Doctor in Dr. Vijay Prasad Barre, Associate Professor Dept of Clinical Psychology- Dimhans
Treatment of Depression
Anger Management Therapy
Treatment of Child and Adolescent Problems
Treatment of Behaviour & Thought Problems
Cognitive Behavioral Therapy
Obsessive Compulsive Disorder Treatment
Counselling And Stress Management
Treatment of Abnormal Behaviour
Psychological Diagnosis (Adult And Child)
Cancer Screening (Preventive)
Treatment of Violent Behavior
Management of Parenting Issues & Doubts
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One of my neighbour's recommended Dr Vijay Prasad. Finally with his treatment, I am completely cured from the disease. Vijay Prasad has so much knowledge that for everything my family takes his reference. The overall atmosphere in the clinic is very soothing. During the complete increase concentration treatment program he always supported and motivated me. i wanted to iuncrease concentration.
I had got addicted to smoking due to which I started facing several issues. One of my colleague referred Dr Vijay. In the very 1st seating he told me the problem and how the treatment procedure will be carried out. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. I thank him for providing me such treatment.
He is not just friendly, but also is very motivating. Dr Vijay Prasad certainly knows the in and out of his speciality. I was having very bad thoughts regarding my psychotherapy. The overall cleanliness in the Dr Vijay Prasad clinic was amazing. The waiting area is very comfortable for elderly patients. It's been more than a year that I was experiencing issues but now I am totally fine
Dr. Vijay Prasad provides answers that are practical. Thank you for your kind advice. She is back to her normal self now .
Dr. Vijay Prasad provides answers that are caring. Thank u ...i hope i vl clear upsc handling this disorder
Obesity is the new-age lifestyle disease with multiple ramifications. While its effects on the physical aspects are very evident, the damage it does to the brain are more severe, though not obvious. Read on to know some harmful effects of obesity on the emotional well-being.
- Leads to binge eating: There is a certain pleasure in eating sugary and fatty food, and this is lost with depression. Therefore, to get that emotional satisfaction, people tend to eat more chocolates, cookies, milkshakes, and other weight-accumulating food items, which further add to obesity. Greater the weight gained by a person, lesser the response or happiness from such food products.
- Increases impulsivity: The area of the brain known as orbitofrontal cortex, which is in charge of controlling impulsivity, shrinks in obese people. This results in people eating more impulsively.
- Affects immunity: Obesity is a major cause of inflammation, leading to damage in certain parts of the brain. This impairs the immune system, making the affected person more prone to infections and tissue damage. This leads to increased chances of diabetes, heart disease, stroke, sleeping disorders, eating disorders, etc. The chemical known as C-reactive protein increases as seen on MRIs in obese people, and which is usually seen in patients with chronically increased inflammation.
- Effects on memory: As the BMI increases, there is a decrease in scores of memory tests. This effect is more obvious in women after menopause. With increased fat accumulation, more hormones are released, which affects the memory. Increased inflammation also affects cognition and memory.
- Increased risk of dementia: With more belly fat accumulating, there is extra stress on the body to burn the visceral fat. This reduces brain size and causes certain hormones to release, which further affects the body’s ability to remember things. It has been proven that people with smaller brain size are at greater risk for developing dementia.
- Weight loss stress adding to more stress: When obesity sets in and the BMI goes up, there is an added pressure to lose weight, which further ups the stress levels. During these dieting days, the brain is constantly alert and finds ways to eat more. This also leads to excess eating. Moreover, there are indications that there could be genetic changes during this phase, which may leave a permanent mark in the person’s composition.
- Depression: When a person is not happy with their reflection in the mirror, the chances of feeling good and happy are very less. In this age, where aesthetics plays a major morale booster, an obese image staring back does not help at all.
So, if you have a risk of obesity, watch out. It is not just how you look, but how you feel is also altered. If you wish to discuss about any specific problem, you can consult a Psychologist.
An idle mind is a devil’s workshop. When there is too much time on your hands with nothing to do, you end up thinking about things which are not going well, leading to depression. Come to think of it, if there is nothing that you can do to improve it, there is no point wasting time over it. On the other hand, if there is something to improve the situation, just go ahead and do it, so everybody involved is happy. However, if there are too many other factors which are beyond control, then you need to see how to change your outlook towards it.
