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Oxygen Institute Of Psychiatry

Psychiatrist Clinic

#5-1/4, Near Hotel Basra Pride Masab tank, Road No.1, Banjara Hill. Landmark: Opp. Crystal hotel, Hyderabad Hyderabad
1 Doctor · ₹
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Oxygen Institute Of Psychiatry Psychiatrist Clinic #5-1/4, Near Hotel Basra Pride Masab tank, Road No.1, Banjara Hill. Landmark: Opp. Crystal hotel, Hyderabad Hyderabad
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About

Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Oxygen Institute Of Psychiatry
Oxygen Institute Of Psychiatry is known for housing experienced Psychiatrists. Dr. Kishore N, a well-reputed Psychiatrist, practices in Hyderabad. Visit this medical health centre for Psychiatrists recommended by 50 patients.

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Mon-Wed
08:30 AM - 02:00 PM
Thu
08:00 AM - 02:00 PM

Location

#5-1/4, Near Hotel Basra Pride Masab tank, Road No.1, Banjara Hill. Landmark: Opp. Crystal hotel, Hyderabad
Masab Tank Hyderabad, Andhra Pradesh
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Domestic Violence - How it Affects Women?

MBBS, Diploma in Psychological Medicine, M.D Psychiatry
Psychiatrist
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People who have been victims of domestic violence not only suffer physical abuse, but from emotional abuse as well, which may stay with them for their whole life. The trauma associated with domestic violence can be deep and takes time to heal even after the relationship with the perpetrator is over and there is no communication or contact between them.

Emotional harm is greater than physical harm
Women make up the significant majority of domestic violence victims. When they face violence within the home sphere, they experience a wide range of emotions like anger, sadness, powerlessness, fear, resentment, vindictiveness and much more. Physical violence not only harms their body, but their mind and spirit are equally wrecked as the memory of being physically subjugated scars them emotionally in a very deep manner and can take years to heal.

Some of the long term impact of domestic violence on women is mentioned below.

Physical Effects

  1. Any kind of physical injuries like bruises, cuts or dislocated joints and bones.
  2. Many women suffer from hearing impairment
  3. Loss of vision is also another effect
  4. Miscarriage or premature childbirth
  5. Sexually transmitted diseases
  6. A feeling of fatigue and weakness

In certain cases, unreported domestic violence may result in homicide or murder which is the ultimate and most unfortunate manifestation of physical abuse gone too far, That is why it is important to seek help early on before things escalate too far.

Mental Effects
The mental effects of domestic violence take much longer time to recuperate from than the physical effects. If the shock is severe, it can render women mentally unstable for life in extreme cases. Even if a woman recovers from it, the emotional scar may remain and might manifest in the future.

  1. Depression: This is one of the worst mental effects of domestic violence is depression. The good news is depression is often temporary and can be cured. Signs of depression include a feeling of hopelessness, sadness, weight gain or loss, sleeplessness, loss of appetite and a consequent lack of interest in whatever you love to do. This can affect one’s decision making ability and in extreme cases can render one suicidal.
  2. Post-Traumatic Stress Disorder: When you encounter any violent experience, then you are most likely to develop Post-Traumatic Stress Disorder. The signs of this disorder include frequent flashbacks of the traumatic experience, nightmares and extreme anxiety. Women who face these kinds of traumatic experiences find it difficult to cope with their present situation for a while. Counselling and support from their loved ones can heal these problems fast.

Other effects of domestic violence may also include seizures, addiction and substance abuse and fainting.

Domestic Violence - How it Affects Women?

Stress Free

Bachelor Of Physiotherapy
Physiotherapist
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How to effectively handle work related stress

The statistics on stress at workplace are staggering with half of respondents in studies reporting that they face higher than normal stress levels at work. Stress is a silent killer and can lead to serious health issues like stroke and heart attack. Stress at the workplace could be due to excessive workloads, unclear responsibilities, lack of control, unrealistic deadlines and noisy work environment.

While it is a good thing to be competitive and excel in whatever you are doing, it is also very important to learn to tackle stress and take life easy. Remember, we live only once! here are some simple and effective ways to handle workplace stress:

1. Seek support at work

Research has shown that having one good friend at work reduces the chances of quitting. Sharing your thoughts with another person not only reduces the stress levels but also might lead to discovering new ways to handle tough situations. Take proactive steps to be more friendly and sociable at work.

