Book Clinic Appointment
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Cognitive Behavioral Therapy
Memory Improvement Techniques
Obsessive Compulsive Disorder Treatment
Treatment of Abnormal Behaviour
Psychological Diagnosis (Adult And Child)
Electroconvulsive Therapy (Ect) Treatment
Management of Emergency Conditions
Manual Therapy Treatment
Psychoanalysis for Suicide
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Patient Review Highlights
I feel strange that I am suffering from epilepsy. I consulted Dr Rupali Shivalkar. Not only she is very calm and composed, but is also a very understanding doctor. It's been more than a year that I was experiencing Epilepsy. I read about Dr Rupali Shivalkar on one of the social media platform. The overall atmosphere in the Shanti Home Psychiatry Center is very soothing. Over the period of time the epilepsy treatment has helped me a lot. It was so quite pleasant in the Shanti Home Psychiatry Center. With the help of her treatment for epilepsy I am feeling so great.Dr Rupali Shivalkar is well aware about innovative techniques to treat problems.
I am so happy with the results of my treatment, that I will surely recommend Rupali Shivalkar to anyone gladly. The guidance Rupali Shivalkar gave me has helped me immensely with my situation. The friendliness of staff is the best in the Shanti Home Psychiatry Center. During the treatment, my Rupali Shivalkar supported me a lot. She is one of the best physicians in city. I was shocked to experience the symptoms of drowsiness. I have consulted so many doctors , but no one was able to solve my drowsiness.
Many people gave very positive feedback for therRupali Shivalkar. She is not just friendly, but also is very motivating. Rupali Shivalkar has so much knowledge that for everything my family takes herreference.my depression problem aggravated. Even in case of emergency, the staff is always willing to help. Shanti Home Psychiatry Center had all the amenities, a patient requires. I have consulted so many doctors , but no one was able to solve my depression.
I am so happy with the results of my treatment, that I will surely recommend Rupali Shivalkar to anyone gladly. Someone from the office, referred us that Rupali Shivalkar. The overall cleanliness in the Shanti Home Psychiatry Center was amazing. The best thing about Rupali Shivalkar is that she prescribes limited no. of medicines. The Shanti Home Psychiatry Center is decorated very nicely and doesn't look like a hospital. I was undergoing drug abuse i
I developed this ocd and didn't know what to do. She is very courteous and behaves very aptly with elder patients. Someone from the office, referred us Dr Rupali Shivalkar. The entire Shanti Psychiatry Center was spotlessly, clean. I am so happy with the results of my treatment, that I will surely recommend her to anyone gladly.
I thank Dr Rupali for giving the best possible stress reatment. I was in too much pain due to stress but after consulting this doctor, I am perfectly fine. I am not facing any such issue in my present. She is not only a great psychiatrist but also a great person.
Thank you very muchdr Rupali Shivalkar.You are like an angel sent by God to me and finished the anxiety problem that made my life and my marriage hell. I am very very thankful to you and your staff at Shanti Home Psychiatry Center in Noida.
Rupali shivalkar is a very Good Psychiatrist , rather I would say a best doctor I have ever met. He finished my problem of alcohol addiction very easily and with very less medicines. His clinic is Shanti Home Psychiatry Center in Noida
Everything was good but not met with Dr Rupali Shivalkar attended by Doctor Preeti Mathew
HI, I am asking regarding my 36 year old brother health issue. From past one month he facing major problem 1, he is mentally disturbed. Hamesha badi badi bate karna misbehaving language use Karna Puri family se and jhoot bolna hat baar galat cause me dimag lagana drink bhi regularly Karne LGE hai Apne phone me hamesha LaGE rahane around 12 to 14 hr days in mobile sleeping only 4 to 5 he in entire day. We consult one neuroscience Dr. He given below medicine depran 10 and ecosprin But no relief till now.
I take prodep 20 mg capsule daily from last 1 year due to my social phobia, somatic obsession adjustment disorder. Now I feel better but. मै पढाई मे याद किया हुआ answer भूल जाता हूं। दिमाग blank हो जाता है । Answer कुछ भी याद नही आता.
