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Dr. Ravi Kumar Marwaha

MBBS, MRCP

Psychiatrist, Delhi

44 Years Experience
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Dr. Ravi Kumar Marwaha MBBS, MRCP Psychiatrist, Delhi
44 Years Experience
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Ravi Kumar Marwaha
Dr. Ravi Kumar Marwaha is a trusted Psychiatrist in Vasant Kunj, Delhi. He has helped numerous patients in his 44 years of experience as a Psychiatrist. He has completed MBBS, MRCP . You can meet Dr. Ravi Kumar Marwaha personally at Marwaha Medical Centre in Vasant Kunj, Delhi. Book an appointment online with Dr. Ravi Kumar Marwaha and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Psychiatrists in India. You will find Psychiatrists with more than 41 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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Education
MBBS - Panjab University - 1974
MRCP - Royal Society For Public Health (London) - 1984
Languages spoken
English
Hindi

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Marwaha Medical Centre

2066 Pocket-2 Sector-C Vasant Kunj Delhi Get Directions
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I am suffering from cold and body pain for several days. Can anyone suggest me what to do. I have been taking medication but it isn't working.

B H M S, MD
Homeopath, Thrissur
I am suffering from cold and body pain for several days. Can anyone suggest me what to do. I have been taking medicat...
Cold and body pain for several days without relief has to be investigated with blood -cbc. Aec. Ige and after the diagnosis only treatment can be decided. Usually simple viral cold and coryza will fade within 3 or 4 days without any treatment.
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Sir/madam, my age is 28 years. For the last 2-3 weeks I'm unable to sleep properly. I feel over thinking is my problem, my question is whether my problem can be cured by psychiatric techniques i.e. May be something like hypnotizing as we watch in some movies. Please answer to my question. THANKING YOU SIR/MADAM.

MBBS, Diploma in Child Health (DCH), MD Internal Medicine
General Physician, Visakhapatnam
Sir/madam,  my age is 28 years. For the last 2-3 weeks I'm unable to sleep properly. I feel over thinking is my probl...
Sleep problem is usually due to so many worries and unsolved problems related to family and employment and sometimes due to changes in chemicals in the brain. This problem needs counselling and behaviours therapy and sometimes short course of medication for 3-4 months and everything will be normal. Also meditation and exercise will help you a lot.
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Chronic pain is a Disease and not a symptom

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
Chronic pain is a Disease and not a symptom

People who suffer from severe, chronic back pain know how it can utterly disrupt and damage one's life. Chronic back pain can be cruel-making it hard to enjoy even the simplest daily activities, and certainly making it a challenge to carry out an exercise routine and other healthy activities. Moreover, chronic pain was not previously all that well understood. The medical profession used to believe that pain is always a manifestation of an underlying injury or disease. As such, doctors focused on treating the underlying cause of the pain, with the belief that once the injury or disease was cured the chronic pain would then disappear.

If no underlying cause could be found for the pain, then the patient was told that very few treatments are available, or worse, 'the pain must be in your head'. Unfortunately, some doctors still practice in this manner, having no appreciation for the unique problem of chronic pain, newer theories about chronic pain, and the many factors that influence a chronic pain problem.

The medical community is starting to understand that if pain is no longer a function of a healthy nervous system (signaling that there is a disease or underlying injury), then the chronic pain itself becomes the problem and needs to be treated as the primary pathology.

The Experience of Chronic Pain

Contrary to popular belief, all pain is real. This may seem like an obvious statement, but people with chronic pain are sometimes treated as if their chronic pain is either imaginary or exaggerated. In some cases, they feel like they have to prove their chronic pain to their friends, family, and doctors. Some patients are told by their doctor that there is no reason for the chronic pain and therefore 'it cannot be that bad'.

Chronic pain is a personal experience and cannot be measured like other problems in medicine, such as a broken leg or an infection. For instance, a broken leg can be confirmed by an X-ray and an infection by a blood test measuring white blood cell count. Unfortunately, there is no medical test to measure chronic pain levels.

