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Dr. Ms. Akshita Dutta

Psychiatrist, Delhi

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 has an excellent community of Psychiatrists in India. You will find Psychiatrists with more than 44 years of experience on 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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Lalalajpat is my aunty she has a disease called schizophrenia. Can anyone suggest me any suggestions for curing her and are there any chances of getting my aunt to normal conditions? Please help.

MD - Psychiatry
Psychiatrist, Chennai
Schizophrenia is a severe mental illness, but can be treated very well with effective new medications. The treatment is like diabetes or hypertension, i. E. Is for long term. The symptoms will gradually disappear and it might take nearly 2-6 months for significant improvement. Also if the illness has been treated irregularly, or in certain sub-types of schizophrenia or resistant symptoms, only improvement can be shown rather than complete recovery. Schizophrenia is not a single disease but a syndrome with variety of presentation, so the treatment is done by psychiatrist after understanding these.
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I am feeling weak and lethargic all the time not able to do my daily activities properly. I have lost interest in everything I do and it and not able to focus on anything doctor say it's anxiety problem and nothing. Feeling worried please answer this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am feeling weak and lethargic all the time not able to do my daily activities properly. I have lost interest in eve...
* have early night meal, easily digestible food so that it almost digests before you go to bed. 2. This will be helpful in getting undisturbed sleep. 3. Focus on your positive qualities and feel proud of your achievements 4 don't keep doubting yourself. 5. Keep busy with your work and studies; maintain your schedule 6. Avoid fast food and eat healthy nutritious food. 1.7. Regular vigorous physical exercise is very important. With improved blood circulation, toxins will be eliminated from your body. You will become very energetic and your mind will become fresh as well as positive. Exercise has a positive effect. It makes you feel better. It fights the stress by creating natural and constructive outlet for releasing negative thoughts and emotions such as anger. 2. Exercise boosts the production of feel good hormones or endorphins.
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I am 23 years old male and I got horrible dreams since last 6 months. What should i do?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
I am 23 years old male and I got horrible dreams since last 6 months. What should i do?
You will need to look back 6 months ago and see what might have triggered this response. Then, if you deal with that, you will probably stop these bad dreams. You may meet with a dream analyst and help you decipher the meaning and implication of these dreams to help you use it productively. Apart from that you must make sure that you diet does not include foods that increase the fermentation that cause flatulence. This may also come from a lot of stress, for whatever reason, and a counselor will help you discover that and deal with it. You could also sleep on your left ear and change these dreams to cheerful ones.
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Can you give me some idea about learning? when I study, my mind is not working properly.

Master of Clinical Psychology, Post Graduate Diploma in Psychological Counselling
Psychologist, Pune
Relax your mind before you study. Take sufficient diet, sleep and do regular exercise. All these are going to contribute to stay you healthy and refreshed. Refreshed mind think and feel positive and also learns efficiently.
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Sir I feel very stressed before exam. So I consult a doctor. He gave me cloba 5 and veniz xr 37.5. I fear these have side effects. And I also fear I I'll get used to it. I also feel sleepy after having these. Is it safe to have cloba5 and veniz xr.

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
Sir I feel very stressed before exam. So I consult a doctor. He gave me cloba 5 and veniz xr 37.5. I fear these have ...
Dear lybrate-user, Welcome to Lybrate. Tension during and before examination is called performance anxiety. To overcome exam related performance anxiety, you should know yourself, your subject, exams and your study patterns. Once you study systematically and to the point, there is no need to be panic before or during the exams. “Effective learning” techniques should help you. Take care.
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I want to stop smoking. I tried a lot but I can not even for a single day. What should I do.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I feel really happy for you guys who have guts to digest the truth that habitual smoking is an addiction and I am very much sure that guys like you although understand the disatrous effectss of habitual smoking but out of their craving or compulsion are unable to do so.But I wll try to figure out a clear picture in front of you and let you decide how to quit this habit as I think you are strong enough to quit this habit as you have a strong mind to accept this addiction.Consult me in private for management and homoeopathic medicines to quit smoking habit.
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I have major depression and anxiety disorder for past 5 year. I have a repeated thought over one thing and again another topic continuously and serve pain at the back side of head, its pains when I think too much or laugh or shout. Is this disease curable. I want to know.