Hey. I am 16 years old and I read that Alprax is an anti-anxiety medicine. I was very stressed because of many reason and thoughts of suicide also came so I had it because I wanted to feel better but without doctors prescription. Did I do something wrong? Is it dangerous?
OCD or Obsessive Compulsive Disorder is an anxiety disorder, which can be indicated through obsession, having pervasive thoughts or thoughts, which may upset you, having certain compulsions, and practicing certain rituals, which may help to control or manage your obsessions. It is a disorder, which cannot be cured, but can be controlled with the help of treatment. Mostly, OCD is considered to be a lifelong disorder. It often circulates around the fear of germs or sickness and around keeping order and maintaining patterns.
He/she experience Doubt
Here's how it works. The person experience an unwanted thought which suggests the possibility of a catastrophic problem. For instance:
- What if I left the stove on, and the neighborhood burns?
- What if I got insecticide on my hands, and my family gets poisoned?
- What stops me from taking the carving knife and stabbing my spouse?
- What if I got poked by a needle infected with HIV?
These are thoughts about catastrophes. Naturally, you want to set them aside, and assure yourself that all is well.
And you try. You try very hard, very repetitively, to persuade yourself that all is well. You probably recognize that the thoughts are pretty exaggerated, even silly. But you keep trying to get rid of them. You try to feel absolutely sure that they're false. Even though you've never experienced these problems in the past, you want somehow to be certain that they will never happen in the future.
Here are some Tips that can help you in overcoming OCD
- Consult a qualified Psychiatrist: A qualified Psychiatrist is the only person who can diagnose and answer your question “Do I have OCD?” Fortunately, effective medicines are available now that can certainly help you overcome OCD. One important thing is, even if the medicines are taking time to work, consult your psychiatrist. Inform your Psychiatrist and he will make necessary changes in the prescription.
- Educate Yourself about OCD: There’s no substitute for being an informed patient. Your understanding of OCD, and of the treatment method, will be a key to your progress. If you’re going to overcome OCD, you need to become an informed consumer.
- Don’t be alone: OCD sufferers tend to do some compulsions to overcome their anxiety and these rituals are silly and awkward, that is why to avoid embarrassment such personally prefer to stay indoors. But staying indoors makes your mind locked in an OCD viscous cycle and it becomes difficult to break the cycle.
- Meditation: Meditation is an ancient relaxation method that can do wonders for you in overcoming OCD.
- Never neglect 3 practices: Regular Exercise, Healthy Diet and Sound sleep.
- Stop comparing yourself with others: it’s human nature to compare ourselves with others. Everyone has problems, difficulties. But they might be hiding there their sorrows, worries behind a mask, conveniently. Do not judge their quality of their happiness by looking at their external appearance.
- Find the cause: Find the real hidden reason for your anxiety, and take measures to reduce it. Sometimes chronic depression, childhood trauma, lack of sufficient sleep, etc. might be the reason.
- Help others: You will feel the satisfaction when you help others and see their smile.
- Don’t control your thoughts: Rather, control your reactions. And, Be happy, remain positive.
- Listen to music: Music has the tremendous power of healing and it diverts your mind.
- Do believe in the theory of KARMA: do your duties, don’t worry about results.
Being away or oblivious to social media is synonymous to not following the herd. Social media probably is no more the latest fad; it is the given code to take a deeper look into the present age. The rewarding fact about social networking sites is their ability to transport us to people and places millions of miles away from us. This epoch dictates of overproduction and maximum utilization of labor and snatches away the boon of communication.
Below mentioned points showcase how social media addiction negatively affects our mental health:
- Peer Pressure- Social media use also creates the fear of missing out because you want to do what everyone else is doing. This evokes anxiety and will give rise to negative feelings and emotions, which again create mental health problems and stress and anxiety disorders
- Fatigue and Stress- When you are using social media, you are constantly switching from one task to another because there is just so much to do and see. This information abundance can tire out your brain, especially when it is received chaotically. Your brain needs time and room for absorbing the data and processing the information, but multitasking on social media makes your brain work overtime. This can prevent it from relaxing and it will become exhausted as it tries to deal with the barrage of information. Hence, the fatigue puts your mind under a lot of stress and you may not be able to concentrate on anything at all.
