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Dr. Pragati

Psychiatrist, Delhi

at clinic
Dr. Pragati Psychiatrist, Delhi
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Pragati
Dr. Pragati is an experienced Psychiatrist in Munirka, Delhi. You can meet Dr. Pragati personally at Dr. Ram Kumar Homeopathy and Mental Clinic in Munirka, Delhi. Book an appointment online with Dr. Pragati and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Psychiatrists in India. You will find Psychiatrists with more than 32 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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585, J. P. Complex, Bank Street, Munirka, DelhiDelhi Get Directions
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I always get sick sometimes twice a week with different type of sickness like nausea, tonsillitis,UTI, fever,body ache. Ill consult a Dr. And ill be fine for a while however sometimes dosent need to consult doctor I got fine without Doctor as well there are different types of sickness wich I got not only this, can this be because of weak immune system? Please help im really tired of getting sick all the time and nausea is very common sickness in me I nearly get used to it.Please tell.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Diploma in YOGA Ayurveda
Ayurveda
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I always get sick sometimes twice a week with different type of sickness like nausea, tonsillitis,UTI, fever,body ach...
Start haridra khand - 1 tea spoon with milk daily. Try to find out allergy causes and avoid them like dust, cold etc. Follow ayurved lifestyle according your doshas.

Hi my self Nazeer, I have short temper memory problem, I have taken many medicine but no changes. What should I do.

Masters in Clinical Psychology
Psychologist
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Hi lybrate-user, Do the following: 1. Think before you speak In the heat of the moment, it's easy to say something you'll later regret. Take a few moments to collect your thoughts before saying anything — and allow others involved in the situation to do the same. 2. Once you're calm, express your anger As soon as you're thinking clearly, express your frustration in an assertive but nonconfrontational way. State your concerns and needs clearly and directly, without hurting others or trying to control them. 3. Get some exercise Physical activity can help reduce stress that can cause you to become angry. If you feel your anger escalating, go for a brisk walk or run, or spend some time doing other enjoyable physical activities. 4. Take a timeout Give yourself short breaks during times of the day that tend to be stressful. A few moments of quiet time might help you feel better prepared to handle what's ahead without getting irritated or angry. 5. Identify possible solutions Instead of focusing on what made you mad, work on resolving the issue at hand. Remind yourself that anger won't fix anything and might only make it worse.

Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician
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Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

I am forgetting every thing I am studying b.ed soon I will be a teacher but as soon I start recalling my previous knowledge I am blank I didn't remembered what I learnt please reply soon.

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
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Dear lybrate user. I can understand. At your age memory problems like amnesia, dementia etc are not possible. Memory and mindpower depends on three important factors. They are understanding, retention and recollection. You should be able to understand the passage or the information given perfectly so as to help your brain to retain the information or knowledge. Once it is retained properly, recollection happens whenever a memory relation is given. Understanding usually requires creative learning methods and repetition. Providing rest to your brain every half hour while studying continuously help improve concentration. Physical exercises, entertainment, socialization improves memory. Diet which includes fruits, vegetables, nuts also improves memory. Mind games like Sudoku too help. Please understand these facts and apply them on your daily routine. Take care.

Sir when ever there is a slightly loud sound around me I face difficulty to talk and I have to put more energy to talk and try to speak loud from as usual . Kindly help me regarding it.

M.Sc - Honours in Counselling Psychology, Bachelors in Psychology
Psychologist
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Hello lybrate-user, its very much normal to use a little higher energy and sound when there is disturbances in the external environment. But, if you feel that this is very disturbing than the usual, then you may have to talk to someone, an expert. Write contact us for further help.

I have felling lazy I am don't focus on my study and my health is also bad what can I do.

PGDPC
Psychologist
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Dear Mr. Lybrate-user, enjoy your life and its moments, no need to be over self critical. Take some time out to figure what it is that you want to do in your life and list out your short term and long term goals. Once you have done this life your life according to the goals you have set. Just open your eyes (so to say) and be conscious of all the beautiful moments and see all the blessings and opportunities that come your way! wishing you all the best! sajen john.

