Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Anger Management Therapy
Treatment of Behaviour & Thought Problems
Quit Smoking Techniques
Memory Improvement Techniques
Obsessive Compulsive Disorder Treatment
Treatment of Drug Abuse and Addiction
Treatment of Abnormal Behaviour
Electroconvulsive Therapy (Ect) Treatment
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Patient Review Highlights
Dr. Santanu Bora provides answers that are very helpful. Good
Hello doctors I m. 21 years old. Guy and I was doing job earning for my family then I left job and started taking ganja as a smoke for 2 month then I went through pure hell of dizziness panic attacks and dreamy world feeling I get freak out you know if I go out of my house I feel so stressed and freak out. Its been 15 months and. Still I am having fear of going to job I feel tht I can not take it I can not manage tht I feel out of reality and freak out .anyone got cured from this?
I hv been treated with anxiety and depression. And pne of the doctor prescribed me nexito 30. I want to know that how much time should I take nexito 30?
Depression is a serious yet common mental health problem that can affect all age groups ranging from young children to the elderly. It is found to be more common among women when compared to men. It can take a toll over one’s peace of mind, physical health, interpersonal relationships as well as job performance (or academic performance). What is deceiving is, the person can also be functioning well, in which case, it can go unnoticed, leading to grave consequences. The good news is that depression is treatable and individuals are able to function much better with treatment. Affected individuals feel sad most of the time. He/she loses the ability to enjoy/be happy.
As a result of this, the daily activities that he/she participates in do not seem to appeal to him/her anymore. This is especially true in the case of socialising. The affected person will just seem to drop out of social circles. This can be said to be ironic because it is times like these when the individual with depression is in need of friends the most!
The individual seems to have an overriding belief that the status quo will not be altered by anything and he or she will be stuck in a rut in perpetuity. In other words, depressed people experience a perennial feeling of helplessness. Negative thoughts can also drive one to commit suicide.
A lot of people who have depression tend to experience a loss of energy. As a matter of fact, this is quite the case with men who enter a phase of depression, as the symptoms which are displayed by them can contrast sharply to those displayed by women. One of the reasons for men tending to report a higher chance of this than women is the fact that they are less likely to express feelings of self loathing. Rather, they usually talk about sleep problems and a loss of interest in things that once they might have found to be interesting or even captivating. They also gradually get quite irritable.
When it comes to women, guilt is quite likely to be felt. They may also sleep a lot longer than what is considered to be normal. Eating habits are a better indication of the presence or absence of depression than most people would realise. Overeating is one of the prime signs, especially in the case of women who are depressed. This leads to them putting on weight, as the rise in the intake of food is compounded by a drop in the amount of healthy physical activity. On the other hand, many may also experience loss of appetite, which over a period of time can even lead to weight loss. Some women who are depressed also complain of aches and pains in the body.
A few individuals who are depressed also complain of weird experiences, like being able to hear voices calling out to them, abusing them in dirty language, asking them to hurt themselves (hallucinations). Some may be found to be extremely suspicious about people around them. If you wish to discuss about any spIfecific problem, you can consult a psychiatrist.
Once in a lifetime all of us have had symptoms like heaviness in heart, increased heart beats, feeling that blood pressure will go up or fall down, chest pain, giddiness, heaviness of head, abdominal discomfort, dizziness, tremors in hands or shivering in body, etc which start suddenly without any stress or tension. They just peak in few minutes and are often accompanied by thoughts - 'I will die!' or 'Something will happen to me?'
'Everything around me has changed', 'my blood pressure will shoot up' A midst of the rapid climbing of the symptoms, the usual behaviour opted by most of us is rush to an emergency ward of a nearby hospital. All the check ups, blood investigations, ECG- electrocardiogram, Blood pressure assessment, etc done fast by the doctor. To our surprise 'Are tension kyu lete ho? sab normal hai !!'
This makes us more worried that all the examinations and investigations are normal?? Then why this happened. Oh! this has to be something else which this doctor or hospital is not able to figure it out. So basic human psychology goes for a 2nd opinion and then 3rd, 4th and infinite, till we get a whole body check up. Sometimes same reports at different laboratories and wait for the diagnosis of what exactly is going on.
Everywhere the answer is 'Dont worry, You have nothing'. This hurts. Isn't it? More painful part, when it continues for few months, our family and near ones feel that this is nothing but stress and we should forget it. Some great advisors sympathize and advise for yoga and relaxation and go out of the station or spend time with friends, etc. But we know the agony it takes to have those symptoms and feeling blocked up everytime. Ahead fear enters in those places and spaces where this happens. We avoid them, like driving vehicle, queue, crowd, markets, travel, lift, theatre,etc. We feel that someone should accompany us and we will be safe.
This affects our work, time and major areas of life. What it is??