- Social Anxiety- Even though the whole point of social media is to allow people to stay connected with others, it doesn’t have the same satisfaction and element associated with actual human interaction, which is a crucial human need. In fact, in some ways, it is too distant and this is not a good thing for those who become dependent on social media as it can lead to social anxiety. Those who are already suffering from this problem will find it even more difficult to indulge in face-to-face interaction. Real human interaction can become extremely scary for people as it is becoming common to hide behind your computer screens and not go out at all.
- Distraction- Social media is just tailor-made for decreasing our productivity because you spend hours looking at everyone else’s life when you could be doing something else. This means that most of your time is spent on viewing photos, liking posts, and writing comments and these activities don’t really require the use of your intellectual abilities. They aren’t intellectual at all and distract you from activities that are such as reading, studying informational articles on the internet, etc. Your brain doesn’t get enough food for development and your intellectual abilities can decline in this way. Your brain will slow down and not be able to respond quickly in various situations.
- Insecurity- One of the major problems with social media is that posts typically present an idealized version of what’s going on in everyone’s life. Usually, what you see isn’t actually reality because everyone has their problems and issues. Nevertheless, you end up comparing your own life with that of others and think less of your own. If people in your newsfeed seem to be having a good time, it will make you envious and affect your mood negatively. Research has shown that widespread use of social media can demotivate people, make them aggressive and cause a decline in confidence.
So are you being adversely affected by social media? Here are some signs to look out for:
- Low self-esteem.
- Feeling low when you see other people's images and lifestyle.
- Envy of others people lives - wishing your life was like someone else's.
- Finding social media as your first and only choice of activity done for enjoyment.
- Not having as many face to face conversations with your relatives and friends and feeling disconnected.
- Being unable to do anything without feeling you need to share it online. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Your mother has often yelled at you for playing video games for long hours, but obviously you haven’t paid heed to it. Such is the obsession with video games that they don’t let you rest unless you have championed all the levels in the virtual interface. Here is the source of all problems. Studies have revealed that video games have a direct relation to neuropsychiatric problems. As a result, many health experts across the world consider video game as a kind of health abuse.
People who play action-oriented video games are at higher risks. The more you indulge in these kinds of games, the more they are going to affect the hippocampus section of your brain. It is that part of the brain which is considered to be the centre of your nervous system, memory and emotion. Reduced hippocampus volume may make person vulnerable to multiple neuropsychiatric complications. Let us see some of the signs, which may indicate the onset of certain complications arising from an over indulgence in these games.
1. You spend hours on the computer or related gaming devices and devote lesser hours for your family and friends
2. You get agitated when someone stops you midway through the game
3. You become socially isolated and show signs of occasional mood swings
4. You are unable to keep a track of time once you start playing
5. You repeatedly neglect your studies, resulting in a dip in performance at school
Why does this happen?
All of the above signs indicate that sooner or later you might develop neurological problems. When you spend an excessive number of hours on playing and navigating through the games, the ‘hippocampus’ portion of your brain shows signs of decreased gray matter. As a result, the volume of the hippocampus shrinks, causing severe nerve related disorders such as schizophrenia, Alzheimer’s disease, dementia, depression, and overall general stress.
One of the biggest reasons behind this is a lack of self-control. Most of the video games will encourage you to steal cars, run away after a theft and kill your enemies. Moreover, if you succeed, you are rewarded. This naturally unleashes a blatant urge for the gratification of all these awkward desires in your real life too. Hence, once you are encountered with the reality, you tend to show violent behavior. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Drug addiction is one of the social menaces and in most people, what starts off as a result of peer pressure and trying to be cool ends up affecting lives significantly. It is not just social, but also affects financial, physical, emotional, and social well-being. The small periods of happiness given by the drug is followed by months and years of torment.
The National Institute on Drug Abuse (NIDA) has identified that drug addiction causes chemical and structural changes in the brain, leading to dangerous and self-destructive behaviours. The brain’s response to stimulus like pleasure, joy, happiness, and pain are altered with constant drug abuse. For instance, the neurotransmitter called dopamine, which makes one feel good, is usually produced by the brain in small amounts. However, drugs increase this level to 2 to 10 times more, making the person feel extremely high and happy. Since the body is unable to reach the highest level of happiness on its own, the dependency on these drugs to feel good increases.