To make matters more challenging for the patient, for many chronic pain problems, there is no objective evidence or physical findings to explain the pain. Thus, many chronic pain sufferers go from one doctor to the next searching for explanations. This process can lead to unnecessary evaluations and treatments, in addition to putting the patient at risk for actually being harmed or made worse by the healthcare profession.

Everyone experiences and expresses pain differently. Two people with the exact same injury will feel and show their pain in unique ways depending on a number of things such as:

  • The situation in which the pain occurs
  • Thoughts about the chronic pain, such as 'this is nothing serious' versus 'this pain could kill me'
  • Emotions associated with the chronic pain, such as depression and anxiety versus hopefulness and optimism
  • Cultural influences determining whether a person is to be more stoic or more dramatic in showing pain to others

The newest theories of chronic pain can now explain, on a physiological level, how and why people experience pain differently.

Types of Back Pain: Acute Pain, Chronic Pain, and Neuropathic Pain

Understanding how pain is defined is important in order to learn how to better control it. For the purposes of research and medical practice, pain can be separated into three categories:

-Acute Pain
-Chronic Pain
-Neuropathic Pain

Acute Pain

One common type of pain is acute pain, currently defined as pain lasting less than 3 to 6 months, or pain that is directly related to tissue damage. This is the kind of pain that is experienced from a paper cut or needle prick. Other examples of acute pain include:

  • Touching a hot stove or iron. This pain will cause a fast, immediate, intense pain with an almost simultaneous withdrawal of the body part that is being burned. More of an aching pain might be experiencing a few seconds after the initial pain and withdrawal.
  • Smashing one's finger with a hammer. This pain is similar to that of touching a hot stove in that there is an immediate pain, withdrawal and then 'slower' aching pain.
  • Labor pains. The pain during childbirth is acute and the cause is certainly identifiable.


The longer pain goes on the more susceptible it is to other influences and developing into a chronic pain problem. These influences include such things as the ongoing pain signal input to the nervous system even without tissue damage, lack of exercise (physical deconditioning), a person's thoughts about the pain, as well as emotional states such as depression and anxiety.

Chronic Pain

There are at least two different types of chronic pain problems - chronic pain due to an identifiable pain generator (e.g. an injury), and chronic pain with no identifiable pain generator (e.g. the injury has healed).

Chronic pain due to an identifiable pain generator

This type of chronic pain is due to a clearly identifiable cause. Certain structural spine conditions (for example, degenerative disc disease,spinal stenosis and spondylolisthesis can cause ongoing pain until successfully treated. These conditions are due to a diagnosable anatomical problem.

If the pain caused by these types of conditions has not subsided after a few weeks or months of conservative (nonoperative) treatments, then spine surgery may usually be considered as a treatment option.

Chronic pain with no identifiable pain generator
This type of pain continues beyond the point of tissue healing and there is no clearly identifiable pain generator that explains the pain. It is often termed 'chronic benign pain'.

It appears that pain can set up a pathway in the nervous system and, in some cases, this becomes the problem in and of itself. In chronic pain, the nervous system may be sending a pain signal even though there is no ongoing tissue damage. The nervous system itself misfires and creates the pain. In such cases, the pain is the disease rather than a symptom of an injury.

The term 'chronic pain' is generally used to describe the pain that lasts more than three to six months, or beyond the point of tissue healing. Chronic pain is usually less directly related to identifiable tissue damage and structural problems. Examples of chronic pain are: chronic back pain without a clearly determined cause, failed back surgery syndrome (continued pain after the surgery has completed healed), and fibromyalgia.

Chronic pain is influenced by many factors, such as ongoing pain signal input to the nervous system even without tissue damage, physical deconditioning due to lack of exercise, a person's thoughts about the pain, as well as emotional states such as depression and anxiety. Chronic pain is much less well understood than acute pain.

Neuropathic Pain

Neuropathic pain has only been investigated relatively recently. In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage.

Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category but it has a different feel then the chronic pain of a musculoskeletal nature.

The neuropathic pain feels different than musculoskeletal pain and is often described with the following terms: severe, sharp, lancinating, lightning-like, stabbing, burning, cold, and/or ongoing numbness, tingling or weakness. It may be felt traveling along the nerve path from the spine down to the arms/hands or legs/feet. It's important to understand neuropathic pain because it has very different treatment options from other types of back pain. For example, opioids (such as morphine) and NSAID (such as ibuprofen, COX-2 inhibitors) are usually not effective in relieving neuropathic pain. Treatments for neuropathic pain include certain medications, nerve 'block' injections, and a variety of interventions generally used for chronic pain.

When Acute Pain Becomes Chronic Pain

It is critical for a doctor and a patient to have an understanding of the difference between acute pain and chronic pain. With acute pain, the pain is a symptom of injured or diseased tissue. When the injury has finished healing, the correlating pain will subside. For example, with a herniated disc, once the pressure on the nerve is alleviated the acute pain stops. For this reason, medical treatment for acute pain focuses on healing the underlying cause of the pain.

Additionally, with acute pain, the severity of pain directly correlates to the level of tissue damage. This provides us with a protective reflex, such as to stop an activity when it causes pain. However, chronic pain does not serve a protective or other biological function. Treatments will be different depending on the underlying cause of the pain.

Chronic Pain Development

Not all pain that persists will turn into chronic pain. Different people experience chronic pain very differently. Likewise, the effectiveness of a particular treatment for chronic pain will often differ from person to person. For example, a particular medication or injection for a herniated disc may provide effective pain relief for some people but not for others.

One problem is that not all patients with similar conditions develop chronic pain, and it is not understood why some people will develop chronic pain. Also, a condition that appears relatively minor can lead to severe chronic pain, and a serious condition can be barely painful at all.

As pain moves from the acute phase to the chronic stage, influences of factors other than tissue damage and injury come more into play and influences other than tissue input become more important as the pain becomes more chronic.

Pain medicine and pain management as a medical specialty is relatively new. However, now that chronic pain is becoming recognized as a primary problem, rather than always being a symptom of a disease, the specialty of pain management is starting to grow.

1 person found this helpful

Now a day I am feeling so weak and feeling all-time sleepy but I sleep on time and for 10 hours daily. I cannot concentrate on my study also.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Now a day I am feeling so weak and feeling all-time sleepy but I sleep on time and for 10 hours daily.
I cannot conce...
Your sleep is a little on the excessive side. I suggest you meet with a counselor and even a physician to make sure that other matters may not be contributing to your problems. It sounds like that the feeling of weakness and sleepiness may be connected to a mild depression. In the meantime do some of these recommendations very faithfully: Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning at least five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position you must squat down and rise up and do this for five minutes every day. There are some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food.
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Sir due to highly excessive handpractise I lost my memory power. So please tell me useful medicine to recover my memory power and some other useful ways.

Hello, first you have to leave hand practice then take proper diet. Aswagandha q homoeopathic medicine 10 drops 3 times daily. Consult homoeopathic doctor for proper treatment.
1 person found this helpful
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Hi doctor! Can you suggest some tips to increase concentration and memory power? Thank you!