2. Manage work better

Try prioritizing better and not expecting perfection in every task. In case your role is over-loaded, try talking to your manager to reduce the load or if possible, delegate some work. Accept that you have certain limits to your productivity and do not try to prove yourself by over-working.

3. Get moving

It is a proven fact that exercises in any form reduces stress levels. Try to exercise for half an hour daily in the form walking, swimming, playing a sport or running. You can take short walking breaks at work that can add up to half an hour in a day.

Reduce weight with weight management products >>

4. Try breathing exercises

Breathing deeply for four counts on inhale and exhale can reduce stress levels immediately. You can try alternating breathing exercise i. E. Long inhale with one nostril and exhaling with the other nostril, which brings focus and energy in the morning before starting work.

5. Take a power nap

10 minutes of shut eye goes a long way in recharging your tired brain. Any longer than 15 minutes will end up making you groggy. Just put your head down on the desk, and clear your mind of all thoughts for 10 minutes.

6. Eat right

Food has a big role to play in determining our stress levels. Avoid processed food, sugar and high amount of refined carbs like flour, white rice etc. Maintaining your blood glucose levels by eating more complex carbohydrates that are slowly digested like ragi, jowar, bajra gives you steady energy levels throughout the day.

Take care of your sugar, liver, skin & more with ayurvedic products

7. Get enough sleep

Over-worked employees often cut back on sleep and try to squeeze in work at night. Over the long term, this practice can severely impact your health and leads to more stress. A restful night's sleep of at least 6 hours is mandatory for all adults. Lack of sleep causes irritability and diminished ability to deal with stress. Avoid looking at laptop, tv or phone screens when you are trying to fall asleep.

You have to take charge of your own work-life balance and draw the line where you feel uncomfortable since no one will do it for you. Over-working might give benefits in the short term in terms of recognition and promotion, but it causes emotional, mental and physical burnout in the long term. Stay healthy, stay happy.

Stress Free
3 people found this helpful

I have anxiety problem heart beat goes faster when I got nervous. Anxiety disorder is curable or not?

MBBS, MD - Psychiatry
Psychiatrist
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I have anxiety problem heart beat goes faster when I got nervous. Anxiety disorder is curable or not?
Tremors, feeling anxious or nervous, sense of panic, sweating, increased heartbeat, feeling of impending doom, stomach discomfort, dizziness etc are signs of anxiety. These can be debilitating. If the anxiety us overwhelming, consult a psychiatrist at the earliest. With the right medication and counseling, it is likely your symptoms will improve. Other than that, try yoga, deep breathing, meditation, moderate exercise, progressive muscular relaxation and guided meditation.

I am a teenage boy. I was a bright student and was a topper since. My childhood but since last 2 years I am facing lot of difficulty to study. I want to study but when I sit for studying then I feel unknown restlessness and mental pain means ghabrahat in hindi I feel anxiety and my efficiency of studying is greatly reduced I can't focus even if I want.in nearly 3 months my final exams for class 12 are about to start I'm tensed about that I please request you that refer solution fast.

MBBS, MD - Psychiatry
Psychiatrist
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If you want better results while studying, revision is the key. Repeated revision consolidates the information in the brain and helps to retain the information. Other than that, try a daily exercise of recalling your entire day in as much detail as possible before you sleep. Initially only important or superficial details are recalled, but with practice minor details can also be recalled. Be more organized; make lists. Use acronyms and mnemonic devices to help you remember. Take 45 minute slots followed by a 5-15 minute break. Eat and at proper times. Drink plenty of water. Find time for exercise or meditation. Keep time for proper revision at end of study session. Revise before you sleep.

I lost somebody close last year and since then feel very depressed and prefer keeping to myself all the time. Please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I lost somebody close last year and since then feel very depressed and prefer keeping to myself all the time. Please ...
Hi Lybrate user yes this type of situation really affect any individual but if you are not in family then join your family or go near to your dear ones if not possible then consult any psychiatrist so that he can advise you short-term therapy for your problems so that you can do your work and take sound sleep. Remember time is best healer and try to swing your mood. Choose what is best for you. Mean life and your responsibility. Wishing you a healthier life.

