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Dr. Mamta Singla

Psychologist, Gurgaon

Dr. Mamta Singla Psychologist, Gurgaon
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. Mamta Singla is a popular Psychologist in Sector-51, Gurgaon. You can meet Dr. Mamta Singla personally at Artemis Medicare Services Pvt. Ltd in Sector-51, Gurgaon. You can book an instant appointment online with Dr. Mamta Singla on Lybrate.com.

Lybrate.com has top trusted Psychologists from across India. You will find Psychologists with more than 38 years of experience on Lybrate.com. You can find Psychologists online in Gurgaon 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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Sector 51, Gurgaon, Haryana. Land Mark : Near Unitic Siber Park, GurgaonGurgaon Get Directions
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Sir my chest have puffy nipples. I am studying in b pharmacy in chennai in 1st year my weight is 90 kg. I still studying in 3 year b pharm. My current weight is 80. But my chest fat form buffy nipple. Wat is the problem sir.

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
You seem to be having a condition called gynecomastia for which the only solution is male breast reduction surgery to be performed by a plastic surgeon. Medicines, diet and exercises do not work.
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I feel so depressed I cnt focus on anything wht should I do some time I feel like suicide is d bst way to shortcut my problems.

MD - Psychiatry
Psychiatrist, Chennai
The word depressed is a common everyday word. People might say" i'm depressed" when in fact they mean" i'm fed up because i've had a row, or failed an exam, or lost my job" etc. These ups and downs of life are common and normal. Most people recover quite quickly. With true depression, you have a low mood and other symptoms each day for at least two weeks The common symptoms are (few might be present in a person with depression) Feelings of sadness, tearfulness, emptiness or hopelessness Angry outbursts, irritability or frustration, even over small matters Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports Sleep disturbances, including insomnia or sleeping too much Tiredness and lack of energy, so even small tasks take extra effort Changes in appetite — often reduced appetite and weight loss, but increased cravings for food and weight gain in some people Anxiety, agitation or restlessness Slowed thinking, speaking or body movements Feelings of worthlessness or guilt, fixating on past failures or blaming yourself for things that aren't your responsibility Trouble thinking, concentrating, making decisions and remembering things Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide Unexplained physical problems, such as back pain or headaches consult a psychiatrist and get evaluated. As your depression is severe, due to suicidal idea. All the best.
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I am not able to quit smoking trying hard but no results. Any substitute to this?

Psychologist, Pune
Hello its gud to know that you want to quit smoking do not attach any reasons for it do it coz you want to. Drink plenty of water exercise brisk walking will help. Avoid friends places tea coffee particular food items which will trigger you to smoke. Share your smoking thoughts with someone close to you take his/her help. Set a reminder in your moblle after every hour. Change your passwords to something motivating like quit@smoking I want to live etc it will help you positively. Take it each day as it comes.
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I feel I am going under depression. I lost my dad a month back and he was my support through out my life. After his death I feel everything around me is negative. Not having proper relationship with sibling, hubby, relatives and my colleagues. Sometimes I feel the mistake is from my side and sometimes I feel right. I couldn't judge and everyday ending up in depression.