This is in simple words 'Panic disorder'. It is an anxiety group of disorders where mind misinterprets bodily symptoms and links it with situations or places and then the anxiety symptoms start. Why this happens? Neuro chemicals like serotonin, adrenaline and nor adrenaline and recently GABA have been implicated to be on a lower levels in brain which precipitate these symptoms. And most important part you are not at any fault in this low levels of chemicals. It is an individual vulnerability that differs and some people are more analytical or worrisome since childhood, harsh parenting or over pampering, high expectations, more body symptom concern, etc. are few factors which affect this vulnerability.
What to do if I have panic?
At 1st, panic disorder is NOT a serious psychiatric disorder. Yes, it is true. Websites may mention its catastrophic and worst prognosis, but it is not like that. Panic works on anxiety and fear cycle. This gets cleared off when treated in time. If you have panic, do not do anything. Sit and take deep breaths. Try to have a glass of water and relax. Most people become restless in order to get an immediate cure of panic symptoms. That is again a faulty behaviour. Going to doctors and emergency again and again will increase the chances of panic episodes.
Secondly, your mind needs to get a new form of learning everytime you have a panic. So be patient and let your mind know that this is anxiety and nothing life threatening. This will require two things - courage and patience.
Lastly, during panic episodes, do not take any decisions about your life or do not avoid any situations. This will aggravate the fear behind the episodes.
When to seek a Psychiatrist?
When panic lasts for 30 days or more, affects your work and relationship, affects your concentration and memory; when your efforts fail to handle panic; when all the reports are normal and when you have some other symptoms with panic like depression, anger, addictions, medical conditions, etc.
A psychiatrist can help you in both ways. Starting medications for quick relief of symptoms and if you and your psychiatrist feel then CBT- Cognitive Behaviour Therapy or other psychotherapy.
Panic disorder is treatable. Panic disorder is non-serious. Panic disorder needs your patience and courage.
Be panic free, Live happily. If you wish to discuss about any specific problem, you can consult a psychiatrist.
Post-traumatic stress disorder (PTSD) is an abnormal condition of the mind that develops when a person is exposed to certain traumatic events in life such as accidents, sexual assault or warfare.
The major symptoms of PTSD are:
- Reliving the traumatic experience over and over again; this leads to severe and long-term mental distress.
- Recurring dreams about the events.
- Provocation of traumatic thoughts by the slightest event that causes distress to the individual.
- Avoiding memories and thoughts that might remind them of the event.
- Developing a negative view of themselves and the world.
- Developing social or specific phobias.
- Medication and antidepressants: Medicines such as paroxetine, sertraline and selective serotonin reuptake inhibitor (SSRI) help the individual address insomnia related problems that occur due to PTSD and suppress nightmares.
- Psychotherapy: This form of therapy is used to cure both mental health conditions (such as obsessive compulsive disorder, anxiety and depression) as well as emotional problems that result from PTSD. Skilled mental health experts are needed for this form of treatment to be administered. They would listen to each individual patiently and provide effective strategies to give solutions to the problems. Some of these therapies are:
- Cognitive behavioural therapy: This therapy enables the individual to adapt to changes and recognize thought patterns which lead to irrational and negative behaviour and actions.
- Exposure therapy: This therapy causes the affected individual to first become anxious by exposing him/her to the traumatic memories, situations and objects by simulating them. The therapy helps the person to overcome his/her fears and become comfortable in the same environment that had previously caused fear and anxiety.
- Group therapy: This popular and effective form of therapy allows the individual to share his/her feelings, fears and thoughts with a group of people who have themselves experienced similar trauma in their lives. Sharing such experiences helps reduces stress levels.
Some Self-Help and Coping Tips include:
- Avoiding situations that cause PTSD can worsen the condition. Hence, the individual should try to embrace and face such situations boldly.
- PTSD can result in loss of motivation and stress. Try utilizing your time in socialising, indulging in certain or even exercising for that matter.
- Taking some time out to relax and having fun is very important. This calms the body and mind, thereby improving one’s mood. If you wish to discuss about any specific problem, you can consult a psychiatrist.
One of the emerging psychiatric disorder that has significant medical and psychiatric consequences is compulsive sexual behaviour or hypersexuality, is an obsession with sexual thoughts in which people cannot manage their sexual behaviour. It may involve a commonly enjoyable sexual experience as self-stimulation which becomes an obsession. The person suffering from the condition may also get involved in sexual behaviours that are outside the bounds of commonly accepted conduct like paying for sex or having extramarital affairs.
Untreated compulsive sexual behaviour damages one’s self-esteem, health, job, relationships and career. However, with treatment and self-help, one can manage compulsive sexual behaviour and learn to manage one’s urge. Males are more likely to be unfaithful than females because they have stronger sexual impulses and weaker self-control. Compulsive sexual behaviour symptoms vary in type and severity. During intense sexual impulses, one feels as if they're beyond control. This is the first and the most common symptom as the patient uses compulsive sexual behaviour as an escape route for problems like loneliness, depression, anxiety and stress. One has trouble establishing and maintaining emotional closeness, even if one is married or in a committed relationship.