I am 19. My voice is heavy and rough .what should I do. I think its a reason of drinking milk daily from years. Help me to get a good voice.

MBBS
General Physician
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The third stage of male puberty occurs around age 13 or 14, but frequently as early as 11 or late as 16. Pubic hair begins to grow darker and fuller, and the penis now begins to grow in length. The testicles continue growing, erections become commonplace and the boy gains in height at a rate of over 3 inches (7.6 centimeters) a year. The voice may begin "breaking" or "cracking." This is when the boy's voice suddenly and uncontrollably changes pitch mid-word or sentence, due to the growth of the larynx and the lengthening of the vocal cords. Stage four of male puberty commonly takes place when a boy is around 14 or 15 years old. Hair begins showing up in the armpits and on the face, and pubic hair begins to grow coarse. The boy's voice will even out and become deeper. The stage-four boy can use this deeper voice to yell forcefully at the mirror when he sees his new acne, due to his ever-more-oily skin. He begins to grow taller and even faster, at about 4 inches (10.2 centimeters) a year. The penis now grows thicker and continues to lengthen.

Hi I have a problem of ibs since last 4 years but my all reports r normal and also suffering from anxiety and panic attacks .but any in case I have taken all types of medicine for my ibs problem but doest solve what should I do .i m thinking that may be I have a health anxiety becoz I think a lot of about my health.

MBBS, DPM
Psychiatrist
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Hi I have a problem of ibs since last 4 years but my all reports r normal and also suffering from anxiety and panic a...
Dear lybrate-user, IBS and anxiety go together in the same person. Panic attacks are also common in such disorders. Come online text or audio with all reports and the details of medicines tried so far, chemical name, dose, duration of intake, side effect, benefit % though not 100%. You may need 18-20 weekly sessions to change your thoughts.

I do stammer nd my voice is not clear like others nd sometimes I found difficulty with some particular words .I hv inferiority. Complex of this prblm but I talk very confidently to everyone .does this prblm has permanent solution? Or I will suffer from this throughout my life.

Reparenting Technique, BA, BEd
Psychologist
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You can resolve this problem. There are two problems here: fear and intimidation in front of people.You have a problem with fear. The fear has to do with people and more so if they are people in authority. If you deal with that fear, then a lot of your stammering will stop. Talk to a counselor and sort that out. There will still be a residue affect left because of pure habit. This can be resolved by some exercises, which should begin with real earnest right away. Practice speaking aloud in a closed room, but this time, choose words for which your stammer is most. Also practice singing sentences but ending the last word as a statement that is read. Next time end with two words stated, then three words etc. The lip exercise: with tight pressure press and roll the tip of your tongue against the edge of your lips, clockwise first and then anticlockwise, as many times as you possibly can. Purse your lips into an ‘O’ and withdraw it back stretching it like when you say an ‘E’, several times a day. Drop your lower jaw and flip it left to right and right to left, as many times as you can to loosen it. Practice making a resonating sound by increasing and decreasing the volume within the same breath. Sing the vowels A, E, I, O, U stretching each vowel as much as you can.
5 people found this helpful

Dr. I am suffering with the depression from the last 4-5 years continuing under medicine. I have much tried to come out from this disease by my self but can't come out. This tym I am taking flexotine in morning and clonotril in bed tym but no more relief. I am very tensed wid this disease and my life is dispoiling slowly. I have no desire to do work effortly. Sumtym I think to kill my self and no desire to live due to this bad disease of brain coz no memory power left, no new catching memory power, no any concentration. What to do Dr. I want improve my self lyk I was 4-5 years before very active ,everything had been on my tips. Dr. pls tell that is depression curable disease completely. I want to live my lyf happily wid high active brain. Pls suggest I am completely ready to do anything for coming out from this disease of brain. Thanking you Yogesh kumar (9958464727)

Reparenting Technique, BA, BEd
Psychologist
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Dr. I am suffering with the depression from the last 4-5 years continuing under medicine. I have much tried to come o...
You can come out of depression but you need to combine counseling with medication. In counseling, you will learn a lot of skills and techniques that will help you to meet the daily challenges in life for that of a depressed person. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.
2 people found this helpful