MBBS, MD Psychiatry
Psychiatrist, Jaipur
I have major depression and anxiety disorder for past 5 year. I have a repeated thought over one thing and again anot...
Hi dear, Repeated thoughts about one thing is not so common in depression and anxiety. Repeated thoughts of one thing is more seen in OCD. It causes anxiety. In this disorder patient feels uneasiness, heaviness in head and neck. Patients feel a pain in neck region and head. This is called as somatic pain. Please see a psychiatrist. Do some relaxation exercises, walking, jogging to make muscles supple. It may help to reduce your pain. OCD is common disorder among young people. Untreated OCD causes depression and life become difficult. After treatment In some cases it shows very good response and in some cases life become somewhat better than being untreated. I think I helped you. Than you.
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I'm 17 year male and I have recently loved a girl and her age is 20. She is so close with me but 4 months back I proposed her. She rejected and said I hate you. But she really loves me until I proposed her. She had put my number in black list. I'm unable to forget her and I remember her always. So I have lost the wisdom to think and take right descions. I have forgotten my goal also in worry of her. Please help me to retrieve my attitude back sir. Some times I thought to have drink. To know what inside my feelings and my heart. I have heard that when someone drinks the I tell what's inside their heart and hidden feelings. Please help me to retrieve back my original attitude. If there are any surgeries that destroy all memories since 5 months. Thanks in advance.

Masters in Clinical Psychology
Psychologist, Lucknow
Hi, I understand your situation. Right now it may be looking a big disaster for you but 1 year down the line these things will not matter. You are young a lot of girls are yet to enter your life and you will form meaningful relation with someone who will reciprocate your love. There is no surgery and you do not need any surgery you just need to let go of people who do not value your presence. Ending a relationship is hard, whether it was your decision or the other person’s decision. You may be dealing with painful emotions and want to deal with those feelings as quickly as possible. There are several ways that you can work through your painful emotions and start to move on, such as writing about your feelings, allowing yourself to grieve, and being cautious about rebound relationships. Keep in mind that getting over a breakup takes time and patience. If things don’t seem to get better with time, remember that you can always turn to friends, family, or even a mental health professional for support. Keep your distance. Even if you and your ex have decided to stay friends, break away completely from each other right after the breakup. This means not seeing each other, not being around his/her family members, no phone calls, no e-mails, no text messages, no Facebook, and no IMs. You don’t have to have stop talking forever, but you do need to cut all communication for as long as it takes to get completely over your ex. If she tries to convince you to see her, ask yourself honestly what the point would be. If you're reliving the past by seeing her, it's not hard to get caught up in the moment and it will be harder to let go again. You may have to have some contact in order to deal with the practical aspects of things like moving out, signing papers, etc. But try to limit this to what's absolutely necessary, and then keep such calls/meetings short and civil. Organize your space. A breakup can signify a new beginning. Therefore, cleaning and organizing your personal space will leave you feeling refreshed and prepared for the new things to come. A mess can be overwhelming and depressing, and will just add to your stress level. Keeping busy with tidying your space doesn't require a lot of brain power, but it does require just enough focus to keep you from recycling pain. Clean your room, get some new posters, clean up the icons on your PC desktop. As insignificant as cleaning up sounds, it'll make you feel better. Remove painful memory triggers. There are all kinds of things that remind you of your ex––a song, a smell, a sound, a place. Having these items around can make it harder for you to recover from a breakup. Remove all of the things that make your heart ache or your stomach turn. It can work wonders to clear your space of all these triggers. If you have a keepsake, such as a watch or piece of jewelry that was given to you by your ex, there's nothing wrong with keeping it. But for the time being, try putting it away until you have gotten over the relationship. Get out and do things. After a relationship ends, it is okay to have some time to yourself at home. Just make sure that you get back out in the world aft you have processed your feelings. Make plans, go out with your friends, and have fun! It might seem awkward at first, but it will get easier and it will help you to feel better. Getting out and doing things is also important because you need to grow and maintain your social network after a breakup. Doing so will help you to move on with your life. Don't feel like you need to go out with other people all of the time. Take yourself out to do things and enjoy the freedom to do what you want. Go to your favorite coffee shop, go shopping, or take yourself on a mini-vacation. Continue to take care of yourself. It is common for people to put less effort into self-care after a breakup, but doing so will not help you to feel better. Make sure that you are seeing to your basic needs for mental, physical, and spiritual well-being. If you were not taking good care of yourself before the relationship ended, now is a good time to start. Make sure that you are eating well, sleeping enough, making time for relaxation, and getting regular exercise to feel your best. Eat a balanced diet that includes plenty of fresh fruits and vegetables, whole grains, and lean protein. Avoid junk food, excess sugar, and excess fat. Get between 7-8 hours of sleep per night. Keep in mind that some people may be okay with less than 7 hours per night or require more than 8 hours of sleep per night. Exercise for 30 minutes five times a week. Go for a 30-minute walk, ride your bike around town, or hit the pool and go swimming. Relax for at least 15 minutes per day. Try meditation, deep breathing exercises, or yoga to help you relax. Most importantly, you will get over it. It will take time. Trust and have faith. Time heals. Consult me for any stress.
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How to be depression free. Suggest good . Methods in ayurveda to be depression rsn free and to have peace. If possible give me steps to do. .

