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Dr. Ms. Akshita Dutta

Psychiatrist, Delhi

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Dr. Ms. Akshita Dutta Psychiatrist, Delhi
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Ms. Akshita Dutta
Dr. Ms. Akshita Dutta is a renowned Psychiatrist in Greater Kailash, Delhi. He is currently associated with Centre For Child and Adolescent Well Being in Greater Kailash, Delhi. Save your time and book an appointment online with Dr. Ms. Akshita Dutta on Lybrate.com.

Lybrate.com has an excellent community of Psychiatrists in India. You will find Psychiatrists with more than 27 years of experience on Lybrate.com. You can find Psychiatrists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Centre For Child and Adolescent Well Being

E-229, Greater Kailash II. Landmark: Near Talwar Medical Centre, DelhiDelhi Get Directions
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My doctor is very reluctant to stop my medication for depression although I feel better now. Can I stop it on my own? Are these medications addictive?

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
My doctor is very reluctant to stop my medication for depression although I feel better now. Can I stop it on my own?...
Your doctor is right. Please don't stop medication on your own. You are feeling better because these medicines are working on your body and mind. If you stop these medicines, your symptoms/problems will come up again. It is advisable to talk to your doctor about how long you need to take it, what side effects will it have or if these medicines are addictive etc. Also talk to your psychiatrist about seeking counsellor's help. Because, along with medicines, counselling will be very helpful for you. Later on, your pschiatrist and counsellor together can decide on tapering down/stopping your medicines, after evaluating your progress.
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How to control my mind thought of the negative thinking which has been arose by my family members and friends ? I am not able to study alone even for 1 minute without thinking something and it comes in my mind automatically when I am alone anywhere.

CERTIFICATION IN BACH FLOWER REMEDIES OF ENGLAND, Ph.D DOCTOR OF PHILOSOPHY IN BIOCHEMISTRY, B.S.M.S BACHELOR OF SIDDHA MEDICINE AND SURGERY,
Alternative Medicine Specialist,
How to control my mind thought of the negative thinking which has been arose by my family members and friends ? I am ...
Acid flur200x one dose weekly once. Clematis, White chest nut, Walnut, take these Bach remedies one dose once daily for a month and revert back
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I am 43 years old ,I am not able to sleep properly in night because of unnecessary issues thinking in mind and because of this I am not taking sleep properly. I have back pain since last 1 month . Due to this I am disturbing . Request you help me out of this. Because of this I am lot of in depression and Pressure , not able to understand how tackle the situation .

MA - Clinical Psychology, P.G. Diploma in Guidance and Counseling, BA In Psychology
Psychologist, Mumbai
I am 43 years old ,I am not able to sleep properly in night because of unnecessary issues thinking in mind and becaus...
Stress can cause pain in back. As you are facing sleep disturbances pls start meditation. Deep breathing excersise just before sleep. There music available for sleep pls try those. Calm yourself before bed time. Read if you like reading. If not able to help then opt for professional help.
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Hi, I am asking should I drink alcohol? because I am taking it how can I get rid from it.

MD - Psychiatry
Psychiatrist, Chennai
Alcohol dependence involves intense craving or desire to drink alcohol. People drink for pleasure or rationalize it on external factors like family problems, work tension, etc. They drink continuously, i.e. Almost daily or even weekly once or twice with withdrawal symptoms, tolerance, bodily damage, etc. Due to alcohol they and/ or others are affected significantly. You need to consult a psychiatrist and go for 3 steps of de addiction. 1st is detoxification, when alcohol is stopped and the withdrawal is made smooth with minimal discomfort, 2 nd is maintenance and further deaddiction when the physical problems and psychological state of the individual is maintained and anti-craving drugs started 3 rd rehabilitation, when relapse prevention is the goal, while maintaining deaddiction. All the best.
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I guess I have borderline personality disorder. I studied the symptoms thats why I feel it. I feel depressed and full of anxiety. Looking forward for your reply. Thanks.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I guess I have borderline personality disorder. I studied the symptoms thats why I feel it. I feel depressed and full...
Even if you have read about the symptoms please visit a doctor who can help determine whether your assessment is accurate or not. The view and ability a professional has cannot be underrated and that person is specifically qualified to give you a more accurate diagnosis. Relying on your assumption may mislead the whole therapy. It will really help you to meet with a doctor, please.
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Hi. My sister neither can hear nor speak from childhood. My dad has done everything ,but none of them worked. Her growth is retarded. Mental as well as physical. She don't have hairs on her head. She can hear loud noises. But cannot speak like normal people do or understand languages as we do. Any suggestions/advise?