The treatment for compulsive sexual behaviour involves psychotherapy and medications. A primary goal of treatment is to help one manage urges and reduce excessive behaviours while maintaining healthy sexual activities. If one has compulsive sexual behaviour, one may need treatment for mental health condition. People with compulsive sexual behaviour often have alcohol or drug abuse problems or a mood disorder such as depression.
Counselling sessions can help one learn how to manage one’s compulsive sexual behaviour. Intensive treatment programs for compulsive sexual behaviours focus on identification of core triggers and beliefs about sexual addiction. It assists in development of healthier choices and coping skills to minimize urges and deal with the preoccupation of sexual addiction. Psychodynamic psychotherapy can prove to be very useful as it focuses on increasing one’s awareness of unconscious thoughts and behaviours, and developing new insights into their motivations. Resolving conflicts using this therapy is also recommended. The other kind of treatment program is cognitive behavioural therapy. This therapy helps one to identify unhealthy, negative beliefs and behaviours and replace them with healthy, positive ones. Family therapy and couples therapy may restore trust, minimize shame and guilt thus establishing a healthy sexual relationship between partners.
Medications include anti-depressants like selective serotonin reuptake inhibitors, mood stabilizers and anti-androgens have also been used to treat compulsive sexual behaviour. Anti-androgens are prescribed as it reduces the biological effects of sex hormones in men thus reducing sexual urges. Luteinizing hormone is also prescribed as it reduces obsessive sexual thoughts by reducing the production of testosterone. Anti-seizure medications, naltrexone, and medications which decrease male hormones have been found to decrease the compulsive urges and impulses associated with sexual addictions for some sufferers. If you wish to discuss about any specific problem, you can consult a psychiatrist.
I smoked for 4 years about 7 cigarette per day how long it take to overcome from nicotine withdrawal side effects.
I am taking prothiaden 75 mg and lonazep 1 mg both in night for GAD. I am taking this from last 2 and half months how long it will take to taper off the medications. I am now fine with no panic attacks or any anxiety. Which one will my doctor taper 1st, I am very curious about this. I have heard that lonazep is quite addictive that's why I am fearing a little bit. Please suggest me something to minimize withdrawal effects.
Schizophrenia is a psychiatric disorder in which a person’s mood, knowledge, thought and several other characteristics gets disturbed. We can notice most of the adults and old people with few symptoms of schizophrenia, which are most commonly left unidentified. The exact cause of schizophrenia is not yet known. The person feels that they are being constantly watched, they feel the presence of someone or something, which is not actually there. They are always suspicious and think that other people are gossiping and thinking about them.
Possible causes of Schizophrenia:
Though the exact cause of schizophrenia is not known there are few factors, which contribute to the cause of schizophrenia.
- Genetic factors: People with a family history of schizophrenia are at higher risk of getting schizophrenia.
- Environmental factors: Environmental factors include excessive stress during pregnancy or later stages of life. Several other factors during pregnancy and childhood are responsible for causing schizophrenia. These factors are:
- Decreased oxygen level during delivery due to premature birth or prolonged labour
- Parental loss or separation in early stages of life
- Parental exposure to virus or during infancy
- Childhood physical or sexual abuse
- Abnormal brain structures and brain chemistry
- Hallucination: To see, feel or hear anything that really does not exist is known as hallucination.
- Delusion: A thought or belief of a person, which is either false or impossible in reality is known as delusion.
- Thought and speech disturbances: The thought process and speech of a schizophrenic will be disorganized, due to which he or she will fumble or is distracted as they are unable to align their thoughts.
- Difficulty in concentrating: It is difficult for people suffering from schizophrenia to concentrate on the task at hand.
- Erratic behaviour: People suffering from schizophrenia tend to behave erratically, either they will be too jumpy or will be perfectly still for hours at a stretch. Most people belief that those who are suffering from schizophrenia are often violent in nature, which actually is not the case.
Treatment for schizophrenia:
Schizophrenia can be treated, if identified at an early stage. It is best advised to consult a psychiatrist the moment you spot the symptoms. Anti psychotic drugs, self help behaviour change, counselling and rehabilitation are few treatment modalities available for schizophrenia.
I am 26 year old boy suffering from general anxiety disorder. Doctor gave me Olanzapine 5 mg at night and dothiepin 75 mg .is this a good medicine I also suffering from ibs.
Feeling tired all the time? Do you feel that you can’t focus on things anymore? Have you lost interest in things and people you once loved spending time with? Does your temper fly off the hook at the drop of a hat? If it is a ‘yes’ to the questions above, then you might be slowly but steadily succumbing to depression. Depression is a psychological disorder that is characterized by symptoms of extreme sadness, worthlessness and hopelessness over a prolonged period of time.