My father had recently get bypass operation and didn't quit smoking. What should I do?

MD - Psychiatry, MBBS
Psychiatrist
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Motivate him for gradually stopping it by reducing the frequency of cigarettes per day. He may take nicotine buffered chewing gums for few days as a substitute of smoking. Gradually he has to reduce these chewing gums & ultimately stop it. If needed take help of a psychiatrist for de-addiction.

Suggest me what food should I take to improve my brain power of learning. Suggest tablets also.

BHMS
Homeopath
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Dear lybrate user, take homoeopathic anacardium 200, 5 drops, thrice daily, in empty stomach. Also take homoeopathic mother tincture ashwagandha q, 30 drops, thrice daily, after meals, in a cup of water.

I lost my mother last year I am feeling so alone without her, I am feeling so depressed please help me to get out from this dressing moment.

MA - Clinical Psychology, P.G. Diploma in Guidance and Counseling, BA In Psychology
Psychologist
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I lost my mother last year I am feeling so alone without her, I am feeling so depressed please help me to get out fro...
Lybrate user loss of close ones gives lot of sadness I understand that. But life moves on doesn't get still for anyone. You need to find motive or purpose of your life. Try to meet people and do what makes you happy. Not able to help your self then seek help.

Sir / mam I am having a problem of repeating same activities like some small movement some words or some lines of songs repeatldy as negative thoughts . Having a fear for future . Taking stress repeatedly. please tell how to cure .

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
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Sir / mam I am having a problem of repeating same activities like some small movement some words or some lines of son...
Dear lybrate-user. Welcome to lybrate. Repetition of some activities till getting satisfied is not a mental disorder. For example, people check the door lock repeatedly, check the switches, check the doors of cars repeatedly etc. These are considered normal activities. If you have something more than this, and if the repetition manifests tension or anxiety within you, then it could be obsessive compulsive disorder.

Hiiii. I am a 23 year boy. I have a problem of stammering since I was in class 8. At that time problem was not big. It ends up when I reached my class 10 and I doesn't face much problem since I reached 22. But now it has again aroused since last 8 months and I am not able to communicate properly. Feels shy and less confident. Please help.

cc USG, MBBS
General Physician
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Hello, This problem can be solved by Collection of Exercises, Speech therapy, treatment and home cure 1.Exercises are effective in treatment of physiological causes of stammering. In general, exercises are meant to provide strength to the organs associated with speech including tongue, lips, jaw, trachea and lungs. Consult to good speech therapy clinic 2.Deep breathing exercise are very effective 3.chewing Indian gooseberry, Almonds, Black pepper, Cinnamon and dried dates are known to clear speech congestion 4.This problem can be solved by Meditation i can give you address of rajyoga meditation center near your house (this is free of cost)

Hello doc. This is sukrut. I have been smoking last 4 years now I want to quite? Plzzz guide me for that.

Ph. D - Psychology
Psychologist
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You can control your smoking with your dedication and strong will power. Nicotine withdrawals just take 72 hours to go. If you can stay away from nicotine for 72 hours one hour at a time you can not only control your smoking but can be able to stop it forever and can lead a very happy and meaningful life. Just don't smoke and stay healthy.

What is the best way to avoid mental stress and tension due to which people cant even sleep at night.

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
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Dear, stress is simply a reaction to a stimulus that disturbs our physical or mental equilibrium. In other words, it's an omnipresent part of life. A stressful event can trigger the? fight-or-flight? response, causing hormones such as adrenaline and cortisol to surge through the body. A little bit of stress, known as? acute stress? can be exciting? it keeps us active and alert. But long-term, or? chronic stress? can have detrimental effects on health. You may not be able to control the stressors in your world, but you can alter your reaction to them. I need to know, what are the causes with which you are stressed? once you know the reason, you will be able to adjust with it with some tips and tricks. Please let me know the details. Take care.

I am smoking weed for a while and my skin inside the shoulders I had rashes on the skin is there any symptoms for any disease. And caused by my habit of smoking weed.

