, you can learn some simple techniques to help you get out of the vicious cycle of leading a stressful life. Your stressful life does not just affect you, but everyone around you. It affects your relationships as well as any children or co-workers. Most of all, it can actually make you physically ill.

There are many facets to stress. Stress manifests itself in many different ways and can be either self-induced or something that occurs in life. We can never eliminate stress from our lives as stressful situations are part of life. However, we can learn to react to stress in a positive manner and take control of the situation rather than allowing the stress to remain in control. This book will teach you different tips as well as old secrets on how to identify the stressors in your life as well as learn to manage them. If you wish to discuss about any specific problem, you can consult a psychiatrist.

2336 people found this helpful

Depression And it's 5 Types

DNB, DPM, MBBS
Psychiatrist, Delhi
Depression And it's 5 Types

Depression is a very common emotion you might have experienced at least once during your lifetime. Depression refers to a state of mind when you are feeling low due to persistent sadness and loss of interest. But if the depression is chronic and long lasting for you, then it indicates that you are suffering from clinical depression. Under clinical depression, it is preferable that you go through a proper treatment course by a certified therapist. The Most common types of depressions are:

  1. Major depression - Under this type of a depression you will be depressed for most days of the week and if this condition extends for a period greater than 2 weeks, then it is a case of major depression. The most common method to treat a major depression is to talk to a mental health specialist and take medications called antidepressants (only after a prescription by a certified doctor).
  2. Persistent depressive disorder - This is a more severe and long lasting type of depression which is identified if you are depressed over a period longer than 2 hours. The most common symptoms of this type of a disorder are - change in your appetite, too much or too little sleep, lack of energy or fatigue, low self-esteem, trouble concentrating or making decisions, feeling hopeless among others.
  3. Bipolar disorder - If you are experiencing extreme ups and downs of mood abruptly and without any apparent reason, then you might be suffering from this disorder. This disorder is commonly known as a maniac depression, because during an up phase you will be extremely happy, joyful outgoing and talkative but during the low phase you will be sad, tired and depressed.
  4. Seasonal affective disorder - This type of a depression might bother you only during the winter season. This happens whenever the days are shorter and your body is not able to get enough of sunlight. This mostly happens in the case of people who are very fond of sunlight, and they prefer the sunshine over dark periods of the night. This disorder is treated by SAD antidepressants and everyday light therapy of 15 to 20 minutes.
  5. Psychotic depression - Under this type of a depression, you will have a major depression along with some psychotic symptoms like - hallucinations, delusions, and paranoia. Hallucinations mean viewing things that are not there, in reality, delusions are false beliefs or misconceptions and paranoia is the constant fear that somebody is going to harm you.
3084 people found this helpful

Feeling Uncertain and Unsure! Boost Your Self-confidence With These Tips

DNB, DPM, MBBS
Psychiatrist, Delhi
Feeling Uncertain and Unsure! Boost Your Self-confidence With These Tips

“The most beautiful thing you can wear is your confidence” -Blake Lively

At a certain point in our lives, we are all swept off our feet by the storm of doubt, so much so that we refuse to rest our trust and faith in our very own selves. But that is where being silently confident comes in. Confident people are optimistic, even in the face of adversities and tend to confront their fears head-on, no matter what. Take a leaf out of their book; here are a few tips to lift your esteem to its pinnacle.

  1. You need to keep off all the negativity: In life, you would be surrounded by people who would want to pull you down, taint your morale by unconstructive and unnecessary criticism. Maintain your dignity and distance from them who do not give you good vibes.
  2. Enhance your Image: Remember. body language maketh a man. The things you do and the thoughts you think speak louder than words. So, never forget to carry that wry smile by the side of your lips, whenever you encounter something seemingly insurmountable. Your posture, your firm handshake, your way of looking straight into the eyes of a person while dealing with him/her, can all go a surprisingly long way in upping your confidence.Composure and calmness are the keys to greatness.
  3. Never give-up: Failures are life lessons in your path of success and the true spirit lies not in never falling, but dragging yourself up each time you fall. Hence never accept defeat. Remember, every champion was once a contender who refused to give up.
  4. Be prepared: Put your best foot forward every time you do something; be it that important office presentation of yours, or on the prom night of your university. This could take your confidence higher.
  5. Remind yourself of every single good thing you’ve done: Life is full of ups and downs and there may be days when you would feel unsure and weird about yourself. What you can do is make two lists and stick them on all spots easily visible to you, for instance, your wall, your refrigerator door or your bathroom mirror. On the first list, pen down all the amazing things life has blessed you with and of which you are truly grateful. On the second list, put forth all of your accomplishments that you are proud of; major or minor. Next time, whenever you find your self-esteem waning, these lists would remind you of what a worthy life you have had thus far, thus motivating you all over again.
2958 people found this helpful