- Lack of Interest: This is probably the starkest of all the symptoms. Hobbies or activities that you used to enjoy once no longer catch your fancy. You do not find little or no pleasure in social activities or any other hobby of yours anymore.
- A constant Feeling of Hopelessness: You tend to develop a negative outlook towards life in general, as you feel that the current situation will never get better and will only worsen.
- Loss of Appetite: Loss of appetite is a common feature of depression; it can also lead to rapid weight loss. If engulfed by depression, one generally tends to ignore food completely, remain hungry, both of which contribute to the vicious cycle that depression is.
- Changes in Sleep Patterns: Insomnia is a condition that is marked by a sheer inability to sleep, no matter how physically exhausted one is. Depression tends to exhibit this particular symptom in maximum cases. However, oversleeping, or sleeping more than the sufficient hours is also common.
- Reckless Behavior: Depression makes one more prone to reckless behavior; one generally develops an angry and irritated persona; this in turn, may make one to exhibit reckless and rash behavior.
- Lack of Energy and Focus: Depression causes one to feel fatigued and sluggish the entire day. Factors such as a total loss of appetite contribute to this particular symptom. Stemming from these symptoms are two other major occurrences; an inability to focus on anything and an inability to decide on anything.
Self-help, Coping tips and Treatment-
- Connect with different people: Being isolated from the rest can and usually aggravates symptoms of depression. So, reach out to other people and your loved ones; talk to your loved ones and try to empty your mind when you are having a one-to-one with them. Interacting and talking to others will make you feel better and should go a long way in taking that huge rock off your chest.
- Try to ditch that sedentary lifestyle; go out in the open: An early morning jog can feel daunting at first but the benefits are immense. Exercising regularly has been proven to be as effective as anti-depressants in combatting depression. Even a 20 minutes jog early in the morning releases ‘endorphins’ in the body, also known as the ‘feel good hormones’. These hormones induce a feeling of happiness and relaxation, thus taking your mind off any particular event or circumstance that has been ruining your sanctity of late.
- Avoid Alcohol and Drugs: Avoid alcohol and drugs to come out of your sadness; they have never helped and will never help. Taking these substances provides a temporary solution to depression, as it will again show up once the effects of the intoxicants wear off. It will also interfere with other medications that you may be taking to combat depression, thus reducing their potency.
- It’s high time you bought the meditating mat: Sleep has a beneficial effect on your mental health as it has been proven to improve memory and other cognitive and brain functions. Another way to improve brain function and be more relaxed is to meditate regularly. Meditation induces a state of relaxation, and if done on a regular basis, can be an effective treatment for depression. Meditation also helps with an improved focus and reduced anxiety.
- Medications can always help: Medications such as anti-depressants are administered to treat depression. Selective Serotonin Reuptake Inhibitors (SSRIs), including citalopram, fluoxetine and sertraline are the most commonly administered medications to cure this condition. However, it is advised to try the abovementioned methods first so that you do not have to depend on medications alone; the reason being that these medications do have their fair share of side effects.
Depression follows the trajectory opposite to contentment. It has adverse effects on a person's mental and physical health. Being depressive is not a choice; it is a condition. The fact that despondency is not an elected way of life is a mystery to many. People surrounding a depressed person should make conscious efforts in treating them with love and dignity. Subjecting a person to strict deadlines, stringent rules or excessive pressure could worsen their situation.
Ways to tackle a depressed family member:
- Create occasions to enjoy a hearty laugh: If you have a family member suffering from depression you should probably share the benefits of laughter with him or her. Laughter is the best medicine to remedy acute depression. Look for opportunities to crack a joke or make the concerned person play with a pet. You can also take the person to watch humorous movies.
- "You are impossible" is the worst way of approaching a problem: In many cases a depressed person is reported with instances of negativity. Though the expressed negativity makes you feel morbid, do not give up on your family member. The person involuntarily finds reasons to feel hopeless. You should never think the case is beyond any kind of betterment.
- Keep them in a positive environment: Positive ideas can counter dejection. Help the person plan for a great future. Lay stress on how important that person is to you and to the world in general. Keeping one's mind creatively occupied can prove to be effective. Music or any other passion for that matter can help a person get over phases of depression.
- You should not associate depression with perpetual sadness: Depression can have plenty of symptoms. The symptoms vary from one person to another. While some people lack in motivation some might want to harm themselves or others. Many become a recluse. The minute you associate depression with sadness you limit your overview of the actual problem.
- Help the family member take his or her medicines diligently: While counseling helps a few patients of depression some others require medication. A bout of depression will dissuade a person from sticking to his or her medical routine. As a loved one it is your due responsibility to persuade him or her to take medicines regularly. If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.