One such effective way is to keep yourself busy and distract yourself from it. The following are some simple measures, which can be very effective in dealing with stress.
- Sleep it off: One of the main reasons for depression is the physical exhaustion and lack of good rest. So, it is good once in a while to just sleep it off and give your body the much deserved rest. This gives the brain a chance to begin to heal and feel better.
- Clean up the house: The home or the space you enter into indirectly indicates your state of mind. A clean home and workspace means that much less clutter in the brain. Clean out the closet, give away your old stuff, and in the process, you would end up feeling good about having helped somebody. You will also realize how much excess stuff you have collected over the years. Stacked up in the attic and cartons, these were meant for use on “some fine day”, which never seemed to arrive.
- Exercise: Force yourself to exercise. While initially it would be an ordeal, gradually you will enjoy it. Exercise also releases chemicals in the brain, which make you feel good about yourself. In addition, the physical benefits will start to show up, leaving you feeling elated and in a chirpier mood.
- Travel: When you go solo traveling, the amount of time you spend with yourself just increases. The changed surroundings will help you understand yourself better and come to terms with things that can be under your control. You learn to let go of things and come to terms with life. If time and money are limitations, go out and explore places in your own surrounding city or town. You will realize how little you know the city or town you live in.
- Hobbies: Whether it is learning to play guitar or speak Spanish, pick something that you have always wanted to do over the years and work at it. You will see the depression vanish in no time. If you wish to discuss about any specific problem, you can consult a Psychologist.
In order to answer this question, it is important that we first discuss what depression is. Feeling sad, lonely or low is very common. So how can we point out which is depression and which is sadness? Well, sadness is a fleeting feeling and is the most normal reaction to loss or life’s struggle. Depression, on the other hand, is pretty permanent (may be not permanent, but it may last really really long or may occur very frequently, if not consulted with a professional). It is so overwhelming and inexplicable that these mental feelings start involving physical symptoms as well. Depression can keep an individual from leading a normal and an active life.
Depression, if not treated, may take an even worse form and might possibly end at suicide. Clinically, certain symptoms that occur persistently might point towards depression.
- Inability to concentrate
- Guilt and shame
- Eating disorders
- Loss of interest in previously enjoyable activities
- Persistent headaches, pains, aches, digestive problems
- Empty feeling
- Suicidal thoughts
Here comes the part about guilt and shame. One of the very common symptoms of depression is feeling of unnecessary guilt or shame. Guilt is a feeling of remorse or regret for violating an internal value. Shame is an overall feeling of self contempt. While both these are pretty normal feelings for a normal individual, for depressed individuals, these feelings get magnified to unimaginable extents.
How are these manifested?
- Constantly apologising for things one hasn’t done
- Blaming themselves for everything
- Thinking they don’t deserve happiness
- Feeling inferior or unworthy
- Feeling of being a burden
The next plausible question is why does this happen?
These feelings generally tend to go back to childhood. People who have faced childhood traumas or have been physically, emotionally or sexually abused are more prone to feelings of depressive guilt or shame. In the young age, they do not really have proper understanding of the situation and hence they end up blaming themselves. During adulthood, they keep believing the same, thus causing intense feelings of guilt and shame. A lot of counselling can bring such individuals to the understanding that whatever happened to them as children was never their fault.
Also, it has been researched that the region in the human brain associated with shame and guilt is unusually active in depressed individuals. If you wish to discuss about any specific problem, you can consult a Psychologist.
In many cases, the body responds to a stressful or traumatic situation by disassociating with it. This can result in the development of a dissociative disorder. A dissociative disorder or dissociative amnesia is a mental illness that involves the breaking down of memory, consciousness, identity and perception. It can interfere with a person's general functioning, social life and relationships. People suffering from dissociative amnesia can have long gaps in their memory of the accident and the time before and after it.
Women are at a higher risk of suffering from this condition as compared to men. It has also been found to have a genetic link as people suffering from this condition often have other members of their family who experience something similar. Manmade and natural disasters such as wars, floods, earthquakes etc that cause overwhelming stress is said to trigger this disease.