Repeated use of the drugs leads to increased dependency, wherein the brain refuses to feel good without reaching those high levels of dopamine. The issue is mostly seen in teenagers and young adults but can be seen in any age group.
October 2 is recognised as National Anti-Drug Addiction Day and nationwide campaigns and drives are done to help people overcome addiction. One of the main reasons a drive this size is required is because of the social stigma attached to the problem. Most families shun away from recognising it as a problem that can be easily treated, and so the affected person is sucked deeper into the problem.
Overcoming addiction: One of the main success factors for treating addiction is for the affected person to recognise that he or she is addicted and needs to get rid of the problem.
- There are national toll-free helplines that are set up, which can guide through the whole program. This way, if required, anonymity is maintained and support for overcoming addiction is increased.
- It involves a group effort involving the affected person, family and friends, medical and clinical personnel, and counsellors in some cases.
- Cognitive behavioural therapy: The person is made conscious of the change in behaviour and the way drugs affect it. Healthier patterns to be happy and joyful are discussed.
- In most cases, the underlying reason for reaching out to drugs needs to be addressed also to prevent relapse.
- Group therapies where the person makes friends who have faced similar issues and overcome the problem. This increases their accountability and commitment to getting rid of the problem.
Drug abuse is a national social menace and needs more free admittance and management.
A particularly stressful situation or event that has created terror or been overly dramatic or dangerous can lead to stress and anxiety long after the individual has physically come out of the situation. This kind of a traumatic condition is usually what characterises Post Traumatic Stress Disorder (PSTD).
In simple words, PTSD is a neurological disorder which affects individuals after experiencing severe traumatic situations.
Symptoms of PSTD:
- Mood symptoms: mood swings are the most common outcome of these symptoms. The patient may experience a complete lack of enthusiasm and drive to indulge in activities like hobbies and socialising. Also, the patient may end up harbouring feelings of negativity towards family, friends and strangers, besides going through phases of guilt and self blame for the occurrence of the traumatic event.
- Re-experiencing symptoms: these symptoms include flashbacks and life like re-imagination in the form of dreams and nightmares. In many cases, the patient may remember and re-experience the entire scene or series of events that have led to the trauma in the first place. This can be triggered by a memory or association with words, events and other such things that have to do with the memory of the traumatic episode.
- Arousal symptoms: arousal or reactivity symptoms may trigger the same reactions that the person showed during the traumatic experience. These may include being on edge constantly in anticipation of a reoccurrence, or even getting startled by the slightest thing since the mind is already occupied with thoughts of the event, constantly. Anger and emotional outbursts may also be caused due to these symptoms.
- Avoidance or rumination: Those suffering from PTSD avoid being reminded of the trauma, such as people, situations or circumstances associated with the event. They try to suppress memories associated with the event.- Many others ruminate excessively and prevent themselves from coming to terms with it.
Duration of PSTD: PSTD usually lasts up to six months. Yet, there are cases where it lingers on and requires treatment for some particular types of symptoms or behavioural changes.
Treatment for PSTD: Mindfulness meditation (not a treatment option) helps in recognizing cognitive dissonances and affected thought patterns and aids in recognizing and overcoming their influence. Other therapies, including Cognitive behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) are also done depending on the patient's condition.
Borderline Personality Disorder (BPD) is a mental illness. A patient suffering from BPD maintains unstable relationships with other people, shows inappropriate emotional reactions and possesses suicidal or self-harm tendencies. It is purely a personality disorder caused due to multiple factors. Patients suffering from BPD may find it difficult to stay alone. They fear abandonment and loneliness. Yet they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life.
It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with BPD.
Symptoms of Borderline Personality Disorder:
The signs of suffering from BPD are listed below:
- Intense and frantic effort to avoid abandonment or loneliness
- Unstable relationships with people and changing the attitude towards them drastically. It can change from being in immense love with each other to intense hatred.
- Developing paranoid thoughts and having dissociative feelings-The patient often lacks the feeling of self and suffers from identity crisis.
- Suicidal feelings and attempts
- Tendency to cause self harm or destruction by drug abuse, driving irresponsibly or be having unprotected sex
- Reflecting intense depression
- Chronic boredom
- Sudden anger and hostility
Causes for Borderline Personality Disorder: Borderline Personality Disorder can be caused due to multiple reasons. Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.
Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for BPD. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.
Diagnosis: There is no particular clinical test that can diagnose BPD. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.
Treatment: The treatment of BPD involves three steps- psychotherapy, medications and support from peer and family. Dialectical Behavioral therapy, cognitive behavioural therapy and psychodynamic psychotherapy are used in treating the patient. There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed.
Schizophrenia is a debilitating mental and emotional condition that is characterised by a heavily distorted thought process as well as hallucinations and even extreme fear that borders on paranoia. Let us find out more about this debilitating disease:
- Genetics: Genetic factors play an important role in the development of schizophrenia.
- Environment: Possible environmental factors include obstetric complications, the mother's exposure to influenza during pregnancy or starvation. It has also been suggested that stress, trauma even migration can lead to the emergence of schizophrenia.
- Neurodevelopmental Factors: Schizophrenia appears to be a neurodevelopmental disorder. That is changes that cause the illness have been occurring from the earliest stages of development even in utero, and may continue to influence the development of the brain over the first 25 years of life.
This disease has a variety of symptoms include cognitive and emotional ones that can vary in the degree and severity. One of the most common symptoms included hallucinations and delusions where the patient may end up imagining things that do not really exist. The patient may also be gripped by sudden and crippling fear like paranoia, which can be debilitating as far as everyday functioning of the person goes. The symptoms can also interfere with the way a person deals with situations and life skills on a cognitive basis. Withdrawal and hopelessness are also a part of this disease.
The earliest signs and symptoms must be referred to a psychiatrist. The treatment involves the management of the case of an individual basis along with psychological rehabilitation programs and inclusion of the patient in self-help groups. Housing and employment programs must also be availed so as to keep the patient busy. Also, behaviour therapy will be required in such cases. The mode of counselling should usually be on a one on one basis, although many doctors also suggest that group therapy can help in showing examples of progress so as to encourage the patient to change and get a new lease of life.
I am suffering from depression for the last 10 years. I do not get sound sleep and under psychiatric treatment of Dr. AJEET NERURKAR OF SUCHAK HOSPITAL MALAD EAST MUMBAI for the last 8 years. I want to stop the intake of medicines. Please let me know the way out.
My boyfriend broke up with me a month back. We broke up exactly 2 days after we went on a long distance. We both were very serious in the relationship. I had been fighting with him a lot for stupid reasons. I am so full of guilt and begged him to take me back. He has been refusing me constantly and says that he does not love me anymore and he has thought over his decisions again. I am tired of hearing all the advice from all kind of people. Grieve, start loving yourself, concentrate on work, pray, meditate, date other people etc. Nothing seems to be working for me. Please help.
Delusional disorder refers to the condition in which an individual experiences non-bizarre delusions that are beliefs in things that aren't actually true. The delusions involve situations that take place in real life like being deceived or stalked, conspired against, etc but in actuality, these situations may be highly exaggerated or not true at all as they involve the misinterpretation of experiences or observations. This health problem tends to take place during the middle or later part of your life and is said to affect women more than men.
What are the symptoms associated with this condition?
There are certain signs that you can look out for to easily identify this condition and there are:
- Delusional thoughts lasting one month and above
- Lack of schizophrenia symptoms except delusions associated with the olfactory and tactile systems
- One's behavior and normal functioning doesn't witness any kind of impairment
- Duration of mood symptoms is short compared to the length of the delusions
- Disorder is not brought on by the use of substances or any medical condition
- Commencement of the disorder can vary from teenage years to later part of adulthood
What causes it to happen?
The root cause of the disorder is still not known, but experts are of the opinion that a variety of biological, genetic, environmental and psychological factors can cause it to occur.
Some of these causes include:
- Genetics: It's said that this disorder can be passed on from parents to children. Additionally, it's more common in individuals whose family members suffer from schizophrenia or one of its types.
- Psychological/ environmental: In addition to drug and alcohol abuse, delusional disorder can also be set off by stress.
- Biological: Abnormalities in certain parts of the brain can lead to this problem. Areas of brain associated with thinking and perception have been found to be connected to delusional symptoms.