Masters in Clinical Psychology & Certified Cognitive Behaviour Therapy Practioner, Certified Neuro linguistic programming Practioner, Masters in Clinical Psychology, Post Graduate Diploma in Child and ADolescent Counselling
Psychologist, Pune
How to be depression free. Suggest good . Methods in ayurveda to be depression rsn free and to have peace. If possibl...
Depression drains your energy, hope, and drive, making it difficult to do what you need to feel better. But while overcoming depression isn’t quick or easy, it’s far from impossible. You can’t just will yourself to “snap out of it,” but you do have more control than you realize—even if your depression is severe and stubbornly persistent. The key is to start small and build from there. Feeling better takes time, but you can get there if you make positive choices for yourself each day. Recovering from depression requires action, but taking action when you’re depressed is hard. In fact, just thinking about the things you should do to feel better, like going for a walk or spending time with friends, can be exhausting. The key to fighting depression is to start with a few small goals and slowly build from there. Draw upon whatever resources you have. You may not have much energy, but you probably have enough to take a short walk around the block or pick up the phone to call a loved one. Take things one day at a time and reward yourself for each accomplishment. The steps may seem small, but they’ll quickly add up. And for all the energy you put into dealing with depression, you’ll get back much more in return. Depression self-help tip 1: Cultivate supportive relationships While isolation and loneliness can trigger or worsen depression, maintaining supportive relationships can be instrumental in overcoming it. You may feel ashamed, too exhausted to talk, or guilty for neglecting your most treasured relationships, but emotional connection can get you through this tough time. Ask for the help and support you need. •Reaching out is not a sign of weakness and it won’t mean you’re a burden to others. The truth is that most people are flattered if you trust them enough to confide in them. •Talk to someone face to face. The simple act of talking to someone face to face about how you feel can play a big role in lifting the fog of depression and keeping it away. But it has to be face to face—communicating via text, social media, or phone just doesn’t have the same effect. •Turn to friends and family members who make you feel loved and cared for. The person you talk to doesn’t have to be able to fix you; he or she just needs to be a good listener, someone who’ll listen attentively without being distracted or judging you. •Try to keep up with social activities even if you don’t feel like it. Often when you’re depressed, it feels more comfortable to retreat into your shell, but being around other people will make you feel less depressed. •Join a support group for depression. Being with others dealing with depression can go a long way in reducing your sense of isolation. You can also encourage each other, share experiences, and gain valuable advice on how to cope. •If you don’t feel that you have anyone to turn to, it’s never too late to build new friendships and improve your support network. 10 tips for reaching out and building relationships 1.Talk to one person about your feelings 2.Help someone else by volunteering 3.Have lunch or coffee with a friend 4.Ask a loved one to check in with you regularly 5.Accompany someone to the movies, a concert, or a small get-together 6.Call or email an old friend 7.Go for a walk with a workout buddy 8.Schedule a weekly dinner date 9.Meet new people by taking a class or joining a club 10.Confide in a clergy member, teacher, or sports coach Depression self-help tip 2: Get moving When you’re depressed, just getting out of bed can seem like a daunting task, let alone exercising. But exercise is a powerful tool for dealing with depression and for preventing relapse. •Regular exercise can be as effective as antidepressant medication at relieving symptoms of depression. •Physical activity reduces stress and releases endorphins, powerful chemicals in your brain that energize your spirits and make you feel good. •Getting active can give you a break from the cycle of negative thoughts that feed depression. Using exercise to deal with depression •Exercise is something you can do right now to boost your mood. Aim to exercise for 30 minutes or more per day—or break that up into short, 10-minute bursts of activity. A 10-minute walk can improve your mood for two hours. The key to sustaining mood benefits is to exercise regularly. •Choose activities you enjoy. You don’t need to train at the gym or run mile after mile. Pick an activity you enjoy, so you’re more likely to stick with it. •Find exercises that are continuous and rhythmic. The most benefits for depression come from rhythmic exercise—such as walking, weight training, swimming, martial arts, or dancing—where you move both your arms and legs. •Add a mindfulness element, especially if your depression is rooted in unresolved trauma. Focus on how your body feels as you move—such as the sensation of your feet hitting the ground, or the feeling of the wind on your skin, or the rhythm of your breathing. Depression self-help tip 3: Eat a healthy, mood-boosting diet What you eat has a direct impact on the way you feel. Reduce your intake of foods that can adversely affect your brain and mood, such as caffeine, alcohol, trans fats, and foods with high levels of chemical preservatives or hormones (such as certain meats). •Don’t skip meals. Going too long between meals can make you feel irritable and tired, so aim to eat something at least every three to four hours. •Minimize sugar and refined carbs. You may crave sugary snacks, baked goods, or comfort