The inability to recall past events is a primary symptom of this disease. Other symptoms include
- Depression or anxiety
- Inability to remember personal information
- Substance abuse
- Mood swings
- Sexual dysfunction
- Panic attacks
- Obsessive compulsive symptoms
- Hallucinations and
- Social withdrawal
Treatment for this disease is a two step process. The first step involves relieving symptoms and controlling any behavioral changes. The second step aims at helping the person to recall and process their memories. Developing coping skills and rebuilding relationships is also focused on. Depending on the individual and the severity of symptoms showcased a doctor may choose to treat the patient using any of the following forms of treatment.
- Psychotherapy: This form of treatment is designed to encourage communication and give the person insight into their problems. It uses a number of psychological techniques.
- Cognitive therapy: Changing dysfunctional thinking patterns and their resulting emotions and behavior patterns is the focus of this form of treatment.
- Medication: Dissociative amnesia patients who also suffer from depression or anxiety can benefit from medication such as anti depressants and anti anxiety drugs. However, this medication does not treat the dissociative amnesia itself.
- Family therapy: In some cases, along with the patient it is also necessary to counsel the family. Family therapy involves educating the family members about the disorder and symptoms of recurrence.
Clinical hypnosis: This type of treatment uses intense relaxation and focused attention techniques to access the unconscious part of the mind and allow people to explore their thoughts, emotions and repressed memories. If you wish to discuss about any specific problem, you can consult a clinical psychologist.
Emotional abuse is a lesser known topic that is very important to talk about. Most individuals are oblivious to the fact that such a term even exists. This article is mainly about educating people about what emotional abuse is, how it affects children, thereby, affecting the upcoming generation altogether.
Like physical abuse, emotional abuse too is very real and harmful enough to cause enormous damage to a child’s mental health. So what exactly is emotional abuse?
Any sort of persistent, emotional neglect or emotional maltreatment can become emotional abuse to children and may cause havoc in their emotional development. The world runs at a very fast pace and parents usually are caught up in earning well for the family, raising the children properly and transforming them into respectable adults. This entire process brings about enormous stress and frustration. As such, unknowingly or knowingly, these parents end up emotionally abusing their children. No, that is not the end of it. It is not only the parents who can cause emotional abuse, but also there are numerous other factors to be considered.
So to make the explanation process easier, here are some points that explain what emotional or psychological abuse includes.
- Scaring or humiliating a child deliberately and regularly
- Isolating or ignoring a child
- Telling a child that he/she is worthless, inadequate or unloved
- Not providing the children any opportunity to express him/her by deliberately silencing them or making fun of their expression
- Age inappropriate or developmentally inappropriate expectations from children. For example, making a child believe that topping the class is necessary and is a shame otherwise.
- Overprotecting the child and hindering their exploration and learning
- Preventing them from participating in an absolutely normal social interaction. For example, asking girls not to mix with boys and punishing them for doing so.
- A child seeing or hearing utter ill-treatment of another child or person
- Serious bullying by other children and cyber bullying
- Threatening a child and calling names
- Making a child perform any sort of act that might be degrading
- Exposing a child to distressing interactions like domestic abuse or drug abuse.
- Not expressing positive or congratulatory feelings to the child
- Not showing any sort of emotional attachment or interactions with the child
- Causing physical abuse to the child.
- Trying too hard to control the child’s life and not allowing him/her to recognize their individuality.
Yes, there is no such thing as good parenting or bad parenting. However, parents need to know how much any sort of emotional abuse may affect the future development of their child. If you wish to discuss about any specific problem, you can consult a psychologist.
Dangal is one of the most revolutionary movies of our times. It has received rousing reviews from critics and avid film goers alike and has been hailed as a path altering film, which has definitely raised the benchmark as far as realism in commercial cinema goes. The movie is based on the real-life tale of Mahavir Singh Phogat and his two daughters, whom he trains to perfection so that they can become international level medal winning wrestlers. Let us look at the psychological aspect of this movie.