I am loving one person, but he is not much caring me. He loves and take care of me only when I am near to him. I want to forget him and lead my life or I want to make him to love me more. What should I do. Do I need to take counseling. And if want to do any work or anything always negative vibes are coming in mind like I can't do this and I may lose in this. I want to improve my positive energy. I am reserved type and I can't move freely with everyone. I want to change that attitude and want to be free and jovial with everyone. Please suggest me the solution. Thank You.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am loving one person, but he is not much caring me. He loves and take care of me only when I am near to him. I want...
lybrate-user, Your situation can be managed by opening up to someone whom you trust and letting out your emotions. If that doesn't help, go for a session of counselling. Meanwhile doing pranayama and yoga daily helps a lot.
1 person found this helpful

I am 29 years old male I am suffering from depression and GAD since 07 years and my nature is socially shy person, though I got treatment for already 02 years the medication I got were little bit helpful but I unable to concentrate, frequent forgetness, distraction,unable to remember, unclear and foggy mind due to this I unable to think clear thought always disturbed. I can't do the daily works. Could you please suggest me to get rid out.

MBBS, MD - Psychiatry, DNB (Psychiatry)
Psychiatrist
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I am 29 years old male I am suffering from depression and GAD since 07 years and my nature is socially shy person, th...
Respected Sir, The fact that you mention that you were suffering from Depression and GAD since 7 years and took treatment only for 2 would lead me to believe that you were either irregular in your treatment or inadequately treated. If that is the case, the symptoms you mentioned are clearly due to persisting of your depression. On the other hand if you have been taking the drugs regularly and still have these symptoms, that would make yours a resistant case. I would have to know the drugs that you had been taking to help you out further, if you feel that you were resistant even after complying with the treatment.
1 person found this helpful

I want to start with treatment of depression and anxiety but I have my exams in 2 weeks. Is it ok to start it now as I am worried as this sudden change might create some problem but I want to start it soon bcz I have great trouble in sleeping I couldnt sleep in last 2 days even after having a tiring day and body. I sleep for 3 4 or max 5 hours which is affecting my whole life cycle as I fall asleep by morning 5 or 6 due to which I am notable to attend my classes nd study schedules as well. I tried everything but this is not going even I do not sleep for 36 hours snd even if you want to sleep my thoughts does not let me sleep.

Reparenting Technique, BA, BEd
Psychologist
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I want to start with treatment of depression and anxiety but I have my exams in 2 weeks. Is it ok to start it now as ...
Yes, you can start the medication right away but you must also do counseling. Depression and anxiety go together for many people. In the meantime please do the following sincerely because you could resolve the problem better with good cooperation: Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least, 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be contented with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved. To improve your sleep please do the following too: In your case particularly, do not sleep during the day; don’t even lie down. Go for regular exercise (breathing through your nostrils only) at a fixed time (at about 6 am) every day, whether you sleep or not. You must develop this habit of sleeping by 10 pm latest every night and wake up at a uniform time by 6 am every morning, even if you do not get sleep. If you do not get sleep, just lie down and if you have a bed lamp (or you could get one) lie down and read something light but not exciting. Your eyes will tire and you will fall asleep. If you like you may also put on light and soft music with the sleep function on. Depending on whether you are a visual or auditory person, you may watch TV in a lying down position until you feel sleepy. Have a warm bath before going to bed (for some people a cold bath at night seems to induce sleep! If you are one of them, please do so). Place the head side of your bed in a North-South position. The room must be as dark as possible and there should be no electronic items that give off even a light LED glow. There must be ample ventilation in the room. Avoid strong odors, except lavender, on your body or in the room, or on your sheets and clothes. There should not be any live plants in your bedroom. Sleep with the lightest of clothes or without any clothing. When lying down to sleep, lie down on your left ear as much as possible. Do not sleep directly under an overhead fan. You must eat a good breakfast, a fairly light lunch, and an early dinner, which should be a very light meal. Whatever you eat in the other meals, have only a pure carbohydrate meal at night with any vegetables, and preferably before 8 pm. Do not drink much liquids after or near about dinner time. When lying down to sleep you may use the 4-7-8 breathing pattern of sleep inducement i.e. Breathe in for four counts through your nostril only, hold for 7 counts, and exhale with a whoosh sound, through your mouth only, for 8 counts. Repeat this four times in the morning and just before you sleep at night. If you know Emotional Freedom Technique or EFT (check this out either on YouTube or Google), then please practice this too for sleep induction. Self-hypnosis and slow relaxation techniques, at night will be tremendously useful. Acupuncture or acupressure will both be very useful too. Pray last thing at night before you sleep.