foods such as pasta or French fries, but these “feel-good” foods quickly lead to a crash in mood and energy. Aim to cut out as much of these foods as possible. •Boost your B vitamins. Deficiencies in B vitamins such as folic acid and B-12 can trigger depression. To get more, take a B-complex vitamin supplement or eat more citrus fruit, leafy greens, beans, chicken, and eggs. Omega-3 fatty acids play an essential role in stabilizing mood •Foods rich in certain omega-3 fats called EPA and DHA can give your mood a big boost. The best sources are fatty fish such as salmon, herring, mackerel, anchovies, sardines, tuna, and some cold-water fish oil supplements. Aim for two servings a week. •You may hear a lot about getting your omega-3s from foods rich in ALA fatty acids, such as vegetable oils and nuts (especially walnuts), flax, soybeans, and tofu. Be aware that our bodies generally convert very little ALA into EPA and DHA, so you may not see as big of a benefit. Depression self-help tip 4: Do things that make you feel good In order to overcome depression, you have to do things that relax and energize you. This includes following a healthy lifestyle, learning how to better manage stress, setting limits on what you’re able to do, and scheduling fun activities into your day. •Aim for eight hours of sleep. Depression typically involves sleep problems; whether you’re sleeping too little or too much, your mood suffers. Get on a better sleep schedule by learning healthy sleep habits. •Expose yourself to a little sunlight every day. Lack of sunlight can make depression worse. Take a short walk outdoors, have your coffee outside, enjoy an al fresco meal, people-watch on a park bench, or sit out in the garden. Aim for at least 15 minutes of sunlight a day to boost your mood. If you live somewhere with little winter sunshine, try using a light therapy box. •Practice relaxation techniques. A daily relaxation practice can help relieve symptoms of depression, reduce stress, and boost feelings of joy and well-being. Try yoga, deep breathing, progressive muscle relaxation, or meditation. •Care for a pet. While nothing can replace the human connection, pets can bring joy and companionship into your life and help you feel less isolated. Caring for a pet can also get you outside of yourself and give you a sense of being needed—both powerful antidotes to depression. Do things you enjoy (or used to) While you can’t force yourself to have fun or experience pleasure, you can push yourself to do things, even when you don’t feel like it. You might be surprised at how much better you feel once you’re out in the world. Even if your depression doesn’t lift immediately, you’ll gradually feel more upbeat and energetic as you make time for fun activities. •Pick up a former hobby or a sport you used to like. •Express yourself creatively through music, art, or writing. •Go out with friends. •Take a day trip to a museum, the mountains, or the ballpark. Develop a “wellness toolbox” to deal with depression Come up with a list of things that you can do for a quick mood boost. The more “tools” for coping with depression, the better. Try and implement a few of these ideas each day, even if you’re feeling good. •Spend some time in nature •List what you like about yourself •Read a good book •Watch a funny movie or TV show •Take a long, hot bath •Take care of a few small tasks •Play with a pet •Talk to friends or family face-to-face •Listen to music •Do something spontaneous Depression self-help tip 5: Challenge negative thinking Depression puts a negative spin on everything, including the way you see yourself and your expectations for the future. While you can’t break out of this pessimistic mind frame by “just thinking positive,” you can stop being so hard on yourself and challenge your negative thinking. Challenge these types of negative thinking that fuel depression All-or-nothing thinking – Looking at things in black-or-white categories, with no middle ground (“If I fall short of perfection, I’m a total failure.”) Overgeneralization – Generalizing from a single negative experience, expecting it to hold true forever (“I can’t do anything right.”) The mental filter – Ignoring positive events and focusing on the negative. Noticing the one thing that went wrong, rather than all the things that went right. Diminishing the positive – Coming up with reasons why positive events don’t count (“She said she had a good time on our date, but I think she was just being nice.”) Jumping to conclusions – Making negative interpretations without actual evidence. You act like a mind reader (“He must think I’m pathetic”) or a fortune teller (“I’ll be stuck in this dead end job forever.”) Emotional reasoning – Believing that the way you feel reflects reality (“I feel like such a loser. I really am no good!”) ‘Shoulds’ and ‘should-nots’ – Holding yourself to a strict list of what you should and shouldn’t do, and beating yourself up if you don’t live up to your rules. Labeling – Labeling yourself based on mistakes and perceived shortcomings (“I’m a failure; an idiot; a loser.”) If you’ve taken self-help steps and made positive lifestyle changes and still find your depression getting worse, seek professional help. Needing additional help doesn’t mean you’re weak. Sometimes the negative thinking in depression can make you feel like you’re a lost cause, but depression can be treated and you can feel better! Don’t forget about these self-help tips, though. Even if you’re receiving professional help, these tips can be part of your treatment plan, speeding your recovery and preventing depression from returning.
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I am loosing memory. I keep forgetting things. Study I do, last a day only. Next day I find I am blank. Pls suggest which could be effective in regaining my Memory power.