C.S.C, D.C.H, M.B.B.S
General Physician,
CONCENTRATION TIPS Here’s some tips to get into a state of deep concentration where work / or studies flow easily so that you can do well in examinations/ and or do your work well. 1) Cut Off the Noise Getting into a state of concentration can take at least fifteen minutes. If you are getting distracted every five, you can’t possibly focus entirely on your work. Request that people don’t interrupt you when working on a big project. If you are required to answer phones and drop-in’s immediately, schedule work when the office is less busy. 2) Structure Your Environment The place you work can have an impact on your ability to focus. Try to locate yourself so you are facing potential distractions such as doors, phones or windows. This way you can take a glance to assess sounds that would otherwise break your focus. 3) Clarify Objectives Know what your goal is clearly before you start. If you aren’t sure what the end result is, the confusion will make it impossible to focus. 4) Divide Blobs. If you have a large project that needs work, clearly identify a path that you will use to get started working on it. If the sequence of actions isn’t obvious, it will be difficult to concentrate. Taking a few minutes to plan not only your end result, but the order you will complete any steps, can save hours in wasted thinking. 5) Know the Rules Get clear on what the guidelines are for the task ahead. What level of quality do you need? What standards do you need to follow? What constraints are there? If the rules aren’t clear from the outset, you will slip out of concentration as you ponder them later. 6) Set a Deadline Deadlines have both advantages and disadvantages when trying to force concentration. A deadline can make it easier to forget the non-essential and speed up your working time. If you give yourself only an hour to design a logo, you will keep it simple and avoid fiddling with extravagant designs. Time limits have disadvantages when they cause you to worry about the time you have left instead of the task itself. 7) Break down Roadblocks Roadblocks occur whenever you hit a tricky problem in your work. This can happen when you run out of ideas or your focus wavers. Break down roadblocks by brainstorming or planning on a piece of paper. Writing out your thought processes can keep you focused even if you might become frustrated. 8) Isolate Yourself Become a hermit and stay away from other people if you want to get work done. Unless your work is based on other people they will only break your focus. Create a private space and refuse to talk to anyone until your work is finished. Put a sign on your door to steer away drop-ins and don’t answer your phone. 9) Healthy Body, Sharper Mind What you put into your body affects the way you concentrate. Nobody would expect peak performance if they showed up drunk to work. But if you allow yourself to get chronic sleep deprivation, overuse stimulants like caffeine or eat dense, fatty foods your concentration will suffer. Try to cut out one of your unhealthy habits for just thirty days to see if there is a difference in your energy levels. I’ve found even small steps can create dramatic changes in my ability to focus. 10) Be Patient Before I write an article, I often sit at my desk for a fifteen or twenty minutes before I put finger on the keyboard. During this time I feel a strong urge to leave or do something else. But I know that if I am patient, I’ll stumble upon an idea to write about and enter a state of flow. Without a little patience, you can’t take advantage of flow when it rushed through you. If you need strong concentration I recommend periods of 90-120 minutes. Any less than that and you will waste too much time getting started before the flow can continue. More than this is possible to sustain focus, but you will probably benefit from a quick break. These are the general guidelines for concentration, studying well or doing your job. Regards.
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I am 30 years old mother. Due to some matrimonial problem I am mentally harassed touch. Now mind sometimes goes out of control.

B.Sc(Hons) Mumbai Univ., ND, MD - Alternate Medicine, Aroma Therap., Bach Flower Rem, Mental Health Cert.
Alternative Medicine Specialist, Mumbai
I am 30 years old mother. Due to some matrimonial problem I am mentally harassed touch. Now mind sometimes goes out o...
Hi I will prescribe some harmless but effective flower remedy available in homoeopathy shops. Try to buy original medicines. Mix 3 drops of mimulus + 3 drops of cherry plum + 3 drops of white chestnut + 3 drops of aspen. Mix these with 100 ml water and drink it every morning and night.
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Coping With Erectile Dysfunction and Depression

Coping With Erectile Dysfunction and Depression

Depression is considered the common cold of all mental health issues and can strike in varying levels due to causes like pressing circumstances, problems in one's personal life and relationships, hormonal changes and other long-term, chronic health conditions. Your intimate relationships are also subject to dejection when physical ailments enter the picture. Erectile dysfunction is one such area that creates depression. This is basically a condition that men suffer from. Due to this condition, a man is not able to get and hold an erection long enough to enjoy the act of sex. This can be caused due to related physical problems as well as stress. It can also lead to depression and problems in one's relationship due to anger, frustration, hopelessness and sadness. Here are a few ways to deal with depression caused due to erectile dysfunction.