MD - Psychiatry
Psychiatrist, Chennai
You are going through grief reaction, which is normal after loss of a loved one. Time is the healer for the emotional and behavioral changes, however if your depression is severe enough to affect you in a significant manner, kindly consult a psychiatrist for short term antidepressant medication, depending on the complaints, you seem to be very depressed.
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I am 30 yr old male suffering from anxiety from last 6 years. As I know that anxiolytic drugs have side effects and it's withdrawal symptoms can make the anxiety more worse than before, how one can be treated with this kind of medication? I am trying to control it by keeping myself busy, doing yoga, pranayam but can't avoid symptoms associated with this disorder. Is there any alternative treatment available to cure anxiety?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear , anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Yoga and pranayama are very good. In addition to that psychotherapy and awareness also helps. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety.
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Hi sir actually I want ask. I Wil smoke regularly three a day is it harmful to our body are lungs j.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear Lybrate user, Welcome to Lybrate. Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. Nicotine and other chemicals can cause cancer of different types and areas. Throat cancer, mouth cancer, lung cancer, stomach cancer and brain problems can result. Over and above smoking may also increase the risk factor of heart attack and brain stroke. Please quit smoking. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. If you’re ready to stop smoking and willing to get the support you need, you can recover from nicotine addiction and abuse—no matter how bad the addiction or how powerless you feel. The first step in treating nicotine addiction 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 smoking. Therefore, you need to stick to the treatment plan and cooperate with your psychiatrist / psychologist. Mind power building therapy, motivation therapy etc should help you doing so. Take care.
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I was in a relationship with a Muslim girl. After a steady relationship of six months , she broke up with me. Since then I have almost become mad without her. Different symptoms of ecstasy like shedding of tears, bodily hairs standing erect ,horripilation manifested in my body. I went into severe depression. I cannot forget her. Please help me. I am in very need of help. I have dealt with many counsellors ,psychologists but nothing helped me. Please help me.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
You are thing too much about that girl. We need some thing that all times it is not possible to get it. This principle applies to every one. When we are not getting we depress. That is not good thing in all times. When it is not happen as per our wish. Then leave it. Make good friendly relations with other girls who are nearest to you. Then the severity of the problem rectified. Share your internal feelings with your close friends and family members. One girl is not your aim of your entire life. Girls are coming and going in our lif. But we are permanent. Do not spoil yourself to think about unnecessary aspects. Better to control your thoughts. Plan a good career and concentrate on your studies. If not possible to control your thoughts then better to consult psychiatrist. He will give some medicine which helps to you very much. Ok best of luck.
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Doctor, I'm 25 years old female. I was working in IT Company and than suddenly due to a tiny health issues I took a lot of stress and due to which I have to quit my job and after that I got even more depressed ,after leaving my job I use to think that m worthless. Since september 2015 I'm having sleeping issues. I can not stay asleep for more than 3 hours and every night I get lot of vivid dreams and most of the time I get this mind activity problem. Please provide some suggestions. Thanks in advance.