- Helicopter parenting: In this movie, we find a helicopter parent in Phogat who wants his daughters to attain a certain brand of perfection. In many ways, his parenting style has been derived from his unattained dreams, which he also projects onto his daughters. In today’s day and age, such kind of parenting usually leads to a lack of decision-making skills as far as the child is concerned due to the excessive intervention of the parent in every decision and situation.
- Perfection: In an obsessive compulsive disorder or OCD manner, the main character of the movie also projects his need for perfection on to his children, even going as far as limiting and completely cutting off their normal childhood habits like craving for sweet and savory food, as well as TV viewing. This may be seen as an extreme measure and case of OCD as far as his dedication to his training ideals go.
- Sports pre-performance tactics: In the movie, we have been shown myriad sports pre-performance tactics that are used by the best sportspersons the world over, in order to achieve their goal. This kind of pre-performance is especially important in physical pursuits because it helps in aligning the brain with the body by removing all distractions. Most sportspersons have various routines that may involve breathing exercises or listening to a pep talk, or even a certain kind of music so that this kind of a mindset sets in and they single-mindedly focus on the music, talk or breathing in order to remind themselves of what they are to do on the field.
- Dealing with failure: This is of major importance. In the movie, we find that one of the characters misses the Olympic medal by a whisker due to an unfortunate incident. Yet, this must not be seen as a deterrent. The sports person has to remember that at the end of the day, his or her hard work, sweat and turmoil is the ultimate trophy or medal, rather than the physical manifestation of the same. The fact that he or she has managed to rise to that kind of physical stamina and endurance in the field is in itself a prize that shows how far he or she has come from all other professionals in the same field. If you wish to discuss about any specific problem, you can consult a psychologist.
I am a 34 years males, unmarried. When I born, I grown up in the environment of too much care and fear and adopted fear in my nature, I can’t command or even many times before asking anything, ask only utmost level. I have too much of hesitation and assertiveness. I used to wear normal shirts which I don't like and I dint used to care till 12th and then I started feeling guilty. Our daddy is landlord, when I came to Bangalore I felt very low and inferior by seeing others activeness and bikes etc. I used to stay in a small room and I dint even know any languages properly, not even my mother tongue because that slang is not that good. It is mixture of kannada and telugu. I tried and could not complete B.E, wasted that fee also. When I got backlogs, for exam fee and attendance shortage, I stolen my dad’s watch and kept in a shop and took money. Later my dad came to know and screwed up like anything. I dint like all these by hurting my parents and cheating them. 10 years got wasted. I have so many negative emotions but I never express outside. Suicide syndrome started attacking but I postponing. Whenever I get some sad moment, I feel like committing suicide. After that long gap, I was in big trouble and mind became blank. Don't know what to do. I feel shame on myself. Started Orkut and fb chatting to overcome my emotions and addicted. I got a small job in a hospital for 6500/- per month. That hospital has been closed after two years. I searched for some other jobs, I got offered for small pay and my dad suggested to do a business with help of one of my uncle. Started and deposited some amount opened an office in our town itself. We completed project in time and submitted but he dint pay and said client cheated. Followed up many times but no use. Started searching for other projects, but all looked like fake or some other risky things. So I quit searching. Depression got doubled. Then I joined RK Math and did a personality development course and attend some classes on Impact foundation, Hyderabad. My brother suggested for SAP. I studied B.Sc in correspondence and did certification, could clear it successfully. Due to long gap in education, I dint get job in any good MNC. So I had to join some small company without pay. After 8 months, they sent me to Jamshedpur for a project on TATA Steel. I struggled a lot with Hindi and atmosphere and work environment also. It took almost 6 months to get adopted for those circumstances. By this time, my age crossed 34 and age for getting married where all of my friends settled and married, living happily. I dint get any increment even after one year. So I left and join in Bangalore. I felt a bit relaxed. Here they treat me like a senior consultant because I was the only consultant on that particular module who have 1 year 6 months. I did well in the interview. All things happening very late. I learnt driving also very late. All good things happening late. I need discipline, good daily routine, good attitude, enjoy the work and the way of life. I should behave politely and confidently. I should never be low. I should never be sensitive but sensible. I try to motivate myself like whatever happened is happened and its gone. Worrying of no use. What others feel or mind is none of your business and let them mind whatever you want. Enjoy your work and do well. Real challenges I am facing. Enjoying sometimes. Sometimes feel like carrying big load on my head. Now my challenges are, marry soon and get handsome salary. I never ever want to hurt anyone but sometimes by jealousy or something I behave harshly instead of politely. After that I blame and hate myself. Total I hate myself completely. I am very bad, ineligible, inability to do anything, bad communication, stupid, idiot, useless and etc. Kindly do the needful and I beg everyone. I have no big money with me to undergo any treatment also.