  1. Recognising the Symptoms: The very first thing to do is to come out of denial and recognise the symptoms that are caused by this kind of depression. Usually, any long-term or chronic problem can lead a person to look at himself or herself as a hopeless case. This can cause symptoms like dejection, a negative attitude towards everything and sudden outbursts of anger and frustration which may crop up in other areas of the patient's life. Since this is an intimate problem that one cannot discuss with everyone, the problem of depression gets all the more challenging. In such cases, the best thing to do is to be aware of the symptoms.
  2. Getting help: Simply being aware of the symptoms is not enough that is merely the first step. One will need to go ahead and do something about the symptoms. Visiting a sexologist or a sex therapist is the next step. With the help of therapy and discussions, the patient and the doctor can actually reach the root cause of the issue and help in realigning the attitude and thinking of the patient to come out of stress that is creating the issue, or to deal with medical repercussions of the issue in a more stable manner.
  3. Psychotherapy: One of the foremost methods used by most therapists includes psychotherapy that can help in unravelling the cause and finding a way to cope with the problem in a way that is focussed on discussions.
  4. Cognitive Behavioural Therapy: This form of therapy examines all aspects of the person's life and reality so as to find the cause of the problematic behaviour and reprogram the brain of the patient with great deliberation.
  5. Antidepressants: While some medications can affect sexual functioning, there are antidepressants that do not have major sexual side effects. Please consult a Psychiatrist and discuss on this option too.

Tackling depression and erectile dysfunction is a matter of striking a fine balance with professional help. If you wish to discuss about any specific problem, you can consult a Sexologist.

5756 people found this helpful

Hello everyone, has anyone ever got extremely depressed and not sure why other than feeling lousy weak, and extremely its almost like something in my brain turns on the depression switch. I have so much to be thankful for but this dreaded disease makes me hate life every once in a while.