Struggling with Stress?

DNB, DPM, MBBS
Psychiatrist, Delhi
Play video

Impact of Stress on our health

3820 people found this helpful

How to Reduce Stress Naturally

DNB, DPM, MBBS
Psychiatrist, Delhi
How to Reduce Stress Naturally

Natural ways to release stress

Six Ways to Make Couples Therapy Work for You

DNB, DPM, MBBS
Psychiatrist, Delhi
Six Ways to Make Couples Therapy Work for You

Everyone desires to have a partner who can be their strength, a person who can help them sail through when the going gets tough. A perfect love filled, hassle free relationship tops the priority list of most people. Of late, the ideal 'made for each other' couples have become a thing of the past. Stress, work pressure, the mad rush to be at the pinnacle is taking a serious toll on a person's physical and mental health.  

Many relationships have gone kaput due to irreconcilable differences. At times, the problem is not about infidelity, but compatibility. Love is there, but understanding is long gone. Under such circumstances, a therapist or a marriage counsellor comes as a ray of hope. Couples therapy has been instrumental in getting many relationships back on track.     

Couples therapy cannot miraculously solve the complications and compatibility issues. For a relationship to work, both the partners need to make a conscious and sincere effort. The following tips, can go a long way to make the couples therapy work.

  1. No one is born perfect: To err is human. Imperfections will be there. The trick is to create and enjoy small perfect moments out of the imperfections. Do not fall for fairytale love stories. Believe it or not, even fairytale love stories come with their own set of imperfections. Couples therapy amalgamated with this fact can work wonders for your relationship.
  2. Choose the right therapist: An experienced therapist or counsellor will make the therapy much more effective. Thus choosing the right therapist becomes a determining factor in the overall success of the therapy.
  3. Discuss in detail: A wise man had once said; do not hide anything from your doctor and lawyer. If you want the therapy and your relationship to work, open up to the therapist. Be transparent and honest. To chalk out an effective therapy, the therapist needs to know every detail.
  4. Express your point of view: Couples therapy without the involvement of both the partners is meaningless and futile. The partners need to express their point of view. It helps a great deal to ease out the tension and awkwardness between the couple. 
  5. Don't lose hope Couples therapy does not always guarantee 100% success. A lot of factors go into its success. A therapist is no magician. This should not demoralise you. Set realistic goals, be patient with the therapy. With time, things will change for the better.
  6. Be regular with the sessions: Work can wait, but a relationship, once lost, will be gone forever. Give your relationship the time and priority it deserves. A therapist knows what work for your relationship. Both the partners should participate in the activities assigned by the therapist. 

The activities, if practiced diligently, will do your relationship, a world of good.  Every relationship goes through a lean phase. Consult a therapist before it spoils your relationship. Reach out at to know everything about couples therapy.

4222 people found this helpful

Symptoms of Depression

DNB, DPM, MBBS
Psychiatrist, Delhi
Play video

Here are Symptoms of Depression

3417 people found this helpful

Overcoming Sexual Harassment: You Are Stronger Than You Think

DNB, DPM, MBBS
Psychiatrist, Delhi
Overcoming Sexual Harassment: You Are Stronger Than You Think

In India, crimes against women have been on the rise; they might have always happened at the same rate but today's media have become more attentive towards these crimes by bringing them to the forefront. Recently, the devastating news of an Assamese higher secondary student being raped and killed has surfaced. Her floating decomposed body was not discovered until 4th of May when the incident itself occurred on 28th of April. If a rape victim dies, it is the most unfortunate consequence that the parents and the loved ones have to live with but there are numerous victims who survive and they can lead a normal life with guidance and care. Any occurrence of sexual assault not only leaves scars on the outside but also have deeper psychological and emotional effects. The emotional scars can manifest in the form of post-traumatic disorder, depression and suicidal tendencies. If you know anyone who has undergone such an experience, then read on to find out how you can help her get back to her life.