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy
Psychologist, Madurai
Dear Lybrate user, first of all you have to accept the fact that you have got a sister with multiple disabilities which can't be cured but can be managed well and help her a better life with the help of a specialty called REHABILITATION PSYCHOLOGY/PSYCHIATRY and provide her an assisted living. You may take her to a Rehabilitation center for disabled people in your nearest locality. Our government has provided a number of privileges for people with multiple disabilities. To know more information and help you can visit the website of" REHABILITATION COUNCIL OF INDIA"
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Hello Sir/ mam, I have problem of frustration and there is no idea to relieve from this problem Please help me so I can feel better. I wish that you will give a positive reply. Thanks.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello Sir/ mam,
I have problem of frustration and there is no idea to relieve from this problem
Please help me so I c...
Life is full of frustrations. From the minor irritations of losing something to the major problem of continued failure towards a desired goal. Since many of the things we truly want require a degree of frustration, being able to manage frustration is required in order to allow us to remain happy and positive even in trying circumstances. Understanding frustration frustration is an emotion that occurs in situations where a person is blocked from reaching a desired outcome. In general, whenever we reach one of our goals, we feel pleased and whenever we are prevented from reaching our goals, we may succumb to frustration and feel irritable, annoyed and angry. Typically, the more important the goal, the greater the frustration and resultant anger or loss of confidence. Frustration is not necessarily bad since it can be a useful indicator of the problems in a person's life and, as a result, it can act as a motivator to change. However, when it results in anger, irritability, stress resentment, depression or a spiral downward where we have a feeling of resignation or giving up, frustration can be destructive. What causes frustration? frustration is experienced whenever the results (goals) you are expecting do not seem to fit the effort and action you are applying. Frustration will occur whenever your actions are producing less and fewer results than you think they should. The frustration we experience can be seen as the result of two types of goal blockage, i. E. Internal and external sources of frustration. Internal sources of frustration usually involve the disappointment that get when we cannot have what we want as a result of personal real or imagined deficiencies such as a lack of confidence or fear of social situations. Another type of internal frustration results when a person has competing goals that interfere with one another. The second type of frustration results from external causes that involve conditions outside the person such as physical roadblocks we encounter in life including other people and things that get in the way of our goals. One of the biggest sources of frustration in today's world is the frustration caused by the perception of wasting time. When you're standing in line at a bank, or in traffic, or on the phone, watching your day go by when you have got so much to do, that's one big frustration. External frustration may be unavoidable. We can try to do something about it, like finding a different route if we are stuck in traffic, or choosing a different restaurant if our first choice is closed, but sometimes there is just nothing we can do about it. It is just the way life is. Our goal in dealing with external sources of frustration is to recognize the wisdom of the serenity prayer. God grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference. One can learn that while the situation itself may be upsetting and frustrating, you do not have to be frustrated. Accepting life is one of the secrets of avoiding frustration. Responses to frustration some of the" typical" responses to frustration include anger, quitting (burn out or giving up), loss of self-esteem and self-confidence, stress and depression. Anger management: 10 tips to tame your temper anger: there is a saying" frustration begets anger and anger begets aggression. Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. Giving up: giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. Loss of confidence: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that if we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself" it is worth it! and by following through, it not only gets the job done, but it builds self-confidence. Stress: is the" wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme, or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of: irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. Depression: depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one think about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. Other reactions: abuse of drugs & alcohol is self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1. Approve it / acknowledge it: the first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong, but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying'you are wrong to react like this' you can say'i understand what you are feeling. Is there a way we can resolve this situation? 