I am. Having the habit of stammering while talking. Tge intensity keeps on changing.

M.Sc. Psychology (Clinical), B.A. Psychology (Hons)
Psychologist
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Hi lybrate-user It is good to see that you have reached out for help to work on your stammering. I understand the difficulty it must be causing as you try to express your thoughts & opinions but find yourself getting stuck and in turn losing your self confidence. I understand how embarrassed you would feel when it happens before important stakeholders like a senior person at work, during a team meeting, when you are trying to make a point etc. Sachin to help you cope with stammering, could you share with me what happened recently that made you reach out for help? In your query, you have mentioned the intensity keeps on changing… Have you seen a pattern in situations when it becomes worse like talking to people of opposite gender, talking to a person in authority, addressing a group, statements starting with certain alphabets, etc. Stammering could result from physical or psychological factors. Consulting a speech therapist would be the first step. If you have already done that and find yourself stammering when you are experiencing stress, anxiety or other heightened emotions, I, as a counsellor could help you manage your emotions and effective ways of dealing with stammering. Regards

I am having felizs5 mg for a year before that I used to have 15 mg and then 10 mg respectively as doses reduced by my doctor when I begin to take felizs5 mg alternate days as to get rid of this medicine I begin to have withdrawal symptoms, like increased anxiety, nausea, uneasiness etc. I WANT TO KNOW whether anyhow can I be able to leave this medicine ever and what side effects of it I can have later on. Thanks.

MBBS, MD - Psychiatry
Psychiatrist
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I am having felizs5 mg for a year before that I used to have 15 mg and then 10 mg respectively as doses reduced by my...
Hello lybrate-user, I can understand your concern. In your case you can go with 5 mg daily for 1 month. After that you can divide 5 mg tablet in to 4 parts and start taking 3/4th means 3.75 mg for 3 weeks and later on 1/2 (2.5 mg) and 1/4th (1.25 mg) tablet gradually in same manner to prevent withdrawal. Apart form this relaxation techniques, yoga and meditation can help. Take care. For detail consultation and queries you can contact me on www.Lybrate.com/drchintan. Take care and wish you good health.
1 person found this helpful

Hai sir my mind is not working in sometimes I forgot something In sometimes what I do to improve the brain power.

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
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Dear Lybrate user, At your age, Memory problems like amnesia are not common. Many young people are having problems with memory. These problems are either they are too busy or due to anxiety and stress. Busy people use organizers or employ a personal assistant because they can't remember every task. You need to understand this. If you still say, you are having memory problems, we need to check your memory using memory test. If you want more of my help in this regard, please contact me. Take care.

Losing tamper easily And get mad some time Please help When I lose my tamper can't difference between boy or girl Mom or Dad.

C.S.C, D.C.H, M.B.B.S
General Physician
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Anger management: 10 tips to tame your temper ANGER: There is a saying "Frustration begets anger and anger begets aggression. Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. GIVING UP: Giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. LOSS OF CONFIDENCE: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that If we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "It is worth it! and by following through, it not only gets the job done, but it builds self-confidence. STRESS: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme, or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of: irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. DEPRESSION: Depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one think about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. OTHER REACTIONS: abuse of drugs & alcohol is self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions Whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1.Approve it / Acknowledge it: The first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong, but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'You are wrong to react like this' you can say, 'I understand what you are feeling. Is there a way we can resolve this situation? 2.Understand / recognize the signs: Once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3.Free the mind/Find ways to let it go: Not all arguments end in closure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult me or a doctor today.

Hello sir, I loose my temper very easily and sometime i become mad. What should i do?