  • Medical Examination: Physical effects of rape can be adverse on the victim. Forced sexual assault causes bruising, wounds and vaginal bleeding and immediate medical attention is required to ensure safety. Subsequent medical tests should also be carried out to check for Urinary Tract infection, Sexually transmitted diseases (STDs) and uterine fibroids.
  • Therapy: Wounds of the flesh heal, but it takes a lot of time to recover from emotional damage and in some cases the survivors bear the burden of psychological scars all through their lives. They may see the incident as an assault to their souls and develop depression, post-traumatic disorder, borderline personality disorder, sleeping and eating disorder. The loved ones have to be understanding and be patient with them. One-on-one therapy or group therapy sessions can be very helpful. Talking about their emotions and resolving issues of anger, regret, pain, fear, guilt in a friendly, supported and understanding environment can help them reconstruct their self-image.
  • Counseling: Guilt and shame are two most common stigmas that most survivors have to deal with. They somehow blame themselves for the incident and regret any step they think that might have led to the incident. They become so consumed by the incident that they think the experience defines them, instead of their persona which is called dissociative identity disorder. In such cases counseling sessions can prove to be very beneficial. They need guidance to understand the situation and separate themselves from the incident. The survivors may feel weak and victimized, overpowered and violated; they may also think that they have lost control of their bodies. Counseling can assist to resolve such issues and help them empower themselves with time.

It is important to make the survivors realize that it is not the end of their lives. With a positive attitude, proper rehabilitation and counseling rape survivors can lead a normal, happy life.

4186 people found this helpful

Overcoming Rape: You Are Stronger Than You Think

DNB, DPM, MBBS
Psychiatrist, Delhi
Overcoming Rape: You Are Stronger Than You Think

In India, crimes against women have been on the rise; they might have always happened at the same rate but today's media have become more attentive towards these crimes by bringing them to the forefront. Recently, the devastating news of an Assamese higher secondary student being raped and killed has surfaced. Her floating decomposed body was not discovered until 4th of May when the incident itself occurred on 28th of April. If a rape victim dies, it is the most unfortunate consequence that the parents and the loved ones have to live with but there are numerous victims who survive and they can lead a normal life with guidance and care. Any occurrence of sexual assault not only leaves scars on the outside but also have deeper psychological and emotional effects. The emotional scars can manifest in the form of post-traumatic disorder, depression and suicidal tendencies. If you know anyone who has undergone such an experience, then read on to find out how you can help her get back to her life.

  • Medical Examination: Physical effects of rape can be adverse on the victim. Forced sexual assault causes bruising, wounds and vaginal bleeding and immediate medical attention is required to ensure safety. Subsequent medical tests should also be carried out to check for Urinary Tract infection, Sexually transmitted diseases (STDs) and uterine fibroids.

  • Therapy: Wounds of the flesh heal, but it takes a lot of time to recover from emotional damage and in some cases the survivors bear the burden of psychological scars all through their lives. They may see the incident as an assault to their souls and develop depression, post-traumatic disorder, borderline personality disorder, sleeping and eating disorder. The loved ones have to be understanding and be patient with them. One-on-one therapy or group therapy sessions can be very helpful. Talking about their emotions and resolving issues of anger, regret, pain, fear, guilt in a friendly, supported and understanding environment can help them reconstruct their self-image.

  • Counseling: Guilt and shame are two most common stigmas that most survivors have to deal with. They somehow blame themselves for the incident and regret any step they think that might have led to the incident. They become so consumed by the incident that they think the experience defines them, instead of their persona which is called dissociative identity disorder. In such cases counseling sessions can prove to be very beneficial. They need guidance to understand the situation and separate themselves from the incident. The survivors may feel weak and victimized, overpowered and violated; they may also think that they have lost control of their bodies. Counseling can assist to resolve such issues and help them empower themselves with time.