C.S.C, D.C.H, M.B.B.S
General Physician,
7 Ways to Remember Anything Research-based strategies to boost your memory and keep it strong 7 Strategies for Remembering 1.Become interested in what you're learning. We're all better remembering what interests us. Few people, for example, have a difficult time remembering the names of people they find attractive. If you're not intrinsically interested in what you're learning or trying to remember, you must find a way to become so. 2.Find a way to leverage your visual memory. You'll be surprised by how much more this will enable you to remember. For example, imagine you're at a party and are introduced to five people in quick succession. How can you quickly memorize their names? Pick out a single defining visual characteristic of each person and connect it to a visual representation of their name, preferably through an action of some kind. Remember: Memory is predominantly visual. 3.Create a mental memory tree. If you're trying to memorize a large number of facts, find a way to relate them in your mind visually with a memory tree. Construct big branches first, then leaves. Branches and leaves should carry labels that are personally meaningful to you in some way, and the organization of the facts ("leaves") should be logical. 4.Associate what you're trying to learn with what you already know. It seems the more mental connections we have to a piece of information, the more successful we'll be in remembering it. This is why using mnemonics. Write out the items to be memorized over and over and over. 5.When reading for retention, summarize each paragraph in the margin. This requires you to think about what you're reading, recycle it, and teach it to yourself again. Even take the concepts you're learning and reason forward with them; apply them to imagined novel situations, which creates more neural connections to reinforce the memory. 6.Do most of your studying in the afternoon. Though you may identify yourself as a "morning person" or "evening person" at least one Study. Suggests your ability to memorize isn't influenced as much by what time of day you perceive yourself to be most alert but by the time of day you actually study—afternoon appearing to be the best. 7.Get adequate sleep to consolidate and retain memories. Not just at night after you've studied but the day, you study as well. Far better to do this than to stay up cramming all night for an exam.
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How to get rid of tension, insomnia and over thinking. And please suggest me some food habits.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Rajkot
How to get rid of tension, insomnia and over thinking. And please suggest me some food habits.
Morning walk with music, yoga, pranayam, meditation is the ultimate solution for tension. Before sleep take a glass of milk with 2 tab neo (charak)
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stop it, speak without a abnormal break...