C.S.C, D.C.H, M.B.B.S
General Physician,
YOu can look for another job and try to control depression. 5 Ways to Fight Depression If you feel depressed, it's best to do something about it — depression doesn't just go away on its own. In addition to getting help from a doctor or therapist, here are 5 things you can do to feel better. 1.Exercise. Take a 15- to 30-minute brisk walk every day — or dance, jog, or bike if you prefer. People who are depressed may not feel much like being active. In addition to getting aerobic exercise, some yoga poses can help relieve feelings of depression. Two other aspects of yoga — breathing exercises and meditation — can also help people with depression feel better. 2.Nurture yourself with good nutrition. Depression can affect appetite. One person may not feel like eating at all, but another might overeat. Proper nutrition can influence a person's mood and energy. So eat plenty of fruits and vegetables and get regular meals (even if you don't feel hungry, try to eat something light, like a piece of fruit, to keep you going). 3.Identify troubles, but don't dwell on them. Try to identify any situations that have contributed to your depression. When you know what's got you feeling blue and why, talk about it with a caring friend. Talking is a way to release the feelings and to receive some understanding. 4. Express yourself. With depression, a person's creativity and sense of fun may seem blocked. Exercise your imagination (painting, drawing, doodling, sewing, writing, dancing, composing music, etc.) and you not only get those creative juices flowing, you also loosen up some positive emotions. Take time to play with a friend or a pet, or do something fun for yourself. Find something to laugh about — a funny movie, perhaps. Laughter helps lighten your mood. 5. Try to notice good things. Depression affects a person's thoughts, making everything seem dismal, negative, and hopeless. If depression has you noticing only the negative, make an effort to notice the good things in life. Try to notice one thing, then try to think of one more. Consider your strengths, gifts, or blessings. Most of all, don't forget to be patient with yourself. Depression takes time to heal. If you are happy with these answers please click on "useful” link so that I can know my efforts are not wasted. If you want more clarifications or prescription for medicines consult me on this site to ask me directly and not in open questions session It's not easy to say exactly what causes depression and anxiety – it's different for everyone. Sometimes a difficult time in you or your mates' life can set off depression or anxiety, sometimes it's caused by a combination of things that has built up over time and sometimes, there's just no obvious cause at all. Some risk factors for men developing depression or anxiety include: •Physical health problems •Relationship problems •Employment problems •Social isolation •Significant change in living arrangements (e.g. Separation or divorce) •Pregnancy and birth of a baby •Drug and alcohol use. Symptoms of depression in women include: •Persistent sad, anxious, or "empty" mood. •Loss of interest or pleasure in activities, including sex. •Restlessness, irritability, or excessive crying. •Feelings of guilt, worthlessness, helplessness, hopelessness, pessimism. •Sleeping too much or too little, early-morning awakening. Depression in women differs from depression in men in several ways: •Depression in women may occur earlier, last longer, be more likely to reoccur, be more likely to be associated with stressful life events, and be more sensitive to seasonal changes •Women are more likely to experience guilty feelings and attempt suicide, although they actually commit suicide less often than men •Depression in women is more likely to be associated with anxiety disorders, especially panic and phobic symptoms, and eating disorders •Depressed women are less likely to abuse alcohol and other drugs •Symptoms of depression in MEN include: •Persistent sad, anxious, or "empty" mood. •Feelings of hopelessness, pessimism. •Feelings of guilt, worthlessness, helplessness. •Loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex. •Decreased energy, fatigue, being "slowed down" Depression is a serious but treatable medical condition that can strike anyone regardless of age, ethnic background, socioeconomic status, or gender. However, depression may go unrecognized by those who have it, their families and friends, and even their physicians. Men, in particular, may be unlikely to admit to depressive symptoms and seek help. But depression in men is not uncommon: Symptoms of depression include: •Persistent sad, anxious, or "empty" mood •Feelings of hopelessness, pessimism •Feelings of guilt, worthlessness, helplessness •Loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex •Decreased energy, fatigue, being "slowed down" •Difficulty concentrating, remembering, making decisions •Trouble sleeping, early-morning awakening, or oversleeping •Appetite and/or weight change •Thoughts of death or suicide, or suicide attempts •Restlessness, irritability •Persistent physical symptoms, such as headaches, digestive disorders, and chronic pain, which do not respond to routine treatment Depression facts •A depressive disorder is a mood disorder that is characterized by a sad, blue mood that goes above and beyond normal sadness or grief. •A depressive disorder is a syndrome, meaning a group of symptoms. •Depressive disorders are feature not only negative thoughts, moods, and behaviors but also specific changes in bodily functions (like, eating, sleeping, energy and sexual activity). •One in 10 people will have a depression in their lifetime. •Because depression can lead to self-harm including suicide, it is important to note that one of every 25 suicide attempts results in death. •Some types of depression, especially bipolar depression, run in families. •While there are many social, psychological, and environmental risk factors for developing depression, some are particularly prevalent in one gender or the other, or in particular age or ethnic groups. •There can be some differences in symptoms of depression depending on age, gender, and ethnicity. •Depression is only diagnosed clinically in that there is no laboratory test or X-ray for depression. It is therefore crucial to see a health professional as soon as you notice symptoms of depression in yourself, your friends, or family. •The first step in getting appropriate treatment is a complete physical and psychological evaluation to determine whether the person, in fact, has a depressive disorder. •Depression is not a weakness but a serious illness with biological, psychological, and social aspects to its cause, symptoms, and treatment. A person cannot will it away. Untreated or undertreated, it can worsen or return. •There are many safe and effective medications, particularly the SSRIs, that can be of great help in the treatment of depression. Treatment- A variety of treatments, including medications and short-term psychotherapies (i.e. "talking" therapies), have proven effective for depressive disorders: more than 80 percent of people with a depressive illness improve with appropriate treatment. Not only can treatment lessen the severity of depression, but it may also reduce the duration of the episode and may help prevent additional bouts of depression. If you are happy with these answers please click on "useful” link so that I can know my efforts are not wasted. If you want more clarifications please ask me directly and not in open questions session.
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How can we cure during depression and what are the major cause of depression and how can we reform from it?