C.S.C, D.C.H, M.B.B.S
General Physician
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I am smoking weed for a while and my skin inside the shoulders I had rashes on the skin is there any symptoms for any...
It is the effect of weed and you stop. Best age to stop smoking is before 40, In fact do not start all Only by using strong will power and avoiding all situations where you feel like smoking, chewing tobacco or drinking or using drugs avoiding friends who smoke and diverting mind by reading or chewing a gum, like NICORETTE and taking a walk when you crave for a smoke can all help. You can chew Nicorette gum which is nicotine replacement. There are medicines available. Which can be prescribed if asked personally Cigarette smoking is a leading preventable cause of mortality. It kills more than 60 lakh people worldwide every year. More than 50% of regular smokers would invariably die from tobacco-related illnesses which includes heart attack, cancer or asthmatic lung diseases. Best age to stop smoking is before 40 31st May is “World No Tobacco Day” Quitting smoking before the age of 40 is associated with larger decline in premature death than stopping it at a later date. Best age therefore to stop smoking is before 40. However, stopping smoking even after the age of 50 is still associated with lower risk of death as compared to those who continue to smoke. Even in smokers aged 80 years or more, quitting smoking appears to reduce some mortality.

What is the Impact of Porn Addiction and Masturbation on Your Health?

DNB (Psychiatry), DPM, MBBS
Sexologist
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After the advent of the internet, the availability of pornography or explicit video material has become widespread. The availability of this material resulted in a large section of the population relying on it for sexual pleasures as well as living their fantasies through the digital realm.

Internet porn is the new drug

The easy availability and the dependence on internet porn to get a quick fix of dopamine through sexual pleasure have resulted in patterns of addiction among many people. Porn addiction is a phenomenon which has been exacerbated by the easy availability of pornography on the internet. It has not only affected sexual habits such as masturbation, but has also caused hindrances in the daily lives of people and has become a mental disorder as well.

A brain on porn is similar to a brain on alcohol

While it may seem a bit far-fetched, studies of brain scans have shown that people watching porn experience the same effects or pleasure that alcohol gives them. It is a neural circuit which releases pleasure hormones when you sexually pleasure yourself by masturbating to porn. The reward circuit of the brain recognizes this pattern and starts creating please pathways where you want more of it. As you keep doing it more and more, the resistance level increases and you tend to need more. This is a classic sign of addiction.

Healthy and unhealthy masturbation

Masturbation is a natural and normal process that every human indulges in. However a brain addicted to porn will use it as an addict uses a substance. Masturbation is the physical act through which the dopamine would be released. Once it has become an addiction, you would either want to have the daily fix for at least a few hours which you would ensure to take out of your daily routine. This time could have been invested in other fruitful activities when it ends up going to the addiction. In some cases, studies have shown that many would rather do it a few times a week but would spend extended hours masturbating to porn.

Effects of excess masturbation

Some of effects of the porn addiction and excessive masturbation could be

Premature ejaculation

Erectile dysfunction when you are with a partner and in a real life scenario due to dependence on particular porn fantasies

Inability to have or form intimate relationships which are not just sexual but emotional and mental as well

Lethargy to go to work or school due to addiction related problems

Breakdown in relationships, even with family members and friends among many others

It is thus, imperative that you seek sexologist help to slow down the habit and break the cycle of addiction and ensure that you are able to lead a normal life without disruptions so as to allow yourself to be able to form normal sexual relationships.
What is the Impact of Porn Addiction and Masturbation on Your Health?

Hi doctor. My dad getting addicted to drinks. How can stop this medically. Could you please help me.?

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
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Alcoholism is alcohol addiction. If you're ready to stop drinking and willing to get the support you need, you can recover from alcoholism and alcohol abuse no matter how bad the addiction or how powerless you feel. The first step in treating alcoholism 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 alcoholism. Therefore, you need to stick to the treatment plan and cooperate with your psychiatrist / psychologist. Take care.

I am 43 yes, have bipolar disorder for past 20 yes. Can it pass on to my children. 8 years old another 16 yr. What symptoms show this disorder.