Masters in Clinical Psychology
Psychologist, Lucknow
Hello everyone, has anyone ever got extremely depressed and not sure why other than feeling lousy weak, and extremely...
Hi lybrate-user, Feeling down or blue is a natural part of life. People let us down, things go wrong, we lose people we love or the dreams we've valued. When feeling down stretches over weeks or months, is occurring frequently and interfering with your ability to interact with people and enjoy your life, it is likely that you're experiencing some form of depression. Provided that you're able to access information and have a good doctor and support network around you, even severe depression is a highly treatable condition. Along with medication psychotherapy from psychologist is a important adjunct. Firstly, you will have to make few lifestyle changes: Sleep well. Sleep is essential to a healthy, balanced body. Lack of sleep can aggravate negative thinking and easily becomes a vicious cycle whereby your negative thoughts keep you awake and disable your ability to get enough sleep. Waking unrefreshed and feeling tired is a common complaint during depression, and even too much sleep can leave depressed persons feeling tired. Breaking this cycle requires enforcing a strict sleep routine of the same bedtime and waking time every day, avoiding caffeine and alcohol, not exercising three hours prior to bed, removing anything distracting from your bedroom, and keeping your room at a suitable temperature. Exercise releases a natural anti-depressant chemical in your brain and gets you into doing something active. Start small with a simple walk to the local store or around the block, or to your garden gate might be the way to begin. Gradually work up to a routine that fits with your needs and enjoyment. Look for friends or group exercise sessions since having a partner will keep you more motivated. You can also look for activities that will allow you to release some of the pent-up emotions that may be built up, such as kickboxing. Playing sports is a great way to get regular exercise, stay occupied, focus on self-improvement and meet new people. Some studies have found that people who participate in sports have somewhat fewer symptoms of depression. Choose a sport that is exhausting to quiet the chatter in your mind and leave you feeling wrung out—just don't overdo it. Join a team or class in your area and commit to showing up to as many of these meetings as possible, even if you may not feel like going some days. Eat healthy. Reduce your intake of sugar, high fructose corn syrup, fast foods, and processed foods. Eat more fruits, vegetables and whole foods. Drink plenty of water and do some research on foods that are said to improve your state of mind and well-being. Improving your diet can be a positive project to keep you constructively occupied and focused when you're working through your depression. Plus, many healthy foods are effective at improving mood Talk with friends, family and colleagues who make you feel good and who are good to be around. Spend time with people who see the world in a positive way and ask them to share their visions, ideas, and approaches to life with you. Most positive people will be more than happy to reveal the things that help them keep upbeat and happy about their lives. Learn from them. Remember that misery loves company. It can be incredibly hard to keep away from negative people as down and out as you're feeling, but do your best to avoid them. You won't be doing either of you a favor by confirming each other's fears that the rest of the world is terrible. Keep occupied. Being busy is a way to prevent negative thoughts from going around your head repeatedly. For depressed persons, the first step is often the hardest, so making yourself do things can be a huge difference in your day and getting you started Start a journal of your journey through your depression. Document your feelings somewhere personal and completely private. This will be the place where you let out your darkest thoughts — no holds barred — because you don't need to worry that anyone will judge you for them. A diary can become your collaborator in the struggle against your depression because it eventually provides you with great evidence of what improves your mood as well as what brings it down. Try to write in it daily if possible. Change your thinking. As part of progressing, recognizing and defeating negative thinking patterns is a very important aspect to concentrate on. Cognitive behavioral therapy, psychotherapy, or other forms of psychological therapy are helpful when you're unlearning negative thinking and establishing patterns of thinking that support your self-esteem and increase your self confidence. While it is best to read up in this area and speak with someone qualified to help guide you through the ways to change your thinking, there are some important things to keep in mind. Acknowledge the feeling will pass. This can be a very difficult step, but it's vital because it helps you to start banishing thoughts of hopelessness. List all of your good points. When you're depressed, it's easy to understate the positive things about yourself. Turn this around by listing everything that is good about you. Include achievements from the past and hopes for the future, however few or random they may seem. If you can't write this list, have a trusted friend or family member start one for you. This is a list to keep building upon as you work through your depression. Self-acceptance is a vital part of recovering from depression because you acknowledge that there are good things about yourself, but also that you have challenges to overcome. This will help you stop judging yourself more harshly than anyone else. Make decisions, however small, and act on them. Again, while this is very difficult to do during depression, it is a vital element in facing the sense of helplessness that tends to overwhelm depressed persons. Small decisions like getting out of bed, calling friends, or cleaning up the kitchen all add up. Once you act on them, they become achievements. Learn how to replace faulty or negative thinking by focusing on it. Ask questions such as: Am I assuming the worst? Am I condemning myself because something bad has happened? Am I focused on my weaknesses rather than my strengths? It is helpful to arrange the negative thought in one column and a rationalization in another column, so that you can confront and undo the negative thinking. In one column you may write the thought" I'm a failure, and in the other you challenge that thought with" I made a mistake. I've made mistakes in the past and things have turned out okay. I've also had many triumphs. Learn assertiveness techniques once you've challenged the harder aspects of your negative thinking processes. Assertive techniques will allow you to find a pathway to standing up for yourself without giving in to feelings of anger, fear, or powerlessness. Knowing how to assert yourself is an important part of not falling back into depressive patterns in the future. Remember, Always keep yourself busy, or doing something positive. Sitting alone, or thinking about all the bad events in your life without expressing them to someone is going to make your depression worsen. Also pratice yoga or meditation. All the best. Consult psychologist for psychotherapy. Consult me for same.
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I have fast heartbeat from past 2 days and even have a buzzing sound in my head and kind of tired also I have had cholesterol, thyroid,uric acid on level in past. Can you please suggest what might be the reason.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have fast heartbeat from past 2 days and even have a buzzing sound in my head and kind of tired also
I have had cho...
Hello, Thanks for the query. It is difficult to give any opinion as to why suddenly you have increased heart rate or may be palpitations. I need to know if you are having hyperthyroidism (which thyroid problem), high BP and any other cardiac condition. Unless some of the other details are known, no opinion can be given. It is better if you consult a local physician, who will be able to guide properly. Thanks.
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