MD Psychiatry, MBBS
Psychiatrist, Mohali
Hi, Depression is a psychological condition where one of the important symptoms is sadness. Other symptoms include sleep and appetite disturbances, loss of interest, irritability, loss of body energy. It's difficult to cite any one reason for depression. A complex of biological factors like genetics, social factors and psychological factors are responsible fir depression. Depression is a treatable condition. Medications and psychotherapy can help overcome depression.
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Hi, I am getting a same dream again and again after some days. I have got a same dream in a month. Like exactly same nothing changed. What does it mean?

B.Sc(Hons) Mumbai Univ., ND, MD - Alternate Medicine, Aroma Therap., Bach Flower Rem, Mental Health Cert.
Alternative Medicine Specialist, Mumbai
Hi I will prescribe you flower remedy available in homoeopathy shops. Mix 4 drops of aspen + 4 drops of mimulus + 5 drops of rock rose. Mix these with 100 ml water and drink once daily before sleep.
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I have a male child who is 12 years old. Since from the birth he is little hyper active and he is always a slow learner. He does not take interest in his study and he forgets faster. He is not interested in the study. He never forget anything what he has seen in the TV / movie. He has very little patience and gets irritated faster. Consulted a Psychologist earlier and advised for keeping him busy and doing some activities that was done in the center. Now he is getting angry also. Please advise what to do ?

B.A PSYCHOLOGY HONOURS, M.A PSYCHOLOGY, M.Phil - Psychology, PhD PSYCHOLOGY
Psychologist, Delhi
Get an iq test +other required ones immediately for correct diagnosis. Only then right treatment can be suggested. Try making your child follow all exercises a shown on astha channel 5-7.30 am. They will improve mental+physical health tremendously.
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How can quit smoke, can be possible quit smoke with medicine? You answer me right one.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
Dear Lybrate-user, it is good that you wants to stop smoking, we are destroying our health by smoking normal human takes oxygen into lungs 12 -15 times per minute (12 - 15 breaths) Lungs mixes oxygen in our blood and it purifies our blood, by smoking we are mixing not only oxygen adding and mixing bad elements like Nicotine etc. In Oxygen, that spoils our blood and our body organs like Lungs, Heart, kidney etc… How to quit: By willingness and willpower" where there is a will there is a way" Reduce one by one day by day. I
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Give me some yoga poses for stress and anxiety. And also mention the link where I can find those poses with picture. please help me.

BHMS
Homeopath, Faridabad
Hello, There are few yoga poses which helps in calming your mind and relieves stress, but first learn these under some qualified yoga-teacher as many poses are not to be done in certain diseases or medical conditions! Balasan, Setu Bandha Sarvangasan, Uttanasan, Garudasan, Savasana, Triconasana, Viprita Karani, Marjaryasana, Dhyana, Bhujangasana, Anulom-Vilum, Pranayam, etc.
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Hi I'm 29 years old. I've this anxiety issue. When I feel anxious or angry my heart beat rises n I feel breathless. Or when I run or walk on staircase very long time same happens. My doc says I need exercise. What should I do. I really like trekking but I can't do because of this. Will I ever be able to trek.