DPM, MBBS
Psychiatrist
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Yes, bipolar disorder is hereditary. Your children have a 10-15% chance of having bipolar disorder. The symptoms mostly manifest in middle or late adulthood. Keep an eye on any mood symptoms that your children show. Educate them about the illness. There is no need to be afraid, as most of the times the symptoms can be controlled with medicines. Also, most patients live a relatively normal life as the symptoms are episodic. One should monitor sleep changes and mood changes. Any extreme deviation could be a signal for an episode.

My wife have some mental tension. She feel some tension without any reason. She is negative minded. From my side there is no problem. What should I do? Please advice.

Phd, Mphil, MSc, Bed, BA (Clinical Psychologist and Parent Child Relationship Expert)
Psychologist
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My wife have some mental tension. She feel some tension without any reason. She is negative minded. From my side ther...
How can you be so sure that no problem from your side, you should try to help her by understanding what is leading to this situation, may be she has issues with you but not finding it worthwhile to discuss with you any further, also no tension is illogical. Degree can vary. Start giving her compliments and talk about best times spent toghter. So she feels wanted and finally opens up with you.

Busting Anxiety Instantly: 5 Easy Ways

B.A.(H)Psychology, M.A.Psychology, Ph. D - Psychology
Psychologist
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Living with anxiety on a daily basis can be really stressful. And while you are dealing with anxiety, it is very important not to sway away with the symptoms and commit yourself to a treatment. For instant release of anxiety, you really don't need to go for a vacation or to the spa or a weekend retreat. It is easy to beat anxiety within 5-15 minutes, just being where you are.

So don't think and instantly reduce your anxiety to give yourself a wonderful day. Here are 5 ways to reduce your anxiety immediately.

Meditation: Meditation for a few minutes daily helps relieve anxiety. As per a research, doing meditation daily changes the neural pathways of the brain, thereby making it more flexible towards stress. Meditation is the simplest way to beat anxiety. All you have to do is just sit straight with feet on the floor and closed eyes. Next just focus your energy on reciting a mantra.
Deep Breathing: A 5-minute breathing regime is a sure shot way to relieve anxiety. Sit straight with closed eyes and place your hands on your abdomen. First start with slow inhalation of air through the nose. Feel the breath through your abdomen and head and then reverse the process by exhaling it out through the mouth. Psychologists state that deep breathing helps to bring down stress and anxiety by lowering the blood pressure.
Laugh Aloud: A good laugh is a great way to shed off the stress and anxiety. When you laugh, chemical endorphins are released which elevate your mood. A good laugh also lowers the cortisol levels which are the stress hormone.
Talk to someone: Distracting yourself by talking to friends and family helps. The mind starts wandering when in anxiety and alone and the effective technique to talk to some trusted person helps. The support you get from family and friends just boosts you back and wards you off the symptoms. In case of a panic attack, you can request the company of a friend and relative to watch over you.
Trick your anxious thoughts: Anxiety does not happen suddenly but is due to the mind's tendency to have negative thoughts spiraling day in and day out and the worse is that you have no control over the thoughts. Learn to tame these thoughts and the triggers which cause these to keep anxiety at bay.
There are strategies which you can try to help you keep anxious thoughts away.

1. Question yourself when you experience anxiety. A long checklist helps you make your thoughts more realistic.
2. Give affirmations to yourself that everything is okay, you will get over the situation. Usually, affirmations are made to comfort one.
3. Know the physical symptoms as many times physical sensations like in case of a panic attack tend to trigger anxiety and stress. When you get used to the symptoms, the mind does not send signals for anxiety to the brain. Create exercise to habituate yourself to a panic attack. There is no cure for anxiety but the fastest way to get your anxiety under control is to simply manage it.
Busting Anxiety Instantly: 5 Easy Ways

Memory, response slowing down day to day, please suggest appropriate advise to improve speed.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Homoeopathic medicine BACOPPA MONNERI 1X ( Wilmar Schwabe India ) Chew 2 tab 3 times daily for 2 months
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