C.S.C, D.C.H, M.B.B.S
General Physician
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Anger management: 10 tips to tame your temper ANGER: There is a saying "Frustration begets anger and anger begets aggression. Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. GIVING UP: Giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. LOSS OF CONFIDENCE: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that If we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "It is worth it! and by following through, it not only gets the job done, but it builds self-confidence. STRESS: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme, or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of: irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. DEPRESSION: Depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one think about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. OTHER REACTIONS: abuse of drugs & alcohol is self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions Whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1.Approve it / Acknowledge it: The first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong, but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'You are wrong to react like this' you can say, 'I understand what you are feeling. Is there a way we can resolve this situation? 2.Understand / recognize the signs: Once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3.Free the mind/Find ways to let it go: Not all arguments end in closure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult a doctor today.

My grandmother has (dementia) alzheimer's disease. How to prevent it? please help to cure it any drugs and instructions? Thanks.

MBBS, DPM
Psychiatrist
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My grandmother has (dementia) alzheimer's disease. How to prevent it? please help to cure it any drugs and instructio...
Dear Vishal, Since your grandmother is already having Alzheimer's, you can not prevent it. You can reduce its progression further by giving cholinesterase inhibitor kind of drugs. For you not getting Alzheimer's later, you can keep active life style, play memory games, eat healthy and exercise regularly.

Diabetes Proves Deadly for Smokers

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician
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While it is well known that smoking causes lung cancer, heavy smokers with diabetes are also at increased risk of death from causes other than lung cancer, according to a study being presented next week at the annual meeting of the radiological society of north america (rsna).

Diabetes is a chronic illness in which there are high levels of glucose in the blood. More than 29 million people in the u. S. Have diabetes, up from the previous estimate of 26 million in 2010, according to a report released by the centers for disease control and prevention. One in four people with diabetes doesn't know he or she has it. Having diabetes can also put people at risk for numerous other health complications.

To determine the extent to which diabetes is associated with deaths from lung cancer, other cancers, and other causes among heavy smokers, researchers examined the risk for all-cause mortality among people with and without diabetes within the national lung screening trial (nlst), a massive, multicenter trial that compared low-dose helical ct with chest x-ray for early detection of lung cancer in current and former heavy smokers.

" in our study, we found a statistically significant link between diabetes and all-cause deaths, non-lung cancer deaths and lung cancer deaths in women" said kavita garg, m. D, professor of radiology from the university of colorado -- denver.

For the study, Dr. Garg and colleagues looked at data from 53, 454 participants in the nlst and identified 5, 174 participants who reported having diabetes at screening.

They conducted an analysis of the relative risk for overall mortality, lung cancer mortality, and non-lung cancer mortality associated with diabetes, adjusting for age, gender, body mass index (bmi), and pack-years of smoking. Over the course of the study, there were 3, 936 total deaths, including 1, 021 from lung cancer and 826 from cancers not of the lung.

Participants with diabetes tended to be older, reported more pack-years of smoking, and had a higher bmi than those without diabetes. There were 650 deaths (12.6 percent of patients) among participants with diabetes and 3, 286 deaths (6.8 percent of patients) among participants without diabetes.

" we found that diabetes doubles the risk for all-cause mortality and non-lung cancer mortality among heavy smokers" Dr. Garg said" we also found that women with diabetes have an increased risk of lung-cancer mortality, but did not find the same effect in men"

The researchers continue to analyze data in an effort to better understand the underlying cause. In the meantime, Dr. Garg emphasizes the importance of taking control of diabetes and undergoing lung cancer screening if you're a smoker.

" patients have to take care of their diabetes to maximize the benefit of ct screening for lung cancer" she said" it truly makes a magnitude of difference in mortality risk"

Diabetes Proves Deadly for Smokers
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Hi. I just started taking pexep cr yesterday. And have read real bad things about getting off these pills. I have just started having anxiety but not that bad. I have it only at nights and difficulty sleeping. But daytime I am perfectly okay. Can I stop taking it and try natural method for anxiety control. My doctor will not reply. Please help.