Masters in Clinical Psychology, Rehabilitation Psychology
Psychologist, Chandigarh
Please get yourself evaluated thoroughly by medical expert to rule out any medical problem. In case that is ruled out, then this is a case of Anxiety which leads to Panic attack and shows in form of breathlessness. Anxiety issues can be helped effectively by getting Jacobson Progressive Muscle Relaxation Therapy from a psychologist. It can be taught by them ad you can practice at home. It is a therapy where each and every muscle of body is relaxed and with continuous practice, this helps in easing the anxiety. Other method is hypnotherapy to help find the root cause of anxiety as there are many reasons for anxiety to be present. Hypnotherapy is a well known tool for helping in anxiety.
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I am a chain smoker and I want to stop smoking. Because it is effecting me. Please help me.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You have to quit cold turkey because the body and mind will torture you endlessly while attempting a reduction in smoking. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged on. But don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. I don’t know what other organs could be damaged but do go for a thorough medical check-up to assess the effects of your abuse. Regarding improving your lungs, do a lot of aerobic exercise breathing through your nostrils only. Then there are a lot of deep breathing exercises in Yoga which you can learn too. Deep breathing cleanses your system and lungs and restores it to good health. Deep breathing uses the 80% of the lungs which are not normally used in normal breathing and even when exerting yourself. The greatest effect is in the lungs because this substance is processed through the respiratory system directly through the lung surface. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact, these conditions can exist all through the day, unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heartbeat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact, it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chew gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. You could also join twitter2quit program and enjoy its success to give up smoking.
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Hi, My SGPT is 94 and Cholesterol, Trig, HDL and LDL are 248, 273, 36 and 166. I need advice on what do I need to do to bring this parameters down. I am really concerned with this as I am a vegetarian and non alcoholic.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate user. There are no short cuts. Physical exercise is the key. Quit smoking and alcohol consumption, cut sugar intake, to bring down total cholesterol, triglycerides etc you have to increase good cholesterol. Good cholesterol is available in plums, grapes, purple cabbage, eggplant, and raspberries to your diet. Plus eating more fruits and veggies (in addition to whole grains) will increase your fiber, which has been shown to help control overall cholesterol levels. Take care.
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I am a 33 years guy having little bit high bp, cholesterol & depression. How does taking linseed( alsi) will help me?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Too much cholesterol in the blood can lead to cardiovascular disease. What you eat has a direct impact on your cholesterol level. In fact, a diet rich in fiber and other cholesterol-lowering foods may help lower cholesterol as much as statin medication for some people. Working with a registered dietitian and doctor is the key to develop and maintain a successful health program to manage it. I will inform you on how to make diet, lifestyle changes, make you understand instructions for taking medication because it won't work if you don't take it as directed. Consult privately for a holistic dietary therapy to solve your problems.
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Chronic Stress and Anxiety

PG Diploma in Clinical Training, Psychology, MA - Psychology, BA - Psychology
Psychologist, Delhi
Chronic Stress and Anxiety

The healing power of self-care in a world of chronic stress and anxiety.

“The journey of a thousand miles begins with one step.” ~lao tzu

There are a lot of things to be anxious about these days. We live in a complex and stressful world and anxiety is very common, affecting upwards of 20 percent of the population. Some experience manageable levels; for others anxiety and chronic stress can be debilitating and self-destructing.
Truth is, we have good reasons to be stressed out. We work too much; we don’t take enough time off; we’re constantly plugged in and “on” yet are more disconnected than ever before; many of us struggle financially; our healthcare, education, and political systems don’t support us. We truly face many challenges and struggles every day.
So how do we help ourselves ride the inevitable storms that come our way? How do we handle daily ups and downs without getting swept up by emotions and reactions?
We’ve always understood that we need to make our health and well-being a priority. Replenish first and replenish often.
But we have to take care of ourselves on a physical, emotional and mental level. Body, mind, and soul.
In a world of anxiety and chronic stress, self-care matters.

Let’s first define self-care.
Self-care is an active and conscious choice to engage in activities that nourish us and help us maintain an optimal level of overall health. It basically means making healthy lifestyle choices and implementing stress management strategies.
Self care is not a new concept. We’ve known for a long time that eating well, exercising, maintaining good sleep habits, and eliminating smoking and drinking are all critical in maintaining good health.
What’s new is the holistic approach to self-care that goes beyond taking care of your physical well being. It’s looking at mental health, emotional health, social engagement, spiritual wellbeing, and of course physical care as a basis for it all.
That is the kind of holistic approach we all need to take when thinking about effective and all encompassing self-care.
But we don’t have to completely overhaul our lifestyle in one day, not even one year, to make a substantial difference. Remember, a journey of thousand miles starts with a single step.
We just have to take that one step forward right now.
Can you adopt one healthy habit today? Or perhaps, you can eliminate one unhealthy habit from now on? can you give yourself a gift of a single healthy activity you can commit to doing on a daily or weekly basis?
You have to find your own path.