2. Understand / recognize the signs: once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3. Free the mind/find ways to let it go: not all arguments end in closure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult a doctor today. Learning to deal with frustration it is unrealistic to believe you can rid yourself of frustration forever, but you can learn to do things to minimize your frustrations and to make sure you do not engage in unhealthy responses to frustration. You will need to learn to distinguish between what you hope will happen, what will probably happen, and what actually happened. Life inevitably has its ups and downs -- its moments of relaxation and times of tension. When you learn to truly accept this reality, you come one step closer to being able to deal with frustration in a healthy way. There are several types of problems that we encounter in everyday living: those which you know can be solved, those which you are not sure if they can be solved or not, those you know are totally out of your control, and those you are so confused about that you do not even know what the problem is. You need to be able to accurately assess your abilities to alter situations that prevent you from solving your problems and reaching your goal. Then you will be able to assess which of the types of problems you have encountered, and you will then be able to develop a realistic plan. Learning to take things in stride will also help you to be more content and happy which, in turn, will help you to more easily overcome anger and frustration. If you are upset, sad, anxious, or depressed you will have less patience and tolerance for everything and everybody. Treatment of frustration frustration and anger are fundamental emotions that everyone experiences from time to time. From a very early age, people learn to express frustration by copying the behaviour they see modelled around them, and by expressing frustration and angry behaviour and seeing what they can get away with. We all suffer from frustration, and being able to effectively deal with frustration is a very important skill to develop. Each person needs to learn how to control frustration, so that it does not control them. The following is a brief overview of types of frustration management programs and resources that have proved helpful in understanding and controlling frustration and anger. I have found several approaches to treatment that have been effective for my clients including: individual and group therapy for anger management. A therapist who can observe and analyse your behaviour from an impartial perspective, can help you with your reality testing. A therapist knows many effective frustration and anger management strategies and will be able to help you develop a personalized set of strategies for changing both your thinking and behaviour. Depending on your needs, your therapist may work with you on breathing or meditation exercises to reduce frustration, safe and appropriate emotional and physical techniques to release frustration, communication, or cognitive restructuring (a method for disputing and changing the way you think). Relaxation and exercise simple relaxation tools such as deep breathing and relaxing imagery can help calm down feelings of frustration and anger. Breathing deeply, from your diaphragm, will help while breathing from your chest won't relax you. While breathing, you can slowly repeat a calm word or phrase such as" relax" calm down" or" take it easy. Non-strenuous exercise, like yoga, can relax your muscles and make you feel much calmer. Strenuous and vigorous exercise can also help you to work off frustration and angry feelings. Frustration can have a highly damaging impact on our frame of mind. It can turn a positive person into a person who sees nearly everything as a problem. It can slow you down, inhibit your progress, and at times completely immobilize you. We can become so wound up with our frustration that we do not, and cannot, think or act rationally. Our frustration can often exacerbate a situation and create a vicious circle. If we are convinced that our actions are not working, no matter how hard we try, we are much more likely to reduce, rather than increase, our chances of success. Remember, you cannot eliminate frustration. In spite of all your efforts, things will happen that will cause you frustration and anger. Life is filled with frustration, pain, loss, and the unpredictable actions of others. You can't change that; but you can change the way you let such events affect you. If you feel that your degree of frustration is really out of control, if it is having an impact on your relationships and on important parts of your life, you might consider counselling to learn how to handle it better. Please contact me privately on this site or another therapist.
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I am an introvert guy. But want to talk to people but i'm not able to do that. How can I become extrovert?

