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Patient Review Highlights
We had a rough patch in our relationship. It was too traumatic. For me it was end of my marriage I could not believe it happening to me All our efforts were proving to do more harm and was causing more negativity , I started looking for outside help and started searching the net for good psychological counselor. We met Mrs Pratibha singh for counseling and she did the trick. Our problem was solved and we were back as best. Our marriage is saved otherwise It could not have survived.
Ms. Pratibha Singh provides answers that are very helpful, knowledgeable, practical, professional and sensible. Share feedback in your own words...
Quality of life among perimenopausal women
Menopause is the time in women’s lives when menstrual periods stop permanently. It is defined as absence of menstrual periods for 12 months. The term" perimenopause, which literally means" around the menopause, refers to the menopause transition years, a time before and after the date of the final episode of flow, this transition can last for four to eight years. The perimenopausal transition is a different experience for each woman. It is important to remember that each woman's experience is highly individual. Some women may experience few or no symptoms of menopause, while others experience multiple physical and psychological symptoms. Some common symptoms are hot flushes, night sweats, mood disturbances / depression / forgetfulness, vaginal dryness / urinary infections / pain during intercourse. The women from the present study reported higher physical and psychosocial symptoms with a high frequency of physical symptoms such as feeling tired, decrease in physical strength and stamina, poor memory, muscles and joint pains, low back ache, and flatulence. These disturbances had a negative effect on the quality of life of the perimenopausal women. Menopause symptoms often affect a woman's confidence and her self-esteem. The study showed, in particular, that 87% of women experience anxiety, depression and mood swings, which then affects their relationships, family life and career. Education, creating awareness and providing suitable intervention to improve the quality of life are important social and medical issues which are to be addressed. Life style changes are required, like practicing yoga, aerobic exercises, weight training to build strength, meditation, brisk walking. Proper diet consultation is required. 12 subjects of the present study participated in a cross fit training programme under the guidance of a trainer and they showed significantly positive results. The training improved their concentration, stamina, flexibility, muscle strength, energy, mood, sleep and weight loss and its maintenance. Perimenopause is a natural stage of life. It is not a disease or a disorder. Therefore, it does not require any kind of medical treatment. However, in those cases where the physical, mental, and emotional effects of perimenopause are strong enough that they significantly disrupt the life of the woman experiencing them, palliative medical therapy may sometimes be appropriate.
Dr. Pratibha Singh
exercise and self esteem
Self-esteem is a current topic of interest in several psychological fields. Self-esteem is how we value ourselves; it is how we perceive our value to the world and how valuable we think we are to others. Self-esteem affects our trust in others, our relationships, our work nearly every part of our lives. Positive self-esteem gives us the strength and flexibility to take charge of our lives and grow from our mistakes without the fear of rejection.
Self-esteem is nearly as ubiquitous a concept as intelligence, and scores on various measures have been correlated with measures of mental health, loneliness, depression, coping, social anxiety, alienation, self-serving bias, task effort, persistence, and performance. Longitudinal studies have supported the protective coping function of self-esteem during a variety of life challenges. On the other side low self-esteem is a debilitating condition that keeps individuals from realizing their full potential. A person with low self-esteem feels unworthy, incapable, and incompetent. In fact, because the person with low self-esteem feels so poorly about him or herself, these feelings may actually cause the person's continued low self-esteem.
Feelings of low self-esteem often build up over a lifetime, and letting go of ingrained feelings and behaviors is not an easy task. It may take time, hard work, and it may require professional counseling, where the counselor will teach you positive thinking techniques that can be used to improve self-esteem.
Some of the tips that one can apply are- don't criticize yourself, look at mistakes as your learning steps, no body is perfect so don't aim for it, try new things, give and accept compliments, relax and exercise.
The role played by physical activity in promoting health and preventing several diseases is acknowledged and also its link with mental and psychological benefits. Exercise improves self esteem, self acceptance along with reducing depression, anxiety, tension and stress. Though aerobic exercise has been found to be the best exercise for improving psychological health as long as it is planned according to each individual's requirements. The selection of an exercise plan is crucial for its success. It is important to choose an activity that suits a person's fitness level, skill level, daily schedule and facilities. One can choose any physical activity like walking, running, swimming, yoga, aerobics, cycling, kick boxing or even dancing. Most importantly the person must enjoy doing it, it should be more than physical activity. Moreover, persons who exercise regularly, usually report a more positive body-image perception than others.