C.S.C, D.C.H, M.B.B.S
General Physician
Ask Free Question
Hi. I just started taking pexep cr yesterday. And have read real bad things about getting off these pills. I have jus...
Natural methods can be tried and do meditaion and yoga. Anxiety is a very normal emotion, which gives rise to feelings of nervousness every now and then. An anxiety disorder is a serious medical condition in which people experience a high degree of distress and mental trauma, which causes difficulties in leading a normal life. People suffering from this medical condition experience high levels of anxiety and nervousness almost all the time. Here are the symptoms that indicate you're suffering from anxiety disorder. 1. Excessive worry - This condition persists if you worry about the day to day activities a bit too much on a regular basis. It is identified when you start taking too much stress about very petty things, which tends to affect you in an adverse manner. A noticeable sign of excessive worry can be too much fatigue. 2. Sleep problems - Problems falling asleep at the right time and problems in maintaining a sound sleep are two signs that indicate you have an anxiety disorder. 3. Irrational fears - This symptom is not generalized; instead, it is specific and subjective in relation to a particular thing or situation. The fears that are experienced under this category are sudden and unexpected in nature and there is no fixed rationale behind these fears. 4. Muscle tension - Muscle discomfort and pain is one of the leading physiological causes of an anxiety disorder. The pain felt is chronic and pervasive, and is very common among people facing situations of anxiety. If you are exposed to constant periods of anxiety, you will experience fatigue, muscle pains and unwillingness to work. 5. Chronic indigestion - Problems related to the digestive system are also a sign of anxiety disorder. In this case, you may face constant digestive problems accompanied by a common disorder called IBS (Irritable Bowel Syndrome). IBS refers to an anxiety situation in the digestive tract, which is characterized by stomach aches, cramping, bloating, gas, constipation, and/or diarrhea. Apart from the above-mentioned symptoms, other symptoms of an anxiety disorder include stage fright, self- consciousness, panic attacks, memory flashbacks, perfectionism, compulsive behaviors, self- doubt, and such others. Symptoms vary depending on the type of anxiety disorder, but general symptoms include: •Feelings of panic, fear, and uneasiness. •Problems sleeping. •Cold or sweaty hands and/or feet. •Shortness of breath. •Heart palpitations. •An inability to be still and calm. •Dry mouth. •Numbness or tingling in the hands or feet. “Anxiety is a normal, predictable part of life. However, “people with an anxiety disorder are essentially phobic about the feeling state of anxiety.” And they’ll go to great lengths to avoid it. Some people experience generalized anxiety disorder (GAD), excessive anxiety about real-life concerns, such as money, relationships, health and academics, Others struggle with society anxiety, and worry about being evaluated or embarrassing themselves, he said. People with obsessive-compulsive disorder (OCD) might become preoccupied with symmetry or potential contamination. “The bottom line is that people can experience anxiety, and anxiety disorders, related to just about anything. Most of these steps contribute to a healthy and fulfilling life, overall. For instance, “making some basic lifestyle changes can do wonders for someone coping with elevated anxiety,” Take these steps from today. 1. Take a deep breath. “Deep diaphragmatic breathing triggers our relaxation response, switching from our fight-or-flight response of the sympathetic nervous system, to the relaxed, balanced response of our parasympathetic nervous system,” according to, clinical psychologists. Who have suggested the following exercise, which you can repeat several times: Inhale slowly to a count of four, starting at your belly and then moving into your chest. Gently hold your breath for four counts. Then slowly exhale to four counts. 2. Get active. “One of the most important things one can do [to cope with anxiety] is to get regular cardiovascular exercise,” For instance, a brisk 30- to 60-minute walk “releases endorphins that lead to a reduction in anxiety.” You can start today by taking a walk. Or create a list of physical activities that you enjoy, and put them on your schedule for the week. Other options include: running, rowing, rollerblading, hiking, biking, dancing, swimming, surfing, step aerobics, kickboxing and sports such as soccer, tennis and basketball. 3. Sleep well. Not getting enough sleep can trigger anxiety. If you’re having trouble sleeping, tonight, engage in a relaxing activity before bedtime, such as taking a warm bath, listening to soothing music or taking several deep breaths. And, if you’re like many people with anxiety whose brains start buzzing right before bed, jot down your worries earlier in the day for 10 to 15 minutes, or try a mental exercise like thinking of fruits with the same letter. 