MBBS, MD (AIIMS, Gold Medalist), Diploma in CBT (UWS, Glasgow)
Psychiatrist, Delhi
I am an introvert guy. But want to talk to people but i'm not able to do that. How can I become extrovert?
Your intrinsic nature of being an introvert cannot be completely altered and there is no need to do so because being an introvert has several advantages. But, the disadvantages of being an introvert can be modified, thus getting benefits of both worlds. This is generally done by way of intensive psychotherapy. Medicines may help to some extent. If you are really keen on this and willing to put in effort and time, you can get back to me on this. Take care!
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I get lot of dreams without head and tail in the night and sometimes in the daytime too. I hardly get good sleep without dreams right from my adolescent age. Now I am 67. I read books on spirituality and philosophy during daytime. Night I watch TV news and serials. Please suggest something so that I can get sleep without dreams. By the way I snore in the sleep most of the time.

BHMS
Homeopath, Faridabad
I get lot of dreams without head and tail in the night and sometimes in the daytime too. I hardly get good sleep with...
Hello. Sleeplessness can be age related or because of night watching/ due to stress & tension/ uncontrolled thoughts/ any underlying medical condition. Avoid watching T.V. at night, eat your food before 8pm, go for a walk 1&1/2hrs. after having food at night, eat light bland food. Take homeopathic medicines - Bacopa Monierri Q/ 10 drops in 1/2 cup water/ thrice daily and Kali Phos. 6x/ once at night - take them for 20 days. Revert me back thereafter.
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I have been addicted of cigrrate from 4 years. But now I wanna stop this. So wht can I do now?

BHMS
Homeopath, Faridabad
Hello, smoking is injurious to health. Smoking can have serious effects on your life. The longer you smoke, the more damage you do to your body. If you want to quit smoking then take the below treatment:- take tabacum 200, 5 drops once in a week and arnica 30 ch, 5 drops once daily. Daphne indica 1x, 2 tabs twice daily. Revert me after 1 month.
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My brother, he is 19 years old. Ever since he was 12/13 he has been angry and used to break things in the house. Over the years his anger worsened and he began to hit other family members when he got angry. he gets angry over the smallest things possible, and releases his anger by hitting or breaking something. After a while he becomes completely normal. Recently our mum had a traumatic accident where her finger got amputated. Despite being there with her when it happened, he seemed to have no feelings or empathy at all and didn’t even ask if she is okay, or help her with holding something. He seemed to show emotional blunting over it. His mood changes quickly, one minute his is happy and next minute he gets angry and that too over small things where he compares himself with people. If he goes to play cricket, he will get annoyed/irritated that he didn’t play cricket a lot and that he isn’t that good as someone else. One of the big issues is that he is unaware of the things going on around him. He will sleep with tv and light on, uses different towel every day, goes for shower for 2/3 hours. Seems like he is always having deep thoughts about something. Also he spends so much money uselessly and is overdrawn. Within 2/3 months he spent over £1000 when he does’t even need to spend that much at all.  Another thing is that he is easily influenced by people and tries to copy them. However, this is usually for bad habits such as thinking that his friend has had many girlfriends, yet he hasn’t, or thinking that spending too much money and going overdrawn is fine because other people do it as well. He does’t want to respect other members of the family and takes their care and advice for granted, even his own mums. When he goes out, he does’t say when he will come back, or if he does, he does’t come back on time, has no feelings that people at home will be worried. He lies to his family members easily without hesitating, about who he is going for night out with, or if he has bought something or where he is spending money on. You can never know whether he is lying or not as the way he says it sounds so convincing. Whilst at home, he does’t want to do anything productive, always eats and sits, even when he eats he does’t bother picking his own plate up, he can be that lazy. He wants to find a job, yet he does’t as he is lazy and wants to put no effort in at all. If he is in the lounge and is tired, he will sleep on the sofa but not on his bed as he is lazy. Whilst playing videogames and against people online, if he is losing, he can get ridiculously angry that he can break something, despite it being a game. Overall his behaviour is extremely aggressive and unpredictable. He can be happy and in a good mood, and all of sudden can get aggressive and break something. Deep thoughts and being easily influenced is also not helpful which is brainwashing his mind and leading him to the wrong path. Any help on how to improve his behaviour/treatment will be much appreciated. Thank you.