It is important to make the survivors realize that it is not the end of their lives. With a positive attitude, proper rehabilitation and counseling rape survivors can lead a normal, happy life.

28 people found this helpful

Coping with the Loss of Loved One

DNB, DPM, MBBS
Psychiatrist, Delhi
Coping with the Loss of Loved One

Each and every person on this planet has to deal with the loss of a loved one at some point of their life or the other. It is an undeniable and unavoidable part of the human existence. However, at times, the grief can affect the person so much that their psychological, emotional and physical health may be affected. Their normal day- to-day functioning may be affected as a result of their extreme reaction to the loss of their loved one. In such a case it is ideal to seek treatment from a certified medical professional such as a counselor or psychologist. If the condition is even more serious and the patient requires help to treat him or her, then it is advisable to go to a psychiatrist.

However, the following tips commonly given by mental health professionals may help to deal with such a loss:

  • Accepting one's emotion: Sometimes an individual may remain in denial about the loss of the loved one or about his or her own reaction to it. This increases the negative emotion as it does not find a medium of expression. The person withdraws into himself or herself, and is slowly unable to conduct the usual daily activities. The first step therefore is to fully accept the reality of the event and one's own response to it. It can help to speak to a friend or family member about one's own response, or even release the grief by crying. Such cathartic avidities are the first step.
  • Taking care of oneself: Often after the death of a loved one, an individual may become wary of his or her own condition and fail to look after himself or herself. This should be avoided. Normal diet, exercise and activities are required.
  • Channeling grief into productive activity: Constantly focusing on the loss of the loved one can increase the trauma and stress. Sometimes it helps to focus on helping others, e.g. Volunteering at a charity or assisting others in some way. Even taking up artistic pursuits or any productive hobby proves to be beneficial.
4734 people found this helpful

Sir I amresh kumar want to know about symptom of depression, and how I overcome on it please tell me about it.

DNB, DPM, MBBS
Psychiatrist, Delhi
Sir I amresh kumar want to know about symptom of depression, and how I overcome on it please tell me about it.
Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is (1) depressed mood or (2) loss of interest or pleasure. Note: do not include symptoms that are clearly due to a general medical condition or mood-incongruent delusions or hallucinations. (1) depressed mood most of the day, nearly every day, as indicated by subjective report (e. G. Feels sad or empty) or observation made by others (e. G. Appears tearful). Note: in children and adolescents, can be irritable mood. (2) markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by subjective account or observation made by others). (3) significant weight loss when not dieting or weight gain (e. G change of more than 5 percent of body weight in a month) or decrease or increase in appetite nearly every day. Note: in children, consider failure to make expected weight gains. (4) insomnia or hypersomnia nearly every day. (5) psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down). (6) fatigue or loss of energy nearly every day. (7) feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick). (8) diminished ability to think or to concentrate or indecisiveness, nearly every day (by subjective account or as observed by others). (9) recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. B. The symptoms do not meet criteria for a mixed episode. C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
3 people found this helpful
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I am 29 years old, I am smoking from last 12 yrs, so please suggest how to quit and overcome its side effect. As of now having high BP problem.

DNB, DPM, MBBS
Psychiatrist, Delhi
Smoking is a huge risk for lung cancer and chronic obstructive pulmonary disease, accounting for more than 75 percent of all deaths from these disorders. Smoking doubles the risk for cardiovascular disease deaths, but, because this disease is more prevalent, it accounts for as many smoking deaths as cancer and lung disease. The third major cause of tobacco-related mortality is chronic obstructive lung disease. Other common smoking-related diseases include low-birth-weight offspring, perinatal complications, other cancers (e. G. Throat, bladder, and pancreas), and ulcers. Second-hand smoke increases the risk of cancer and heart disease in spouses and the incidence of respiratory and ear problems in children. The tar in cigarette smoke is responsible for the cancers. Irritants and ciliotoxins appear to be responsible for lung diseases. Carbon monoxide and clotting factors appear to be the most likely causes of cardiovascular disease. The role of nicotine in cardiovascular disease appears to be much smaller than previously thought, and how many perinatal problems (including sudden infant death syndrome) are caused by carbon monoxide or by nicotine is debatable. Smokeless tobacco, pipes, and cigars cause oral cancers, especially when accompanied by heavy alcohol use. Cessation of smoking almost eliminates the risk of heart disease in 5 years and of lung cancer in 20 years; however, the benefits of cessation are highly dependent on duration of smoking. Measure the magnitude--Taking 10 puffs per cigarette × 20 cigarettes per day × 365 days per year × 20 years results in millions of drug self-administrations. Cessation of smoking almost eliminates the risk of heart disease in 5 years and of lung cancer in 20 years; however, the benefits of cessation are highly dependent on duration of smoking. If you wants to know more details on how to quit smoking. Let me know.
1 person found this helpful
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Overcoming Rape: You are stronger than you think