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
What is stuttering?

Stuttering affects the fluency of speech. It begins during childhood and, in some cases, lasts throughout life. The disorder is characterized by disruptions in the production of speech sounds, also called" disfluencies" most people produce brief disfluencies from time to time. For instance, some words are repeated and others are preceded by" um" or" uh" disfluencies are not necessarily a problem; however, they can impede communication when a person produces too many of them.

In most cases, stuttering has an impact on at least some daily activities. The specific activities that a person finds challenging to perform vary across individuals. For some people, communication difficulties only happen during specific activities, for example, talking on the telephone or talking before large groups. For most others, however, communication difficulties occur across a number of activities at home, school, or work. Some people may limit their participation in certain activities. Such" participation restrictions" often occur because the person is concerned about how others might react to disfluent speech. Other people may try to hide their disfluent speech from others by rearranging the words in their sentence (circumlocution), pretending to forget what they wanted to say, or declining to speak. Other people may find that they are excluded from participating in certain activities because of stuttering. Clearly, the impact of stuttering on daily life can be affected by how the person and others react to the disorder.

What are signs and symptoms of stuttering?

Stuttered speech often includes repetitions of words or parts of words, as well as prolongations of speech sounds. These disfluencies occur more often in persons who stutter than they do in the general population. Some people who stutter appear very tense or" out of breath" when talking. Speech may become completely stopped or blocked. Blocked is when the mouth is positioned to say a sound, sometimes for several seconds, with little or no sound forthcoming. After some effort, the person may complete the word. Interjections such as" um" or" like" can occur, as well, particularly when they contain repeated (" u- um- um") or prolonged (" uuuum") speech sounds or when they are used intentionally to delay the initiation of a word the speaker expects to" get stuck on"

Some examples of stuttering include:

" w- w- w- where are you going" (part-word repetition: the person is having difficulty moving from the" w" in" where" to the remaining sounds in the word. On the fourth attempt, he successfully completes the word.)
" ssss ave me a seat" (sound prolongation: the person is having difficulty moving from the" s" in" save" to the remaining sounds in the word. He continues to say the" s" sound until he is able to complete the word.)
" i'll meet you - um um you know like - around six o'clock" (a series of interjections: the person expects to have difficulty smoothly joining the word" you" with the word" around" in response to the anticipated difficulty, he produces several interjections until he is able to say the word" around" smoothly.)
How is stuttering diagnosed?

Identifying stuttering in an individual's speech would seem like an easy task. Disfluencies often" stand out" and disrupt a person's communication. Listeners can usually detect when a person is stuttering. At the same time, however, stuttering can affect more than just a person's observable speech. Some characteristics of stuttered speech are not as easy for listeners to detect. As a result, diagnosing stuttering requires the skills of a certified speech-language pathologist (slp).

During an evaluation, an slp will note the number and types of speech disfluencies a person produces in various situations. The slp will also assess the ways in which the person reacts to and copes with disfluencies. The slp may also gather information about factors such as teasing that may make the problem worse. A variety of other assessments (e. G, speech rate, language skills) may be completed as well, depending upon the person's age and history. Information about the person is then analyzed to determine whether a fluency disorder exists. If so, the extent to which it affects the ability to perform and participate in daily activities is determined.