B.Sc(Hons) Mumbai Univ., ND, MD - Alternate Medicine, Aroma Therap., Bach Flower Rem, Mental Health Cert.
Alternative Medicine Specialist, Mumbai
My brother, he is 19 years old. Ever since he was 12/13 he has been angry and used to break things in the house. Over...
Hi I will prescribe some harmless but effective flower remedy available in homoeopathy shops. Try to buy original medicines. Mix 3 drops of cherry plum + 3 drops of vine + 3 drops of white chestnut + 3 drops of aspen + 3 drops of impatiens. Mix these with 100 ml water and drink it every night.
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Hi, My body pains, energy loss, depressive mood, mood swings, weight increase and back pain are a few issues with a 42 years old mother of two kids. What do you advice?

MBBS, MD - Psychiatry
Psychiatrist, Guwahati
Hi, My body pains, energy loss, depressive mood, mood swings, weight increase and back pain are a few issues with a 4...
You may suffer from depression. By using antidepressant you will also feel comfort from pain. For backache consult a physiotherapist and to rule out pathology perform a mri of lumbosacral spine.
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Am 35 years old woman. Am suffering with Sleeplessness throughout the day especially in nights. Although am tension free these days. Am not following any medicines course as well. What could be the Reasons & Treatment for this. Please help me out of this problem. I'll be very grateful to you.

Diploma in Diet and Nutrition, B.Pharma, MD - Alternate Medicine
Dietitian/Nutritionist, Gurgaon
Am 35 years old woman. Am suffering with Sleeplessness throughout the day especially in nights. Although am tension f...
Hi asim, you are having problem of insulin resistance, it can be solved by reducing refined carbohydrates in diet, do you have high cholesterol levels also.
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I am vegetarian no diabetic , not smoking but little bit alcoholic & chewing pan with 120 ; 3 to 4 times a day only.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate-user, Welcome to Lybrate. Alcohol and chewing pan addiction also comes under abuse and addiction. If you’re ready to stop the substance and willing to get the support you need, you can recover from addiction and abuse —no matter how bad the addiction or how powerless you feel. The first step in treating addiction is accepting that you have a problem. Confronting an addiction and accepting responsibility for your actions isn’t easy. But it’s a necessary step on the road to treatment and recovery. You should then consult a psychiatrist / psychologist who fill follow this treatment. 1. Detoxification using medicines. 2. Behavior modification with the help of therapies. 3. Counseling. 4. Medication to sustain and 5. Long term support. These given steps are essential for any addict to get effectively rid of addiction. Therefore, you need to stick to the treatment plan. Take care.
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I'm 24 and I've been smoking since I was 18, its a long time. I used to smoke around 10 cigarettes daily and now I'm completely cigarette free since 1st January 2017. I crave for smoking all the time but I manage myself however to not smoke a single puff of that again but the problem is my chest hurts, mainly right side and I can feel the pain in back as well. I want to know about it, is it common? If it is then what are other problem I'm gonna have while quitting smoking. Suggest me anything which can make this procedure easier. please reply as soon as possible.