DNB, DPM, MBBS
Psychiatrist, Delhi
Overcoming Rape: You are stronger than you think

Overcoming Rape: You are stronger than you think

In India, crimes against women have been on the rise; they might have always happened at the same rate but today’s media have become more attentive towards these crimes by bringing them to the forefront. Recently, the devastating news of an Assamese higher secondary student being raped and killed has surfaced. Her floating decomposed body was not discovered until 4th of May when the incident itself occurred on 28th of April. If a rape victim dies, it is the most unfortunate consequence that the parents and the loved ones have to live with but there are numerous victims who survive and they can lead a normal life with guidance and care. Any occurrence of sexual assault not only leaves scars on the outside but also have deeper psychological and emotional effects. The emotional scars can manifest in the form of post-traumatic disorder, depression and suicidal tendencies. If you know anyone who has undergone such an experience, then read on to find out how you can help her get back to her life.

Medical Examination

Physical effects of rape can be adverse on the victim. Forced sexual assault causes bruising, wounds and vaginal bleeding and immediate medical attention is required to ensure safety. Subsequent medical tests should also be carried out to check for Urinary Tract infection, Sexually transmitted diseases (STDs) and uterine fibroids.

Therapy

Wounds of the flesh heal, but it takes a lot of time to recover from emotional damage and in some cases the survivors bear the burden of psychological scars all through their lives. They may see the incident as an assault to their souls and develop depression, post-traumatic disorder, borderline personality disorder, sleeping and eating disorder. The loved ones have to be understanding and be patient with them. One-on-one therapy or group therapy sessions can be very helpful. Talking about their emotions and resolving issues of anger, regret, pain, fear, guilt in a friendly, supported and understanding environment can help them reconstruct their self-image.

Counseling

Guilt and shame are two most common stigmas that most survivors have to deal with. They somehow blame themselves for the incident and regret any step they think that might have led to the incident. They become so consumed by the incident that they think the experience defines them, instead of their persona which is called dissociative identity disorder. In such cases counseling sessions can prove to be very beneficial. They need guidance to understand the situation and separate themselves from the incident. The survivors may feel weak and victimized, overpowered and violated; they may also think that they have lost control of their bodies. Counseling can assist to resolve such issues and help them empower themselves with time.

It is important to make the survivors realize that it is not the end of their lives. With a positive attitude, proper rehabilitation and counseling rape survivors can lead a normal, happy life.

Do People Really Suffer from Mood Disorders?

DNB, DPM, MBBS
Psychiatrist, Delhi
Do People Really Suffer from Mood Disorders?

Do people really suffer from mood disorders?

Mood disorders are common psychological problems that affect a vast portion of the human populace all over the world every year. These occur when there is a shift or imbalance in a person's psyche which affects his or her daily function and interpersonal relations in varying degrees. Each individual is affected by these conditions in a different capacity and responds to them in a distinct manner.

Mood disorders generally manifest themselves as fluctuations in a person's temperament. It is triggered by various factors. These mental illnesses range from mild to severe, the latter requiring urgent psychological counseling and treatment. A mild condition may even develop into a painful and chronic one without any form of remedial intervention.

What are the most common types of mood disorders?

There are many distinctive categories of mood disorders that can affect a person. The most commonly occurring ones are as follows:

- major depressive disorder

- bipolar disorder

- dysthymia

- cyclothymia

- seasonal affective disorder (sad)

Major depression is the most frequently occurring type of mood disorder. It causes mental and emotional turmoil, as well as physical anguish. Those affected by it may experience a single episode in isolation or multiple episodes over a period of time. The milder version of this condition is known as dysthymia.

