Dr. Kp Rana

All of us undoubtedly experience the hasty pace of life. There are invariable pressures at work and home which load us up with fear and worries, but when this anxiety becomes a disruptive force in our life and begins to dominate our behavior, and starts interfering with work, school, family life it calls for treatment. Anxiety is an emotional turmoil that may incorporate many different feelings and symptoms.

Adults are not the only ones who get stressed out, children are also vulnerable to stress. Some children experience anxiety and may struggle to amend to new situations such as school and friendships, may feel unusually insecure or have intense fear of the dark, insects, animals or other creatures.

Causes of Anxiety Neurosis:

The reason why it occur is very difficult. It is illunderstood also. Socio-economic reason is also precipitating factor - like loss of job, continues target or goals in jobs which are increasing everyday pressure.

1. Heredity.
2. Imbalance of certain chemicals in the brain.
3. Emotional trauma.
4. Lifestyle choices.
5. Alcohol, caffeine and certain drugs.

Symptoms of Anxiety Disorder (neurosis):

1. Unnecessary, unrealistic and uncontrollable worry about everyday things.
2. Shortness of breath.
3. Increased heartbeat.
4. Trembling and dizziness.
5. Headaches.
6. Fatigue.
7. Muscle stiffness.
8. Restlessness.
9. Sleep disturbances.
10. Mood changes.
11. Diarrhea.
12. Feeling of hopelessness and Pessimism.
13. Sexual impotence.

Homoeopathic Treatment:

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat anxiety but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved homeopathy medicines are available for treatment of anxiety disorders that can be selected on the basis of cause, condition, sensation and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person.

If you do not want to opt for allopathic medicines or go into immediate counselling to relieve yourself of anxiety disorders, then the best option for you at hand would be to try and follow homoeopathy. Homeopathy is often seen as an alternate form of medicine and does not have any side effects as such. Thus, it is often preferred by many people.

Anxiety should not be left to accumulate in the body. Thus, it is necessary to treat it as soon as possible with whichever means that would suit your body. Homeopathy is just one form of treatment. It is advised if the results are not as you desire, then you should opt for a medical practitioner who might be able to help you further. If you wish to discuss about any specific problem, you can consult a homeopath.

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.
 

A common skin condition, which causes the discoloration of your skin in patches across the face, melasma is more of a social embarrassment and cause for distress rather than being a serious condition. Although it affects men as well, studies have shown that over 90 percent of patients are women. It is also known as the mask of pregnancy as many pregnant women develop this skin condition.

Causes of Melasma
Primary causes of melasma have been attributed to various hormonal changes within the body. Let's look at some of the factors that may cause this disorder:
1. Pregnancy: This is often attributed as the leading cause of melasma, the primary cause has often been attributed to hormonal changes that a woman may experience due to pregnancy.

2. Treatments that may change hormonal balance: Women on contraceptive pills or who have implants such as intrauterine devices may also develop this disorder. This is due to the balance of estrogen and progesterone being changed within the body.

3. Sun exposure: Continued sun exposure may also lead to melasma. This is due to the activation of melanocytes within the body which start producing more melanin.

4. Stress: Long periods of stress on the body can also trigger hormonal changes and cause melasma.

5. Thyroid problems: If someone suffers from Hypothyroidism or low levels of the thyroid hormone, it can trigger other hormonal changes and also cause this skin disorder. 
It has also been noticed that people with generally a darker skin tone tend to get melasma and it is less common in people with fairer skin.

Certain characteristics of Melasma
Melasma develops in certain patterns which can be easily diagnosed either as spots on the skin similar to freckles or brown patches of skin that grow bigger. Some of these patterns are:
a. Malar pattern: This grows on the nose and cheeks
b. Mandibular pattern: Starts growing around the jaw line
c. Brachial melasma: This grows on the upper arms and shoulders
d. Lateral cheek pattern: Grows on the cheek on both sides of the face
e. Centrofacial pattern: Nose, upper lips, forehead and cheeks

Treatment of Melasma
Most women who develop melasma during pregnancy report that it goes away after childbirth. However certain forms of melasma may appear in non-pregnant women due to hormonal changes. Treating the underlying hormonal changes usually resolves the problem. However certain other methods may be required to resolve the issues such as skin creams, chemical peels, dermabrasion and microdermabrasion.