For young children, it is important to predict whether the stuttering is likely to continue. An evaluation consists of a series of tests, observations, and interviews designed to estimate the child's risk for continuing to stutter. Although there is some disagreement among slps about which risk factors are most important to consider, factors that are noted by many specialists include the following:

A family history of stuttering
Stuttering that has continued for 6 months or longer
Presence of other speech or language disorders
Strong fears or concerns about stuttering on the part of the child or the family
No single factor can be used to predict whether a child will continue to stutter. The combination of these factors can help slps determine whether treatment is indicated.

For older children and adults, the question of whether stuttering is likely to continue is somewhat less important, because the stuttering has continued at least long enough for it to become a problem in the person's daily life. For these individuals, an evaluation consists of tests, observations, and interviews that are designed to assess the overall severity of the disorder. In addition, the impact the disorder has on the person's ability to communicate and participate appropriately in daily activities is evaluated. Information from the evaluation is then used to develop a specific treatment program, one that is designed to:

Help the individual speak more fluently,
Communicate more effectively, and
Participate more fully in life activities.
What treatments are available for stuttering?

Most treatment programs for people who stutter are" behavioral" they are designed to teach the person specific skills or behaviors that lead to improved oral communication. For instance, many slps teach people who stutter to control and/or monitor the rate at which they speak. In addition, people may learn to start saying words in a slightly slower and less physically tense manner. They may also learn to control or monitor their breathing. When learning to control speech rate, people often begin by practicing smooth, fluent speech at rates that are much slower than typical speech, using short phrases and sentences. Over time, people learn to produce smooth speech at faster rates, in longer sentences, and in more challenging situations until speech sounds both fluent and natural" follow-up" or" maintenance" sessions are often necessary after completion of formal intervention to prevent relapse.
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How to Prevent Mental Disorders at Old Age

Diploma in Psychological Medicine, MBBS
Psychiatrist, Mumbai
How to Prevent Mental Disorders at Old Age

Older people are at a higher risk of developing mental disorders as with age the neurology of the brain tends to deteriorate. Various physical illnesses, such as chronic pain and bone disorders which are common in older people can restrict their ability to live an independent life. Most of the diseases that affects older people tend to require long term care.

Other causes of mental disorders are events like death of near ones, disabilities or a reduction in socioeconomic status. These factors can make them isolated and lonely leading to psychological problems in the elderly. Physical diseases such as heart problems may also lead to mental problems. 

With respect to the above points, you may follow these pointers to stay away from mental disorders:

  1. Physical exercise: It is very important to stay active as it has multiple health benefits. A sedentary lifestyle increases the risk of diabetes and cardiovascular diseases in the body. In case of movement restrictions, focus on doing simple activities like walking and moving about as replacement for regular exercise.
  2. Food: Food is important to mental health as they provide the necessary nutrients to the body. Add almonds to your diet as they contain vitamin B6 which is very good for the brain. Omega 3 and Omega-6 acids in almonds also contribute to brain health. Eat a diet that is low in fat, focus on simple and natural foods. 
  3. Communicate: Take up a hobby or participate in social gatherings to get more involved with people. These activities will keep your mind occupied and stimulate your brain. It will reduce the risks of depression and related disorders.
  4. Remove negative emotions: Try to avoid negative emotions as they are the major source of depression. Take up meditation as their effect on improving mental health is well known. Focus on the positives in every experience to be content and happy. Negative emotions can lead to serious mental problems such as depression and anxiety disorders.
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My mother 50 years old, last 20 days she is suffering wit body heat, headache, loose motion, leg pain, fever. Last week suddenly bp was high. We had blood test it was negative. Iam very worried about my mother. Kindly suggest me what can I do.

General Physician, Cuttack
My mother 50 years old, last 20 days  she is suffering wit body heat, headache, loose motion, leg pain, fever. Last w...
Let her take bland diet, plenty of water with ORS,paracetamol for fever and body ache and take rest. If no relief consult doctor
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I used to drink alcohol and stopped in January 2016. I suffer from depression and fear for the last two months. How can I recover and remedy.