Your self-care plan may look completely different from mine. It might mean spending more time in nature, taking up running, or ending a toxic relationship. It may mean quarterly juicing, getting a monthly massage, or knitting. It may be developing a new hobby or quitting smoking.
The beautiful thing is that you are in charge. You and only you know what’s most nourishing for you right now, and what you need to be doing to feel better, feel healthy, and feel balanced. You get to decide how to nurture and care for yourself best!
Don’t put off self-care for later. Later will never come. We have to make time now for what’s important, and self-care needs to be your priority. You are worth it!

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I am 28 years old and I having been going through stress quite a long time. It is periodical sometimes I am very confident to do things and sometimes I feel very low. My body keeps on shaking whole day when I am feeling low. Also I get panic attack when I have to deal with public and body starts shaking. It has affected my performance and day to day activities. I don't feel like going in public. Can someone please suggest the possible solution for this.

C.S.C, D.C.H, M.B.B.S
General Physician,
Psychiatric treatment is the best option. We generally use the word 'stress' when we feel that everything becomes too much to handle - we are overloaded and wonder whether we can cope with the pressures placed upon us. Nowadays stress is a normal part of life. Almost everyone has some sort of stress. Constantly reacting to stressful situations without making adjustments to counter the effects, threatens our health and well-being. There are steps you can help you managing day to day stressful conditions and take to feel better. 1.Be realistic: If you feel overwhelmed by some activities (yours and/or your family's), learn to say NO! Eliminate an activity that is not absolutely necessary. You may be taking on more responsibility than you can or should handle. If you meet resistance, give reasons why you're making the changes. Be willing to listen to other's suggestions and be ready to compromise. 2.Shed the 'superman/superwoman' urge: No one is perfect, so don't expect perfection from yourself or others. Ask yourself, 'What really needs to be done? How much can I do? Is the deadline realistic? What adjustments can I make? Don't hesitate to ask for help if you need it. 3.Take one thing at a time: For people under tension or stress, their day-to-day workload can sometimes seem unbearable. The best way to cope with this feeling of being overwhelmed is to take one task at a time. Make a list of things you need to get done and start with one task. Once you accomplish that task, choose the next one. The positive feeling of 'checking off' tasks is very satisfying. It will motivate you to keep going. 4.Share your feelings: A conversation with a friend lets you know that you are not the only one having a bad day. Stay in touch with friends and family. Ask them how they have dealt with a similar situation that may be 'stressing you out. Let them provide love, support and guidance. Don't try to cope alone. 5.Be flexible: If you find you're meeting constant opposition in either your personal or professional life, rethink your position or strategy. Arguing only intensifies stressful feelings. Make allowances for other's opinions and be prepared to compromise. If you are willing to be accommodating, others may meet you halfway. Not only will you reduce your stress, you may find better solutions to your problems. Go easy with criticism. You may expect too much of yourself and others. Try not to feel frustrated, disappointed or even 'trapped' when another person criticises you. 6.Hobbies: Take a break from your worries by doing something you enjoy. Whether it's gardening or painting, schedule time to indulge your interest. Exercise: Regular exercise is a popular way to relieve stress. Twenty to thirty minutes of physical activity benefits both the body and the mind. Meditate: Just ten to twenty minutes of quiet reflection may bring relief from chronic stress as well as increase your tolerance to it. 7.Take Herbal Supplement: Herbs like Brahmi, Ashwagandha, Mandukparni, Shankhpuspi, Kaunch are very helpful in managing stress. These herbs work on the brain and help relax you which ultimately empowers you to manage your stressful conditions easily. There are many herbal supplements available in the market that can help you. 8.Consult the Doctor: If your stress level doesn't seem to improve with above tips, it may require more attention and consultation with an Expert. Or consult me on Lybrate privately Physical symptoms of stress include: •Low energy. •Headaches. •Upset stomach, including diarrhoea, constipation and nausea. •Aches, pains, and tense muscles. •Chest pain and rapid heartbeat. •Insomnia. •Frequent colds and infections. •Loss of sexual desire and/or ability. STRESS CONTROL There are many ways to tame your stress and keep it at bay. Here are 20 tips to tame your stress today, and keep the stress monsters at bay. 1.Perform diaphragmatic or deep breathing exercises. 