Bipolar disorder is a comparatively rare condition that causes alternating states of extreme mania and depression. It is also known as manic-depressive illness. The mild version of this is called cyclothymia.

Seasonal affective disorder or sad is a depressive disorder that is known to affect those living in colder climes. It is caused generally by the lack of warmth and light, the onset of which begins in late autumn and lasts till the end of winter.

What causes a mood disorder?

Mood disorders are very difficult to diagnose as they can be caused by an assortment of triggers and the symptoms are not always apparent. This is particularly true in the case of dysthymia and cyclothymia.

Some of the usual factors that lead to mood disorders are:

- chronic stress and anxiety

- anomalies in the functioning of the nervous system

- prolonged periods of isolation

- genetics

- childhood abuse and trauma

- ineffectual coping mechanisms

- insufficient nourishment/malnutrition

In most cases, a combination of multiple factors usually leads to the development of mood disorders and other mental illnesses.

'consult'.
Related Tip: 5 Mood Uplifting Foods You Must Keep Handy

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How can I quit smoking. I have tried over the time but could not control with myself.

DNB, DPM, MBBS
Psychiatrist, Delhi
All patients should be assessed for (1) smoking status, (2) motivation to quit, and (3) motivators for and barriers to quitting. Smoking status includes current smoker, ex-smoker, or never-smoker; type of tobacco used; and frequency of use. In terms of motivation to quit, smokers can be classified as immotives (no plans to quit), precontemplators (plan to quit but not in the next 6 months), contemplators (plan to quit in the next 6 months), and preparers (plan to quit in the next month). Common motivators to quit are health concerns, effects of smoking on others, and social pressure. Treatments for smoking -------------------------------------------------------------------------------- psychosocial therapy behavior therapy social support pharmacological therapies bupropion (zyban) nicotine replacement therapy second-line pharmacological therapies read this well.
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I have a problem with stress please help yi reduce stress. I am facing this issue from very long.