As a parent, we all love our children deeply. And most of us will agree that these days parenting is very demanding and exhausting instead of pleasurable and joyous process. What has changed? It is not that children are any different. The difference is in the environment around them with stronger social influences; and this also affects the way we parent. In today's more democratic and egalitarian world; 'Do as I say and not as I do' style of parenting does not work. But, 'I will do as I see you doing' phrase from kids define our parent child relationship.
With change in social environment and influence, our strategies for correcting their behaviour and impart discipline has to undergo adaptation! When there are so many confusing and conflicting signals reach to our kids from their environment, whether we like it or not, we are still their role models. How positive parenting style will help? The core principle of positive parenting is to accept your child as an individual. We are in a democratic society and family is a small yet important part of society. Democracy does not mean allowing disrespectful and irresponsible behaviour; rather to effectively help kids change their behaviour and create harmonious and cooperative relationship with them. It also means that we as a parent need to learn to think, act and react in a different way.
Through, positive parenting, you will learn respectful disciplining methods, which would work better than demanding compliance. Through these principles and tips you will get your child to listen without screaming, nagging, reminding or evoking rebellious behaviour. More importantly this is all about building stronger relationship bond with your children and nurture them through early childhood to teen age years as they become independent, responsible, capable, kind, happy and successful young adults.
Tips to get you started:
- Everyone deserves to be treated with respect and dignity, including children.
- When your kid misbehaves instead of shouting or hitting, control your anger and respond in a calm and respectful way. Calmer but firmer tone and lower voice, yet not giving into their repeated demand, is much more effective as a discipline tool compare to nagging.
- Understandable that you have a lot on your plate, such as work, managing and keeping the home in order, managing meals and other outside responsibilities, kids sports or extracurricular activities, family obligations and so on. It is easy to get lost in all these 'have to do' activities. Parenting shouldn't be just one more task to deal with. Reconnecting with your parenting goals and aspirations periodically will help take the stress out of it and add fun into it. Spend some time daily (10 minutes will do as well!) to just listen and enjoy your child (without correcting them or giving them suggestion to improve!).
- Let your love for them be the driving force. Shift your internal conversations from 'have to' to 'want to'. As you do enormous things for your child each day, think how you are supporting their ambitions. How you are helping them become independent and strong. How you are nurturing qualities like compassion and deep listening by extending yourself.
- Give promises and keep them. As your children grow they need much more than your words to trust and rely on you. Keeping your promises, letting them know if you need to change the plan, taking their opinion in appropriate matter will go a long way.
- Seek to understand and do not impose yourself on your child. Especially when they are in their teenage, as a parent you have lot of worries, you are afraid of them making mistakes and of course you want to protect them from vices. Listening to them while keeping your focus on genuinely understanding them is the only way to go, when they know you understand them and they can trust you, the street between both of you turns two way street! They will be open to your wisdom and suggestion when they are at the cross road.
- Last but not the least, 'be a role model'. Don't preach. If they see you disrespecting others, they will not respect you. If they see you hooked on your smart phone; that is their license to keep theirs in front of their eyes 24/7. If you are hooked in front of the TV till late night and haven't picked up a book in last 6 months. Advice about reading is going to fall on dumb ears. In short, be the change you want to see in your children.
- Have family nights at least once in a week, play cards, board games or go for a walk together. Talk and listen. Just be there and listen without judgement and criticism, without thinking about how to correct them. Just enjoy each other's company and see how they are changing their opinion about you. Positive parenting doesn't mean you will never have problems in your family. You will? if you are alive and growing family. Positive parenting style will open up the avenues to keep communication alive; it will open your children to your influence. Isn't it something that we all wish for!! If you wish to discuss about any specific problem, you can consult a psychologist.