M.Phil - Psychology
Psychologist, Moradabad
I used to drink alcohol and stopped in January 2016. I suffer from depression and fear for the last two months. How c...
You should start sharing with some trusted person. Who can suggest you in a better way. You should start morning walk and try deep breathing in morning.
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How to stop smoking please let me quit smoking by giving some tips I have a strong desire.

Dear lybrate user, you may need a bit of willpower to stop smoking permanently. You could easily abstain yourself from smoking during the initial 2-3 days. But after few days of abstaining from smoking you will feel a strong craving to smoke a cigarette whenever you face any tense situation. Here lies your real test. You will need a lot of willpower to resist that craving & face any tense situation without the help of nicotine. However, you can take homoeopathic mother tincture daphne indica q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to reduce your craving for nicotine. To minimise the bad-effects of smoking take one single bulb garlic everyday at morning before brushing your teeth.
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I get very short tempered and feel irritated since few months. What can be the reason?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gurgaon
Reasons can be menopause, thyroid disorder, stress, depression, sleeplessness, chronic fatigue syndrome etc. Practice meditation under expert guidance.
2 people found this helpful
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Dear doctor, I am a professor in chemistry for the past two month bad experience I become unhappy and anger towards friends and family before two months I lost my job in famous institution I joined in international school there some negative experience with students they are politician child they irritate me very much I leave that job I joined recently in polytechnic college now happy only sometimes I become sad and anger in subconscious mind please please help me to change me.

General Physician, Nashik
Try not to think about the work life when at home, keep yourself busy with your liking and hobbies while not on duty. You need to sleep properly (~8 hr per day), so prior to bed, I'd recommend a cold shower, half an hour of meditation with soothing music, try it, you can google for training video lesson for this before hand. Make sure to sleep in a completely dark room devoid of any noise. Try not to take any tea/coffee for at least 3 hrs prior to bed (practice it, it'll be worthwhile). Stay away from any kind of smoking/alcohol (if you do). If possible, early morning/evening go out for a light jogging session, you'll be feeling much better and refreshed if maintained in daily basis.
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My husband 27 old has always suffering from stress and hypertension. .and before marriage he is interested in sex but after marriage he doesn't. .and he having 140 kg weight and I am having only 55 kg. But we have a daughter now that only compelling him to do sex. Only 20 or 30 times total we had sex of 2 year marriage. .and he had an another relationship with other girl. And have physical relations also. Pls give an solution. .is my husband is not satisfied with me?

Masters in Clinical Psychology
Psychologist, Lucknow
My husband 27 old has always suffering from stress and hypertension. .and before marriage he is interested in sex but...
It would be best if you sit down with him and speak your heart out. You need to resolve the situation it can not go on like this forever otherwise one of you will fall apart. Ask him very politely as to what he feels, wishes, what is lacking in the relation. A person gets attracted outside relation usually when something is lacking in one's own relationship you need to build up on that. Ask him what does he want out of the relation, have a open heart to heart conversation. Share your wishes, desires your kid's future. Consult with me for counseling and guidance regarding same. All the best.
3 people found this helpful
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Dear sir, I am using levothyroxine 25 from 6 months, doctor told me because of anxiety my thyroid level was elevated, at start my tsh value is 7.20 and now it is 4.90 does I need to stop tablets, please suggest me. Does I need to use tablets for long time and my current tsh 4.90 was high.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear sir,
I am using levothyroxine 25 from 6 months, doctor told me because of anxiety my thyroid level was elevated,...
Mr. lybrate-user, Usually when TSH level is between 6 to 9.9 mU/L, condition is considered as subclinical hypothyroidism and no treatment is advocated. Sometime treatment is given if there is associated low T4 level and patient has severe symptoms of hypothyroidism. Since you have been already taking the drug, there is no option but to continue it. TSH 4.9 is with in the normal range, however, if you stop treatment, it will again go up. Thanks.
7 people found this helpful
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