DNB, DPM, MBBS
Psychiatrist, Delhi
I have a problem with stress please help yi reduce stress. I am facing this issue from very long.
STRESS MANAGEMENT Introduction: What is stress? Everybody has it, everybody talks about it, yet few people have taken the trouble to find out what stress really is. Many words have become fashionable when scientific research revealed a new concept likely to influence our way of thinking about major issues of life or to affect our everybody conduct. The word stress like ‘Success’ ‘Failure’ or ‘Happiness’ means different things to different people so that defining it is extremely difficult although it has become part of our daily vocabulary. It is effect, fatigue, pain, fear the need for concentration, the humiliation of censure, the loss of blood, or even an unexpected great success which requires complete reformulation of one’s entire life. The answer is yes and no. This is what makes the definition of stress so difficult. Every can be singled out as being ‘it’ since the word applies equally to all the others. In ordinary language coping is used to mainly the outcome of managing a problem and overlooks the intermediate process of appraisal, performance, and correction that most problem solving entails. Coping is not a simple judgment about how some difficulty worked out. It is an extensive, recursive process of self-exploration, self- instruction, self- correction, self-rehearsal and guidance gathered from outside sources. Definitions:- Stress: Hans Selye – Defined stress as the sum of all the non-specific responses of an organism to noxious stimuli. A physical, chemical or emotional factor that causes bodily or mental tension & may be a factor in disease causation. One of bodily or mental tension resulting from factors that tend to alter existent equilibrium. Concept of stress: The term stress first applied to events or situations such as working for an examination, that may have an adverse effects on someone. Second it is applied to the adverse effects that are induced, which may be psychological or physiological changed. The first set of factors can usefully be called stressors. They include a large number of physics, psychological and social factors in the environment that can produce adverse effects. The term is sometimes extended to include events that are not experienced as adverse at the time but may still have adverse long-term effects. The effect on the person can useful is called the stress reaction to distinguish it from the provoking events. This reaction includes autonomic response (increase in B. P.). Endocrine changes (Secretion of Adr. & nor Adr) and psychological response (Such as a feeling of being keyed up). To explain the body reaction to the stress one scientist (SELYE) formulated the General adaptation syndrome. The body goes through three stage in damaging situations. Stage I Alarm reaction. Stage II Stage of resistance. Stage III Stage of exhaustion. These three stages are analogous to the three stages of man’s life. I. Childhood. II. Adulthood. III. Senility. Stress and Emotion: The relationship between stress and emotion is important, for they are concepts that overlap. Emotions tell more about what is important to people and how they view their daily lives than can any test measuring stress reaction. Both emotions and stress are better thoughts of an processes than as static states. Sources of Stress: 1. Major life events. 2. Natural and technological disaster. 3. Minor life events. 4. Social changes. 5. Occupational changes. 6. Unemployment 7. Stress produced by the individual. Coping: Definitions: Laxarus (1966) when we use the term coping we are referring to strategies for dealing with threat. Lipowski (1970) All cognitive and motor activities which a sick person employ to reserve his bodily and psychic integrity to recover reversibility impaired function and compensate to the limit for any irreversible impairment. Lazarus & Folk (1984) They define coping as constantly changing cognitive and behavioral efforts to manage specific external and or internal demands that are appraised as taxing or exceeding the resources of the person. Mechanism of coping: Coping mechanisms have two components Internal events and observable behavior. After bereavement a person’s coping mechanisms might be first, a return to former religious belief (an internal mechanism) and second joining a social club to combat loneliness (an observable behavior). Functions of Coping: Three major function of coping are: 1) To change the situation for the better life we can either by changing ones own offending action (focus on self) or by changing the damaging or threatening environment. 2) To Manage the somatic and subjective components of stress related emotions themselves, so that they do not get out of hand and do not damage or destroy morale and social functioning. 3) Alteration of (perceptually controlling) the meaning of experience so as to neutralize the problematic character. The three functions of coping are also referred to respectively by the terms A) problem – focused or instrumental coping b) appraisal focused coping c) Emotion focused or palliative coping. The latter two functions are sometimes paired and referred to as palliative functions. Problems focused forms of coping are more apt to be employed when circumstance are viewed as changeable, where as appraisal focused and emotion focused coping occur more often in the context of situation deemed un-control-able. Other terms used regarding coping are: A) Coping styles B) Coping strategies. Research on coping falls into two areas i. E. On coping style and coping strategies. Interest in the latter area has been increasing rapidly in the last decade for a number of reasons. It some studies have revealed that knowledge of the individual characteristics coping style is not always useful in predicting how he or she will respond in novel situation. Second researchers have also found that any given coping strategy or those characteristic of a person’s coping style can have both –ive and +ive as well as short term and long term consequences. Thus labeling an individual style as uniformly maladaptive or ineffectual may not be appropriate or accurate. Third it may be easier to alter characteristics of a person’s coping repertoire than to change the person’s response style. Determinants of coping. Evaluating the Efficacy of coping. There are two types of copers: a. Good copers may be regarded as individuals with a special skill or with personal traits that enable them to master many difficulties. On the other hand there are two groups of patients who are bad copers. One group adamantly denies any difficulty of any description. The second group floods the interview with details of how badly the world and its occupants have treated them. Both good and bad copes have specific traits. Coping is after all, a skill that is useful in a variety of situations, although many modifications of basic principles are called for. Confidence in being able to cope can only be enhanced through self – appraisal, self – instruction, and self-correction over and over. Coping well with illness – with any problem – does not predict invariable success, but it does provide a foundation for becoming a better coper. Stress Management: Steps involved 1) The level of the stressor can be reduced. 2) Techniques to bolster health can be provided. 3) Impact of stressors on health can be suffered. 1) Social support 2) Coping strategies (Raymond Flannery) A) Personal control B) Possess task involvement C) Good habits D) Utilize social support. 3) Short therapeutic intervention (Mardi Horowitz) Read this article then replay.
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I have social anxiety. My face turns red and muscles of my cheeks twitches in those situations. Tell me what to do? I hate been going to crowded places. I hate standing on queues. I hate going to school fates. I just hate my life. Please advise.

DNB, DPM, MBBS
Psychiatrist, Delhi
I have social anxiety. My face turns red and muscles of my cheeks twitches in those situations. Tell me what to do? I...
Suffering anxiety disorder. Send me more details. Come through private question so that I can give you more helpful tips.
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