Being a victim or witnessing a horrific accident or personal assault can leave you shocked and scarred. Sometimes, these conditions last for months and years with memories of the traumatic incident triggering intense emotional and physical responses. This is known as post traumatic stress disorder or PTSD. It is a fairly common anxiety syndrome and can be treated in a number of ways including drugs, exercise and psychotherapy. However, this treatment aims only to control the disorder and there is no known cure for PTSD as yet.
Exercise not only keeps the body fit, but also helps the body release endorphins. Endorphins help fight stress, fear and pain. Thus, exercising helps focus on the body and its movements instead of your fears. It can also help elevate the mood of a person. Low to moderate intensity exercising is ideal for a PTSD patient. Aerobics, pilates, yoga or martial arts like tai chi are known to be effective ways of reducing stress and anxiety in PTSD patients. Breathing exercises like pranayama can also help calm and relax the mind.
Exercise for a PTSD patient should be planned in repetitive sets. This enables the person to slowly master the type of exercise being done and regain control and confidence in himself. It also needs to be predictable so as to avoid triggering a PTSD emotional or physical response. Non competitive exercises are better than competitive exercises as it does not create an opportunity for the person to feel stressed. Exercising and practicing breathing techniques can also help a person analyze himself and his response to stressful situations. By understanding their reactions, a person can slowly bring about changes to handle stress in a better way.
For a PTSD patient, exercise should not be seen as a group activity but as an individual effort to increase self control. Patience is key here both for the patient and the therapist. It is also necessary for the person to have realistic goals from his exercise regimen. An exercise program for PTSD patients also needs to be flexible. In order to meet the needs of a patient, it may need to be changed in accordance to the medication he is under. Small incidents like having a flat tire when cycling can trigger anxiety in a person suffering from PTSD. However, if dealt with correctly, it can bolster confidence in the long run.
Lastly, exercising also helps improve self-image and build confidence which helps a PTSD patient break out of his protective shell and socialize with others. If you wish to discuss about any specific problem, you can consult a psychiatrist.
Depression is a psychological condition, which can develop in men and women of any age. No one can identify the cause of depression. It can be excessive stress, failure in relationships, academic pressure and various other issues of these sorts. But depression in itself is a serious condition and needs to be treated as soon as possible, lest it aggravates.
Before trying to deal with depression through medicines and counselling, it is important to recognise the signs and symptoms of this condition and try as much as possible to come out of it on your own. There are certain natural remedies, which work during the initial stages of depression. It is only when these fail or it aggravates that the patient must be rushed for immediate counselling. Here are certain natural ways of treating depression.
- Sleep well: A sign that you are suffering from depression is lack of sleep. One does not get sleep no matter how hard he/she tries. Even after having sleeping pills, one does not get the correct amount of sleep that he/she requires. This triggers insomnia, thereby causing other health problems to develop. Thus, sleeping is mandatory. If needed, you must force yourself to sleep.
- Eat well: It is often said and seen that depression leads you to binge eat or over eat. Overeating would include indulging yourself to too much chips, chocolates, junk food and the like. This would unnecessarily make you gain extra pounds and can trigger obesity. Alternately, it has been seen that the patient lacks the desire to eat anything. This too can lead to adverse effects as the body balance gets disturbed.
- Exercise: Regular exercise helps in diverting your mind to something else for a little while. It also helps in keeping you fit and healthy. In case you do not like to exercise, you can opt for jogging or running or even simply taking a walk out in the open. Going out and inhaling fresh air, makes you focus on positive thoughts for a while. A daily dose of positive thoughts can do wonders for you.
- Experiment with yourself: Try something new each day that you have not tried ever before. This might include cooking, knitting, riding a bike and the likes. This keeps you busy and keeps your mind off the negative thoughts. What’s more, you might discover some of your hidden talents.
Remember, when the difficulties takes more place better to consulting a clinical psychologist for the same.