MD - Psychiatry
Psychiatrist, Guwahati
You took a very good decision to quit smoking. It is a harmful habit & do not have any beneficial effect on the body. Smoking for long may affect the upper respiratory tract & lungs, causing many problems like throat irritation & infection, chronic cough, COPD, Chronic bronchitis etc. As you are having chest pain better get yourself evaluated by a physician to rule out any affect in your chest & lungs by smoking. Take the following steps to keep up your motivation to continue your effort to quit smoking: oEducate yourself adequately regarding smoking & its ill effects. Acquire the required information by reading books, going through internet or talking to a professional trained in de addiction. OKeep reminding yourself of the benefits you will achieve after quitting smoking: After quitting you will have reduced risk of the many diseases caused by smoking. Your family & near ones will be saved from the ill effects of passive smoking. Your mouth will be saved from the bad odor caused by smoking. You can focus more on your relationships. Smoking might have affected your relations if your close ones were against it, or because you were so preoccupied with the substance, your relations suffered. You can participate actively in social gatherings as you will not have to stay away because of your habit nor have to come out frequently to smoke. You will save the money you were wasting on smoking & use them for better purposes. OImagine & create in your mind a picture of a beautiful future of a life without smoking. Imagine how much you will benefit in your new life. In between your beautiful imaginary picture also imagine that you started to smoke again. Then imagine how one by one the beautiful picture will shatter. Once you become aware of the consequences of relapse, you will also develop fear of relapsing. You will then stay more cautious not to start it again. OCount the first day of your quitting as the first day of a new start & from that day, live one day at a time. It is helpful if you can relate this day to some important events in your life like your birthday or birthday of someone close, anniversary, day of some achievements etc. On the morning of the second day, tell yourself that you are starting the second day of your substance free life & by night time thank yourself that you stayed substance free whole day & encourage yourself to stay smoke free in coming days too. Celebrate your victory of staying sober on completing 1 week, 2 weeks, then 1 month, 2 months, 3 months, and on completing one year celebrate the first birthday of your sobriety. This will encourage you to stay sober further. OAvoid triggering factors that may tempt you to smoke. For example if the triggering factor was internal say some stress for which you got inclined to abusing substance, then work on the stress to remove it or take help of a counselor to overcome the stress. If the trigger was external, like some friends persuade & you could not say no, in some specific event or situation you usually smoke etc, then stay away from those situation. OImmediately after quitting, craving will be intense. But gradually with time it will reduce. So the initial days you have to be very careful. Keep yourself busy & diverted. You can use alternatives like nicotine lozenges or chewing gum. Gradually reduce the amount of these chewing gums & stop them. OThrow away all cigarettes you have with you. Having them within reach may increase your temptation. OStart new healthy habits & opt for a healthy lifestyle. OEat healthy diet. OJoin a support group comprising of people who came out of smoking & had undergone the same situation as you. You will get a platform to discuss your queries & together can motivate each other to stay sober & also help others to overcome smoking. If you are not able to do yourself alone, then take professional help. Now-a-days de-addiction treatments are available for quitting all substances of abuse including smoking. Such treatment includes detoxification & rehabilitation program. Consult a psychiatrist & start your treatment at the earliest. Medical detoxification is the first stage of de addiction treatment, when the addicted person is treated with medicines. The withdrawal symptoms which occur on sudden stopping of an addictive substance are managed through detox treatment. Medical detoxification systematically and safely will withdraw you from smoking. The next phase is the Rehabilitation program which includes counseling sessions & other behavioral therapies. These sessions have important role in the de addiction process. Counseling sessions will help to enhance your motivation skills to stay sober, build skills to resist smoking, replace substance-using activities with constructive and rewarding non substance-using activities, and improve problem-solving abilities. Behavioral therapy will work on interpersonal relationships and your ability to function effectively in the family and community. All the best for your effort. Wish you success.
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All About Post Traumatic Stress Disorder

DPM, MBBS
Psychiatrist, Mumbai
All About Post Traumatic Stress Disorder

An event or an accident that leaves us overwhelmed can lead to Post Traumatic Stress Disorder, also known as PTSD. A particularly stressful situation or event that has created terror or been overly dramatic or dangerous can lead to stress and anxiety long after the individual has physically come out of the situation. This kind of a traumatic condition is usually what characterises PTSD. This condition is something that is persistent, and can linger on for a long time, calling for medical supervision and care. Here's a list of things you need to know about PTSD.