4. Challenge an anxious thought. “We all have moments wherein we unintentionally increase or maintain our own worry by thinking unhelpful thoughts. These thoughts are often unrealistic, inaccurate, or, to some extent, unreasonable,” Thankfully, we can change these thoughts. The first step is to identify them. Consider how a specific thought affects your feelings and behaviours. Is it helpful or unhelpful? These are the types of thoughts you want to challenge. Therefore it is suggested asking yourself: “Is this worry realistic?” “Is this really likely to happen?” “If the worst possible outcome happens, what would be so bad about that?” “Could I handle that?” “What might I do?” “If something bad happens, what might that mean about me?” “Is this really true or does it just seem that wa Then, “reframe or correct that thought to make it more accurate, realistic and more adaptive.” Here’s one example: “I would feel embarrassed if I tripped on the stage, but that’s just a feeling; it wouldn’t last forever, and I would get through it.” 5. Say an encouraging statement. Positive, accurate statements can help to put things into perspective. See these examples: “Anxiety is just a feeling, like any other feeling.” and “This feels bad, but I can use some strategies to [cope with] it.” 6. Stay connected to others. “Social support is vital to managing stress,” Today, call a loved one, schedule a Skype date or go to lunch with a close friend. “Talking with others can do a world of good.” Another option is to get together and engage in an activity that improves your anxiety, such as taking a walk, sitting on the beach or going to a yoga class. 7. Avoid caffeine. Managing anxiety is as much about what you do as what you don’t do. And there are some substances that exacerbate anxiety. Caffeine is one of those substances. As said, “The last thing people with anxiety need is a substance that makes them feel more amped up, which is exactly what caffeine does.” 8. Avoid mind-altering substances. “While drugs and alcohol might help to reduce anxiety in the short term, they often do just the opposite in the long term,” Even the short-term effect can be harmful. Experts have treated countless clients whose first panic attack occurred while they were taking drugs such as marijuana, ecstasy or LSD. “Panic attacks are bad enough if you are straight and sober, so imagine how bad they are if you are high, and can’t get un-high until the drug wears off.” 9. Do something you enjoy. Engaging in enjoyable activities helps to soothe your anxiety. For instance, today, you might take a walk, listen to music or read a book, 10. Take a break. It’s also helpful to build breaks into your day. As it is said, this might be a “simple change of pace or scenery, enjoying a hobby, or switching ‘to-do’ tasks.” “Breaking from concerted effort can be refreshing.” 11. Problem-solve. It is suggested considering how you can address the stressors that are causing your anxiety. Today, make a list of these stressors and next to each one, jot down one or two solutions. 12. Pick up a book. There are many valuable resources on anxiety, which teach you effective coping skills. Some recommended are Dying of Embarrassment for people with social anxiety; The BDD Workbook for body dysmorphic disorder; The Imp of the Mind and The OCD Workbook for obsessive-compulsive disorder. It is suggested Stop Obsessing for adults with OCD (and Up and Down the Worry Hill for kids with OCD). For people with panic attacks, it is suggested Don’t Panic: Taking Control of Anxiety Attacks. For a general overview of cognitive-behavioural therapy for anxiety, 13. Engage in calming practices. “Meditation, yoga, or other calming practices can help minimize anxiety in both the short and long term.” Sign up for a yoga class or watch a yoga video online. (Curvy Yoga is a wonderful and sizes.) Meditate right now for just three minutes resource for yoga for all shapes 14. Contact a therapist. “Sometimes anxiety can be difficult to manage without professional help,” Many organizations include databases of providers who specialize in anxiety (along with helpful information). 15. Accept your anxiety. “If you really want to effectively manage your anxiety, the key is to accept it,” This might sound counterintuitive. But anxiety, “in and of itself,” isn’t the real problem. Instead, it’s our attempts at controlling and eliminating it, he said. “Not accepting these unwanted inner experiences is the actual source of so much of our self-induced suffering.” Accepting anxiety doesn’t mean “resign[ing] ourselves to a life of anxious misery. It simply means that we are better off recognizing and fully accepting the existence of anxiety and other uncomfortable emotional states that are inevitable, but transitory,” So if you experience anxiety today, simply observe it. “Think of it like a wave of the ocean; allow it to come in, experience it, and ride it out.” Anxiety can feel overwhelming. It can feel like chains around your feet, weighing you down. But by taking small steps – like the ones above – you can minimize your anxiety and cope effectively.
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