2.Lie face down on the floor and begin breathing deeply and slowly, with your hands resting under your face. Do this for five minutes. 3.Sit in a reclining chair. Put a hand on your abdomen and a hand on your chest. As you breathe, make sure the hand on your abdomen is moving up and down rather than one on your chest. If the hand on your abdomen is moving you are breathing deeply and slowly. 4.Try progressive muscle relaxation or “deep muscle” relaxation. Progressively tense and relax each muscle group in your body. Learn the difference between muscle tension and relaxation. 5.Meditate. Use visualization or imagery to help you learn to be one with your thoughts. Sit quietly with your eyes closed, imagining the sights, sounds and smells of your favorite place, such as a beach or mountain retreat. 6.Exercise regularly or take up yoga. 7.Consult a psychologist about the use of biofeedback 8.Make time for music, art or other hobbies that help relax and distract you. 9.Learn to identify and monitor stressors. Come up with an organized plan for handling stressful situations. Be careful not to overgeneralize negative reactions to things. 10.Make a list of the important things you need to handle each day. Try to follow the list so you feel organized and on top of things. Put together a coping plan step by step so you have a sense of mastery. 11.Keep an eye on things that might suggest you’re not coping well. For example, are you smoking or drinking more, or sleeping less? 12.Keep a list of the large and little hassles in your day versus the major stressful events in your life. This helps you focus on the fact that you’re keeping track of and managing those as well as you can. 13.Set aside a time every day to work on relaxation. 14.Avoid using caffeine, alcohol, nicotine, junk food, binge eating and other drugs as your primary means for coping with stress. While they can be helpful once in awhile, using them as your only or usual method will result in longer-term problems, such as weight problems or alcoholism. 15.Learn to just say, “No” occasionally. It won’t hurt other people’s feelings as much as you think and is simply a method to be more assertive in your own life, to better help you meet your own needs. 16.Get the right amount of sleep. For most people, this is seven to nine hours a night. 17.Cultivate a sense of humor; laugh. 18.Research has shown that having a close, confiding relationship protects you from many stresses. 19.Don’t run from your problems! This only makes them worse. 20.Talk to your family and friends. See if they can help. If these tips don’t help, or you’ve tried a lot of them with little luck in better taming the stress in your life, it may be time to consider taking it up a notch. A mental health professional — such as a psychologist — can help teach you more effective methods for handling stress in a healthy way in your life. Such psychotherapy is short-term and time-limited, with a focus on helping you better deal with stress. Remember — we do have control over the stress and choices we make in our lives. It sometimes takes a little practice and effort to put some of these techniques into play in your life. But once you do so, you may be pleasantly surprised at the positive benefits you’ll receive If you need any prescription please consult me as we cannot prescribe in questions session. Regards.
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In 2008 I was suffering from anxiety disorder and my psychiatrist suggest me paxidep 37.5 for 5 years, after 5 years when he decreased the dose from 37.5 to 25 I again feeling frustrated so he advised me take it one more year same dose. After one year same problem arise, my question is that I am taking this medicine from last 8 years which is affecting my sexual life as side effect, how I can leave this medicine? I am doing night shift from last 8 years and drink on weekend.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Anxiety disorders may at times need long treatments. Paxidep cr may cause sexual problems in some individuals but solutions for these depend upon the side effect experienced. If this side effect is not correctable then you have an option of switching to better alternatives for anxiety. However since you have experienced relapses whenever you tried reducing doses of medications it seems difficult to completely stop these medications, particularly paxidep for anxiety. You need to gradually shift to other medications which can then be stopped gradually later on.
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