  • Duration: Post Traumatic Stress Disorder usually lasts up to six months. Yet, there are cases where it lingers on and requires treatment for some particular types of symptoms or behavioural changes. Usually, the patient's behaviour is a result of one or more of the symptoms discussed below.
  • Re-experiencing Symptoms: These symptoms include flashbacks and life like re-imagination in the form of dreams and nightmares. In many cases, the patient may remember and re-experience the entire scene or series of events that have led to the trauma in the first place. This can be triggered by a memory or association with words, events and other such things that have to do with the memory of the traumatic episode.
  • Avoidance Symptoms: A traumatised patient may go out of his or her way to avoid things that are remotely close to the traumatic incident. They may fear a reoccurrence or a reminder of the event and may avoid addressing the trauma altogether. Patients suffering from this symptom may have created a mental block, and may not be able to remember the exact details of the event. They may also feel emotions like fear, guilt, depression and even worry, over the past incident which led to the trauma in the first place. 
  • Arousal Symptoms: Arousal or reactivity symptoms may trigger the same reactions that the person showed during the traumatic experience. These may include being on edge constantly in anticipation of a reoccurrence, or even getting startled by the slightest thing since the mind is already occupied with thoughts of the event, constantly. Anger and emotional outbursts may also be caused due to these symptoms.
  • Mood Symptoms: Mood swings are the most common outcome of these symptoms. The patient may experience a complete lack of enthusiasm and drive to indulge in activities like hobbies and socialising. Also, the patient may end up harbouring feelings of negativity towards family, friends and strangers, besides going through phases of guilt and self blame for the occurrence of the traumatic event.

PTSD can be a debilitating disorder in the emotional sense, and should be treated by a psychiatrist in case it lingers on for more than six months.

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Hlw, respected doctors my problem is first related to OCD which is not curing by medicines and second problem is getting thin day by day like a old man I'm living in very depressed for my health. Sometimes once in a week i do masturbate that's cause of my weakness I can't quit masturbate but i do tell me how to become healthier and OCD treatment medicines. THANK YOU.

MBBS
Sexologist, Panchkula
You are doing masturbation once a week. Once a week masturbation is not the cause of your weakness. You have OCD problem which is not getting cured by medicines and you are getting thin day by day. You need to take some treatment to increase your weight. You have to follow certain dietry instructions for permanent solution to your OCD and weight problems. I give you 100 %guarantee for increase in weight and relief in OCD problem. If interested, I advise you to tell me your eating habits and any addiction to alcohol or cigarette, for better guidance and natural, safe and permanent treatment.
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I lost my friend last year in a tragic accident. I feel very depressed from then. Please help me.

Psychologist, Delhi
I lost my friend last year in a tragic accident. I feel very depressed from then. Please help me.
Dear, may god bless you, losing someone so close is tragic, I understand the situation, but everyone has their responsibility, role, to fulfill in the family/society/personal life, focus on your responsibility and look ahead and keep happy moment with your friend you spent, move in the life. Cheer.
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Hello , I am having periods and I suffer from very head pain, my body starts paining a lot, bleeding is not an issue but pain is the problem please suggest me some thing can not bear pain any more.

DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Delhi
Hello , I am having periods and I suffer from very head  pain, my body starts paining a lot, bleeding is not an issue...
Take mag phos 6x disolve 4 tab in luke warm water little bit water than drink it take 4 tab 1 hrly your pain will be subside.
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I am 25 years old boy . I am heavily emotional and sensitive type don't speak too much with others and at the same time I will quickly get angry within 5 sec even for small matters and later feel regret and start crying for the issues . Where I need to consult a psychiatrist for the anger management or I will get cure by medicines.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate user, welcome to lybrate. From the given details, it seems that you have lack of self confidence related to general anxiety. General anxiety disorder treatment consists of cognitive behavioral therapy, life style changes, relaxation therapy and meditation. Once you learn how to manage your anxiety yourself with the help of the above treatment methods. The process could take some time according to the depth of the problem and the circumstances at which the patient lives. Anyhow, there is nothing to worry. Most of the psychological problems can be cured with scientific therapy methods. Take care.
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